Report Parliamentarians Take Action for Maternal and Newborn Health

The Hague, Netherlands 26 - 28 November 2008 2 Report Making PregnancySafer Parliamentarians takefor maternal action andnewbornhealth Photo credits: Gyamerah byDesigned Duke Edited by Marie-Agnes Heine Compiled by Eva Prost Printed inGeneva due to different ofdata methods mining. The statistics and data presented by are the speakers not necessarily identical to those published by WHO the Organization.of World Health policies or decisions the representnecessarily 2008.not vember does It Hague,in The parliamentarians Netherlands,No- of the 26-28 meeting on a of report a is publication This the reader. Innoevent shallthe World Organization Health liablefor be from damagesarising itsuse. kind,implied.expressedor either with lies material the of interpretationuse forthe and responsibility The contained in this publication. However,information the verify the published to material is Organization being distributed Health without warranty Worldof the any by taken been have precautions reasonable All letters.initial capital are not mentioned. Errors and omissions excepted, the names of proprietary products are distinguished by dorsed or recommended by the World Health Organization in preference to others of a similar nature that manufacturers’ certain of or en- are companies specific they that of Themention imply not does products full agreement. be yet not may there which for lines border approximate represent maps on lines boundaries.Dotted or legal status the of any country,concerning Organization territory, Health World the city or area of or of its authorities,part the or concerning on the delimitation whatsoeverof its frontiers opinion any of pression ex- the imply not do publication this in material the of presentation the and employed designations The address (fax: +41227914806; e-mail: [email protected]).above the Press,at WHO to addressed be should – distribution noncommercial for or sale for whether – e-mail:4857; Organization, Health Avenue20 Appia, 27,Geneva 1211 (tel:3264; Switzerland 791 22 fax:+41 791 22 +41 reserved.rights All the Publicationsfromof obtained World be Press,Organization can WHO Health World © World Organization Health 2009 WHO/MPS/09.02 ). Requests for permission to reproduce or translate WHO publications WHO translate or reproduce to permission for [email protected] ).Requests

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Prefaces Contents Preface I - Ms Daisy Mafubelu, WHO Assistant Director-General 4 Preface II - Mr Anders B. Johnsson, IPU Secretary General 4 Preface III - Ms Gerdi A. Verbeet, President, House of Representatives of the States-General 5

Parliamentarians take action for maternal and newborn health Executive summary 7 Background 8 Millennium Development Goals 8

Day one Opening plenary 10 Maternal and newborn health 12 Country reports 13 Dutch commitment to MDG 5 15 Discussion and debate 18

Day two Site visits 22 Country reports 25 Discussion and debate 27 Meeting with nongovernmental organizations 29

The Roadmap Building a bridge to reach MDGs 4 and 5 30 Presentation: Taking action on maternal and newborn health 30

Day three Global initiatives to improve maternal health 32 Address by the Minister of Health 33 First steps back home 34 Closing remarks 35 Country representatives 36

Annexes The Roadmap 37 Agenda 43 List of participants 45 4 Report I e c a f e r P Making PregnancySafer Parliamentarians takefor maternal action andnewbornhealth Inter-Parliamentary builton Union,theparliamentarians and jointlyof theNetherlands organized by WHO andthe Action. At themeetingin The Haguehosted by theParliament politics andinvestment, andtheycameupwith aPlan of butalsoabout andmedicalinterventions only aboutdoctors agreed thatparticipants maternal healthisnot andnewborn inLondon in2007, maternal healthandsurvival andnewborn thefirstDuring on WHO meetingwithparliamentarians reduced. canbe and morbidity maternal mortality andnewborn health care,the healthsystem andfocusing onprimary strategies, andappropriate investment, andby strengthening maternal health. andnewborn With therightpolicies, right goals. There isalotthat candoto parliamentarians improve haveparliamentarians akeyrole to play inachievingthese vested inthemaslegitimate representatives ofthepeople, Development 4and5inparticular. Goals With thepower commitment to globalhealthingeneral andto Millennium At thesametimewe are witnessinganunprecedented region every oftheworld. be metinvirtually 5,aimedat improvingGoal maternal health,istheleastlikelyto especially indeveloping countries. Development Millennium the future ofmothersandbabieswillcontinue to bebleak, 2015 we mustadmitthat unlessdrastic measures are taken, prevented, however, halfway towards ourtarget date of We ofthesedeaths how canbe thevast know majority life and3.2millionbabiesare stillborn. theirfirstmonth of around donotsurvive 4millionnewborns year Every disabilities acquired orchildbirth. pregnancy during For womanchildbirth. whodies, every 30more are livingwith minute Every a woman dies from complications in or pregnancy I I e c a f e r P Saharan Africa andinAsia. of maternal, andchilddeaths, newborn most oftheminsub- are themostaffected. Today, 68 countries account for 97% even withincountries themselves, aspoorandrural women however, hugediscrepancies between regions, countries and year. is exempt Nocountry from thissadreality. There are, childrennewborn die. That makes3milliondeadchildren per year.half amillionmaternal deaths every minute eight Every The statistics oftoday are frightening. There are more than WHO/FCH Assistant Director-General Ms DaisyMafubelu a thingofthepast. the preventable deathsandchildren ofnewborns willbecome loss ofwomen’s and lives orwhilegiving inpregnancy birth, drum for theneedless maternal, andchildsurvival newborn for themothersandchildren ofthisworld. we If allbeat the outcome willinspire more to parliamentarians deliver results Action forMaternal Healthconference andNewborn andits ontheParliamentarians muchhopethat thisreport TakeI very other’s activities. each andsupport best practices continue to share experiences and sotheycouldand setupanetwork saving mothers’ andbabies’ lives They developed aroadmap for London andotherrecent events. generated by themeetingin maternal health andnewborn the momentum for improving Report 5 Report 5 Making Pregnancy SaferMaking Women Parliamentarians Report Report Parliamentarians Women I was very honoured to host the host the veryI was to honoured action for take Parliamentarians and newborn health maternal in the Netherlands’ conference recently. House of Representatives Not only did the theme of the as it were, me” to “speak conference that believe but I also sincerely the world parliamentarians around issues address to should join forces it goes Hence concern. of common to I am proud that without saying Parliamentarians take action for maternal and newborn health newborn and action maternal for take Parliamentarians Preface III III Preface becomes our priority. There is no reason why every and why woman no reason is There our priority. becomes to need we All they require. the attention cannot receive child and political will, show courage, political demonstrate do is to lead the way. Johnsson B. Anders Secretary General Union Inter-Parliamentary present you with the final report of the conference. But more But more report with the final conference. you of the present all the participants I hope it will inspire focus than that, to and a real of the conference: result again on the desired once mortality. in maternal decrease significant childbirth that - I believe a woman a politician - and as As but a right: a survival of chance, be a matter should not that I believe all women. for should be guaranteed right that survive and to life, give to live, every to has the right woman myself childbirth I am a mother and grandmother in so doing. of of the problem the sheer magnitude and I am shocked by mother and child mortality it countries; in developing rates Growing attention has been paid to to been paid has attention Growing survivaland child health maternal in Much effortbeen has years. recent regional international, the made at different by levels and national support awareness, actors raise to importantly and most initiatives of interventions. the coverage track capacities and monitoring Research It is now improved. significantly have possible to identify clearly the current situation in a country, in a country, situation clearly identify the current possible to and interventions can measures the gaps lie and where where in the survival women and of difference make a significant to this for However, possible. Change is therefore children. will the political and translate strengthen to happen, it is crucial than to better be could What acts. and legislative political into supportand action? parliaments’ call for Hague The met in than 35 countries more from Representatives WHO and of the Netherlands, of the Parliament the invitation at it all: Parliamentarians says which, I believe a conference for IPU, meeting This action and newborn health. for maternal take a wonderfulprovided opportunity members of parliament for and and good practices, experience exchange strategize, to build solidarity I am convinced and actors. countries between home returned the members of parliament who attended that can they steps the of ideas clear with committed, and energized in their of mothers and their children the lives improve take to country. very IPU was be partThe pleased to effort. of this I hope that you report it will inspire and that will find this you of interest and of women action in the lives make a change in your to the world. around children to is still a long way and there the corner 2015 is just around Achieving meet the Millennium Goals. go to Development MDG 4 (Newborn) and MDG 5 (Maternal health) is possible if it 6 Report Making PregnancySafer Parliamentarians takefor maternal action andnewbornhealth difference! and experience to achieve that goal. Together, we makea can As politicians-women andmen­ alike. begins withequalrightsforThis menand women. support ofallthecitizens theyrepresent,at the service menandwomen in themindsetofpoliticiansandsociety. Politicians shouldbe takesmore thanjustmoneytoIt achieve involves that. It achange women, especiallyindeveloping countries, shouldberecognized. andwillingto fight.makes meangry The crucialsocial role of - we mustuseourknowledge House ofRepresentatives oftheStates-General, theNetherlands President Gerdi A. Verbeet difference.important world, andtheonlyway we willever beableto makethat all- to discuss, dealwithandimprove thepositionofwomen inthe intheirhomecountries.parliamentarians This istheonlyway conference andputinto by practice allthe willbesupported Parliamentarians take formaternal health andnewborn action join forces. Isincerely hopethat theresults achieved at the I have already urged oftheworld theparliamentarians to Report 7 Report 7 Making Pregnancy SaferMaking Women Parliamentarians Report Report Parliamentarians Women Parliamentarians take action for maternal and newborn health newborn and action maternal for take Parliamentarians enact laws to ensure universal access to essential care; essential to access universal ensure to enact laws and newborn health; maternal budgets for allocate implementing for accountable hold the governments policies; agreed of the Millennium the achievement for advocate Goals; Development and children. of women the voices represent

As an example, the Netherlands presented its midwifery the Netherlands presented an example, As organizations. local nongovernmental and programme training of the next participants steps a roadmap developed Together, The and newbornhealth. maternal improve taken to be to continued a network for develop also aimed to conference discussion and support international among parliamentarians, the world. and civil society around organizations and commitment power Political action on the focused parliamentarians meeting could The and newborn mortality maternal reduce take to in their home members of parliament participants that The agreed countries. to: use their power could In many countries, parliamentarians have become aware of aware become parliamentarians have countries, In many At and newborn deaths. of needless maternal the tragedy 20 members of parliament from meeting in 2007, the London maternal on a Global plan of action reduce to agreed countries right to a universal called for They and newborn ill-health. to ensuring access mothers and their babies by health for underlined They during and after childbirth.skilled before, care community involvement this also included infrastructure, that Executive summary Executive of awareness create to objective of the meeting was The parliamentarians urge and newborn health and to maternal in their home countries. the highest levels this issue at raise to for vision a common develop to encouraged were Participants the Millennium will help achieve Development key policies that and newbornGoals health. on maternal participants the opportunity offered reportto conference The of best practice the field of in examples and give on progress developing from and newborn health. Participants maternal experiences. exchange to invited were countries and developed Lawmakers from 32 countries met in The Hague on 26-28 Hague The met in countries 32 from Lawmakers parliamentarians could discuss how 2008 to November three-dayThe and newborn health. maternal improve action for maternal take Parliamentarians entitled conference , the the States-General by hosted and newborn health was support with special the Netherlands, of Dutch from Parliament meeting was The Gill’ard. Ms Chantal Member of Parliament (WHO) Health Organization World the by organized jointly It Union (IPU). and the Inter-Parliamentary a follow-up was and parliamentarians on Maternal meeting of women a to newborn London, 2007 in health and survival held in March and interventions investments promote which aimed to Hague The and newborn mortality. maternal reducing for parliamentarians women (both together brought conference and developed from developing and men), health officials agencies and international from and representatives countries, organizations. nongovernmental Parliamentarians take action for maternal and and action maternal take for Parliamentarians health newborn 8 Report national agendas. and pushingmaternal healthto andnewborn thetop ofthe countries, were parliamentarians following upontheirpledges of maternal deaths andnewborn willcontinue to rise. allocations,programmes the shamefulnumbers andbudgetary unless healthsystem response is improved through effective could be saved we usingtheknowledge have today. However, prevented withcost-effectiveMillions oflives interventions. also withincountries. deaths anddisabilities could Most be populations. There are notonlydifferences across regions, but andpoor,between rich andrural andbetween urban theglobal inequity reflect mortality Maternal andnewborn Asia.Africa andSouth-East andchilddeathsnewborn worldwide, mainlyinsub-Saharan countries account for Sixty-eight 97%ofmaternal,stillborn. die withintheirfirst28days oflife, andanother3millionare motherhood-related disabilities. year, Every 3.7millionbabies from pregnancy-related causesandmillionsmore suffered from thelastdecade, Over 7millionwomen died and childbirth. day,Every 1500women diedueto complications inpregnancy worldwideMaternal andnewborn mortality Background and globalinformation sharing. Making PregnancySafer Parliamentarians takefor maternal action andnewbornhealth 1 Report: Meetingof Women Parliamentarians. Geneva, World HealthOrganization, 2008 1 In Ugandaandinother In mortality rate ofchildren undertheageoffive.mortality Nevertheless, Many countries have madegoodprogress inreducing the children. agoalalsocloselyrelatedmalaria, to thehealthofmothersand health by 2015whileMDG 6seeksto combat HIV/AIDSand MDG 5alsoaimsto achieve universal access to reproductive between by 1990and2015. three quarters maternal mortality States agreed totwo reduceby thirds under-fiveand mortality while MDG 5aimsto improve maternal health. The UNMember health. MDG 4seeksto reduce andchildmortality, newborn be achieved by 2015.MDGs 4,5and6are related directly to agreed Development (MDGs)to oneight Goals Millennium Declaration. AtotalNations of189countries Millennium 2000,theinternational adoptedIn community theUnited Millennium DevelopmentGoals Every yearEvery

