Products Tackling Global Poverty
People who live in poverty-stricken communities typically do not have access to simple products that can be the difference between life and death. Below are five products tackling global poverty.

5 Products Tackling Global Poverty

  1. The Shoe That Grows: The Shoe That Grows produces a shoe for kids living in poverty. It expands up to five sizes and lasts for years. Kenton Lee founded the shoe after he traveled to Nairobi, Kenya. He lived and worked with kids at a small orphanage and noticed that many of the children either had broken, worn shoes or none at all. He came up with the idea of a shoe that expands to prevent soil-transmitted diseases and parasites that can cause children to miss out on their education and even death. As of now, the company has distributed over 200,000 pairs of shoes to 100 different countries. The organization sent 30,000 of those to Ethiopia alone.
  2. NIFTY Cup: The NIFTY Cup is a device that some use to feed premature babies in Malawi and Tanzania who are unable to breastfeed. Unlike the metal cups and spoons that people in poverty-stricken countries often use, the NIFTY Cup contains durable, soft silicone that one can shape to allow all nutrients to reach babies’ mouths without causing them to cough or choke. The cup serves as a life-saving resource for mothers who do not have the necessary medical assistance necessary to keep premature babies healthy. Donors have made it possible to send over 6,000 NIFTY Cups to hospitals in Malawi and Tanzania.
  3. The Lucky Iron Fish: The Lucky Iron Fish is a tool used to fight iron deficiency in developing countries. Families place the iron fish in boiling water before cooking to add proper nutrients to meals. One of these iron fish is equivalent to five years of iron pill bottles. The Lucky Iron Fish company works on a one-to-one donation scale. This means that when people in developed countries buy one of the fish, the company donates another to a family in a developing country. As of 2018, the company impacted 54,000 lives because of the buy-one-give-one system. The impact fund has distributed the fish to Nicaragua, Tanzania, Cambodia, Haiti, Benin and more.
  4. Embrace Warmer: Embrace Warmer is a life-saving tool that developing countries use. In these places, newborn babies often suffer hypothermia due to being premature and low weight. The tool is essentially a sleeping bag that helps regulate the body temperature of newborn babies during their first few days of life. Embrace Warmer began as a class project at Stanford, when students had to design a cost-effective product to help battle neonatal hypothermia. Eventually, the product expanded to rural India and has now helped 200,000 infants in developing countries.
  5. Flo: Flo is a reusable menstrual hygiene kit that Mariko Higaki Iwai designed to provide a solution for women and girls in developing countries to take care of their bodies. The kit allows girls to wash, dry and carry reusable sanitary pads. This kit makes it easier for girls to stay in school, prevent reproductive diseases and illnesses and take care of their menstrual cycle in privacy. Flo is still a prototype but people working in the field in developing countries have been trying to make Flo available for their communities. The team is currently seeking manufacturers to make this possible.

These life-saving products are working at tackling global poverty, while also giving those who live in poverty-stricken communities a better chance at having a healthy lifestyle.

Juliette Lopez
Photo: Flickr

 

Women's Rights in Burundi
Located in Africa’s southeastern region, Burundi, a heart-shaped nation bordering Lake Tanganyika and Rwanda, is one of the poorest countries in the world. With a poverty rate of nearly 75 percent, the nation is largely underdeveloped. In terms of women’s rights, life in Burundi could be better, as many of the country’s citizens cling to discriminatory perspectives that hold their women back. Despite this, the country has made great strides toward cultivating a more equal nation, such as in 2005 when it included gender equality in its reformed Constitution.

Pregnancy and Sexual Health

In Burundi, discussing sex is generally viewed as a taboo subject. Without the occurrence of these necessary conversations, sexual education is often replaced by false information, and many of the country’s citizens fail to understand their own bodies; an issue most dangerous when it comes to young women and girls. Without knowing the way their bodies work, many Burundian women experience unplanned extramarital pregnancies, and because of Burundi’s negative prejudice toward non-marital pregnancy, many of these girls are often ostracized from their communities, kicked out of their homes and forced out of their schools.

