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World Leaders Must Take Action To Support Commitments To Lower Maternal Mortality, Opinion Piece Says
"I stood up and applauded for women everywhere when I heard the news" that the United Nations Human Rights Council, including the U.S., "recognized maternal death as a human rights issue," CARE President and CEO Helene Gayle writes in an Atlanta Journal-Constitution opinion piece. Gayle writes that governments for the past 15 years "have failed to meet the commitments made and targets set to reduce the more than half a million maternal deaths every year."According to Gayle, preventing maternal death "requires three well-coordinated actions: sustain political leadership, secure adequate res and strengthen health systems." She adds that the resolution "is a positive step" but that it is "only effective if it translates into action." She continues, "It"s great to see the Obama administration places women and girls high on the agenda," adding that many members of Congress also support these issues.Reducing maternal mortality "requires significant res," Gayle writes. She adds, "To be blunt, an estimated global commitment of $39 billion over 10 years is needed to make significant progress." Such a commitment would be "an investment in women, their families and the economic productivity of nations," according to Gayle."The cost of not investing is far greater," Gayle continues. She notes that women "do two-thirds of the world"s work and produce nearly 60% of the world"s food." In addition, "children who lose their mothers are 10 times more likely to die in childhood than children with mothers," and maternal and newborn deaths "represent an estimated annual loss of $15.5 billion in productivity," according to Gayle. "Clearly, other development goals cannot be met without healthy mothers," she adds.She continues that the "most tragic and infuriating point" is that the "death of a woman in childbirth is one of the most inexcusable deaths on earth." Because high maternal mortality is a "barometer of weak health systems, often reflecting the low status of women," strengthening health systems to improve maternal health will therefore enable the system to "address other health needs," Gayle writes. She adds that countries such as Bangladesh, Ethiopia and Peru have improved mortality rates "through four lifesaving programs: family planning, skilled and culturally sensitive care during pregnancy and childbirth, emergency care for complications and postpartum care."Gayle writes, "The U.S. can spearhead a comprehensive maternal health action plan and, by doing so, set an example for world leaders to join and invest in." She concludes, "The actions we take now can make maternal death a problem of the past and not one of our children"s future" (Gayle, Atlanta Journal-Constitution, 7/10).
Public Health

Budget: Government Priority On Health Supported, New Zealand Medical Association

The New Zealand Medical Association (NZMA) welcomed today"s Budget which reaffirms the Government"s commitment to solving our long term health workforce problems. "This is a positive budget for health. The Minister has been well informed, and in these difficult financial times should be complemented for securing such a commitment to initiatives that will improve the viability and quality of our health system. While much of this is funding needed to keep pace with rising costs, there is some real new money," said NZMA Chairman Dr Peter Foley. "The NZMA is pleased with confirmed funding for new medical training places, extra places for general practitioner training, the previously announced voluntary bonding scheme, and the sourcing and training of 800 additional health professionals over the next four years, " said Dr Peter Foley. "The health workforce is facing huge problems, particularly in recruiting and retaining staff. New Zealand needs to be self-sufficient in its employment of health professionals. This funding goes some way towards finally addressing the shortages of our health workforce." "We are also supportive, after many years of advocating for such a scheme, to see that $15.3 million has been committed over two years, starting in 2011/12, into voluntary bonding for hard to staff health professions and locations. This is a crucial policy to help alleviate the health workforce crisis." Dr Foley said the NZMA was especially pleased to see, as promised by the Government, that DHBs would receive extra funding to devolve some hospital services to primary care. "This new funding must act as a reminder for DHBs that the Primary Health Care Strategy was launched in 2001, and that they must be looking outside their hospital walls for more of the solutions that can effectively deliver more cost-effective services to the community". "The NZMA looks forward to working with the Government to make further progress on these initiatives." The NZMA has previously welcomed the funding to boost maternity services but Dr Foley said that until maternity services are reintegrated into the rest of the primary care framework, new funding measures such as obstetric training for GPs were unlikely to entice GPs back into delivering maternity care. "Maternity services are disconnected from primary care. Medical and midwifery services need to be coordinated so that women have both real choice and the best quality care." The NZMA is also supportive of the initiatives that will improve the home environment of so many, the needed increase in funding for aged care, and for palliative care. New Zealand Medical Association


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