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Archive for November, 2010

The WellBeing Foundation joins stakeholders at WHO PMNCH Partners Forum in India

Friday, November 26th, 2010

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The WellBeing Foundation joined stakeholders in the global drive for improved Maternal, Newborn and Child for a two-day Partners Forum at the Vigyan Bhawan, New Delhi, India between November 12 and November 14, 2010.

The Conference which was called by the Global Partnership on Maternal, Newborn and Child Health (PMNCH), of which WBF is a member, sought to engage stakeholders from governments, civil society organizations, media, communities and donor agencies on the best way to ensure that the promises of the past few years are translated into action towards meeting the Millennium Development Goals. The conference therefore had the theme: “From Pledges to Action”

WBF and its strategic partner, Stronghold Support Services Limited, distributors of the wave making Personal Health Record (PHR) were at the conference with Information, Enlightenment and Communications materials as well as the Personal Health Record which is reputed to be one of the most significant innovations towards the att

ainment of MDGs 4 and 5 in Nigeria. The PHR generated a lot of questions among stakeholders especially among Indians who said that the idea of producing the record in triplicate was innovative and would helpful in their country

As WBF Founder/President, Her Excellency Mrs. Toyin Saraki is National Champion; MNCH for the White Ribbon Alliance for Safe Motherhood (WRAN), the Foundation also had WRAN coordinator, Mr. Tonte Ibraye on its delegation.

At the end of the conference which had four plenary sessions and about two dozen parallel sessions, WBF joined hundreds of individual stakeholders and organizations who attended the conference to among others:

• Welcome the commitments and outcomes that world leaders agreed to in the Global Strategy for Women’s and Children’s Health launched at the MDG Summit in September 2010; and encourage further commitments to funding fully costed national plans for achieving MDGs 4 and 5.

• Work with governments and other key stakeholders to transform into action the pledges made in the Global Strategy.

• Act on the emerging consensus on priority, evidence-based interventions, and ensure these are articulated in the form of national plans and implemented equitably at scale through the continuum of care, in order to achieve the agreed results for women’s, newborns’ and children’s health.

• Agree to shared principles for advocacy, action and accountability:

• Affirm the Partnership for Maternal, Newborn and Child Health is an active participant to track commitments and results and thus ensure mutual accountability.

• Agree to regularly monitor and report on progress, and meet again in 2015, in Delhi, to evaluate the achievement of our shared global commitments to women’s, newborns’ and children’s health, development and human rights.

COMMUNIQUE FROM THE 2010 PMNCH FORUM

Delhi Declaration 2010 of November 14, 2010

We the partners of the Partnership for Maternal, Newborn and Child Health:

 
  • Welcome the commitments and outcomes that world leaders agreed to in the Global Strategy for Women’s and Children’s Health launched at the MDG Summit in September 2010; and encourage further commitments to funding fully costed national plans for achieving MDGs 4 and 5.
  • Shall work with governments and other key stakeholders to transform into action the pledges made in the Global Strategy.
  • Will act on the emerging consensus on priority, evidence-based interventions, and ensure these are articulated in the form of national plans and implemented equitably at scale through the continuum of care, in order to achieve the agreed results for women’s, newborns’ and children’s health.
  • Agree to shared principles for advocacy, action and accountability:
  • A core set of indicators, integrated into country monitoring and evaluation mechanisms, so all partners are accountable for the commitments and results agreed to in the Global Strategy.
  • A multi-stakeholder process to ensure inclusiveness and participation, including the most vulnerable and marginalized.
  • Harmonization of existing efforts to ensure that there is complementarity between partners’ work.
  • Regular progress reports to the World Health Assembly and UN General Assembly.
  • Shall collaborate with WHO to speedily implement the role it was tasked with in the Global Strategy, to: “chair a process to determine the most effective international institutional arrangements for global reporting, oversight and accountability on women’s and children’s health”.
  • Affirm the Partnership for Maternal, Newborn and Child Health is an active participant to track commitments and results and thus ensure mutual accountability.
  • Agree to regularly monitor and report on progress, and meet again in 2015, in Delhi, to evaluate the achievement of our shared global commitments to women’s, newborns’ and children’s health, development and human rights.


