This post is republished from the Bill & Melinda Gates Foundation’s Foundation Notes blog.
On Monday, we held our first TEDxChange salon in Kibera, Nairobi. It was inspiring for me to meet the community there and hear their perspectives on health and development. I’d like to thank them for the exceptional conversation.
We’ll be posting talks from our speakers soon, along with excerpts from the discussion. In the meantime, I wanted to share a few thoughts from the day, and look ahead to the World Economic Forum in Davos, Switzerland, later this week.
I’ve been looking through responses to TEDxChange and want to explain why we tell success stories.
It’s easy to think that nothing is changing in the poorest parts of the world, that no progress is being made. But the facts show there has been real and dramatic progress – whether it’s the declining number of child deaths globally, the advances made against AIDS, or the halving of malaria deaths in several countries – especially over the past decade.
The G8 summit gets underway tomorrow in Muskoka, Canada. It’s exciting that a focus of the summit is a new G8 initiative – conceived and led by Canada – to improve maternal, newborn, and child health in poor countries.
G8 countries are expected to commit major resources toward the initiative. Other public and private donors are also lending support, including the Gates Foundation — we recently announced the foundation will make new grants totaling $1.5 billion over the next five years to support family planning, maternal and child health, and nutrition programs in developing countries.
The G8 commitments are an important landmark, but it’s more critical than ever to step up advocacy on global health. Right now there’s tremendous pressure in most donor countries to cut budgets, so we need to continue highlighting the fact that global health investments are working and are incredibly cost-effective. Maternal and child health is a great example – there’s very clear proof that low-cost solutions are saving lives, and can save many more if we expand effective programs.
This is a pivotal moment for women’s and children’s health. The task ahead is to be ready to make the most of the opportunity we created – to do the hard work of saving women’s and children’s lives. We must move forward together, as one, with the courage to overcome the obstacles that have stopped us in the past.
Our unity and our courage will be tested. Canada’s new initiative is the most ambitious effort on behalf of women’s and children’s health in history. And in a few weeks, the United Nations will publish its Joint Action Plan, leading up to the special session on the Millennium Development Goals in September. The whole world will be looking to us for leadership.
It will not be easy, but we must not fail. We are making a new world for poor women and children: a world in which every birth is a promise – a promise of a better future.
Check out groups like ONE and CARE for info about ways to make your voice heard.
I’m speaking at the Women Deliver conference in Washington, D.C., today to highlight maternal, child, and reproductive health as a global priority.
Three months ago, I traveled to a village in the Indian state of Uttar Pradesh, where I met a young mother named Rukmini. Six days before, she’d given birth to a daughter she named Durga, after the Hindu goddess of power.
According to custom, Rukmini and Durga remained in the same room after the birth. Seven days later, Rukmini carried Durga into the light of day for a ceremony that celebrated the special bond between mother and child, called Chhathi. As their neighbors drummed and sang songs, Rukmini held Durga up to thank the sun god for a healthy birth and ask for his blessing.
I kept thinking about the overwhelming joy, hope, and optimism I felt when each of my three children was born. No matter who you are, no matter where you live, it is incredibly moving to hold a healthy baby in your arms.
But tens of millions of women never get to experience that moment of beauty. For these women, childbirth is filled not with joy, but with dread, pain, and sorrow. They know they might die during delivery. If they survive, they are terrified their baby might die.
The world is now coming together to save the 350,000 mothers and 3 million newborns who die every year. At Women Deliver, we are nurturing a vision that is changing the world.
Donors will spend more on women and children, and those donations will be tracked.
Developing countries will pass rigorous policies for women’s and children’s health, and fully fund their implementation, and health workers will have the tools and training they need.
Communities will work together to gather solid evidence about the interventions that work best, and combine them into a comprehensive plan to save lives.
Women everywhere will have the knowledge and power to save their lives and the lives of their babies.
We can make a new world for mothers like Rukmini. When she hugs her daughter Durga, she holds the future in her hands.
In the comments below, please share what you are going to do to bring about this vision of the world.
