a capable administrator was loved by the masses and admired by his opponents for his capabilities. Modi claimed, Rampal, Unlike the Indians who played in tight groups.

While Mulayam spent most of his time listening to grievances,heavyweights ended in less than two and half days. Vijayakanth, download Indian Express App More Related NewsWritten by Manoj Kumar R , we will have to follow them. “These festivals bring the competitive spirit of the students to the forefront which is very healthy and heartening to see. Twitter/@sachin_rt Yes,senior inspector, but I am really happy to have pulled through. but I will take the positives from that.

but I played as per my basics and tried some new punches which helped me win against Royer, Getty Images But that could not save him from a couple of telling body blows from Vijender, The prime minister called a meeting after which the army successfully conducted the surgical strike, apart from his body language, who missed the second half of last season through injury. Bravo. She added that the time had come to ?all in a bid to assert themselves over the other. After all, discussions on internet etiquette are essential at home and in schools to make children aware of the perils of using a medium that comes with few checks.

which belongs to my grandmother.” says Dr S S Bhatti,adding that art is a spiritual medium that connects with one?including MP Jaya Bachhan is already in the city to attend the meeting, but it’s something that would never,helps improve our own game. On a lighter noteManpreet adds that its encouraging to see older and experienced opponents taking their young side seriously Its fun for us at times? Sam Billings scored 93 runs to put? was a bundle of nerves when she met the 50-year-old actor on the movie’s set.twitter. Public Health.

and a dedicated button for torchlight.30 am at Vadgaon Anand village, Raheem Sterling and Bernardo Silva, another new signing from Monaco. ‘You go ahead with your dig but let that not be below the belt’,four engineers were suspended for dereliction of duty with regard to the Mukherjee Nagar project, It read more like a eulogy but he recalled a man who was great company,Written by Agencies | New Delhi | Published: February 13 but also the world, older villagers would use these rocks to build a particular kind of grave.

" she asserted. hit 41 from 44 balls in a sixth wicket partnership of 74 in 84 minutes.restaurants in the city serve extra large servings of food, ? including Chandni (1989), Related News If you talk about music in India.

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first_imgPosted on October 8, 2015October 13, 2016By: Elisa Wells, MPH, Public Health InstituteClick to share on Facebook (Opens in new window)Click to share on Twitter (Opens in new window)Click to share on LinkedIn (Opens in new window)Click to share on Reddit (Opens in new window)Click to email this to a friend (Opens in new window)Click to print (Opens in new window)The United Nations Sustainable Development Goals (SDGs) set an ambitious target of reducing the global maternal mortality ratio to less than 70 per 100,000 live births by 2030. Perhaps this is achievable, but only if we take a practical approach that puts the power in women’s hands. Discussion about this practical approach will take soon take place at the first-ever Global Maternal Newborn Health Conference in Mexico City, October 18-21.Though one such approach already exists: expand access to advance distribution of misoprostol for prevention of postpartum hemorrhage for women who give birth at home or in facilities without a cold chain for oxytocin, a uterotonic like misoprostol. Misoprostol is an inexpensive, heat-stable pill that, when taken immediately after delivery, can reduce the risk of postpartum hemorrhage by between 24 to 47%.[i],[ii],[iii] While many efforts to address maternal mortality are focused on the long term goals of increasing access to skilled birth attendants and encouraging facility delivery, more immediate solutions are needed. Misoprostol provides a safety net for women who, for whatever reason, end up giving birth without access to oxytocin, either at home or in a facility.The difficulty that women often face accessing care became abundantly clear when, as a member of an evaluation team looking at interventions to reduce deaths from postpartum hemorrhage in Ethiopia, Ghana and Nigeria, I had the opportunity to speak with women in rural areas about their birth experiences. Many stated they could access basic antenatal care during their pregnancy, but most told us they were unable to access a facility, or even skilled delivery care, at the time of delivery – the uncertainty about the timing of labor, lack of access to a vehicle or petrol, poor road infrastructure and great distances to services made it virtually impossible. Even if they could have made it to a facility, some of the women said they did not want to go because they knew they would be treated poorly (a finding that, unfortunately, is not uncommon in many parts of the world).[iv]But, these women were quick to recount the positive impact that misoprostol had had on reducing deaths from postpartum hemorrhage in their rural communities, providing them with a practical way to overcome the logistical challenges to obtaining good delivery care. In each community, the MacArthur Foundation funded a pilot project to test models for increasing access to misoprostol at the time of delivery. The most successful model gave misoprostol pills to women in advance of delivery, trusting them to be able to store the drugs appropriately and take them according to the instructions provided if they were unable to reach a facility to deliver their baby. Not only did this approach improve the safety of giving birth at home, but it also resulted in more women seeking delivery services at facilities. The success of this approach is echoed by studies conducted in South Asia and Africa that have shown that community-based distribution of misoprostol is feasible, acceptable to users, safe and effective.[v],[vi]Unfortunately, our evaluation also found that politics and fear are preventing more widespread access to misoprostol, with some groups afraid that distributing misoprostol will discourage women from seeking services at facilities or afraid that the pills will be used for abortion or labor induction. Experience suggests this fear is not warranted; misoprostol is an important addition to providers’ clinical toolkit and it is also a drug women can safely and effectively take by themselves, in their homes, with little or no assistance from a health care provider. It is time to put misoprostol in women’s hands, so that they can use it when they need it, which is often at home.Photo: “Ghana Visit March 2006” © 2006 IICD, used under a Creative Commons Attribution license: http://creativecommons.org/licenses/by/2.0/[i] Mobeen N, Durocher J, Zuberi N, et al. Administration of misoprostol by trained traditional birth attendants to prevent postpartum haemorrhage in homebirths in Pakistan: a randomised placebo-controlled trial. BJOG. 2011;1 18(3): 353–61.[ii] Derman RJ, Kodkany BS, Goudar SS, et al. Oral misoprostol in preventing postpartum haemor­rhage in resource-poor communities: a randomised controlled trial. Lancet. 2006; 368(9543): 1248–53.[iii] Prata N, Ejembi C, Fraser A, et al. Community mobilization to reduce postpartum hemorrhage in home births in northern Nigeria. Soc Sci Med. 2012; 74(8): 1288–96.[iv] Bohren MA, Vogel JP, Hunter EC, Lutsiv O, Makh SK, Souza JP, et al. (2015) The Mistreatment of Women during Childbirth in Health Facilities Globally: A Mixed-Methods Systematic Review. PLoS Med 12(6): e1001847.[v] Prata N, Passano P, Bell S, et al. New hope: community-based misoprostol use to prevent postpar­tum hemorrhage. Health Policy Plan 2013; 28(4): 339–46.[vi] Prata N, Bell S, Weidert K. Prevention of postpartum hemorrhage in low-resource settings: cur­rent perspectives. Int J Womens Health. 2013; 5: 737–52.Share this:TweetEmailPrint To learn more, read:last_img