abortion. 50 millionpregnancies are interrupted by induced 75 millionpregnancies are unwanted. 180–200 millionpregnancies occur around theworld. 3 millionbabiesare stillborn. diewithintheirfirst 2.8 millionnewborns week oflife. and childbirth. 536 000women diefrom complications inpregnancy 20 millionwomen suffer from maternal morbidity. are unsafe.20 millionabortions Report 9 Report 9 Making Pregnancy SaferMaking Women Parliamentarians Report Report Parliamentarians Women Parliamentarians take action for maternal and newborn health newborn and action maternal for take Parliamentarians governments, parliaments, civil society and the international civil society international and the parliaments, governments, maternal their efforts promote to redouble communityneed to progress, accelerate To and newborn survival. health and share awareness, raise join forces, need to all stakeholders investment. promote and practices, and best experiences showed that in 43 countries 43 countries in that showed 2 orld Health Reportorld Health 2005 Geneva, World Health World every Make mother and child count. Geneva, Health Report 2005: World The W The maternal and neonatal mortality and neonatal maternal or even had stagnated serious has caused HIV/AIDS pandemic setbacks The increased. current the health. At and infant made in maternal in the gains MDGs 4 attain 2015 to beyond years take many it would pace, change, this to and 5 in sub-Saharan For and South Africa Asia. 2 Organization, 2005. 2005. Organization, 10 Report Day one Making PregnancySafer Parliamentarians takefor maternal action andnewbornhealth President oftheHouseRepresentatives Ms Gerdi Verbeet The Netherlands Opening plenary politics. She had observed thatpolitics. many Shehad observed women politicians into their personalexperience andchildbirth ofpregnancy said. Sheencouraged herfemale to bring counterparts contribute achange?”parliamentarians to making Ms Verbeet pivotal this conference questionduring “The is:how can andfemaleMotherhood powers ofpersuasion their governments to maternal prioritize health. this. They and use all must availableact instruments to convince Parliamentarians wereand childbirth. inapositionto achieve However, woman shouldhave every therightto safe pregnancy a matter ofluck whetherawoman childbirth. would survive have failedto makeitapriority.” many In countries, itremained andalackofinterest,”short-sightedness shesaid. far,“So we problems oralackoffunding. caseofpolitical isaserious “It that the slow progress onMDG 5was not dueto technical magnitude ofmaternal death anddisability. Sheargued As amotherandgrandmother, shefelt shockedby the governments to makeitapriority. and calledonthemto urge their address thisissueofcommon concern encouraged themto joinforces to on maternal health.She andnewborn all over theworld to theconference welcomed from theparliamentarians Representatives, MsGerdi Verbeet, The President oftheHouse allocations for maternal health. ways ofinfluencingtheirgovernments to increase budgetary to share theirexperiencesparticipants onthemosteffective contributionserious to meetingthetarget.” Shecalledon all ingovernment,to makewomen apriority we canmakea leadsto empowerment“But iftalking andanewimpetus Ms Verbeet saidthat MDG 5 would notbeachieved by talking. improve maternal health. female powers ofpersuasiontoto engagemenintheefforts women andusetheir shouldbuildnetworks parliamentarians unprecedented, sheadded. Furthermore, sheemphasized that leave hadtakenmaternity parliamentarians in2008,whichwas seeing itasasource ofstrength andinspiration. Three Dutch intheirprofessionaldenied theirmotherhood life rather than future ofmothersandbabiesindeveloping countries would said that unless drasticMs Mafubelu steps were taken,the Assistant Director-General,Assistant Family andCommunity Health Ms DaisyMafubelu WHO in London andotherrecent events. Meeting ofwomen parliamentarians build onthemomentum ofthe She hopedthat themeetingwould moreof financialcrisis thanever. in theirhomecountries –intimes beat thedrumfor maternal health tocalled ontheparliamentarians and Community HealthCluster, of Director-General WHO’s Family Ms DaisyMafubelu, Assistant Report 11 Report 11 Making Pregnancy SaferMaking Mr Anders B. Johnsson, Mr B. Anders Secretary General of the Inter- (IPU), called Union Parliamentary be on the parliamentarians to women’s in promoting persistent motherhood. safe right to both MDG 4 that He stated far from and MDG 5 were though still being achieved, “There absolutely is achievable. Women Parliamentarians Report Report Parliamentarians Women Parliamentarians take action for maternal and newborn health newborn and action maternal for take Parliamentarians no valid reason why every woman and child cannot receive every receive and child cannot why woman reason no valid should be Every woman he said. they require,” the attention of her health needs and be aware about her rights, educated during and after pregnancy. before, care to access have equality gender Promoting response,” a collective “Sustainable change will require a holistic approach for the need Mr He stressed Johnsson said. of including the promotion mortality, maternal reducing to of health systems. gender equality and the strengthening health maternal that make sure could Parliamentarians questions can raise “You high on the political agenda. remained can set targets, You in parliament and speak out publicly. action governments national plans and hold your develop them.” for accountable in order legislation review parliamentarians to He encouraged should take a close “You gender discrimination. eliminate to education that the school curriculum make sure look at to he rights,” is supportive of gender equality and women’s the promote to Mr the audience said. also urged Johnsson budgets and to national of gender-sensitive development health-care reproductive to access women’s funds for allocate IPU Johnsson B. Mr Anders Secretary General remain bleak. be met, remain Of to likely least 5 was MDG MDGs, all the about what consensus international strong was there although during know“We skilled that before, care done. be needed to and after childbirth, and emergencyto care obstetric access and newborns’ women’s can save family planning to access the importance also stressed She of gender she said. lives,” their own make to women equality 3) in empowering (MDG health-care decisions. of the voiceless be the voice To contribute significantly to had the power Parliamentarians could They Ms Mafubelu reiterated. these goals, achieving to implementing for accountability the government’s oversee of the “Be the voice health. maternal for policies and advocate also could participants. she urged Parliamentarians voiceless,” to powers legislative the health budget and use their increase to access and children’s women barriers facilitate and remove supports that pass legislation to and empowers care, essential Ms Mafubelu decisions. health care make their own to women conventions participants international encouraged ratify to support and to laws Convention like the Maternity Protection and policies “With the right strategies against child marriage. and newborn mortality maternal investment, and appropriate can be reduced.” Ms InMafubelu of the global financial crisis, the face request Chan’s WHO Director-General Dr Margaret reiterated the past. the mistakes of should not repeat the world that Social should not be cut spending in health and education in these areas investing She outlined that but increased. which is the foundation in human capital, investing meant economic for productivityof economic and a prerequisite In Ms Mafubelu conclusion, wished the participants recovery. WHO Director- also of the on behalf meeting, a productive General. 12 Report Director, Department of Making Pregnancy Safer ofMaking Director, Department Islam Monir Dr WHO Maternal andnewbornhealth Making PregnancySafer Parliamentarians takefor maternal action andnewbornhealth political courage, show politicalwill, andleadtheway.” maternal health: onlythingwe needisto demonstrate “The to commit themselveson participants to theimprovement of that theiraid andsustainable.was predictable efforts Hecalled itwas Johnssonstressed for howMr any important planning Addressingservices. therepresentatives ofdonorcountries, capacity of community hospitals. ofcommunity capacity progressthe 1980sfurther had beenmadeby enhancingthe 1960 and1980through anincreased numberofmidwives. In between by able to three reduce quarters maternal mortality ratio. thatmaternal mortality Hereported Thailand hadbeen ratio ofdeliveries attendants assisted by andalow skilled Dr Islamprovided data proving astrong linkbetween ahigh access to familyplanning. access obstetric care to care, emergency andnewborn and (3) care before, (2) (1)skilled childbirth, andafter during mortality: reducing maternal andnewborn strategythe three-pronged for coverage andquality. Hedescribed about technology butaboutaccess, achieving MDGs4and5was not care.access to Hestressed birth that and socioeconomic in disparities health andprovided data onregional improving maternal andnewborn Safer, presented strategies for Pregnancy ofMaking Department Islam,Director of Dr Monir WHO’s another delay. facilities frequently lack suppliesandhealthstaff, whichcauses have difficulties andthirdly, reachingahealthfacility thehealth in apregnant woman’s decisionto seekcare. Secondly, shemay delays inaccessing First, healthservices. there adelay isoften to thenecessity overcomeDr Islamunderlined thethree main ofthethreeModel delays states southern andlowest inthenorth. example, obstetric care emergency coverage was highestinthe withina thedisparities India country.maps reflecting In for a trend towards overmedicalization. DrIslamshowed different were delivered20% ofbirths by indicating caesarean section, than 1%inrural areas. areas theurban more ofBolivia, In than for example, thepercentage wasareas, 5%inurban butless differences between rural areas. andurban MozambiqueIn access obstetric care. to emergency These figures alsoshowed The percentage was ofcaesarean usedto assess sections upper class. cities between thepoorliving inslumsandthemembersof data also showed significant differences in coverage within 20% for thepoorest quintile ofthepopulation. The available health staff was more than80% richest andlessthan for the for example, thepercentage ofdeliveries assisted by skilled Ghana) oreven less(e.g. Bangladesh,Chad,Nigeria Haiti). In rural areas wasareas onlyhalfashighinurban (e.g. Bolivia, populations.poor andrich somecountries thecoverage In in within countries, between rural areas, andurban andbetween Asia (44%).Butthereand South/South-East were alsogaps personnelwas lowest Africaby (42%) skilled insub-Saharan maternal healthcare. The assisted percentage ofchildbirths between 2001and2007showed inaccess bigdisparities to (DHS) Data by collected theDemographic andHealthSurveys between richandpoor Gaps Report 13 Report 13 Making Pregnancy SaferMaking Ms Loekman Soetrisno that said was the Indonesian Parliament in legislation, using its powers tackle budgeting to and oversight of the work The these problems. on based was Health Commission of 1945 constitution the national commitments. and international She reported the Parliament that the protect to had amended laws to and youth rights of women Women Parliamentarians Report Report Parliamentarians Women Parliamentarians take action for maternal and newborn health newborn and action maternal for take Parliamentarians reproductive health. The MinistryThe of Health had implemented health. reproductive increase and to doctors train and midwives to programmes of infants, the lives community participation. save In to order had been and immunization on breastfeeding programmes launched. the health budget increase to Call parliamentarians the funding of such programmes ensure To budget the health increase to the Government urging were Ms Loekman budget, than 5% of the national more 2.6% to from 15% of the allocating had also advocated They Soetrisno said. to access ensure To and child health. maternal health budget to for an improvement they had suggested health services all, for the Government. scheme to health insurance the national of Ms Loekman Soetrisno reported the Indonesian that Forum engaged was and Development on Population Parliamentarians and parliamentarians provincial at for in advocacy programmes the importance she emphasized line, a bottom As district levels. and child health. of working on maternal closely together Ms Tuti Indarsih Loekman Soetrisno informed her fellow Indarsih Loekman Soetrisno her fellow informed Tuti Ms politicians about the action the Indonesian taken by Parliament national to According MDGs. the health-related achieve to per 100 000 live deaths 266 maternal were there statistics births of Southeast Asian in the Association – the highest ratio the age of died before in 100 children four Almost Nations. malaria and HIV/AIDS were diseases like tuberculosis, one year; in her home country. among the main health problems Indonesia Indarsih Loekman Soetrisno Tuti Ms Member of Parliament Country reports He stressed that it was important to investigate at local level level local at important it was that investigate He stressed to services not use the did facilities. at women available why or the care, lack transportation for may pay or money to They Cultural about the quality perhaps concerned of the care. were ask to have may Women be considered. to also needed reasons go alone to not want may They permission. for their husbands obstacle, the main were costs If male staff. by be treated or to means of an effective be scheme could a health insurance and maternal skilled to and reducing care access increasing for strategy of a successful an example As newborn mortality. a Islam cited Dr and newborn mortality, maternal reducing partnershippublic-private In the of Gujarat. in the Indian State obstetricians paid private the government scheme, Chiranjeevi during and before, women poor pregnant to care provide to after childbirth. to resources allocate the parliamentariansDr Islam called on to they need. the care babies received mothers and that ensure “There he said. “Each and everydeserves woman the best,” poor people.” should no longer be poor options for 14 Report sex education was provided by organizations liketheLutheran There hadalsobeenprogress the1960s onsex education. In Sex education inschools inobstetrics.developed expertise wasnetwork establishedincludingfive university hospitalsthat midwives andnurses. After thewar, thecentral hospital aswelland childclinicswas enacted as alaw onmunicipal and isstillprovided today. 1944alaw onmunicipal maternal In for pregnant women to come to aclinicfor amedicalcheck-up received financialsupport. The pack was meant asanincentive and otherequipment for thechild, andtheysometimesalso given packthat amaternity consisted ofabox withclothes law before was enacted theSecond World War. were Mothers nongovernmental organizations. The maternity-assistance The firstmaternities were establishedin1920,often by for poormothers.services mainly dueto alaw that obligedmunicipalitiesto fundthe ratiogrow was already declining, but thematernal mortality developed, said. MsSirnö The economy to hadnotyet started the situation andto have atrained villagehad midwife inevery that thepoliticalwilltobeginning improve ofthe19thcentury was onlyat the It and onein100women diedgiving birth. Making PregnancySafer Parliamentarians takefor maternal action andnewbornhealth Member ofParliamentMember Sirnö Ms Minna Finland were notrained midwives inFinland However, there inthe 18thcentury onit. that the mediareported death per year. was sucharare It event between zero andsixcasesofmaternal to almostzero. Today, there were tojourney reduce maternal mortality abouthercountry’sparticipants long from Sirnö FinlandMs Minna told maternal mortality more quickly andachieve more MDG 5. quickly maternal mortality othercountries so that theycould reachsupport low levels of it,”worth wanted shesaid. that Sheaffirmed her to country thingto talkaboutinparliament, butmothersarenot asexy role inFinland’simportant development cooperation. is “Sex statedMs Sirnö that sexual andreproductive healthplayed an increasingly inrecent acknowledged decades. said. Sheaddedthat therole ofmeninchildcare hadbeen rate,a decrease ofParliament intheabortion theMember law was liberalized. The amendment hadbeenfollowed by easily available for young people. 1970theFinnish In abortion saidthatMs Sirnö today awiderange ofcontraceptives were until was1976. notincludedintheschoolcurriculum Church. It policy frameworks suchasVisionpolicy 2020. The Parliament had saidthat innational healthwas akeyfactor Ms Mukandutiye threshold in2005. the poverty economic growth almostthree infive people were livingbelow the1994genocide, explained.during MsMukandutiye Despite Member ofParliamentMember MukandutiyeMs Spéciose Rwanda infrastructure hadbeendestroyed 1070 in2000. The health system’s in2005comparedlive to births maternal deaths per100 000 to DHSdata there were 750 gender discrimination.According the healthsystem andfighting at improving of theperformance presented national policiesaimed Ms SpécioseMukandutiye, The representative from Rwanda, Report 15 Report 15 Making Pregnancy SaferMaking In a video message, the Dutch the Dutch In a video message, Development Minister for BertCooperation Koenders the parliamentarians welcomed Hague and encouraged The to push MDG 5 to the guests to of the agenda in their the top parliaments. Minister Koenders affirmed that one of his political MDG 5 was Women Parliamentarians Report Report Parliamentarians Women Parliamentarians take action for maternal and newborn health newborn and action maternal for take Parliamentarians priorities. He stated that there had been hardly any progress progress any hardly had been there that He stated priorities. However, health in the past 20 years. maternal on improving and Sri Lanka Honduras that like Chile, had shown countries mortality within 10 maternal significantly be reduced could in women’s invest will to the political was if there 15 years to women the not only benefited investments These health. and their their communities but also their families, themselves countries. impact the economic Stressing In dimension of MDG 5 crisis times of financial the economic put it crudely: “To the Minister said. be emphasized, had to He said that mortalitymaternal the economy.” is bad for in lost US$ 15 billion a year the world cost deaths maternal often was wiped growth economic He added that productivity. the Minister called for Hence, growth. high population out by studies showing to He referred in family planning. investment opt for would countries in developing women many that World them. A recent to available family planning if it was Dutch commitment to MDG 5 to MDG commitment Dutch Netherlands The Mr Bert Koenders Minister Development for Cooperation enacted a law on a mutual health insurance scheme to increase increase to scheme insurance health on a mutual enactedlaw a services health to covered the scheme 2007, access and by 1000 pay quarters had to three Citizens of the population. and health care for US$ 2) annually Rwandan (around francs service in a any provided 100 Rwandanan additional for francs health facility. of health services, the quality and coverage improve to Also performance-basedRwanda had introduced funding in 2006. maternal to related of the 14 performanceEight were indicators participationincreased in in had resulted measures The health. facilities and at deliveries more family planning programmes, Ms Mukandutiye emergency to care. obstetric referrals more as involved birth traditional that were highlighted attendants women pregnant counselled They community health agents. health facilities. them to referring paid for and were Ensuring gender equality the importance also stressed of Member of Parliament The form any prohibited 2003 constitution The gender policies. of gender discrimination. In Rwanda least 30% of the posts at Inin decision-making women. the by be held bodies had to 30% The women. House 56% of the members were Lower Court, had also been met in the Supreme the Senate, threshold ensure To governors. and among the provincial the Cabinet on issues laws had reviewed the Parliament gender equality, It had nationality. land and children’s to access like inheritance, violence. against gender-based also enacted a law political Ms Mukandutiye the need for emphasized national a health maternal in difference a make To commitment. of as important was institutional framework as the involvement parliamentarians should that She concluded local authorities. but oversight, and of legislation not only use their powers up on them and follow mobilize to also visit people in order initiatives. 