DOCSLIB.ORG

Improving Maternal and Newborn Health Among Tribal Communities In

Total Page：16

File Type：pdf, Size：1020Kb

Download full-text PDF Read full-text
Improving Maternal and Newborn Health Among Tribal Communities In Institute for Global Health Participation, women’s groups and going to scale Anthony Costello 50 150 Active network Affinity band Sympathy 15 group Survival clique 5 Reasons for caution on ‘behaviour change’ Impact of health education: Kathmandu RCT, Bolam et al, BMJ 1990s Warmi Project, Bolivia 1990s HIGH PARTICIPATION LOW PARTICIPATION ‘A student is an empty vessel to be filled with a teacher’s knowledge.’ ‘People are experts about their own worlds. They require more than just information: respect and a space to develop their own solutions.’ Community action cycle PHASE 4 PHASE 1 IDENTIFY & PRIORITISE EVALUATE PROBLEMS TOGETHER PHASE 3 PHASE 2 PUT STRATEGIES INTO PLAN STRATEGIES PRACTICE Makwanpur, Nepal 2004 Photovoice in Makwanpur: Work Birth Health MAKWANPUR TRIAL, NEPAL 1 local woman facilitator per cluster Not a health worker 7000 population, 60 sq km 9 monthly women’s groups Problem Identification Participatory Planning evaluation together Implementation 2004 Photo credit: Tom Kelly, Save the Children Fund cRCT – 24 clusters: 6275 births 30% reduction in neonatal mortality (OR: 0.70, 0.53-0.94) Care-seeking during perinatal period for mother Care-seeking for newborn Clean delivery practices during home births Improved newborn care practices at home Manandhar et al. Lancet 2004 SEVEN CLUSTER RANDOMISED CONTROLLED TRIALS IN NEPAL, INDIA, BANGLADESH AND MALAWI Ekjut trial: rural eastern India MaiMwana and Maikhanda: rural Malawi Makwanpur trial, rural Nepal Perinatal Care Project I & II: rural City Initiative for Newborn Health, Ekjut, Jharkhand & Odisha, India Tripathy et al, Lancet 2010 2010 cRCT in 38 geographic clusters 32% reduction in across 3 districts: 19030 births NMR 32% reduction in NMR OR: 0.68 (95% CI: 0.58 – 0.78) (OR: 0.68, 0.59-0.78) Care-seeking during perinatal period for mother Care-seeking for newborn Clean delivery practices during home births Improved newborn care practices at home Tripathy et al. Lancet 2010 IMPACT ON MOST MARGINALISED 59% reduction in NMR in most marginalised 36% reduction in NMR in less marginalised Houweling et al. Int J Epi 2013 Bangladesh 2010 AND… TRIPLED COVERAGE 2013 Azad et al, Lancet 2010 and Fottrell et al, JAMA 2013 Bangladesh (BADAS) study areas Photo credit: Perinatal Care Project First cRCT (2005-8) : 36 113 births No detectable impact on mortality or practices? Why? Azad et al. Lancet 2010 Gender barriers ? Lack of financial incentives ? Coverage too low ? Not the right kind ? 1 group per 1414 population 1 per 468 (India) 1 per 756 (Nepal) Only 3% of pregnant women Photo credit: Perinatal Care Project were in a group Second cRCT (2009-11) triple coverage: 19301 births 38% reduction in NMR (RR: 0.62: 0.43-0.89) Care-seeking during perinatal period for mother Care-seeking for newborn Clean delivery practices during home births Photo credit: Sanjit Shaha, Perinatal Care Improved newborn Project care practices at home Fottrell et al. JAMA Pediatrics 2013 / MaiMwana and Maikhanda, Malawi Lewycka et al, Lancet 2013, Colbourn et al Int 2013 Health 2013 Photo credit: MaiMwana Project MaiMwana, Mchinji district, Malawi (200 Factorial cRCT Women’s group intervention Peer infant feeding counselling intervention MaiMwana Project, Mchinji district, Malawi Photo credit: MaiMwana Project Overall: 26,262 births Care-seeking during perinatal period for No detectable impact of women’s mother groups Care-seeking for newborn in factorial analysis: (OR: 0·93, Clean delivery N/A 0·64–1·35) practices during home births In women’s group versus control Improved newborn care practices at areas: Lewycka et