2012 spring newsletter

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Health & Medicine

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2. WE MOTHERSPHOTO: ONE HEART WORLD-WIDEMOTHERS ARE CRITICAL TO THE HEALTH OF FAMILIES, communities, economies, and humanity itself.Thats why its staggering that a woman dies every 90 seconds from complications during pregnancyor childbirthmore than 350,000 women each year worldwide. Pregnancy is often a time of joy andtrepidation, but in developing countries, it is a life-threatening condition, as pregnancy and childbirth arethe second leading cause of death among women of reproductive age. Many of the risks for expectant mothers in developing countries are related to general conditionsof poverty, nutrition, and severely limited health resources and access. Thats why Direct Reliefshumanitarian health efforts place particular emphasis on protecting women through the critical periods4of pregnancy and childbirth. HERE ARE SMART INVESTMENTS IN SAFE MOTHERHOOD WE CAN ALL GET BEHIND2 DIRECTRELIEF.ORG SPRING 2012 3. 1 SUPPORTING MIDWIVES THE BEST WAY TO KEEP MOTHERS SAFE in developing countrieswhere 99% of maternal deaths occuris to make sure every birth is accompanied by a trained and equipped professional. Midwives are the first line of assistance, managing the health needs of mothers and newborns during pregnancy, delivery, and beyond. A well-trained midwife can provide high-quality care duringPHOTO: LINDSEY POLLACZEK routine deliveries, manage basic complications, and recognize when to refer a mother to higher-level emergency obstetric care.EQUIPPING THE NEXTGENERATION OF MIDWIVESIN SIERRA LEONEIN 2012, DIRECT RELIEFSchool of Midwifery, Makeni WILL ENABLESIERRA LEONE IS ONE OF THE MOST DANGEROUS PLACES IN THE 1O,OOO SAFE BIRTHSWORLD TO BE A MOTHER. In 2011, it was listed 12th from the bottomon the Mothers Index, which analyzes health, education, and economicconditions for women and children in 164 countries. BY EQUIPPING 200 MIDWIVES IN Conditions for mothers and their children are grim in Sierra Leone.The lifetime risk of a woman dying from pregnancy-related causesSIERRA LEONE, SOMALILAND, is one in 21, largely due to the fact that only 42 percent of births areassisted by a skilled birth attendant.UGANDA, AND NEPAL. Fortunately, programs are in place and underway to help trainmore skilled health providers who can change what it means to be amom in Sierra Leone. April 22, 2012 was graduation day for the first class of 69 midwivesfrom the School of Midwifery in Makeni, Sierra Leone. Direct Relief hasbeen working with the school in partnership with Medical ResearchCentre, a local organization focused on improving maternal andchild health care at rural government health centers. The School ofMidwifery at Makeni is only the second school in the country to providemidwife training. Equipped with new midwife kits from Direct Relief,the new midwives will play a pivotal role combating some of thehighest maternal mortality rates in the world. ABOVE: Graduating midwives at the School of Midwifery in Makeni, Sierra Leone. LEFT: A midwife examines an expectant mother at Xela Aid Clinic in San Martin Chiquito, Quetzaltenango, Guatemala.PHOTO: DAN SMITHSPRING 2012DIRECTRELIEF.ORG3 4. 2PROTECTINGMOTHERSWHENSOMETHINGGOES WRONGPHOTO: LIBA TAYLOR, WWW.LIBATAYLOR.EU ABOVE: Mother and baby receive care at the IN 15 PERCENT OF DELIVERIES WORLDWIDE, COMPLICATIONS WILL Direct Relief-supported Edna Adan University Hospital in Hargeisa,ARISE. WHEN THIS HAPPENS, IT IS ESSENTIAL THAT MOTHERS HAVE Somaliland. ACCESS TO LIFE-SAVING EMERGENCY OBSTETRIC CARE, INCLUDING A CESAREAN SECTION. SUCCESSFUL EMERGENCY OBSTETRIC CARE BELOW: Mother and baby receive care REQUIRES THREE THINGS: at Leogane, Haitis Polyclinique Camejoone of 115 Haitian rained providers who know how to manageTand when to referemergency cases; health facilities to whom Direct Relief has provided vailability of the proper equipment and supplies to manage such cases; andA 1,000 tons, $70 million in life-saving medicines and functioning referral system that can move a mother quickly to the appropriate level of care.A medical supplies since the 2010 earthquake. IN HAITI, IN UGANDA, Direct Relief is increasing the emergency where 16 women die in childbirth every day, obstetric care capabilities of 8HOSPITALSDirect Relief fully equipped the new operating that will serve 60,000 MOTHERS over the theater at RUGARAMA HOSPITAL in Kabale. Prior next three years. Direct Relief provided exam to Direct Reliefs investment, there was only one tables, operating tables, sterilizers, instruments, operating theater to provide emergency cesarean baby monitors, scales, IV stands, exam lights,sections for the entire district of 600,000 people.PHOTO: ANDREW MACCALLA ventilators, ultrasounds, and hundreds of In the