16 Report Ambassador for the Millennium Development Goals Development fortheMillennium Ambassador Ms Stella Ronner-Grubacic The Netherlands Making PregnancySafer Parliamentarians takefor maternal action andnewbornhealth powers ofoversight. home countries through legislation, budgetallocation andtheir to promoteparticipants theachievement ofMDG5intheir ICPD meetinginCairo 2009.Heencouraged inOctober international high-level meeting onMDG 5before theIPCI/ abroad. Heannounced that hewas organizing aone-day whentravelling particularly of maternal healthinhiswork, KoenderspromisedMinister to continue to raise theissue per year. from €5to €30million Security Reproductive HealthCommodity that he hadincreased theaidfor theUNGlobalProgramme on in developing countries. Furthermore, reported theMinister million for offemale anddistribution theproduction condoms emphasized andaddedthathadallocated theNetherlands €5 and reproductive health. isupto usto break“It thesilence,” he many governments andparliamentsasitwas related to sexual Thethat acknowledged Minister MDG fulfilled. decrease by 25to 35%iftheunmetneedfor contraception was Bank publication would hadrevealed that maternal mortality often been appalled by reports on beenappalledbyoften reports Development Goals, shehad As Ambassador for theMillennium achieving theMDGs, shesaid. and menwhosework was vitalto happy to welcome somany women lunch.Shewas during participants Development Goals, addressed the Ambassador for theMillennium Ms Stella theDutch Ronner-Grubacic, 5 was a sensitive issue for could be called agreat success. conference job, withthisimportant it could helpparticipants in. You are theoneswhoare bestplaced to dothis.” the If needed to beheldaccountable. “And thisiswhere you come Addressing shesaidthat theparliamentarians governments developing countries. commitments andresponsibilities inbothdeveloped and initiative towas an important remind politicalleadersoftheir the New York meeting inSeptember2008.Shesaidthat this that the UNhadraised MDG5to thetop oftheagendaat represented in The Hague. The ambassadoralsorecognized in countries andwas happy to seeallfour organizations approaches towards improving maternal health andnewborn UNFPA, UNICEFandthe World Bankto harmonize their Shehighlightedagencies inthiswork. theinitiative of WHO, oftheUN thesupport acknowledged Ms Ronner-Grubacic Need to holdgovernments accountable diplomatic gatheringsandinternational meetings. stories were notonlyheard butalsotranslated at into action pointed outthat herbiggestchallengewas to ensure that such figure isbeyond imagination – at leastmine,” shesaid. She was oneinsixhercountry. orchildbirth in pregnancy “This from Afghanistan hadtold herthat awoman’s ofdying risk andmorbidity. Notlongago,maternal mortality awoman and show her support for theaction and show her support more information ontheconference venue intheDutch Parliament to get cametoof theNetherlands the PrincessHer Royal Highness Máxima Princess Máxima Her Royal Highness The Netherlands Report 17 Report 17 Making Pregnancy SaferMaking Women Parliamentarians Report Report Parliamentarians Women Parliamentarians take action for maternal and newborn health newborn and action maternal for take Parliamentarians project. Sub-groupsproject. against fight the to started contribute to another and Leone mortality Sierra and maternal Afghanistan in stop to a drug oxytocin, heat-stable develop aimed to group afterbleeding childbirth. members of working by together, said that Voorhoeve Ms had been of organizations kinds and different parliament motherhood and safe plans for up with new come able to this partnershipthat the Parliament. by had been initiated political eight from the supportShe also highlighted received “The together,” work need to is: we all learnt lesson we parties. do it alone.” “No one can said. Voorhoeve Ms priorities different despite goal A common MerryMr partners the Peter how explained had managed the and stressed diversity their despite together work to importance priorities of articulating of the the different a higher goal as the members while also identifying group conflicts arose, Whenever of all partners. interest common complementary than for aimed for solutions rather the group assumed that on MDG 5, the group their work For compromise. the project on “For everything there. already they needed was the solution assume that we example, for oxytocin heat-stable of dollars do not need millions “We Mr Merry said. is available,” it was advance, In to order new.” something totally develop to and he underlined, resources, the existing identify crucial to importantit was of each honour the unique contribution to stakeholder. for Human Emergence the Center from Both representatives could for Mother Care of the Meshwork the example hoped that participantsinspire launch similar networks in their home to countries. Meshwork for Mother Care Mother Care for Meshwork Merry and Mr Dutch the Peter from Voorhoeve Ms Anne-Marie reported cross-sector on the Emergence for Human Center in the Netherlands and for Mother Care Meshwork initiative that Both speakers stressed its principles of collaboration. but a question problem not a technical 5 was on MDG progress solutions. well-known implement to of mobilizing people them and make bring together people to was challenge The goal. the achieve to in order collaborate TV on national Call for Mother Care the Meshwork described how Voorhoeve Ms Gill’ard 2007 when Chantal had been launched in February action on MDG 5 on Dutch coordinated MP made a call for her call and on to responded organizations A few television. raise to organized jointly Night was the first Mother’s 12 May this up with a meeting followed Ms Gill’ard further awareness. and companies organizations, which nongovernmental to invited. 5 were in MDG with an interest institutes research participantsThe new and special efforts discussed at aimed a pact of MDG 5 and signed the achievement to contributing then developed group The known Schokland as the . Agreement Minister the Dutch for to be presented a set of projects to and keep in touch to and agreed Cooperation Development one another. learn from bleeding stop to drug Heat-stable which initial projects, described group’s the Voorhoeve Ms TV Night, and a of an annual Mother’s included the promotion needed to improve maternal and newborn health. Ms Chantal newborn and Ms Chantal health. maternal improve to needed her interest recognized and the Princess welcomed Gill’ard Highness Her Royal of mothers worldwide. in the health the opportunitytook some of the parliamentarians to talk to of local and representatives and to the world around from NGOs. international 18 Report Making PregnancySafer Parliamentarians takefor maternal action andnewbornhealth community levelcommunity to avoid life-threatening delays. quickly.the services Healthcare neededto beavailable at were ableto first recognize their need for care andthen reach system. For maternal healthitwas crucialthat pregnant women care from people’s homesto thedifferent levels ofthehealth publication dealtwiththequestionofhow to organize health Primary Health CarePrimary –Now More Than Ever”. recommended reading “The World 2008: HealthReport ofChild andAdolescent HealthandDevelopment,Department , Director Mason ofthe colleague Elizabeth Dr His WHO evaluation. implementing andinthefieldofmonitoring bestpractices and the bestavailable evidence. Thirdly, research itconducts in Organization helps develop andguidelinesbasedon norms the bestprogrammes inagiven context. Secondly, the First, toWHO provides countries to technicaldefine support of overview WHO’s from advocacy. apart three mainfunctions Reproductive HealthandResearch, responded by giving an Member oftheNationalAssembly Member Ms NaunHo Cambodia Discussion anddebate of the of WHO Department PaulDr van Look, Director hercountry.could support limited. Sheaskedwhether WHO However, was the expertise health, especiallyinrural areas. improve maternal andchild was developing aplanto that herGovernmentreported Ms NaunHofrom Cambodia 3 Shesaidthat the Sanitation ofFamily ofPublicHead, Healthand Department Health,Ministry JosephineKibaru Dr Kenya a larger healthbudget. solve thisproblem, membersofParliament were advocating for staff therefore migrated to other African countries.In order to could not employ allofthemdueto lackoffunds. The skilled resource problem. hadtrained manyThe country midwives but emphasized thatDr Kibaru Kenya hadauniquehuman recognize danger signs andensure referrals to healthfacilities. Community health workers who lived in villages were trained to was alsoimplementing anewstrategy at level. community the event ofobstetric complications. Sheaddedthat Kenya systems that allowed rapid referral to higher-level facilitiesin ambulances andestablishingeffective district communication Government intended to improve thesituation by introducing hospitalsorat home.women indistrict eithergave birth The were Hence, notconfident often aboutassistinginchildbirth. centres health-care priority. that nursesinprimary Shereported saidthat strengtheningDr Kibaru thereferral system was a according (DHS). to theDemographic andHealthSurveys Health Organization, 2008. 3 The World HealthReport2008: More HealthCare–Now Primary Than Ever. Geneva, World deaths per100 000live births, high inKenya with414maternal was very that maternal mortality Public HealthandSanitation said Family of HealthintheMinistry of The HeadoftheDepartment and increasing humanresources. strengthening thereferral system improve maternal healththrough aimedto said that hercountry fromDr JosephineKibaru Kenya Report 19 Report 19 Making Pregnancy SaferMaking Ms Refilwe told the Ms Refilwe Mashigo South that Africa’s audience its health effortsto improve on focusing were system primary and that care health parliamentarians kept in close with the communities. touch Ms Mashigo reported that her country had developed primary strengthen to strategies Women Parliamentarians Report Report Parliamentarians Women Parliamentarians take action for maternal and newborn health newborn and action maternal for take Parliamentarians health care at a local level. They had for example expanded expanded example had for They a local level. at health care enable districts to manage to programmes immunization member of the Any of an infectious disease. an outbreak report phone to contactcommunity parliamentarians could by She the ministries. inform could they so that an outbreak malaria- reported South had been declared that proudly Africa She community involvement. effective in 2006 following free the importance use the to stressed patients of mobilizing community health centres. about the needs in informed well parliamentarians were The constituencies. in their had offices as they the communities South Africa South Africa Mashigo Ms Refilwe MemberParliament of had also passed a national health bill intended to cover basic cover to bill intended health a national passed had also primary health-care services malaria like treatment. its Ms Obasanjo-Bello Nigeria that improve to needed stated her country It for that a problem general. in was health system externally not integrated. generally funded HIV services were health of the strengthening fund the on donors to She called make HIV services as a whole and then system part She of it. health from these services that argued not be separated could health. particular and in women’s in general, not from Ms Iyabo Obasanjo-Bello from policies new Nigeria presented in on the financing of health care She also described her country. with the associated the problems years. recent in HIV/AIDS on focus Ms Obasanjo-Bello reported Nigeriathat using money was fund MDGs 4 to debt relief from her countryand 5. She said that on primary focusing was health Ms Mónica Baltodano from from Ms Mónica Baltodano Nicaragua on women called overcome parliamentarians to political between the differences parties in aid together and work and suffer of the mothers who should women She said that die. gender equality and for unite violence. gender-based fight of cross-party example an As with she had come commitment, care. Two years ago, a pilot programme had been introduced introduced had been a pilot programme ago, years Two care. The scheme. health insurance based on a national in six states Senate The of delivery all women. the cost for scheme covered three colleagues from Nicaragua and all four parliamentary Nicaraguaall four and from colleagues three Hague. The in parties represented were Nigeria Obasanjo-BelloMs Iyabo Senator Nicaragua Ms Mónica Baltodano Member of Parliament 20 Report Making PregnancySafer Parliamentarians takefor maternal action andnewbornhealth activities at locallevelactivities would helpto aboutchange. bring institutions. The ofParliament Member was confident that the province to monitor thework ofthelocalhealthandeducation Once ayear, thewholeParliament spent aweek inone There was alsoaninitiative called “parliament to thepeople”. Member of the National Assembly oftheNationalAssembly Member PorapanDr Punyaratabandhu Thailand that experts could beconsultedthat andasafe experts referral organized. mountainous areas, asystem ofradio communication ensured from there ifthere were complications. thehigh-risk In pregnant women could goto healthoffices and were referred university, provincialhospitals. thevillages, In anddistrict facilitiesataimed to alllevels, establish health-care including care for everyone, DrPunyaratabandhu said. The reform also onuniversal coveragepolicy ofhealthcare providing free More recently, in2001,theGovernment hadadopted anational been achieved when Thailand was stillapoorcountry. communication systems. Shestressed that thesechangeshad health, butalsoinenvironmental health,roads, buildings, and oflife.quality hadnotonlyinvestedThe country ingeneral programmes intended to offer abetter through national development maternal survival andnewborn that reported Thailand hadimproved coverage. DrPunyaratabandhu recent promoting universal policy andabout amore mortality newborn had takento reduce maternal and approachmultisectoral hercountry Thailand told theaudience aboutthe Dr Porapan Punyaratabandhu from of heat-stable oxytocin butalsootherprojects. collaboration notonlythedevelopmentsector that supported discussions hadultimately ledto thedevelopment ofacross- and askedthemto commit themselves to thiscause. The that shehadinvited theorganizations to apublicmeeting heridea.MsGill’ardorganizations that supported reported hadbeenpositive,from but there theindustry were alsosome spotonnational television. in aone-minute The initialfeedback electricity. Shehadfinallycalledonpharmaceutical companies would nolongerdependontheavailability ofrefrigerators and make thefirst-line drug heat stablesothat itsusage oxytocin a biotechnologist, shebelieved that itwould bepossibleto weresevere treated childbirth bleedingafter effectively. As that 125 000 maternal deaths ayear could beprevented if to makeavaluable contribution,While shehadlearnt seeking that this goalwould notbereached effort. withoutextra decided to commit herselfto MDG5becauseshehadrealized Member of the Chamber ofCouncillors oftheChamber Member Marzouk Ben Elies Mohamed Mr Tunisia Care build theMeshwork forMother initial steps shehadtakento this questionby the describing Ms Chantal Gill’ard answered return home. do asafirststep upontheir what could the parliamentarians debate andasked into action from Tunisia wanted to translate Marzouk EliesBen Mohamed Mr . Shesaidthat shehad Report 21 Report 21 Making Pregnancy SaferMaking The chair of the conference, chair of the conference, The asked Gill’ard, Ms Chantal HerschderferMs Kathy the White Ribbon representing of about her experience Alliance working with parliamentarians. She reported Ms Herschderfer that send 2007 to had helped her in all members to cards Day Mother’s and ministers of the Parliament, “How missions in the Netherlands. Women Parliamentarians Report Report Parliamentarians Women Parliamentarians take action for maternal and newborn health newborn and action maternal for take Parliamentarians do you support parliamentarians to achieve MDG 5?” Ms Gill’ard Ms Gill’ard supportdo you MDG 5?” achieve parliamentarians to know. to wanted Ms Herschderfer important it was that emphasized to people at mobilize needed and to was what communicate working She had been in advocacy not only levels. different the International the White Ribbon but also for for Alliance . Her advocacy in the Netherlands of Midwives work Confederation putting an emphasis together, work the need to had shown She society. politicians and civil between on cooperation action, government monitor parliamentarians to encouraged parliamentary through example she She said that enquiries. for control to use their powers parliamentarians to mobilize aimed to and way in the agreed being allocated whether the budget was used effectively. whether it was White Ribbon Alliance for Safe Motherhood Safe for Ribbon Alliance White Herschderfer Ms Kathy of Directors Board to to 6 link; Neonatal and perinatal mortality:

