AAPDEP's Stop the Hemmorhaging Tour

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    DearFuturePartner,

    TheAllAfricanPeoplesDevelopmentandEmpowermentProject(AAPDEP)would liketoannounce its

    latestinitiative atourtoraiseresourcesforamaternityclinicinSierraLeone.

    WithlessthanhalfofbirthsinsubSaharanAfricaattendedbyskilledhealthpersonnel,therisksduring

    child birth are considerable. The dangers are especially great in Sierra Leonewhich has theworlds

    highestratioofmaternalmortalityandoneofthehighestglobalratesofinfantmortality.

    NurseMidwife Mary Koroma will be headlining AAPDEPs Stop the Hemorrhaging! fundraising tour

    duringBlackHistoryMonth.Shehasdedicatedhercareertocombatingthisthreat inhernativeSierra

    Leone bysettingupasimpleclinicinalocalvillageandtrainingtraditionalbirthattendantsfromnearby

    communities.

    Aswellasgeneratingfundstobuildaclinicthistouraimstoraiseawarenessoftheissueofinfantand

    maternalmortality,whichaffectsAfricanwomenmore thananyother race evenhere in theUnited

    States.

    AAPDEPislookingforindividualsorgroupswhoareinterestedinbringingNurseMaryandotherexperts

    totheircitytospeakaboutthisseriousproblemandsomeofthefactorsbehindit.

    Pleasecontactinfo@developmentforafrica.orgorcall2562811344tolearnmoreabouttheprojectand

    bringingNurseMarytoyourcity.

    LetsworktogethertoStoptheHemorrhaging!

    AishaFields,PhD

    AAPDEPInternationalDirector

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    NurseMidwifeMaryKoroma

    Nurse Mary Koroma will be headlining the Stop the

    HemorrhagingTour.NurseMaryhasdedicatedher life to

    saving those of mothers and babies in her native Sierra

    Leone.SheisacertifiedNurseMidwifewhosteppeddown

    fromhersecurepositioninagovernmenthospitaltowork

    withinthe

    communities

    most

    in

    need.

    With

    few

    able

    to

    afford even government healthcare she saw how many

    expectantwomenand infantswere senselesslydyingand

    sufferingduetoaninabilitytoaccessprofessionalcare.As

    anursemidwife,whosejobitistosavelivesandbringnew

    life into theworld, she could no longer be a part of an

    apparatus thatcontributed to thedeathsof thousandsof

    womenandchildren.

    Motivatedby selfdeterminationandwillingness touseher skills for thepurpose theywere intended

    for,Nurse

    Mary

    erected

    amake

    shift

    clinic

    in

    an

    Allentown

    Community.

    Her

    facility

    is

    just

    sticks,

    dirt

    floor and a straw bed but she cares for the people who cannot travel the long distances to the

    governmenthospitals.Shehasdeliveredover3000babies inhercareerand isacontinuedresourceto

    hercommunity;acommunity thatnotonlydependsonher for infantandmaternalcarebutalso for

    generalmedicalcare.

    NurseMary recognizes that theproblemof infantandmaternalmortality is toowidespread tosolve

    alone.However,withaccesstoskilledhealthpersonnelsolimitedin SierraLeonemanyfamiliesrelyon

    traditionalbirthattendantswhooftendonothavethetrainingtoadequatelydealwithcomplications.In

    additiontotheworkinherAllentownclinic,NurseMaryprovidessupportandtrainingtoanetworkof

    birthattendants

    in

    order

    to

    ensure

    that

    as

    many

    women

    as

    possible

    have

    access

    to

    the

    care

    they

    deserve.

    HerdedicationandexpertiseserveasanexampleandAAPDEP isproudtopartnerwithhertofurther

    thedreamofselfdeterminationforAfricanwomenandchildren.