Pamella Mubeza, a native to Burundi, fell victim to this system at a young age. Though, after seeing the prevalence of her issue among other Burundian women, she began an organization known as l’Association des mamans célibataires (the Organisation for Single Mums). Through the organization, Mubeza travels to some of the most impoverished places in the city of Bujumbura, such as Kinyankonge and Kinama, and works with young single mothers to not only re-enroll them in school but to rebuild the self esteem their homeland formerly shamed out of them. By 2019, Mubeza’s organization was able to re-enroll 40 young women in schooling and instilled 250 with a newfound desire to learn.

CARE Burundi, a non-profit organization that works to improve the impoverished realities of women and young girls, is also working to help solve the issue. In 2016, the organization launched an initiative known as the Joint Programme, a 4-year-long project that provides Burundian girls with comprehensive sexual and reproductive education through a comprehensive sexuality education (CSE) curriculum called “The World Starts with Me” (WSWM). The program educates young women about their rights and their bodies, and after its first year of implementation, it was taught in 76 Burundian schools and educated 6,007 young women.

Access to female hygiene products is another one of Burundi’s sexual health problems. With sanitary napkins costing up to 2,000 Burundian francs and the country regarding menstrual periods as shameful, many of the nation’s women turn to unhygienic sources, such as grass and plastic bags, during their menstrual cycles. However, the Organisation for Single Mums is working to combat the problem, as they hand out 1,500 free sanitary napkins to Burundian women each month.

Gender-Based Violence

Sexual violence against women is a growing problem in Burundi. With nearly 23 percent of Burundian women experiencing sexual abuse, and 50 percent of these victims being under the age of 13, the prevalence of gender-based violence in Burundi is undeniable.

Due to the nation’s connection between shame and sexuality, many sexual abuse cases often go unreported, so the number of women experiencing them is likely much higher.

However, through the help of UNICEF and NGO partner Caritas Burundi, Burundian sexual violence is being challenged. Through an initiative known as the Giriteka project, UNICEF and Caritas Burundi are bringing together the nation’s doctors, psychologists, nurses, community leaders, local authorities and religious leaders and teaching them how to best care for their nation’s sexually abused women. From training psychologists on how to prevent gender-based violence to working with religious leaders on how to direct victims toward help, thanks to these organizations, women’s rights in Burundi are not only being protected but defended.

Economic Opportunity

When it comes to the workforce, Burundian women make up 90 percent of the country’s food and export jobs and  with 55.2 percent of the nation’s workforce being female, Burundian women are making substantial contributions toward the advancement of their national economy.

However, this same level of equality cannot be seen in the country’s distribution of land.

Access to property ownership is the largest barrier Burundian women face when seeking economic equality. While 80.2 percent of the country’s people own land, women make up only 17.7 percent of them since the country lacks proper legislation that prohibits male succession traditions from overriding women’s rights.

Public opinion may be partly responsible for these discriminatory practices since 57 percent of the nation’s people believe women and men should not have equal land rights when it comes to inheritance.

Despite this prejudicial reality, U.N. Women is making women’s pathway to land ownership easier by providing them with monetary loans.

Also, the Zionist Organization of America has created an initiative meant to advocate for female land rights in Burundi by urging the nation’s women who do own land to register it.

By working at the community level, these organizations are advocating for the economic endeavors of Burundian women, and actively challenging the misogynistic gender norms that have been placed upon these their lives.

While women’s rights in Burundi are far from equal, the good news is that great work is being done to better them. Thanks to organizations like U.N. Women and initiatives such as the Giriteka project, women in Burundi are not only being cared for but heard. By advocating for women’s rights, these organizations are not only providing Burundi’s women with the freedom to hope for a better life but also to live one.

