Tag Archives: international development

Maternal Health and the Status of Women

Both globally and domestically, maternal health and the standing of women are inextricably linked. If women do not have the means and access to give birth safely, with trained and educated midwives, physicians and nurses, with appropriate prenatal education and care, it is often indicative of the standing of women in their communities and countries overall. Women’s inequality is also linked to the soaring population growth in developing countries, which will pose a range of new challenges for the next few generations.

Some may point to the United States as an anomaly, citing women’s increasing economic and financial independence, education, and leadership roles in America, while in terms of maternal health rankings, we remain pathetically far down the line for our resources (49 other countries are safer places to give birth than the U.S. – despite us spending more money on healthcare than anywhere else). Of course, the recent and incessant attacks on allowing women to access credible, accurate, up-to-date and comprehensive sexual and reproductive health education and services makes this statistic not entirely…surprising, shall we say.

So, I found the incredibly detailed and visually impressive infographic by the National Post, pulled from spectacular data and research done by Save the Children to be particularly fascinating. What they did was combine information on the health, economic, and education status of women to create overall rankings of the best and worst countries for women, splitting the countries into categories of more developed, less developed, and least developed, and the countries were ranked in relation to the other countries in their category (the divisions were based on the 2008 United Nations Population Division’s World Population Prospects, which most recently no longer classified based on development standing). While these divisions and the rankings can certainly be contentious and may incite some disagreement (nothing unusual there, these kind of rankings usually are), I thought the results were interesting. Some highlights – Norway is first, Somalia is last. The United States was 19th, and Canada was 17th (Estonia fell in between us and the Great White North) in the most developed. Israel is first in the less developed category, and Bhutan is first in the least developed category. The full report with data from Save the Children is also available, if you want to learn more about the information combined to make this image. Take a look:

A Woman’s Place – Courtesy of the National Post

One thing that I thought was particularly great was that the researchers combined women’s health and children’s heath data to create rankings specific to being a mother, when that category is sometimes only assessed based on access to reproductive care.The specific rankings of maternal health highlights largely mimics the overall standing of women, as seen here – Norway is number one, again, and Niger falls into last place:

Mother’s Index, Courtesy of Save the Children

I think these images and graphs are particularly moving given one of the top health stories coming out of the New York Times today, which showed that a recent Johns Hopkins study indicated meeting the contraception needs of women in developing countries could reduce maternal mortality (and thereby increase the standing of women in many of the nations doing poorly in the above ranking) globally by a third. When looking at the countries in the infographic that have low rates of using modern contraception and the correlation between that and their ranking in terms of status of women, it’s not surprising what the JH researchers found. Many of the countries farther down in the rankings have rates below 50%, and for those countries filling the bottom 25 slots, none of them even reach a rate that is a third of the population in terms of contraceptive use – which of course in most cases has to do with availability, not choice. Wonderfully, the Gates Foundation yesterday announced that they would be donating $1 billion to increase the access to contraceptives in developing countries.

Also of note, and in relation to maternal and newborn health, is a new study recently published by Mailman researchers that showed PEPFAR funded programs in sub-Saharan Africa increased access to healthcare facilities for women (particularly important for this region, as 50% of maternal deaths occur there), thereby increasing the number of births occurring in these facilities – reducing the avoidable (and sometimes inevitable) complications from labor and delivery, decreasing the chance of infection and increasing treatment if contracted. This has clear implications for children as well (and why I think this study relates to the National Post infographic and the NY Times article), since newborns are also able to be assessed by trained healthcare workers and potentially life-threatening conditions averted – including HIV, if the newborns have HIV+ mothers and need early anti-retroviral treatment and a relationship with a healthcare worker and system. And it goes without saying that if a new mother is struggling with post-delivery healthcare issues, including abscesses and fistulas, or was dealing with a high-risk pre-labor condition like preeclampsia, the child will have an increasingly difficult early life, perhaps even a motherless one.