Innovative Solutions for Reducing Maternal Mortality – Nigeria

Saturday, November 13th, 2010

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Imagine the scenario: Sharifah[i] got pregnant and in accordance with the advice from her mother and other women in the village, she went to the local ‘midwife’, the lady who has looked after and delivered all the women in the community. Of course, Sharifah knew there might be problems, she knew of women who had lost their lives or their babies, but she was hopeful…she was young, strong and in love. She did everything the ‘midwife’ told her and she made sure she did not overeat, so her baby would not be too big to deliver. When she was full term and the contractions changed from the passing discomfort to purposeful strong contractions with shortening time intervals, Sharifah moved into the ‘midwife’s’ back room. She labored through the night, into the next day and night. She got exhausted, there was no progress being made. Sharifah’s husband was very worried and finally took a decision to take her to the comprehensive clinic in the next town.

Sharifah arrived at the comprehensive clinic, exhausted, moribund and in obvious distress. The receiving nurse took a history – it was painfully short of details. What was her state of health when she got pregnant? Did anyone know her blood pressure at the time of booking for antenatal care? Had she had any immunizations? Bleeding episodes? Swelling of the feet? Headaches? Fever? Did anyone know anything about her past medical history? Typically, no. Sharifah was the quintessential ‘unbooked case’. Her blood pressure on arrival at the clinic was 130/85; but that was no indication of whether it was high or normal since it could not be compared with her regular BP (which in her case was usually 90/60!). The doctors and nurses battled through the night, with Sharifah and other cases that kept pouring in… patients that the clinic staff clearly prioritized because they were booked.

The outcome? It could all have been so different…if Sharifah had been given a home-based Personal Health Record© [PHR©]. The PHR© is issued to the pregnant mother when she presents for her first visit at the antenatal clinic, it tracks the progress of the pregnancy, delivery, immediate post-natal period and then monitors the growth and development of the child until his/her fifth birthday. As it happened in Sharifah’s case, very often mothers-to-be get antenatal care at a place near their homes, with a person of variable training, but with whom the pregnant mother is very comfortable and in whom she has complete trust. When the delivery becomes complicated, they are then rushed to larger facilities where they are treated as ‘unbooked’ cases. The healthcare workers have little or no prior knowledge of their health status, the mothers, being largely health-illiterate, are unable to offer much accurate credible information and at the end of the day, it becomes a very frustrating time and more likely to produce a poor outcome. They are also more likely to suffer from abusive behaviour during the delivery process. The main purpose of the PHR© is that the holder has his/her medical records to hand at the point of service.

In many LMICs[ii], there is very often poor logistics for handling case notes as well as all the details of lab results, consultation notes, prescriptions, in-patient and out-patient records, ensuring that all the information gets filed in the right case-notes at the right time and can be quickly and easily retrieved when needed. All too often patients get to the facility and their case-notes are misfiled or simply in the wrong place, leaving the poor harassed HCW[iii] with little or no past medical history to review. The Nigerian Integrated MNCH Personal Health Record [PHR©] was developed by the Wellbeing Foundation in collaboration with the Federal Ministry of Health, the Perinatal Institute UK, WHO, relevant agencies and stakeholders to meet the peculiar needs of the country. The PHR© uses pictorial illustrations, have WHO-approved growth charts and use optical character recognition [OCR] for electronic capture of data which is available to health and authorized agencies to collate data. In the case of multiple births, a second (and third) book is simply issued at birth. The book is A5 in size, uses a file format and has a plastic cover. Of course, it is coloured green to denote national ownership and has been nicknamed the “Nigerian health passport”. Though still in the initial roll-out stage, it has so far had a positive response especially among the HCWs who have all the needed information to hand immediately the patient presents.

There are similar concepts in Malaysia, Japan and even the UK ‘red book’. The presence of WHO health information pages at the back of the book assist in teaching mothers easily used home management therapies for common endemic health problems such as infantile diarrhea, malaria and how to prevent infection with HIV/AIDS. The PHR© also permits the dissemination of important health information regarding home and community management of common conditions. For countries that face technological challenges, this simple tool that is not immediately dependant on electrical power (which makes mobile health apps a little less efficient in our present circumstances) but can still be electronically captured for data management offers a way out.

[i] Not her real name
[ii] Low and Middle Income Countries
[iii] Health Care Worker(s)

by
Dr Alero Ann Roberts BSc, MBBS, MPH FMCPH

Nigeria: USAID, Saraki Provides Care for HIV Patients – Article from the Daily Trust

Friday, November 12th, 2010

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A family-centered care platform in the shape of a Children’s Playroom was officially commissioned by the first lady of Kwara State, Mrs. Toyin Saraki at the Children’s Specialist Hospital, Ilorin, Kwara State.