al. Lancet 2013 home 41% reduction in NMR and 74% Photo credit: MaiKhanda MaiKhanda, Malawi (2008-10) Factorial cRCT in Kasungu, Lilongwe and Salima districts > 700 women’s groups Quality improvement in health facilities through 400 task forces Colbourn et al. International Health 2013 Dharavi, Mumba Shah More et al, PLOS Med 2012 Dharavi, Mumba Photo credit: SNEHA 2012 cRCT in 48 slum areas: 18197 births No detectable impact on mortality or practices Learning from failure PNMR (OR: 1.19, 0.90– 1.57) Shah More et al. PLoS Med 2012 OVERALL EFFECT OF WOMEN’S GROUPSNeonatal ON NEONATAL MORTALITY mortality Heterogeneity 0·80 (0·67–0·96) 20 % reduction in neonatal mortality Prost et al. Lancet 2013. corrected EFFECT ON NEONATAL MORTALITY WITH 30% OF WOMEN ATTENDING GROUPS 0·67 (0·60–0·75) 33 % reduction in neonatal mortality Prost et al. Lancet 2013. corrected EFFECT ON MATERNAL MORTALITY WITH 30% OF WOMEN ATTENDING GROUPS 0·51 (0·29–0·89) 49 % reduction in maternal mortality Prost et al. Lancet 2013. corrected It’s not just about the mother and infant… EMPOWERMENT It’s about community action… Its about an active voice Poverty Gender Literacy History Power Economy Decision-making Nutrition Caste Security Culture and practices WHAT DO THESE SUCCESSFUL TRIALS HAVE IN COMMON? Rural Rural Rural Rural Rural settings Nepal India Bangladesh Malawi MM 1I Care-seeking High baseline during perinatal neonatal mortality period for (>30 /1000) mother Care-seeking for newborn More than 30% of illness Clean pregnant women in delivery N/A groups practices during home births Around one group Improved newborn care per 500 population practices at + + + ? home Mechanisms 1. Knowledge sharing and individual behaviour Clean delivery Handwashing kits Breastfeeding Use of and thermal Nets care Mechanisms 2. Social support Postnatal care Family and Funds village support Fewer obstetric complications? Oxytocin The ‘ormone of lerve’ Michel Odent The ecology of the womb and childbirth Mechanisms 2. Social support Bicycle ambulance Small business Loans Mechanisms 3. Decision-making and political advocacy Communication Empowerment and critical Advocacy skills consciousnes Solidarity Representation s Asking why Broader benefits: mental health YEAR 3 57% reduction in maternal depression OR: 0.43(95% CI:0.23- 0.80) Tripathy et al, Lancet 2010, 228 000 tribal population 19 030 births roader benefits: gender equality 47 Men are involved Broader benefits: services SNEHA Slum communities Mumbai, India Broader benefits: water, food, farms, environment 50 Shocks Groups and consumption smoothing Potential impact at Assumingscale a 30% loss of effectiveness when implemented at scale (a conservative lower bound): Annually in 74 Countdown countries 41,100 maternal deaths and 283,000 neonatal deaths averted Five countries where the Five countries where the most neonatal deaths could most maternal deaths could be averted (% of total) be averted (% of total) India: 116 000 (10%) India: 9370 (17%) Nigeria: 27 200 (10%) Nigeria: 5980 (15%) Ethiopia: 23 800 (19%) Ethiopia: 3320 (36%) Bangladesh: 13 700 (13%) Sudan: 2 120 (20%) Niger: 5800 (18%) Bangladesh: 2 050 (28%) Orissa scale-up…from 2012 NOT HOME VISITS VS GROUPS India’s Accredited Social Health Activists conducted home visits and facilitated a monthly women’s group 32% reduction in NMR OR: 0.68 (0.52-0.88) Greatest impact among poorest OR: 0.58 (0.35-0.95) Ekjut, forthcoming, 2014 Photo credit: S Olwe for Ekjut Culture eats strategy for breakfast • Deming • Quality improvement • Immunisation • PHC • Community mobilisation • Ebola RECOMMENDATION “Implementation of community mobilization through facilitated participatory learning and action cycles with women’s groups to improve maternal and newborn health is recommended, particularly in rural settings with low