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10886:Layout 1 12/12/12 10:02 Page 1 International Federation of FIGO FIGO Gynecology and Obstetrics firstname.lastname@example.org www.figo.org December 2012 ‘Working together towards the common goal of improving sexual and reproductive health’ – new FIGO President in global rallying call should fail in my duty if I did not also thank my Melinda Gates Foundation, an anonymous donor, wife, Gayatri, and my children, Shankari, Ford Foundation, and others. I am extremely Nishkantha, and Kailash. grateful to them and look forward to their My theme over the next three years is not a new continued support. There are others such as one; it is to ‘continue to work together’ during the UNFPA, the World Bank, UNICEF, and industry period 2012 to 2015. FIGO will continue to build partnership that are essential for FIGO to on the good work completed so far and will work function. I would like to thank the staff of FIGO on the Millennium Development Goals (MDGs) and its partner organisations for helping us to and reproductive health issues. come this far. There are several issues of concern: maternal Principles that govern success health (ie morbidity and mortality), preterm births, There are five principles behind recent success stillbirths, subfertility, cancer, domestic violence, stories. female genital mutilation, fistula, and sexual and 1. Governments have to make saving mothers reproductive health. In addition to carrying out a national priority and strengthen the activities in these areas, I will focus on maternal existing coalition. mortality, stillbirth, unmet need for family 2. Focus should be given to selected issues planning, and safe abortion care. FIGO will also rather than trying to target too many continue with some emphasis on HIV/AIDS, and activities. its other activities will continue. These activities 3. Ownership at the grass-roots level must be cannot be conducted by FIGO alone and we will strengthened. work in collaboration with a number of national 4. Continuous innovation and maximisation of organisations and governments. available resources. The essential partners that have helped FIGO 5. Accountability by measuring outcomes to over the years include the World Health strive for continued improvement. Organization (WHO), the Partnership for Whatever the projects, FIGO will need to abide Maternal, Newborn and Child Health, Family by these five principles if we are to succeed. Professor Sir Sabaratnam Arulkumaran, FIGO President Health International (FHI), the International Whether we are going to provide safe abortion Confederation of Midwives (ICM), the care, reduce stillbirths, or provide contraception, Dear Colleagues International Paediatric Association (IPA), the we must get the support of government. We I would like to thank Professor Gamal Serour International Confederation of Nurses (ICN), the need to innovate as to how best we can for the tremendous job he has done in leading International Planned Parenthood Federation implement contraception, provide the ownership FIGO over the past three years. To the FIGO (IPPF), EngenderHealth, and Gynuity; in addition to the women, provide the needed care, and be membership and the national societies, I am to donors such as USAID, UKAID, the Bill and accountable. most grateful to you for having the trust in me and providing the mandate for me to be FIGO Strengthen existing coalitions President. The Officers and the Executive Here we can learn from the FIGO LOGIC project, Board members have worked extremely well the aim of which is to strengthen the national with the Chief Executive, the Administrative societies. The project has been able to link a Director, the staff, and with the national professional society with the government and societies over the last several decades. They establish a good working relationship with have brought FIGO to its current position, Ministries of Health. The project will continue until which is recognised globally. On behalf of FIGO October 2013. FIGO will try to encompass other I would like to acknowledge our colleagues and the people of Italy who have welcomed us. I continued on page 2 FIGO welcomes new President | UNFPA Chief highlights MDG challenge | CONGRESS Launch of African Federation of Obstetrics and Gynaecology (AFOG) SPECIAL ISSUE | ‘Why Did Mrs X Die, Retold’ premiere International Federation of Gynecology and Obstetrics | December 2012 1
