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http://www.gatesfoundation.org/What-We-Do/Global-Development/Maternal-Newborn-and-Child-Health
THE OPPORTUNITY
• Most maternal and newborn deaths can be prevented with
existing, proven, cost-effective practices
• Antibiotics, cord care (including sterile blades)
• Drugs that treat post-partum hemorrhage
• Resuscitation
• Immediate and exclusive breastfeeding
• Kangaroo mother care to keep skin-to-skin contact
COST-EFFECTIVE INTERVENTIONS
• Significantly reduce maternal and child mortality
• Further improvements are also possible through development
of new tools and technologies that enable
• Earlier, faster, and more accurate assessment of gestational age
• Diagnosis and treatment of dangerous conditions
• Measures to prevent preterm death
FAMILY PLANNING SERVICES
(Especially among high-risk adolescent girls)
• Significantly reduce maternal and child mortality
GOAL
• To increase the coverage of family planning services
PRENATAL AND POSTPARTUM SERVICES
• Can help strengthen the link between family planning and
maternal and newborn health
GOAL
• To increase the quality of prenatal and postpartum services
FIRST-LEVEL CARE FACILITIES
• An increasing number of women are seeking to deliver their
babies at first-level care facilities
• These facilities are an opportunity to expand quality services at
the time of birth
THE CHALLENGE
• Since 1990, maternal deaths have dropped by 45 per cent.
• However, every day 800 women die from preventable causes
related to pregnancy and childbirth.
THE DEATHS OCCUR
• In low-income settings as a result of conditions that include
• Bleeding
• Infection
• High blood pressure
• Complications during delivery
MATERNAL HEALTH
• Closely linked to newborn survival
• Great strides have been made in reducing global infant
mortality
• Newborns still account for 44 per cent of all childhood deaths.
• Each year, 2.9 million newborns die needlessly within the first
month.
• An additional 2.6 million are stillborn.
CAUSES OF INFANT MORTALITY
• Main causes of infant mortality are preventable and treatable.
• Prematurity
• Complications during delivery
• Infection
PROVEN HIGH-IMPACT INTERVENTIONS
• Are available
• But do not reach all of the newborns and women who need
them.
FACILITY BIRTHS
• Are increasing in all regions and income groups
• Quality of care at birth remains a major challenge
• Many women give birth at home
• Women may not see a skilled health worker before or after delivery
• Skilled health workers often lack access to critical supplies and
medicines
OUR STRATEGY
BILL AND MELINDA GATES FOUNDATION – MATERNAL, NEWBORN, AND CHILD HEALTH
PROGRAM
BILL & MELINDA GATES FOUNDATION’S
MATERNAL, NEWBORN, AND CHILD HEALTH
PROGRAM
• Works to expand coverage of high-impact interventions
• Works to ensure that women and newborns survive and stay
healthy during childbirth and beyond
BILL & MELINDA GATES FOUNDATION’S
MATERNAL, NEWBORN, AND CHILD HEALTH
PROGRAM
• We invest in efforts to
• Adapt and develop innovative tools, technologies, and treatments
• Improve the quality of healthcare services and practices
• Improve the quality of interactions between health workers and families
• Advocate for national and global policies that benefit maternal, newborn,
and child survival and health
BILL & MELINDA GATES FOUNDATION’S
MATERNAL, NEWBORN, AND CHILD HEALTH
PROGRAM
• We work closely with governments, United Nations and bilateral,
non-governmental organizations and the private sector
• We collaborate with other programs at the foundation, such as
• Discovery
• Integrated delivery
• Nutrition
• Family planning
• Childhood infectious diseases
• Policy and advocacy
• Communications
BILL & MELINDA GATES FOUNDATION’S
MATERNAL, NEWBORN, AND CHILD HEALTH
PROGRAM
• We support research across discovery, development, and
implementation sciences in many parts of the world.
• This work can lead to better ways to save the lives of women
and newborns and improve their health.