access to services”. STRONG for newborn health But are there risks from participatory women’s groups? • Social exclusion? • Gender violence? • Delayed referral? • Persistence of traditional harmful practices? • Political conflict? How to marry the Technical and the Social? Five principles 1. Coalitions: leverage groups with a shared vision 2. Focus on a few strategies and interventions 3. Build ownership at grassroots level 4. Continually innovate to maximise resources 5. Reinforce accountability by continuously measuring what matters Technophiles profess to agree… “Often women’s groups are very powerful to get the word about best practices, and those are kind of grass root, organised at the village level, without the government having to play much of a role at all.” (Bill Gates, in India with Aamir Khan, July 2013) The science of sympathy groups THE GROUP Funding acknowledgements: The Wellcome Trust, The Health Foundation (UK), The Big Lottery Fund, DFID, Saving Newborn Lives and ICICI Foundation, W d Child Fi t It’s not a drug, it’s not a vaccine, it’s not a device. It’s women, solving problems, saving lives. Richard Horton, May 2013 Follow my twitter @globalhlthtwit www.ucl.ac.uk/igh UCLGlobal Health interviews on You Tube .
Load more

Recommended publications
  • Moving to Research Partnerships in Developing Countries Anthony Costello, Alimuddin Zumla
    Education and debate Moving to research partnerships in developing countries Anthony Costello, Alimuddin Zumla What should be the principles behind investment in Centre for research in developing countries? Does current International Child Summary points Health, Institute of practice overemphasise the results of research and Child Health, ignore issues like ownership, sustainability, and University College, Much foreign-led research in developing London development of national research capacity? We believe countries remains semicolonial in nature and may WC1N 1EH that the research model supported by many funding have negative effects on partner countries Anthony Costello agencies remains semicolonial in nature. Foreign professor of domination in setting research priorities and project international child “Annexed site” research led by expatriates should health management may have negative consequences which be phased out and replaced by a partnership Centre for outweigh the apparent benefits of the research model in which nationals lead research projects, Infectious Diseases findings. National academic leaders and institutions with only technical support from outsiders and International need to be involved if research is to be translated into Health, Royal Free and University practice. The deterioration in academic infrastructure Research funded through national academics and College Medical in many developing countries needs to be reversed as School, Windeyer institutions improves the chances of findings Institute of Medical part of
    [Show full text]
  • Build Sustainable Financing and Partnerships for Girls and Women
    POLICY BRIEF Build Sustainable Financing and Partnerships for Girls and Women Facts, Solutions, Cases, and Calls to Action Building sustainable financing and partnerships for girls and women is linked to OVERVIEW the achievement of the Donor and national investments targeting gender equality and girls’ and women’s health, rights, and Sustainable Development wellbeing remain insufficient to achieve the ambitious targets set for gender equality in the Sustainable Goals (SDGs) and targets, Development Goals (SDGs).1 More work and commitments are needed to improve the lives of girls and including: women, thus enabling communities and nations to unlock their full potential. Under the sustainable development agenda, development actors from across the spectrum have an opportunity to abandon