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Commonwealth Foundation Partner’s ForumCommonwealth Foundation Partner’s Forum99thth Commonwealth Women’s Affairs Ministers’ Meeting Commonwealth Women’s Affairs Ministers’ Meeting
Gender issues in the economic crisis recovery and beyond:Women as agents of transformation
Barbados 4-5 June 2010Barbados 4-5 June 2010
Maternal Mortality and the MDGsMaternal Mortality and the MDGsCommonwealth Nurses Federation
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________________________________________________________________________Maternal Mortality and the MDGsMaternal Mortality and the MDGs
Commonwealth Nurses Federation
The health MDGs
* MDG 4: Reduce child mortality
* MDG 5: Improve maternal health
* MDG 6: Combat HIV and AIDS, malaria and other diseases
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________________________________________________________________________Maternal Mortality and the MDGsMaternal Mortality and the MDGs
Commonwealth Nurses Federation
Globally, one woman dies
every minute
from pregnancy
or childbirth related
complications.
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________________________________________________________________________Maternal Mortality and the MDGsMaternal Mortality and the MDGs
Commonwealth Nurses Federation
For every woman who
dies, twenty more develop
infections or other severe
disabling problems.
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________________________________________________________________________Maternal Mortality and the MDGsMaternal Mortality and the MDGs
Commonwealth Nurses Federation
The decline in maternal
mortality is 1.3% per year
instead of the 5.5% per
year required to achieve
MDG 5.
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________________________________________________________________________Maternal Mortality and the MDGsMaternal Mortality and the MDGs
Commonwealth Nurses Federation
Between 2000 and 2008 fewer
than half of all pregnant
women made the WHO
recommended minimum four
antenatal visits.
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________________________________________________________________________Maternal Mortality and the MDGsMaternal Mortality and the MDGs
Commonwealth Nurses Federation
Fewer than 50% of births
in Africa and South Asia,
where 82% of maternal
deaths occur, are attended
by a skilled health worker.
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________________________________________________________________________Maternal Mortality and the MDGsMaternal Mortality and the MDGs
Commonwealth Nurses Federation
Maternal death is the
leading cause of death for
girls aged 15-19 years in
developing countries.
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________________________________________________________________________Maternal Mortality and the MDGsMaternal Mortality and the MDGs
Commonwealth Nurses Federation
The funding gap for
maternal, newborn and
child health will be about
US$20 billion each year
between 2011 and 2015.
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________________________________________________________________________Maternal Mortality and the MDGsMaternal Mortality and the MDGs
Commonwealth Nurses Federation
At our current rate of progress,
the Millennium Development
Goal for improving maternal
health will not be achieved until
2045.
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________________________________________________________________________Maternal Mortality and the MDGsMaternal Mortality and the MDGs
Commonwealth Nurses Federation
One of the major reasons for the high levels
of maternal mortality in developing
countries is women’s lack of access to
appropriate health care as a result of their
social and economic status, a status that is
rooted in public policies of gender
inequality.
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________________________________________________________________________Maternal Mortality and the MDGsMaternal Mortality and the MDGs
Commonwealth Nurses Federation
The position women occupy and
the opportunities they have in
the society in which they live is
directly related to maternal
mortality.
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________________________________________________________________________Maternal Mortality and the MDGsMaternal Mortality and the MDGs
Commonwealth Nurses Federation
0 10 20 30 40 50 60 70
Australia
Canada
UK
Malta
NZ
Cyprus
Cameroon
Lesotho
Malaw i
Sierra Leone
Tanzania
Zambia
Nigeria
Maternal mortality
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________________________________________________________________________Maternal Mortality and the MDGsMaternal Mortality and the MDGs
Commonwealth Nurses Federation
The adverse impact on
health of low socioeconomic
status is compounded for
women by gender inequities.
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________________________________________________________________________Maternal Mortality and the MDGsMaternal Mortality and the MDGs
Commonwealth Nurses Federation
Many of the health problems
faced by adult women, leading
to an increased vulnerability
to maternal mortality, have
their origins in childhood.
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________________________________________________________________________Maternal Mortality and the MDGsMaternal Mortality and the MDGs
Commonwealth Nurses Federation
Women face particular
problems in disasters and
emergencies and in
situations of political
instability and conflict.
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________________________________________________________________________Maternal Mortality and the MDGsMaternal Mortality and the MDGs
Commonwealth Nurses Federation
Men still predominantly
have political control in
most societies and
therefore have social and
economic control as well.
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________________________________________________________________________Maternal Mortality and the MDGsMaternal Mortality and the MDGs
Commonwealth Nurses Federation
The socioeconomic and
gender based inequalities
that women face affect
their access to and use of
health care services.
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________________________________________________________________________Maternal Mortality and the MDGsMaternal Mortality and the MDGs
Commonwealth Nurses Federation
The major causes of maternal deaths are:
* haemorrhage (25%)
* infections (15%)
* unsafe abortion (13%)
* eclampsia (12%)
* obstructed labour (8%)
* other direct causes (8%)
* other indirect causes (20%)
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________________________________________________________________________Maternal Mortality and the MDGsMaternal Mortality and the MDGs
Commonwealth Nurses Federation
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________________________________________________________________________Maternal Mortality and the MDGsMaternal Mortality and the MDGs
Commonwealth Nurses Federation
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________________________________________________________________________Maternal Mortality and the MDGsMaternal Mortality and the MDGs
Commonwealth Nurses Federation
A primary strategy in
government action plans
to achieve the MDGs
should be a focus on the
health workforce.
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________________________________________________________________________Maternal Mortality and the MDGsMaternal Mortality and the MDGs
Commonwealth Nurses Federation
1. LEADERSHIP
2. RESPONSIVE HEALTH
SERVICES
3. POSITIVE PUBLIC POLICIES
4. MONITORING OUTCOMES
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________________________________________________________________________Maternal Mortality and the MDGsMaternal Mortality and the MDGs
Commonwealth Nurses Federation
1. LEADERSHIP
2. RESPONSIVE HEALTH
SERVICES
3. POSITIVE PUBLIC POLICIES
4. MONITORING OUTCOMES
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________________________________________________________________________Maternal Mortality and the MDGsMaternal Mortality and the MDGs
Commonwealth Nurses Federation
1. LEADERSHIP
2. RESPONSIVE HEALTH
SERVICES
3. POSITIVE PUBLIC POLICIES
4. MONITORING OUTCOMES
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________________________________________________________________________Maternal Mortality and the MDGsMaternal Mortality and the MDGs
Commonwealth Nurses Federation
1. LEADERSHIP
2. RESPONSIVE HEALTH
SERVICES
3. POSITIVE PUBLIC POLICIES
4. MONITORING OUTCOMES
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________________________________________________________________________Maternal Mortality and the MDGsMaternal Mortality and the MDGs
Commonwealth Nurses Federation
Our failure to make significant
progress toward improving
maternal health and achieving
MDG 5 by 2015 has its roots in
gender inequality.
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________________________________________________________________________Maternal Mortality and the MDGsMaternal Mortality and the MDGs
Commonwealth Nurses Federation
As women and leaders it is our role
and responsibility to be champions
for women and call our
governments to account and to take
action to improve maternal health
and meet MDG 5 by 2015.