2012 spring newsletter

8
+ INNOVATION // BRINGING DEFINITION TO THE PROBLEM OF FISTULA THIS REPORT WAS PAID FOR BY A GENEROUS BEQUEST WHY WE ALL SHOULD BE INVESTING in MOTHERS Mother and baby receive care at Sumbawanga District Hospital in western Tanzania. HELPING MOMS IN THE U.S. AND AROUND THE WORLD SPECIAL REPORT: p/2 p/5 p/7 Photo credit goes here DIRECT RELIEF. ORG & TAKE THE MATERNAL HEALTH QUIZ

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+ INNOVATION // BRINGING DEFINITION TO THE PROBLEM

OF FISTULA

THIS REPORT WAS PAID FOR BY A GENEROUS BEQUEST

WHY WE ALL SHOULD BE

INVESTING in MOTHERS

Mother and baby receive care at Sumbawanga District Hospital in western Tanzania.

HELPING MOMS IN THE U.S. AND

AROUND THE WORLD

SPECIAL REPORT:

p/2

p/5

p/7

Phot

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edit

goes

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DIRECT RELIEF. ORG

&TAKE THE MATERNAL HEALTH QUIZ

MOTHERS ARE CRITICAL TO THE HEALTH OF FAMILIES, communities, economies, and humanity itself.

That’s why it’s staggering that a woman dies every 90 seconds from complications during pregnancy

or childbirth—more than 350,000 women each year worldwide. Pregnancy is often a time of joy and

trepidation, but in developing countries, it is a life-threatening condition, as pregnancy and childbirth are

the second leading cause of death among women of reproductive age.

Many of the risks for expectant mothers in developing countries are related to general conditions

of poverty, nutrition, and severely limited health resources and access. That’s why Direct Relief’s

humanitarian health efforts place particular emphasis on protecting women through the critical periods

of pregnancy and childbirth.

4 »HERE ARE

SMART INVESTMENTS IN SAFE MOTHERHOOD WE CAN ALL GET BEHIND

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2 DIRECTRELIEF.ORG SPRING 2012

SUPPORTING MIDWIVES

IN 2012, DIRECT RELIEF WILL ENABLE

BY EQUIPPING 200 MIDWIVES IN

SIERRA LEONE, SOMALILAND, UGANDA, AND NEPAL.

1O,OOO SAFE BIRTHS

1 THE BEST WAY TO KEEP

MOTHERS SAFE in developing

countries—where 99% of maternal

deaths occur—is 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 during

routine deliveries, manage basic

complications, and recognize when

to refer a mother to higher-level

emergency obstetric care.

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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.

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EQUIPPING THE NEXT GENERATION OF MIDWIVES IN SIERRA LEONE

School of Midwifery, Makeni

SIERRA LEONE IS ONE OF THE MOST DANGEROUS PLACES IN THE

WORLD TO BE A MOTHER. In 2011, it was listed 12th from the bottom

on the Mothers' Index, which analyzes health, education, and economic

conditions for women and children in 164 countries.

Conditions for mothers and their children are grim in Sierra Leone.

The lifetime risk of a woman dying from pregnancy-related causes

is one in 21, largely due to the fact that only 42 percent of births are

assisted by a skilled birth attendant.

Fortunately, programs are in place and underway to help train

more skilled health providers who can change what it means to be a

mom in Sierra Leone.

April 22, 2012 was graduation day for the first class of 69 midwives

from the School of Midwifery in Makeni, Sierra Leone. Direct Relief has

been working with the school in partnership with Medical Research

Centre, a local organization focused on improving maternal and

child health care at rural government health centers. The School of

Midwifery at Makeni is only the second school in the country to provide

midwife training. Equipped with new midwife kits from Direct Relief,

the new midwives will play a pivotal role combating some of the

highest maternal mortality rates in the world.

WE MOTHERS

SPRING 2012 DIRECTRELIEF.ORG 3

2IN 15 PERCENT OF DELIVERIES WORLDWIDE, COMPLICATIONS WILL

ARISE. WHEN THIS HAPPENS, IT IS ESSENTIAL THAT MOTHERS HAVE

ACCESS TO LIFE-SAVING EMERGENCY OBSTETRIC CARE, INCLUDING

A CESAREAN SECTION. SUCCESSFUL EMERGENCY OBSTETRIC CARE

REQUIRES THREE THINGS:

›› Trained providers who know how to manage —and when to refer—emergency cases;

›› Availability of the proper equipment and supplies to manage such cases; and

›› A functioning referral system that can move a mother quickly to the appropriate level of care.

PROTECTING MOTHERS WHEN SOMETHING GOES WRONG

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Mother and baby receive care at the Direct Relief-supported Edna Adan University Hospital in Hargeisa, Somaliland.

