1. 10 June 2013 | Maternal Health, HIV, and AIDS: Examining Research Through a Programmatic Lens
    Boston, MA, USA

    With women at the crossroads of the HIV epidemic, El-Sadr provided the keynote speech, reminding participants of unresolved issues. El-Sadr explained that the HIV epidemic has motivated a transformation of the health system in sub-Saharan Africa and challenged the usual paradigm for delivering health care beyond episodic care to include a full continuum of care. She discussed lessons learned, noting HIV has forced the global health community to think beyond service delivery to include the work force, information systems, prevention, family planning, and access and equity. She concluded that while global health discoveries sit on bookshelves and in medical journals, we need to move more efficiently into implementation.

    Women at the crossroads: HIV, reproductive health, maternal mortality, and child health
    Wafaa El-Sadr, Columbia University
    Presentation: mhtf.org/wp-content/uploads/sites/17/2012/08/Wafaa-El-Sadr.pdf

    # vimeo.com/69027639 Uploaded 35 Plays 0 Comments
  2. 10 June 2013 | Maternal Health, HIV, and AIDS: Examining Research Through a Programmatic Lens
    Boston, MA, USA

    Calvert presented the findings of her recent research, posing three questions to the audience: (1) What is the attributable risk of HIV; (2) Might HIV increase risk of obstetric complications (i.e. sepsis, malaria, anemia during pregnancy, etc.); and (3) Might pregnancy accelerate progression of HIV? Calvert found that women living with HIV have nearly 8 times the risk of death during pregnancy compared to women without HIV. In West Africa, 6% of maternal deaths are attributable to HIV, whereas 17% of maternal deaths in East Africa are attributable to HIV and 53% of maternal deaths in Southern Africa are attributable to HIV.

    Contribution of HIV to pregnancy-related mortality
    Clara Calvert, London School of Hygiene and Tropical Medicine
    Presentation: mhtf.org/wp-content/uploads/sites/17/2012/08/Clara-Calvert.pdf

    # vimeo.com/69028887 Uploaded 37 Plays 0 Comments
  3. 10 June 2013 | Maternal Health, HIV, and AIDS: Examining Research Through a Programmatic Lens
    Boston, MA, USA

    Danel stated that much of what we know about maternal health and HIV is based on estimates, suggesting a need for better data outside of institution-based studies. Danel spoke in detail on indirect infectious deaths, noting that co-infection with tuberculosis, malaria, mental health, or puerperal or abortion related sepsis are contributing factors of maternal mortality in settings with high HIV burden. Future challenges include: data quality and completeness, integrated antenatal care, and screening for depression. Danel concluded that pregnancy does not appear to accelerate HIV disease progression, and there is no evidence of increased risk of death in pregnant women living with HIV versus non-pregnant women living with HIV.

    Causes of death and impact of treatment – what do we know?
    Isabella Danel, Centers for Disease Control and Prevention
    Presentation: mhtf.org/wp-content/uploads/sites/17/2012/08/Isabella-Danel.pdf

    # vimeo.com/69029335 Uploaded 31 Plays 0 Comments
  4. 10 June 2013 | Maternal Health, HIV, and AIDS: Examining Research Through a Programmatic Lens
    Boston, MA, USA

    Menendez explained one barrier to achieving MDG 5 in Africa has been a lack of evidence-based data. Main sources cause of death data come from clinical records and verbal autopsies. Menendez’s work in Mozambique showed that many maternal deaths resulted form malaria despite it not being typically considered a major contributor. She also found a majority of indirect maternal deaths were attributable to HIV/AIDS, bronchiopneumonia and malaria. Menendez noted the prevalence of major diagnostic errors by pathology at autopsy. Menendez discussed work underway for a minimally invasive autopsy that could be performed or guided by low-cost ultrasound machines.

    Neglected causes of maternal mortality
    Clara Menendez, University of Barcelona
    Presentation: mhtf.org/wp-content/uploads/sites/17/2012/08/Clara-Menendez.pdf

    # vimeo.com/69029377 Uploaded 29 Plays 0 Comments
  5. 10 June 2013 | Maternal Health, HIV, and AIDS: Examining Research Through a Programmatic Lens
    Boston, MA, USA

    This Q&A panel focused on the session, "Maternal Health, HIV, and AIDS: Where are we now?" discussed various topics with Calvert, Danel, Menendez and Koblinsky. Topics raised included: delay of service due to labor costs, problems distinguishing severity of pregnant woman's status, medical misdiagnoses during HIV+ pregnant woman's medical treatment, verbal autopsies and their use in other fields, the need to look at the individual level of care of pregnant women on ART and the comparisons and differences of USA medical cases with other countries.

    # vimeo.com/69029400 Uploaded 92 Plays 1 Comment

Maternal Health, HIV, and AIDS: Examining Research Through a Programmatic Lens

Maternal Health Task Force PRO

A technical meeting in Boston, MA, USA on 10-11 June 2013

Browse This Channel

Shout Box

Heads up: the shoutbox will be retiring soon. It’s tired of working, and can’t wait to relax. You can still send a message to the channel owner, though!

Channels are a simple, beautiful way to showcase and watch videos. Browse more Channels.