Archive for the ‘Philippines’ Category

The controversial research reporting unexpected gains in maternal health, published April 12 in the Lancet, has triggered rigorous debate about the measurement tools used to count maternal deaths globally and at a country level. The paper, Maternal mortality for 181 countries, 1980-2008: a systematic analysis of progress towards Millennium Development Goal 5, was written by Chris Murray and his team of researchers at the Institute for Health Metrics and Evaluation. The study found a dramatic reduction in the number of women dying from pregnancy complications between 1980 and 2008–and these findings have triggered both celebration and skepticism within the global health community. Some global health leaders are cheering the global progress toward MDG5 indicated by the research. Some are expressing cautious optimism. Others are challenging the paper’s methodology, asking whether it really signals big gains in the struggle against global maternal mortality or just flawed means of estimating how many women are dying.

On June 5th, the Lancet published a reply from Chris Murray in which he addresses some of the concerns voiced by his fellow global health researchers regarding the methodology of the study.

“We appreciate the rich set of letters in response to our paper on maternal mortality. The authors of the letters raise many important points, but we focus our short response on four larger themes that have been raised.

The country graphs in the webappendix to our paper show all the available data points for each country and our best estimates based on these data and the modelling strategy. In the case of the Philippines, Indonesia, Burkina Faso, and Peru, the correspondents have noted that our data-points derived from the analysis of sibling histories in household surveys are different from published figures from the same surveys. The differences stem from two sources. First, we correct for problems of survivor bias in sibling histories, following the published methods of Gakidou and Kingand Obermeyer and colleagues...”

Read the full reply by Chris Murray on the Lancet Online. Be sure to take a look at some of the critiques of the study–linked on the right panel next to Murray’s reply.

For more on this topic, take a look at a recent post, New Maternal Mortality Estimates Published in the Lancet: What’s the Buzz?, on the Maternal Health Task Force’s new MedScape Blog, GlobalMama.

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Roots of Health is an organization working to provide women, young mothers, and children in Puerto Princesa, Palawan, Philippines with educational, medical, and nutritional support–and they also have a program specific to ensuring healthy pregnancies. Amina Evangelista Swanepoel recently wrote a blog post on her work providing reproductive health education to women in the Philippines–and the interesting beliefs of many of these women.

Roots of Health Blog

“Some of the beliefs we encounter at Pulang Lupa are wrong, but are generally harmless. Others, such as the belief that drinking soap will cure an STI, are dangerous. Last week our topic during our health sessions was on sexually transmitted infections (STIs). As we discussed prevention techniques and cures we were confronted with some funny, some disturbing and some just plain weird ideas about a range of related topics…”

Read the full post, Flipping Your Uterus and Other Ways to Prevent Pregnency.

Learn more about Roots of Health’s work.

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