SDG 1: End poverty in all its traditionally siloed approaches and work together to positively impact girls’ and women’s lives through forms everywhere financial investment and strengthened multi-sectoral partnerships that deliver on an integrated agenda. This policy brief identifies interventions that can propel sustainable progress. • 1.a Ensure significant mobilization of resources SECTION 1: FRAMING THE ISSUE from a variety of sources, Despite the needs and challenges that girls and women face in accessing healthcare, education, including through enhanced resources, and equal opportunities in the workforce and political arena, investments to empower, development cooperation, engage, and open access for girls and women remain insufficient. While it is encouraging
    [Show full text]
  • Written Evidence Submitted by Professor Anthony Costello and UCL Colleagues (FRC0001)
    Written evidence submitted by Professor Anthony Costello and UCL colleagues (FRC0001) Thank you for the opportunity to submit written evidence to the Committee in response to the questions you have sent to me. We have not attempted to address every point comprehensively but have provided brief responses to your questions below based on my views and this of UCL colleagues. I would be pleased to discuss any of these further. This submission has been developed with input from UCL colleagues including: Professor Di Gibb, Dr Lu Gram, Professor Ilan Kelman, Dr Alexis Palfreyman, Professor Audrey Prost, Professor Max Parmar, Dr Sarah Petts, Dr Ed Fottrell, Sarah Chaytor and Dr Naomi Saville. 1. What regions or countries in the developing world are best equipped to manage a major outbreak of COVID-19? What regions or countries are most at risk, and why? The approach of many African countries seems to have slowed the development of coronavirus. This includes: shutting borders, testing new arrivals, use of quarantine, and contact track and trace. This is supplemented by clear guidelines and briefing documents. Some countries may benefit from prior experience of managing other pandemics (for example Ebola outbreaks in Uganda, HIV, and TB). Whilst some African countries have initiated lockdowns, these are unlikely to be sustained for long given the significant economic hardship, especially for the most vulnerable, and impact on food and essential medicine supply (including for HIV). Nonetheless the World Health Organization is now forecasting that 250 million people in sub-Saharan Africa will be infected with coronavirus in the next year.
    [Show full text]
  • Review 2011 1 Research
    LONDON’S GLOBAL UNIVERSITY ReviewHighlights 2011 2011 Walking on Mars © Angeliki Kapoglou Over summer 2011, UCL Communications held a The winning entry was by Angeliki Kapoglou (UCL Space photography competition, open to all students, calling for & Climate Physics), who was selected to serve as a member images that demonstrated how UCL students contribute of an international crew on the Mars Desert Research Station, to society as global citizens. The term ‘education for global which simulates the Mars environment in the Utah desert. citizenship’ encapsulates all that UCL does to enable Researchers at the station work to develop key knowledge students to respond to the intellectual, social and personal needed to prepare for the human exploration of Mars. challenges that they will encounter throughout their future careers and lives. The runners-up and other images of UCL life can be seen at: www.flickr.com/uclnews Contents Research 2 Follow UCL news www.ucl.ac.uk Health 5 Insights: a fortnightly email summary Global 8 of news, comment and events: www.ucl.ac.uk/news/insights Teaching & Learning 11 Events calendar: Enterprise 14 www.events.ucl.ac.uk Highlights 2011 17 Twitter: @uclnews UCL Council White Paper 2011–2021 YouTube: UCLTV Community 21 In images: www.flickr.com/uclnews Finance & Investment 25 SoundCloud: Awards & Appointments 30 www.soundcloud.com/uclsound iTunes U: People 36 http://itunes.ucl.ac.uk Leadership 37 UCL – London’s Global University Our vision Our values • An outstanding institution, recognised as one of the world’s
