Presentation by Dana Allison, Executive Director
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Presentation by Dana Allison, Executive Director to WWHI volunteer staff December 8, 2010. WWHI History and Introduction Organization Global Issue Why Women? Where we work On the ground Needs Assessment Where WWHI is today Program Possibilities Timeline Questions. So It Began….

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Presentation by Dana Allison, Executive Director to WWHI volunteer staff December 8, 2010

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Presentation by dana allison executive director to wwhi volunteer staff december 8 2010

Presentation by Dana Allison, Executive Director

to WWHI volunteer staff

December 8, 2010


Presentation by dana allison executive director to wwhi volunteer staff december 8 2010

  • WWHI History and Introduction

  • Organization

  • Global Issue

  • Why Women?

  • Where we work

  • On the ground

  • Needs Assessment

  • Where WWHI is today

  • Program Possibilities

  • Timeline

  • Questions


Presentation by dana allison executive director to wwhi volunteer staff december 8 2010

So It Began…

  • Work with UNHCR

  • Dr. Youssoupha Ndiaye

  • Studied other models extensively

  • Millennium Development Goals not being met


Presentation by dana allison executive director to wwhi volunteer staff december 8 2010

  • Incorporated January 2009 – first staff meeting August 2009

  • 3 founding members now 32 staff and board members

  • Increased our revenues by 900%

  • Trajectory of growth off the charts

Women’s World Health Initiative Organization


Presentation by dana allison executive director to wwhi volunteer staff december 8 2010

Board Chairperson

Carri Hulet - The Langdon Group

Board Vice Chairperson

Stephanie Mackay – Columbus Foundation

Executive Treasurer

Richard Ence – Thatcher Company

Executive Secretary

Chuck Larson – JUB Engineering

Keri Gibson, M.D. – University of Utah Community Clinics

Jacque M. Ramos Esq. - J Ramos Law Firm

Seraphine Kapsandoy – R.N., BSN, Primary Children’s Hospital

Zendina Mostert, MS, B.A. – Nonprofit Program Advisor


Presentation by dana allison executive director to wwhi volunteer staff december 8 2010

  • Millennium Development Goals

  • In 2000, international community pledged to, “spare no effort to free our fellow men, women and children from the abject and dehumanizing conditions of extreme poverty”

  • Goal #5 related to maternal health

  • Target 1

  • Reduce by three quarters the maternal mortality ratio

  • Target 2

  • Achieve universal access to reproductive health


Presentation by dana allison executive director to wwhi volunteer staff december 8 2010

Current Picture

  • From 1990 to 2005, the maternal mortality ratio declined only 2% in Sub-Saharan Africa

  • One woman still dies nearly every minute of every day from treatable or preventable complications related to pregnancy and childbirth

  • For every one woman who dies, 20 develop debilitating injuries, infections or disease related to or exacerbated by pregnancy and childbirth

  • Developing countries account for 99% of maternal deaths


Presentation by dana allison executive director to wwhi volunteer staff december 8 2010

WHY WOMEN?

“When women thrive, all of society benefits and succeeding generations are given a better start in life.”

-Kofi Annan


Presentation by dana allison executive director to wwhi volunteer staff december 8 2010

  • Woman’s income more likely than a man’s to go toward food, education, medicine, and other family needs1

  • Women in many countries make important family decisions about nutrition, healthcare, and use of resources

  • One girl in seven in developing countries marries before the age of 15

  • Children have a 14 times higher chance of dying in first year of life without a mother.

Why Women?

1. Jowett M. “Safe Motherhood interventions in low income countries: an economic justification and evidence of cost-effectiveness.” Health Policy 53(3): 201-28. 2000.


