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Global Child Health Skills Conference

Organized by McGill Global Child Health Program

November 9 – 11
McGill Simulation Centre
Montreal Children’s Hospital
Montreal, QC

BUY TICKETS
See Preliminary program details

 

November 9: Pediatric Ultrasound for Resource-Limited Settings – Full Day Session
8am-5pm: McGill Simulation Centre

November 10:

  • Helping Babies Breathe (HBB) – Open to those with previous NRP certification (proof required) – Half Day Session
    8am-12pm: McGill Simulation Centre
  • Introduction to Emergency Triage, Assessment & Training (ETAT) -Open to those with previous PALS certification (proof required) – Half Day Session
    12:30pm-4:30pm: McGill Simulation Centre
  • Global Child Health 5 à 7

November 11: Multiple workshops related to work in Resource-Limited Settings, including sedation, ethics, nursing skills and creative solutions for limited materials – Full Day Session

8:30am-4:30pm: Montreal Children’s Hospital

 

 

 

6
Resilient and Stable: Building Strong Health Systems to Protect Women, Adolescents, and Children

Organized by
MSH, Global Health Council, Johnson & Johnson, and Syrian American Medical Society

September 18
1:00 PM – 1:30 PM (Lunch) & 1:30 PM – 3:30 PM (Program)
Harvard Club, 35 W 44th Street
New York, New York

RSVP

In countries facing humanitarian crises, whether torn by war or civil unrest, or affected by natural disasters or epidemics, shocks and stresses often undercut the health care system. These systems struggle to provide basic health care needs in the face of instability, often enduring a decimated workforce, damaged facilities and infrastructure, and broken supply chains. Those most impacted – women, adolescents, and children – are also the most vulnerable.

As nations emerge from periods of crisis, systems adapt in an attempt to recover from shocks and opportunities arise to leverage existing tools and approaches that communities are already using.

This session will dive into approaches for strengthening and rebuilding health systems in especially challenging contexts, through integrated programs that increase the adaptive capacity of health systems and protect the health of those most vulnerable while unlocking their individual and collective capacity to rebound from crises stronger than before.

7
Women’s, Children’s and Adolescents’ Health in Humanitarian Settings

Organized by American Public Health Association (APHA)

Women’s, Children’s and Adolescents’ Health in Humanitarian Settings

October 18, 2016
9:30 – 11:00 am EDT
Webinar

REGISTER HERE

Description

With the ever increasing attention on efforts to improve women’s and children’s health, major achievements have been made to reducing child mortality and improving maternal health. However, women and girls still remain particularly vulnerable to sexual and gender-based violence in humanitarian crises, refugee camps, war or natural disasters.

The renewed Global Strategy for Women’s, Children’s and Adolescents’ Health calls on all humanitarian and development actors to redouble their efforts and to work better together to build health and resilience among those living in these fragile and volatile circumstances.

Join us in a webinar to learn more about the pressing issues they face and to discuss a way forward to ensure they are able to survive, thrive and transform.  This is the first in a webinar series — New Evidence to Bend the Curve of Progress for Women’s, Children’s and Adolescents’ Health — that will explore the latest evidence and recommended interventions on how to improve the health of women, children and adolescents.

Agenda

Welcome and Introductions
Emanuele Capobianco, deputy executive director, the Partnership for Maternal, Newborn, and Child Health

Taking stock of the challenge to women, children and adolescent health: evidence to date and gaps
Paul Spiegel, MD, MPH, director, Johns Hopkins Center for Refugee and Disaster Response (CRDR)

Realities on the ground: successes and challenges in sexual, reproductive, maternal, newborn, child, and adolescent health (SRMNCAH) delivery
Afghanistan (Tentative: Representative from Afghan government)
Syria Claire Beck, director of the global technical team and Hussein Assaf, MD, health and nutrition coordinator, World Vision International

Donor Perspective: Jed Meline, acting deputy assistant administrator, USAID

Discussion and Q&A

Connecting all dots: the everywhere workstream: Her Royal Highness, Princess Sarah Zeid, Chair EWEC Everywhere

Webinar presented in partnership with:

pmnchcoregroup logo

 

 

 

EWEC_WeSupport+SDGs logos paring

 

5
Improving Childhood Nutrition in Rural Vietnam

This blog was provided by Abbott.