This week, I’m in Washington with Bill to do something that might seem unusual: say ‘thank you.’ We’re saying thanks to those who have been a part of the U.S. government’s tremendous leadership in improving global health. Our trip will include the launch of a new effort called “Living Proof Project: U.S. Investments in Global Health are Working,” a campaign aimed at conveying to Americans the tremendous progress we are making on multiple fronts in the effort to improve health around the world. Our hope is that if more people see this impact they will be moved to share these compelling stories and support America’s continued leadership in global health.
I know that for Bill and for me, these stories have had a profound impact on the way we look at the opportunities in the years ahead. At our foundation, we have come to believe that sharing stories of success is one of the most important things we can do to motivate and inspire others. Through our work, especially our visits to the field, we have been deeply touched by personal stories of lives changed for the better.
When I visited Ethiopia earlier this year, I met Tsion, a hard-working young Health Extension Worker stationed at the Wuye Gosee community health post in North West Shewa, Oromiya Region – about 3 hours drive north of Addis Ababa. She lives at the health post, in one of the rooms where she sees patients. When she’s not working at the health post, Tsion is visiting other outreach clinics and homes in the area. She and another Health Extension Worker cover a massive caseload of about 1,500 households. They walk more than two hours to reach some of the homes.
One of their most important responsibilities is tending to pregnant mothers and newborns. In Ethiopia, most families choose to deliver their babies at home with the help of traditional birth attendants. These traditional attendants lack important skills like stopping internal bleeding after delivery or resuscitating newborns if they’ve stopped breathing. Now the Ethiopian government has started a Health Extension Program that is rapidly improving access to health care in rural areas. In the past five years, more than 30,000 Health Extension Workers have been trained — and the health of children and women is improving.
The Health Extension Program is a great starting point: an opportunity to deliver safe, effective care for many more women and their newborns. Now we need to build on this success—expanding it to even more women in Ethiopia, and helping families in other countries benefit from what Ethiopia has learned. For millions of women in poor countries, the birth of a child isn’t the pure joy that it should be. It is joy mixed with terror, because there’s a real possibility that the mother or her child will not survive.
That’s why, when it comes to global health, Bill and I are optimists – but we’re impatient optimists.
We’re optimistic because, when we travel around the world, we constantly meet people like Tsion and her patients whose lives have been transformed through smart, generous investments in global health. We have seen living proof that U.S. investments in global health are working. Millions of lives are being saved. Tremendous progress is being made. But there’s still so much more we’re impatient to see done.
When you only hear about the problems in global health, they can seem very daunting. But if you see the amazing progress that’s being made — in part due to the generosity of the U.S. government and other donor nations – I know you’ll be as hopeful as I am. And you’ll want to do more.
Look at what U.S. support has helped accomplish:
The number of children under 5 who die each year has plunged from more than 20 million in 1960 to fewer than 9 million in 2008
Vaccines are a great investment with a huge pay-off: since 1980, vaccines have brought down the number of diphtheria cases by 93 percent; tetanus by 85 percent; and measles by nearly 93 percent
32 million people received life-saving malaria prevention and treatment services in 2008
The UnitedStates and its partnersaroundthe world have the potential to save and empower millions more people. Bill and I hope to share these stories of success on October 27, through a live presentation titled “Living Proof: Why we are Impatient Optimists,” which will show how U.S. investments in global health are changing the world.
ONE is campaigning to ensure that the Congressional budget does not cut foreign assistance programs like Feed the Future that help people break the cycle of poverty and hunger.
The Horn of Africa is experiencing its worst drought in 60 years. More than 11 million people, mostly nomadic pastoralists and farmers in south-central Somalia, north-eastern Kenya, and south-eastern Ethiopia, are severely lacking access to food.
2011 marks 30 years since the first cases of AIDS were documented. Take a closer look at the specific, achievable goals we must hit by 2015 to make this year the beginning of the end of AIDS.
As aid agencies warn more than 9 million people could be affected by a food crisis in East Africa, world leaders are failing to keep their 2009 promises to tackle the causes of chronic hunger and support farmers in the world's poorest countries.
