10 episodes

Millennium Development Goal 5 (MDG5) aims to improve maternal health. Unlike other MDGs, few countries are on track to achieve even the first goal of MDG 5, namely, to reduce maternal mortality by 75%. Sub-Saharan Africa suffers from the highest regional maternal mortality rate (MMR) at 640 maternal deaths per 100,000 live births and the annual decline has only been 0.1%. In stark contrast, average MMR in developed countries is 14.

The focus for discussion and action to reduce maternal mortality rates is of necessity largely restricted to the fields of medicine and public health. At the same time, however, there is a spectrum of challenging biological, social and cultural issues that constitute the context within which maternal mortality occurs. In our workshop we plan to break new ground by bringing together those with expertise in current initiatives to reduce MMR with leading researchers in genetics, immunology, obstetric epidemiology, and social and biological anthropology.

The aim of the conference is to provide a forum within which people with very different expertise and experience can explore the latest research findings and see how these could influence understanding and ideas for action to reduce maternal mortality in Africa.

The following two areas, taken together, will form the focus of the conference:

Biological mechanisms determining birth outcomes
The social and historical context for maternal mortality in Africa
We see this as a unique opportunity to bring together those with experience of implementing initiatives aimed at reducing MMR with researchers from different but highly relevant academic disciplines. Our focus on this important issue will enable us to bring together the latest research in fields that all too often do not ‘talk’ to each other. An additional question to be posed in the course of this conversation concerns the very nature of interdisciplinary enquiry. Do we have a language with which to talk meaningfully of the interactions between biology and history? To what extent can basic scientific research inform policy-making?

New Approaches to Maternal Mortality In Africa Cambridge University

    • Health & Fitness

Millennium Development Goal 5 (MDG5) aims to improve maternal health. Unlike other MDGs, few countries are on track to achieve even the first goal of MDG 5, namely, to reduce maternal mortality by 75%. Sub-Saharan Africa suffers from the highest regional maternal mortality rate (MMR) at 640 maternal deaths per 100,000 live births and the annual decline has only been 0.1%. In stark contrast, average MMR in developed countries is 14.

The focus for discussion and action to reduce maternal mortality rates is of necessity largely restricted to the fields of medicine and public health. At the same time, however, there is a spectrum of challenging biological, social and cultural issues that constitute the context within which maternal mortality occurs. In our workshop we plan to break new ground by bringing together those with expertise in current initiatives to reduce MMR with leading researchers in genetics, immunology, obstetric epidemiology, and social and biological anthropology.

The aim of the conference is to provide a forum within which people with very different expertise and experience can explore the latest research findings and see how these could influence understanding and ideas for action to reduce maternal mortality in Africa.

The following two areas, taken together, will form the focus of the conference:

Biological mechanisms determining birth outcomes
The social and historical context for maternal mortality in Africa
We see this as a unique opportunity to bring together those with experience of implementing initiatives aimed at reducing MMR with researchers from different but highly relevant academic disciplines. Our focus on this important issue will enable us to bring together the latest research in fields that all too often do not ‘talk’ to each other. An additional question to be posed in the course of this conversation concerns the very nature of interdisciplinary enquiry. Do we have a language with which to talk meaningfully of the interactions between biology and history? To what extent can basic scientific research inform policy-making?

    New Approaches to Maternal Mortality In Africa: Melissa Lane: Summing Up

    New Approaches to Maternal Mortality In Africa: Melissa Lane: Summing Up

    Summing up

    Melissa Lane (Politics, Princeton)

    Discussion and Future Directions led by
    Melissa Lane (Politics, Princeton)
    Henrietta Moore (Social Anthropology, Cambridge)
    Tessa Mattholie (DfID)

    Closing Remarks
    Ashley Moffett (Reproductive Immunology, Cambridge)
    Megan Vaughan (African History, Cambridge)

    • 1 hr 3 min
    New Approaches to Maternal Mortality In Africa: Panel 4: Ruth Prince and Vikki Chambers

    New Approaches to Maternal Mortality In Africa: Panel 4: Ruth Prince and Vikki Chambers

    Panel 4

    Chair
    Ruth Prince (Social Anthropology, Cambridge)

    Vikki Chambers (Overseas Development Institute)
    A comparative perspective of the institutional factors which shape maternal health outcomes in Malawi, Niger, Rwanda and Uganda

    • 36 min
    New Approaches to Maternal Mortality In Africa: Panel 3: Claire Wendland and Alemnesh Mirkese

    New Approaches to Maternal Mortality In Africa: Panel 3: Claire Wendland and Alemnesh Mirkese

    Panel 3

    Chair
    Henrietta Moore (Social Anthropology, Cambridge)

    Claire Wendland (Medical Anthropology, Wisconsin)
    Explanations and uncertainties surrounding unsafe motherhood in Malawi

    Alemnesh Mirkese (Bergen, Norway)

    • 1 hr 29 min
    New Approaches to Maternal Mortality In Africa: Panel 3: Henrietta Moore, Godfrey Mbaruku, Caroline Bledsoe and Rachel Chapman

    New Approaches to Maternal Mortality In Africa: Panel 3: Henrietta Moore, Godfrey Mbaruku, Caroline Bledsoe and Rachel Chapman

    Panel 3

    Chair
    Henrietta Moore (Social Anthropology, Cambridge)

    Godfrey Mbaruku (African Health, Tanzania)
    Health Systems/ policy towards reduction of maternal and neonatal deaths

    Caroline Bledsoe (Social Anthropology, Northwestern)
    'A drug of many uses': Misoprostol and the language of ambiguity in the ‘management’ of pregnancy and labour in the US and West Africa

    Rachel Chapman (Social Anthropology, Washington)
    Maternal Mortality, HIV/AIDS and the New Counter-Geography of Survival in Central Mozambique

    • 1 hr 34 min
    New Approaches to Maternal Mortality In Africa: Panel 2: Megan Vaughan

    New Approaches to Maternal Mortality In Africa: Panel 2: Megan Vaughan

    Panel 2

    Chair
    Melissa Lane (Politics, Princeton)

    Megan Vaughan (African History, Cambridge)
    Moral responsibility, accountability and maternal death in Central Africa: a historical approach

    • 1 hr 2 min
    New Approaches to Maternal Mortality In Africa: Panel 2: Melissa Lane, Philip Steer, Ashley Moffett and Vincent De Brouwere

    New Approaches to Maternal Mortality In Africa: Panel 2: Melissa Lane, Philip Steer, Ashley Moffett and Vincent De Brouwere

    Panel 2

    Chair
    Melissa Lane (Politics, Princeton)

    Philip Steer (Obstetrics)
    What are the influences of maternal ethnic background on obstetric outcomes in London hospitals today?

    Ashley Moffett (Reproductive Immunology, Cambridge)
    How does the mother’s immune system affect the outcome of pregnancy?

    Vincent De Brouwere (Comparative Epidemiology, Antwerp)
    Why and when did maternal mortality decline in modern societies?

    • 1 hr 40 min

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