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A win for girls' rights in India! Girls under 18 will now be able to report their husbands for #rape, as long as they lodge a complaint within a year of it happening. #GBV https://t.co/y4YEuSpN18

In many countries, married women who use a modern contraception are increasingly choosing long-acting reversible #contraceptives—namely IUDS or implants. What does contraceptive use look like where you live? Find out with our 2019 #FPData Sheet. https://t.co/qxrOHakmXJ

EngenderHealth welcomes this! Through our Re:MIX program, we are developing innovative, science-based programs and curricula to improve sexual and reproductive health outcomes for young people in Texas. https://t.co/F8SlIix2GU #SexEd #SRHR

Today we are celebrating maternal and reproductive health wins in Kigoma, Tanzania with our partners @BloombergDotOrg @ThaminiUhai @EngenderHealth @CDCFound follow along at #MamaNaMtotoKigoma

Thanks to @ThaminiUhai @EngenderHealth @BloombergDotOrg and #HBAgerup the Kigoma MRH program was a huge success! 2,200 maternal deaths prevented and 210,000 babies born in project-supported facilities #MamaNaMtotoKigoma

Regional Commissioner of the Kigoma Region thanks funders @BloombergDotOrg @fdnhbagerup & partners for the joint Maternal & Repro initiative that prevented over 2200 maternal deaths & safely delivered over 210,000 healthy babies. committed to sustain outcomes #MamaNaMtotoKigoma

After 13 years, our successful maternal & reproductive health program in Tanzania is transitioning to government oversight. The official ceremony is starting! #MamaNaMtotoKigoma

Transgender men and other gender-nonconforming people need access to safe #abortions too. https://t.co/zD2hCrRKeE #LGBTQ+ #PrideMonth #SRHR

Does your country have a strong policy environment for youth access to and use of #familyplanning services? Find out with the 2019 update to the Youth Family Planning Policy Scorecard. https://t.co/4hmjvG4zxW #youthFPscorecard

Sexual violence in conflict is a stain on our common humanity. We must hear the survivors and recognize their needs and demands.

Together, we can and must replace impunity with justice; and indifference with action.

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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).

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