Tuesday, October 4, 2011
country investigator chap 9-10
Wednesday, September 21, 2011
country investigator
the country is Ethopia:
Ethiopia is a landlocked country located in the Horn of Africa. It is the second-most populous nation in Africa, with over 82 million people, and the tenth-largest by area, with its 1,100,000 km2. The capital is Addis Ababa. Ethiopia is bordered by Eritrea to the north, Sudan and South Sudan to the west, Djibouti and Somalia to the east, and Kenya to the south. It is also the most populous landlocked country in the world. The typical school year runs from September through June. Public education is free from the primary to the college level. Religion is a secure and accepted element of everyday life in Ethiopia; even the language is full of references to God.
Ethiopian New Year's Day, Sept. 11
Victory Day , April 6
Labor Day , May 1
Victory Day , May 28: Celebrated as a victory day for the current government and also marks the Fall of Derg.
Christian festivals include Maskal, or the Feast of the Finding of the True Cross; Christmas; Timkat or Epiphany; and Good Friday according to the Coptic calendar. Christmas in Ethiopia is primarily a religious observance.
Muslim festivals include the ninth month of the Muslim calendar devoted to Ramadan, which is marked by fasting. The greatest Muslim feast of the year is 'Id Al Fatr, which celebrates the end of Ramadan. The 'Id al Adha is the feast marking Abraham's sacrifice
Ethiopia's staple food is injera, a spongy bread made of a unique crop only grown in Ethiopia called "teff." Injera is baked in a clay pan and eaten with sauce made of either meat, ground grains, beans or vegetables.
Usually age 15 and over can read and write.
Tuesday, September 20, 2011
Summery Chapter 6-8
Issue investigator chap 6-8 Maternal Mortality
Maternal mortality is the death of a woman during or shortly after a pregnancy. Most of these deaths are medically preventable as the treatments to avoid these deaths are known and available since the 1950's. "maternal mortality is a sentinel event used to assess the quality of a health care system." (wikipedia)
A 2010 research by, U. of Washington and U of Queensland Brisbane Austraila, estimated global MM in 2008 at 342,900 (down from 526,300 in 1980). It also determined that 99% occurred in the developing world where 85% of the population lives. Reducing the MM rate by 3/4's is part of the Millennium Development Goals for the UN.
According to WHO the causes are:
*25% Severe bleeding/hemorrage
*13% Infection
*13% Unsafe abortions
*12% Eclampsia
*8% Obstructed labour
*8% Other direct causes
*20% Indirect causes
"indirect causes such as malaria, anaemia, HIV/AIDS, and cardiovascular disease complicate pregnancy or are aggrevated by it."
Maternal Mortality Ratio(MMR) is the ratio of the number of maternal deaths per 100,000 live births. If we look at the MMR we can measure the quality health care of a particular country.
According to Central Asia Health Review:
MMR Country
2,000 Sierra Leone
1,900 Afghanistan
0 Ireland
4 Austria
13.3 U.S
According to WHO in 2003 the world average was 400 per 100,000, for developed countries 20, for developing countries 440. The numbers of MM are decreasing. The reason for the decline is mostly due to improved asepsis(freedom from disease-causing contaminants or, preventing contact with microorganisms), fluid management and blood transfusion, and better prenatal care.
How we can continue to decrease maternal deaths is for women to have access. Access to health care, family planning services, emergency obstetrics care, intrapartum care and funding.
Why don't women get the care they need? There are many reasons why women don't get the care they need before, during, and after childbirth. Some reasons include: services aren't available, they can't afford them or reaching them are to costly, and some don't like the quality of care offered. Cultural beliefs or the low status of women can also be a barrier.
Kristof and WuDunn have been very consistent in stating that we need to change reality rather than changing laws. What I really liked was how women in sub-Saharan Africa have been taught medical procedures in order to help save the lives of women.
There are ways to eradicate MM and each and every step taken to do so helps to alleviate the unnecessary suffering that occuring every minute of every day.
Monday, September 19, 2011
Chapter 6-8 local orgs
AMDD—Averting Maternal Death and Disability
I chose this organization because of Allan Rosenfield. We read about him in chapter 6 and his compassion for women and maternal mortality started AMDD with a grant from the Bill and Melinda Gates Foundation in 1999. I also peeked at that organization also and it was a toss up between the two.
I am going to share the mission and vision of this organization but first I want to share information about AMDD. As I checked out the web site . . . http://www.amddprogram.org/d/, I was very impressed with the thoroughness of the information, statistics and the ease of going through the web site. The AMDD is trying to make the statistic of 99% of maternal deaths are in developing countries and reduce it by 75% by 2015 (Millennium Goal #5). This organization is trying to have global access to emergency obstetric care. This is their mission and vision. This can explain more about them then I can. It is what they stand for and believe in.