    [Show full text]
  • Lists of Members 1996
    Lists of Members Governing Bodies, Faculties, Boards, Academic and Administrative Staff 1996 Main Committees and Departmental Lists as at 1st February, 1996. Address All general correspondence directed to the University should be addressed to The Registrar, The University of Melbourne, Parkville, Victoria. Australia, 3052. Telephone: (03) 9344 4000 Fax: (03) 9344 5104 Contents UNIVERSITY OF MELBOURNE: SENIOR OFFICE BEARERS COUNCIL 1 *COMMI 11tES 2 4 COUNCILS OF HALLS OF RESIDENCE COMMITthE OF CONVOCATION 8 *ACADEMIC BOARD FACULTIES 10 BOARDS 13 PROFESSORS 21 22 PROFESSORIAL ASSOCIATES WITH 1-11LE OF PROFESSOR 28 READERS 30 PROFESSORS EMERITUS 35 HEADS OF AFFILIATED COLLEGES 40 HEADS OF HALLS OF RESIDENCE 40 TEACHING AND RESEARCH STAFF - Agriculture, Forestry and Horticulture 41 Architecture, Building and Planning 45 Arts 46 Economics and Commerce 53 Education 56 Engineering 60 Law 65 Medicine, Dentistry and Health Sciences 67 Melbourne Business School 99 Music 100 Science 101 Veterinary Science 107 Victorian College of the Arts 109 LIBRARY 112 FACULTY ADMINISTRATION 115 GRADUATE SCHOOL ADMINISTRATION 119 CENTRAL ADMINISTRATION 120 Office of the Vice-Chancellor and Principal 120 Academic Registrar's Division 122 Academic Services 122 Academic Administration 122 Academic Planning Support Unit 122 External Relations 122 The Graduate Centre 123 International Office 123 Student and Staff Services 123 Human Resources 125 Registrar's Division 126 Executive Services 126 Financial Operations 126 Information
    [Show full text]
  • Piecing Together the Poverty Puzzle
    PIECING TOGETHER THEPOVERTY PUZZLE PIECING TOGETHER THEPOVERTY PUZZLE © 2018 International Bank for Reconstruction and Development / The World Bank 1818 H Street NW, Washington DC 20433 Telephone: 202-473-1000; Internet: www.worldbank.org Some rights reserved 1 2 3 4 21 20 19 18 This work is a product of the staff of The World Bank with external contributions. The fi ndings, interpre- tations, and conclusions expressed in this work do not necessarily refl ect the views of The World Bank, its Board of Executive Directors, or the governments they represent. The World Bank does not guarantee the accuracy of the data included in this work. The boundaries, colors, denominations, and other informa- tion shown on any map in this work do not imply any judgment on the part of The World Bank concern- ing the legal status of any territory or the endorsement or acceptance of such boundaries. Nothing herein shall constitute or be considered to be a limitation upon or waiver of the privileges and immunities of The World Bank, all of which are specifi cally reserved. Rights and Permissions This work is available under the Creative Commons Attribution 3.0 IGO license (CC BY 3.0 IGO) http://creativecommons.org/licenses/by/3.0/igo. Under the Creative Commons Attribution license, you are free to copy, distribute, transmit, and adapt this work, including for commercial purposes, under the following conditions: Attribution—Please cite the work as follows: World Bank. 2018. Poverty and Shared Prosperity 2018: Piecing Together the Poverty Puzzle. Washington, DC: World Bank. License: Creative Commons Attribu- tion CC BY 3.0 IGO Translations—If you create a translation of this work, please add the following disclaimer along with the attribution: This translation was not created by The World Bank and should not be considered an offi cial World Bank translation.
