{"id":140,"date":"2018-02-14T16:41:07","date_gmt":"2018-02-14T16:41:07","guid":{"rendered":"http:\/\/horizon.peachpuff-wolverine-566518.hostingersite.com\/?p=140"},"modified":"2018-05-29T23:45:19","modified_gmt":"2018-05-29T23:45:19","slug":"maternal-death-audits-in-africa-win-e1-mn-innovation-prize","status":"publish","type":"post","link":"https:\/\/scienceblog.com\/horizon\/140\/maternal-death-audits-in-africa-win-e1-mn-innovation-prize\/","title":{"rendered":"Maternal death audits in Africa win \u20ac1 mn innovation prize"},"content":{"rendered":"<div class=\"field field-name-field-header field-type-text-long field-label-hidden\">\n<div class=\"field-items\">\n<div class=\"field-item even\">\n<p class=\"selectionShareable\"><strong>An audit committee that reviews deaths during childbirth has reduced the maternal mortality rate in hospitals in Mali and Senegal by 15%, and its founders have been awarded the \u20ac1 million EU Horizon Birth Day prize for a solution that saves the lives of mothers and their babies.<\/strong><\/p>\n<\/div>\n<\/div>\n<\/div>\n<div class=\"field field-name-body field-type-text-with-summary field-label-hidden\">\n<div class=\"field-items\">\n<div class=\"field-item even\">\n<p class=\"selectionShareable\">More than\u00a0<a href=\"http:\/\/www.who.int\/mediacentre\/factsheets\/fs348\/en\/\" target=\"_blank\" rel=\"noopener noreferrer\">800 women die every day<\/a>\u00a0from preventable complications in pregnancy or childbirth and 99% of these deaths occur in developing countries.<\/p>\n<div class=\"relatedArticlesBlock\">\n<p>&nbsp;<\/p>\n<\/div>\n<p class=\"selectionShareable\">\u2018The day that you are born is the most dangerous day of your life,\u2019 said Professor Marleen Temmerman, director of women\u2019s health at Aga Khan University Medical College in Kenya. \u2018We know what to do but we don\u2019t implement enough.\u2019<\/p>\n<p class=\"selectionShareable\">The former director of reproductive health and research at the World Health Organization was speaking at the awards ceremony of the Horizon Birth Day prize, an initiative funded by the EU, the Bill &amp; Melinda Gates Foundation and MSD for Mothers to support marketable, scalable and innovative solutions for preventable deaths in childbirth.<\/p>\n<p class=\"selectionShareable\">The EU and the Bill &amp; Melinda Gates Foundation each provided \u20ac1 million in prize money, while MSD for Mothers offered \u20ac500,000.<\/p>\n<p class=\"selectionShareable\">First prize went to a project called QUARITE, which implemented a\u00a0<a href=\"http:\/\/iwhp.sogc.org\/uploads\/documents\/refQUARITE_Lancet2013.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">simple but effective scheme<\/a>\u00a0that reduces the death toll of mothers and babies during childbirth \u2013 an audit committee that reviews all maternal deaths and then makes recommendations to improve conditions.\u00a0Carried out in Mali and Senegal, the initiative successfully reduced overall maternal deaths in hospitals by 15% and also cut neonatal mortality.<\/p>\n<p class=\"selectionShareable\">\u2018Technology is just a part of the process. But innovation is changing the world by doing things differently,\u2019 said Carlos Moedas, EU Commissioner for Research, Science and Innovation, who presented the QUARITE project with their prize. \u2018It\u2019s tragic to see that so many mothers or their newborn babies die. Through this contest, we identified several ways of preventing these deaths,\u2019 he said.<\/p>\n<div class=\"quote-view quotesBlock quote_horizontal\">\n<blockquote>\n<p class=\"selectionShareable\">\u2018\u2018The day that you are born is the most dangerous day of your life.\u2019<\/p>\n<p class=\"selectionShareable\">Prof. Marleen Temmerman, Aga Khan University Medical College, Kenya<\/p>\n<\/blockquote>\n<\/div>\n<p class=\"selectionShareable\">Dr Alexandre Dumont of the Institut de Recherche pour le D\u00e9veloppement in France, the lead researcher of QUARITE, said that the idea for the project came from the time he spent as a young doctor working in hospitals in Africa.<\/p>\n<p class=\"selectionShareable\">\u2018I was very shocked about the maternal deaths, I wanted to do something,\u2019 he said. He later examined historical initiatives in the UK, where maternal death reviews had been established with a lot of success, and decided to bring a similar scheme to Mali and Senegal.<\/p>\n<p class=\"selectionShareable\">The project encountered some cultural obstacles however \u2013 doctors and medical staff were initially very hesitant to support the programme, fearing that they would be blamed for mistakes made.<\/p>\n<p class=\"selectionShareable\"><strong>No name, no blame<\/strong><\/p>\n<p class=\"selectionShareable\">\u2018There was a lot of resistance. When you start such a process in any country for the first time, it\u2019s very difficult because people are afraid of what might happen \u2013 maybe the chief of the committee would say to the health professional that \u201cthis is your fault\u201d,\u2019 said Dr Dumont. To reassure the staff, they adopted a no name, no blame strategy, and by targeting the failed processes rather than the individuals, they succeeded in substantially reducing the mortality rates.<\/p>\n<p class=\"selectionShareable\">Some of the problems that the audits highlighted were surprisingly simple \u2013 for example, mothers who went into labour during the night were unable to receive oxytocin because the local pharmacy was closed. The audit brought such issues into the spotlight and a small emergency pharmacy was set up in response.