The Mission: Recognizing that maternal health is a basic human right, AMDD works with partners worldwide to stimulate new thinking and generate evidence-based solutions to improve maternal and newborn survival. AMDD supports action and intervention to strengthen overall health systems so that whenever and wherever emergencies happen – from home to hospital – lives will be saved by effective and timely response.
The Vision: We believe in a world that respects and upholds the dignity of all women and their basic human right to survive pregnancy and childbirth. We believe in taking a good, hard look at the overall health systems that are meant to support – but all too often do not support – women and their newborns. But it isn’t enough to simply examine these systems; we work collaboratively and innovatively to transform and strengthen them. Strong health systems are an important solution to broader global issues of poverty and inequity.
The organization also has Needs Assessment for Emergency Obstetric and Newborn Care (EmONC). It is people getting data to back up the need for obstetric care and bring the data to the forefront and essentially proving to the world have grave the situation is. Mothers are dying giving birth and there are so many things that can be done to prevent and/or help with this epidemic. This data collecting is imperative to the success of this organization to get grants and present information to the appropriate people, governments and health organizations to get them on board.
This is the Need Assessment in a nut shell. . .
• Facility-based, cross-sectional studies that are usually national in scope
• Timeline: 8 -18 months
• Scope of data collection: infrastructure, human resources, equipment, drugs and supplies, service statistics, case reviews, and provider interviews relating to EmONC and maternal and reproductive health
• Results used for planning and health systems strengthening at all levels
(the italics was copy and pasted from the website: http://www.amddprogram.org/d/sites/default/files/needs_assessment_factsheet_english_0.pdf
I believe that this organization, which has been in business since 1999, is right on the money. They believe in what they do and they have gone after it. AMDD teams up with other organizations with the same beliefs to fight maternal mortality.
I think is a great cause. Women have been treated as second class citizen
enough; I also believe unborn children should be protected and cherished. It is a shame unborn children and mothers are left to die or fend for themselves. As the book said. . . education is possible the key. It showed that educated people were more likely to have money saved (because of better jobs) to have mothers see a doctor or have enough tucked away for emergencies. Let’s educate people—it couldn’t hurt.
Ericka Turlo
http://www.gatesfoundation.org/Pages/home.aspx
also another great organization-¬helps out globally and in the US
Tuesday, September 13, 2011
India
India declared its independence from the UK on August 15th, 1947. It is the 7th largest country in the world. Similar to the U.S., it is broken up into 28 states and 7 union territories. The country’s motto is “Sataymeva Jayate” which means “Truth Alone Triumphs”. The capital is New Deli. The largest city is Mumbai with a population of 12,478,447 which is 4,303,314 more people than New York City has. The total population of India is 1,189,172,906. The average age is 26.2 years. (The average of male and female age.) India is a federation with a parliamentary system governed under the Constitution of India. Their common law system is based on the English model. There are separate personal law codes that apply to Muslims, Christians, and Hindus. India is turning into an open-market economy but there are some aspects of its past are still intact. The Congress is considered liberal. There is a high risk of infectious disease and is the world’s largest producer of licit opium for the pharmaceutical trade. Some environmental issues include air pollution, water pollution, soil erosion and the massive population is using up the natural resources rather quickly. The available military force is estimated to be at 319,129,420 for men age 16-49 and 296,071,637 for woman of the same age group. India has almost 200,000 refugees from countries such as Tibet/China, Sri Lanka, and Afghanistan. There was a sex trafficking trade exposed in Mumbai where woman were sold and made very little money. In past years, there have been 500,000 female babies have gone missing each year because of illegal sex trafficking selection and abortions. 450 million people in India live below the poverty line, which is 42% of the world’s poor. Half of the world’s IT services are based out of India which makes it a $47 billion industry. India is the second largest importing country of weapons and has spent $50 billion on defense in the last 10 years. India’s Cherrapnuji gets 425 inches of rain every year.
http://www.businessinsider.com/amazing-facts-about-india-2010-12
https://www.cia.gov/library/publications/the-world-factbook/geos/in.html
Monday, September 12, 2011
Issue Investigator Chap. 3-5
Rape was another large issue in these chapters. People hear about rape in the United States on a fairly frequent basis; we have shows that go after child molesters and rapist (Date Line NBC: To Catch A Predator) and shows that portray the lives of detectives who investigate sex crimes (Law and Order SVU). So Americans are familiar with what rape is and other crimes of that nature. But the kind of rape that is happening in 3rd world countries is NOTHING like what happens in the States. Girls of all ages are being brutalized and sodomized with sticks, pipes, bats, guns, whatever these sick people get their hands on. They don't just try and force the women to have sex with them; they want to abuse them, humiliate them, and make them wish they weren't even alive. In chapter five, there was even a story of how militias in the Congo would stick a firearm in a women's vagina and pull the trigger. Supposedly this was because the women had pre-marital sex and was no longer "pure", but who is that for someone else to decide? These abusers do not care about the age of the women, whether she has a family or not, or what she does in society; these people rape and abuse with no mercy and it doesn't appear as though it will stop any time soon.
Chris Giroux