10886:Layout 1 12/12/12 10:02 Page 2 New FIGO President in global rallying call organisations for help with training. We must also Continued from page 1 build public/private partnership within countries. Most of all we have to work with our fellow societies to build a South–South collaboration. families, and the community? The charity professional organisations – midwifery, nursing, Focus will be given to items that are most ‘Women and Children First’ has been working paediatric, and anaesthetic organisations. needed in a particular country, such as with several local organisations in countries to reductions in deaths from haemorrhage, unsafe mobilise the community to come together every Conclusion abortion, or hypertensive disorders. During my few weeks. This has been shown to be effective By doing what we plan to do, not only will we term of office, I want to concentrate on how best in reducing child and maternal mortality and tackle MDG 5 but we will also tackle MDG 1, to resolve unmet need for family planning (MDG morbidity. FIGO hopes to participate to see how which is poverty. If a woman effectively uses 5b). Voluntary family spacing with postpartum we can activate the community along with the contraception and is not going to have a baby for family planning programmes including long- national and regional societies to make the two or three years, she will have time to work and acting reversible contraceptives might be the key impact even stronger. earn money. She will have time to look after the for mothers attending for delivery at a health Community mobilisation is part of the ‘maternity baby and the child for primary education (MDG facility. We should take that opportunity and ecosystem.’ Key issues concern healthcare 2); she will take the children to school and once provide whatever contraceptive method is delivery, availability, acceptability, affordability, and they are educated, they can become equal desired. appropriateness. The issues involved are the partners with men (MDG 3). She will also take the Focus on a few selected issues hospital or health facility, the community or the children for vaccinations and resolve any child home, and the financial and physical barriers. We health problems (MDG 4). If she has five children Safe abortion care need to prioritise the services we want to in five years, she will not be able to accomplish Globally, it is estimated that there are 210 million strengthen; for example, contraceptive services this. Hence, it is crucial that we advise about pregnancies and 40 million abortions, half of or abortion services or emergency obstetric care. which are unsafe. About 70,000 women die as a family spacing to achieve MDGs 1 to 5. Tackling We need to have a dialogue to see how these MDG 5 will resolve many underlying issues. MDG result of septic abortion and five million are barriers can be overcome by strengthening the admitted with complications. We have to work on 5 can be tackled to a great extent by national societies. In Sri Lanka, where I come concentrating on contraception and safe abortion the principles of primary, secondary, and tertiary from, having community midwives provide prevention by making contraceptives and care. prenatal and postnatal care and contraception emergency contraception available, by making has worked effectively. These successful models I would like to finish with two quotes. The first is abortion a safe procedure, and by providing need to be exploited and FIGO will explore these from Professor Thoraya Obaid, former Executive postabortion contraception. We should work issues with ICM. Director of UNFPA, who said: ‘It keeps startling toward reducing the vast majority of unsafe me that at the beginning of the 21st century, at a abortions occurring in low-resource countries. At Continuous innovation and time when we can explore the depths of the sea the FIGO Pre-Congress Workshop, six maximising resources and build an international space station, we have recommendations were made as to how best to not been able to make childbirth safe for all The fourth principle of success is to continually women around the world. This is one of the provide safe abortion permitted by law. This innovate to maximise available resources. In information will be disseminated to FIGO’s greatest social deficiencies of our time.’ This is a Mozambique, training of surgical assistants to national societies. fact and this tragedy is happening every year. The perform caesarean deliveries has been Contraception reason for this tragedy was spelt out many years successful. There are other good examples. We A total of 222 million women have an unmet need ago by Professor Mahmoud Fathalla, a Past have to maximise available resources and devise for contraception. Contraception can help to President of FIGO, who said: ‘Women are not different ways of working. For example, offering reduce 10% of child mortality and 30%–50% of dying because of diseases we cannot treat. They postpartum and postabortion contraception is a abortion. The Pre-Congress Workshop produced are dying because societies have yet to make the great opportunity or situation that has to be used a strategy detailing how we can make this work decision that their lives are worth saving.’ maximally and effectively. through the national societies. The Resolution We have to spend time and money to derive the that was passed by the General Assembly will be Accountability maximal impact. I want everyone here to commit posted on the FIGO website. There are certain The final principle is accountability. We have to to make this a personal priority. Ensure you can strategies that we will implement. We would like measure what we are doing and the outcomes. If make a compelling case for change and get to include family planning in general nurse and we cannot measure, we cannot improve on what inspired by others’ success. With inspiration, midwifery training. We will engage general we do. FIGO will measure the outcomes of the commitment and collaboration we can save more practitioners and primary care providers. We shall projects it undertakes and disseminate the lives. develop a standard FIGO model curriculum for information in a useful way. My very best wishes. family planning and will engage the national societies to disseminate this information. We will Working in partnership work to facilitate task shifting; for example in As mentioned, there are a number of tasks and India, abortion is legal but the number of facilities FIGO cannot do it alone. We need the help of and providers are not enough and women seek advocacy groups such as the White Ribbon Professor Sir Sabaratnam Arulkumaran abortion from providers who are not qualified. Alliance, policy makers like WHO, facilitators such FIGO President (2012–2015) as the Partnership for Maternal, Newborn and Strengthening community Child Health; we need advisors and technical This is an edited extract from the inaugural address given by Professor Sir Sabaratnam Arulkumaran at the XX FIGO World ownership: ‘Maternity ecosystem’ support, such as JPHEIGO; we need the help of Congress, Rome, Italy, 12 October, 2012. Strengthening ownership at the grass-roots level donors – the Bill and Melinda Gates Foundation, The full text will be available in the March issue of IJGO: Int J is vital. What can we do to mobilise women, USAID, UKAID – and we need nongovernmental Gynecol Obstet 2013;120(3):XX–XX. The new FIGO President and Immediate Past-President, with Past Presidents: S Arulkumaran, G Serour, M Fathalla, D Shaw, S Sheth, A Acosta, J Sciarra 2 International Federation of Gynecology and Obstetrics | December 2012
10886:Layout 1 12/12/12 10:03 Page 4 ‘FIGO OBJECTIVES ON TRACK FOR 2015’ Professor Gamal Serour speaks at Rome 2012 Colleagues, during the There is a huge unmet need of RSH information past three years, I have and services for young people, particularly had the honour and adolescent girls. Dr Babatunde Osotimehin, pleasure to humbly UNFPA Executive Director, said: ‘Today serve as President of pregnancy and childbirth related complications FIGO. It has been an are the major causes of death among girls 10–19 enriching and years old in most developing countries.’ rewarding experience 2010–2012 have been highly successful years for Some FIGO representatives with Congress staff for me, and thank you campaigning and commitments for the for your trust. members; Chairs and Members of FIGO improvement of maternal and newborn health, In my inaugural address in Cape Town, October Committees and Working Groups; and my with the launch of several initiatives including the 2009, I said: ‘FIGO, building upon its past secretarial staff, particularly Mr Bryan Thomas Global Strategy for Women’s and Children’s achievements, is undertaking a change – a and Mrs Marie-Christine Szatybelko at FIGO HQ, Health; the ‘Every Woman, Every Child’ Initiative; change that will make FIGO more visible and and Mrs Azza El Tobgi and Mrs Gihan El Feki in the Muskoka Initiative; and the ground-breaking palpable to obstetricians and gynecologists the Cairo office: you have all shown outstanding London summit on Family Planning in July, calling around the globe, particularly those in low- and exceptional commitment, enthusiasm, for unprecedented international political resource countries.’ I have worked tirelessly over volunteerism and dedication which I greatly commitment and resources to pledge US$4.6 the past three years to fulfil my promises. The treasure. billion to provide an additional 120 million women core of my change was education and training of in the world’s poorest countries with obstetricians and gynecologists, and capacity contraception by the year 2020. building of member societies in developing Martin Luther King Jr said: ‘Of all the forms of countries. inequality, injustice in health care is the most In Cape Town I proposed an 8-point *workplan to shocking and inhumane.’ enable FIGO to play its role as a leading global Ban Ki-moon, UN Secretary-General, said: ‘By professional organisation in women’s health. giving mothers to be the services they need Today I can confidently say that I am delighted to before, during and after pregnancy and by see this ambitious workplan implemented, and in providing quality health care to all women, we I also say to various UN organisations, global a sustainable way. can save lives, prevent suffering and accelerate NGOs, sister professional organisations and medical industries: you all, through your support progress towards all the MDGs.’ *The 8-Point Plan and our collaborative efforts, helped FIGO to play I say to mothers, sisters and daughters who have 1: Advocacy, partnerships, and the role it is supposed to fulfil to the best of its needlessly lost their lives and the many more commitments ability. Thank you so much for your support. women who have suffered injuries during 2: Continuing with ongoing projects The number of women dying in pregnancy and pregnancy and childbirth: please forgive us, 3: Establishing a Committee for Capacity childbirth annually at long last declined in 2010 to because some of our societies failed to value Building in Education and Training the figure of 287,000 maternal deaths, a global your life. FIGO has joined forces to minimise this 4: Establishing a Committee for decline of 47 per cent since 1990. However, this happening again to current and future Reproductive Medicine is not enough to achieve MDG 5a by 2015. For generations, and to share in saving the lives of 16 5: Optimising utilisation of FIGO every woman who dies, around 20 more suffer million women and children by 2015. Rest Committees and Working Groups and near-miss and complications which jeopardise assured that women will no longer be the silent their outcomes to increase their the quality of their lives. Ninety-eight per cent of victims and unheard voices of substandard visibility all these deaths and morbidities occur in health care. 6: Ethics curriculum development in developing countries and are mostly preventable. Today, more than ever before, we have the reproductive and sexual health for Contraception alone can prevent 30 per cent of political commitment, knowledge, knowhow, low-resource countries maternal deaths. capacity and committed resources to make a 7: Improving the management, significant stride in saving the lives of women and communication, and involvement of newborns. member societies and regional To all those involved in the preparation of this federations Congress: thank you for your unyielding efforts, 8: Strengthening collaboration with UN dedication and determination to make it a real organisations, world federations, success, and for your continuing efforts during NGOs, FBOs and the private sector the coming five days to make it one of the most [*Please also refer to Professor Serour’s Introduction in enjoyable and memorable Congresses in FIGO’s the FIGO Three-Year Report 2009–2012, available on President’s Session press conference: L–R: Professor http://www.figo.org/publications] history. Serour; Dr Paul De Lay (UNAIDS); Dr Flavia Bustreo (WHO); Dr Babatunde Osotimehin (UNFPA) To my family, patients and Al Azhar University: Colleagues, I have been privileged to work thank you so much for your continuous support Today there are 222 million couples with unmet and sacrifice, which has enabled me to fulfil my alongside an excellent hardworking team towards need of modern contraceptives in the developing a common goal, directing individual duties as FIGO President to the best of my ability world. Providing these unmet needs of over the past three years. accomplishments towards organisational contraceptives would prevent 21 million objectives. We had the necessary ‘fuel’ that unplanned births, 26 million abortions, 79,000 The good news is that, at 1pm on Friday 12 allowed common people to attain uncommon maternal deaths, and 1.1 million infant deaths. October, the baton will be picked up by Professor results. Indeed, Margaret Chan, the Director-General of Sir Sabaratnam Arulkumaran, the incoming FIGO It is most appropriate for me to say now to all the World Health Organization, said: ‘Family President, and then I will have much more time FIGO Past Presidents who inspired me; to my planning deserves a much higher place in the for you …hopefully! Fellow FIGO Officers; the FIGO Chief Executive international health agenda, especially in My very best wishes to all. Professor Hamid Rushwan; Executive Board countries where fertility and unmet need are high.’ We should not forget that annually there are 340 million new curable STIs, mostly in the 20–24 age group, resulting in 1.8 million AIDS-related deaths, and 275,000 cancer of the cervix related Professor Gamal Serour deaths. Three million girls and women are FIGO Immediate Past President subjected to Female Genital Mutilation (FGM) and This is an edited version of the speech delivered by 50,000–100,000 develop obstetric fistula Professor Gamal Serour at the Congress Opening annually. Ceremony 4 International Federation of Gynecology and Obstetrics | December 2012