1 Comment

Filed under Child Development and Child Health, Health Education, International, Politics, Public Health, Reproductive and Sexual Health, Women's Health

The Changing Face of Development in the Fight for Gender Justice

As International Women’s Day approached, I was thrilled to attend a panel at the United Nations, “Youth Approaches to Funding Gender Equality and Women’s Human Rights,” with the Executive Director of an organization I am very excited to be a part of, Spark, as one of the speakers. Shannon Farley was joined by Mia Herndon from the Third Wave Foundation and Amina Doherty from the Young Feminist Fund. These dynamic leaders provided what turned out to be unique though complementary perspectives on engaging youth in development strategies, and I came away feeling revitalized and encouraged that Spark’s work is at the forefront of essential evolution in philanthropy and development.

While powerhouse young women lead each of these organizations, their differences should be noted. Spark, at 7 years old, is the middle child of the organizations, and the only one that operates within a member-driven framework, allowing those active members to vote on grantees and possible themes. Granting more than $1 million since its inception, a great feat since most gifts are seed money of the couple thousand dollar range, Spark’s offering of extensive pro-bono services to granting organizations also sets us apart – that and statistic of having nearly 50% male members. FRIDA is the new baby in the gender equality, women’s rights development world, and they interestingly refer to themselves as a “learning fund,” as each organization that applies for funding does some fairly in-depth research on other groups with whom they are competing for funds. Of the more than 1,000 applications from over 120 countries this year, FRIDA selected 125 ‘short-listed’ groups who then voted for a group in their region other than themselves who they felt deserved the grant based on their work and application. Lastly, the Third Wave Foundation, which has been around for 15 years, funds work that benefits 15 – 30 year-old women and transgender youth. They emphasize leadership development and advocacy, and given their size, are also able to offer multi-year ‘arc’ grants, supporting groups as they get off the ground, giving them a big financial push during subsequent cycles, and tapering off as the group begins to grow.

Despite these differences in age, funding history, and model of grant making, one can see the overlaps. My favorite element of the panel was discovering throughout the presentation how similar the roots of the missions of these groups are – interactivity, democratic funding policies, involvement of the grantees and groups for whom they are advocating, and leadership that represents the interests of the grantees. Each of these groups – and this is what I think draws many to Spark in the first place – emphasizes the input of passionate members or supporters who are emotionally and mentally invested in working for justice, and who may have previously been rebuffed in other volunteer development efforts. Equally important, they value the participation of those on the ground seeking to be funded. Panelists actually articulated how important the flow of communication was in the funding process, not only to ensure that the funding organizations were really sound in their understanding of the grantees, but also so the beneficiaries feel as though they are being heard and understood throughout the process. This is actually fairly empowering. This kind of communication between funding agencies and grantees used to be unheard of – grant applications would be filled out on one side, and grant-making decisions would be made on the other side, often with grantees not feeling as though they were making meaningful connections with funding organizations that would enable them to better articulate their needs.

These newer models can bring up questions of validity for some, and this query was posed by an audience member who asked the panel about issues of monitoring and evaluation (M&E), and how that was considered within these newer frameworks. This garnered perhaps my favorite answer, which was that one of the ways M&E can be handled is by changing the definition of what a successful program or initiative looks like. One of the ways these newer development organizations does this is by defining at the outset what success looks like to the grantees and how that will be measured, and emphasizing those goals in the evaluation process as opposed to adhering to strict, traditional methods that may not be appropriate measures for many of the newer, innovative groups that are seeking funding.

Piggybacking on this part of the conversation, panelists were asked about what they saw as the primary benefits and drawbacks of not working within the more traditional development models. Luckily, and unsurprisingly, these leaders focused mainly on the positive. Working within newer models allows them to take risks; to explore relationships with new groups and leaders that older, more established organizations may not have the time or framework to take on; and to nurture long term relationships with groups that can use the leadership guidance and seed money granted by organizations like Spark to get off the ground and be ready to present themselves to progressively larger funds. Essentially, these groups – Spark, the Third Wave, and FRIDA – are building a foundation to get a foot into the door of the local and global conversations about eradicating injustice for groups that may have been historically overlooked.

As the landscape for women’s rights and gender disparities shifts, this kind of risk-taking is essential in assisting burgeoning efforts of organizations that may have been traditionally ignored.

