Maternal Death Rates Remain Alarmingly High

By Kara Alaimo, Women's eNews. Posted October 26, 2007.

Research conducted by the World Health Organization, the United Nations and the World Bank released today concluded that maternal death rates are declining too slowly to meet international goals set in 2000.

The new maternal death statistics show there has been virtually no progress in reducing deaths for the past 15 years in countries where mortality rates are already the highest; sub-Saharan African nations, for instance, account for more than half the world's maternal deaths.

The international agencies say universal access to reproductive health services must be prioritized to reverse the trend.

The report follows the release of studies that found that abortion rates dropped sharply between 1995 and 2003, particularly in places where abortion is legal.

Released to news outlets on Thursday, the joint research from the World Health Organization and the New York-based Guttmacher Institute found abortions worldwide had declined to 29 per 1,000 women of childbearing age in 2003 from 35 abortions per 1,000 in 1995. The lowest rates were recorded in Western Europe, where abortion is largely legal and women have better access to contraception.

The lack of safe abortion services in many developing countries continues to take a toll, killing about 67,000 women annually and hospitalizing 5 million others, according to the report, published in the Oct. 13 edition of British medical journal The Lancet.

In an accompanying analysis, Guttmacher concluded that safe access to abortion and increased family planning and reproductive health services could curb the toll and substantially reduce maternal mortality. The research organization estimates that more than 100 million women worldwide have unmet needs for contraception.

Timed Delivery of Data Load

The twin load of global data on women's health came in a week when the U.S. House of Representatives Foreign Affairs Committee had been scheduled to hold hearings on a U.S. policy barring aid to foreign clinics that provide abortion-related services or advocate for change in local abortion laws.

The federal policy is coming under growing political criticism following its repudiation by both houses of Congress over the summer.

Officially called the Mexico City Policy because it was first announced by President Reagan at the International Conference on Population in Mexico City in 1984, detractors call it the global gag rule because it bars funded groups from not only providing abortions but also from counseling women on abortion and lobbying on the issue.

Due to the death from breast cancer of a committee member, Rep. Jo Ann Davis of Virginia, the hearings are being rescheduled and are likely to be held in late October.

Critics say the policy has hurt family planning access in Africa.

"The global gag rule has totally dismantled the tradition of family planning services in Kenya," said Joachim Osur, one of the experts invited to Congress to testify at the hearings and to brief committee staff members yesterday.

Osur oversaw medical services for Family Health Options Kenya when the affiliate of the International Planned Parenthood Federation stopped receiving U.S. funds after refusing to agree to the gag rule.

Shuttered Clinics and Programs

He told Women's eNews that the loss of funding forced him to close clinics that provided 100,000 women annually with gynecological and family planning services and screenings for breast cancer, cervical cancer and HIV-AIDS.

He also shuttered the organization's training program for counselors who provided family planning services; education and mobilization efforts to encourage public use of family planning services; and a network of 1,000 health workers distributing contraceptives to 200,000 women annually.

Wendy Turnbull, senior policy research analyst at Population Action International, a Washington-based international family planning group, says U.S. funding for family planning assistance is down 41 percent since its high-water mark in 1995.

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Kara Alaimo is a New York-based correspondent for Women's eNews.

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