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
7.
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
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
14.
15. OUR STRATEGY
BILL AND MELINDA GATES FOUNDATION â MATERNAL, NEWBORN, AND CHILD HEALTH
PROGRAM
16. BILL & MELINDA GATES FOUNDATIONâS
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 FOUNDATIONâS
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 FOUNDATIONâS
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 FOUNDATIONâS
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.
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 INCLUDEâŚ
⢠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
27.
28.
29. WE SEEK TO âŚ
⢠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 GIRLSâŚ
(Who are particularly at risk during pregnancy and childbirth)
⢠We work with the foundationâs Family Planning and Nutrition
programs on ways to deliver integrated services
32. ADVOCATING âŚ
⢠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 âŚ
⢠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.