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Choice for women:  wanted pregnancies, safe births Public consultation  on reproductive, maternal and newborn health in the developing world to inform the UK Government’s forthcoming  Business Plan Picture: Robert Yates / Department for International Development
Our mission  ,[object Object],[object Object],[object Object],[object Object],Picture: Storyline / Storyline / Safe Motherhood Programme / Department for International Development
Get involved ,[object Object],[object Object],[object Object],[object Object],[object Object]
Choice for women – wanted pregnancies  ,[object Object],[object Object],[object Object],[object Object]
Map 1: Unable to choose: Unmet need for family planning  source: White Ribbon Alliance, Atlas of Birth, 2010 Uganda (40%) Rwanda (38%) Ethiopia (34%) Ghana (34%)
Map 2: Mothers too soon: Adolescent pregnancies  source: White Ribbon Alliance, Atlas of Birth, 2010 In  Bangladesh , 65 percent of 20- to 24-year-old women were married before the age of 18 .  (source UNICEF). Adolescent girls and young women are at high risk of contracting sexually transmitted diseases or HIV . In Malawi and Ghana, around one third of girls reported that they were “not willing at all” at their first sexual experience.
Choice for women – safe births  ,[object Object],[object Object],[object Object],[object Object],[object Object]
source: White Ribbon Alliance, Atlas of Birth, 2010 The 15 least developed countries that have been affected by conflict during the years 2000 to 2006 have worse indicators  than non-conflict affected countries  11 countries account for 65% of maternal deaths –  including India, Nigeria, Ethiopia, DRC, Afghanistan, Bangladesh, Pakistan, and Tanzania Map 3
source: White Ribbon Alliance, Atlas of Birth, 2010 Map 4
The importance of the continuum of care Most maternal and newborn deaths are preventable if women and babies have access to a functioning “continuum of care” (see below) - quality reproductive and maternal health services before and during pregnancy, during labour and after the birth. Women and girls fail to access the systems at critical points for ensuring that every pregnancy is wanted and that every birth is safe and baby healthy (see figure 1 on following slide).    Pre pregnancy (adolescent girls and women – and men – of reproductive age) Pregnancy  & Newborn Birth to 28 days Child Up to 5 years (infant 1 month to 1 year) Birth Family Planning Safe  Ante natal  Safe  Post-birth  Newborn   Child  Within wider SRH abortion care delivery  care   care   Health     CONTINUUM OF CARE Reproductive, Maternal and Newborn Health   The continuum of care through to child health is important. DFID invests significantly in child health in a number of ways – please go to the Consultation website for more information.
Figure 1: Important gaps in coverage of key services for women and girls – the example of Tanzania Source: Wendy J Graham & Ann E Fitzmaurice, Immpact, University of Aberdeen  Data sources: Countdown to 2015 (2008) Report; Tanzania DHS 2004-05 100 80 60 40 20 0 All women: 68 Priority countries Tanzania: poorest women x x x x x x x x x x x x X  X  X  X  ANC  Skilled birth attendant  DTP3 (child)  Contraception % uptake Tanzania:  all women
Question 1. What should we aim to achieve? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Picture: ALAFA / Franco Esposito
Question 2. Which interventions, or combination of interventions, should we prioritise to have the most impact? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Picture: Storyline / Storyline / Safe Motherhood Programme / Department for International Development
Question 3. Where should we work?   ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Question 4: What are the most important approaches we should consider to tackle inequalities in reproductive, maternal and  newborn health?   ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Question 5. How can we improve the realisation of women’s rights and women’s and girls’ empowerment?   ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Question 6:   Which neglected and sensitive issues should we prioritise in our work?
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Which neglected and sensitive issues should we prioritise in our work? Source: Atlas of Birth, 2010
Question 7. How can we deliver better results through multilateral aid? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Picture: Robert Yates / Department for International Development
Question 8. How should we work with private and other non-state actors more to deliver successful reproductive, maternal and newborn health outcomes? ,[object Object],[object Object],[object Object],[object Object]
Question 9. What are optimal models of service delivery for delivering reproductive, maternal and newborn health outcomes?  ,[object Object]
Question 10. How should we work in fragile and conflict affected states and humanitarian situations? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Picture: Russell Watkins / Department for International Development
Question 11: What should we support in terms of knowledge, research and innovation?  ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Question 12. If we could do only one thing to improve reproductive, maternal and newborn health outcomes, what should it be and why?
Thank you for contributing
Leading the UK government’s fight against world poverty Tel: +44 (0) 20 7023 0000 Fax: +44 (0) 20 7023 0016 Website: www.dfid.gov.uk E-mail: enquiry@dfid.gov.uk Public Enquiry Point: 0845 300 4100 If calling from abroad: +44 1355 84 3132 LONDON 1 Palace Street London SW1E 5HE GLASGOW Abercrombie House Eaglesham Road East Kilbride Glasgow G75 8EA

