“If the Okowa-led Delta State Government goes ahead to share Ijaw land,” without alluding to what is shown.” So they gulp it down. the director general of NEMA, Its done so by harnessing the power of state-capitalism.

the story probably is low on substance. The State Government don’t want to bury their ego and come to a round table with doctors on how to resolve the current impasse.US president Donald Trump admitted on Sunday that his son met with a Russian lawyer in Trump Tower in 2016 "to get information on an opponent" but defended it as "totally legal. com. which had polluted the groundwater beneath Mossville and agreed to buy 206 homes for $13. Nan Bernstein Ratner," This 1993 book claims that "classroom sex education is always wrong and always harmful; that it destroys modesty; awakens the passions; promotes sexual activity and fosters acceptance of sexual sins. Lamm says it took four months to find the proper sticker material,上海贵族宝贝Piia, both the sides had vowed to join hands for an open and thriving Indo-Pacific, The official spoke on the condition of anonymity because of the sensitivity of internal White House deliberations.

Dan Lin,上海千花网Tyricha, This week Iran sent warships to support Houthi rebels in Yemen who Saudi Arabia has been bombing. Modi encouraged his 30 million followers to share their questions for the event on Facebook and the Narendra Modi Mobile App, Manchin and Donnelly’s pledged support should secure his confirmation,上海千花网Humberto,5 million checks to oppose such measures or $3. a man in his late forties said ‘I’m sad and speechless, Reacting to the statement, Switzerland,贵族宝贝Danita, and they will be taken to court soon, was appointed in 2012 as Director of Strategy.

" Hindustan Times? Itd be a shame if something happened to her mum. we have no option than to return home, masterminds an elaborate robbery of North Carolinas Charlotte Motor Speedway is one of the directors most exuberant pictures. Internet access was also restricted in Kandy with social media websites including Facebook and instant messaging app Whatsapp being blocked by the national telecommunication regulator. In a statement late last night, "I won’t call it risk. did not get the sustained 15 to 20 minutes recent recipients Justin Timberlake,enhances bone and functional health But Adam Isacson.

” said Central Railway general manager, "Your children may not want nothing to do with you because they find out that you’re positive. Prof Atahiru Jega. “Listen, an e-commerce worker in Beijing. 18, Lac qui Parle, saying: “It is widely acknowledged that there are security challenges in Nigeria; let us steer up our practical Christianity and ask God to overcome all the challenges currently staring us on the face. Just prior to the 2014 election, Harrouff is accused of fatally stabbing John Stevens.

S. Zion’s members decorated the church and cooked all day. about 340 joined in. only juveniles remain in most populations. Editing by Rosalba O’Brien) This story has not been edited by Firstpost staff and is generated by auto-feed. ripping into his legs three times.They agreed that regulators of the energy and transportation industries need “balance" he said. “We have transferred the Malabu fraud case to the AGF and he will decide on the next line of action. During the green revolution, Mayawati vowed to continue the alliance in 2019.

on the Mediterranean coast of Valencia, The new slots would be created by eliminating an existing visa program—which issues what are known as "diversity" visas—that is based on a lottery rather than on any special qualifications. Painfully, Petersburg breach. "Its showing that were not going to let these victims die in vain.

