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The Fistula Fortnight: Healing Wounds, Renewing Hope, 21 February - 6 March 2005, Kano, Katsina, Kebbi and Sokoto States, Nigeria.
New York, New York, United Nations Population Fund [UNFPA], . 46 p.The Fistula Fortnight accomplished a number of goals: it mobilized resources for obstetric fistula and safe motherhood; increased public awareness that fistula is preventable; contributed to combating the marginalization of women who suffer from fistula; strengthened institutional capacity to manage fistula; and began to address the broader needs of women living with the disability. While the surgeries conducted represent only a small portion of the backlog, the Fistula Fortnight provided a strategic opportunity to raise awareness and motivate action among policymakers, national and local leaders, and the general public about the need to increase efforts to both prevent and treat fistula. (Excerpt)
Obstetric fistula: Guiding principles for clinical management and programme development, a new WHO guideline.
International Journal of Gynecology and Obstetrics. 2007 Nov; 99 Suppl 1:S117-S121.It is estimated that more than 2 million women are living with obstetric fistulas (OFs) worldwide, particularly in Africa and Asia, and yet this severe morbidity remains hidden. As a contribution to the global Campaign to End Fistula, the World Health Organization (WHO) published Obstetric fistula: Guiding principles for clinical management and programme development, a manual intended as a practical working document. Its 3 main objectives are to draw attention to the urgency of the OF issue and serve as an advocacy document for prompt action; provide policy makers and health professionals with brief, factual information and principles that will guide them at the national and regional levels as they develop strategies and programs to prevent and treat OFs; and assist health care professionals as they acquire better skills and develop more effective services to care for women treated for fistula repair. (author's)
Can the process indicators for emergency obstetric care assess the progress of maternal mortality reduction programs? An examination of UNFPA Projects 2000-2004. [Les indicateurs de processus pour les soins obstétriques d’urgence peuvent-ils évaluer les progrès des programmes de réduction de la mortalité maternelle ? Un examen des projets du FNUAP 2000-2004]
International Journal of Gynecology and Obstetrics. 2006 Jun; 93(3):308-316.In view of the disappointing progress made in the last 20 years in reducing maternal mortality in low-income countries and before going to scale in implementing the new evidence-based strategies, it is crucial to review and assess the progress made in pilot countries where maternal mortality reduction programs focused on emergency obstetric care. The objective was to review the process indicators recommended for monitoring emergency obstetric care and their application in field situations, examining the conditions under which they can be used to assess the progress of maternal mortality reduction programs. Five of the six UN recommended process indicators were monitored annually for 5 years in selected districts of Morocco, Mozambique, India and Nicaragua. Trends are presented and discussed. With specific variations due to different local situations in the four countries and in spite of variations in quality of data collection, all indicators showed a consistent positive trend, in response to the inputs of the programs. The UN process indicators for emergency obstetric care should continue to be promoted, but with two important conditions: (1) data collection is carefully checked for quality and coverage; (2) efforts are made to match process and outcome indicators (maternal and perinatal mortality, incidence of complications). (author's)