11 health innovations to drastically cut maternal and child mortality rates

Photo credit: Pius Utomi AFP/Getty images

Achieving the ambitious target to end maternal and child deaths, enshrined in the sustainable development goals (SDGs), will require ingenuity. The good news is that 11 health innovations could save more than 6 million mothers and children by 2030, if they are invested in and used widely in 24 priority countries.

1 Injectable contraceptives

A new formulation that combines a widely used long-acting contraceptive in an easy-to-use injection is already improving access to this life-changing intervention by allowing community health workers to bring the drug directly to women. Several countries are even studying the potential for women to self-inject, further empowering women and their choices.

Modelling showed that this innovation, making long-acting contraception more accessible, could save more than 3 million lives – including women, newborns, and children – by helping women space their pregnancies in a healthy way.

2 Better pneumonia treatment

Accurately diagnosing pneumonia in young children is very difficult. New tools to diagnose and treat the condition, including better respiratory rate monitors and portable pulse oximeters, can save many more lives from this disease, which is the leading infectious killer of children under five.

3 Kangaroo mother care

There is so much we can do now to give newborns a better chance at a healthy life. Studies have shown that kangaroo mother care, or skin-to-skin contact between the newborn and mother immediately after birth, improves breastfeeding and thermal regulation of newborns, both critical for survival in low-resource settings.

4 Chlorinators for water treatment

Beyond traditional interventions for mothers and newborns, we also need to ensure access to clean water. New technologies, like a chlorinator for community water treatment, are making the use of chlorine for disinfecting water easy and economical.

5 Antiseptic gel

Chlorhexidine, a low-cost antiseptic, is a very simple gel that, if applied to the newborn’s umbilical cord, can prevent deadly infections.

6 Single-dose anti-malarial drugs

Better drugs to protect against diseases like malaria are in the works, including a potent single-dose anti-malarial drug.

7 Neonatal resuscitators

As many as one in 10 newborns need help breathing at birth, new, simple, neonatal resuscitators can help prevent deaths.

8 Low-cost balloon tamponade

Women with postpartum haemorrhage can also be stabilised and treated by a balloon tamponade, a common tool in high-income countries. Recently, this tool has been adapted using readily available materials in low-income countries. Using the materials at hand, a healthcare provider can create a tamponade out of condoms and rubber tubing. Now simple low-cost kits and pre-assembled versions are available, that make this solution more accessible and effective.

9 Drugs to stop blood loss after childbirth

New forms of the drug oxytocin are currently being developed and tested that could increase coverage because they won’t require skilled health workers to administer or refrigeration for storage. These innovations could help ensure this highly effective drug reaches and treats hundreds of thousands of women at risk of death from postpartum haemorrhage (or severe bleeding after delivery) each year.

10 Rice fortification

For children who live in areas where rice is a staple food, we are seeing amazing developments in rice fortification, a process that enriches rice with vitamins and iron supplements. Better nutrition is at the core of better health and smarter ways to supplement staples and introduce foods with more nutritional value are essential.

11 New tests for a life-threatening maternal condition

Preeclampsia is another danger that affects more than one in 20 pregnant women. It is associated with dangerously high blood pressure that can lead to seizures. New diagnostic tools to treat preeclampsia will help identify at-risk women so that they can receive low-cost treatment.

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In Kenya, midwives on motorbikes save mothers from perilous journeys

Leparua, Isiolo County, Kenya – it takes three hours to snake downhill on a motorbike, skirting gingerly around mud puddles, but for Salome, it feels like days.

Riding side-saddle, she exhales sharply over each bump on the track and rubs her heavily pregnant belly protectively.

Photo :YouTube Christian Aid PR video

 In the driver’s seat is traditional birth attendant, or TBA, Afro. He squints through the monsoon rainclouds, carefully inching the motorbike forward. His gaze remains fixed on the horizon until, at last, the hospital comes into view.

Deep in Kenya’s interior, health facilities are sparse, with some located up to 100 kilometres from the communities they service. For pregnant women like Salome, reaching it can be perilous, particularly during the rainy season, when dirt roads flood and bridges become submerged.

“I know many women who went into labour and started to walk to the hospital alone,” she says, slumping down on a plastic stool at the hospital entrance. “But it is too far to walk with labour pains, so they had to deliver the baby in a bush.”

Fortunately, Salome is in safe hands, thanks to birth attendant Afro and his motorbike, or piki-piki, as it is known locally.

As she goes in to register, Afro leans heavily on a curved crook outside, exhausted. He explains why traditional birth attendants continue to play a central role within the Masai’s tribal structure.

“It is a great honour for us to deliver the new members of our tribe. This role gives us status within our communities.”

But with the arrival of the motorbike, he says, the role of the traditional birth attendant may be changing.

“In the past, I had to deliver the baby at the woman’s home with no medical knowledge. When there were complications, there was nothing I could do. Now I can bring the mothers here on my piki-piki and take the tiny babies back home when they arrive. So, we still play a significant role.”

Unfortunately, many women in Kenya do not have access to the same level of medical care as Salome. According to the latest figures from the World Health Organisation, more than 6,300 women died in childbirth last year, one of the highest in East Africa. It is estimated that more than 800 of those deaths occurred in Isiolo County. Read more here

News credit : The Guardian

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