The Playroom is the product of partnership between the Management Sciences for Health (MSH) Prevention Organizational Systems AIDS Care and Treatment project, ProACT, the Kwara State Government and Well-Being Foundation, an NGO founded by Mrs. Saraki.

The wife of the Governor commended ProACT for the human and material resources which went into establishing the child-friendly space, stressing; “it assists HIV-positive mothers and their children who now feel more comfortable when they visit the weekly clinic, and serves as a haven for those convalescing in the hospital.”

The Well-Being Foundation provided N150,000 (about $1,500) for renovation and equipment of the room with a television and video-compact disc recorder amongst other equipment, while Management Sciences for Health’s headquarters facilitated the provision of a wide array of toys donated by some schools in Cambridge, USA.

The partnership between USAID and the Kwara State Government is to reduce the spread of HIV/AIDS in the state, while providing treatment and care to those already infected.

ProACT activated HIV/AIDS services in the Children’s Specialist Hospital (CSH), Ilorin, in February, 2009, and established the Children’s room in March.

By February, 2010, 56 pediatric patients had been enrolled into the treatment at the hospital with eight of them on ARV treatment.

One hundred and fifty-one adults were also enrolled into the treatment while 40 are on ARV treatment.

Within a few months of establishment, pediatric uptake of HIV/AIDS services has grown from 56 to 91 patients by July 2010 (62.5% increase), while adult enrolment rose from 150 to 264 (76%).

by Ruby Leo
Published in the Daily Trust
9th November 2010

Source: Allafrica.com

Maternal and Child Survival: Toyin Saraki Writes to Sarah Brown

Friday, November 12th, 2010

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The National Champion for Maternal, Newborn and Child Health for the White Ribbon Alliance For Safe Motherhood(WRA) Her Excellency, Mrs Toyin Saraki of Kwara State has vowed that the One Voice Campaign, a coalition of stakeholders dedicated to the fight against maternal, newborn and child mortality will work with Sarah Brown, the wife of former British Prime Minister to achieve the  Millennium Development Goals 4 and 5.

In a recent letter to Mrs  Brown, who is Global Patron for WRA, Mrs Saraki noted that the battle against the scourge of maternal and child mortality in Nigeria has made tremendous progress since she initiated and led an advocacy visit to the Federal Ministry of Health in 2005. She explained that at that meeting, she stressed that the issue of Maternal, Newborn, and Child Health should be at the forefront of Nigeria’s home affairs.  She noted  that the fact that  Nigeria is making progressive steps towards tackling maternal, newborn and child mortality can also be said to account for the recent appointment of  the immediate-past Health Minister, Professor Babatunde Osotimehin as Spokesman for Maternal Health in Africa by the Partnership for Maternal Newborn and Child Health(PMNCH).

Mrs Saraki,  pointed out that her conviction for  the need for broader participation in the  battle against maternal, newborn and child mortality encouraged  her to  facilitate the recent meeting between the Nigerian First Lady, Her Excellency Dame Patience Jonathan and the White Ribbon Alliance with the hope that the meeting and the expected investiture of the First Lady as National Matron of the White Ribbon Alliance will provide a timely fillip to the continuum of the goals defined at the 2009 High Level Maternal Health Task Force meeting at 10 Downing Street hosted  in 2009.

She said that as part of the steps tackle the scourge, the One Voice Nigeria Health Campaign was inaugurated on May 18th 2010 as a cross sectoral campaign unifying all stakeholders under one umbrella as a national task force, culminating in the formulation and delivery of the Abuja Declaration on MNCH to the leaders of the African Union and subsequently, the Heads of Government of the G8 Nations on Nigeria’s behalf.

The National Championed explained that the One Voice Campaign is tasked with   consolidating the national advocacy effort following the solicitation of personal support of the First Lady by replicating this advocacy programme with the wives of the 36 State Governors through encouraging the establishment of WRAN State Chapters.

In a personal letter to Mrs Saraki recently, Mrs Brown noted that: “Her Excellency Mrs Saraki has shown true commitment towards Nigeria’s fight against maternal, newborn and child mortality. These issues must be put at the forefront of each country’s national agenda”.