IMPROVING TOOLS, TECHNOLOGIES,
TREATMENTS
IMPROVING TOOLS, TECHNOLOGIES,
TREATMENTS
• To assess the primary risk factors for maternal and newborn
health, we work
• To adapt existing preventive and curative tools, technologies, and
treatments
• To develop new tools, technologies, and treatments that are more
effective and affordable
• To develop new tools and strategies that will be more readily accepted
by families and health workers in rural and community clinics
THESE NEW TOOLS INCLUDE…
• Ways to manage postpartum hemorrhage
• Ways to treat newborn infections using simplified antibiotic
regimens
• Ways to clean the umbilical cord
IMPROVING HEALTH PRACTICES
IMPROVING HEALTH PRACTICES
• We work to help community-level healthcare providers
• Advance their knowledge and skills
• Expand their use of innovative tools
• One key priority
• Improving the quality of care in primary healthcare facilities where
women give birth.
HEALTH CARE WORKERS
• Can also improve outcomes for women and children by
disseminating good health practices such as
• Handwashing
• Immunization
• Postpartum family planning
• Exclusive breast-feeding
WE SEEK TO …
• Identify and reduce barriers to the adoption of effective
interventions
• Disseminate information about maternal and newborn health
• Conduct large-scale education campaigns
• Mobilize local networks to improve household and community
practices and social norms
• Reduce financial barriers to obtaining care
TO REACH ADOLESCENT GIRLS…
(Who are particularly at risk during pregnancy and childbirth)
• We work with the foundation’s Family Planning and Nutrition
programs on ways to deliver integrated services
ADVOCATING
FOR BETTER POLICIES AND STRATEGIES
ADVOCATING …
• We strengthen the skills and capacities of local advocates
• We promote policies and strategies that enable countries to
• Increase the use of life-saving health interventions
• Raise awareness of overlooked risk factors for newborn and maternal
mortality
• Expand the use of essential medicines
ADVOCATING …
• We also work to achieve global agreement on a set of uniform
standards for health targets and measurements.
• The goal is to help with planning, monitoring, and more
informed decision-making.
http://www.gatesfoundation.org/What-We-Do/Global-Development/Maternal-Newborn-and-Child-Health

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Maternal and child health

  • 2. THE OPPORTUNITY • Most maternal and newborn deaths can be prevented with existing, proven, cost-effective practices • Antibiotics, cord care (including sterile blades) • Drugs that treat post-partum hemorrhage • Resuscitation • Immediate and exclusive breastfeeding • Kangaroo mother care to keep skin-to-skin contact
  • 3. COST-EFFECTIVE INTERVENTIONS • Significantly reduce maternal and child mortality • Further improvements are also possible through development of new tools and technologies that enable • Earlier, faster, and more accurate assessment of gestational age • Diagnosis and treatment of dangerous conditions • Measures to prevent preterm death
  • 4. FAMILY PLANNING SERVICES (Especially among high-risk adolescent girls) • Significantly reduce maternal and child mortality GOAL • To increase the coverage of family planning services
  • 5. PRENATAL AND POSTPARTUM SERVICES • Can help strengthen the link between family planning and maternal and newborn health GOAL • To increase the quality of prenatal and postpartum services
  • 6. FIRST-LEVEL CARE FACILITIES • An increasing number of women are seeking to deliver their babies at first-level care facilities • These facilities are an opportunity to expand quality services at the time of birth
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  • 8. THE CHALLENGE • Since 1990, maternal deaths have dropped by 45 per cent. • However, every day 800 women die from preventable causes related to pregnancy and childbirth.
  • 9. THE DEATHS OCCUR • In low-income settings as a result of conditions that include • Bleeding • Infection • High blood pressure • Complications during delivery
  • 10. MATERNAL HEALTH • Closely linked to newborn survival • Great strides have been made in reducing global infant mortality • Newborns still account for 44 per cent of all childhood deaths. • Each year, 2.9 million newborns die needlessly within the first month. • An additional 2.6 million are stillborn.