A Partnership Between Abbott, the Abbott Fund, AmeriCares and the Giao Diem Humanitarian Foundation

For many children in rural and economically depressed Vietnamese communities, malnutrition and poor health are often the predominant challenge to their success in early childhood education. In 2004, the Giao Diem Humanitarian Foundation conducted a study that found half of 300 local children ages 3 to 7 years old were undernourished according to World Health Organization standards.

To improve the nutritional health of children in rural areas of Vietnam, the global healthcare company Abbott and its foundation, the Abbott Fund, have partnered together with AmeriCares and the Giao Diem Humanitarian Foundation on the program, Partnership to Improve Childhood Nutrition, since 2005.

Operating in rural provinces of Vietnam where childhood malnutrition rates have been among the highest in the country, the partnership focuses on local solution to address the problem of malnutrition among preschool- and kindergarten-age children, from 2 to 6 years old, in central and southern Vietnam. Administered through a network of local schools, the program has two main components:

  1. The primary objective is to maintain and improve nutrition and overall health among children. This aspect of the program centers on providing locally produced, peanut-fortified soymilk, breakfast, vitamins and supplements for underweight children who attend both morning and afternoon sessions during the school day. During the monsoon season when severe flooding hinders soymilk production, Abbott donates Pediasure, a nutritional drink for children.
  2. The second objective is to educate parents, teachers, teacher aids and school cooks about basic health and nutrition, giving them the resources and tools they need to support children and ensure they achieve better nutrition. Through its provision of basic nutrition information to parents and school staff, the program aims to improve the health and lives of entire families, and to have a sustainable impact at the community level.

To date, Abbott and its foundation, the Abbott Fund, have provided more than U.S. $3.6 million in financial grants and product donations to support the program.

During the current 2015-2016 school year, the program is providing support for 3,000 children in several villages in three provinces, including An Giang (in the South); Thua Thien (in central Vietnam where both Phu Loc and Hue North districts are located); and Quang Tri (adjacent to and north of Thua Thien).

Since 2005, the program has reached more than 30,000 children, with malnutrition rates among participating children dropping below the U.N. Millennium Development Goal to approximately 20 percent.

From the beginning of the partnership, sustainability was a critical factor for effective expansion and scale up. The program was designed to achieve long-term improvements in nutrition that can be maintained with the support of parents and school staff—without continued participation in the program. By graduating schools that demonstrate the ability to meet targets and perform independently, the partnership is able to reach more students in new schools.


This series of blog posts is intended to shine a spotlight on the 2015 Business Action on Health finalists’ programs. Each of the highlighted initiatives provides a powerful example of effective organizational responses, innovative solutions and multi-sectoral approaches to today’s most pressing health priorities.

The Heart of the Matter

This is a guest post provided by John Snow, Inc. and written by Bolaji Fapohunda, PhD[1]; Nosakhare Orobaton, MBBS, DrPh

Did you know that more than one in ten Nigerian women gives birth at home without a doctor, a skilled birth attendant (SBA), or even an unskilled relative? Indeed, more than one million children are born annually in Nigeria with “no one present” (NOP).

Women who deliver with no one present are more likely to die from childbirth and their newborns are more likely to die in the first days, weeks, or months of life; making children less likely to reach their 5th birthday.

Today, Nigeria contributes 14 percent to the global burden of maternal mortality, second only to India. Unlike India, however, Nigeria constitutes only two percent of the world’s population, making the maternal mortality levels in the country a veritable public health emergency.

Barira Aminu who delivered at the facility, was referred by a CBHV, and her newborn received CHX and was immunized at Tirwun, Bauchi State.

At the heart of this public health emergency are the women who deliver with NOP. Skilled birth attendants have been shown to be a key ingredient in saving maternal and newborn lives. Thus, we must focus on women who give birth with NOP if we are to stem the tide of maternal and newborn deaths and accelerate safer deliveries (which should be the right of every woman in Nigeria).

Over the last three years, JSI Research & Training Institute, Inc. (JSI) has been conducting a series of studies to better understand why women deliver with NOP in Nigeria. JSI has published three peer-reviewed journal articles on this issue and two more are forthcoming. The studies have served as a national call to eradicate the practice of no one present.

These JSI studies show that age, parity, poor female education, low-to-no personal income, living in a rural area, being Muslim, weak personal autonomy, and geography contribute to women delivering with no one present.

