Maternal Mental Health_Kruger_5.4.12

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  • Women protest in Monrovia in 2003
  • Maternal Mental Health_Kruger_5.4.12

    1. 1. Maternal Mental HealthCORE Group Spring Meeting Mental Health- The Silent Epidemic -- That Influences MDG 5- Maternal Health
    2. 2. Countdown to 2015GREATEST IMPACTIntegration and interaction between the MDGs MDG 3 - Promote gender equality and empower women MDG 5 - Improve maternal health
    3. 3. Making Progress – MDG5Gradual progress since 2000-- Maternal and newborn essential health care packages along the continuum of care Life course approach - synergies for well-being Multi-dimensional human development focus (health, education, gender) Strong emphasis on basic needs and economic growth Buy-in by developing countries
    4. 4. Making Progress- MDG 5 Respond to social and cultural norms Integrated approach gender equity, human rights Reach out to young women- adolescents Improve maternal nutrition- 1000 days Extending the responsibility – CHW task shifting Connecting women’s health to economic growth Integrate programs for efficiency, cost, effectiveness Making maternal health a priority
    5. 5. Challenges Remain… Coverage gaps remain - pace of decline needs to be doubled to reach 2015 goals Patterns of inequality remain - poverty, education, rights, access, quality of care
    6. 6. Challenges Remain…• Fragmentation - failure to realize efficiencies,links/integration between MDG goals• Lack of a holisticapproach• Political will variesby country
    7. 7. Challenges Remain…Maternal Health• Gaps in coverage• Failure to realize synergies across implementation areas - education, gender, poverty• Lack of clear ownership and leadership nationally and internationally• Problem of inequity – on hard to reach groups (ethnic, geographical)
    8. 8. Momentum-Holistic Approach to MDGs• Core dimensions of well-being-human, social and environmental development• Equity of opportunity• Shared obligation;ownership
    9. 9. Maternal Health-Consider the Impact of Mental HealthGIVE ATTENTION to the mental, emotional, psychosocial health of pregnant women and mothers and its impact on maternal health and the health of their children Depression (pregnancy and post-partum) Domestic violence Family/social network support
    10. 10. New Paradigm for Improving MaternalHealth-- cumulative stressorsAssess impact of maternal cumulative stressors Infection ( pro-inflammatory environment) Malnutrition, nutrient deficiencies Spacing of pregnancies, Psychosocial conditions- poverty, education, domestic violence, social support (family, spouse) Environmental conditions (agriculture, livelihood, social cohesion, seasonal migration)
    11. 11. TODAY: Consider Impact of MentalHealth on Maternal Health Most recent research Holistic approaches

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