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The MRI evidence in favor of cash transfers

On July 15th, 2016, Dr. Jim Yong Kim, President of the World Bank and co-founder of the non-governmental organization Partners in Health, presented striking evidence Read More

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The Art of Letting Go and the Mandate of Going Further

This piece was previously published in the National Medical Journal of India, Volume 29, Number 1, 2016, pages 30-31, and reprinted with permission.   In Read More

Rural Guatemala. Photo by Rob Tinworth, used with permission.

Food Producing Communities as Food Deserts

The view from Xejuyu’ is breathtaking: green fields of fresh berries, feathery carrot tops, and blossoming broccoli line the mountainsides. The majority of the residents Read More

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A Comparison of Midwife-Led and Medical-Led Models of Care and Their Relationship to Adverse…

by Ellie Wernham, Jason Gurney, James Stanley, Lis Ellison-Loschmann, Diana Sarfati Background Internationally, a typical model of maternity care is a medically led system with varying levels of midwifery input. New Zealand has a midwife-led model of care, and there are movements in other countries to adopt such a system. There is a paucity of systemic evaluation that formally investigates safety-related outcomes in relationship to midwife-led care within an entire maternity service. The main objective of this study was to compare major adverse perinatal outcomes between midwife-led and medical-led maternity care in New Zealand. Methods and Findings This was a population-based retrospective cohort study


Improving Research into Models of Maternity Care to Inform Decision Making

by Ank de Jonge, Jane Sandall In a Perspective, Ank de Jonge and Jane Sandall discuss research on models of maternity care led by midwives.


Effects of planned, mistimed and unwant ed pregnancies on the use of prenatal health services…

Objectives We analysed the extent of planned, mistimed and unwanted pregnancies and how they predict optimal use of prenatal (timing and number of antenatal) care services in 30 African countries.


A lifesaving investment: $50 to save 10 newborns

My oldest daughter was born ten weeks early. She weighed less than 2.5 lbs and fit in the palm of her dad’s hand. Like many preemies, my daughter coughed, choked, and struggled when she tried to eat. She simply couldn’t coordinate the complex suck-swallow-breathe sequence babies must master to thrive. So I understand from first-hand […] ; ; ; ;Related StoriesA vaccine for malaria elimination?Les retombées du Brexit feront-elle perdre à l’Afrique tout espoir d’élimination du Paludisme?The role of innovation in ending preventable deaths of mothers and children ;


Global Leaders, International Community Should Prioritize Funding To Ensure Women, Girls Have…

Huffington Post: World Contraception Day: Saving and transforming women’s lives Babatunde Osotimehin, executive director of the United Nations Population Fund (UNFPA) “…Family planning is one of the best investments countries can make for women’s empowerment, gender equality, and economic prosperity. … But far too many women and couples still lack access to modern contraception. Today,…More


Opinion Piece Highlights 4 Ways To Improve Family Planning Programs

Devex: 4 ways to strengthen family planning programs Erica Belanger, advocacy adviser at the International Planned Parenthood Federation, and Angela Mutunga, East Africa regional program adviser for Advance Family Planning “…[T]he success of family planning programs can only be achieved if the necessary supplies are accessible, available, and affordable to meet the growing demand for…More


How do you scale up an effective education intervention? Iteratively, that’s how.

So you have this motivated, tightly controlled, highly competent non-government organization (NGO). And they implement an innovative educational experiment, using a randomized controlled trial to test it. It really seems to improve student learning. What next? You try to scale it or implement it within government systems, and it doesn’t work nearly as well.


Only 6 pathogens guilty for most childhood diarrhea, new study reveals

Scientists are delighted with a new study that suggests vaccines and antibiotics just need to target six pathogens to tackle 78 percent of cases of childhood diarrhea, the second leading cause of death in children under 5. “It’s not a hopelessly long list of infections that we can’t do anything about,” Eric Houpt, professor of infectious diseases and


Obstetricians In Puerto Rico, U.S. Unsure What To Expect Among Newborns Exposed To Zika

New York Times: Doctors Brace for Zika Babies “This month, the first group of babies in Puerto Rico known to have been exposed to the Zika virus in their first trimester are being born. Pediatricians do not know what to expect. ‘This is not like any other outbreak or epidemic,’ said Dr. Fernando Ysern, a…More


Investing In Women, Girls Key To Ending AIDS, TB, Malaria

Huffington Post: Women and Girls are Key to Ending the AIDS, TB, and Malaria Epidemics Kate Dodson, vice president for global health at the United Nations Foundation “…Not only does the Global Fund dedicate more than half its resources to programs that benefit women and girls, it also focuses on tackling the underlying causes of…More


Mother and child death rates improving in most parts of the world

By Sean McKee, special to Humanosphere Child death rates are plummeting and child health overall is improving, according to a study published yesterday in The Lancet. Maternal health and mortality statistics are also showing steady improvement globally, though with one perhaps surprising aberration: Maternal deaths in the United States are actually on the increase, rising


Getting 5 million refugee children into school must be ‘highest priority,’ advocates say

UNITED NATIONS — Human rights advocates are taking advantage of this week’s refugee summit in New York to push world leaders to prioritize education for child refugees, so that they can someday help rebuild their home countries. There are roughly 10 million children and youth refugees – 50 million if migrants and internally displaced children are included.


Quality of basic maternal care functions in health facilities of five African…

More than 40% of facility deliveries in these five African countries occurred in primary care facilities, which scored poorly on basic measures of maternal care quality. Facilities with caesarean section capacity, particularly those with birth volumes higher than 500 per year, had higher scores for maternal care quality. Low-income and middle-income countries should systematically assess and improve the quality of delivery care in health facilities to accelerate reduction of maternal and newborn deaths.


Quality in provision of maternity services: the missing link in health-care…

In The Lancet Global Health Magaret E Kruk and colleagues1 examine a very important aspect of maternal and newborn health that is poorly studied in low-income countries, namely quality of care. Poor quality of care has been a recurrent theme used to explain the prevailing high level of maternal and newborn morbidity and mortality in low-income and middle-income countries (LMICs) for several decades and is aptly articulated in two prevailing models.2,3 The authors1 found that the quality of care in primary care (no caesarean capacity) and low delivery volume facilities was substantially poorer than at secondary care facilities (has caesarean capacity; index score 0·38 in primary care facilities vs 0·77 in secondary care facilities).


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