– Candace Fernandez
Photo: Flickr

Effects of Poverty While PregnantWomen represent more than half of the world’s poor and make only a small percentage of the world’s income. This is influenced by various factors, including lack of access to education, abuse and gender inequality. Because women are already at a higher risk of facing the crippling effects of poverty, their situation becomes more precarious when they are pregnant or new mothers. It is estimated that 99 percent of all maternal deaths occur in developing countries.

Furthermore, in food insecure and unstable countries, adolescent pregnancy is the leading cause of death in young women, ages 15-19. Some of the leading causes of maternal death include severe bleeding, infection and delivery complications due to a lack of proper health care facilities.

Physical Effects of Poverty While Pregnant

In developing countries, where there is often little access to high-quality food and water, one of the most common effects of poverty while pregnant is malnutrition. Underweight and malnourished mothers are at an increased risk of mortality, miscarriage and preterm labor. Because they lack proper access to antenatal care, they are prone to infection and morbidity.

The WHO Millennium Goals Progress Report showed that 60 percent of women in Africa give birth without the presence of a skilled attendant. In addition, nearly 50 percent in Africa lack any antenatal care.

As it relates to malnutrition, more than half of all pregnant women in developing countries suffer from anemia. In South Asia, for instance, 75 percent of pregnant women have anemia versus 18 percent in developing countries. Aside from the low energy levels associated with anemia, anemic pregnant women face a heightened risk of death from bleeding during childbirth.

Malnourished mothers are also at risk of developing hypertension. Although hypertension is associated with higher risks of preterm birth and lower child birthweights, the most severe risks include preeclampsia and placental abruption. The former can cause kidney, liver and brain damage for the mother. Although this is a treatable condition if caught early, many women in developing countries have little access to health care that would offer a proper diagnosis or treatment.

With regard to placental abruption, the placenta separates from the wall of the uterus and can cause severe bleeding for the mother and prevent the baby from receiving enough oxygen. Like anemia, hypertension is a severe physical side effect directly correlated with higher rates of poverty that puts malnourished mothers and babies at great risk.

Emotional Effects of Poverty While Pregnant

In many developing countries, women do not have equal access to education or career opportunities, making them dependent upon their spouses or families. Such dependency can lead to feelings of helplessness that can affect the health of pregnant women. Evidence suggests that pregnant women who face extreme poverty are more likely to face inequality and develop mental illness.

Furthermore, humanitarian crises, such as conflict and post-conflict situations, can increase the risk of violence against women. It is estimated that 35 percent of women worldwide have experienced physical and emotional violence. In places such as West and Central Africa where child marriage still exists, women are more likely to face violence and domestic abuse.

In sub-Saharan Africa, Intimate Partner Violence (IPV) has a 61 percent prevalence in some areas. Abuse in any form, physical, psychological or sexual, can have dire consequences on women and their health during pregnancy. Victims of abuse often face physical harm and mental health issues, such as depression, post-traumatic stress and anxiety. Some victims turn to alcohol or drugs. In addition, women who suffer abuse often face unwanted pregnancies and unsafe abortions. The stress of abuse can affect many aspects of a person’s life but puts pregnant women at a much greater risk due to their already vulnerable physical state.

Efforts to Lessen the Effects of Poverty While Pregnant

Programs such as the U.N.’s Global Strategy for Women’s, Children’s and Adolescent’s Health, the U.N. Millennium Development Goals and WHO Global Action Plan have made strides in reducing the effects of poverty while pregnant. Between 1990 and 2013, the global maternal mortality rate has decreased by 50 percent.

Although maternal mortality rates remain high in developing countries, programs such as the U.N.’s Agenda for Sustainable Development and numerous nonprofit organizations are working to provide access to antenatal care and technology that would assist in identifying health problems for pregnant women. With increased food security, access to antenatal care and an increase in education and gender equality, the U.N. Agenda For Sustainable Development hopes to decrease the maternal mortality rates by at least two-thirds by 2030.