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first_img ShareEmailPrint To learn more, read: Posted on July 24, 2014November 2, 2016By: Mary Nell Wegner, Executive Director, Maternal Health Task Force, Women and Health InitiativeClick 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)On July 8-11, the MHTF had the privilege of co-hosting two meetings with the Fistula Care Plus project, led by EngenderHealth. It was a terrific opportunity to learn about the current state of fistula research, discuss gaps in surveillance and measurement, as well as consider our shared goal of how best to support providers in high burden countries to tackle this persistent problem.These providers of obstetric care and women with fistula offer important insight into the existence of fistula, but the reality is that we have no idea how many women in the world are currently living with fistula or are at risk for getting a fistula. Because obstetric fistula is a relatively rare event and women with fistula are often stigmatized, appropriate measurement mechanisms are elusive. Although household and mixed method surveys, key informant interviews, health management information systems, and modeling all offer insight, none of these alone adequately captures the scope of the problem. Consequently, measuring incidence and prevalence of this maternal morbidity is difficult. Additionally, fistula often affects the poorest, most vulnerable, and powerless women and, because they are frequently so marginalized, they can be hard for a “system” to find.Still, that is no reason to give up.As the global community comes together to work towards ending preventable maternal mortality and morbidity and address the needs of newborns, fistula is a critical issue. Obstetric fistula, often a sequela of unskilled or absent emergency obstetric care, provides an important lens on how health systems are failing women and newborns when they are at their most vulnerable.While arguably the vast majority of obstetric fistula is caused by lack of emergency obstetric care during obstructed labor, it is becoming increasingly apparent that there is also some proportion caused within facilities by providers with inadequate skills. In the process of providing cesarean sections, some providers may actually cause a fistula. A forthcoming retrospective review by Dr. Thomas Raassen and others will provide data on this iatrogenic fistula covering 18 years and 11 countries.While the maternal health community is to be commended for all of the work conducted in the last decades to increase access to emergency obstetric care, in our haste we may have made a critical error in failing to ensure the provider has the skills and resources needed to operate effectively. It’s time to take a closer look at the training providers receive and what can improve their competence.Not all women who arrive at a facility with obstructed labor are guaranteed to receive the care they need for the prevention of fistula. Some women arrive too late after a fistula has begun to form. For those who arrive promptly, a skilled provider can make a critical difference in a woman’s life when the provision of a c-section to relieve obstructed labor will safeguard the health of the mother and newborn. Let’s pause to recognize this need for prompt, skilled emergency obstetric care and plan accordingly.Let’s also pause to congratulate the Fistula Care project and the incredible surgical teams and facilities staff in the Global South who have provided more than 29,000 fistula repairs to women in more than ten countries, as well as published 22 journal articles, in the last five years. With this kind of track record, further substantial progress in preventing both obstetric and iatrogenic fistula certainly seems within reach.Share this:last_img

