** EMBARGOED**
New Lancet Study Proves Reducing Newborn Deaths Achievable, Sustainable, Save the Children Says
-- With no new technology, training existing health workers could save 100,000 newborn lives a year in Pakistan, many more globally --
Media Contact: Tanya Weinberg, +1 202 640 6647, +1 202 247 6610 (m) tweinberg@savechildren.org
WESTPORT, Conn. (January 14, 2011)– A Pakistan-based study to be published Saturday in the Lancet medical journal achieved a significant drop in newborn deaths and could be widely applicable in high-mortality countries around the world, Save the Children and other authors said.
More than 3 million newborns die each year from largely preventable causes. Well-known lifesaving interventions continue to be out of reach for the majority of mothers and newborns in the developing world.
The research trial required no new technology and relied solely on introducing counseling and educational outreach on proven newborn health practices into Pakistan’s public health system in the rural district of Hala. As a result, newborn mortality and stillbirths there dropped 15-20 percent, more mothers gave birth in facilities and newborn care practices improved substantially. The 2-year research trial ran from 2006-08 and differed from previous newborn care studies because researchers worked through a large public sector program and hired no new health workers.
“This study shows, for the first time, how proven newborn health interventions can be integrated effectively into an existing public health system. That means these kind of lifesaving results are feasible and sustainable.” said Dr. Zulfiqar A. Bhutta, lead author of the Lancet article and professor and chair of women and child health at Aga Khan University in Karachi, Pakistan.
The Hala study tested the introduction of newborn care practices by giving additional training to members of Pakistan’s corps of community health workers. These “lady health workers” often have no more than a 10thgrade education. The government trains them to focus primarily on family planning and general health care, although they are also trained to visit pregnant women at home to promote postnatal care and some aspects of immediate newborn care.
Researchers in the Hala study trained lady health workers to also provide group counseling on maternal and newborn care practices, to partner with traditional birth attendants, and to make home visits to teach simple newborn care practices to new mothers. These included early and exclusive breastfeeding, delayed bathing and early recognition of signs of serious newborn illness.
“In Pakistan alone, nationalizing these simple measures could save 100,000 lives a year – and potentially more with wider coverage than what was achieved in the study area,” Dr. Bhutta said. “Far greater numbers of babies could be saved globally. Large countries with high newborn mortality – such as India and Ethiopia – have similar cadres of community health workers that could adopt these methods.”
While under-5 mortality has declined substantially in recent decades, reductions in newborn mortality have been slow. Newborn deaths now constitute more than 40 percent percent of the 8.1 million child deaths annually.
Charles MacCormack, President and CEO of Save the Children called the Hala study results “groundbreaking.”
“A growing proportion of child deaths occur in the first month of life. This study’s remarkably hopeful finding shows it doesn’t have to be this way,” MacCormack said. “We urge governments and their partners to adopt this low-tech, high-impact strategy. It can save large numbers of newborn lives, and do so quickly.”
In the Hala trial, lifesaving newborn care practices improved significantly when families received the strengthened package of newborn care. Sixty percent more mothers breastfed their newborns within one hour of birth, and 36 percent more mothers gave the antibody-rich first breast milk, called colostrum, which is often traditionally discarded.
Although the number of mothers and their newborns receiving a postnatal visit from a lady health worker at the end of the study was relatively small (28 percent), it represented a nearly three-fold increase from the start of the study (8 percent).
"This trial proves that trained community health workers can effectively deliver essential newborn care. This type of training can and should be scaled up within public sector programs to save newborn lives," said Dr Elizabeth Mason, Director of the World Health Organization’s Department of Maternal, Newborn, Child and Adolescent Health.
The Hala trial was funded by grants from the World Health Organization and Save the Children’s Saving Newborn Lives program, funded by the Bill & Melinda Gates Foundation.
To learn about Save the Children’s campaign for newborn and child survival, visit www.GoodGoes.org.
Save the Children is the leading, independent organization that creates lasting change for children in need in the United States and around the world. Follow us on Twitterand Facebook.
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Confronting rape as a weapon of war
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Confronting rape as a weapon of war
Margot Wallström (center) meets with aid agency representatives in Washington, DC.