In keeping with this sustainable development agenda, the Reach Every Mother and Child Act (S.1766) is a bipartisan bill that would allow for mothers and children in these impoverished nations to receive the care they so desperately need while also providing a foundation for them thrive and contribute to the global economy. Because the U.S. already has the expertise in ending preventable maternal and child deaths, we must play a larger role in this global fight to help mothers and their children.

 

Send an email to your Senators today asking them to support the Reach Every Mother and Child Act.

 

In addition to increasing access, a greater focus is being placed on the quality of care for these vulnerable groups led by the WHO and UNICEF. The two organizations recently launched a Network for Improving Quality of Care for Maternal, Newborn and Child Health to “cut preventable maternal and newborn illness and deaths, and to improve every mother’s experience of care.” In 2017-2019, Bangladesh, Côte d’Ivoire, Ethiopia, Ghana, India, Malawi, Nigeria, Tanzania and Uganda signed on as partners and more countries are expected to join this effort in the future.

– Christina Laucello and Kim Thelwell
Photo: Flickr

The Butterfly iQIn rural African villages, proper healthcare of any kind can be next to impossible to come by. Many patients either cannot afford treatment or are misdiagnosed. In some cases, medicine is given en masse, regardless of whether it will actually help or not. This is done most often in countries where there are too many impoverished people spread in a wide area with little to no outside access to healthcare.

In cases such as these, foreign aid often sends in teams of doctors and medical professionals to help. One of the best things they can do is make proper diagnoses, which can ensure proper, affordable treatment is reached or can be given on-site. The problem is that equipment that can aid in these diagnoses is bulky, consumes a lot of power and is expensive both to purchase and upkeep. In some countries, devices such as MRI and ultrasound machines are rare enough to only be found at hospitals in the nation’s capital.

This is where the Butterfly iQ comes in. Dr. Jonathan Rothberg was inspired to create this technology after seeing how often his daughter had to return to the hospital for an MRI. The Butterfly iQ is a portable ultrasound machine. It plugs into an iPhone and an A.I. program creates the image based on the scan. It allows for an ultrasound wherever someone has a phone, for example, a traveling foreign aid funded doctor,

The Butterfly iQ’s production was fully funded just two years ago. A campaign aimed at private investors saw $250 million poured into creating the device, and it is currently used by both individuals and professional teams. Not only is it small and portable, but it’s also very affordable at just under $2,000, plus a subscription fee for the accompanying app.

The cost is so low for a number of reasons. For one, the size. The Butterfly iQ is a small, pocketable machine, and doesn’t cost much to build. Second, instead of the quartz crystals used by most ultrasound machines, the Butterfly iQ uses thousands of tiny metal drums. The lack of a rare resource in its production allows many more to be made and for a lower cost.

The Butterfly iQ and its impact in rural Africa are becoming very relevant, as traveling medical teams are using them for diagnoses. They have even been able to treat people who might normally not come in to receive an ultrasound thanks to its versatility. “You will be able to see your unborn baby,” is a promise that draws in many, while also detecting early-stage pneumonia that could prove fatal to the child or mother.

Being cheap, easily usable and effective is the name of the game for technologies aiming to help impoverished areas. The Butterfly iQ is all of these, and its use is set to become more widespread, with help from USAID.  The Butterfly iQ and its impact in rural Africa will no doubt be making more headlines soon.

– Mason Sansonia
Photo: Unsplash

Urban and Rural Voucher SystemsEach year, millions of pregnant women give birth without access to proper health care services. Countries such as Ethiopia, Laos and Yemen are just a few parts of the world where this is a major problem. For example, in Ethiopia, 59 percent of women do not receive care by a medical professional during pregnancy. In Zimbabwe, however, access to prenatal care has drastically improved since the 2014 implementation of the Urban and Rural Voucher Systems (UVS and RVS, respectively). These systems allow for low-income pregnant women to receive the healthcare that they need. They have already had incredible benefits on thousands of pregnant women. Additionally, they set a great precedent for governments and NGOs to come together to find solutions to pressing maternal health issues.