5 from from Weerdt de Renee van The representative from from representative The asked De, Thi Vo Nam, Dr Viet get exact on she could data how and newborn mortalitymaternal her country. for Dr the of Monir, Director Islam WHO Department of Making thanked her Safer, Pregnancy important, up this bringing for He encouraged participants to invest participants He encouraged invest to 4 Maternal mortality in 2005: estimates developed by WHO, UNFPA, UNICEF, and the World Link: http://www.who.int/reproductive-health/hrp/about.html http://www.who.int/reproductive-health/hrp/about.html Link: http://www.unicef.org/statistics/index_24302.html Link:

5 6 4 . Bank. Geneva, World Health Organization, 2007. >> . Geneva, World Health Organization, 2007 Organization, Health World Geneva, estimates regional and global . country, though often neglected, issue. “Only what gets counted gets counted gets what “Only though often issue. neglected, Chan. WHO Director-General Dr Margaret he quoted done,” deaths, maternal on pregnancies, the data Unfortunately, Therefore, stillbirthsnewborn and incomplete. deaths were based on various had been generated global estimates and models. indicators Viet Nam Nam Viet De Thi Vo Dr Member Assembly of the National in monitoring. He added that support was available from HRP, a HRP, support added that He from available in monitoring. was and research development of research, special UN programme in human reproduction. training , UNFPA Director in Brussels, encouraged encouraged in Brussels, Director , UNFPA Steneker Ms Sietske and Health the Demographic from use the data to countries Surveys Dr (DHS). Her colleague itself had committed her organization UNICEF added that surveys cluster (MICS) conductingto multiple indicator complete the available information on maternal health. on maternal information the available complete 22 Report Day two independence themidwives was hadgainedthrough thisact asaseparate establishedmidwifery practice discipline. The of theCollegium Medicum . governingThe 1865act medical training courses were offered in1668underthesupervision inthe17thcentury.begun intheNetherlands The first Dr van Laartold training theaudience had that midwifery in developing countries. to achievetheir efforts MDG5andtheneed care for midwifery traininggave intheNetherlands, ofmidwifery anoverview International Confederation ofMidwives (ICM). The four speakers andMsNester T. ofMidwives (KNOV) Association Moyo from the They were joinedby MsFranka Cadée from theRoyal Dutch Dr Lucienne A.J.M. van Laarandteacher MsAnita van derLei. wasof parliamentarians welcomed by managing director AcademyAt theMidwifery Amsterdam andGroningen, agroup intheNetherlands andabroadMidwifery AcademyMidwifery Amsterdam andGroningen Amsterdam area (seep. 24). learnt aboutWaternet’s water inthe management ofdrinking areas ofdeveloping countries (seep. participants 24).Other provided information onitsgrants schemefor women inrural presented itswork (seep. 23)andtheRabobank Foundation “Wereldwonder” (seep. 23). ofAudit The NetherlandsCourt centre andthebirth of publichealththeMunicipality Amsterdam andGroningen (seebelow), thelocaldepartment Academy visitedSmall groups theMidwifery ofparticipants Dutch institutionsinvolved inissuesofhealthandfinance. The second day oftheconference withfieldtrips to started Site visits Making PregnancySafer Parliamentarians takefor maternal action andnewbornhealth and theresearch inthisfield, sheadded. elevated to academiclevels to strengthen itsindependence a sensitive way. future, In training shouldbe Dutch midwifery soasto beabletocommunication dealwithwomen skills in practice. The ofexcellent teacher stressed theimportance example. They alsolearntfrom casestudiesindailymidwifery were trained inanatomy, andgynaecology for embryology training was andproblem-based. bothcompetency- Students Bachelor-Master-System in2007.Msvan derLei explained that year training programme, whichwas integrated into the law, Drvan Laarsaid. Since 1993,ithadconsisted ofafour- The educational programme for midwives was laiddown in Learning from studies case involved inclinicalcare. there were complications. Speciallytrained midwives were also andwere themdirectly contact onlyreferred if to doctors asautonomous casemanagers.acted Pregnant women could still relatively uniqueinEurope. theNetherlands, midwives In Report 23 Report 23 Making Pregnancy SaferMaking Women Parliamentarians Report Report Parliamentarians Women Parliamentarians take action for maternal and newborn health newborn and action maternal for take Parliamentarians Parliamentarians from the Republic of Korea and Tunisia were were Tunisia and the Republic of Korea from Parliamentarians HighThe the Netherlands Court to . of Audit warmly welcomed ago and its 200 years around created was of State Council effectiveness and the efficiency, audit and improve is to role The Netherlands Court of Audit Court of Audit Netherlands The and emergency aid Checking development Netherlands, women can choose to give birth at home. They are are They birth give home. to choose can at women Netherlands, pregnancy of their weeks the first from midwife a by monitored the refer can midwife the complications, any are and if there within 12 minutes. a hospital to woman birth to center Visit in the women pregnant for importantThe of midwives role during the group’s apparent more Netherlands even became the MCH Birth 2007. in May which had opened visit to Center hospital in town. the largest close to Birth is located The Center the at counsellors nurses and breastfeeding midwives, The complications If the hospital. any of independent are Center the hospital at colleagues their to the women they refer arise, has a variety Center The closely together. with whom they work partners their as for as well women the for rooms of pleasant and families. their from experiences share to invited were Parliamentarians lunch. a light over countries respective The Hague Municipality and Birth Center Hague Municipality and BirthThe Center pregnancy in the safe for role a crucial play Midwives Netherlands Thailand, Sudan, Nepal, Haiti, Finland, from Parliamentarians World Health the Kingdomthe United and staff from City the new to Hall of warmly welcomed were Organization Richard Meier architect and renowned by designed Hague, The in 1995. inaugurated public started presentation with an overviewThe of the city’s health and pregnancy maternal to related health programmes In the of the building. tour a guided by followed and was had joined the Schoklandjoined the had MidwiferyThe Agreement Academy Laar van 5, Dr of MDG the achievement to contribute better to for training-of-trainers midwiferycourses in It care said. offered programmes. exchange and maintained countries developing of the Meshwork a member was KNOV added that Ms Cadée event supportedThey the awareness-raising . Care for Mother midwives with programme an exchange Night and had Mother’s was exchange this that stressed Ms Cadée Leone. in Sierra mutually advisory and not a one-way lecture. needed recognition Legal midwifery strengthen the need to ICM stressed from Ms Moyo a huge was there She said that countries. developing in care this gap resulted However, areas”. “remote gap in so-called be tackled needed to which by a lack of infrastructure, from the increase needed to was training Intensive governments. not possible as it was However, number of skilled midwives. in the short number of midwives a sufficient term, train ICM to every 15 local for 10 to least one midwife at having suggested also stressed supervise Ms Moyo to health workers the care. midwifery legal strengthen through needed to countries that other speakers joined her in encouraging The recognition. supportguests to midwifery countries. in their home 24 Report Making PregnancySafer Parliamentarians takefor maternal action andnewbornhealth Audit. of between theirnational institutionsandtheNetherlandsCourt countries, andexpressed collaboration interest infurther ofauditintheirhome withcourts experiences ofworking shared thediscussion,parliamentarians their During implementation. efficient and order aidplanningand effective to support to makeaudit trails astandard element offoreign aidin examplesand collected ofbestpractice. The initiative aimed regions. outapilotstudy, carried It developed guidelines helped trace theflow ofdonations to the tsunami-affected disaster Asia. hadhitSouth-East ofAudit The NetherlandsCourt November 2005to audittsunami-related aidoneyear the after The international Tsunami Initiative INTOSAI was launched in Audit trail offoreign aid countries. in animprovement of maternal healthinthose andnewborn and August 2007. This investment insanitation hadresulted multilateral andnongovernmental aidbetween May 2006 been launchedinseven developing countries withbilateral, water reviewedproject programme acleandrinking that had auditing expenditure ondevelopment aid. andemergency One presentedThe Court that detailsoftwo projects involved whether theresults willbepublished. bodies anddecidesonitsown what andhow itwillaudit, and operates independently from theexecutive andlegislative audited bodies, andare alsoavailable to thepublic. The Court the Government, theParliament andthoseresponsible for the under international agreements. The results are passedonto alsoauditstheNetherlands’It compliance withitsobligations integrity withwhichtheState andassociated bodiesoperate. Nederland contributedNederland nolessthan€7 million to thework and Rabobank countries. 2007,localmemberRabobanks In andthe other 100areNetherlands indeveloping conducted a year. Approximately are outinthe 50oftheseprojects carried FoundationThe anaverage Rabobank of150projects supports and sellmilkinamore effective way. helps rural familiessetupcooperatives to produce, package microcredit unitsinrural areas. In Tanzania, theFoundation local andDutch nongovernmental new organizations to start Bangladesh,forIn example, theFoundation iscooperating with cooperative savings and loansystems. Foundation to establishandpromote aimsinparticular with Rabobank’s own cooperative background, theRabobank grants, loans, trade financingand technical assistance.In line development ofsmallcooperatives inrural regions andinclude countries. The Foundation’s focus activities mainlyonthe and independent lives andindeveloping intheNetherlands to live by providing full society themwiththeopportunity the lives anddisadvantaged ofunderprivileged groups in FoundationThe Rabobank iscommitted to improving andaffiliatedsubsidiaries institutions. fund for theentire Group, Rabobank whichincludesthebank’s significantly increased in2007 whenit was transformed into a microfinance institutions.Rabobank The Foundation’s reach financingand technical assistancelocal currency to small, rural local Rabobanks. The aimoftheinstitutionis to provide grants, byindependent foundation,thenetprofits of fundedinpart FoundationThe Rabobank was establishedin1973asan of smallrural banks. since itbeganlife asacollection at theendof19thcentury Foundation in The Hague. Rabobank’s origins lieinagriculture, One group visited ofparliamentarians theRabobank Providing grants for smallenterprises inrural areas FoundationRabobank Report 25 Report 25 Making Pregnancy SaferMaking The representative from Uganda, from representative The Namabidde Sinabulya, Ms Sylvia reported on a network of women parliamentarians had been that health maternal address to created According issues in her country. 435 Uganda faces DHS data, to per 100 000 deaths maternal births, 6000 live adding up to “These a year. deaths maternal high,” unacceptably numbers are Women Parliamentarians Report Report Parliamentarians Women Parliamentarians take action for maternal and newborn health newborn and action maternal for take Parliamentarians Country reports Uganda Namabidde Sinabulya Ms Sylvia Member of Parliament said this mother of three teenagers. In Uganda, only 42% of teenagers. said this mother of three skilled Ms Sinabulya by assisted health workers. were deliveries and the referral the Ugandan health system characterized in particularsystem as weak. . In Directive Union Habitats this European the by protected were activities so forth and were recreation settlements, human area, various species of for a habitat provide to in order prohibited animals. and plants necessary it was participants that water The protect to agreed that a public resource as clean water maintain to supplies and selected benefit parts or exclusively of should not be traded a public task is management In water the Netherlands, society. This kept low. are prices that sure makes and the Government important more drinking be even as clean seems to is water trigger could that resource scarce an increasingly becoming regions. conflictscountries and in some Protected water reservoirs water Protected and engineers the company’s that informed were visitors The new challenges, adapt to continuously had to researchers On of new chemicals used in agriculture. such as the residues a short Mozambique, Angola, parliamentarians from ride, boat reservoirs the water learnt that Tunisia Nicaragua, Spain and Waternet drinkingSafe water on information first-hand parliamentarians received A dozen to manage the in the Netherlands company , the first Waternet water, waste cycle including drinking water complete water, launched in 2006 was Waternet surface and groundwater. water a single by management water the integrated and claims that One of the company’s €8 million annually. will save company drinking a at safe most important water provide goals is to the area, In the Amsterdam and in a sustainable way. cost low 900 000 people. over for purifies the drinking company water of the Rabobank Foundation. In addition, since substantial In substantial since addition, Rabobankof the Foundation. the portfolio, via the loan the fund into back flow amounts budget of nearly €18 million had a total Rabobank Foundation in 2007. 26 Report Making PregnancySafer Parliamentarians takefor maternal action andnewbornhealth change inourcountries, ifwe try.” called onhercolleagues: “Stand upandfight. We canmakea champions for maternal healthat alladministrative levels. She to mobilize politicalwill. Shestressed theneedto identify Ms Sinabulya emphasized theparliamentarians’ responsibility programmes. their constituencies andlaunchedcommunity-awareness with themedia. The membersalsovisited healthfacilitiesin existing laws. They were for closely donorsandworking looking for information sharing, and women lawyers for analysing other stakeholders, suchasobstetricians andgynaecologists government leaders. They with were also building partnerships andministerswith parliamentarians andinvolving local women membersfor advocacy, organizing breakfast meetings Ms Sinabulya said. The network’s includedtraining activities institutional development asaforum for reproductive health, The hadagreed network ona strategic planto enhance its will political Mobilizing roadmap. Financing, however, was stillamajorchallenge. a master planhadpushedthedevelopment ofthenational maternal mortality, MsSinabulya explained. Their demandfor demanding more government commitment to reducing hadbeentheintroduction ofa resolution their firstactivities health andallocating resources to reproductive health.Oneof change,” shesaid. The advocated network women’s prioritizing speaker.deputy “We allfeel a moral responsibility to makea women parliamentarians, includingthree ministers andthe in London autumn2008ithadbrought in2007.In together 45 the after parliamentarians WHO meetingofparliamentarians that shehadinitiatedShe reported ofwomen thenetwork maternal healthresulted ininadequate financialsupport. Ms Sinabulya saidthat thelackofnational commitment to developed from oneofthepoorest nations inEurope to Ms Engleemphasized. Within had 200years thecountry Sweden’s experience hadshown that changewas possible, 1% ofGNPfor development aid poor orwhohadlittleeducation. programmes, especiallyimmigrants andwomen whowere inthe Ms Engleadmitted, assomemothersdidnottakepart involved thefathers. ButSweden was alsofacingchallenges, medical examinations andchildcare. also The service They received information onfood, andalcohol, smoking women. Women saw amidwife intheirpregnancy. early had beensetupthat was free ofcharge for allpregnant explained. Many years ago, amaternal healthprogramme issuesforbreastfeeding example, andsanitary MsEngle ofcounsellingSweden motherson alsohadalonghistory and data could betraced backto 1720. to anddeaths18thcentury register in the early started births was founded, whichisstilloperating today. Priests hadalready in Sweden, anongovernmental organization for sex education the country. 