Presentation by dana allison executive director to wwhi volunteer staff december 8 2010

  • Women contribute to economic growth; their UNPAID work at home and on the farm equals about 1/3 of global GDP

  • Women operate the majority of small businesses and farms in developing countries

Why Women? – Economic Strategies


Presentation by dana allison executive director to wwhi volunteer staff december 8 2010

Return on investment in maternal mortality reduction

  • It is estimated that US$15 billion is lost every year due to maternal mortality1

  • In countries where most maternal deaths occur, a package of essential services is estimated to cost less than US $1.50 per person2

  • USAID Congressional Budget Justification FY 2002; Program, Performance, and Prospects – The Global Health Pillar.http://www.usaid.gov/pubs/cbj2002/prog_perf2002.html.

  • “World Health Report 2005: Make Every Mother and Child Count,” WHO (2005).


Presentation by dana allison executive director to wwhi volunteer staff december 8 2010

  • Disparities continue

  • 62% of midwives Africa-wide are not retained

  • Only 16% of women who want to prevent pregnancy, can

  • At current rate – goals won’t be met until 2045

Lacking Results


Story of awa

Story of Awa


Presentation by dana allison executive director to wwhi volunteer staff december 8 2010

WHERE WE WORK:

SENEGAL, WEST AFRICA


Presentation by dana allison executive director to wwhi volunteer staff december 8 2010

Where we work: SENEGAL

Population11.7 million

CapitalDakar

Language

French


Senegal health system statistics

Senegal Health System Statistics


Presentation by dana allison executive director to wwhi volunteer staff december 8 2010

  • Relative political stability

  • Partnerships with local healthcare workers in place

  • Average age of first birth is 12-14 years old in rural Senegal.

  • Senegal, West Africa 1/21 lifetime chance of dying from birthing a child. Canada, North America 1/11,000 lifetime risk of dying from birthing a child. 

Senegal


Presentation by dana allison executive director to wwhi volunteer staff december 8 2010

Where we work: SENEGAL

  • 5 mothers and 41 newborns in Senegal die each day from complications related to giving birth1

  • For every maternal death, at least 10 more suffer from serious obstetric complications

  • only 12 percent of women used contraception

1. USAID-funded Demographic and Health Survey (DHS),2005


Presentation by dana allison executive director to wwhi volunteer staff december 8 2010

  • Causes of Maternal Mortality

    • Hemorrhage

    • Poor nutrition and related conditions such as hypertension and anemia.

    • Lack of access to obstetric care.

    • Low quality of care.

    • Lack of medication distribution and compliance.

    • Poor medical facilities and equipment.

    • Continued domestic labor throughout pregnancy

    • Endemic diseases such as malaria and parasitosis.


Presentation by dana allison executive director to wwhi volunteer staff december 8 2010

  • Only 58% births are attended by skilled birth attendant

  • * disproportionately unattended in rural areas

  • Only 2% births by Cesarean Section


Presentation by dana allison executive director to wwhi volunteer staff december 8 2010

Where we work: Saraya District

  • Difficult to access with only unfinished minor road access

  • No maintained roads to villages in Saraya District

  • High rates of poverty

  • Maternal Mortality Rate ~850/100,000


Demographics and region

Demographics and Region

  • Saraya District is part of the Kedegou region.

  • The district is 6,835 square km

  • Official population - 36,000

  • 50-60,000 people due to mining and border influx.

  • Village Leadership:

    • Chief = head of every village

    • Rural Counsel = heads of 20 villages

    • Saraya is the center village and disperses mail and medicine to the outer villages.


Saraya senegal statistics

Saraya, Senegal Statistics

  • 64.5% births happen in their homes

  • Only 27.2% of births are assisted by a formally-trained birth attendant

  • 20.4% of the women in the region receive no prenatal care while most have 1 visit.


Presentation by dana allison executive director to wwhi volunteer staff december 8 2010

“On the Ground”

  • What has been done?

  • What are they doing already?

  • What can we build on?

  • Where should we focus?


Presentation by dana allison executive director to wwhi volunteer staff december 8 2010

WWHI Mission and Vision

Mission Statement

WWHI will invest in and educate women in vulnerable populations to change their own communities by building sustainable local health care systems focused on decreasing maternal and infant mortality and early detection of preventable disease.

