We have to be sure that, because maternal mortality is a longer-term intervention and we have to look at issues of human resources and at strengthening health infrastructure, that donors and governments don’t just go for the quick-wins that are easier to do and have a quick impact, but [rather that they] have a commitment to the longer-term interventions.From polarisation to practice: puzzles and insights on integrated approaches from public health professionals The ability to generate funding is often taken as evidence of the success of global health PPPs ( Maternal health advocates, in turn, worried primarily about their own weak position within the PMNCH. The paper then presents a description of the purpose and procedures of the "anticipation guide," which creates a mismatch between what students may know and what is presented in the text. Many hoped that the PMNCH could help strengthen global priority for maternal health through increased funding and stronger institutional leadership; they hoped that Francisco Songane, the PMNCH’s first director and an obstetrician and former Minister of Health from Mozambique, would become the global maternal health champion the SMI had lacked.
However, the creation of the SMI also cemented competition between the maternal and child fields. The Original CARE Package® FIGHT COVID-19: Families already in crisis are now threatened by COVID-19.
The association between an increased reimbursement cap for chronic disease coverage and healthcare utilization in China: an interrupted time series study Katerini T Storeng, Dominique P Béhague, “Lives in the balance”: The politics of integration in the Partnership for Maternal, Newborn and Child Health, Evidence & Policy: A Journal of Research, Debate and Practicehttp://www.who.int/pmnch/about/funders/en/
International Journal of Gynaecology and Obstetrics Around the same time, international debate about the need to increase ‘aid-effectiveness’ intensified due to concerns that heavy emphasis on project-based and donor-driven funding was distorting national planning and priority-setting. Despite such successes at a global level, critics have been quick to demonstrate that the business-oriented ethos that PPPs typically endorse has in fact amplified competition between initiatives, increased bureaucratization and further fragmented global health governance on the ground, thereby undermining coordinated and sustainable health action ( Maternal mortality—a neglected tragedy.
As we have shown elsewhere, key players in maternal and child health have spearheaded wide-ranging research agendas that are resolutely committed to integration ( From safe motherhood, newborn, and child survival partnerships to the continuum of care and accountability: moving fast forward to 2015 According to a senior Belgian maternal health specialist we interviewed, enthusiasm for GOBI’s low-cost community-based solutions engendered an ‘anti-high tech predilection’ among donors, undermining support for professionalized facility-based obstetric care, which experts saw as essential to prevent maternal deaths. Although there has historically been deep ambivalence within the SMI about whether or not to remain neutral in pro-choice debates ( A decade ago, the Partnership for Maternal, Newborn and Child Health (PMNCH) was established to combat the growing fragmentation of global health action into uncoordinated, issue-specific efforts. A senior researcher claimed that key PMNCH members pay lip service to maternal health, but still hold ‘prejudice against the complexity of maternal health’ and question the cost-effectiveness of key maternal health interventions like skilled birth attendance:
Despite extensive research efforts toward the prevention of oncogenesis and the development of less-gonadotoxic cancer therapies, the eradication of cancer and treatment of related infertility remain long-term health care … CARE / Nancy Farese . One maternal health NGO representative complained that the ‘elitist’ nature of the Inter-Agency Group—which had been dominated by small and select group of UN agency senior advisors—was being reproduced: © The Author 2016. Search for other works by this author on:
balance of work and family life, for example a transition to a 21 hour week for all (New Economics Foundation, 2011). There is this attitude that ‘we don’t have the evidence for maternal interventions but we just have to do it’. Already dismayed that MDG 4 on child survival was attracting greater commitment than MDG 5 on maternal health, SMI leaders we interviewed explained that they feared that the promotion of newborn survival as a subsidiary goal of child survival would further skew prioritization.
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