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Choice for women: have your say on a new plan to tackle reproductive, maternal and newborn health

  • 1. Choice for women: wanted pregnancies, safe births Public consultation on reproductive, maternal and newborn health in the developing world to inform the UK Government’s forthcoming Business Plan Picture: Robert Yates / Department for International Development
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  • 5. Map 1: Unable to choose: Unmet need for family planning source: White Ribbon Alliance, Atlas of Birth, 2010 Uganda (40%) Rwanda (38%) Ethiopia (34%) Ghana (34%)
  • 6. Map 2: Mothers too soon: Adolescent pregnancies source: White Ribbon Alliance, Atlas of Birth, 2010 In Bangladesh , 65 percent of 20- to 24-year-old women were married before the age of 18 . (source UNICEF). Adolescent girls and young women are at high risk of contracting sexually transmitted diseases or HIV . In Malawi and Ghana, around one third of girls reported that they were “not willing at all” at their first sexual experience.
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  • 8. source: White Ribbon Alliance, Atlas of Birth, 2010 The 15 least developed countries that have been affected by conflict during the years 2000 to 2006 have worse indicators than non-conflict affected countries 11 countries account for 65% of maternal deaths – including India, Nigeria, Ethiopia, DRC, Afghanistan, Bangladesh, Pakistan, and Tanzania Map 3
  • 9. source: White Ribbon Alliance, Atlas of Birth, 2010 Map 4
  • 10. The importance of the continuum of care Most maternal and newborn deaths are preventable if women and babies have access to a functioning “continuum of care” (see below) - quality reproductive and maternal health services before and during pregnancy, during labour and after the birth. Women and girls fail to access the systems at critical points for ensuring that every pregnancy is wanted and that every birth is safe and baby healthy (see figure 1 on following slide). Pre pregnancy (adolescent girls and women – and men – of reproductive age) Pregnancy & Newborn Birth to 28 days Child Up to 5 years (infant 1 month to 1 year) Birth Family Planning Safe Ante natal Safe Post-birth Newborn Child Within wider SRH abortion care delivery care care Health CONTINUUM OF CARE Reproductive, Maternal and Newborn Health The continuum of care through to child health is important. DFID invests significantly in child health in a number of ways – please go to the Consultation website for more information.
  • 11. Figure 1: Important gaps in coverage of key services for women and girls – the example of Tanzania Source: Wendy J Graham & Ann E Fitzmaurice, Immpact, University of Aberdeen Data sources: Countdown to 2015 (2008) Report; Tanzania DHS 2004-05 100 80 60 40 20 0 All women: 68 Priority countries Tanzania: poorest women x x x x x x x x x x x x X X X X ANC Skilled birth attendant DTP3 (child) Contraception % uptake Tanzania: all women
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  • 24. Question 12. If we could do only one thing to improve reproductive, maternal and newborn health outcomes, what should it be and why?
  • 25. Thank you for contributing
  • 26. Leading the UK government’s fight against world poverty Tel: +44 (0) 20 7023 0000 Fax: +44 (0) 20 7023 0016 Website: www.dfid.gov.uk E-mail: enquiry@dfid.gov.uk Public Enquiry Point: 0845 300 4100 If calling from abroad: +44 1355 84 3132 LONDON 1 Palace Street London SW1E 5HE GLASGOW Abercrombie House Eaglesham Road East Kilbride Glasgow G75 8EA

Notes de l'éditeur

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