10886:Layout 1 12/12/12 10:03 Page 5 CONGRESS NEWS UNFPA Chief opens FIGO Congress, highlighting challenge of MDGs An extract from UNFPA Executive Director Dr Babatunde Osotimehin’s speech We are inaugurating this XX FIGO Congress of health, especially access to emergency obstetric Gynecology and Obstetrics two and a half care and skilled birth attendants, and STI Women obstetrician/ years before the world will hit the deadline prevention, including prevention of HIV – in the agreed by world leaders to reach the same place, at the same time, by the same gynecologists Millennium Development Goals. Although great provider. By doing this, we will support recognised at FIGO progress has been achieved in several of the strengthening health systems at all levels, but General Assembly goals, the one that concerns obstetricians and especially at the grass-roots level, close to where gynecologists the most, Goal 5 on improving women live. It is there we have our major gap in In 1997, for the first time, FIGO presented a maternal health, is lagging behind in many human resources for health. There are not number of Awards in Recognition of Women countries of the developing world. Women, enough providers in places near to and Obstetricians/Gynecologists to doctors, especially poor women, still die while pregnant immediately accessible to women. nominated by their peers, who had made a or in childbirth, often of preventable causes. special contribution internationally or To realise the MDGs, governments need to take nationally to promote the development of One woman dies every responsibility for the public health needs of their science and scientific research in the fields of two minutes giving citizens, for maternal health, family planning, gynecology and obstetrics; and who, birth or in pregnancy. sexual health, in the only equitable manner throughout their career, had promoted better These are preventable that works – by providing publicly funded, healthcare for women, mothers and their deaths. Let us be well-resourced services and by adding health children. honest: these are workers in those places that lack them. We should make sure that we give a definite solution The awards were women that could have officially presented been saved if one of us to the most challenging gap of a functioning health system, that is, its workforce shortage, as an inclusive part could have assisted of the Rome 2012 them in their pregnancy quality and equitable distribution. We all know that a health system that can prevent maternal General Assembly, Dr Babatunde Osotimehin and delivery, or could to highlight their have provided them with contraceptives, or death is a functioning system. importance. attended to complications arising from pregnancy Addressing the human resources for the health or childbirth. shortage gap will require innovative ideas, The recipients comprehensive solutions. It is not enough to train were described by Much more work needs to be done to meet the Professor Gamal more health workers if policies do not address MDG targets. Gynecologists, obstetricians and Serour during the this issue in a comprehensive way, if the number midwives are the most natural professional awards ceremony of health workers that drop out of the system partners, together with governments, multilateral once they are trained is around 50 percent as is as ‘prime organisations, civil society and women the case in some countries in Africa; the reason representatives of themselves, to push hard on actions towards is because there are not enough work incentives female practitioners achieving the health-related MDGs, particularly for them to remain employed. UNFPA looks in their home MDG5. forward to working closely with professional A recipient nations’. We must work together to meet this achievable associations like FIGO and the International FIGO’s congratulations extend to: Professor goal. But in order to do so, we should ensure Confederation of Midwives, along with other UN Kohinoor Begum (Bangladesh); Dr Sylvia that women and adolescent girls have access to agencies like UNICEF, WHO, UNAIDS, UN Ayeley Deganus (Ghana); Professor Kristina sexual and reproductive health services in an Women and the World Bank to address these Gemzell Danielsson (Sweden); Dr Vesna I integrated way, that they receive these services issues together. Kesic (Serbia, Montenegro and Republic of – voluntary high-quality family planning, maternal (printed with kind permission from UNFPA) Srpska); Dr Lucy Lopez Reyes (Peru); Dra Blanca Rosa Manzano Ovies (Cuba); Dra Técia Maria de Oliveira Maranhão (Brazil); Dr FIGO honours figureheads in global Kamini Rao (India); Dr Duria Abdellewahab Mohammed Rayis (Sudan); and Dr Sudha maternal and newborn health Sharma (Nepal). The FIGO Congress Opening Ceremony is traditionally the occasion on which to feature the series of awards traditionally made to obstetrician/ gynecologists who have excelled in their service to FIGO or to women’s health. Awards are also given to highly distinguished people outside this profession who have performed a service to women’s health. In Rome, Professor Hamid Rushwan presented FIGO Distinguished Merit Awards to Dr Ralph Hale, former Executive Vice-President of the American College of Obstetricians and Gynecologists (ACOG) and a Professor Chiara Benedetto member of the FIGO Executive Board for many years; Dr Sergio Pecorelli, (EBCOG President), Master former Chair of FIGO’s Committee on Gynecologic Oncology, and former of Ceremonies Editor of the highly influential FIGO Annual Report on the Results of Treatment in Gynecologic Cancer; and Dr Duru Shah, who represents FOGSI at FIGO and is also a member of FIGO’s Ethics Committee. FIGO’s second awards category, the FIGO Recognition Awards, honoured Michelle Bachelet, Professor Gamal Serour presenting the award to Dr former President of Chile, and the first Under-Secretary-General and Executive Director of UN Kamini Rao (India), a former Chair of the FIGO Committee for Women’s Sexual and Reproductive Women; Sarah Brown, CEO of the Office of Gordon and Sarah Brown, and Global Patron of the Rights White Ribbon Alliance for Safe Motherhood; and Jill Sheffield, founder and president of Women Deliver, and former president of Family Care International. L–R: Professor Gamal Serour, Dr Duru Shah, Dr Sergio Pecorelli, Dr Ralph Hale and Sarah Brown Professor Serour with Jill Sheffield Some of the award recipients International Federation of Gynecology and Obstetrics | December 2012 5