BELOW:

Mother and baby receive care at Leogane, Haiti’s Polyclinique Camejo—one of 115 Haitian health facilities to whom Direct Relief has provided 1,000 tons, $70 million in life-saving medicines and medical supplies since the 2010 earthquake.

IN UGANDA, where 16 women die in childbirth every day,

Direct Relief fully equipped the new operating

theater at RUGARAMA HOSPITAL in Kabale. Prior

to Direct Relief’s investment, there was only one

operating theater to provide emergency cesarean

sections for the entire district of 600,000 people.

In the first six months after the theater opened,

the hospital averaged 40 DELIVERIES PER MONTH, INCLUDING 15 CESAREAN SECTIONS, AND NO MATERNAL DEATHS.

IN HAITI, Direct Relief is increasing the emergency

obstetric care capabilities of 8 HOSPITALS that will serve 60,000 MOTHERS over the

next three years. Direct Relief provided exam

tables, operating tables, sterilizers, instruments,

baby monitors, scales, IV stands, exam lights,

ventilators, ultrasounds, and hundreds of

incentive kits to encourage more women to

deliver at the facilities.

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4 DIRECTRELIEF.ORG SPRING 2012

VIEW THE GLOBAL FISTULA CARE MAP AT GLOBALFISTULAMAP.ORG

RESTORING THE HEALTH OF INJURED MOTHERS & DEFINING THE LANDSCAPE OF FISTULA CARE

DIRECT RELIEF FISTULA CARE SUPPORT

Medical and surgical

supplies to 11 facilities in 8

countries providing fistula

repair to approximately

3,000 women each year

$1.3 million in medical

resources from leading

healthcare companies

such as Johnson &

Johnson, Ethicon,

Covidien, BD, CR Bard,

Hospira, and Henry

Schein, to help fistula

surgeons treat women

in need

With private foundations

such as The Fistula

Foundation, established

a surgical theater in

Somaliland for fistula

treatment, and trained

health providers in Western

Kenya in fistula care

Supported a new fistula

treatment facility in Danja,

Niger that will care for

2,500 women with fistula

and train 30 doctors in

fistula repair over the

next 5 years

AN ESTIMATED TWO MILLION WOMEN worldwide are suffering

from a condition few people know about. The condition is

obstetric fistula, and it is entirely preventable and treatable.

Direct Relief, in partnership with the UNFPA and The Fistula

Foundation, developed the Global Fistula Care Map—the first-

ever worldwide map of this devastating childbirth injury—to help

better understand the current fistula treatment capacity to more

effectively target scarce resources to where they are needed most,

and identify where gaps in service may exist.

THE GOAL IS TO ENSURE EVERY WOMAN

WITH OBSTETRIC FISTULA RECEIVES A LIFE-

RESTORING SURGERY AND THAT ALL FUTURE

CASES ARE PREVENTED. UNDERSTANDING

WHERE THE PROBLEM IS AND WHERE TREAT-

MENT IS AVAILABLE TODAY ARE ESSENTIAL

STEPS TOWARDS THAT GOAL.

Q/A WHAT IS FISTULA?A hole in the birth canal caused by prolonged and obstrutcted labor.

WHY DOES IT MATTER?Fistula causes chronic incontinence and can lead to severe medical problems and social ostracization.

WHOM DOES IT AFFECT?Impoverished women in remote areas, far from medical care.

WHAT CAN BE DONE?The number of women with fistula far surpasses the global capacity for treatment, but fistula can be prevented when women have access to a skilled attendant during childbirth. Reconstructive fistula repair surgery can also be provided by a trained surgeon.

« MEET SELFA…Just outside Mumias, Kenya,

Habiba Mohammed (right) works to identify, refer, and support

women like Selfa (left) who require treatment for obstetric fistula. Habiba referred Selfa to

life-restoring surgery after Selfa suffered from incontinence due to fistula for eight years. Now free of fistula, Selfa is happy, active, and a new mother to a healthy baby boy, earning income to support herself

and her family through poultry, fish, and banana farming. Selfa has also

become an advocate, helping to refer another woman in her village

who had suffered two decades with fistula to restorative care.

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SPRING 2012 DIRECTRELIEF.ORG 5

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.

TRANSPARENCYPRECISE MAPPING OF EVERY DONATION SENT TO EVERY CLINIC PARTNER IN THE U.S. ›› DIRECTRELIEF.ORG/USA

100% OF CONTRIBUTIONS GO TO PROGRAMS.