Qualifications

The UVS and RVS service pregnant women whose incomes place them in the bottom 40 percent of households in Zimbabwe. Consequently, women who cannot afford the required $25 co-pay at many clinics can still receive care. Providing women with this essential health care helps to ensure that these women and their babies stay healthy and safe both during and after pregnancy.

Funding

The government of Zimbabwe, the World Bank and Codaid are the main sources of funding for the UVS and RVS. Cordaid is a local NGO that has assisted with much of the program’s implementation. Clinics are subsidized based on their performance. They measure performance on overall range and quality of coverage. This supply-side solution works to help promote jobs and economic growth in local communities, which contributes to the program’s long-term sustainability.

Impact on the Poor

Access to proper care during pregnancy is essential to ensure the health of expectant mothers and their child. In many countries around the world, women do not have access to this care. As a result, the consequences have been horrific.

For instance, there are roughly 3.3 million neonatal deaths recorded per year. Neonatal refers to the first four weeks of a baby’s life. Proper prenatal care can prevent these fatalities. A woman who receives such care is far less likely to give birth to a child with fatal health issues. Proper prenatal care can help identify and fix possible health issues before they become too serious. In addition, receiving prenatal care can offer educational resources. The care can educate a woman about the ways in which they should go about raising a healthy child.

Conclusion

Zimbabwe’s Urban and Rural Voucher Systems have had immense benefits since their implementation. The thousands of women that they have helped to serve reflect such benefits. The programs provide an affordable and accessible option for pregnant mothers to receive the care that they need to ensure both their health and the health of their babies. Also, the UVP and RVP supply-side design ensure that the programs are helping to stimulate local economies and bring communities together. All in all, while much progress must still be made towards increasing access to prenatal care for pregnant women around the world, Zimbabwe has taken an important first step with its Urban and Rural Voucher Systems.

– Kiran Matthias
Photo: Flickr

Maternal Mortality in Africa

Upon learning they are pregnant, most women do not immediately wonder if it’s a fatal diagnosis. However, that is the stark reality for many women in developing countries, particularly in sub-Saharan Africa. Maternal mortality in Africa is a pervasive and devastating issue. Far hospitals, scarce doctors and poor healthcare systems all contribute to maternal mortality. Most maternal deaths are preventable and caused by complications treatable in developed nations. It is important to recognize the causes of maternal death and solutions already in place to further reduce maternal mortality in Africa.

Causes of Maternal Mortality

The most common causes of maternal mortality are severe bleeding, infections, high blood pressure during pregnancy, delivery complications and unsafe abortions. In most cases, these are treatable with access to trained medical staff and proper medication. Access to maternal health care varies around the world. “A 5-year-old girl living in sub-Saharan Africa faces a 1 in 40 risk of dying during pregnancy and childbirth during her lifetime. A girl of the same age living in Europe has a lifetime risk of 1 in 3,300,” according to Dr. Greeta Rao Gupta, deputy executive director of UNICEF. Factors such as “poverty, distance, lack of information, inadequate services, [and] cultural practices” prevent women from having access to the proper medical services they need.

Additionally, warfare in developing countries causes the breakdown of healthcare systems. This further prevents women from accessing life-saving medical care. For example, when the 11-year civil war in Sierra Leone ended in 2002, it left less than 300 trained doctors and three obstetricians to treat the country’s 6 million people.

Solutions to Reduce Maternal Mortality

Many NGOs work throughout the region to combat maternal mortality in Africa. In fact, the United Nations initiated the Global Strategy for Women’s, Children’s and Adolescents’ Health, 2016-2030. Their goal is to “reduce the global maternal mortality ratio to less than 70 per 100,000 live births” by 2030.

According to a study by the World Health Organization, there needs to be better documentation of maternal mortality in Africa to create more effective policy solutions. Currently, less than 40 percent of countries have a registration system documenting the causes of maternal mortality. Hence, this lack of information makes it difficult for the U.N. and NGOs to create effective solutions.