<\/p>\n<p class=\"selectionShareable\">There was a substantial impact on rural and remote hospitals, which have extra limitations relating to drug supplies, medical equipment and also training and supervision. In these hospitals, the death rate decreased by 35% as a result of the death audits. QUARITE is now expanding its reach to Chad, Niger, and in the future, Burkina Faso.<\/p>\n<p class=\"selectionShareable\"><strong>Complications<\/strong><\/p>\n<p class=\"selectionShareable\">A second prize, also of \u20ac1 million, went to Clinton Health Access Initiative Maternal and Neonatal Health Nigeria (CHAI MNH Nigeria), which developed a way of identifying potential complications early in pregnancy and tracking high-risk situations. The goal is to combat problem deliveries in hard-to-reach communities, away from necessary medical facilities, and CHAI MNH specifically targeted three northern Nigerian states where more than 80% of all women deliver at home.<\/p>\n<p class=\"selectionShareable\">The project provided healthcare workers with training and guidance in identifying and treating complications early on, trained birth attendants to ensure that correct midwifery care was given, improved supply chains for necessary drugs and medical devices, and set up a motorbike ambulance service to rapidly rush women to hospitals in the event of emergencies. The CHAI MNH initiative successfully reduced mothers\u2019 deaths by 37% and stillbirths by 15%.<\/p>\n<p class=\"selectionShareable\">The third prize of \u20ac500,000 was awarded to the WOMAN project from the London School of Hygiene and Tropical Medicine, UK, which tested and validated the use of a blood clot stabilising drug called tranexamid acid (TXA) to prevent deaths from bleeding, which is the leading cause of mortality during childbirth worldwide.<\/p>\n<p class=\"selectionShareable\">TXA is inexpensive \u2013 it costs just over \u20ac2 \u2013 heat stable and easy to use, making it ideal for use in developing countries. Trials showed that TXA can reduce deaths from post-partum bleeding by 20% overall and by 31% if given within three hours.<\/p>\n<div class=\"moreInfoBlock\">\n<h3>Birth Day prize<\/h3>\n<p class=\"selectionShareable\">The idea behind Horizon prizes is to offer a cash reward to whoever can most effectively meet a defined challenge. In the case of the Birth Day\u00a0prize, the challenge was to find a novel, safe and scalable solution to make childbirth safer.<\/p>\n<p class=\"selectionShareable\">This type of challenge-based prize is designed to act as an incentive for innovation by prescribing the goal but not who the innovator should be or how the goal should be achieved.<\/p>\n<p class=\"selectionShareable\">The EU has a range of\u00a0<a href=\"http:\/\/ec.europa.eu\/research\/horizonprize\/index.cfm?lg=en&amp;pg=prizes\" target=\"_blank\" rel=\"noopener noreferrer\">Horizon prizes<\/a>\u00a0either underway or coming up for challenges including clean engines, CO2 recycling, and tactile displays for visually impaired people.<\/p>\n<p><em>Originally published on <a href=\"https:\/\/horizon-magazine.eu\/article\/maternal-death-audits-africa-win-1-mn-innovation-prize_en.html\">Horizon<\/a>.\u00a0<\/em><\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>An audit committee that reviews deaths during childbirth has reduced the maternal mortality rate in hospitals in Mali and Senegal by 15%, and its founders have been awarded the \u20ac1 million EU Horizon Birth Day prize for a solution that saves the lives of mothers and their babies. More than\u00a0800 women die every day\u00a0from preventable &#8230; <a title=\"Maternal death audits in Africa win \u20ac1 mn innovation prize\" class=\"read-more\" href=\"https:\/\/scienceblog.com\/horizon\/140\/maternal-death-audits-in-africa-win-e1-mn-innovation-prize\/\" aria-label=\"Read more about Maternal death audits in Africa win \u20ac1 mn innovation prize\">Read more<\/a><\/p>\n","protected":false},"author":325,"featured_media":141,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"generate_page_header":"","_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_jetpack_memberships_contains_paid_content":false,"footnotes":"","jetpack_post_was_ever_published":false},"categories":[12],"tags":[111,110,37],"class_list":["post-140","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-health","tag-afrika","tag-childbirth","tag-health"],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v27.7 (Yoast SEO v27.7) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>Maternal death audits in Africa win \u20ac1 mn innovation prize - Horizon Magazine Blog<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/scienceblog.com\/horizon\/140\/maternal-death-audits-in-africa-win-e1-mn-innovation-prize\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Maternal death audits in Africa win \u20ac1 mn innovation prize\" \/>\n<meta property=\"og:description\" content=\"An audit committee that reviews deaths during childbirth has reduced the maternal mortality rate in hospitals in Mali and Senegal by 15%, and its founders have been awarded the \u20ac1 million EU Horizon Birth Day prize for a solution that saves the lives of mothers and their babies. More than\u00a0800 women die every day\u00a0from preventable ... 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