While each of these organizations emphasized the need for young women’s leadership and articulated how their models centered on the unique and essential perspectives of young leaders, the speakers also championed the importance of inter-generational work. When concern was raised by an audience member over being dismissive of the work of older activists and development organizations, panelists were adamant about the fact that their communities were grateful for the work that had come before them, and the wisdom that is often culled from creating partnerships with leaders who have been involved in gender equality development work for years.  The experience of these more senior leaders is not only valuable in gaining insight into what isn’t working and why within traditional giving pathways, but collaborating with them often leads to grant-making opportunities for these newer funding organizations. Shannon’s remarks specifically about how larger, older funds had passed on applications to Spark that are more suitable for our funding model than theirs was met with nods of appreciation from many in the audience – an audience that was in and of itself diverse in age and funding experience. And of course, having big voices in the field champion the work of newer organizations for their innovation certainly doesn’t hurt when trying to increase our donor circles.

I encourage my readers to check out Spark, and consider becoming a member. It’s an incredible organization that offers great opportunities for young leaders to get involved. In light of International Women’s Day, I’d also encourage you to check out these other fantastic on-the-ground groups doing fantastic work for gender equality and justice (some of them Spark grantees!):

The Komera Project: Education for girls in Rwanda, financial and mentoring assistance, started by Margaret Butler.

CAMFED: Investing in girls’ education in Africa

She’s the First: Education investment in the developing world

Plan International: Children’s rights and development around the globe

No coincidence that these organizations tend to focus on education access! Have organizations that you’re passionate about and want me to include in this list? Send ‘em my way!

1 Comment

Filed under Defining Gender, Education, Feminism, International, Politics

The Girl Effect Impact

I’m lucky – I have conscientious friends. People who are invested in their communities both immediate and global; people who care deeply about education, human rights, and child development; individuals who believe firmly in these principles. I’m grateful for that, and grateful that they remain open to hearing about violations of these principles and what can be done to work towards eradicating circumstances that allow these inequities to thrive. Which is what I’m doing here.

By now, many of you have likely heard of The Girl Effect. The Novo and Nike foundations, partnering with the Coalition for Adolescent Girls and the UN Foundation, started the Girl Effect a few years ago, and since the movement started they’ve garnered a healthy following on Twitter, Facebook, and via non-profits and educational institutions. One of the organization’s most essential functions is raising awareness – they do this through their profiles of young girls around the world, their easy to understand presentation of facts and country profiles, and the way they create a storyline of cause-and-effect that shows us how the subjugation of girls is multi-faceted and interconnected.

Statistics can be powerful. If there’s one thing I’ve learned working in both public health and education, it’s that statistics can redirect money and help gain political endorsements; they can garner media attention and can heave weight behind opinions. But they can also leave people cold, and can create some emotional distance between the problem and one’s understanding and relation to it. This is where I think the real impact and power of the Girl Effect comes in.

I’d encourage my readers to do two things. First, check out the basic information the organization offers – the nuts and bolts, the facts and outlines. Then head over to the videos page and pick a profile of any one of the girls. Watch it a few times, to see if the second or third time you catch something you missed the first time. Instead of focusing on the fact that girls who do not attend secondary school in India are nearly 70% more likely to be married as children, focus on Anita or Sanchita and what they’re actually saying to you. The fact that in Chad, Guinea, Mali, and Niger half of all adolescent give birth before 18 – and that girls who give birth before age 15 are fives times more likely to die in childbirth – is a frightening statistic – one big enough to think that the problem is too overwhelming, too all encompassing, too massive and systemic to be solved or challenged. So instead, watch the interviews with Kidan, Shumi and Addis. Hear them describe the internal changes they went thorough when they pushed against the status quo, the familial and community influences they have had as they developed despite monumental odds stacked against them.

Lastly, I’d invite you to check out the connect/mobilize page – see what small contribution you can make, while keeping in mind the profile of the girl you just watched. Focus on the element you found most meaningful. The seconds you felt most connected to her, the point at which you most admired her. Think about that moment when you feel overwhelmed by the statistics, think of that emotional response if you feel overwhelmed by the task at hand. Move to change one step at a time, with that feeling as your guide.

1 Comment

Filed under Child Development and Child Health, Education, Feminism, Public Health, Sexism