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    InfantandMaternalMortality:AwaronAfricanmothersandbabies

    Childbirthshouldbeamiraculoustimeinthelivesofanyfamily.Unfortunately,inpracticethis

    failstobethecaseformanyAfricanfamilies.InsteadAfricanmothersareoftenfacedwiththe

    heartbreaking knowledge thateither theyor theirbabiesmaydieduring aprocesswhich is

    meanttogivelife.

    WomeninsubSaharanAfricaaremorelikelytodieduringchildbirththanthose inanyother

    region,witharate100timesgreaterthanthatofdevelopedcountries. BabiesinsubSaharan

    Africa are also least expected to liveuntil the age of one with almost 1 in 10 infantsnot

    surviving, a figure which does not take into account the disproportionate number of

    miscarriagesand

    still

    births.

    With

    less

    than

    half

    of

    births

    attended

    by

    skilled

    health

    personnel,

    manymothersandbabiesaredyingfromcomplicationswhichcouldbeeasilydealtwithgiven

    the right skills and equipment. Since hospitals are often inaccessible, both due to physical

    distance and a lack of funds to pay for services, many families rely on traditional birth

    attendantswhooftendonothavethetrainingtodealwithdifficulties.

    Datasource:UNMDGs;MapbyAAPDEP

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    TheAAPDEPFundraisingTour:

    Thedangerof infantandmaternalmortalityisespeciallygreatinSierraLeone,whichremains

    impoverisheddespiteitswealthofnaturalandhumanresources.SierraLeonehastheworlds

    highestratioofmaternalmortalitywith1in8womenatriskofdyingduringchildbirth.Italso

    has one of the highest global rates of infant mortality with 123 of every 1000 babies not

    survivingtotheageofone.

    NurseMidwifeMaryKoroma,whowillbeheadliningafundraisingtour intheUSduringBlack

    HistoryMonth,hasdedicatedhercareertocombatingthisthreat bysettingupasimpleclinic

    in a local village and training traditional birth attendants from nearby communities. Funds

    raisedfrom

    the

    Stop

    the

    Hemorrhaging!

    Tour

    will

    be

    used

    to

    build

    aclinic

    in

    Sierra

    Leone.

    AAPDEPwillbebringingNurseMarytotheUnitedStatestotrainwithAfricanmidwiveshereon

    thebasictechniquesthatcouldmeanthedifferencebetween lifeanddeathformothersand

    babiesinthevillagesinwhichsheworks.NurseMarywillthenreturntoSierraLeonetopasson

    thisknowledgetohernetworkofbirthattendants.

    MaternalMortalityintheUnitedStates:

    Far from being an issue only facing Africans on the continent, maternal mortality plagues

    Africanwomenwherever they are located.Despite the stolenwealth of theUnited States,

    which ranks it as theworlds richest country,women inAmerica face a greater lifetime risk

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    duringchildbirththanthosein40othercountries anditiswomenofcolorwhobearthebrunt

    ofthis

    risk.

    African

    women

    in

    the

    US

    are

    four

    times

    more

    likely

    to

    die

    of

    pregnancy

    related

    complications thanwhitewomen,withAfricanbabiesdying atmore than twice the rateof

    whiteinfants.InWashingtonDC,whichhasamajorityblackpopulation,womenarealmost30

    timesmore likely to die than inMaine.Many of these deaths are attributable to systemic

    barriers tohealthcare in theUS,withAmnesty International, the human rightsorganization

    statingthatnearlyhalfofthesematernaldeathsarepreventable.

    SelfDeterminationforAfricanFamilies:

    Sohowdoweovercomethesehighratesofinfantandmaternalmortalityandcombatwhatis

    essentially themost significant human rights violation impactingAfrican families? Formany

    charityorganizations andeven governments, the response is to implement isolatedprojects

    aimed at relieving these conditions in certain areas. While this strategy may impart a

    temporaryreprieve itdoes littletocombattheunderlyingcausesofthiswarbeingwagedon

    Africanwomenandbabies.Acharityapproachdoesnotaddressthecontradictionatthecore

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    ofthisissue.Onacontinentwithsomuchwealthandresources howcanwomenandchildren

    stillbe

    dying

    of

    easily

    preventable

    complications?