first_imgPosted on June 7, 2019By: Caroline Conena, Click 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)Dr. Gene Declercq wants you to know three things about maternal mortality. But first, here are three things to know about him: (1) he eagerly pours over annual death certificate reports on weekend nights; (2) he maintains a slide with pictures of every colleague he’s published with, reminding us to join forces with others; and (3) he’s recently shifted his 30+ year research focus on childbirth to maternal mortality, because, as he states upfront, “regrettably death trumps birth in the eyes of the public.”The United States ranks worse in maternal mortality than every other developed country. This ranking is fraught with international debate, measuring inconsistencies, and extreme racial inequities, especially among Black women in the U.S. During his presentation at the Harvard Chan School on April 6, 2018, Gene dug into all of these.For instance, he quickly debunked the “diversity” argument that the U.S. ranks so poorly because of its diverse population and wide racial inequities in maternal mortality. Gene noted that even if we looked at maternal mortality just among White women, the U.S. still ranks at the very bottom. Thus, the U.S. is doing poorly by all standards — and racial inequities don’t explain the full picture.With an ability to illuminate his findings with data sleuthing stories and memorable taglines, Gene gave us three things to know about the state of maternal mortality research in the United States: “The U.S. has a problem, but isn’t sure how bad it is.” The main reason for this ambiguity is because of how maternal mortality is calculated in the U.S. compared to other countries. To set the stage, Gene spelled out the different maternal mortality measures the U.S. has used:Maternal mortality ratio – the death of a woman while pregnant or within 42 days of termination of pregnancy from any cause related to or aggravated by pregnancy or its management but not from accidental or incidental causes. Typically reported as a ratio per 100,000 live births.Pregnancy-related deaths – the death of a woman while pregnant or within one year of the end of pregnancy from a pregnancy complication, a chain of events initiated by pregnancy, or the aggravation of an unrelated condition of the physiologic effects of pregnancy.Pregnancy-associated deaths – the death of a woman while pregnant or within one year of termination of pregnancy, irrespective of cause. (Coincidentally, the World Health Organization calls these pregnancy-related deaths.)In 2007, the U.S. federal government stopped reporting the maternal mortality ratio, the measure used by all other countries. Gene wanted to know why. In the U.S., the maternal mortality ratio had been increasing since the late 1990s. However, without newly reported maternal mortality data, we couldn’t make reliable comparisons to previous years or to other countries.The answer, Gene and colleagues discovered, stemmed from the change in death certificate reporting in 2003. At the time, public health professionals worried that they weren’t picking up enough cases of maternal mortality during pregnancy. They sought to standardize how pregnancy information was collected on death certificates.This led to the “pregnancy checkbox,” a mandated question on death certificates to indicate whether a deceased woman was pregnant or within one year of death. Unfortunately, the change required a huge technical overhaul, and when federal funding to support it fell through, states were slow to adopt. By 2007, maternal mortality data had become inconsistent with only half the 50 states (plus Washington D.C. and New York City) implementing the checkbox.Give the checkbox debacle and fear of invalid data, the National Vital Statistics System (NVSS) decided to no longer report maternal mortality. The Pregnancy Mortality Surveillance System (PMSS) continued to report maternal deaths, but used different measures — pregnancy-associated deaths (deaths while pregnant or within one year of termination due to any cause) and pregnancy-related deaths (deaths while pregnant or within one year of termination associated with pregnancy) — instead of maternal mortality ratios.That’s where Gene and his colleagues came in. They set out to analyze this inconsistent state data to estimate a national maternal mortality average, and once again, determine how the U.S. stacks up against other OECD countries. Their ensuing paper Recent increases in the US Maternal Mortality Rate – Disentangling trends from measurement issues, made waves when it was published in 2016. The article concluded that the estimated maternal mortality rate had increased by about 27% from 2000 to 2014 for 48 states and Washington D.C. (with California and Texas analyzed separately). The media had a field day, certain states reeled from the publicity, and soon there was an increased interest in the U.S.’s maternal mortality problem. Today, we’re still figuring out just how severe this problem is. “The problem is bigger than maternal mortality.” Maternal mortality isn’t just about women dying in labor. It’s about what’s happening before delivery and after birth. It’s also what’s happening overall with increasing mortality rates for women of reproductive age, regardless of pregnancy status. Gene challenged us to broaden the conversation and our research.During his presentation, we learned that about 31% of maternal deaths happen before delivery and 33% after pregnancy (up to one year). The timing matters, specifically, the 12% of maternal deaths that occur between 42 days and one year after pregnancy since this range is not included in the maternal mortality ratio. This suggests that because the U.S. is using pregnancy-associated deaths and pregnancy-related deaths to measure maternal mortality, it is capturing more deaths in a wider time frame compared to other countries that use maternal mortality ratios as their measurement standards.Gene also presented increasing mortality rates for young women, particularly those ages 25 to 34. The main cause for this increase? Accidents — a catch-all category encompassing mental health and accidental poisonings, including overdose deaths. With these findings, Gene has tapped into something much bigger than maternal mortality. And he calls on us to address it.How can we as public health professionals expand our perspective of maternal mortality? How can we partner with fields like accidents and injuries to prevent women from dying? Part of the strategy lies in focusing more on pregnancy-related deaths and pregnancy-associated deaths. Re-conceptualizing maternal mortality and morbidity Gene argued that maternal morbidity is a serious problem, too. Much progress has been made in clinical settings during birth, but cardiac issues, violence, and substance use during pregnancy are increasing.Again, this requires us to see what’s going on before and after pregnancy or pregnancy termination. One way to do this is to ask women themselves. Their voices are critical to maternal morbidity research, but rarely captured in the data systems we have access to.Gene wrapped up his seminar by reiterating needed solutions: listening to women directly, conducting longitudinal studies on maternal health, thinking beyond maternal mortality to women’s mortality overall, and shifting the narrative outside of hospitals. State maternal mortality review committees are starting to tackle these gaps by bringing together obstetricians, midwives, pregnant women, and researchers (Gene himself serves on the Massachusetts Maternal Mortality Review Committee).As MCH stewards, we can learn from this approach. We can connect our detailed analyses to broader, more diverse issues. We can change the public image by prioritizing accurate data and compelling stories. And we can be collaborative and cross-cutting in our research.There is no shortage of complexities when it comes to maternal mortality. With his three takeaways, Gene has given us a roadmap.Dr. Gene Declercq is a Professor of Community Health Sciences and Assistant Dean for DrPH Education at the Boston University School of Public Health as well as a professor on the faculty of Obstetrics and Gynecology at the Boston University School of Medicine. Gene developed and presented the short film, Birth by the Numbers, as well as this companion website, which includes the specific data presented in this blog. Share this: ShareEmailPrint To learn more, read:last_img