Vision Statement

WWHI will act as a catalyst in the stabilization of communities and countries through educating, empowering, and saving countries’ best resource - women


Presentation by dana allison executive director to wwhi volunteer staff december 8 2010

Values

  • 4-pronged, and comprehensive–

  • Train local midwives and other healthcare workers

  • Increase capacity of local doctor

  • Integrate innovative technology modalities to increase access to quality health care and education

  • Integrate economically driven incentives with simple medical interventions to ensure sustainability.


Saraya health district

Saraya Health District


Presentation by dana allison executive director to wwhi volunteer staff december 8 2010

Needs Assessment

  • Area of focus:

  • Saraya region of Senegal

  • Purpose:

  • Assess factors that may contribute to maternal mortality

  • Assess gaps in healthcare services as related to obstetric care

  • Assess the barriers to healthcare access

  • Get acquainted with the people, region, and culture


Presentation by dana allison executive director to wwhi volunteer staff december 8 2010

What was done:

Visited

Hospital

Health posts

Villages

Conducted key informant interviews and focus group with

Women and men in the community

Midwives

Healthcare providers

Healthcare workers

Community leaders


General findings

General Findings


Presentation by dana allison executive director to wwhi volunteer staff december 8 2010

General Findings

  • Women have many children unmitigated

  • Birth control access and education is limited but desired

  • 4 Prenatal visits suggested. Given basic care and limited prenatal supplements (vit A, iron and tetanus shots)

  • Very low compliance due to

    a) cost

    b) distance

    c) lack of understanding

    d) low quality care


Findings cont

Findings cont.

  • Very little communication between healthposts

  • Only women who access care are tracked

  • Limited emergency services available

  • Travel at great cost and long distances for emer. care

  • Majority of women deliver at home, alone due to cost and distance

  • Access care often too late

  • Comorbid malaria, malnutrition or anemia cause many complications

  • Cost of care high


Findings cont1

Findings cont.

  • Perceived needs:

    a) better communication methods

    b) more constant source of supplies

    c) better healthcare worker reimbursement

    d) more quality care in hospital through training

    e) better education on birth control and family planning

    f) better transportation in emergencies

    g) water in the maternities

    h) decreased domestic labor and chores for pregnant women


Presentation by dana allison executive director to wwhi volunteer staff december 8 2010

Healthcare Delivery System

Tambacounda

Regional Hospital

Fully Staffed – Surgical

Saraya

District Hospital

Doctor/Midwife/Nurse/PHCC

7 Healthposts - Nurses

25 Caisses

CHW/Matron

25 Caisses

CHW/Matron

25 Caisses

CHW/Matron


Presentation by dana allison executive director to wwhi volunteer staff december 8 2010

Birth without support


Presentation by dana allison executive director to wwhi volunteer staff december 8 2010

Imagine if all mothers and their infants could expect a life of health and strength?

Imagine if WWHI can facilitate security for families by assisting their efforts?


Return to the story of awa

Return to the Story of Awa…


Presentation by dana allison executive director to wwhi volunteer staff december 8 2010

Program Possibilities

  • Technology – mobile

  • Improve outcomes

  • Training/Triage

  • Medical reporting and tracking

  • Healthcare Delivery System

  • Water

  • Birth Control and Family Planning

  • Village Health Payment System


Timeline and implementation

Timeline and Implementation

  • Measureable Impact – Program Evaluation

  • Demonstrate success and build trust with local population

  • Short term and long term

    Proposed Timeline

    February – present program to board

    March – present program to stakeholders in Senegal

    April – begin implementation measures


Presentation by dana allison executive director to wwhi volunteer staff december 8 2010

Where do you fit in?

  • Strong organization = Strong Programs

  • Garnering wide support

  • Capital Campaigns

  • Program Development

  • Communicating successes of forgotten population

  • Ultimately – saving the lives of women and children


Presentation by dana allison executive director to wwhi volunteer staff december 8 2010

With limited resources we have accomplished much as an organization.

You make all the difference for these children and mothers.

Thank you for your past and continued support!!!


Presentation by dana allison executive director to wwhi volunteer staff december 8 2010

Questions?


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