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Vrouwen gezondheid en vrouwenrechten in een
globale wereld
Prof dr Marleen Temmerman
SOCIUS 2018, GENT
Korte biografie
• Opleiding: arts, gynaecologe,
tropische geneeskunde en
volksgezondheid
• Academisch; Universiteiten
Gent, Nairobi, ITG
• Politiek: Senator
• WHO Director Reproductive
Health and Research
• Aga Khan University, East
Africa
University of Nairobi 1985- Prof Peter Piot, Ndinya-Achola,
Job Bwayo
Onderzoeks agenda 1986
• Kunnen vrouwen besmet
worden met het HIV virus?
• En wat is het impact op
zwangerschap en kind
Kenia 1985
• Bevolking: 22 miljoen
• Groei 1.27%
• Levensverwachting 47 jaar
• Vruchtbaarheid 4.5
kind/vrouw
• Zuigelingensterfte 68/1000
• HIV/AIDS 14%
• Onder armoedegrens 42%
Tekort aan material en
overbezette bedden
HIV onderzoek
Opleiding en onderzoek
Pumwani Maternity Hospital
© Lieve Blancquaert
International Centre for Reproductive Health
• A research centre established in 1994 in response to the
International Conference on Population and Development
(ICPD, Cairo, 1994)
• Multidisciplinary centre within Faculty of Medicine and Health
Sciences at Gent University.
• Focus on sexual and reproductive health and training
• Satellite NGO in Kenya, Mozambique, South-Africa, Ruanda
• WHO collaborating centre for research on sexual and
reproductive health
Founding Director International Centre Reproductive Health 1994
23
Growth of ICRH during the years 2000: projects and offices in Kenya, Mozambique, China,
ICRH is now a stable, professional organization, with a
proven track record in research,
while displaying social responsibility.
Coast General Hospital, Mombasa
OFFICIAL OPENING of the GBVRC,
Mombasa
First public hospital GBV clinic was opened on May 25th 2007; PPP
GPGH and ICRH
GBVRC- CPGH
• Medical exam & forms
• Immediate trauma counseling, follow-up
appointments
• Lab tests, follow-up treatment if required
• VCT and PEP; Emergency Contraception
• Police statement & forms
• Legal follow-up care
•
•
Community involvement
GBVRC 2017
• Over 7300 survivors
• 85% women and girls
• 80% under 18, more than half younger than
15 years old
• 75 % neighbours or family
• 169 court cases- 5 convictions
Filename
Filename
Filename
40
WHO HQ Geneva
World Health
Organisation
• Human Reproduction and
Family Planning
• Adolescents and at risk groups
• Maternal and Newborn Health
• Violence against women and
girls
• Traditional Harmful Practices
• STI/HIV
• …
Quality of care in RMNCHealth
Filename
Tuncalp et al. Quality of Care for pregnant women and newborns- the WHO vision.
BJOG 2015
"We will spare no effort to free our fellow men,
women, and children from the abject and
dehumanizing conditions of extreme poverty,
to which more than a billion of them are currently
subjected."
United Nations Millennium Declaration
September 2000
Millenium Development Goals
The MDGs and the Global Strategy 2010-15
The UNSG’s 2015 progress report:
• Health of women and children is now higher on the political
agenda
• Over 300 stakeholders from all constituencies made 400
commitments
• US$45 billion in new financing, almost 60% (US$ 34.2 billion)
disbursed
• New global initiatives were launched
• 1000 innovations have been selected and supported
• More Research has been carried out
• Landmark accountability framework for women and children’s
health
MDG 5: Improving maternal health
Since 1990 the global maternal mortality has dropped over 40%
No
newborn
born to die
303,000 die
No child
dying or
stunted
2.7 million die
Almost 9 almillion deaths of women and children, 6 million related to pregnancy and birth
Progress slower than
for child or maternal mortality
At the end of the Millennium Development Goals era…
No
baby
stillborn
No woman
should die
while giving
life
303,000 die 2.6 million die 2.7 million die 3.2 million die
Almost 9 million deaths of women and children, 6 million related to pregnancy and birth
"Women are not dying of
diseases we can't treat. ...
