[ Skip to Main Content ]
COVID-19: How We’re Responding

Our Work

The @USAID-funded @fistulacare project takes a diverse approach to reducing barriers to fistula care. A key component of preventing fistula is expanding access to high-quality sexual and reproductive health services.

➡️Learn more: http://bit.ly/FCPlus-Webinar

#IWD2021 @USAIDGH

EngenderHealth supports capacity building & GBV awareness creation at Arbaminch Hospital, an integrated care center for GBV screening, counseling, treatment, and legal aid in Ethiopia. We were honored to host state officials to learn about successes & challenges in this model.

Yesterday, you heard about fistula from the @USAID-funded @fistulacare Plus project. To learn about how we’ve worked with partners to prevent & treat fistula over 15 years, join @fistulacare & @usaidGH for “Towards a Fistula-Free Future” on March 8!

➡️http://bit.ly/FCPlus-Webinar

Warmest congratulations to Linda Thomas-Greenfield, the new U.S. Ambassador to the @UN. We @UNFPA wish you every success and look forward to working with you to protect the health and advance the rights of women and girls around the world. @LindaT_G @USUN

http://www.nytimes.com/2021/02/23/us/politics/linda-thomas-greenfield-ambassador-united-nations.html

Also, mark your calendars for March 8, 2021! We are hosting a virtual event on #InternationalWomensDay entitled, “Towards a Fistula-Free Future: 15 Years of Breakthroughs and Program Impact.” Register today: http://bit.ly/FCPlus-Webinar

Thanks everyone! The FC+ website is a great place to start for more information and resources on fistula prevention and treatment, including research results, project reports, and stories from providers and clients. http://bit.ly/fistularesources https://twitter.com/EngenderHealth/status/1364608432880443393

Obstetric fistula is a beacon of inequality, as it occurs where women are already living with limited resources and access to healthcare. Additionally, once fistula occurs, women often face significant stigma and isolation which can impact their social and economic wellbeing. https://twitter.com/EngenderHealth/status/1364605591528886273

We also must strengthen the healthcare workforce, particularly by supporting high-quality surgical training to ensure women receive quality c-sections when needed–a focus of the new @USAID_MOMENTUM Safe Surgery in Family Planning & Obstetrics project led by @EngenderHealth.

Great question! To truly #EndFistula, we must prevent new cases while treating existing ones. Some keys to fistula prevention are girls’ education, addressing poverty, delaying marriage age, access to sexual & repro healthcare, and timely & high-quality emergency obstetric care. https://twitter.com/EngenderHealth/status/1364605397756182530

Yes. Depending on severity, there are surgical & non-surgical treatment options. The Fistula Care Plus (FC+) project works to strengthen the entire continuum of care–from prevention to fistula diagnosis, safe surgical repair, rehabilitation, & reintegration back to her community. https://twitter.com/EngenderHealth/status/1364605303858282499

Load More...

Eclampsia and Pre-Eclampsia

Giving birth should be a time for celebration, but for more than half a million women each year—one every 90 seconds—pregnancy and childbirth end in death and mourning. Ninety-nine percent of these deaths occur in developing countries, and nearly all are preventable.

One of the leading causes of maternal death is pre-eclampsia—the rapid elevation of blood pressure during pregnancy—which, if untreated, can lead to seizures (eclampsia), kidney and liver damage, and ultimately, death. Eclampsia and severe pre-eclampsia claim the lives of an estimated 63,000 women each year, as well as the lives of many of their babies.  

A Ready Solution
The World Health Organization recognizes and recommends injectable magnesium sulfate—also known as Epsom salts—as the safest, most effective, and lowest-cost medication for treating pre-eclampsia and eclampsia. Magnesium sulfate is the standard treatment for these conditions in the developed world and has been for 20 years. Less-effective and riskier medications (such as diazepam and phenytoin), however, are still widely used in developing countries—if any treatment is available at all.

 

OUR COMMITMENT
We commit to reducing maternal mortality with magnesium sulfate in India, Mexico, and Nigeria. Through training, advocacy, and education, we will increase access to the lifesaving treatment for pre-eclampsia and eclampsia, leading causes of maternal mortality.

 

 

Clinton Global Initiative Commitment
This disparity must end. EngenderHealth, the University of Oxford, and the John D. & Catherine T. MacArthur Foundation are making a joint commitment as part of the Clinton Global Initiative to expand access to magnesium sulfate by:

  • Training health professionals through web-based interactive programs on when and how to administer magnesium sulfate
  • Advocating for magnesium sulfate to be part of every developing country’s list of essential drugs
  • Helping develop and/or reinforce national protocols mandating magnesium sulfate as the preferred treatment for pre-eclampsia and eclampsia
  • Ensuring the availability of magnesium sulfate in hospitals

Call to Action
In 2007, EngenderHealth and the University of Oxford brought together leading scientists, advocates, researchers, and representatives of the WHO, UNICEF, United Nations agencies, and national ministries of health from around the world to identify barriers to the availability and use of magnesium sulfate to treat pre-eclampsia and eclampsia. This historic gathering of global public health experts identified the primary barriers to be a lack of national guidelines, a shortage of educated and trained health care professionals, and scarce supplies of magnesium sulfate.

Based on these conclusions, EngenderHealth and the University of Oxford developed a “Call to Action” and report that called on policy makers and ministers of health to make pre-eclampsia and eclampsia a higher priority and to set national guidelines for treatment and care based on WHO guidelines. Decision makers and international and national health organizations and agencies were also urged to help make magnesium sulfate more available and affordable.

The full report, Balancing the Scales: Expanding Treatment for Pregnant Women with Life-Threatening Hypertensive Conditions in Developing Countries, is available for download (PDF, 316KB), as is the International Call to Action (PDF, 27KB).

Share this page: