Tag Archives: maternal child health

ICFP 2013 Reflections: Maternal & Child Health, Family Planning… and NTDs

 

Photo by Olivier Asselin

Photo by Olivier Asselin

This blog was originally posted by Chelsea Ducharme on the Global Health Corps blog. 

As a current Global Health Corps (GHC) fellow, I was fortunate to attend the 2013 International Conference on Family Planning (ICFP) last week in Addis Ababa, Ethiopia, jointly organized by the Ministry of Health of Ethiopia and the Gates Institute for Population and Reproductive Health. With a theme of “Full Access, Full Choice,”  I was consistently inspired and challenged while attending presentations by researchers, political figures, advocates, youth, donors and implementing organizations all fighting together for the health and rights of women and girls. It is evident that continued commitment is needed to address the estimated quarter of all women globally desiring to control pregnancy.

One method of ensuring sustained commitment for a healthier and more just future is building leaders of tomorrow. So, ICFP heavily involved youth in the conference via several methods. During the Youth Preconference, the panel “Human Rights Approaches to Family Planning” framed my perspective for the rest of the week. The below thoughts from Kate Gilmore, Deputy Executive Director of UNFPA, illustrate well the focus of the session:

  • “Human rights is for all of us – the best and the worst. The purpose of it is to provide a discourse of what a human being is. It is a verb, not a noun. There is no development without human rights.”
  • “Family planning is not about contraception and fertility rates, it is about a choice. A right to live without fear, stigma, and discrimination.”

I could not agree more. Her passion and provocative statements sparked a fire in each of us to do more. However, in listening and reflecting on these concepts, I couldn’t help but think about other human rights injustices that must be addressed to make a positive impact on the health of women and children worldwide. And though there are many, I propose an equally significant companion statement to one of Ms. Gilmore’s thoughts in light of a week that was also shared with the Annual Meeting of the American Society of Tropical Medicine & Hygiene in Washington, DC (13-17 November): “Neglected tropical diseases (NTDs) are not about parasitic worms and bacterial infections. They are about a right to live without fear, stigma, and discrimination.”

NTDS are a group of seventeen diseases that infect one in six people around the world, often termed the “bottom billion” – the poorest of the poor. Of those one billion infected, an estimated 500 million are children. NTDs are known to cause severe disfigurement and debilitation that impact not only health and nutrition, but also education level and socioeconomic status, pushing populations into a cycle of poverty. Currently, only fifty cents can protect and treat one person for a whole year from seven diseases such as onchocerciasis and lymphatic filariasis. Yet, as evidenced by the term “neglected,” addressing challenges associated with reducing NTD burden, such as lack of research, funding, advocacy, and political will, has been slow.

So in the aftermath of ICFP 2013, I propose the importance of universal access to both family planning and NTD prevention and treatment as vital to maternal and child health in most parts of the world. Mothers and children are particularly vulnerable to NTDs which have the ability to complicate pregnancies, threaten newborn health, severely disfigure, impair child growth, and reduce cognitive ability. As we work towards ensuring women can plan their births, let’s ensure a healthy pregnancy and that they can keep their children free of NTDs. As women become empowered to work through family planning access, let’s ensure NTD-related blindness or disfigurement doesn’t prevent them from their livelihoods. As women use family planning as an exit to the cycle of poverty for their families, let’s ensure NTDs don’t reverse this hard work. Just as meeting the need for family planning is one of the most cost-effective investments to increase income, education, and health among women and children, so is addressing NTDs.

We are all part of a global community and responsible for the wellbeing of each other…

“Our best hope for the future is not to get people to think of all humanity as family—that’s impossible. It lies, instead, in an appreciation of the fact that, even if we don’t empathize with distant strangers, their lives have the same value as the lives of those we love.” –Paul Bloom, “The Case Against Empathy”

…so let’s ensure that no matter where you are born, your health is not a barrier to achieving your dreams.