They are dying because
societies have yet to make the
decision that their lives are
worth saving.“
Mahmoud Fathalla
Two Key Interventions to save Women’s lives
IN 3 DEATHS
COULD BE AVOIDED IF
ALL WOMEN HAD ACCESS
CONTRACEPTIVES
MATERNAL DEATHS
13% UNSAFE ABORTIONS
47,000
DEATHS
©PATH/EricBecker
Quality of care at Childbirth: a
triple return on investment!
Reducing Maternal and
Newborn Mortality, preventing
Stillbirths
REBIRTH
18,000
S
IN 35 YEARS
© PATH / Amy MacIver
GIRLS AND WOMEN
LOST THEIR LIVES
72DUE TO PREGNANCY AND
BIRTH COMPLICATIONS
d
© PATH / Eric Becker
MDG 5: Improving maternal healthMaternal mortality has nearly halved since 1990
Filename
26 16
400
210
870
430
0
100
200
300
400
500
600
700
800
900
1000
1990 1995 2000 2005 2010
Maternalmortalityrate
More developed countries Global Least developed countries
Boeken en verhalen
The AKU East-Africa Centre of Excellence for
Women and Child Health
Aga Khan University Hospital
The AKU East-Africa Centre of Excellence for Women
and Child Health
• Training effective and relevant health care professionals,
capable of leadership at all levels of the health system.
• Appropriate models for clinical care and planning for
national, regional and global policy in RMNCH.
• Appropriate, cutting edge research and advocacy to
promote effective interventions in urban and rural settings,
as well as probing the frontiers of knowledge.
• Appropriate models for monitoring and evaluation to
support progress in RMNCH.
Centre of Excellence in
Women and Child Health,
including Adolescent Health
Partnerships
Yes, we can, if we care!
“ It takes two to make a
child but a village to raise
a child”.
We are all part of that
global village!
Marleen Temmerman Fund
at Ghent University
The Marleen Temmerman Fund will help to structure and
attract donations that will benefit projects such as
• Gender based Violence in Mombasa, Kenya
• Family Planning programs in many African sites
• An Internship Programme for African researchers
More information and online donations:
www.fondsmarleentemmerman.ugent.bewww.fondsmar
leentemmerman.ugent.be
www.fondsmarleentemmerman.ugent.be

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MARLEEN TEMMERMAN - HET IS NOG NIET IN DE ‘SACOCHE’

  • 1. Vrouwen gezondheid en vrouwenrechten in een globale wereld Prof dr Marleen Temmerman SOCIUS 2018, GENT
  • 2. Korte biografie • Opleiding: arts, gynaecologe, tropische geneeskunde en volksgezondheid • Academisch; Universiteiten Gent, Nairobi, ITG • Politiek: Senator • WHO Director Reproductive Health and Research • Aga Khan University, East Africa
  • 3.
  • 4. University of Nairobi 1985- Prof Peter Piot, Ndinya-Achola, Job Bwayo
  • 5. Onderzoeks agenda 1986 • Kunnen vrouwen besmet worden met het HIV virus? • En wat is het impact op zwangerschap en kind
  • 6. Kenia 1985 • Bevolking: 22 miljoen • Groei 1.27% • Levensverwachting 47 jaar • Vruchtbaarheid 4.5 kind/vrouw • Zuigelingensterfte 68/1000 • HIV/AIDS 14% • Onder armoedegrens 42%
  • 7.
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  • 9. Tekort aan material en overbezette bedden
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  • 12. Opleiding en onderzoek Pumwani Maternity Hospital
  • 13.
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  • 20. International Centre for Reproductive Health • A research centre established in 1994 in response to the International Conference on Population and Development (ICPD, Cairo, 1994) • Multidisciplinary centre within Faculty of Medicine and Health Sciences at Gent University. • Focus on sexual and reproductive health and training • Satellite NGO in Kenya, Mozambique, South-Africa, Ruanda • WHO collaborating centre for research on sexual and reproductive health
  • 21. Founding Director International Centre Reproductive Health 1994
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  • 23. 23
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  • 26. Growth of ICRH during the years 2000: projects and offices in Kenya, Mozambique, China,
  • 27.
  • 28. ICRH is now a stable, professional organization, with a proven track record in research, while displaying social responsibility.