Wife of Kwara Governor Calls for Education of all Kwara Children

Friday, November 12th, 2010

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The First Lady of Kwara State, Mrs Toyin Saraki has urged parents in the state to embrace the education of their children as the only assurance for their socio-economic rights and development. In a statement to mark the 2009 edition of the International Women’s Day, Mrs Saraki noted that the education of all Kwara Children without discrimination on the bases of sex was important to the emancipation of not just families but the society at large.

She also pointed out that the mass education and enlightenment of men and women in the state was necessary for the attainment of this year’s theme of “women and men united to end violence against women and girls” insisting that revealing the ills of violence was important to eradicating the problem. She pledged the commitment of Alaafia Kwara, her non governmental organisation to the enrolment, retention and completion of the education of all Kwara children and that every effort would be made to achieve this. She informed that towards furthering this determination, Alaafia Kwara was setting up extra mural educational opportunities in all local government areas which will host resource access unit in the state and these opportunities would provide functional literacy and numeracy sessions which will improve the capacity of both children and women.

Adeniran Adedokun
Special Assistant (Media and Strategy to Her Excellency)

Nigeria: Foundation Partners With FG

Friday, November 12th, 2010

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A non-governmental organisation, The Well-being Foundation, will together with Office of the First Lady of Kwara State, host officials of the Federal Ministry of Health and other stakeholders across different states in the country, at a three-day meeting of the Nigerian Integrated Maternal and Child Health Records in Ilorin, Kwara State, between today and September 21, 2007.

In a statement by a spokesman of the organisation, Mr Niran Adedokun, the Well-being Foundation has been working with the Federal Ministry of Health since last year, on ways of reducing maternal and child mortality ratio in Nigeria, in line with the United Nations Millennium Development Goals Four and Five. According to him, this collaboration with the Family Health Division of the Federal Ministry of Health eventually culminated in the recently launched Integrated Maternal, Newborn and Child Health Strategy, specifically targeted at reducing the country’s high rate of maternal mortality. “We are all in agreement that there needs to be an integrated approach to the delivery of healthcare in our country through effective means, hence the introduction of home-based records for the effective monitoring of health indices covering all the geographical zones.” It is expected that at the end of the conference, all existing data collection tools for maternal, newborn and child health including the Nigerian Integrated Maternal and Child Health Record would be harmonised for the greatest impact across Nigeria . “It is our belief that if Nigeria is not to be left behind in the attainment of the significant reduction of maternal mortality and child mortality by 2015, government policy backed by effective action by all stakeholders must be our goal.”

Also expected at the harmonisation meeting are the Honourable Minister of Health, Professor Adenike Grange, the Wife of the Kwara State Governor and President of the WellBeing Foundation, Mrs Toyin Saraki and representatives of donor agencies and international development agencies

http://allafrica.com/stories/200709170661.html

Alaafia Encourages Women to Screen for Cancer

Friday, November 12th, 2010

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A statement issued by the Liaison Director of the Foundation, Mr. Niran Adedokun, said that membership of “The Partnership”, as it is called, requires a “commitment to Maternal, Newborn, and Child Health, in accordance with The Partnership’s guiding principles and conceptual framework, and that the WellBeing Foundation has satisfied all the criteria, conditions and responsibilities required to become a member of The Partnership.” (The Partnership has a broad membership that includes country partners, international agencies, donors, non-governmental organizations, professional associations and research and academic institutions.)

The statement from the foundation also said that on her part, the President and Founder of the Foundation, the First Lady of Kwara State, Mrs Toyin Saraki, has expressed great satisfaction on the recognition of the foundation’s work in the area of maternal health and child survival and the acceptance of WBF as a member of the partnership. She also restated her determination to remain at the forefront of maternal and child health issues in Nigeria, while giving her full support to the Federal Government’s Integrated Maternal, Newborn and Child Health strategy.

The Partnership for Maternal Newborn and Child Health (PMNCH) was launched in September 2005 when the world’s three leading maternal, newborn and child health alliances joined forces under the new name of The Partnership for Maternal, Newborn & Child Health. These organizations were: the Partnership for Safe Motherhood and Newborn Health, hosted by the World Health Organization in Geneva; the Healthy Newborn Partnership, based at Save the Children USA; and the Child Survival Partnership, hosted by UNICEF in New York.

Sources: http://www.who.int/pmnch/en/ Vanguard News Nigeria