•Every two minutes, a woman dies of pregnancy-related complications
•Ninety-nine per cent of maternal deaths occur in developing countries
•most could have been prevented with proven interventions.
Causes of Mortality
Delay in seeking care
Delay in reaching care
Delay in receiving care
•Pre-conceptually•Ante-natally•During childbirth•Postnatally
““When we deliver for every woman and every child,
we will advance a better life for all people
around the world”. (U.N. Secretary General Ban Ki-moon , 2011)
“Representation by women in parliament is at an all-time high,
but falls shamefully short of parity” (UN, 2011)
Globally only 19% of political
decision making positions are
held by women
Department for international
Development Framework:
By 2015:
•Save 50,000 mothers & 250,000 newborns•Prevent 5 million unintended pregnancies•support 2 million safe deliveries•10 million women using modern family planning•(4 pillars of action) Empower women,
remove barriers, Expand quality services,
Increase accountability
Millennium development goal 5How are we doing?:
Only 10 countries are considered to be “on track”
to meet MDG 5.
"Women are not
dying of diseases we
can't treat. ... They are dying
because societies have yet to make the
decision that their lives are worth saving." (Mahmoud Fathalla, past president of the International Federation of Obstetricians and Gynecologists)
• The poorer, suffer more?
• Population changes?
• International fragmented response?
• Lack of commitment?
• Short cuts?
• Lack of a united front?
• Is it because ‘it is women’?
Why are we failing? “Achieving the MDGs depends so much on women’s empowermentand equal access by women to education, work, health care and decision-making - let us not relent until all the MDGshave been attained.” Ban Ki-moon Secretary-General, United Nations (2012)
• Educates• Empowers• Improves healthcare
access• Trains local midwives
• Provides resources
www.maternityworldwide.org
• The maternal mortality ratio in Ethiopia is 676 for every 100,000 births. (UN, WHO)
• Only 51% of hospitals are qualified as offering fully equipped, comprehensive care. (UNFPA, 2012 )
• Ethiopia uses only 5.7 percent of its GDP on health
• 90% of women birth at home • Ethiopia is ranked 174 of 187 in the UN
Human Development health Index (UNDP 2012)
Ongoing improvements
Expanding projects
Uganda
Malawi
Research:
CRADLE
The Safe Place of
Birth Project
Join in with Muffins for Midwives & the Grand Draw!Maternity Worldwide
(downstairs stand 82)
• The Government of Ethiopia, with the support of several donors, has invested heavily in Health Extension Workers. (currently 31,000)
• $1.5 billion Gates Foundation investment• Ethiopia's government have built physical
and human resource capacity.• Maternity care is now free at the point of
delivery • THIS IS FRAGILE
•Full Sustainable Development Goals (SDG’s) - Rio+20 •Will major powers sign up?•Why are targets not achieved?
•Promises made must be promises kept•Demand accountability
Malawi's first female president
(7th April, 2012 –present)
Africa's second
female president.
Joyce Banda
•£5 to provide modern •contraception•£45 to treat severe
eclampsia & emergency
newborn care•£17.50 To manage an
obstructed labour•£22 to treat maternal sepsis
•(Source: WHO-CHOICE published in the BMJ, 2005)