1. 15 January 2013 | Global Maternal Health Conference 2013, Arusha, Tanzania

    This panel discussed the importance of essential health medicines including those for hemorrhage and hypertensive disorders (especially oxytocin, misoprostol, and magnesium sulphate), iron deficiencies, and newborn health (amoxicillin for pneumonia and chlorhexidine for umbilical cord care). Malik spoke on The Systems for Improved Access to Pharmaceuticals and Services Program with Management Sciences for Health and USAID on the estimated needs of essential maternal health medicines for specific countries (in regard to estimated need and actual use). Wendt discussed the iron deficiencies in Bihar, India and the investigation as to why these deficiencies are so high when an anemia program is already in place in the area. Factors inhibiting the distribution included: lack of awareness of existing protocols as well as role confusion, and lack of coordination and training among frontline workers. Metzler presented the functionality of a supply chain of some very basic drugs such as chlorhexidine and how they can be sourced, manufactured, produced, distributed and potentially imported. Metzler shared the idea of a checklist to provide as an assessment tool to countries to provide high-quality drugs at low cost. Briggs reported on the research done in Kenya and Rwanda on the availability and management of maternal health medicines and supplies. The team found that standard operating procedures, while being put in place, were not necessarily followed to the specified guidelines nor were recorded properly. In addition, refrigerators for those drugs needing to be kept within the cold chain were often not working properly, which was a complex issue for certain drugs.

    Moderator: Deborah Armbruster, USAID

    Estimation of the unmet need for essential maternal health medicines
    Maheen Malik, Management Sciences for Health
    Abstract: meeting.tfigroup.com/TFI/media/uploaded/EVTFI/event_743/M%20Malik%20unmet%20need%20abstract.pdf
    PPT Slides: meeting.tfigroup.com/TFI/media/uploaded/EVTFI/event_743/a_Unmet%20need_Arusha--final%20revised%2014-1.pdf

    Identifying bottlenecks and opportunities in the iron and folic acid supply chain in Bihar, India
    Amanda Wendt, Emory University
    Abstract: meeting.tfigroup.com/TFI/media/uploaded/EVTFI/event_743/Wendt%20651.pdf
    PPT Slides: meeting.tfigroup.com/TFI/media/uploaded/EVTFI/event_743/b_GMCH%20Presentation_Wendt.pdf

    Production strategy for increasing access to high-quality, affordable medicines
    Mutsumi Metzler, PATH
    Abstract: meeting.tfigroup.com/TFI/media/uploaded/EVTFI/event_743/Metzler%20685.pdf
    PPT Slides: meeting.tfigroup.com/TFI/media/uploaded/EVTFI/event_743/c_GMCH%20Presentation_Revised_AG.pdf

    Availability and management of essential maternal health medicines: Results from Rwanda and Kenya
    Jane Briggs, Management Sciences for Health
    Abstract: meeting.tfigroup.com/TFI/media/uploaded/EVTFI/event_743/Briggs%20689.pdf
    PPT Slides: meeting.tfigroup.com/TFI/media/uploaded/EVTFI/event_743/d_13-092%20Management%20of%20MH%20meds%20Rwanda%20%20Kenya%2014%20Jan.pdf

    # vimeo.com/58627336 Uploaded 84 Plays 0 Comments
  2. 15 January 2013 | Global Maternal Health Conference 2013, Arusha, Tanzania

    Full title: Linking health systems with communities to deliver for vulnerable women: Innovative local solutions for improving equity, access to and demand for quality maternal care
    This session focused on innovative programs and projects to better deliver maternal health care to those who are unable to access quality care. Kureshy started the session by describing USAID projects that use CHWs and local INGOs to develop different types of programs, including those programs with public-private partnerships. Hermida focused on Ecuador's Cotopaxi province where they targeted TBAs and integrated local customs and community beliefs to target pregnant women and encourage use of facility care for antenatal, delivery and postnatal visits. Altobelli told participants about their project in Peru in which primary health care workers were encouraged to work with and within the community, along with the CHWs already working in the area. They found that those trained in 'sharing pregnancy histories' were more able to refer and encourage mothers to seek positive behavior changes. Diallo described a program in Liberia where they implemented Maternity Waiting Homes for all mothers, not just those that were high-risk. The midwives in these facilities were trained not only in clinical skills, but were also able to use SMS systems for patient records and tracking. Noorani's work in Pakistan showed how a targeted impact on a specific health facility (focused on EmONC services) allowed the whole facility to better provide maternal health services. The intervention included personnel changes as well as availability of equipment and supplies.

    Moderator: Nazo Kureshy, USAID

    Why health systems must align with community systems to deliver for vulnerable women: Innovative local solutions for improving equitable access to and demand for quality maternal care across three regions
    Nazo Kureshy, USAID
    Presentation: meeting.tfigroup.com/TFI/media/uploaded/EVTFI/event_743/Arusha_Introduction_NazoKureshy_GMHC2013.pdf

    Aligning two health systems to improve access and quality of maternal care for the most vulnerable: Linking formal care and traditional birth attendants in Ecuador
    Jorge Hermida, University Research Co., LLC
    Abstract: meeting.tfigroup.com/TFI/media/uploaded/EVTFI/event_743/Hermida%201289.pdf

    Testing an innovative method for teaching female community health workers within a replicable strategy to strengthen health system linkages with communities for maternal, neonatal and child health in Peru
    Laura Altobelli, Future Generations
    Abstract: meeting.tfigroup.com/TFI/media/uploaded/EVTFI/event_743/Altobelli%201289.pdf

    Improving access to skilled birth attendant services in post-conflict Liberia through community-led maternity waiting homes linked to primary health care facilities
    Nene Diallo, Africare
    Abstract: meeting.tfigroup.com/TFI/media/uploaded/EVTFI/event_743/Diallo%201289.pdf

    Experience of a public private partnership arrangement to provide standard package of services at a remote rural health centre in Chitral district of Pakistan
    Qayyum Noorani, Aga Khan Foundation Pakistan
    Abstract: meeting.tfigroup.com/TFI/media/uploaded/EVTFI/event_743/Noorani%20918.pdf

    # vimeo.com/59986461 Uploaded 97 Plays 0 Comments

Nutrition

Maternal Health Task Force PRO

Nutrition impacts many facets of maternal health: nutrition during breastfeeding, nutrition during pregnancy, and nutrition pre-pregnancy, to name a few. The nutrition of the infant is also important, which is linked to breastfeeding and the rate of…


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Nutrition impacts many facets of maternal health: nutrition during breastfeeding, nutrition during pregnancy, and nutrition pre-pregnancy, to name a few. The nutrition of the infant is also important, which is linked to breastfeeding and the rate of child survival in infancy.
UNICEF estimates that 20% of the disease burden of children under 5 is related to maternal health, maternal nutrition, and the quality of care as a newborn.
Tune into this channel to learn more about nutrition and how it impacts maternal and child health.

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