1933,at atimewhencontraceptives In were illegal provide access midwives inallvillages andtowns to skilled of thelateIn 19thcentury, laws were inSweden enacted to Member ofParliamentMember Ms Kerstin Engle Sweden 2005. cases were to reported WHO in Onlythree childbirth. died during aid. Sweden few In women very and focus ofSwedish development andexplained thescope country maternal healthinherhome gave of ahistorical overview Ms KerstinEnglefrom Sweden Report 27 Report 27 Making Pregnancy SaferMaking Ms Edmonde Supplice Beauzile Supplice Ms Edmonde her fellow Haiti gave from parliamentarians an insight work. her she She said that into UNICEF before for had worked a Memberbecoming of Parliament. she had learnt that However, of way change her she had to should and Parliament working. Women Parliamentarians Report Report Parliamentarians Women Parliamentarians take action for maternal and newborn health newborn and action maternal for take Parliamentarians Haiti Beauzile Supplice Ms Edmonde MemberParliament of Dutch women could give birth an was give there because home could at women Dutch were if there to hospitals them referring for system effective to advised were women In however, Cambodia, complications. in good not be referred could because they in hospitals deliver arose. facilities if problems health to areas remote time from delivery a home only opt for without could women Therefore, referral if an effective death risk their of maternal increasing in place. was system must not be a substitute for civil society, but should counter- civil society, for must not be a substitute She reported the that she stressed. the executive, balance very effectively. of oversight used its powers Haitian Parliament outline their goals their budget plans, Ministers present had to every months. and report three on progress and strategies, on a programme monitoring was the Parliament Currently, health care free offer to designed was health that maternal If their women. Ministers achieve failed to all pregnant to them. discharge to had the power the Parliament goals, did the Parliament that Beauzile highlighted Ms Supplice dismissed an as it had already indeed make use of this measure government. entire Ms Pum Sichan from Cambodia Cambodia Sichan from Ms Pum in women know to why wanted birththe Netherlands often gave women In her country, home. at in hospital, deliver to advised were Dr Monir, Director Islam she said. WHO Department of Makingof the the highlighted Safer, Pregnancy in the health systems differences and developed of developing that He explained countries. Cambodia Sichan Ms Pum Senator Discussion and debate one of the richest in the world. Today, her country allocated Today, the richestone of the world. in billion 32 to amounting aid, development to its GNP 1% of Member of The 2009. 4 billion) in US$ kronor (around Swedish Union (EU) countries not all European that regretted Parliament was She of their GNP. 0.7% give to their pledge had fulfilled one speak with failed to the EU had that also disappointed maternal family planning, questions on in the UN when voice health and abortion Sweden added that She had been raised. US$ kronor (around 100 million Swedish another give would in 2009. health and reproductive sexual 12 million) for said. Ms Engle and the knowledge,” the resources have “We She cited all is just a question of priority.” health for “Better services, basket of health an essential that WHO estimates approximately costs including emergency care, obstetric US$ 35 per capita in low-income countries. Ms Engle stressed most of the resources owned men, as they involve the need to fight the up give to not colleagues her on called She worldwide. health. reproductive right to women’s for 28 Report Making PregnancySafer Parliamentarians takefor maternal action andnewbornhealth Member ofParliamentMember Ms Durga Jayanti Rai Nepal in favour ofthisact. would beableto convince herfellow to parliamentarians vote thisconferencehad gainedduring shefelt confident that she still needed to bepassed.act However, she with the knowledge ofHealthhaddrawn upasafe act. motherhood Ministry This careof free for delivery allwomen inNepal. Furthermore, the to increase the support theygaveto increase theKenyan thesupport Government. called onnongovernmental organizations andotherpartners facilities.mobilized inhealth-care to She access theservices Member ofParliamentMember LeshoomoMs Maison Kenya since 2008. There was alsoapolicy hospitals available inthedistrict health posts, butithadalsobeen not onlyprovided for free inthe outlined that healthcare was the healthofpeople. She Government was committed to that thenewdemocraticreported Ms Durga Jayanti from Nepal Rai communities neededto be care education. People inthe that there was aneedfor health- her homecountry. Shestressed in the highmaternal mortality expressed herconcern about ofParliamentMember inKenya, womanMasai a to beelected Leshoomo,Ms Maison thefirst gender equality. Ms Fierens saidthat UNFPA was working sexual andreproductive rightsandhealth. Thirdly, itpromoted andachievingtheMDGs. Secondly,poverty itemphasized population anddevelopment, whichwere keyto reducing Nations Population Fund. First, UNFPA on projects supported Europe andCentral Asia, outlinedthemandate ofthe United Ms Thea Fierens, Regional Director ofUNFPA for Eastern Member ofParliamentMember Mlata Moses Ms Martha United Republicof Tanzania that were should be respected. notharmful delivering inhospitals. Sheemphasized that cultural practices that disregard for cultural prevented practices women from whenmenwereraised, around. inparticular MsSinabulya said women withtheirlegs felt aboutgiving uncomfortable birth that some women preferred Many to squatchildbirth. during placenta was notreturned to thewomen. Shealsoadded attendants to give women theirplacenta.hospitalsthe In in Ugandaitwas localcultural for practice traditional birth persuading women inhospitals. to give Shesaidthat birth cultural for practices ofaccepting certain the importance Ms Sylvia NamabiddeSinabulya from Ugandastressed ofParliamentMember Ms Sylvia NamabiddeSinabulya Uganda not in this humanitarian tragedy.not inthishumanitarian but conflicts inarmed intervened To heritseemedthat theUN orchildbirth. pregnancy during to prevent mothersfrom dying what the United Nations was doing United of Republic Tanzania asked Mlata from Moses the Ms Martha Report 29 Report 29 Making Pregnancy SaferMaking Women Parliamentarians Report Report Parliamentarians Women Parliamentarians take action for maternal and newborn health newborn and action maternal for take Parliamentarians on family planning. planning. on family Incentives of Youth work the presented reportedon the on Waves GompertsDr Rebecca Women from Velden van der Koos abortion.Professor unsafe against fight made Centre Medical Nijmegen University the Radboud from health and safe on reproductive research more a plea for motherhood. Mr Services Nils Population that Gade the audience told supportedInternational in their effortsto achieve countries maternal affirmed Janet Meyers that MDGs 4, 5 and 6. Ms also a priority CAREhealth was van . Mr International for Piet in projects to , which is involved Cordaid Gils represented mortality maternal Leone. and Sierra reduce in Afghanistan is a member organization development Catholic Dutch The Medical , as is the African for Mother Care of the Meshwork Wensing (AMREF). Ms Anneke Foundation and Research crisis that resource AMREF talked about the human from joined by MDG 5. She was towards hampering was progress . the advocacy NGO Wemos from Tijtsma Ms Anke , of the PEP Foundation International president The the importance stressed of caring for Bergé, Ms Conny Gender Concerns Bano from Ms Sabra in conflicts. women of people the health to attention also drew International who leftFarah, her home Fatumo Ms in conflict areas. , a Somali-Dutch country HIRDA Somalia in 1992, presented in Somalia. women empower which aims to organization Association The of European Parliamentariansfor Africa Ms Katharine by Bulbulia, a member represented was (AWEPA) supports organization The parliamentarians of the Council. in their effortsin Africa to build capacity and knowledge. the advocacy the of Herschderfer Ms Kathy work presented RibbonWhite Alliance for Safe Motherhood, which addresses and community groups health-care professionals, politicians, her experience shared MYBODY from media. Ms Mariëtte Flipse Night in the Mother’s event the awareness-raising of organizing . for Mother Care of the Meshwork framework On the evening of the second day, the parliamentarians day, of the second On the evening various from had an opportunity meet representatives to discuss possible to organizations nongovernmental lunch for present were organizations Additional cooperation. reported in on their work representatives The on the last day. health and reproductive health, sexual of general the areas In addition, they presented MDGs. and the health-related in conflict, capacity-building activities assisting women for maternal advocacy parliamentarians for and international for health. the activities of Ms Olga de Haan and Ms Isabel Saiz presented the Netherlands School and of Public Occupational Health in public health NGO SIMAVI Dutch The and Europe. Asia Central Ms Rolien director Sasse. its executive by represented was a chaired AIDS NOW! STOP Ms Moniek Kroef from der van mortality maternal between session on the relationship and from Mr joined by HIV/AIDS. She was Reinier Hoffen van een and Ms Sophie Kind Red Samuel from , MrPrisma Paulus presented Haasdrecht . Ms Pauline YWCA World Dilmitis from in the Nisso Groep education on sex of the Rutgers the work enriched the Ms Joanne Leerlooier Her colleague Netherlands. Population with the World discussion with her experiences 3, Ms Marijke On day Priester and Africa. in Asia Foundation Meeting with nongovernmental Meeting with organizations with most countries represented in The Hague. The agencyThe Hague. The in represented most countries with as different on projects, individually governments advised She stated solutions. tailor-made required always cultures a rights were and reproductive sexual countries in many that In Europe, values. and cultural traditional due to issue sensitive a partnership had established office liaison with the UNFPA and of sexual them about issues inform parliamentarians to health. reproductive 30 Report virtual sensewhenever theywanted.virtual to usetheforum toparticipants come back to The Hagueina with aglobalaudience,” Islamsaid. DrMonir Heencouraged and discussnewideas. iswhere you canshare your“This actions Participants cancreate theirown profile, exchange experiences along thepillarsidentified andtheir conditions for success. wasnetwork designed (seep. 41). The platform isstructured the discussionsbeyond theconference in The Hague, avirtual order to shareIn to allow experiences participants andcontinue (seep. action 36). parliamentary a roadmap for improving maternal healththrough andnewborn from Uganda),summarized theresults ofthedebate, presenting and finalday, the conference rapporteur, Ms Sylvia Sinabulya (MP could to takeasparliamentarians buildthepillars. Onthethird discussedconcreteOn that basis,they theparticipants action for success for eachpillarandto share examples ofbestpractice. They to alsoaskedtheparliamentarians identify theconditions asthebasisfor tothat thebridge should serve MDGs 4and5. discussionsandinteractive debates toplenary identify thepillars from Peter theCenterMr ofHumanEmergence Merry facilitated thesubsequent sessions,In MsAnne-Marie Voorhoeve and Ms Gill’ard said. “And hasto thisbridge bebuiltonstrong pillars.” together. “To reach thesegoalswe have to buildastrong bridge,” maternal healthandachieve andnewborn MDGs 4and5 identifyof theparliamentarians: concrete steps to improve On day one, MsChantal Gill’ard outlinedthetaskthat lay ahead Building abridgetoreachMDGs4and5 The Roadmap Making PregnancySafer Parliamentarians takefor maternal action andnewbornhealth approaches thediversity of situations. reflecting Therefore, the different challengesin countries. There of was a variety said thatnotonemagic there bulletto address was certainly it isdoableifwe have thewill.” The ofParliament Member possible,” MsSinabulya said. bedifficultbut willcertainly “It wethat“Nevertheless, achievingMDGs 4and5isstill know the poorest ofthe poor,” sheemphasized. poor andrural women at thegreatest risk. “We needto target and Asia. There were withincountries, alsodisparities leaving maternal andchilddeaths, Africa mostoftheminsub-Saharan that in2008,68countriesreported hadaccounted for 97%of needed to betakeninto account, MsSinabulya said. She the developed world –were concerned. However, disparities died.4 million newborns All countries –inthedeveloping and year almost every complications andchildbirth; inpregnancy year Every moreact. thanhalfamillionwomen dieddueto beginning.from thevery First, there was anurgent needto Ms Sinabulya reiterated that hadframed thedebate thefacts Need to target thepoorest mortality,” she said. achieving MDG 5onmaternal healthandMDG 4onnewborn for action has beento andparliamentary identify keypriorities strategies onmaternal health. andnewborn “Our objective had come together to discuss, share experiences anddevelop highlighted that membersofparliamentfrom 32countries the results ofthemeetingonthird andfinalday. She Conference MsSylvia Sinabulya summarized rapporteur and newbornhealth Presentation: Taking actiononmaternal Report 31 Report 31 Making Pregnancy SaferMaking Women Parliamentarians Report Report Parliamentarians Women Parliamentarians take action for maternal and newborn health newborn and action maternal for take Parliamentarians practice from their countries. They had come up with ideas for ideas for up with had come They countries. their practice from parliamentary the conditions action. presented Ms Sinabulya 37ff).and actionp. in detail (see points not an exhaustive was this rapporteur that The stressed summary and practices that of experiences of the range the roadmap Rather, during examined the conference. were parliamentarians help the take action to designed was back on it,” and build alive keep this process need to “We home. to continue to and called on her colleagues said, Ms Sinabulya and support experiences make a to share in order one another and babies. for mothers difference How to become a member of the MDG 5 network become to How Institution/Company Institution/Company Country WPRO) EMRO, EURO, SEARO, AMRO, (AFRO, Region Last and first name title Professional Email address