  • 30. OFFICIAL OPENING of the GBVRC, Mombasa First public hospital GBV clinic was opened on May 25th 2007; PPP GPGH and ICRH
  • 31. GBVRC- CPGH • Medical exam & forms • Immediate trauma counseling, follow-up appointments • Lab tests, follow-up treatment if required • VCT and PEP; Emergency Contraception • Police statement & forms • Legal follow-up care • •
  • 33. GBVRC 2017 • Over 7300 survivors • 85% women and girls • 80% under 18, more than half younger than 15 years old • 75 % neighbours or family • 169 court cases- 5 convictions
  • 34.
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  • 40. 40
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  • 48. World Health Organisation • Human Reproduction and Family Planning • Adolescents and at risk groups • Maternal and Newborn Health • Violence against women and girls • Traditional Harmful Practices • STI/HIV • …
  • 49. Quality of care in RMNCHealth Filename Tuncalp et al. Quality of Care for pregnant women and newborns- the WHO vision. BJOG 2015
  • 50.
  • 51. "We will spare no effort to free our fellow men, women, and children from the abject and dehumanizing conditions of extreme poverty, to which more than a billion of them are currently subjected." United Nations Millennium Declaration September 2000
  • 53.
  • 54. The MDGs and the Global Strategy 2010-15 The UNSG’s 2015 progress report: • Health of women and children is now higher on the political agenda • Over 300 stakeholders from all constituencies made 400 commitments • US$45 billion in new financing, almost 60% (US$ 34.2 billion) disbursed • New global initiatives were launched • 1000 innovations have been selected and supported • More Research has been carried out • Landmark accountability framework for women and children’s health
  • 55. MDG 5: Improving maternal health Since 1990 the global maternal mortality has dropped over 40%
  • 56. No newborn born to die 303,000 die No child dying or stunted 2.7 million die Almost 9 almillion deaths of women and children, 6 million related to pregnancy and birth Progress slower than for child or maternal mortality At the end of the Millennium Development Goals era… No baby stillborn No woman should die while giving life 303,000 die 2.6 million die 2.7 million die 3.2 million die Almost 9 million deaths of women and children, 6 million related to pregnancy and birth
  • 57.
  • 58. "Women are not dying of diseases we can't treat. ... They are dying because societies have yet to make the decision that their lives are worth saving.“ Mahmoud Fathalla
  • 59. Two Key Interventions to save Women’s lives
  • 60. IN 3 DEATHS COULD BE AVOIDED IF ALL WOMEN HAD ACCESS CONTRACEPTIVES
  • 61. MATERNAL DEATHS 13% UNSAFE ABORTIONS 47,000 DEATHS ©PATH/EricBecker
  • 62. Quality of care at Childbirth: a triple return on investment! Reducing Maternal and Newborn Mortality, preventing Stillbirths
  • 63. REBIRTH 18,000 S IN 35 YEARS © PATH / Amy MacIver
  • 64. GIRLS AND WOMEN LOST THEIR LIVES 72DUE TO PREGNANCY AND BIRTH COMPLICATIONS d © PATH / Eric Becker
  • 65. MDG 5: Improving maternal healthMaternal mortality has nearly halved since 1990 Filename 26 16 400 210 870 430 0 100 200 300 400 500 600 700 800 900 1000 1990 1995 2000 2005 2010 Maternalmortalityrate More developed countries Global Least developed countries
  • 66.
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  • 71. The AKU East-Africa Centre of Excellence for Women and Child Health
  • 73.
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  • 75. The AKU East-Africa Centre of Excellence for Women and Child Health
  • 76. • Training effective and relevant health care professionals, capable of leadership at all levels of the health system. • Appropriate models for clinical care and planning for national, regional and global policy in RMNCH. • Appropriate, cutting edge research and advocacy to promote effective interventions in urban and rural settings, as well as probing the frontiers of knowledge. • Appropriate models for monitoring and evaluation to support progress in RMNCH. Centre of Excellence in Women and Child Health, including Adolescent Health
  • 78.
  • 79. Yes, we can, if we care! “ It takes two to make a child but a village to raise a child”. We are all part of that global village!
  • 80. Marleen Temmerman Fund at Ghent University The Marleen Temmerman Fund will help to structure and attract donations that will benefit projects such as • Gender based Violence in Mombasa, Kenya • Family Planning programs in many African sites • An Internship Programme for African researchers More information and online donations: www.fondsmarleentemmerman.ugent.bewww.fondsmar leentemmerman.ugent.be www.fondsmarleentemmerman.ugent.be