    Where

    does

    this

    wealth

    go

    ifit

    is

    not

    being

    directedatthemostbasicneedsofacommunity?TheAllAfricanPeoplesDevelopmentand

    EmpowermentProjectrecognizesthatAfricanselfdeterminationistheonlysustainableoption

    forreversingtheseconditions.

    AAPDEP is looking for individuals or groupswho are interested in bringingNurseMary and

    other experts to their city to speak about this serious problem and further explore these

    contradictions.LetsworktogethertoStoptheHemorrhaging!

    Please contact [email protected] call2562811344 to learnmoreabout the

    projectand

    bringing

    Nurse

    Mary

    to

    your

    city.

    LearnmoreaboutAAPDEPsworkatwww.developmentforafrica.org

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    Article from MedicalNewsToday.com

    Most Maternal Deaths In Sub-Saharan Africa Could Be Avoided

    19 Feb 2010

    "Maternal mortality is a good indicator of a country's healthcare situation and of the inequalities betweenmen and women", Jos Luis Alvarez, the lead author of this study and a researcher at the URCJ in Madrid,tells SINC.

    The objective of this research, published in the journal BMC Public Health was to quantify the specificweight of maternal mortality in sub-Saharan African and to determine the healthcare, cultural andeconomic factors involved in this.

    Data obtained from 45 African countries between 1997 and 2006 from the World Health Organization(WHO), the World Bank, the United Nations Children's Fund (UNICEF) and the United NationsDevelopment Programme (UNDP) were studied.

    "Despite the significant differences between countries, the number of maternal deaths was high in all ofthem, at an average of 885 deaths for each 100,000 births, but these women are not dying as a result of anydisease, but just from normal biological processes", says lvarez.

    The main causes of death are haemorrhaging (34%), infection (10%), pre-eclampsia (9%) and obstructionduring birth (4%). These figures differ from those in industrialised countries, where death from

    haemorrhaging accounts for 13% of deaths. There are also indirect causes that, although they are notcomplications relating to the birth itself, become worse over the course of the pregnancy and cause 20% ofthe deaths.

    The results of this study show that an effective and efficient health system, especially during pregnancyand birth, are fundamental cornerstones of maternal health, along with access to clean drinking water.

    The research team also observed a positive relationship with economic and educational factors, leading theauthors to say "it will be very difficult to improve health without taking both these factors intoconsideration". "Education, above all for women, is higher in countries with a lower maternal mortalityrate", concludes lvarez.

    Maternal mortality around the world

    In 2000, the United Nations estimated that the number of women who died during pregnancy or shortlyafter birth at 529,000 (almost one maternal death per minute), of which less than 1% occurred inindustrialised countries. The majority of the causes of these deaths have been medically preventable fordecades, and do not usually occur during the birth itself, but in the days afterwards.

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    The main reasons why pregnant women do not attend health centres to receive maternal-infant care,especially in rural areas, are the cost, fear, having previously received poor treatment, the waiting times,shame and the distance to the closest health centre.

    According to the United Nations, the three countries with the highest maternal death rates are India(136,000), Nigeria (37,000) and Afghanistan (20,000). The highest maternal mortality rates are in SierraLeone and Afghanistan, with 2,000 and 1,900 maternal deaths for every 100,000 live births, respectively.The lowest rates are in Australia and Iceland, at four and 10, respectively.

    In 2003, the WHO, UNICEF and the United Nations Population Fund (UNFPA) produced the worldmaternal mortality index. The average in Africa is 400 deaths for every 100,000 live births, in

    industrialised countries 20 per 100,000, and in developing countries 440 per 100,000.

    Source: Plataforma SINC

    Article URL: http://www.medicalnewstoday.com/articles/179649.php