MPSinfo@ who.int

We are inviting NGOs, government agencies, scientific and professional organizations as well as other partners as of organizations in the area and professional scientific agencies, government NGOs, inviting are We connect, help stakeholders to created members of the Internet community become platform and newborn health to maternal activities and successful in countries. of achievements the monitoring knowledgeshare and improve details registration the network, to a member and contributing please email the following in becoming interested If are you to If your free membership is approved, you will be emailed your username and password. will be emailed your you membership is approved, If free your http://mdg5.che.gaiaspace.org/ the point of the meeting was to share experience and to and to experience share to was meeting of the the point parliamentariansother and fellow among relationships build partners. build on pillars to Seven work or of major areas seven identified have we “Together, (1) were: pillars These she summarized. MDG 5,” pillars for resourcing, (3) financial (2) legislation, political commitment, practices, (6) cultural education, (5) (4) the health system, participantsThe had linked these pillars and (7) partnership. of best examples and shared success for with conditions 32 Report the topicBefore firsttimein2008. ontheagendafor the very Prime ofForeign andtheMinister Minister Affairs had put the 34thG8Summitin discussed during Tokyo in2008. The Thanks to aJapaneseinitiative, maternal healthhadbeen andchildhealth. newborn of Healthassessedtheprogress madein thearea ofmaternal, from 61countries anddeputy-Ministers includingMinisters the assemblyofInter-Parliamentary Union.Delegations that took with place Africa 2008inconjunction inApril inSouth Dr Islamalsomentioned theCountdown to 2015Conference health intheirhomecountries. themselves to advocating for increased resources for maternal on national andinternational agendasandcommitted hadpledgedtoparliamentarians makeMDG 5ahighpriority develop. afinalstatement, In 70cabinetministers and careand (3)emergency whenlife-threatening complications care, care andimmediately during childbirth, after (2)skilled women (1)comprehensive andnewborns: reproductive health international consensus onthree pillarsto save thelives of Conference inLondon. The conference haddemonstrated more than100countries hadattended theWomen Deliver 2007representatives that inOctober Dr Islamreported from international forums. to follow upwiththeirgovernments onthepledgesmadein find outhow globalprogrammes could helptheir countries and Pregnancy SaferMaking encouraged to theparliamentarians maternal health. The Director ofthe of WHO Department IslamgaveDr Monir ofglobalinitiatives anoverview to improve health Global initiativestoimprovematernal Day Three Making PregnancySafer Parliamentarians takefor maternal action andnewbornhealth the healthofmothers, babiesandchildren. (PMNCH) hadalmost260memberswho worked together for forMaternal, ChildHealth Newborn and the Partnership agencies, donorsanddeveloping countries. Launchedin 2005, development assistance. includedinternational The partnership founded to coordinate thework ofdifferent dealingwith actors (IHP) 2007theInternational was HealthPartnership In authority, andonenational monitoring andevaluation system. ” Ones hadestablishedthe 2004, UNAIDSandotherpartners “Three to coordinate theresources for development assistance. In Dr Islamexplained that there were more andmore efforts and thenpresented theresults theG8Summit. during They hadinvited allAfrican countries to discussMDGs 4and5 International Conference. onAfrican Development (TICAD) that conference, Tokyo Japanhadalsohosted thefourth principles: onenational plan,onenational coordinating Report 33 Report 33 Making Pregnancy SaferMaking Dutch MinisterDutch of Health joint KlinkAb urgent said that action tackle needed to was He welcomed mortality. maternal the participants and thanked the this outstanding for organizers health. on maternal congress Minister Klink out that pointed mortalitythe maternal was ratio an important of both indicator Women Parliamentarians Report Report Parliamentarians Women Parliamentarians take action for maternal and newborn health newborn and action maternal for take Parliamentarians voicing political commitment to maternal health and health maternal to commitment political voicing forums; speaking its prioritization in international out for working with parliamentarians in support together of his Minister Koenders; colleague financial support. activities MDG giving and programmes

women’s health and the quality of the health system. Maternal and the quality health health system. of the women’s but also in countries in developing did not only occur deaths in big differences were there However, world. the developed nine were in the Netherlands there the numbers of deaths: 900 births up to to per 100 000 live deaths maternal compared A woman’s Afghanistan. in sub-Saharan 1800 in or even Africa risk of dying in pregnancy or childbirth closely related was her poverty and in other words status, her socioeconomic to these disparities that should provoke He said levels. education takingthe global community into action. Impact and culture of infrastructure Millennium health in the the UN had included maternal Though disconcerting it was the achievement Goals, that Development “With still half a million he said. in jeopardy, of MDG 5 was The Netherlands The Mr Klink Ab and Sport Minister of Health, Welfare , WHO , UNFPA including agencies UN that out pointed Dr Islam allocating increasingly Bank were the World and UNICEF the and newborn that health. He added maternal money to Furthermore, such funding. also provided Gates Foundation funds for use other they could how consider should countries Dr Islam mentioned newborns. of mothers and the benefit Tuberculosis AIDS, Fight to the Global Fund example for of dollars billions , which committed and Malaria (GFATM) Money from diseases. these three fight that programmes to of mother-to-child the prevention be used for fund could that or the mothers of HIV-positive the care of HIV, transmission the He also mentioned of malaria in pregnancy. treatment Back Malaria PartnershipRoll , including the US President’s and Vaccines , and the Global Alliance for Malaria Initiative as possible donors. (GAVI) Immunization the Dr Islam encouraged initiatives, these In presenting going on at was about what learnparliamentarians more to They up with their governments. follow and to a global level the agreements stick to their political leaders to should urge spend funds and to the promised allocate to they had signed, The parliamentarians should ask how the money effectively. the health of mothers and to dedicated much funding was Dr Islam also called upon participantsnewborns. use their to to take you have make a difference “To data. ask for to power he concluded. action country at level,” The final conference session was chaired by Ms Daisy Mafubelu was chaired session conference final The Minister Klink. the Dutch of Health Ab who welcomed She even the conference acknowledged to he had come that On behalf of the conference though he had a cabinet meeting. participants Ms Mafubelu asked the Minister join their efforts to health by: maternal improve to Address by the Minister of Health Address 34 Report they would report back tothey would their colleagues inParliament. report Faria de Deus and MsInocência Morais, that underlined The representatives from Paulo Angola, MsMariana Afonso events. for intheirconstituencies orwanted action to organize public were participants opting maternal health.Some andnewborn legislation orto checkontheirgovernment’s strategy for initiate networks, to influence thebudgetdebate, to review communicated ontheconference, theirplansto report to they intend to takeonce backhome. The parliamentarians thefirststeps to share withtheplenary the participants After two andahalfdays Islamasked ofdiscussion,DrMonir First stepsbackhome roadmap. greatparliamentarians success intheimplementation oftheir and at aninternational level. conclusion, hewishedthe In scientific research onmaternal health,bothintheNetherlands hisof health.Healsoaffirmed commitment to promoting andtoseriously raise itinforums andamongfellow ministers and around theworld. Hepromised to taketheissuevery the issueofmaternal healthindiverse networks, nationally The ofHealthstressed Minister that itwas fundamental to raise Ministerconfirmed Koenders that heand were closeallies. makers inbothhealthanddevelopment cooperation. He factors. Therefore, was neededamongpolicy- action concerted related to infrastructure, sanitation, andeconomic andcultural health was notanisolated healthproblem butwas strongly to develop theconference. during Hereiterated that maternal fromparliamentarians somany different nations hadbeenable He was therefore delighted to hearabouttheroadmap that alloverpolitical willto reduce theworld. maternal mortality time goingby.” of stressed Klink theimportance Minister mothers dyingeachyear we cannotsimplysitbackandwatch Making PregnancySafer Parliamentarians takefor maternal action andnewbornhealth aimed to develop agender-sensitive national budget. Mlata from Moses theUnited Republicof Ms Martha Tanzania education budgetinordernext to allocate resources for MDG 5. she would ofHealthinthedebate involve onthe theMinistry from Haiti,MsEdmonde Supplice Beauzile, announced that and reduce maternal mortality. The ofParliament Member was to increase thebudgetto implement the national roadmap Sinabulya from Uganda saidthat, asshesaw it, her maintask push for anincreased budgetfor reproductive health. MsSylvia Her colleague from Cambodia, MsPum Sichan,wanted to to ensure sufficient funding for health. maternal andnewborn Ms Saodat Amirshoeva from Tajikistan saidthat shewould aim of women parliamentarians. planned to follow theexample ofUgandaandbuildanetwork Professor GisèleGuigma from Faso Marie Burkina Mariam Dr Sayda Bashar, Mohamed shared thesameintentions. Mozambique, MsGraça andfrom Nhaliginga, Sudan, relatedministries to women’s health.Hercolleagues from of female aswell parliamentarians asthecommittees and Ms Lemo Kumbi from Ethiopia wanted to inform thecaucus Report 35 Report 35 Making Pregnancy SaferMaking Women Parliamentarians Report Report Parliamentarians Women Parliamentarians take action for maternal and newborn health newborn and action maternal for take Parliamentarians Ms Kareen Jabre Ms Kareen of partnership for the promotion between men and Programme Manager, women (IPU), Ms Kareen Union the Inter-Parliamentary Representing thanked all participants taking the Jabre attend for to the time IPU On behalf of WHO, Ms Daisy Mafubelu co- thanked the WHO, On behalf of and participants the parliamentarians of organizers and assured support. future She thanked the Parliament the Organization’s to conference follow-up hosting the of the Netherlands for She also in London. Parliamentarians the Meeting of Women ministers, the Dutch Union, thanked the Inter-Parliamentary organizations and the nongovernmental the UN agencies, their support. for Emergence for Human including the Center their Ms Mafubelu also thanked the parliamentarians for the leave they would hoped that She contributions. take to motivation with new ideas and renewed conference convince action She also called on them to back home. health. for maternal join the fight to lawmakers their fellow accountable their governments should hold Parliamentarians mortality maternal quarters reduce three their pledge to by for Institutions civil society and UN 2015, she said. from by WHO will at “We support to standing ready them. agencies were you beat “We will help Ms Mafubelu affirmed. side,” your be at the survivalthe drum for and newborns of mothers everywhere in the world!” Closing remarks Closing WHO MafubeluMs Daisy Health and Community Family Assistant Director-General, , Ms Fabiola , Ms Fabiola said that she that said Thailand from Punyaratabandhu Dr Porapan the to allocated of funds the use monitor closely would mortalityreduction of maternal high-risk areas. in three her confirmed Netherlands the from Gill’ard Ms Chantal get in contact Court with the Netherlands to intention of budget. of the allocated effectiveness the monitor to Audit Democratic the Lao People’s from Pholsena Dr Phonetep for strategy supervise to Republic intended the Government’s Peruhealth. His from maternal colleague improving Morales Castillo, stressed the importance health- stressed of reviewing MoralesCastillo, South Ms Refilwe Mashigo from legislation. national related accountable hold the Government she would said that Africa “Saving the from 10 recommendations implementing for the Republic of from representatives two The mothers report”. came up Sun Park, Young and Ms Chung , Ms Mi Kyung Korea actions their country: for tacklewith concrete to they wanted services health care expand and involve pregnancy, teenage health programmes. men in women’s Indarsih Loekman Soetrisno Indonesia said from Tuti Ms of her upcoming motherhood a topic she had made safe that the for pay she would election In campaign. her constituency, Dr Bangon Sayarath hospitals. to women of pregnant referral Republic planned to Democratic the Lao People’s from of her in the communities and child care maternal for advocate Ms Iyabo Obasanjo-Bello representatives, Two constituency. to wanted Pakistan from Bhutto Nigeria and Dr Mahreen from Night in their countries. a Mother’s organize 36 Report together!” overwhelming,” MsJabre said. “But we candoit, ifwe doitall would takensofar. takestock oftheaction taskisquite “The assembly to beheldinEthiopia 2009,parliamentarians inApril onthelawmakers’be apriority IPU thenext agenda.During Dutch ministers andnongovernmental organizations. commitment oftheNetherlands, whichhadbeenconveyed by thestrong acknowledged political and hosts. Sheparticularly concrete proposals. Herthankswent alsoto theco-organizers conference andfor contributing to alively debate withvery Making PregnancySafer Parliamentarians takefor maternal action andnewbornhealth Minister forMinister Development Cooperation. Sheemphasized words ofthanksalsowent toofHealthandthe the Minister nongovernmental Her organizations andotherpartners. with from the the support WHO andIPUacknowledged conference staff. support Shealsohighlighted thepartnership Ms Gill’ard thankedher149colleagues inParliament andthe toparliamentarians continue thework initiated in The Hague. andencouragedthe organizers the andparticipants Ms Chantal Gill’ard, theconference host, thankedall ofParliamentMember Ms Chantal Gill’ard The Netherlands had agreed that MDGs 4and5should Cape Town, some900parliamentarians the Countdown to 2015conference. In which took with place in conjunction assembly inCape Town, Africa, South initiative the118thIPU in2008during that theyhadlaunchedthe reported onMDGs4and5.She parliamentarians committed to continuing to work with Ms Jabre emphasized that theIPUwas of saving thelives ofmothers andnewborns. women andmen from different countries whoshared thegoal experience inspiring for hertobeen avery meetsomany her colleague’s words ofthanks. Shehighlighted that ithad goals in2015.MsFabiola Castillo Morales from Peru cooperation would continue –until theyhadachieved their institutions that hadofferedtrips. field Shehopedthat the agencies, thenongovernmental organizations andthe Her thankswent alsoto WHO andtheIPU, theotherUN andalsoHRHPrincessNetherlands oftheNetherlands. Máxima She thankedtheParliament andtheGovernment ofthe “We timein have allhadawonderful The Hague,” shesaid. fromBello thankedtheorganizers Nigeria oftheconference. On behalfofalltheparliamentarians, Obasanjo- MsIyabo Country representatives the discussions. Human Emergence for facilitating their colleagues from theCenter for Voorhoeve, and Peter Mr Merry Ms Anne-Marie said, thanking strong pillarsfor that bridge,” she MDG 5. “Now we needto build designed astrong to bridge reach that had allparliamentarians underlined underlined Report 37 Report 37 Making Pregnancy SaferMaking Women Parliamentarians Report Report Parliamentarians Women Parliamentarians take action for maternal and newborn health newborn and action maternal for take Parliamentarians The second is that no country is exempt from this sad this sad from no country is that second is exempt The or a developing whether they are concerned, are All reality. in the north located whether they are country, a developed or in the south. be taken need to discrepancies existing is that third The that or populations some countries are there account; into account countries 68 Today, specifically. targeted be to need most of newborn deaths, and child 97% of maternal, for also are There them in sub-Saharan in Asia. and Africa as poor and themselves, within the countries discrepancies of the The poorest often the most affected. are women rural foremost. first and be reached poor need to fourth, the most important,The and maybe all is that MDG 5; it achieve it is possible to that stakeholders agree will certainly be difficult but it is doable if the political will can be mobilized. a million women die, many of them adolescents, due to due to adolescents, of them many die, women a million during pregnancy and childbirth;complications every year newborns3 million die.