first six months after the theater opened, incentive kits to encourage more women to the hospital averaged 40DELIVERIES PER MONTH, deliver at the facilities. INCLUDING 15 CESAREAN SECTIONS, AND NO MATERNAL DEATHS.4DIRECTRELIEF.ORG SPRING 2012 5. VIEW THE GLOBAL FISTULA CARE MAP AT GLOBALFISTULAMAP.ORGRESTORINGTHE HEALTHOF INJURED MOTHERS PHOTO: LINDSEY POLLACZEK& DEFINING THE LANDSCAPE OF FISTULA CAREQ/A AN ESTIMATED TWO MILLION WOMEN worldwide are sufferingfrom a condition few people know about. The condition isDIRECT RELIEFWHAT IS FISTULA?obstetric fistula, and it is entirely preventable and treatable. FISTULA CARE SUPPORTA hole in the birth canalcaused by prolonged and Direct Relief, in partnership with the UNFPA and The Fistulaobstrutcted labor.Foundation, developed the Global Fistula Care Mapthe first- Medical and surgicalWHY DOES IT MATTER? ever worldwide map of this devastating childbirth injuryto helpsupplies to 11 facilities in 8Fistula causes chronicbetter understand the current fistula treatment capacity to morecountries providing fistulaincontinence and can lead to repair to approximatelysevere medical problems and effectively target scarce resources to where they are needed most,social ostracization. 3,000 women each yearand identify where gaps in service may exist.WHOM DOES IT AFFECT? THE GOAL IS TO ENSURE EVERY WOMAN$1.3 million in medicalImpoverished women in remoteareas, far from medical care. WITH OBSTETRIC FISTULA RECEIVES A LIFE- resources from leadingWHAT CAN BE DONE? RESTORING SURGERY AND THAT ALL FUTUREhealthcare companiesThe number of women withCASES ARE PREVENTED. UNDERSTANDING such as Johnson &fistula far surpasses the global Johnson, Ethicon,capacity for treatment, but fistula WHERE THE PROBLEM IS AND WHERE TREAT-can be prevented when women Covidien, BD, CR Bard,have access to a skilled attendantMENT IS AVAILABLE TODAY ARE ESSENTIAL Hospira, and Henryduring childbirth. Reconstructive STEPS TOWARDS THAT GOAL. Schein, to help fistulafistula repair surgery can also besurgeons treat womenprovided by a trained surgeon. in needWith private foundations MEET SELFA such as The FistulaJust outside Mumias, Kenya,Foundation, established Habiba Mohammed (right) worksa surgical theater in to identify, refer, and support women like Selfa (left) who Somaliland for fistula require treatment for obstetrictreatment, and trainedfistula. Habiba referred Selfa to health providers in Western life-restoring surgery after Selfa Kenya in fistula caresuffered from incontinence due tofistula for eight years. Now free of fistula, Selfa is happy, active, and a Supported a new fistula new mother to a healthy baby boy,treatment facility in Danja,earning income to support herself Niger that will care forand her family through poultry, fish, and banana farming. Selfa has also2,500 women with fistulabecome an advocate, helping toand train 30 doctors in refer another woman in her villagefistula repair over thePHOTO: LINDSEY POLLACZEKwho had suffered two decades withnext 5 years fistula to restorative care.SPRING 2012 DIRECTRELIEF.ORG5 6. 4helpiMg n SMOthe THE LARGESTin U.S. CHARITABLE MEDICINES PROGRAM SERVING LOW-INCOME AND UNINSURED MOTHERS IN THE U.S. DIRECT RELIEF USA STRENGTHENS THE SAFETY NET FOR MILLIONS OF WOMEN Direct Relief is the only nonprofit working with more than 1,000 clinics in all 50 states, providing free medications and supplies * for clinics ever-growing number of low-income and uninsured patients. As the first and only nonprofit licensed to distribute pharmaceuticals in every state, Direct Relief has provided $300 million in medicines and supplies to U.S. clinics since 2004. * 5.2 MILLION WOMEN AGED 20-49, WERE CARED FOR AT FEDERALLY QUALIFIED HEALTH CENTERS IN 2010, MANY OF WHICH ARE PART OF DIRECT RELIEFS 1,000-CLINIC STRONG NETWORK More maternal health facts from some of Direct Reliefs clinic-partner network: 299,516 WOMEN had a mammogram 1,808,992 WOMEN had a Pap test 489,883 WOMEN were seen for prenatal care visits 68,372 MOTHERS gave birth (All stats, 2010 Health Resources and Service Administration Uniform Data System) RIGHT: Community Health and Social Services Center, Detroit, MichiganFAMILY PLANNINGHEALTHY SMILES Teva Pharmaceuticals provided DirectThe Healthy Smiles Dental Program Relief with $3 million worth of theaddresses the number one unmet healthwomens health product ParaGard, need in Santa Barbara Countyoral health.an intrauterine copper contraceptive,Limited access to dental treatment is to be distributed among Direct Reliefswidespread among low-income families.1,000-clinic network treating low-PHOTO: CHASSHealthy Smiles bridges the growing gap income and uninsured women. of available oral health education, disease prevention services, and treatment for low- TRANSPARENCYincome children throughout Santa Barbara County, with 1,800 kids served s