    [Show full text]
  • Agenda of the Launch of the Network For
    REPUBLIC OF MALAWI Launch Meeting 14 – 16 February 2017, Umodzi Park, Lilongwe, Malawi Meeting objectives: 1. Launch the Network and commit to the common goal of improving Quality of Care for mothers and newborns; 2. Share best practices on Quality of Care improvement and agree on an evidence-based framework for coordinated actions; 3. Agree on country roadmaps for improving Quality of Care, and articulate the Network’s added value and contribution to realise its potential. Lead facilitator: Pascal Bijleveld Tuesday, 14 February 2017: Technical forum 07:30 - 08:30 Registration 08:30 - 08:45 Welcome Charles Mwansambo – Chief of Health Services Ministry of Health, Malawi Eugene Nyarko – WHO Representative Malawi Johannes Wedenig - UNICEF Representative Malawi 08:45 - 08:55 Introduction Pascal Bijleveld 08:55 - 09:05 Meeting objectives and agenda Blerta Maliqi – WHO Nabila Zaka - UNICEF Zainab Naimy – WHO 09:05 – 10:00 Setting the scene: Quality of Care (QoC) in the context of Anthony Costello - WHO Global Strategy Shams Syed - WHO QoC for MNH vision and framework Bernadette Daelmans - WHO Health systems strengthening for quality Stefan Swartling Peterson – and equity UNICEF 10:00 - 10:30 Facilitated discussion Ian Askew – WHO 10:30 - 11:00 Break 11:00 - 11:45 MNH QoC standards Wilson Were - WHO Improvement interventions for QoC Ozge Tuncalp - WHO 11:45 - 12:20 Facilitated discussion Ian Askew – WHO 12:20 - 12:30 Instructions for the working groups Zainab Naimy - WHO 12:30 - 14:00 Lunch What makes quality of care work: Parallel sessions Group 1 Group 2 Group 3 14:00 - 15:30 Systems support quality of Working with all sectors to Use of data for Quality of care: Financing and Supply deliver Quality of Care Care Chains 15:30 - 16:00 Break 16:00 - 17:30 Engaging communities for Business Unusual: Building a competent and improved quality, equitable, Engaging the Private engaged health workforce.
    [Show full text]
  • Health Promotion Interventions for Maternal and Newborn Health 2015
    WHO recommendations on health promotion interventions for maternal and newborn health 2015 WHO recommendations on health promotion interventions for maternal and newborn health 2015 WHO Library Cataloguing-in-Publication Data WHO recommendations on health promotion interventions for maternal and newborn health. Contents: main report – appendixes – supplemental material 1.Maternal Health Services. 2.Reproductive Health Services. 3.Perinatal Care. 4.Infant, Newborn. 5.Counselling. 6.Health Promotion. 7.Guideline. I.World Health Organization. ISBN 978 92 4 150874 2 (NLM classification: WA 310) © World Health Organization 2015 All rights reserved. Publications of the World Health Organization are available on the WHO website (www.who.int) or can be purchased from WHO Press, World Health Organization, 20 Avenue Appia, 1211 Geneva 27, Switzerland (tel.: +41 22 791 3264; fax: +41 22 791 4857; e-mail: [email protected]). Requests for permission to reproduce or translate WHO publications – whether for sale or for non-commercial distribution – should be addressed to WHO Press through the WHO website (www.who.int/about/licensing/ copyright_form/en/index.html). The designations employed and the presentation of the material in this publication do not imply the expression of any opinion whatsoever on the part of the World Health Organization concerning the legal status of any country, territory, city or area or of its authorities, or concerning the delimitation of its frontiers or boundaries. Dotted and dashed lines on maps represent approximate border lines for which there may not yet be full agreement. The mention of specific companies or of certain manufacturers’ products does not imply that they are endorsed or recommended by the World Health Organization in preference to others of a similar nature that are not mentioned.