DONATE AT DIRECTRELIEF.ORG

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Community Health and Social Services Center, Detroit, Michigan

*

* 5.2 MILLION WOMEN AGED 20-49, WERE CARED FOR AT FEDERALLY QUALIFIED HEALTH CENTERS IN 2010, MANY OF WHICH ARE PART OF DIRECT RELIEF’S 1,000-CLINIC STRONG NETWORK

More maternal health facts from some of Direct Relief’s 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)

FAMILY PLANNINGTeva Pharmaceuticals provided Direct

Relief with $3 million worth of the women’s health product ParaGard®, an intrauterine copper contraceptive,

to be distributed among Direct Relief’s 1,000-clinic network treating low-

income and uninsured women.

HEALTHY SMILESThe Healthy Smiles Dental Program

addresses the number one unmet health

need in Santa Barbara County—oral health.

Limited access to dental treatment is

widespread among low-income families.

Healthy Smiles bridges the growing gap

of available oral health education, disease

prevention services, and treatment for low-

income children throughout Santa Barbara

County, with 1,800 kids served since 1994.

THE LARGEST CHARITABLE MEDICINES PROGRAM SERVING LOW-INCOME AND UNINSURED

MOTHERS IN THE U.S.

helping MOMS

in the

U.S.4

6 DIRECTRELIEF.ORG SPRING 2012

— Charity Navigator

— Forbes

100% OF CONTRIBUTIONS GO TO PROGRAMS.

DONATE AT DIRECTRELIEF.ORG

rick wartzman, Drucker Institute Executive Director:

“ [Direct Relief’s] fundamental insight—to take the best in private-

sector technology and uniquely adapt it for the social sector—has

greatly strengthened a weak link in the medical supply chain…Its

efforts demonstrate that social-sector organizations can achieve the

very highest levels of efficiency.”

100% EFFICIENT. AMONG THE 20 MOST EFFICIENT LARGE U.S. CHARITIES.

2011 PETER F. DRUCKER AWARD WINNER FOR NONPROFIT INNOVATION

TEST YOUR KNOWLEDGE

OF MATERNAL HEALTH ››

1// Every day, an estimated _____ women

die from preventable causes related to

pregnancy and childbirth.

a. 100

b. 500

c. 1,000

d. 1,500

2// ______ of all maternal deaths occur in

developing countries.

a. 29%

b. 49%

c. 79%

d. 99%

3// Rank the following countries from

fewest to most maternal deaths.

a. U.S., Albania, Singapore

b. Albania, Singapore, U.S.

c. Singapore, U.S., Albania

d. Albania, U.S., Singapore

4// The probability that a woman will

eventually die from a maternal cause is 1 in

____ in developed countries, versus 1 in ____

in developing countries.

a. 4,300; 120

b. 2,000; 300

c. 1,700; 460

d. 1,100; 500

5// In high-income countries, virtually all

women are attended by a trained health

professional during childbirth. ____ of

women in low-income countries are not

assisted by a doctor, nurse, or midwife

during childbirth.

a. 30%

b. 40%

c. 50%

d. 60%

1. c 2. d 3.b 4. a 5. d (All stats, WHO)

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THE LARGEST CHARITABLE MEDICINES PROGRAM SERVING LOW-INCOME AND UNINSURED

MOTHERS IN THE U.S.

SPRING 2012 DIRECTRELIEF.ORG 7

27 S. LA PATERA LANESANTA BARBARA, CA 93117TEL: 805.964.4767 TOLL-FREE: 800.676.1638 FAX: 805.681.4838www.Directrelief.org

BOARD OF DIRECTORS

CHAIR Thomas J. CusackVICE CHAIR John RomoSECRETARY Rita MoyaTREASURER Patrick Enthoven

Kendall Bishop • Jon E. Clark • Lawrence Dam • Patty DeDominicHon. Paul G. Flynn • Gregg L. Foster • Dorothy Gardner • Ernest J. GettoJ. Michael Giles • Bert Green, M.D. • Raye Haskell • W. Scott HedrickPriscilla Higgins, Ph.D. • Angel Iscovich, M.D. • Ellen K. JohnsonNancy Walker Koppelman • Donald J. Lewis • Mari Mitchel • Jeanne Newman Mary Louise Scully, M.D. • James Selbert •Ayesha Shaikh, M.D. George Short • Gary R. Tobey

INTERNATIONAL ADVISORY BOARDLawrence R. Glenn • E. Carmack Holmes, M.D.S. Roger Horchow • Stanley S. Hubbard • Jon B. LovelaceDonald E. Petersen • Richard L. Schall • John W. Sweetland

HONORARY BOARDPRESIDENT EMERITUS Sylvia KarczagCHAIR EMERITUS Jean HayDIRECTOR EMERITUS Dorothy Adams

