More than a third of a million women die every year from complications during pregnancy and childbirth. Improving reproductive, maternal and newborn health in the developing world is a major priority for the UK Government. DFID is therefore developing a new business plan. To inform the plan we are holding a 12 week consultation, which will close on 20 October 2010. We want to hear what people in the UK and around the world have to say on the subject of reproductive, maternal and newborn health. This will help us to understand different viewpoints, how these issues might vary in different countries, and how DFID could work better with partners. If you want to discuss the consultation with colleagues, partners or users of services, we have created this presentation document to help you stimulate discussion. Once you have gathered responses submit your feedback online or use our template response document and email your comments. To find out more visit http://www.dfid.gov.uk/choiceforwomen

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

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.

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

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