    [Show full text]
  • 1942(March): HSC Subcommittee Meets and Makes Recommendations
    Establishing the Vision, and the Reality in 1945 A Brief History of the Institute of Child Health 1852: The Hospital for 1866 1910: Postgraduate Medical Background Sick Children (HSC). courses at HSC expanded • Lectures for undergraduates and 1853 Pupils at the hospital for bedside tuition. postgraduates in the hospital. Smallpox vaccination 1878 made1854 compulsory • The Charles West School of Nursing established at The Hospital for Charles West publishes his book Sick Children. Florence“How Nightingaleto nurse sick in children” the Crimea; 1857-61 1884-87 Pasteur describes origin of bacteria; • Lecture theatre and course prospectus at The Hospital for Sick Children. birth 1880-83of germ theory of infection 1895 Pasteur develops vaccines against • The Hospital for Sick Children Medical Koch discovers tubercule bacillus chicken pox, cholera and anthrax. School established; approved by and cholera bacillus the Royal Colleges of Physicians and Surgeons First Dean; Dr F.G. Penrose. Founder — Charles West 1900 First Dean — Dr F.G. Penrose By the turn of the century progress infection, its channels and preventative 1941: Board of Management of HSC began to discuss “new concept” of preventative medicine applied to children. included identification of causes of and Koch), Anaesthesia (Lister), methodsRadiography of containment (Reuntgen) (Pasteur 1942 (March): HSC Subcommittee meets and makes recommendations 1905 1. Preventative and curative work c) Practice of preventative with a Dean, a Professor, • Applied Psychology Bordet and Gengou isolate should be concerted by closer whooping cough bacillus cooperation between public health hospital is a convenient centre Puberty and Delinquency. services and children’s hospitals. methods for which a children’s part-time teachers and Home discipline, School life, e) Preventative paediatrics to be infant welfare, special clinics accommodation.
    [Show full text]
  • Bridgewater State College
    Bridgewater State University Virtual Commons - Bridgewater State University Bridgewater Magazine Campus Journals and Publications 1999 Bridgewater Magazine, Volume 10, Number 1, Fall 1999 Bridgewater State College Recommended Citation Bridgewater State College (1999). Bridgewater Magazine, Vol. 10, No. 1. Retrieved from http://vc.bridgew.edu/br_mag/51 This item is available as part of Virtual Commons, the open-access institutional repository of Bridgewater State University, Bridgewater, Massachusetts. BRIDGEWATER STATE COLLEGE oon1tJ1tJ~oooonwoo ©~1tJ~OO1ID~rn September 1999- December 2000 Featuring a then and now retrospective of Bridgewater '. State College ~. • Historical facts and photos of BSC • Current college photos and information • Special college millennium celebration dates highlighted Order Now! Use the tear card attached in this magazine to place your order. Price: $10.00 each (plus $4.17 each for shipping and handling) Calendars may be purchased on campus at the college bookstore. Buy one for yourself! Buy more to give as gifts! A Call for Nominations The Bridgewater Alumni Association seeks nominations for its annual awards to be presented Alumni Weekend. We would appreciate it ifyou would attach supporting materials. The Bridgewater Alumni Awardfor Outstanding subject matter, enthusiastic teaching style and Service to the Alumni Association is given to an personal attention to the students. individual whose qualifications include the ability to build understanding and awareness The Adrian Rondileau Awardfor Professional through involvement, leadership that fosters a Achievement and Community Service was estab­ caring community and programs that promote lished to recognize an alumna/alumnus who strategies for drawing others into a network of demonstrates the qualities most valued by Dr.