The task may seem overwhelming and there is certainly seem overwhelming task may and there The no these and reach these challenges address unique solution to reflecting a variety of approaches, are there Rather, objectives. The and country of situations the diversity experiences. to share a space offer to purpose therefore of the meeting was create and ultimately strategize and concerns, experiences action. effective for knowledge build relationships and Objectives of the roadmap plenary combined that approach an original inputs Following to the parliamentarians collaborated sessions, with interactive need to conditions out what pillars of MDG 5, work the create The first is that there is an urgent need to act need as the current is an urgent there first is that The half than every more is simply unacceptable: year situation

The situation The the verySome important from the debates framed facts have beginning. Summary members 2015 MDGs, the to point crucial halfway the At The in came together 36 countries of parliament from in the they can play discuss the role to Netherlands, Hague, of Millennium Goal key identify 5, Development achievement the prevent to strategies innovative prioritiesdevelop and of mothers and babies. needless deaths as a a roadmap in discussion resulted parliamentarians’ The priority action based on seven for in countries areas framework financial legislation, (pillars) including political commitment, and practices, cultural education, health systems, resourcing, participants The conditions that also identified partnership. and defined in these areas make progress be met to to have specific parliamentary activitiesto support stakeholders make be MDG 5 can that parliamentarians All agreed headway. MDG 4 if partners to also contribute work and thereby achieved the end of the meeting all members of parliament At together. least one of the activities up on at follow to committed discussed. By Ms S. Sinabulya, MP, Uganda, Rapporteur of the Meeting MP, By Ms S. Sinabulya, The Hague, The Netherlands, 26-28 November 2008 26-28 November Netherlands, The Hague, The Annex I: The Roadmap The I: Annex for take action Parliamentarians health and newborn maternal 38 Report Making PregnancySafer Parliamentarians takefor maternal action andnewbornhealth The conditions ofsuccess include: Pillar 1:Political commitment the participants. conditions ofsuccessachieved basedoncertain identified by and Partnership. Improvements areas canbe inthesepriority Resourcing, HealthSystem, Education, Cultural Practices, pillars consist ofPolitical Commitment, Legislation, Financial would allow to to buildthebridge achievingMDG5. The seven theconferenceDuring seven pillarswere identified, which The oftheroadmap structure change. share theirexperiences andhelpeachotheroutto achieve needto keepitalive,participants buildonitandcontinue to progress andchangethelives ofwomen andchildren. The individuallyandcollectively once backhometoaction achieve framework to whichshouldhelptheparliamentarians take The roadmap developed collectively aimsto provide a to findcreativeparticipants solutions. andpracticable andusedthecompetencepartners, andprofessionalism ofall created strong relationships and between parliamentarians action. with ideasfor parliamentary The interactive approach be inplace pillar, for every share stories ofsuccess andcome up

central to politicaldecision-making. Building awareness astheyare often inpoliticalparties, andbuildingtheirawareness; parties International pressure isalsokey, soisengaging political work with themto buildpoliticalcommitment; The needto engagethemedia,buildtheirawareness and commitments and action; governance,Good includingneedfor in transparency engage others; Accurate datathe situation, to give know to itand visibility Parliamentary actions: Parliamentary The conditions ofsuccess that were identified include: Pillar 2:Legislation Parliamentary actions: Parliamentary

Adopt amotioninparliamentonMDG5; coalitions; Build cross party will leadtheway onMDG5; championswho Champion andidentifyotherparliamentary outinparliament andpubliclyforMDG5; Speak facilitate maternal health; lead inparliamentonlegislating orreviewing legislationto Identify oneorseveral committees to take parliamentary the the development oflegislation related to maternal health. to fundingfor prioritize around projects and otherpartners instance, convince organizations like partner WHO, theUN maternal andchild health.Forlegislation supporting (international organizations, civilsociety, donors)to enact Partnership andcoordination with otheractors same language; the Common understandingoftheissuesandspeaking withinparliamentfor safeSupport motherhood; the situation andevaluate initiatives. Organize fieldvisits to facilities andprojects inorder to monitor and seektraining to dothateffectively; Liaise regularly withconstituents to educate themonMDG5 strengthen nationalcommitment; Organize publicevents to sensitize thewiderpublicand engage MPs andpolitical leaders; Hold briefingsandhearingsinparliament to convince and global commitments; governmentQuestion andcall ministers to account ontheir Report 39 Report 39 Making Pregnancy SaferMaking Women Parliamentarians Report Report Parliamentarians Women Parliamentarians take action for maternal and newborn health newborn and action maternal for take Parliamentarians Reproductive health rights: this would include addressing include addressing would health rights: this Reproductive and other violence early gender-based marriages, family planning services, and providing harmful practices, services; and youth adolescent Hold hearings with women and health associations on needs women Hold hearings with possibly to in order the budget debate to and priorities prior impact on the budget; report regularly Ask ministers responsible that parliament to done; work monitor for MDG 5 so as to on the use of funds sensitize gender-sensitive; that national budgets are Ensure parliaments and train on gender-sensitive and inform MPs parliamentary staff; use of sex- makes that the national budget process Ensure data; disaggregated on MDG 5 to / media event awareness a raising Organize during the budget debate. pressure increase funding This includes adequate resources: human Sufficient support,mix of skills, adoption of the an appropriate and brain- migration discourage to and initiatives measures of the working environment and the improvement drain staff; retain to and conditions Qualityincludes close parliamentary this care: monitoring services, and of timely data availability of the care evidence; based on real accreditation Liaise or work with the budget/finance committee in committee the budget/finance with or work Liaise pay particular to parliament health issues and to attention MDG 5; and the budget debate during Ask government questions to MDG 5 a budgetarymake priority;

Parliamentary actions: Pillar 4: Health system 4: Health Pillar include: identified were that of success conditions The A good health insurance system; A good health insurance and children; health services women for Free is One example additional resources. for of taxation Use of a 0.1% tax on personal and corporate the introduction aimed at expenditures for be allocated to income services mother and child care or a 0.1% tax strengthening mothers. future for on advertising on education be spent to Gender-sensitive budgets: this would allow to track and track to allow budgets: this would Gender-sensitive newborn and maternal to related allocations increase primaryhealth, and to and referral; healthcare Support initiatives; micro-finance to Sufficient health budget: within the national budget national health budget: within the Sufficient enough funding. receives the health budget that ensure Some participants a minimum should be that mentioned the health budget should that instance meaning for set, budget; overall least 6% of at for account Ensure that legislation passed is complementaryEnsure with other are and that MDG 5 concerns existing legal instruments adequately. streamlined Work with Courts the implementation of monitor to of Audit Work legislation; and supporting legislation facilitating Adopt of the work midwives; Hold hearings with government, civil society, private sector private civil society, with government, hearings Hold and challenges gaps, legislative identify actorsand other to solutions; gender address laws to of existing a review Launch limit obstacles that legal and eliminate discrimination services; care health to access women‘s

Pillar 3: Financial Resourcing 3: Financial Pillar include: identified were that of success conditions The 40 Report The conditions ofsuccess that were identified include: Pillar 5:Education actions: Parliamentary Making PregnancySafer Parliamentarians takefor maternal action andnewbornhealth

Training ofteachers andmidwives; Budget allocation for education; andtargets;objectives National Strategic Plan for education, withidentified means, harmfultraditionaldiscrimination, andespecially practices. adebate inparliamentongender Review legislation;start data; institutes;statistics liaisewithUNandothersources to access sufficientfunding national tobuildindependent Support their effective use; allocations, askquestionsandmonitor allocated amountsand attention thebudgetprocess,to health During payparticular objectives; committee work) to ensure accountability andmeetsethealth questions to government, enquiries, hearings, parliamentary oversight mechanisms(oralUse parliamentary andwritten allocated to thehealthsystem. Budget allocation: anadequate percentage ofGDP facilitate access; infrastructure inorder to slums)andafunctioning urban at locallevel (rural, services for and urban healthservices; thiswouldAvailability includenoorlow fees ofservices: Training for healthpersonnel; reviews; data, e.g. national statistics aswell asmaternal/prenatal specific thedevelopment ofcountry UN data, supporting the State’s to produce capacity useof official data, making Access to information anddata: thiswould includebuilding Parliamentary actions: Parliamentary The conditions ofsuccess that were identified include: Pillar 6:Cultural Practices

situation ofgirls; datato closelymonitor the Request sex-disaggregated monitor andevaluate government work oneducation; oversight mechanismsto regularlyUse parliamentary Cooperation withmassmedia. organizations for working change; approach throughinclude aculture-based grassroots Challenging cultural thiswould harmful practices; culture,Linking humanrightsandlegislation; cultural practices; to expose andlaunchopen debates badpractices on thiswould includeusingthemedia support: Media knowledge. and briefedonMDG5;develop mentoring to passonthe Ensure ofparliamentare thatnewmembers educated curricula; school ofthe Ensure are thathuman rightsandgenderequality part Engage withcommunities; maternal healthissues; Organize events withthemediato educate thepublicon allocated amountsandtheireffective use; education budgetallocations, askquestionsandmonitor attention thebudgetprocess,to During payparticular Report 41 Report 41 Making Pregnancy SaferMaking Women Parliamentarians Report Report Parliamentarians Women Parliamentarians take action for maternal and newborn health newborn and action maternal for take Parliamentarians Engage male parliamentarians on MDG 5; parliamentarians Engage male local and organizations grassroots communities, to Reach out partners; digital bridge the to capacity technical in parliaments’ Invest communication. divide and facilitate meetings with ministers; regular sessions with civil society with civil sessions regular ministers; with meetings etc); organizations,

Information sharing. Information Build cross-party coalitions; partners with various meetings Hold regular (breakfast Identified needs of different partners, and creation of links partners,creation and needs of different Identified system; point a focal example, for through, including cooperation, and cross-level Inclusive approach and district levels; provincial national, Common objectives; Common win-win Mutual open-mindedness, respect, including relationships; Speak set the example; against them, and out publicly the framework in parliament, within Debate practices harmful legislation, if needed; and initiate rights standards of human advisers. the use of community Promote Financing grassroots initiatives. grassroots Financing on and hold debates in constituencies awareness Raise practices; harmful traditional