Today, International Women’s Day, Elisabeth Roesch writes about Margot Wallström’s recent meeting with aid agencies including the International Rescue Commiitee. Wallström is the UN’s first ever Special Representative on Sexual Violence in Conflict, tasked with leading the UN’s efforts to mobilize the international community to address sexual violence.
Margot Wallström’s open style, hands-on attitude and good sense of humor are refreshing for one of the most powerful women in the United Nations. Not to mention, critically important tools for someone whose job is to confront one of the toughest and most important challenges of our time: rape in conflict.
Over the last decade, the world has woken up and been moved to action by the horrific violence that women and girls often face on an almost daily basis in countries torn apart by strife and war. Wallström, a former Swedish politician, media executive and member of the European Commission, is the leader for this action. Appointed by the U.N. Secretary General as his Special Representative on Sexual Violence in Conflict a little over a year ago, she is tasked with mobilizing the international community to respond to sexual violence with the same seriousness and commitment used to respond to any other threat to our world’s peace and security.
Wallström is outspoken about her belief that sexual violence is a criminal act – often a war crime – and that perpetrators should not be allowed to walk free. Proof of her seriousness has been her relentless advocacy to bring some of the worst offenders to justice. Callixte Mbarushimana, for example, is a leader of one of the main rebel groups in the Democratic Republic of the Congo (DRC). Accused of raping women and girls, he was recently brought to justice for his crimes. He and other offenders can thank Wallström’s practice of “naming and shaming” for a portion of the international attention they have received. Yet recently Wallström met with aid agencies including the IRC in Washington, D.C., and she was candid about the challenges she faces in working toward her primary goal of ending impunity.
Wallström’s office, though growing, remains small. Having recently received generous support from the US government, she now has the ability to expand her team to 9 people. But her list of priority countries is almost as long as the size of her staff – Colombia, Bosnia-Herzegovina, the Democratic Republic of Congo (DRC), Central African Republic (CAR), Cote d’Ivoire, Sudan and Liberia. With less than a year left in her term, she will need to engage where she can have the most impact. While sexual violence in the DRC receives much attention, it will take fierce determination to shine a spotlight on its neighbor, CAR. The situation in CAR has long suffered from neglect even though the violence committed against women and girls there is equally grave. And in Ivory Coast, where a disputed election endangers a fragile peace, Wallström is one of the few voices speaking out to condemn the attacks on women and girls that have been reported in recent months. There, a critical opportunity to prevent violence is being missed. Can one person reverse the tide?
On my most optimistic days, I see Wallström as one leader in a growing movement of people that realize women’s security is important for international security or, to quote the famous words of Secretary of State Hillary Clinton, recognize that “women’s rights are human rights”. When a more cynical mood overtakes me, I wonder if world leaders have opened their eyes to the atrocities being committed against women in places like Sudan or Congo only to close them again as the same scenario plays out in other countries. It is easier to recognize a problem when it is bounded by the borders of a far-off war-torn nation. Far more difficult is waking up to the fact that violence against women and girls is global in scope, vast in scale and requires not a discrete intervention but a wholesale change in the way we respond to the needs of women and girls affected by conflict. My hope is that Wallström can leverage her time with the UN to catapult the international community to the next stage in confronting this violence. This would mean not only bringing perpetrators to justice but also changing the widespread practice of allowing the basic human rights of women and girls to be violated in silence.
Tomorrow I’ll tell you about three goals that I think are critical to this fight.
Confronting rape as a weapon of war (Part 2)
Over the last decade, the world has woken up and been moved to action by the horrific violence that women and girls often face on an almost daily basis in countries torn apart by strife and war
Yesterday I wrote about Margot Wallström’s recent meeting with aid agencies including the International Rescue Committee. Wallström is the UN’s first ever Special Representative on Sexual Violence in Conflict, tasked with leading the UN’s efforts to mobilize the international community to address sexual violence.
Today I’d like to share the three goals that I think are critical to the fight not only to end sexual violence but also to extend basic human rights to women and girls all over the world:
Posted by WPWI on 03/10/2011 at 10:30 AM in COMMENTARY, GLOBAL WOMEN'S ISSUES, VIOLENCE AGAINST WOMEN, WOMEN FAMILY CHILDREN, WOMEN MATTER | Permalink | Comments (0) | TrackBack (0)