    [Show full text]
  • Country Data, Universal Accountability Monitoring Priorities for the Global Strategy for Women’S, Children’S and Adolescents’ Health (2016-2030)
    COUNTRY DATA, UNIVERSAL ACCOUNTABILITY MONITORING PRIORITIES FOR THE GLOBAL STRATEGY FOR WOMEN’S, CHILDREN’S AND ADOLESCENTS’ HEALTH (2016-2030) TABLE OF CONTENTS 4 EXECUTIVE SUMMARY 10 INTRODUCTION 13 CHAPTER 1. COUNTRY DATA FOR ACTION AND ACCOUNTABILITY 23 CHAPTER 2. GLOBAL MONITORING OF THE EWEC GLOBAL STRATEGY: THE ROLE OF HEALTH ESTIMATES 29 CHAPTER 3. LEAVE NO ONE BEHIND: DISAGGREGATED DATA FOR THE EWEC GLOBAL STRATEGY INDICATORS 38 CHAPTER 4. THE UNIFIED ACCOUNTABILITY FRAMEWORK FOR THE EWEC GLOBAL STRATEGY 47 CHAPTER 5. RECOMMENDATIONS 50 ANNEXES 50 ANNEX 1. SNAPSHOTS OF COUNTRIES’ PROGRESS TOWARDS THE COMMISSION ON INFORMATION AND ACCOUNTABILITY’S (COIA) 10 RECOMMENDATIONS 53 ANNEX 2. COUNTRY DATA SOURCES AND COLLECTION FREQUENCY FOR THE EWEC GLOBAL STRATEGY INDICATORS 57 ANNEX 3. SDG INDICATORS IN THE EWEC GLOBAL STRATEGY ACCORDING TO CURRENT STATUS OF DISAGGREGATED ANALYSES 60 REFERENCES 64 LIST OF ABBREVIATIONS 66 ACKNOWLEDGEMENTS EXECUTIVE SUMMARY The Global Strategy for Women’s, Children’s The EWEC Global Strategy targets are fully and Adolescents’ Health (2016-2030) aligned with the SDGs along three axes: came into effect alongside the Sustainable 1) Survive (end preventable deaths); 2) Development Goals (SDGs) in January Thrive (ensure health and well-being); and 3) 2016. Its vision is to advance the 2030 Transform (expand enabling environments). Agenda for Sustainable Development by This report assesses the worldwide state of guiding transformative change that readiness to begin monitoring of progress enables every woman, child and using the Indicator and Monitoring adolescent – in every setting – to realize Framework of the Global Strategy. their full potential and their human right to the highest-attainable standard of health.
    [Show full text]
  • List of Participants &&&&&&&&&&&&&&
    List of Participants &&&&&&&&&&&&&& Journal of Perinatology (2002) 22, S36 – S38 doi:10.1038/sj.jp.7210810 615 North Wolfe Street Baltimore, MD 21205, USA Elaine Albernaz 410 955 3934 Universidad Federal de Pelotas [email protected] Ave. Duque de Caxias, 250-C.P. 464 Pelotas, 96001-970 Brazil Anthony Costello 053 271 2442 Institute of Child Health [email protected] 30 Guilford Street London WC1 N 1EH, UK Saadet Arsan 0207 905 2261 University of Ankara, Dept. of Pediatrics [email protected] Dikimevi-06100 Ankara, Turkey 90 312 362 30 30 Simon Cousens [email protected] Dept. of Infectious and Tropical Diseases London School of Hygiene and Tropical Medicine Paul Arthur London WC1E 7HT, UK Kintampo Health Research Unit (KIVAP) 0207 636 86 36 P.O. Box 2, Kintampo, Ghana [email protected] 233 61 27304 [email protected] Gary L. Darmstadt Saving Newborn Lives Abhay Bang Save the Children Federation SEARCH 2000 M Street, NW, Suite 500 Gadchiroli, Maharashtra 442 605, India Washington, DC 20036, USA 91 7138 55407 206 525 3292 [email protected] [email protected] Abdullah Hel Baqui Joseph de Graft Johnson Johns Hopkins/Bloomberg School of Save the Children Federation Public Health — Dept. of International Health Private Bag 254, Blantyre, Malawi 615 North Wolfe Street 265 621 022/348 Baltimore, MD 21205-2179, USA [email protected] 410 955 3850 [email protected] Ashok K. Deorari Dept. of Paediatrics Zulfiqar Bhutta All India Institute of Medical Sciences The Aga Khan University New Delhi-110029, India Dept. of Paediatrics 91 11 659 36 19 Stadium Road, P.O.
    [Show full text]