10886:Layout 1 12/12/12 10:03 Page 6 CONGRESS NEWS New African Federation of Obstetrics and Gynaecology (AFOG) launched at Congress A new African Federation of Obstetrics and Professor Hamid Rushwan commented: ‘This is Gynaecology (AFOG) was launched at a an enormous achievement for all of the FIGO adopts new historic meeting during the Rome Congress on obstetricians and gynecologists in Africa, who 8 October 2012. Over 20 national societies and have been working hard towards the General Assembly a host of interested observers attended the establishment of a pan-African body to bring Resolution at Rome meeting, which was chaired by Chief Executive them together and target the improvement of 2012 Professor Hamid Rushwan. women’s health in the region, and the science and practice of obstetrics and gynecology. During Rome 2012, a Resolution on Remarks were given by Professor Joseph ‘Unmet Need for Voluntary Contraception’ Karanja, ECSAOGS President; Professor Eusèbe ‘I encourage all societies in the African region to was approved, which can be accessed at Alihonou, SAGO’s First and Past-President; give AFOG full support and to work hard towards http://www.figo.org/projects/general, Professor E Maaouni, Maghreb Federation building a strong regional body that will help along with previous Resolutions. President; and Professor Bomi Ogedengbe, West promote the importance of women’s health in African College of Surgeons President. They Africa.’ outlined the work of their organisations and their ready support for the establishment of an African Regional Federation. ‘Professional associations Special inaugural addresses were given by Dr must play major part in Luis Sambo, Regional Director, WHO AFRO and tackling MDGs’, concludes Professor Gamal Serour, FIGO Past-President. The Constitution of the new Federation was President’s Session 2012 endorsed, and elections took place to select the A traditional Congress highlight, the ‘President’s Federation’s Officers and decide on the location Session’ – which this year focused on ‘The Role of its Secretariat. of Professional Organisations in Accelerating Elected Officers: Progress on Health-Related Millennium • President: Dr Yirgu Development Goals’ – took place in front of a Gebrehiwot, (Ethiopia) packed audience on the first day of the Babatunde Osotimehin (Executive Director, • Vice President: Professor Congress. UNFPA); Dr Luis Sambo (Regional Director for Eusèbe Alihonou (Benin) The panel – introduced by Sarah Brown, CEO of Africa, WHO); Professor Gamal Serour (Past • President Elect: Professor the Office of Gordon and Sarah Brown, and President, FIGO); Professor Jill Sheffield Oladapo Ladipo (Nigeria) Global Patron of the White Ribbon Alliance for (President, Women Deliver); and Dr Paul De Lay • Honorary Secretary: Dr Safe Motherhood – was comprised of major (Deputy Executive Director, Programme, Amir Elnahas (Sudan) The figures in global maternal and newborn health: Dr UNAIDS). Secretariat will be housed Flavia Bustreo (Assistant Director General, Family Questions posed – moderated by Dr Joanna by the Obstetrical & and Community Health, WHO); Professor Sergio Cain – covered the role and importance of Dr Yirgu Gebrehiwot, Gynaecological Society Augusto Cabral (President, IPA); Frances Day- professional organisations in achieving the new AFOG President of the Sudan Stirk (President, ICM); Professor Paul Howell health-related Millennium Development Goals, • Honorary Treasurer: Professor Bhaskar Goolab (President, Obstetric Anaesthetists Association the challenges faced, and how professional (South Africa) and Chair of Obstetric Committee, WFSA); Dr organisations can be promoted in this respect. LOGIC at the Congress The Leadership in Obstetrics & Gynaecology for Impact and Change to the MoH, including on MDRs, emergency obstetric care, and long- (LOGIC) Initiative in Maternal and Newborn Health (MNH) is supporting lasting contraceptives. eight FIGO Member Associations in their endeavours to improve MNH • NESOG (Nepal) has successfully improved communication with its policy/clinical practice and their organisational capacities. members, including via their website, text messages, Facebook and FIGO LOGIC organised two successful sessions at the XX FIGO World distribution of a newsletter and an academic journal. Congress: one session on the implementation of facility-based Maternal • AOGU (Uganda) has used Maternal and Perinatal Death Review data to Death Reviews (MDRs) and Near Miss Reviews (NMRs)1 in low-resource advocate for increased resources for MNH and improvements in countries, and one session on organisational capacity strengthening of services. For example, in collaboration with partners, AOGU helped professional associations in obstetrics and gynecology. influence the Ugandan government to increase funding for reproductive health by 30 per cent. MDRs/NMRs Launch of FIGO LOGIC Toolkit • ESOG (Ethiopia) shared their analysis of MDR/NMR data from nine public hospitals and reported on improved maternal health services, FIGO LOGIC has developed, in collaboration with the Society of including improved availability of health workers, blood and ambulances. Obstetricians and Gynaecologists of Canada (SOGC), an electronic Toolkit • SOGON (Nigeria) is working with Government authorities and other with organisational capacity strengthening resources and tools for health partners to agree on the way forward for implementing MDRs in Nigeria, professional associations. including guidelines, protocols and tools. The Toolkit brings together a collection of information, • SOGOC (Cameroon) has provided MDR resources and tools for anyone interested in fostering training and set up Committees in five organisational change within a health professional association, hospitals as well as developed guidelines and either through the conduct of occasional activities or by summary tools. initiating a more thorough capacity building process. • SOGOB (Burkina Faso) is working with the Using the Toolkit will lead to better understanding of what Ministry of Health (MoH) and other partners to makes an organisation strong; what the different elements of roll-out MDRs nationally in Burkina Faso. organisational capacity building are; how a change process Organisational capacity can be initiated; and how practical activities can be International Federation conducted to support such change processes. of Gynecology and Obstetrics Electronic toolk strengthening Strengthening it on Organisat Capacity of Heal ional Dr Segun Adeoye, LOGIC • FOGSI (India) has developed into a successful The Toolkit is available in English, French and Spanish at Professional th Associations Project Manager with the professional association over the last 60 www.figo-toolkit.org Fédération interna de gynécologie Trousse d’out tionale et d’obstétriqu ils élect e sur le renforcem ronique Society of Gynaecology and ent des Obstetrics of Nigeria years. It is represented on numerous 1 A facility-based MDR is a “qualitative, in-depth investigation of the capacités orga nisationnelles des associatio ns de professionnels (SOGON), carries the FIGO Government of India bodies, and has 216 causes of and circumstances surrounding maternal deaths” in health de la santé Federación Intern LOGIC banner member societies and 27,000 members. facilities, while a NMR is the “identification and assessment of cases in de Ginecología Serie de Herra acional y Obstetricia mientas sobre which pregnant women survive obstetric complications” (Lewis, el Fortalecim iento de la • AMOG (Mozambique) has gone through an extensive strategic planning Gwyneth, 2003. ”Beyond the Numbers: reviewing maternal deaths and Capacidad Orga de las Asociacio nizacional nes de Profesionales process, which has enabled the association to engage constructively complications to make pregnancy safer”, British Medical Bulletin 2003; de la Salud with partners. Achievements include the provision of technical expertise 67: 27–37, The British Council, 2003.) Toolkit bookmark 6 International Federation of Gynecology and Obstetrics | December 2012
10886:Layout 1 12/12/12 10:03 Page 7 CONGRESS NEWS ‘Why did Mrs X Die, Retold’ Unveiling ‘The FIGO – remake of WHO film Global attention for Fertility Tool Box™’: premiered at Rome 2012 2012 World Report on Facilitating the ‘Why Did Mrs X Die, Retold’ – a short animated Women’s Health achievement of universal film telling the story of one unfortunate woman’s journey through pregnancy and childbirth – was access to reproductive launched at the FIGO World Congress in Rome health on 7 October 2012. The FIGO Fertility Tool Box™, consisting of six It is a remake of the World Health Organization components dealing with overcoming personal seminal 1980’s film ‘Why Did Mrs Die?’, which is and societal barriers to infertility care, prevention, based on a lecture by a pioneer in the Safe diagnosis, treatment, referral and resolution, plus Motherhood Movement, Professor Mahmoud the FIGO Fertility Daisy™, which deals with why Fathalla (a former FIGO President). The film paints one should care about infertility, was launched in an accurate picture of the dangers women are Rome by Professor David Adamson, Chair of the facing across the world, and the need to help L–R: Professor Sir Sabaratnam Arulkumaran (FIGO), FIGO Committee for Reproductive Medicine. Report Editor, with contributors Dr Mike Mbizvo them. (WHO), Dr Wolfgang Holzgreve (FIGO) and Dr André He said: ‘The Tool Box is simple, usable, and The remake Lalonde (FIGO) at the press launch evidence-linked; a very flexible tool for adaptation was overseen by in different environments and countries. It is Dr Gwyneth Lewis hoped that it will be used by many providers of and Ms Amy women’s healthcare to increase access to quality, Gadney of Hands cost-effective infertility prevention and On for Mothers management. We have taken into account the and Babies, international sensitivities with respect to culture, an organisation religion, politics and economics.’ making educational He added: ‘Infertility, specifically in low-resource tools for women in poor areas of the world: settings, is important and its management is www.handsonformothersandbabies.org justified by the positive impact on quality of life, The film can be viewed at the following link: burden of disease, political commitments, non- http://www.handsonformothers World Report contributor discrimination, family planning, prevention of andbabies.org/ or access it via the FIGO Frances Day-Stirk (ICM) sexually-transmitted infections, affordability and website: http://www.figo.org/news/ protection of resources – each item symbolised why-did-mrs-x-die-retold-launched- ‘Although Millennium Development Goal by a petal of the daisy. figo-world-congress-2012-0010519 (MDG) 5 encompasses the reduction of maternal mortality and the improvement of ‘Though the tool is intended primarily for Professor Hamid Rushwan, sexual and reproductive health, every MDG women’s healthcare providers, we hope it will FIGO Chief Executive, has an impact on women’s health as they also be used by policy makers.’ commented: ‘FIGO was affect women most: eradication of poverty, The FIGO Fertility Tool Box™ can be accessed at indeed privileged to be gender equality, education, reduction of child http://www.figo.org/news/resources/ given this remarkable film to mortality, HIV/AIDS, tuberculosis, and FIGO_Fertility_Tool_Box launch at the Congress. We malaria,’ commented Professor Sir wish to extend our sincere Sabaratnam Arulkumaran, presenting the thanks to Dr Gwyneth World Report on Women’s Health at the Lewis, Amy Gadney and Congress on 8 October. Emily Goldner for their unstinting dedication and The Report – published by FIGO every three Professor Mahmoud years to coincide with the Congress – is an Fathalla, former FIGO professionalism. Above all, President we thank Professor overview of the major areas within women’s Mahmoud Fathalla, without whom this excellent global maternal and reproductive health. The project could not have been achieved. The film is goal of the 2012 Report – the theme of as moving and relevant today as it was 30 years which is ‘Improving Women’s Health’ – is to ago – it continues to be a necessary call to arms focus on these wider issues, expanding the for the global health community.’ focus for professionals beyond the traditional basic obstetric functions. You can also read: ‘On Safe Motherhood At 25 Years… Looking Back, Moving Forward’, by ‘The medical activities that need to be Professor Mahmoud Fathalla, at the above FIGO implemented to prevent maternal mortality Professor Adamson (right, alongside former FIGO Honorary link. and morbidity are known, but global progress Secretary Professor Ian Fraser) at the Reproductive cannot be achieved unless effective policies Medicine press conference are introduced by governments that enable Rebranded FIGO Cancer women to access such care,’ Professor Arulkumaran explained. Report 2012 available He added: ‘The FIGO 2012 World Report The former ‘Annual Report on the results of on the topic of improving womens health treatment in Gynecologic Cancer’ has been provides ample information to allow retitled the ‘FIGO Cancer Report’ and the everyone to take action at an individual, latest edition was launched to tie in with the institutional, and professional level. It is a FIGO Congress. call for action based on evidence. It It brings together updates on the staging and addresses how we can act, in addition to management guidelines on each site-specific what has happened or what is currently gynecological cancer, and Gestational going on. One single organisation or Trophoblastic Disease; and separate government cannot achieve these tasks. In addition to the global cooperation of chapters from a developed and developing partner organisations, every one of us world perspective on pathology, has to take some responsibility to chemotherapy and radiation. improve women’s health.’ The system that has been used for collecting The 2012 Report is published as a international data on gynecological Supplement (Volume 119, Supplement 1) malignancies is being reconstructed and to the International Journal of modernised and will be available at the next Gynecology & Obstetrics (IJGO), and is World Congress in 2015. available at http://www.ijgo.org/ The Report is available from the FIGO issues?issue_key=S0020- Secretariat at €30 (email email@example.com). 7292(12)X0011-0 An online snapshot International Federation of Gynecology and Obstetrics | December 2012 7