2014 ROTARY INTERNATIONAL CONVENTION CALMED –VTT Global Grant - a Collaborative Strategy for Maternal Mortality Reduction in Low Resourced Countries Moderator – PDG Dr. Himansu Basu Speakers - PRIP Raja Saboo - RID Mike Webb - PDG Jo Schilling - DG Dr. G. Rao
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CALMED VTT Global Grant: Maternal Mortality Reduction
Learn about the causes of maternal and newborn mortality and morbidity associated with childbirth and how Rotarians are using the CALMED (Collaborative Action in Lowering Maternity Encountered Deaths) model to reduce deaths and improve women’s health in India through a global grant and vocational training teams (VTTs). Learn about continued monitoring and evaluation and hear participants’ stories about the long-term impact and sustainability of this and similar projects.
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2014 ROTARY INTERNATIONAL CONVENTION
CALMED –VTT Global Grant - a Collaborative Strategy for Maternal Mortality Reduction in Low Resourced CountriesModerator – PDG Dr. Himansu BasuSpeakers - PRIP Raja Saboo - RID Mike Webb - PDG Jo Schilling - DG Dr. G. Rao
Global Burden
Maternal Mortality – MDG 5 , a TRF Area of Focus
Three Pregnant Women and 20 Babies die every minute !
60 Other Women are injured 99 per cent occur in low resourced
countriesMajority are preventable
Global Efforts 1.Governments, Global Bodies
including WHO, World Bank ,Philanthropists like Gates are all involved
2.There have been considerable progress towards achieving MDG 4 and 5 in many countries, but also lack of progress in many African and South East Asian countries.
Global Efforts 3. Main efforts have been focused on Training Professionals in emergency care –task shifting ,workforce growth Or Social mobilisation – women’s Groups Or Family Planning Or improvement of Health framework4. Estimated cost – US $ 21 Billion in 20 years in aid plus in country spend
Why is it important ?
Life Time Risk of Childbirth Mortality Great Britain – 1 in 5300Sweden – 1 in 7800Germany – 1 in 10,600Belgium – 1 in 7500Canada – 1 in 5200Afghanistan, – 1 in 32Nigeria – 1 in 29Uganda – 1 in 49India – 1 in 170 ( in some parts 1 in 50) --www.data.worldbank.org
“Women are not dying because of diseases we cannot treat. They are dying because societies have yet to make the decision that their lives are worth saving ……………”
Prof. Mahmoud Fathalla Past President, FIGO
Maternal Mortality is not a Disease ;it is not only a
Medical problem ,but also a Public Health ,
Societal/Cultural Issue
Three Delay Model
Doctors and pregnant Women are in the wrong places !
WHY MOTHERS DIE ?-Three Delay Model in Low Resourced Countries
( Mullick and Serle ,2011 )
Tales of the Unexpected !
Failure of Global Efforts
1.Relies on a mainly Medical Model.
2.Very few examples of Multiple Intervention Strategy Programmes.
If Rotary is to realize its proper destiny, it must be evolutionary at all times, revolutionary on occasions……………
THROUGH ROTARYIn My CountryPlease Visit Booth # 309
The D9800-D9550 maternal mortality reductionVTT program in Timor Leste
PDG Joanne Schilling, D9550Regional Rotary Foundation Coordinator Pt Zone 8
Trustee, The Australian Rotary Foundation TrustRI Finance Committee
Timor Leste – some statistics
Timor Leste
Major infectious diseases Hep A, Diarrhoea, Typhoid (water borne)Malaria, Dengue Fever (vector borne)
Unimproved Water 31% of population (40% in rural areas) Unimproved Sanitation 61% of population (73% in rural areas) Births / 1000 population Children born / woman Maternal Mortality Rate (MMR) Infant Mortality Rate Children under 5 underweight
34.48 births (2014)5.11 (2014)
370 deaths / 100,000 live births (2011)38.79 deaths / 1000 live births
45%
% of Population under 15 yrs 43% Illiterate (people over 15) 42% Population below poverty line 41% Labour Force in Agriculture 64% (10% of land is arable)
21May 2014
Sources: CIA World Fact Book and UN Population Fund (UNFPA)
Maternal and Child Health
Midwife upskilling in East Timor D9800 – D9550 A TRF Global Grant project for VTTs initially over 3 years
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Questions?
23May 2014
CALMED -AN INNOVATIVE MATERNAL MORTALITY REDUCTION STRATEGY IN A