An unexpected yet effective way maternal mortality in Africa has been combated is through photography. Pulitzer-prize winning war correspondent Lynsey Addario took her camera to the region to document maternal mortality. Addario documented the experiences of many women, including 18-year-old Mamma Sessay in Sierra Leone. Sessay traveled for hours by canoe and ambulance while in excruciating labor to reach her nearest hospital. Addario stayed with Sessay for the entire experience, from the birth of her child to her subsequent hemorrhage and death. Addario even traveled with Sessay’s family back to their village to document Sessay’s funeral and her family’s grief.

Ultimately, TIME published Addario’s photographs. And as a result, Merck launched Merck for Mothers, giving $500 million to reduce maternal mortality rates worldwide. Addario stated, “I just couldn’t believe how unnecessary her death seemed, and it inspired me to continue documenting maternal health and death to try to turn these statistics around.”

The Bottom Line

The international community must continue to address maternal mortality, a preventable tragedy. No woman should have to fear for her own life or the life of her unborn child upon discovering she is pregnant. Through documentation, reporting and care, the international community can fight to reduce maternal mortality in Africa.

Alina Patrick
Photo: Flickr

Pregnant in Niger
Pregnancy can be challenging anywhere, but being pregnant in Niger is often life-threatening. Around 14,000 women in Niger die every year as a result of pregnancy-related complications, with only 29 percent of births attended by skilled medical professionals. Because giving birth at home is a deeply ingrained cultural tradition in Niger, only 17 percent of women give birth in health facilities.

Challenges in Being Pregnant in Niger

The difficulties of being pregnant in Niger are exacerbated by the persistence of gender inequality. Women are often treated as property, with girls being married or even sold off before reaching puberty. Violence against girls and women remains a huge problem, especially because victims have often been conditioned to expect and tolerate these abuses.

Due to limited national resources and inadequate funding, the health care system in Niger is unequal to the task of providing universal care for all Nigeriens and relies heavily on assistance from charitable organizations. In 2015, an evaluation of Niger’s national health policy, led by the World Health Organization, revealed that only minimal progress had been made in the area of maternal health. To address this need, nonprofit groups such as Nutrition International are taking action.

Nutrition International

Nutrition International is an organization “helping more pregnant women and their newborns receive access to essential health care services, medicines and other commodities, including vitamins and minerals.” This initiative includes assessing the prenatal and antenatal care as well as pregnancy outcomes and evaluating the potential barriers to care for Nigerien women. These barriers range from a lack of confidence that prenatal and antenatal care is as important as they are being told to more practical concerns such as being able to afford transportation to medical appointments.

The period of time during and shortly after birth is a crucial one for both mother and newborn child. Unforeseen complications can arise, and without adequately trained health providers as well as the proper medicine and equipment, too many mothers and babies needlessly die. Nutrition International is also making materials available to facilities in Niger to provide care to pregnant and postpartum women as well as to train health personnel to give improved care and counseling to their patients. Furthermore, they are utilizing volunteers within the community to impart to pregnant women and their families the importance of antenatal care.

UNICEF and UNFPA

In 2017 alone, 81 out of every 1,000 live births resulted in the death of the infant before reaching one year of age. UNICEF provides support to the government of Niger to ensure that mothers and their babies receive a “continuum of care,” from prenatal to antenatal and promotes the education of girls, which can decrease the odds of childhood or adolescent pregnancy.

The United Nations Population Fund (UNFPA) implemented a program in 2014 called Action for Adolescent Girls. This has played an important role in helping to improve conditions for women who are pregnant in Niger. One important mission of the organization is to ensure that the women, and not young girls, are entering into marriages of their own volition and not being impregnated before they are physically and emotionally ready.

