In male dominated cultures, USAID programs are helping to decrease maternal deaths by encouraging men to become involved in pregnancy and childbirth matters. Pictured: a man and child in Pakistan.
Reducing maternal deaths by 75 percent throughout the world by 2015 will take the involvement of men in countries where it matters most. Many of the countries where USAID works are male dominated cultures. To improve maternal health outcomes for women in developing countries, men must be equal partners since they are the decision makers about health care in the family. These decisions include determining family size, timings of pregnancies, and whether women have access to health care for themselves and their children. USAID-supported programs make special efforts to emphasize men’s shared responsibility and promote their active involvement in responsible parenthood, sexual and reproductive health. This means reaching out to community elders, leaders, and religious groups – entreaties that could be rejected because of traditional cultural values and perceptions that maternal health is the responsibility of women only.
In Pakistan, USAID is building on the efforts undertaken by the Government to create a cadre of religious leader master trainers to conduct roll out trainings in family planning and reproductive health, and maternal and child health, and gender issues consistent with and supported by the teachings of Islam.
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June 2: Administrator Shah will be the keynote speaker at the Interaction Forum 2010, which is being held at the Washington Convention Center. Several other USAID officials will speak on topics such as food security and the response to the Haiti earthquake.
June 3: Administrator Shah will give brief remarks at the U.S.-India Strategic Dialogue being held at the State Department. These remarks will propose concrete ways to further U.S.-India cooperation on common priority issues.
June 3-8: Administrator Shah will lead the U.S. Delegation to the World Food Programme (WFP) Executive Board Meeting in Rome, Italy. It is anticipated that 3,000 people from 36 member states will be in attendance.
By developing and implementing high-impact, evidence-based interventions, delivered at low cost, USAID programs reduced newborn mortality by 16 to 42 percent in 11 these countries. With USAID support, counties as diverse as Nepal, Cambodia, Ethiopia, Madagascar, Tanzania, and Afghanistan have reduced under-five mortality by 25 percent in 5 to 7 years.
Death rates in children under 5 are dropping in many countries at an accelerated pace, according to a new report in ‘The Lancet’ based on data from 187 countries from 1970 to 2010. Worldwide, 7.7 million children are expected to die this year down from the 1990 figure of 11.9 million.
Global child survival programs have focused on reaching increased numbers of children with basic health interventions, which scientific research and field programs have demonstrated to reduce the susceptibility of children to serious illnesses. Vaccines, vitamin A supplements, better treatment of diarrhea, pneumonia and malaria, insecticide-treated bed nets to prevent malaria, more education for women, reduced numbers of high risk and closely spaced births, and AIDS medicines in high-HIV prevalence countries are among the factors that have helped lower death rates. USAID has supported much of the research that identified and proved the effectiveness of high-impact interventions, from Oral Rehydration Therapy and vitamin A to community treatment of pneumonia and essential newborn care.
USAID’s work with developing country governments alongside UNICEF, the World Health Organization, World Bank, other donors, NGOs and private sector partners has contributed to successes at an unprecedented global scale. When the U.S. Child Survival program began in the early 1980s, it was estimated that almost 15 million children died each year in the developing world. Without reduced rates of mortality, the number of deaths today would be about 17 million each year. However, The Lancet report notes that, despite significant progress, the rate of decline in infant and child mortality is still not fast enough to meet the 2015 MDG target. This underscores the importance of the Global Health Initiative’s increased focus on maternal and child health.
On May 19th, ‘The Lancet’ released a special series on tuberculosis, which includes a series of papers and comments highlighting the need for new tools, the threat posed by drug-resistant strains, results of current control efforts and other issues about TB worldwide http://www.thelancet.com/series/tuberculosis. While treatment strategies saved six million lives and 36 million cases of the disease were successfully treated between 1995 and 2008, TB remains a severe global public health threat. TB remains second only to HIV among infectious killers worldwide today and is the third leading cause of death among women aged 15-44.
The Lancet series also focused on the broader issues that contribute to the spread of the disease. The majority of TB cases and deaths occur in developing countries. TB proliferates in close spaces, and it perpetuates poverty by striking the poorest and most vulnerable groups. Large numbers of TB cases go undetected and untreated, fueling new cases and deaths. Making matters worse, new forms of the disease have emerged that are resistant to existing drugs. According to the report, without significant investments in new technology and prevention and treatment tools, drug-resistant strains of TB could become the “dominant” form of TB over the coming decades. In addition, new approaches to diagnose TB, coupled with improved health delivery systems and stronger community awareness, are critical to earlier detection and treatment. Urgent actions are also needed to scale up effective and integrated services for TB and HIV at the country level.
On March 24th, the U.S. Government, through USAID, released its Global Tuberculosis Strategy – our blueprint for expanded TB treatment and control over the next five years. To meet our targets, we will invest in country-led plans, scale up country level programs, increase our impact by leveraging our efforts with the Global Fund and mobilize additional resources from the private sector. We will also promote research and innovation. Our investments focus on new diagnostics that will allow us to detect TB more easily, including drug resistant TB, and new drugs that will reduce the duration of TB treatment. Assisting countries to introduce these new tools into programs is also a priority.
This week at USAID:
Administrator Rajiv Shah is on his first official trip to Africa since taking the helm of USAID. Shah is visiting Kenya and Sudan and his trip is focusing on the Global Health and Food Security Initiatives.
USAID, Yemeni Government officials met to discuss a new stabilization strategy. The first in a series of quarterly meetings to coordinate shared objectives identified in the assistance agreement signed by USAID and Yemen’s Ministry of Planning and International Cooperation.
Leaders in the Caribbean expect to receive a $100 million grant to help fight AIDS over the next five years from the US government’s President’s Emergency Plan for Aids Relief fund. USAID contributes both funding and staff toward the PEPFAR initiative.
As of June 1, the Louisiana National Guard will be in charge of a 500-person contingent, based in Gonaives, Haiti. USAID and other relief agencies will take on the majority of logistical and aid work performed by the Southern Command’s Operation Unified Response.
Back to School in Haiti–USAID plastic sheeting provides a roof for students at a Petionville Golf Course camp school in Haiti.