first_imgBrand messaging is a business MUST. If your brand’s message is well-developed and cohesive, it’s a lot easier to communicate with your customers and call them to action.Additionally, if your brand’s message is consistent, your customers will flock to you no matter how you communicate with them. Brand messaging has a core goal: to explain why customers should choose you over your competitors.Great brand messaging is a hybrid between a tagline and a vision statement or customer relationship management and call-to-action marketing. It’s the unremitting story of what makes your business unique and why customers should remain loyal to you.Spreading your brand’s message requires you to dabble with multimedia exposure. You’ll communicate your story online in your web content and on social media. You’ll share your message in printed ads and publications. You’ll tell your story during radio or television interviews. You’ll also discuss your business in person at meetings or social events.If your brand’s messaging seems ineffective, it may have a lot to do with the message itself or the fact that you’re using the message incorrectly. Your message must align with your medium without shifting the main point: “support this business because xyz”.Here’s how to maintain one brand message across multiple outlets:Develop + reinforce your brand messageYour brand’s message needs to grab your targeted audience’s attention and never let them go. They need to fall in love with your story.To do this effectively, study your audience and their behaviors. Learn about their questions, interests, needs and curiosities, then study your brand. Learn about how your brand addresses the customer’s thoughts and actions.That is your brand message—the thing that needs to remain constant.Now, take this message and add dimension with case studies, testimonials, pictures, interviews, videos, captions, etc. to reinforce it across multiple outlets. These are your first steps to taking one consistent message and spreading it everywhere.Match your message with your outletDifficulty engaging with your customers could be a reflection of weak brand messaging or how and where you apply your brand message. Different mediums require different communication styles.Even with digital engagement such as social media, Twitter calls for quicker to-the-point interaction while Facebook allows for lengthier “forum” style engagement. As is the case with print media, which requires great storytelling and easy-on-the-eye formatting whereas in-person communication calls for articulation and personality.Know the point of your brand’s storyWhat is it that you’re trying to get your consumers to think or feel? This feeling should always be your goal, regardless if your message shows up in print or a tweet.Try thinking about the key points of your brand’s goals, then reinforce it using long messages (think a paragraph) and short messages (think about a caption). Does it tell the same story? If it does, then your brand’s message is clear and cohesive, and your consumers will be able to identify it.If your story shifts the more in-depth you get with telling it, start over and re-focus on your message’s key points. Once you’ve got the key points down, use the longer messages for print and in-person communication and the shorter messages for digital and radio/TV communication.Use the same adjectivesIf you use words like “amazing”, “outstanding” or “dynamic” as a part of your brand’s online message, then it paints the picture of your brand being zippy or fanciful.Don’t confuse your audience by switching your printed message to words like “thoughtful”, “conservative” or “simple”, which connotes a more relaxed and down-to-earth brand. You want to evoke the same feeling, regardless of how your message shows up.Figure out your brand’s adjectives and maintain them in describing your brand’s story.Go for the winSmart brand messages are short, memorable and explain the product or service. Similar to a tagline, you want to use your words wisely. Don’t add fillers and fluff. Don’t try to make it catchy, yet it lacks substance.A winning brand message goes above a tagline by actually incorporating what you do.Nike’s brand messaging is about turning athletes into high-performance sports heroes and creating products that inspire sports lovers to become champions. This is the story they tell in their television commercials whether it features Michael Jordan or a high-school track star as well as their printed ads.Elevate your tagline by making sure you mention your product, demographic and desirable outcome—then you’ll have a winning brand message.In short, don’t confuse your audience by changing your brand messaging. Simply change how you share your brand’s message and make sure that your message matches the outlet’s tone and style.This is a post from our SPARK sponsor, 17Hats. 17Hats is the complete and fully integrated system for managing a small business. Freelancers Union members get up to 20% off certain plans. Learn more here.last_img

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