UNFPA sought out and trained local women to serve as mentors to young Nigerien girls, teaching them the basics of female hygiene, reproductive health, literacy and the basics of how to manage money. They were taught that child marriage is illegal and were informed of their other rights as citizens and human beings. Within the first eight-month cycle of the program, this initiative had already resulted in an increase of contraceptive use from 19 percent to 34 percent.

Looking Ahead

The government of Niger continues to work with global organizations to improve the health of prospective and new mothers as well as their children. USAID contributes to this effort with development and humanitarian programs in Niger, all of which are aimed at making the country more self-sufficient. The more financially solvent the country is, the better educated its population will be, ensuring that fertility rates continue to decline while the Nigerien economy continues to improve. With assistance from the U.S. and other wealthy nations, Niger can fulfill its potential and all of its citizens can thrive.

Raquel Ramos
Photo: Unsplash

Saving Mothers, Giving Life in ZambiaSaving Mothers, Giving Life in Zambia is working to improve maternal and newborn health in 16 districts. When a mother dies, her newborn is 10 times more likely to die. In Zambia, the rate of maternal mortality is among the highest in the world with an estimated 1,400 maternal deaths and 13,000 newborn deaths per year. The initiative aims to create safe and high-quality childbirth services for women and their newborns.

The Initiative

Saving Mothers, Giving Life is a $280,000, five-year public-private partnership extending from 2012 to 2017. The initiative was launched in 2012 by then-Secretary of State Hillary Clinton as part of the Global Health Initiative and to support achievement of the UN’s Millennium Development Goals.

The objective of the initiative is to quickly reduce the maternal and newborn mortality rates in Uganda, Zambia, and Nigeria. Saving Mothers, Giving Life brings together national governments, non-governmental organizations, the private sector, and professional associations to aid in reaching the common objective. Key partners include:

  • the governments of Nigeria, Uganda, Zambia, Norway, and the United States;
  • Merck for Mothers;
  • Every Mother Counts;
  • Project C.U.R.E.; and
  • the American College of Obstetricians and Gynecologists.

To reach its goal, Saving Mothers, Giving Life focuses on increasing demand for services, facilitating access to lifesaving care, and strengthening health systems at the district level.

The three primary delays of the initiatives that contribute to maternal and newborn mortality are:

Seeking Care

Local community members have focused on the importance of facility-based maternal and newborn health services in support of women, their male partners, and their family members. Activities have included conducting follow-up visits with pregnant women, educating them, their male partners and family members about budgeting and healthy pregnancies and distributing care planners.

Reaching Care

Saving Mothers, Giving Life in Zambia has appointed local community members to ensure that women receive proper and fair facility-based maternal services. The organization sold vouchers to women to cover transportation costs and developed waiting home models, places where women can stay during the late stages of their pregnancy to ensure they have immediate care.

Receiving Care

The local communities of Saving Mothers, Giving Life in Zambia work to persuade health providers to move to rural areas to practice. To accomplish this, they mobilize and contribute funding and labor for the construction of staff housing.

Results and Impact

Saving Mothers, Giving Life in Zambia quickly saw a positive impact due to the structure of the organization and support of the initiative. Five years into the initiative, Zambia had a 55 percent decrease in the institutional maternal mortality ratio and a 44 percent decrease of stillbirths and newborn deaths in facilities. Nearly 90 percent of women now give birth in a facility, compared to 63 percent at the outset of the initiative. In addition, the number of women who have received treatment to prevent the spread of HIV/AIDS to their infants has increased by 81 percent.

Although it was only a five-year initiative, due to its success and potential, Saving Mothers, Giving Life has the ability to extend beyond the borders of Uganda, Zambia and Nigeria. It’s organizing principles can serve as a model for other countries to use in similar communities.

– Anne-Marie Maher

Photo: Flickr

Maternal Mortality in IndiaUSAID and its partner organizations implemented the development impact Utkrisht bond in February 2018. Many believe this is an innovative and cost-effective solution to end preventable maternal and child deaths in India.