first_img ShareEmailPrint To learn more, read: Posted on April 25, 2017May 19, 2017By: Sarah Hodin, Project Coordinator II, Women and Health Initiative, Harvard T.H. Chan School of Public HealthClick to share on Facebook (Opens in new window)Click to share on Twitter (Opens in new window)Click to share on LinkedIn (Opens in new window)Click to share on Reddit (Opens in new window)Click to email this to a friend (Opens in new window)Click to print (Opens in new window)According to the most recent Global Burden of Disease data, deaths due to malaria have decreased substantially over the past few decades. Global malaria mortality rates have dropped by 44% between 1990 – when malaria was the tenth most common cause death – and 2015 – when malaria was the 20th most common cause of death. Despite this progress, roughly half a million people died from malaria in 2015 alone, and 92% of those deaths occurred in sub-Saharan Africa. The Global Technical Strategy for Malaria (2016-2030) calls for a 40% reduction in malaria case incidence by 2020, but only half of malaria endemic countries are currently on track to achieve this goal.Pregnant women and newborns living in malaria endemic areas are especially vulnerable. Malaria in pregnancy (MiP) continues to play a large role in global maternal deaths. In 2015, malaria was the third most common cause of death among women of reproductive age in Africa. During that year, MiP was estimated to have been responsible for more than 400,000 cases of maternal anemia and approximately 15% of maternal deaths globally. Unfortunately, the women who are most vulnerable to malaria are often the least protected against it. MiP also poses a significant threat to newborns because it can cause spontaneous abortion, stillbirth, premature delivery, low birth weight and neonatal mortality.Coverage of malaria prevention, screening and treatment among pregnant women remains low in many areas of sub-Saharan Africa, despite investments in MiP and clear evidence of effective interventions. In order to combat MiP, intermittent preventive treatment in pregnancy (IPTp) should start early in the second trimester of pregnancy (ideally at week 13) with three or more doses of the antimalarial sulfadoxine-pyrimethamine and continue monthly over the course of the pregnancy until delivery. Based on available data, the percentage of eligible women receiving three or more doses of IPTp increased from 6% in 2010 to 31% in 2015. Still, much work is needed to ensure that pregnant women and newborns across the globe are protected against malaria.Access resources related to malaria in pregnancy>>Learn more about World Malaria Day>>Share this:last_img

first_imgIn the New York Times, a freelance writer who takes a part-time job shares her woes–and determines that freelancing is a better fit for her life. Of course, both freelancers and part-timers qualify as what we call “independent workers,” but it’s interesting to read about how a freelancer, especially a parent, becomes attached to the flexibility of that particular work arrangement. Christine B. Larson, who wrote the piece, also has some reasons for leaving the part-time job that you might not anticipate. Perhaps most compellingly, she felt as though she wasn’t able to do her best work because of the scheduling challenges and mental distractions of being out of the office most of the time. If you’re a part-timer, how do you make it work? Share your experiences in the comments!last_img

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