Parliamentary actions: Pillar 7: Partnership Pillar include: identified were that of success conditions The Parliamentary actions: 42 Report Making PregnancySafer Parliamentarians takefor maternal action andnewbornhealth Pillar Pillar Success Success Story Story Success Success Success Success Condition Condition Success Success Story Story Story Story Success Success Story Story         Action Transparency Transparency Objectives Objectives Common Common Awareness Respect Awareness Respect Mutual Mutual Media Media Identify Identify Action Needs Needs Accurate Accurate Roadmap   data data       Partnership Partnership Success Success Story Story commitment commitment Motherhood Motherhood Action Political Political Language Language Safe Safe Shared Shared         Legislation Legislation Legislation Legislation Rights Rights Support Support Partner Partner   for Support Support Media Media Action Practices Practices MDG5 MDG5 Cultural Cultural Goal Goal   Realities Realities Cultural Cultural   MDG5 Resourcing Resourcing Financial Financial   Success Success Story Story Education Education     System System Health Health Action Gender Gender Budget Budget Budget Budget   Health Health Strategic Strategic   Plan Plan Training Training   Budget Budget Action Reproductive Reproductive Insurance Insurance Success Success   Resources Resources Rights Rights Story Story Human Human Quality Quality       Care Care Action Success Success Story Story Success Success Story Story Action Success Success Story Story       Report 43 Report 43 Making Pregnancy SaferMaking Women Parliamentarians Report Report Parliamentarians Women Parliamentarians take action for maternal and newborn health newborn and action maternal for take Parliamentarians Day two (Thursday, 27 November 2008) 27 November (Thursday, Day two visits Site , Amsterdam and Groningen Amsterdam Midwifery Academy Hague The BirthMunicipality Hague (City Hall, , of The Center) Hague The Netherlands Court, of Audit Hague The , Foundation Rabobank , Amsterdam Waternet technology Open space and action identify conditions discussions to Group reportsCountry Member of Parliament Sinabulya, Namabidde Uganda: Ms Sylvia Member of Parliament Ms Kerstin Engle, Sweden: organizations Meeting with nongovernmental NSPOH, MYBODY, Care, for Mother Meshwork AWEPA, AMREF, NOW!, AIDS STOP Nisso Groep, Rutgers Red een Kind, Prisma, White Ribbon for Safe World Alliance Motherhood, Wemos, YWCA World Foundation, Population Opening exhibition of a photo motherhood in Mali, Ian Snieders Safe pictures by Day three (Friday, 28 November 2008) Day three (Friday, of the roadmap Presentation Member of Parliament Namabidde Sinabulya, Ms Sylvia health maternal improve to Global initiatives Dr Monir Islam, WHO / Making Safer Pregnancy Discussions on follow-up back home first steps for Sharing intentions Opening plenary the of the House of Representatives, President Verbeet, Ms Gerdi Netherlands and WHO / Family AssistantMs Daisy Mafubelu, Director-General, Health Community Inter-Parliamentary Secretary Johnsson, Mr B. Anders General, Union health and newborn Briefing on maternal WHO / MakingSafer Pregnancy Dr Monir Islam, Director, reportsCountry Member Indarsih of Loekman Soetrisno, Tuti Indonesia: Ms Parliament Member of Parliament Ms Minna Sirnö, Finland: Rwanda: Member Mukandutiye, Ms Spéciose of Parliament inspiration Lunch Mr Bert Minister for Development Cooperation, Koenders, the Netherlands Ronner-Grubacic, AmbassadorMs Stella for the Millennium the Netherlands Development Goals, Setting out the challenges Café: World of work areas identify key discussions to Group Máxima of the Netherlands of HRH Princess Visit Mother Care for Meshwork for Human Emergence Center Voorhoeve, Ms Anne-Marie for Human Emergence Center Merry, Mr Peter Dinner Member Gerkens, of Parliament Ms Arda Day one (Wednesday, 26 November 2008) 26 November (Wednesday, Day one Annex II: Agenda II: Annex 44 Report Making PregnancySafer Parliamentarians takefor maternal action andnewbornhealth Ms Chantal Gill’ard, ofParliament, Member theNetherlands Jabre,Ms Kareen Inter-Parliamentary Union Ms DaisyMafubelu, WHO/Family andCommunity Health ofHealth,theNetherlands Minister Ab Klink, Mr Closing remarks Services International, SIMAVI,Services Women onWaves, Youth Incentives International, HIRDA, PEPInternational Foundation, Population AWEPA, Cordaid, International, CARE Concerns Gender Lunch withnongovernmental organizations Report 45 Report 45 Making Pregnancy SaferMaking Women Parliamentarians Report Report Parliamentarians Women Parliamentarians take action for maternal and newborn health newborn and action maternal for take Parliamentarians Ms Pum SICHAN Ms Pum Senator labour and on health, social affairs, of the commission Chair Vice affairs women’s THUL Mr Heang Department International Deputy Director, Ethiopia Bedo KUMBI Ms Lomi Member of Parliament Finland Ms Minna SIRNÖ Member of Parliament and population of development Committee Haiti SUPPLICE BEAUZILE Ms Edmonde Senator Indonesia SOETRISNO Indarsih LOEKMAN Tuti Ms Member of Parliament and food & IX on health, population, transmigration, Commission control drug Kenya Dr Josephine KIBARU Health DepartmentHead, of Family Ministry and Sanitation Health of Public Angola A. AFONSO Ms Mariana Paulo Member of the National Assembly MORAIS Ms Inocência DEUS FARIA DE Member of the National Assembly JÚNIOR KIMUABI Mr António Member of the National Assembly Brazil ANDRADE CORREIA Lemos Ms Aline Deputy Federal Burkina Faso Mariam Marie Gisèle GUIGMA Professor Member of Parliament Cambodia Ms Naun HO Member of the National Assembly on public health, social work, veterans, Chair of the commission and women’s training vocational labour, rehabilitation, youth affairs Ms Run IM Member of the National Assembly international Secretary affairs, on foreign the commission to and information cooperation Annex III: List of participants of List III: Annex participants Country 46 Report Making PregnancySafer Parliamentarians takefor maternal action andnewbornhealth Senior adviser,Senior ofForeign Ministry Affairs REGT Ms EllyLEEMHUIS-DE Cooperation forDevelopment Minister KOENDERS Bert Mr ofHealth Minister Ab KLINK Mr ofParliamentMember Ms Arda GERKENS ofParliamentMember Ms Chantal GILL’ARD ofParliamentMember FERRIER Ms Kathleen Netherlands ofHealthandPopulationActing Secretary, Ministry Dr SudhaSHARMA ofParliamentMember Ms Durga Jayanti RAI Nepal Deputy Ms Graça NHALIGINGA Mozambique ofParliamentMember Dr BangonSAYARATH ofParliamentMember Dr Phonetep PHOLSENA People’sLao Democratic Republic ofParliamentMember LESHOOMO Ms Maison The oftheNational Assembly member Gilberto Mr VALDEZ ofParliamentMember GONZÁLEZ Marina Ms Martha ofParliamentMember Ms JamilethBONILLA ofParliamentMember BALTODANOMs Mónica ofParliamentMember DoloresMs Ma. ALEMÁN Nicaragua ofParliamentMember Chair oftheEuropean Committee Evert Harm Mr WAALKENS, PvdA ofParliamentMember Ms JannekeSCHERMERS,CDA ofParliamentMember Ms Lutz JACOBI, PvdA President oftheHouseRepresentatives Ms Gerdi VERBEET ofParliamentMember Ms Pauline SMEETS ofForeignInterim, Ministry Affairs FreddyMr FERNANDEZ I.SIERRA Goals Development forthe Millennium Ambassador Ms Stella ofParliamentMember HenkJanORMEL Mr R onner-Grubacic Report 47 Report 47 Making Pregnancy SaferMaking Women Parliamentarians Report Report Parliamentarians Women Parliamentarians take action for maternal and newborn health newborn and action maternal for take Parliamentarians Rwanda MUKANDUTIYE Ms Spéciose Member of Parliament of the Chamber on socialof affairs Committee Deputies Chair, South Africa MASHIGO Ms Refilwe Member of Parliament Spain Ms María Jesús CASTRO MATEOS Senator Sudan Mohamed BASHAR Dr Sayda Member of Parliament Ms Lily KIDEN ELUZAI Member of Parliament Sweden Ms Kerstin ENGLE Member of Parliament Tajikistan AMIRSHOEVA Ms Saodat Deputy Thailand PUNYARATABANDHU Dr Porapan Senator on public health Senate standing committee Tunisia Mr Mohamed Elies BEN MARZOUK Member of the Chamber of Councillors Nigeria EKAETTE Ufot Ms Eme Senator Member of Parliament Ms Iyabo OBASANJO-BELLO Senator on health Committee Head, Pakistan BHUTTODr Mahreen secretaryParliamentary for health Peru MORALES CASTILLO Ms Fabiola Member of Parliament Republic of Korea CHUNG Ms Mi Kyung Member of Parliament Sun PARK Young Ms Member of Parliament CHO Yeon Ms Seo Interpreter Romania Ms Cristina DUMITRESCU Romanian IPU group Secretary, secretariat Sub-committee’s Mr Dan SABAU Senator sub-committee population for and development Senate’s Chair, 48 Report Making PregnancySafer Parliamentarians takefor maternal action andnewbornhealth Director Ms SietskeSTENEKER Asia Regional Director, for Eastern RegionalOffice Europe and Central Ms Thea FIERENS United Nations Population Fund (UNFPA) UN andotherpartners Vice ofLong Director HealthDepartment An oftheNationalAssembly Member Dr Vo THI DE Viet Nam ofParliamentMember MLATA Moses Ms Martha United Republicof Tanzania Principal MedicalofHealth Officer, Department LEWIS Dr Gwyneth United Kingdom ofParliamentMember Ms Sylvia NAMABIDDE SINABULYA Uganda ofParliamentMember Ms Dilek YUKSEL Turkey ofDeputies oftheChamber Member Ms Faouzia KHALDI Office inBrussels, Belgium Office Trade andhuman development andparliamentarians Civil society Guggi LARYEAMr Head, inBrussels, Belgium Office representativeSpecial to theEuropean Unioninstitutions SIPOS Sándor Mr The World Bank Chief, Maternal, andchildhealthunit, NewYork, newborn USA Dr Renee VAN DE WEERDT programmeSenior officer, UNICEFNetherlands Dr Mark WIJNE United Nations Children’s Fund (UNICEF) Director Dr Q. ISLAM Monir Pregnancy Safer (MPS) ofMaking WHO/Department Medical officer Dr GiuseppeANNUNZIATA ofHealth inCrisis Action (HAC)WHO/Department Director Dr ElizabethMASON Development (CAH) ofChild andAdolescentWHO/Department Health and Director-General Assistant Ms DaisyMAFUBELU WHO/Family andCommunity Health (FCH) Secretariat oftheconference Report 49 Report 49 Making Pregnancy SaferMaking Women Parliamentarians Report Report Parliamentarians Women Parliamentarians take action for maternal and newborn health newborn and action maternal for take Parliamentarians Bulbulia Wensing Nongovernmental organizations organizations Nongovernmental AMREF Ms Anneke officer Project AWEPA Ms Katharine adviser member senior political and Council CARE International Ms Janet MEYERS in emergencies Sr SRH/HIV adviser (CHE) Human Emergence for Center VOORHOEVEMs Anne-Marie connector Strategic MERRY Mr Peter Chair Mr Jasper BETS link Gaiaspace & community Researcher Mr Midas BUDDEMEIJER manager Project VLIET DER VAN Mr Peter relations Public Mr Diederick JANSE MDG5 Linking & learning officer Mr Chris REYNOLDS manager GaiasoftProduct Ms Marie-Agnes HEINE officer Communications YOSHIDA Ms Sachiyo officer Technical DARIBI Ms Catherine Secretary PROST Ms Eva Consultant (PUN) on Partnerships and UN Reform WHO/Programme Mr Igor A. ROZOV Office of the Director-General WHO/Department Research and Health of Reproductive (RHR) LOOK VAN F.A. Dr Paul Director (EURO) Europe for WHO/Regional Office Dr Alberta BACCI Making Safer Pregnancy Regional adviser, Union (IPU) Inter-Parliamentary JOHNSSON Mr B. Anders Secretary General Ms Kareen JABRE of partnership for the promotion between Programme Manager, men and women 50 Report Making PregnancySafer Parliamentarians takefor maternal action andnewbornhealth President Ms Conny BERGÉ PEP International Foundation Project leader Ms Olga (NSPOH) ofPublicNetherlands School andOccupational Health Head ofcommunication department Ms Mariëtte MYBODY Executive Committee, andtreasurer member Ms Marian VAN HUIS adviser midwifery Senior Ms Nester T. MOYO adviser International midwifery Ms Abigail KYEI Secretary-General Ms Agneta S.BRIDGES International Confederation ofMidwives (ICM) Director Ms Fatumo FARAH HIRDA Director Sabra ConcernsGender International Programme officer PietMr C.S.M. VAN GILS Cordaid Bano de Haan Flipse Board ofDirectors Ms Kathy HERSCHDERFER White Alliance Ribbon for Safe Motherhood project officer,Senior human resources forhealth Ms Anke Wemos Gynaecologist Professor Koos VAN DER VELDEN UMC Nijmegen Policy adviser A. Ms Moniek VAN DERKROEF STOP AIDSNOW! Executive director SASSE Ms Rolien SIMAVI Manager, development intervention andimplementation Ms Pauline Rutgers Groep Nisso Coordinator, HIV/AIDS programme PaulusMr Red eenKind Coordinator, HIV/AIDS programme Reinier Mr VAN HOFFEN Prisma Chief executive GADE Nils Mr Population International Services (Europe) TiJtsma Samuel Haasdrecht

Report 51 Report 51 Making Pregnancy SaferMaking Women Parliamentarians Report Report Parliamentarians Women Parliamentarians take action for maternal and newborn health newborn and action maternal for take Parliamentarians Dilmitis World YWCA World Ms Sophie HIV/AIDS Coordinator, Incentives Youth Ms Marijke PRIESTER Head

Leerlooier Research and monitoring and evaluation officer and evaluation monitoring and Research Women on Waves on Women GOMPERTSDr Rebecca Director Foundation Population World Ms Joanne IPU Headquarters Department of Making Pregnancy Safer Inter-Parliamentary Union Family and Community Health Chemin du Pommier 5 World Health Organization Case Postale 330 Avenue Appia 20, CH-1218 Le Grand Saconnex, CH-1211 Geneva 27, Switzerland Geneva, Switzerland Fax: +41 22 791 5853 Tel: + 41 22 919 41 50 Email: [email protected] Fax: + 41 22 919 41 60 www.who.int/making_pregnancy_safer/en E-mail: [email protected] Website: www.ipu.org