PRESIDENT & CEO Thomas Tighe

NONPROFIT ORGANIZATIONU.S. POSTAGE PAID

SANTA BARBARA, CAPERMIT #756

Get Connected with Direct Relief

Leave a Legacy

LEARN MORE. /////////// facebook.com/directrelief

SPREAD THE WORD. /////// twitter.com/directrelief

SEE VIDEO. ////////////// youtube.com/directrelief

LEGACY SOCIETY MEMBERSAnner TrustDotsy & Jack AdamsMs. Jane H. AlexanderAnonymousEstate of Rhea ApplewhiteDr. & Mrs. Gilbert L. AshorMiriam & William* BaileyThe Charles H. Bell Charitable Remainder TrustMerle E. Betz, Jr.Estate of D. Craig BigelowMr. Joseph F. BleckelMrs. Helen J. BrownEstate of Marguerite BulfDon BullickWilliam S. BurtnessMs. Carol CarsonEstate of Charlotte CastaldeMs. Patricia ClancyThe Crosby Fund

Marjorie B. Cullman TrustRoy R. & Laurie M. Cummins FundEstate of Margaret E. DavisEstate of Peter M. DeardenEstate of H. Guy Di StefanoThe Grant C. Ehrlich TrustMr. and Mrs. Edward G. EwingEstate of Elsie FeibesEstate of Florence FeilerEstate of Howard C. FentonPeggy & Gary FinefrockEstate of June Breton FisherMr. and Mrs. Gregg L. FosterEstate of Mario J. FrosaliMildred K. Fusco TrustEstate of Hannah Monica GallagherSandra K. GarciaEstate of June GaudyMs. Inez M. GilkesonKate & Dick Godfrey

Ed & Mary Harvey TrustMrs. Raye HaskellBetty & Stan HatchEstate of Dorothy S. HitchcockTerrence Joseph HughesEstate of Dorothy HumistonPat & Dick JohnsonMs. Beverly A. JonesEstate of Judith JonesMrs. Marvel KirbyJohn and Sandy Knox-JohnsonJohn Michael KoelschMr. James KohnAnette La Hough Irrevocable TrustDorothy Largay & Wayne RosingEstate of Lensch FamilyKenneth R. LohEstate of Barbara Jeanne LotzLawrence Lu

Estate of Yvonne C. LucassenEvelyn C. Lund Charitable Remainder TrustEstate of Robert MacleanMarilyn & Frank* MagidAudrey E. MartinsonMartone Family TrustKathleen & Bruce McBroomMs. Estelle MeadoffMr. Michael MendelsonMr. & Mrs. Frank B. MilesPatricia McNulty MitchellCharles J. and Esther R. Mlynek TrustEstate of Velma MorrellHelga Angenendt MorrisEstate of Regis J. MorrisRita MoyaEstate of Dorothy and Graham NashEstate of James OrrEstate of Harold A. Parma

William J. Partridge Revocable Living TrustJody & Don PetersenMartin and Lillian Platsko TrustMr. Juan PosadaEstate of Nancy RobertsEstate of Paul N. RobertsEstate of Maria RosmannThe Babette L. Roth Irrevocable TrustMr. and Mrs. Ernest J. SalomonMaryan & Richard SchallThe Petar Schepanovich* & Kathleen Schepanovich TrustNancy & Bill* SchlosserEstate of June H. SchuerchHarold & Carol M. ShroutConnie Smith NevinsEstate of Margaret H. SmithEstate of Thelma R. Smith

Estate of Robert H. SommerEstate of K. Walter StawickiEstate of Elaine F. StepanekWalter & Mae Stern TrustThe Anna Stuurmans Revocable TrustEstate of Elna TheusenEstate of Wilbur H. Thies, Sr. and Emily P. ThiesEstate of Grace A. TicknerTilton Family FoundationDonn V. TognazziniCarol Van den Assem TrustEstate of Marie L. Van SchieBettine* & Lawrence WallinSimone G. WoodcockLinda Seltzer YawitzMarjorie Lynn Zinner

* deceased

For more information on planned giving, visit DirectRelief.GiftLegacy.com, or contact

Jonathan Glasoe, at [email protected] or (805) 879-4936.

A bequest or planned gift to Direct Relief can extend your generosity beyond your lifetime. Your commitment and dedication will help people in the U.S. and around the world affected by poverty, disaster, and civil unrest live better,

healthier lives far into the future. With such a gift, you will be included in the Legacy Society, which recognizes visionary and caring individuals who have included Direct Relief in their estate plans.

CHAIR EMERITIRichard Godfrey Stanley C. HatchDorothy F. Largay, Ph.D. Denis SananNancy Schlosser

8 DIRECTRELIEF.ORG SPRING 2012