{"id":1552,"date":"2008-07-15T12:48:54","date_gmt":"2008-07-15T16:48:54","guid":{"rendered":"https:\/\/www.pbs.org\/wnet\/wideangle\/?p=1552"},"modified":"2018-09-11T11:22:17","modified_gmt":"2018-09-11T15:22:17","slug":"birth-of-a-surgeon-audio-public-health-experts-on-maternal-death","status":"publish","type":"post","link":"https:\/\/www.pbs.org\/wnet\/wideangle\/interactives-extras\/interviews\/birth-of-a-surgeon-audio-public-health-experts-on-maternal-death\/1552\/","title":{"rendered":"Audio: Public Health Experts on Maternal Death"},"content":{"rendered":"\n\n\n\n\n\n
WIDE ANGLE sat down with Lynn Freedman and Helen de Pinho from Columbia University’s Mailman School of Public Health. They work with developing countries and international agencies to improve availability and quality of emergency obstetric care for women in childbirth.<\/p>\n

Click below to listen to a discussion about the causes of maternal death, the importance of maternal health and the progress that is being made in Mozambique and around the world now that this issue is on the international development agenda.<\/td>\n<\/tr>\n

\n
\"\"
\n Lynn Freedman<\/strong> is a human rights attorney and the Director of AMDD, Averting Maternal Death and Disability.<\/td>\n		\"\"
\nHelen de Pinho <\/strong>is a physician from South Africa who works with AMDD. She recently traveled to Mozambique to meet with mid-level medical providers there.<\/td>\n<\/tr>\n
EXPERT INTERVIEW TRANSCRIPT:
\nLYNN FREEDMAN AND HELEN de PINHO<\/strong><\/p>\n

LYNN FREEDMAN: Women everywhere in the world who die in childbirth die from basically the same set of causes. Mostly direct obstetric causes\u2014things like bleeding, or hemorrhaging, infection, obstructed labor. We know the medical interventions that will save a woman\u2019s life if she has one of those complications. The big, big issue is getting those medical interventions to the women who need them, and so that\u2019s where the big challenge comes in\u2014ensuring that women in remote rural areas, women who perhaps don\u2019t have the money to get to a facility much less get into the facility, pay for the services. To make sure women in that position get access to life-saving care.<\/p>\n

There\u2019s no question that the current number of surgeons and surgical technicians in Mozambique cannot meet the enormous need for emergency obstetric care.<\/p>\n

HELEN DE PINHO: There are 26 obstetricians in Mozambique. Fourteen of them are in the central hospital in Maputo, and I think only about three or four or five are actually out in the rural area, so that gives you an idea of distribution and numbers. And a similar kind of distribution pattern for surgeons in Mozambique. The role of the non-physician clinician has always been there in many of these countries; that\u2019s not new. The surgical midwife, yes, that is new. And that will change, but what that would do is strengthen what\u2019s already happening. It doesn\u2019t shift\u2026it doesn\u2019t displace doctors in any way, because they\u2019re just simply not there.
\n
\nWIDE ANGLE: Lynn, you mentioned that there\u2019s this new energy about addressing maternal mortality. Can you speak about this new energy, where it\u2019s come from, and why now?<\/strong><\/p>\n

LYNN FREEDMAN: Well, I think maternal mortality has\u2026has certainly risen to the top of the development agenda, helped enormously by the fact that it is one of the Millennium Development Goals.<\/p>\n

The Millennium Development Goals are a set of eight goals that the U.N. general assembly passed at the turn of the millennium in the year 2000 to guide poverty reduction efforts in the world in the coming millennium, or at least the coming 15 years.<\/p>\n

But they also include three health goals. One is HIV, TB and Malaria. Another is to reduce child mortality. And MDG 5 is to improve maternal health with two goals: one is to reduce maternal mortality by 75% and the second target under improved maternal health is to have universal access to reproductive health services.<\/p>\n

So that has put maternal mortality itself on the health and development agenda.<\/p>\n

HELEN DE PINHO: \u2026if I can just talk to what\u2019s happening in Mozambique at that. What we see is first of all very high-level commitment to reducing maternal mortality. And then also to\u2014recognizing the sort of continuum of care, from when the woman first becomes pregnant or even before she comes pregnant, to make sure that \u2013that young girls are adequately fed, that\u2014that they are nutritionally well\u2014well-nourished. That there is family planning accessible. The policies are good, they\u2019re there. And now it\u2019s a matter of actually getting them implemented in all the areas. <\/strong><\/p>\n

WIDE ANGLE: How will that later affect the health of the entire system?<\/strong><\/p>\n

LYNN FREEDMAN: Well, there\u2019s no question that a huge proportion of newborn deaths are actually attributable to the things that happen during pregnancy and delivery. We certainly want to make sure we pay attention to and care about the woman herself and her survival. But, we also acknowledge that the survival and life of a newborn is very closely linked to what happens to the mother and indeed, the life, well-being and survival of the rest of her family, not just thethe baby she\u2019s giving birth to right then. The ramifications of maternal death or maternal survival go well beyond just her children. It\u2019s her family, it\u2019s her community, it\u2019s productive work for the country, and it\u2019s her own right to be a participating member for society.
\n
\nWIDE ANGLE: Thank you Lynn, and thank you, Helen. <\/strong><\/p>\n

LYNN FREEDMAN: Our pleasure.<\/p>\n

HELEN DE PINHO: It is a pleasure, thank you.<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n

Download the mp3 of this interview<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"

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