Northern Nigeria accounts for roughly 96 percent of all such deliveries nationwide. Seventy-three percent of deliveries with no one present occur in the North West zone alone. A JSI study found seven contributing factors for such extremely high levels of delivering with no one present:

  1. Financial insecurity, coupled with an obstructive pay-before-service payment policy
  2. Husbands’ lack of support for skilled attendance
  3. Perceptions that delivering with NOP in the past would result in similar successes in future NOP deliveries
  4. Diminishing social and economic value of children
  5. Diminishing emotional value of children
  6. Persistence of harmful community norms, including beliefs that NOP is good, fashionable, and a sign of delivery-made-easy by God
  7. Poor quality of delivery care, particularly the inability of the formal health care system to deliver WHO recommended respectful maternity care

The study concluded that addressing the above factors will increase the number of births attended by a SBA and, ultimately, reduce maternal mortality and morbidity in Nigeria. So how do we begin to address these issues? There are several promising interventions.

The study concluded that addressing the above factors will increase the number of births attended by a SBA and, ultimately, reduce maternal mortality and morbidity in Nigeria. So how do we begin to address these issues? There are several promising interventions.

Recent evidence shows that good programs with strong governance can make a difference. A statewide community-based intervention in Sokoto distributed the cost-effective and lifesaving drugs misoprostol and chlorhexidine to prevent postpartum bleeding and infection of the newborn cord, respectively, while placing a community-based health volunteer with every pregnant woman who delivered at home. The presence of a health volunteer significantly reduced the likelihood that a woman would deliver alone. In fact, the incidence of giving birth with NOP dropped from a high of 25% to less than 1% in Sokoto State between 2008 and 2013.

Improving household finances can also make a difference. JSI found that high user fees and the high cost of medicine, supplies, and transportation are the largest obstacles to women using SBA in Northern Nigeria. The prevailing pay-before-service model is described by communities as harsh, painful, and obstructive. A recent evaluation of a financial assistance program being piloted in several communities in Nigeria demonstrates that the use of SBA increases when women have access to income they control.[2]

On Tuesday, May 26 in Abuja, JSI will hold a “no one present” call to action and policy discussion with high-level Nigerian stakeholders, including government officials. This meeting will inform stakeholders about the issues surrounding the “no one present” phenomenon, disseminate the JSI-led studies, and raise a call to action for eradicating the practice.

To read more on this phenomenon, see the references below:

Fapohunda BM, Orobaton NG (2013) When women delivery with no one present in Nigeria: Who, what, where and so what? PLoS ONE 8(7): http://journals.plos.org/plosone/article?id=10.1371/journal.pone.0069569.

Fapohunda BM, Orobaton NG. Factors influencing the selection of delivery with no one present in northern Nigeria: implications for policy and programs. International Journal of Women’s Health 6:171-183. Available: http://www.dovepress.com/factors-influencing-the-selection-of-delivery-with-no-one-present-in-n-peer-reviewed-article-IJWH#

Austin A, Fapohunda B, Langer A, Orobaton N. Trends in delivery with no one present in Nigeria between 2003 and 2013. International Journal of Women’s Health. 2015; 7: 345-356. Available: http://www.dovepress.com/articles.php?article_id=21201

Fapohunda B, Orobaton N, Shoretire K, Abdulazeez J, Maishanu A, Sadauki H et al (2015).  Community Perspectives on Why Women Deliver with No One Present in Northwestern Nigeria: Summary of Key Findings. Abuja, Nigeria: USAID-Targeted States High Impact Project (TSHIP), 2015

Bolaji Fapohunda1, Nosakhare Orobaton2, Kamil Shoretire3 and Goli (2015). Are Women Who Deliver with No One Present also Likely to take other Health Care Risks? Clues from Nigeria Demographic and Health Surveys [Forthcoming].  Abuja, Nigeria: USAID-Targeted States High Impact Project (TSHIP).

 


 

[1] Correspondence: Bolaji Fapohunda, JSI R&T, 44 Farnsworth Street, Boston, MA. Email: bolaji_fapohunda@jsi.com

[2] Okoli U, Morris L, Oshin A, Pate MA, Aigbe C, Muhammad A (2015). Conditional cash transfer schemes in Nigeria: potential gains for maternal and child health service uptake in a national programme. BMC Pregnancy Childbirth. 2014; 14: 408-413.