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Maternal & Child Health
     Reaching the Unreached




Anita K. M. Zaidi
Professor and Chair of Pediatrics and Child Health
Aga Khan University
An International University
Aga Khan University
Focus on Health & Education, Extending to Arts & Sciences
                           • Aga Khan University Hospitals
                           • School of Nursing and Midwifery
                           • Medical College
                           • Institute for Educational Development
                           • Institute for the Study of Muslim
                             Civilisations
                           • Aga Khan University Examination Board
                           • Faculty of Arts and Sciences

                                 Women’s Advancement
                                 Maternal and Child Health
                                 Early Childhood Development
                                 Problem-Based Research
                                 Quality Education
Part of a Development Network:
     Aga Khan Development Network

• Working in 30 countries

• 80,000 employees

• Focusing on health,
  education, culture,
  rural and economic
  development

• Creating leaders and
  local capacity


  Dedicated to improving living conditions and opportunities for the poor, without
                          regard to faith, origin or gender
Maternal & Child Survival Status, 2011
  Maternal Mortality Ratio




                                            Under 5 Child
                                           Mortality Ratio




Source: IHME (Lancet 2011)
Maternal & Child Health
 - A Major Focus at AKU
             “First, the University will build
             on its strengths in maternal
             and child health. Its research
             into problems which strike the
             most vulnerable of God’s
             people, is carrying it toward
             the goal I have as Chancellor:
             that the Aga Khan University
             should be one of the world
             resources in health problems
             of mothers and children, and
             that its work on these
             problems will be on the
             frontiers of knowledge.”
                       His Highness the Aga Khan
                           AKU Convocation 1989
Reaching the Unreached




 Addressing
Key Challenges
  in Maternal
      and
 Child Health
Critical Shortages in 57 Countries
Nurses & Midwives Play a Critical Role
AKU’s Innovative Hala Project
  with Government Lady Health Workers




Training Lady Health Workers reduced perinatal
   mortality by 20% in rural Sindh, Pakistan
Pakistan: Short Training for Women Workers Goes Far
 in Saving Newborns’ Lives
 January 24, 2011
A new study suggests that “lady health
workers,” as Pakistan calls them — women
trained as part of a government program to
give care to poor people in rural areas —
can make a difference in saving the lives of
newborns.

Researchers from Aga Khan University in
Karachi followed almost 50,000 households
in two health districts for two years. The
areas where the women were assigned to
work had 21 percent stillbirths and 15
percent fewer newborn deaths than in
other areas. That success was achieved
even though the health workers generally
had only 10th-grade education and one
extra week of training for the project.
Simple Technologies Can Save Lives




   Application of chlorhexidine, provided in clean delivery kits, reduced newborn
                deaths by 40 per cent in the poorest district of Sindh
(Source: Lancet 2012)
Centre of Excellence
                - Women & Child Health -


         Mission
    To provide a platform for
improving maternal and child
health by a sustained focus on
human capacity development,
 clinical services and research
     that serve the needs of
     women and children in
developing Asian and African
            countries
What We Aim To Do
         • Training health care
           professionals to provide
           leadership at all levels of the
           health care system

         • Utilizing appropriate models for
           clinical care and planning for
           national, regional and global
           policy in maternal and child
           health

         • Conducting cutting edge research
           to promote effective
           interventions as well as probing
           the frontiers of knowledge
Rotary International & Aga Khan University:
                   A Strategic Partnership

 Focus on Maternal & Child Health
            in East Africa
• Training nurse educators
    – Rotarian-led Vocational
       Training Teams
• Scholarships and mentorship for
   nursing and midwifery students
• Partnering to improve the
   quality of life of mothers and
   children
                                    Nigerian Vocational Training Team
                                               District 9110
                                            Kampala, Uganda
                                              March 1, 2012
Rotary Scholars at Aga Khan University

“I hope to improve maternal and
child health in my community by
being a role model to the
community members, health
educators, and mothers. Providing
proper maternal care, delivery
and post natal care, lobbying for
maternal health issues from the
district. Ensuring that every child
before one year is immunized….”
                                          Nigerian Vocational Training Team
                     - Awor Josephine             from District 9110
                   2012 Rotary Scholar            Kampala, Uganda
                     Kampala, Uganda                March 1, 2012




                                         2012 Kenyan Rotary Scholars, Nairobi, Kenya
Rotary Humanitarian Trust &
                  AKU in Pakistan
• Funding life-saving cardiac
  surgery for children of families
  who cannot afford expensive
  surgery for congenital heart
  defects

• Financial support committed
  for 2012 by the Rotary
  Humanitarian Trust, Pakistan
  Chapter for surgery for 20
  children at the state-of-the-art
  Aga Khan University Hospital
  in Karachi
Rotary International & Aga Khan University
            Working Together
Help Us Reach the Unreached
Improve the Lives of Mothers and Their Children

          Visit AKU at Booth 407
Anita K. M. Zaidi
Professor and Chair of Paediatrics
        and Child Health

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IC12 - Rotary's Strategic Partnerships Breakout: The Aga Khan University

