south asia women’s rights advocates meet in kathmandu push for the context specific implementation of the continuum of care for maternal, adolescent, newborn and child health

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Press Release

Women’s Health and Rights Advocacy Partnership (WHRAP) – South Asia 

South Asia women’s rights advocates meet in Kathmandu push for the context specific implementation of the Continuum of Care for Maternal, Adolescent, Newborn and Child Health 

16 – ­22 December, 2011

Women’s Health and Rights Advocacy Partnership (WHRAP) ­ South Asia brings together women led organisations and other civil society actors for evidence based advocacy on Sexual and Reproductive Health and Rights (SRHR) through strengthened civil society engagement and accountability for health governance.

WHRAP­-South Asia is implemented as a partnership program between the Danish Family Planning Association (DFPA); Asian­Pacific Resource and Research Centre for Women (ARROW); Beyond Beijing Committee (BBC) in Nepal; Naripokkho in Bangladesh; Shirkat Gah in Pakistan; Centre for Health Education, Training and Nutrition Awareness (CHETNA); and SAHAYOG in India.

The South Asian sub-­region accounts for a substantial part of preventable maternal deaths in the world. Despite progress in the region, maternal mortality estimates continue to remain high. Maternal Mortality Ratios (MMR) according to national statistics estimated for Bangladesh are 194, India 230, Nepal 281, and Pakistan 260. Ensuring Continuum of Care across time (pre pregnancy to post partum/ post­abortion) and across place (home, community and health facilities) is important to reduce maternal, newborn and child mortality and improve maternal and newborn health. Women and adolescent girls have the right to services to help them to plan and space their pregnancies and to avoid or treat sexually transmitted infections.

However, based on evidence from the ground WHRAP­ South Asia believes that the push for achieving MDG 5 through a continuum of care framework centering on increasing the number of women who have access to skilled attendance at birth is leaving out home deliveries. Consequently this approach has led to an increased focus on Institutional Delivery rather than on Safe Delivery. Data from Pakistan, India, Bangladesh and Nepal demonstrate that due to the shortfall of health budgets and skilled health personnel; as well as the lack of strong health systems; the singular focus on institutional delivery will not always ensure comprehensive maternal health. In addition, multiple levels of discrimination and marginalization are experienced by women and adolescent girls within communities where the Maternal Mortality Ratio is highest. These are also communities that are invariably linked with poverty, lack of access to education; under nutrition and issues of food security.

WHRAP-­South Asia believes that Healthcare for all is responsibility of the state. A comprehensive Continuum of care approach will ensure access to information and care at all stages of pregnancy, given the difficulties faced by women in accessing affordable skilled care. Consequently a continuum of care framework must call for availability and access to essential health and reproductive services that should be affordable and acceptable for women from adolescence through pregnancy, delivery, and beyond; as well as for newborns and children. 

Vietnam

  • Centre for Creative Initiatives in Health and Population (CCIHP)

Indonesia

  • Aliansi Satu Visi (ASV);
  • CEDAW Working Group;
  • Hollaback! Jakarta;
  • Institut Kapal Perempuan;
  • Kalyanamitra;
  • Komnas Perempuan;
  • Remaja Independen Papua/Independent Youth
    Forum Papua (FRIP/IYFP);
  • Perkumpulan Keluarga Berencana Indonesia (PKBI);
  • Perkumpulan Lintas Feminis Jakarta;
  • Perkumpulan Pamflet Generasi;
  • RUTGERS Indonesia;
  • Sanggar SWARA;
  • Women on Web;
  • Yayasan Kesehatan Perempuan (YKP); 
  • YIFOS Indonesia

Maldives

  • Hope for Women
  • Society for Health Education (SHE)
south asia women’s rights advocates meet in kathmandu push for the context specific implementation of the continuum of care for maternal, adolescent, newborn and child health

Press Release

Women’s Health and Rights Advocacy Partnership (WHRAP) – South Asia 

South Asia women’s rights advocates meet in Kathmandu push for the context specific implementation of the Continuum of Care for Maternal, Adolescent, Newborn and Child Health 

16 – ­22 December, 2011

Women’s Health and Rights Advocacy Partnership (WHRAP) ­ South Asia brings together women led organisations and other civil society actors for evidence based advocacy on Sexual and Reproductive Health and Rights (SRHR) through strengthened civil society engagement and accountability for health governance.

WHRAP­-South Asia is implemented as a partnership program between the Danish Family Planning Association (DFPA); Asian­Pacific Resource and Research Centre for Women (ARROW); Beyond Beijing Committee (BBC) in Nepal; Naripokkho in Bangladesh; Shirkat Gah in Pakistan; Centre for Health Education, Training and Nutrition Awareness (CHETNA); and SAHAYOG in India.