“He who has health, has hope. And he who has hope, has everything.” Arabian Proverb

Taking Action

As a GHC fellow, I share in our core belief that my generation has the ability to step forward, innovate, and make a positive impact on lives across the globe. If you’re interested in becoming a part of the health equity movement around these issues and others, here are some specific actions you can take:

  • Learn about the discourse following ICFP 2013 and how you can be a part of ensuring the basic right to universal family planning access.
  • Join the END7 movement, a Global Network for Neglected Tropical Diseases’ campaign that provides information and tools to build awareness and raise resources for NTDs.
  • Apply to be a fellow with the Global Health Corps. Applications are now open until 26 January 2013.

Author: Chelsea Ducharme, MPH ()

Chelsea is a current Global Health Corps fellow in Kasese, Western Uganda with Action for Community Development (ACODEV). Before joining GHC, she was a member of the Strategic Analysis & Partnerships team in the Washington, DC offices of FHI 360, an international development NGO focusing on sustainable, integrated approaches to improving lives around the world. Pursuing her interest in infectious and neglected tropical diseases, Chelsea earned both an MPH in Global Health and a BS in Biology at The George Washington University.

 

Looking Back on a Week Dedicated to Maternal Child Health

This morning in the Capitol, a number of us from the Global Network and Sabin Vaccine Institute participated in a breakfast reception capping off a week’s worth of events around World Pneumonia Day.  The speakers themselves were thoughtful, engaging, and succinct (a beautiful thing in this city).  Senator Bill Frist, involved through his work with Save the Children and Hope Through Healing Hands, spoke about the need for public private partnerships around pneumonia and other maternal child health interventions; he also urged the community to keep pushing bills like S.1966, the Global Child Survival Act of 2009, for co-sponsors and ‘teachable moments’ with staff around the issues.  Rep. Carol Shea-Porter, whose resolution recognizing World Pneumonia Day passed this week, was also on hand to advocate for continued pneumonia awareness, urging advocates to ‘be the conscience’ for Representatives on maternal child health.  Finally, Dr. Orin Levine–a leading pneumonia advocate and member of PACE–spoke movingly about how appalling it is to have pneumonia kill so many children each year when known solutions are cheap and available.

But as I sat there drinking my coffee, I was struck by two thoughts tertiary to the event itself:

  • The Mansfield Room, in which the reception was held, is like many rooms in the Capitol in that its appearance conveys a sense of grandeur and gravitas.  To be in that room discussing maternal child health issues signaled to me that we have come a long way in bringing these issues to the fore as important, urgent matters for key policymakers
  • At the Global Network, it is easy to fall into an NTD-focused mindset. Yet an event like today’s, focused primarily on pneumonia, was remarkably relevant to the work we are doing around maternal child health as a broader platform.  Even the messaging–“cheap interventions, proven solutions, a need for partnership to deliver treatments in the field…”–echoed the messages we recite daily with respect to NTDs.  As we move forward with our policy and advocacy work, it serves both the NTD and the broad MCH communities well to exploit such overlap to the benefit of millions of mothers and children around the world.

Global Child Survival Act Introduced, Includes NTDs

Yesterday afternoon, Senator Chris Dodd (D-CT) announced his bill, the Global Child Survival Act, along with the support of Senators Corker (R-TN) and Durbin (D-IL).  The bill — designed to provide US Government assistance to improve the health of newborns, children, and mothers in developing countries — included a number of findings and provisions focused on the impact and control of NTDs.  Specifically, the bill provides language that supports “activities to prevent, control, and in some cases eliminate neglected tropical diseases for both children and mothers.”

In a statement about the bill, Senator Dodd commented, “It doesn’t cost a lot to save a life…the United States does a lot to combat child mortality. But we can do more, we have committed to do more, and we must do more.”  Senator Corker added, “We have an opportunity through the Global Child Survival Act to save the lives of more children and improve the health of mothers in developing nations. Maintaining U.S. investment in proven, cost-effective programs to combat poverty and disease overseas helps bring stability to unstable and often dangerous regions of the world, ultimately supporting our security interests both at home and abroad.”

Political will — domestic and global — is critical to sustaining both the momentum and the funding necessary to realize our NTD control and elimination goals.  We praise the leaders in Congress and their staff for the incredible work they have done this week to help secure a place for NTDs as a key part of the global health and development agenda.  If you have a few minutes in your day, please reach out to them and let you know that you appreciate the work they are doing to help end the neglect.

To read more, and to see the full text of the bill, visit our Press Center.