  • 11. CAUSES OF INFANT MORTALITY • Main causes of infant mortality are preventable and treatable. • Prematurity • Complications during delivery • Infection
  • 12. PROVEN HIGH-IMPACT INTERVENTIONS • Are available • But do not reach all of the newborns and women who need them.
  • 13. FACILITY BIRTHS • Are increasing in all regions and income groups • Quality of care at birth remains a major challenge • Many women give birth at home • Women may not see a skilled health worker before or after delivery • Skilled health workers often lack access to critical supplies and medicines
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  • 15. OUR STRATEGY BILL AND MELINDA GATES FOUNDATION – MATERNAL, NEWBORN, AND CHILD HEALTH PROGRAM
  • 16. BILL & MELINDA GATES FOUNDATION’S MATERNAL, NEWBORN, AND CHILD HEALTH PROGRAM • Works to expand coverage of high-impact interventions • Works to ensure that women and newborns survive and stay healthy during childbirth and beyond
  • 17. BILL & MELINDA GATES FOUNDATION’S MATERNAL, NEWBORN, AND CHILD HEALTH PROGRAM • We invest in efforts to • Adapt and develop innovative tools, technologies, and treatments • Improve the quality of healthcare services and practices • Improve the quality of interactions between health workers and families • Advocate for national and global policies that benefit maternal, newborn, and child survival and health
  • 18. BILL & MELINDA GATES FOUNDATION’S MATERNAL, NEWBORN, AND CHILD HEALTH PROGRAM • We work closely with governments, United Nations and bilateral, non-governmental organizations and the private sector • We collaborate with other programs at the foundation, such as • Discovery • Integrated delivery • Nutrition • Family planning • Childhood infectious diseases • Policy and advocacy • Communications
  • 19. BILL & MELINDA GATES FOUNDATION’S MATERNAL, NEWBORN, AND CHILD HEALTH PROGRAM • We support research across discovery, development, and implementation sciences in many parts of the world. • This work can lead to better ways to save the lives of women and newborns and improve their health.
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  • 22. IMPROVING TOOLS, TECHNOLOGIES, TREATMENTS • To assess the primary risk factors for maternal and newborn health, we work • To adapt existing preventive and curative tools, technologies, and treatments • To develop new tools, technologies, and treatments that are more effective and affordable • To develop new tools and strategies that will be more readily accepted by families and health workers in rural and community clinics
  • 23. THESE NEW TOOLS INCLUDE… • Ways to manage postpartum hemorrhage • Ways to treat newborn infections using simplified antibiotic regimens • Ways to clean the umbilical cord
  • 25. IMPROVING HEALTH PRACTICES • We work to help community-level healthcare providers • Advance their knowledge and skills • Expand their use of innovative tools • One key priority • Improving the quality of care in primary healthcare facilities where women give birth.
  • 26. HEALTH CARE WORKERS • Can also improve outcomes for women and children by disseminating good health practices such as • Handwashing • Immunization • Postpartum family planning • Exclusive breast-feeding
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  • 29. WE SEEK TO … • Identify and reduce barriers to the adoption of effective interventions • Disseminate information about maternal and newborn health • Conduct large-scale education campaigns • Mobilize local networks to improve household and community practices and social norms • Reduce financial barriers to obtaining care
  • 30. TO REACH ADOLESCENT GIRLS… (Who are particularly at risk during pregnancy and childbirth) • We work with the foundation’s Family Planning and Nutrition programs on ways to deliver integrated services
  • 32. ADVOCATING … • We strengthen the skills and capacities of local advocates • We promote policies and strategies that enable countries to • Increase the use of life-saving health interventions • Raise awareness of overlooked risk factors for newborn and maternal mortality • Expand the use of essential medicines
  • 33. ADVOCATING … • We also work to achieve global agreement on a set of uniform standards for health targets and measurements. • The goal is to help with planning, monitoring, and more informed decision-making.