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16 sept 2011
13 sept 2011
Innovations in Maternal and Infant Health Address Chronic Problems Creatively By: Talea Miller
More than 350,000 women die each year around the globe from  complications of childbirth, and 3 million children die in the first  month of life. In the face of such dire numbers, development experts  will focus on what is working around the world to improve the situation  next week during the Millennium Development Goals assessment at the U.N.  General Assembly.
  A new report  from the U.N.'s Every Woman, Every Child Innovation Working Group, out  in the Lancet Monday, looks at some of the promising and innovative  projects that could help change those statistics. Learn about five  interesting approaches that could be models for other countries  struggling with high maternal and infant mortality:
  Project: ColaLife, Zambia
  Have you ever traveled to a rural part of a developing country and  been astounded to find that bottles of Coke also managed to find their  way there? ColaLife is piggy-backing on Coca-Cola's extensive supply  chain to provide isolated communities with much-needed medical supplies.
  Self-contained "aid pods" filled with supplies can fit into any  unused crate space and are delivered to local contacts when beverage  supplies are distributed.
  The group is currently working on an anti-diarrheal kit that would  carry rehydration salts, soap, water treatment tools and educational  materials. Diarrheal disease is one of the leading causes of death for  children under five in the developing world, but is preventable and  treatable.
      Project: HERproject, Bangladesh, China, Egypt, India, Mexico, Pakistan and Vietnam
  Reaching women where they work is the strategy at HERproject (Health  Enables Returns), which now operates in more than 70 factories in seven  countries. The group trains female employees at factories manufacturing  everything from Levis to Microsoft to teach their peers about  reproductive health, nutrition, infectious disease and other health  issues. The project also links women up to health services, either by  improving in-factory clinics or directing women to outside government  services.
  Project: Cell-Life, South Africa
  Pregnant women who are HIV-positive can prevent their babies from  contracting the disease with medication, but only if they take it  correctly. In South Africa, 40 percent of children under five still die  from AIDS-related illnesses, in part because many mothers don't complete  the mother-to-child prevention programs. Cell-Life developed a 10-week  program of text message reminders designed to help mothers remember when  to attend appointments, give medication and tell them how to safely  feed their babies. A randomized trial is ongoing, but so far results  suggest that mothers using the SMS program are more likely to get their  babies tested for HIV.
  Project: LifeSpring, India
  Low-income women in India usually have two choices for maternal care  and child birth: wait in long lines at overcrowded government facilities  or risk breaking the bank by paying for private care. Seeking to  provide a middle-ground alternative, LifeSpring developed a chain of  hospitals for women who earn about between $3 to $6 a day that provides  an all-inclusive maternal care package for about half or one-third what  other private facilities might offer.
  The facilities cut costs by using a no-frills environment, and by  breaking down complex processes into different tasks, some of which can  be done by less-skilled professionals.
  Project: SMS for Life, Tanzania
  When a grocery store is sold out of milk, it's an inconvenience for  customers. When a clinic in Sub-saharan Africa runs out of malaria  medication, it's a life-and-death supply issue for patients. A  public-private partnership in Tanzania between several groups, including  Novartis and the ministry of health, produced the SMS for Life system  in an attempt to end such stock-outs. SMS messages on stock levels,  along with a data system used to map distribution helped cut the  proportion of health facilities reporting malaria shortages from 78  percent to 26 percent in 21 weeks. 
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Maternal and Infant Health
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