The Utkrisht bond is targeted to assist the State of Rajasthan, where 80,000 babies die annually from inadequate medical care. But proponents hope the model can be used throughout India, which accounts for 20 percent of maternal and child deaths globally.

The development impact bond was announced in November of 2017 by USAID Administrator Mark Green at the Global Entrepreneurship Summit in India. It is expected to provide 600,000 women with improved healthcare access and potentially save 10,000 moms and newborns.

The bond works as a public-private partnership. Investors grant providers of maternal care with upfront capital. Then, outcome funders pay back the investors their principal plus a return if pre-agreed metrics are achieved. The investor, in this case, is the UBS Optimus Foundation, which has committed about $3 million. The organization works with philanthropists to bring sustainable benefits to vulnerable children.

Up to 440 private health facilities will then be operated with assistance from Population Services International (PSI) and the Hindustan Latex Family Planning Promotion Trust (HLFPPT), which also are co-investors providing 20 percent of the required capital. PSI is a global health nonprofit and the HLFPPT is an Indian nonprofit that works with maternal care.

In order to maximize success, private facilities are the focus of the Utkrisht bond. They host more than 25 percent of institutional deliveries in Rajasthan and are used by women of all socioeconomic backgrounds, yet little has been done to improve their quality of care.

USAID and Merck for Mothers, a nonprofit with the goal to end maternal mortality, have each committed up to $4.5 million that will be paid if the heath facilities meet accreditation standards. This is a highly cost-effective method to save lives according to World Health Organization standards, which is particularly exciting to USAID.

“The pay for success approach ensures appropriate stewardship of U.S. taxpayer dollars, while unlocking both private capital and government resources for health,” USAID states.

While this is the first development impact bond targeted toward health, the future of the Utkrisht bond looks promising. If it is successful, more initiatives can be implemented that involve private-public cooperation and effective use of taxpayer money to save the lives of many women and children around the world.

– Sean Newhouse

Photo: Flickr

How Emergency Transportation Has Addressed Disparity Gaps in Women's HealthIn September 2017, the United States Agency for International Development’s (USAID) High Impact Health Services Project constructed emergency transport systems in Tienfala, a small community located in Mali, which has allowed for pregnant women to be transported to health facilities in order to give birth. This project was a part of USAID’s efforts to increase health outcomes around the world and close the consistently widening disparity gaps in women’s health.

According to USAID, the completion of the emergency transport systems were in large thanks to a community effort. People from the small Tienfala community worked together in order to help increase the health outcomes of pregnant women in their community. USAID’s project in Tienfala is very promising for the promotion of women and girls in developing countries.

Many other organizations have placed a focus on increasing the health outcomes of women and girls in developing countries in order to address the widening disparity gaps in women’s health around the world. In fact, the aim of the United Nations International Children’s Emergency Fund (UNICEF), in regards to women and girls, is to “promote the equal rights of women and girls and to support their full participation in the political, social and economic development of their communities.”

Like UNICEF, USAID has placed a value on promoting women’s health in developing countries like Mali. Specifically, according to USAID, the focus of the High Impact Health Services Project is to decrease the incidence of maternal and child deaths, and the construction of the emergency transport systems in Tienfala has greatly helped reduce such mortality rates.

Kadia Coulibably, a woman from Tienfala, lacked any sort of prenatal care during her fourth pregnancy, reports USAID. However, the emergency transport systems allowed Coulibably to experience an organized, healthy childbirth. Without the valuable help of U.S. foreign aid through the governmental agency USAID, Coulibaly may have faced complications during her childbirth due to the lack of proper care.

Of course, a focus on the health of women and girls in developing countries is incredibly vital to the empowerment of women in their respective communities. When pregnant women can receive accessible, adequate health care, they can thrive happily and healthily. Thus, the construction of the emergency transport systems for pregnant women in Mali is a step in the right direction for the advancement of women’s health.

Emily Santora

Photo: Flickr