  • 1. Maternal & Child Health Reaching the Unreached Anita K. M. Zaidi Professor and Chair of Pediatrics and Child Health
  • 2. Aga Khan University An International University
  • 3. Aga Khan University Focus on Health & Education, Extending to Arts & Sciences • Aga Khan University Hospitals • School of Nursing and Midwifery • Medical College • Institute for Educational Development • Institute for the Study of Muslim Civilisations • Aga Khan University Examination Board • Faculty of Arts and Sciences  Women’s Advancement  Maternal and Child Health  Early Childhood Development  Problem-Based Research  Quality Education
  • 4. Part of a Development Network: Aga Khan Development Network • Working in 30 countries • 80,000 employees • Focusing on health, education, culture, rural and economic development • Creating leaders and local capacity Dedicated to improving living conditions and opportunities for the poor, without regard to faith, origin or gender
  • 5. Maternal & Child Survival Status, 2011 Maternal Mortality Ratio Under 5 Child Mortality Ratio Source: IHME (Lancet 2011)
  • 6. Maternal & Child Health - A Major Focus at AKU “First, the University will build on its strengths in maternal and child health. Its research into problems which strike the most vulnerable of God’s people, is carrying it toward the goal I have as Chancellor: that the Aga Khan University should be one of the world resources in health problems of mothers and children, and that its work on these problems will be on the frontiers of knowledge.” His Highness the Aga Khan AKU Convocation 1989
  • 7. Reaching the Unreached Addressing Key Challenges in Maternal and Child Health
  • 8. Critical Shortages in 57 Countries
  • 9. Nurses & Midwives Play a Critical Role
  • 10. AKU’s Innovative Hala Project with Government Lady Health Workers Training Lady Health Workers reduced perinatal mortality by 20% in rural Sindh, Pakistan
  • 11. Pakistan: Short Training for Women Workers Goes Far in Saving Newborns’ Lives January 24, 2011 A new study suggests that “lady health workers,” as Pakistan calls them — women trained as part of a government program to give care to poor people in rural areas — can make a difference in saving the lives of newborns. Researchers from Aga Khan University in Karachi followed almost 50,000 households in two health districts for two years. The areas where the women were assigned to work had 21 percent stillbirths and 15 percent fewer newborn deaths than in other areas. That success was achieved even though the health workers generally had only 10th-grade education and one extra week of training for the project.
  • 12. Simple Technologies Can Save Lives Application of chlorhexidine, provided in clean delivery kits, reduced newborn deaths by 40 per cent in the poorest district of Sindh (Source: Lancet 2012)
  • 13. Centre of Excellence - Women & Child Health - Mission To provide a platform for improving maternal and child health by a sustained focus on human capacity development, clinical services and research that serve the needs of women and children in developing Asian and African countries
  • 14. What We Aim To Do • Training health care professionals to provide leadership at all levels of the health care system • Utilizing appropriate models for clinical care and planning for national, regional and global policy in maternal and child health • Conducting cutting edge research to promote effective interventions as well as probing the frontiers of knowledge
  • 15. Rotary International & Aga Khan University: A Strategic Partnership Focus on Maternal & Child Health in East Africa • Training nurse educators – Rotarian-led Vocational Training Teams • Scholarships and mentorship for nursing and midwifery students • Partnering to improve the quality of life of mothers and children Nigerian Vocational Training Team District 9110 Kampala, Uganda March 1, 2012
  • 16. Rotary Scholars at Aga Khan University “I hope to improve maternal and child health in my community by being a role model to the community members, health educators, and mothers. Providing proper maternal care, delivery and post natal care, lobbying for maternal health issues from the district. Ensuring that every child before one year is immunized….” Nigerian Vocational Training Team - Awor Josephine from District 9110 2012 Rotary Scholar Kampala, Uganda Kampala, Uganda March 1, 2012 2012 Kenyan Rotary Scholars, Nairobi, Kenya
  • 17. Rotary Humanitarian Trust & AKU in Pakistan • Funding life-saving cardiac surgery for children of families who cannot afford expensive surgery for congenital heart defects • Financial support committed for 2012 by the Rotary Humanitarian Trust, Pakistan Chapter for surgery for 20 children at the state-of-the-art Aga Khan University Hospital in Karachi
  • 18. Rotary International & Aga Khan University Working Together
  • 19. Help Us Reach the Unreached Improve the Lives of Mothers and Their Children Visit AKU at Booth 407
  • 20. Anita K. M. Zaidi Professor and Chair of Paediatrics and Child Health

Notas del editor

  1. Human resource challenges remain a hurdle for many countries not yet “on track”. Solutions are being found in expanding the number of skilled staff, improving skills and providing workers with new technologies, deploying staff to underserved communities, improving motivation, and shifting tasks to increase the capacity of available staff to provide needed services. Of the countries with available data, 57 do not have the minimum level of staff recommended to provide services required to reach coverage and mortality reduction targets. Sub-Saharan Africa accounts for 50% of the world’s maternal and child deaths, but only 3% of the world’s health workers.  India and Ethiopia created new cadres of community workers to provide preventative and some curative services. Mozambique used task shifting --successfully training and deploying clinical technicians to perform surgeries including cesarean sections in the absence of sufficient obstetricians or surgeons resulting in the survival of many at risk mothers and babies.