The South Asian sub-­region accounts for a substantial part of preventable maternal deaths in the world. Despite progress in the region, maternal mortality estimates continue to remain high. Maternal Mortality Ratios (MMR) according to national statistics estimated for Bangladesh are 194, India 230, Nepal 281, and Pakistan 260. Ensuring Continuum of Care across time (pre pregnancy to post partum/ post­abortion) and across place (home, community and health facilities) is important to reduce maternal, newborn and child mortality and improve maternal and newborn health. Women and adolescent girls have the right to services to help them to plan and space their pregnancies and to avoid or treat sexually transmitted infections.

However, based on evidence from the ground WHRAP­ South Asia believes that the push for achieving MDG 5 through a continuum of care framework centering on increasing the number of women who have access to skilled attendance at birth is leaving out home deliveries. Consequently this approach has led to an increased focus on Institutional Delivery rather than on Safe Delivery. Data from Pakistan, India, Bangladesh and Nepal demonstrate that due to the shortfall of health budgets and skilled health personnel; as well as the lack of strong health systems; the singular focus on institutional delivery will not always ensure comprehensive maternal health. In addition, multiple levels of discrimination and marginalization are experienced by women and adolescent girls within communities where the Maternal Mortality Ratio is highest. These are also communities that are invariably linked with poverty, lack of access to education; under nutrition and issues of food security.

WHRAP-­South Asia believes that Healthcare for all is responsibility of the state. A comprehensive Continuum of care approach will ensure access to information and care at all stages of pregnancy, given the difficulties faced by women in accessing affordable skilled care. Consequently a continuum of care framework must call for availability and access to essential health and reproductive services that should be affordable and acceptable for women from adolescence through pregnancy, delivery, and beyond; as well as for newborns and children. 

Morocco

  • Association Marocaine de Planification Familiale (AMPF),
  • Morocco Family Planning Association

India

  • CommonHealth;
  • Love Matters India;
  • Pravah;
  • Rural Women’s Social Education Centre (RUWSEC);
  • SAHAYOG;
  • Sahaj;
  • Sahiyo;
  • SAMA – Resource Group for Women and Health;
  • WeSpeakOut;
  • The YP Foundation (TYPF)

Lao PDR

  • Lao Women’s Union;
  • The Faculty of Postgraduate Studies at the University of Health
    Sciences (UHS)

Sri Lanka

  • Bakamoono;
  • Women and Media Collective (WMC),
  • Youth Advocacy Network – Sri Lanka (YANSL)

Malaysia

  • Federation of Reproductive Health Associations of Malaysia (FRHAM);
  • Joint Action Group for Gender Equality (JAG);
  • Justice for Sisters (JFS);
  • Reproductive Health Association of
    Kelantan (ReHAK);
  • Reproductive Rights Advocacy Alliance Malaysia (RRAAM);
  • Sisters in Islam (SIS)

Maldives

  • Hope for Women;
  • Society for Health Education (SHE)

Myanmar

  • Colourful Girls Organization;
  • Green Lotus Myanmar

Nepal

  • Beyond Beijing Committee (BBC);
  • Blind Youth Association of Nepal;
  • Blue Diamond Society (BDS);
  • Nepalese Youth for Climate Action (NYCA);
  • Visible Impact;
  • Women’s Rehabilitation Centre (WOREC);
  • YPEER Nepal;
  • YUWA

Pakistan

  • Aahung, Centre for Social Policy Development (CSPD);
  • Forum for Dignity Initiative (FDI);
  • Gravity Development Organization; Green Circle Organization;
  • Indus Resources Center (IRC);
  • Idara-e-Taleem-O-Aaghai (ITA);
  • Rehnuma – Family Planning Association Pakistan;
  • Shelter
    Participatory Organisation;
  • Shirkat Gah;
  • The Enlight Lab

Philippines

  • Democratic Socalist Women of the Philippines (DSWP);
  • Galang;
  • Healthcare Without Harm;
  • Institute for Climate and Sustainable Cities;
  • Likhaan Centre for Women’s Health;
  • Nisa UI Haqq Fi Bangsamoro;
  • PATH Foundation Inc. (PFPI);
  • Women’s Global Network for
    Reproductive Rights (WGNRR)

Singapore

  • End Female Genital Cutting Singapore
  • Reproductive Rights (WGNRR)

Mongolia

  • MONFEMNET National Network