Guest blog by Dr. Jennifer Hirshfeld-Cytron, Reproductive Endocrinology and Infertility Fellow, Department of Obstetrics and Gynecology, Northwestern Memorial Hospital
The Obstetrics and Gynecology Grand Rounds this morning was given by past FIGO (International Federation of Gynecology and Obstetrics) and previous chairman of the department, Dr. John Sciarra. He provided an incredibly informative and moving description of the global issues affecting women, particularly in the developing world. He highlighted the issues of maternal mortality, maternal morbidity, STDs, cervical cancer, and education inequality.
For instance, in Afghanistan, 1 in 6 women will DIE from pregnancy related complications compared to 1 in 4100 in the developed world. Pregnancy related complications include: abortion related deaths, hemorrhage, thrombotic events and eclampsia (see below). 20.5 million unsafe abortions occur each year worldwide and account for 60,-80,000 deaths.
Image: http://www.who.int/making_pregnancy_safer/topics/maternal_mortality/en/index.html)
Furthermore, HIV/AIDS accounts for 11% of worldwide deaths with approximately 47 percent of the 34.3 million adults living with HIV/AIDS being women. Cervical cancer, a preventable cancer with appropriate screening, sex education and potentially the vaccine, affects 200,000 women worldwide and is second only to breast cancer in incidence. Cervical cancer screening in the developed world centers on cytology, which is not available in the developing world. He further highlighted the inequities of women. Worldwide women work 66% more than men but receive only 15% of the income. Illiteracy in parts of the developing worth is greater than 65% for women. This just begins to highlight the complicated issue of providing appropriate family planning education to the developing world.
These staggering and incredibly disturbing statistics leave us with only one question; how can we raise the status of women worldwide? Efforts are being done to partner developed with developing world medical schools to increase technical skills for the care of women, such as safe abortions. A website (www.glowm.com) has been started by Dr. Sciarra and others providing education in the form of book chapters and how-to videos to begin to enhance knowledge to the developing world. Access is huge problem for women and foundations such as the Bill and Melinda Gates Foundation are working towards these and other efforts. In short, get involved.
As Mahmoud Fathalla, past president of the International Federation of Gynecology and Obstetrics, said: “Women are not dying because of diseases we cannot treat. They are dying because societies have yet to make the decision that their lives are worth saving.”
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124 Comments
Excellent Article. Efforts are being done by the partner developed with developing world medical schools to increase technical skills for the care of women, such as safe abortions.
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that is like crazy data! -HIV/AIDS accounts for 11% of worldwide deaths!
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It needs good coordination among us, WHO, health department, local government, and the people.
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How will this foundation get the message delivered? and does educating them actually raise their morbidity rate? I get that unsafe medical practices are involved – but does educating the women keep the male doctors from treating them the same? What will we do to address this?
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Sadly these statistics have not been put into context. Let’s say next to Heart Diseases, Cancer related deaths, even old age.
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Thanks for sharing wonderful article.
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Hiv, 11 percent and don’t even really talk about it anymore.
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“Afghanistan, 1 in 6 women will DIE from pregnancy related complications”, OMG what the hell are official doing there in that country. I hope the US government can do something about this.
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I agree with Mahmoud Fathalla – until societies value women there is no hope of change.
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Hirshfeld-Cytron has nailed it that treatable disease in unacceptable. Basic health care is a human right.
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Sadly these statistics have not been put into context. Let’s say next to Heart Diseases, Cancer related deaths, even old age
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I was very impressed and felt had to get a valuable experience after reading your article. I will learn more and I’ll try to implement. thanks for sharing
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It is absolutely chilling to see a statistic of 1 in 6 deaths (in Afghanistan) due to pregnancy related issues. I’ve not been to Afghanistan, but I do travel to the Caribbean where sometimes the living conditions don’t always appear to be terrific for the locals (at least from my outside perspective). This article makes me wonder about women’s health issues in places like that, and since I have not had children myself, your comments were quite an eye opener for me. Thank you.
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Thanks for sharing data statistic, I think useful for me.
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Really Useful…
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Thank you for sharing this shocking info.
I hope some people will finally wake up after reading this!
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“Women are not dying because of diseases we cannot treat. They are dying because societies have yet to make the decision that their lives are worth saving.”
It is sad that this is the way it is now. Hopefully one day women will be treated equally. And valued.
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From the BBC
“For instance, of the estimated 136 million women who will give birth this year, around 58 million will receive no medical assistance during and after childbirth – potentially putting their lives at risk”
Another cause of inequality.
S
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You wrote, that in Afghanistan, 1 in 6 women die from pregnancy, but why you do not take into account that women in such countries die from war, men atrocity and many other factors. I think that your statistic do not display the real processes
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“Women are not dying because of diseases we cannot treat. They are dying because societies have yet to make the decision that their lives are worth saving.”
It is the greatest challenge to change the thinking of societies that human life is indeed valuable.
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It is absolutely chilling to see a statistic of 1 in 6 deaths (in Afghanistan) due to pregnancy related issues
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Your article mentioned getting involved. If one is interested in becoming involved – how does one make the greatest impact?
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That is such a sad but amazing statistic that 1 in 6 women die in labor in Afghanistan, something needs to be fixed with hat. This article is a huge eyeopener, apart form the media we cant deny numbers. With 11% of deaths worldwide being AIDS more awareness needs to be brought up with this. Great article very scary.
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“HIV/AIDS accounts for 11% of worldwide death”
this only means one thing: people need to challenge the myths and misconceptions about human sexuality that translate into dangerous sexual practices.
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I think the key to overcoming the disparity in Health issues between men and women is to entice more women to train in the medical field.With an understanding that their talents can help the health of more than just individuals but an entire gender is powerful.
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Is is so sad to see the globally wide disparity of health and education, especially for women. Women have historically been treated as property given the history of marriage. Disturbingly, this has not changed in many other countries. As we see people from these countries and belief systems immigrating to North America, we also now see the related crimes against women being carried out by fathers and brothers who feel that their daughter/sister is property and justify “honor killings” against them. Not only do we have to contribute to womens health, but fundamental beliefs within certain religions and groups need to be changed, as well.
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This post was correct, the stats are staggering for women. I hope that the word spreads about this so we become “worth saving”.
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Women are not dying because of diseases we cannot treat. They are dying because societies have yet to make the decision that their lives are worth saving.”
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This article presents some big questions that have no simple answers or solutions. Certainly, education and societal support is key to furthering the quality of life and health for women worldwide, but how to convince peoples in other countries of this is not so easily accomplished. A lot of the male centered societies of south Asia, for example, may at times, appear to agree with the need for such education and support, but when it comes down to it, they simply do not have the desire or drive to do anything significant with the information they are given for helping their women. I speak from first hand experience, having spent some months in the northwest Frontier Province of Pakistan a number of years ago. I was able to closely observe how people from that culture conduct their day to day lives, as well as learn how the structure of their society works, and it was nightmarish, to say the least. The pervading attitude I saw in the men there was an extreme selfishness for what best served themselves and their goals, and somehow, they did not see better treatment and care of their women as being included in that equation. What is to be done in such situations? You cannot force people to do things they do not want to do, and yet, it is heartbreaking to stand by, knowing that so many women are not only lacking good education and health care, but that they are also experiencing disparaging abuse and emotional neglect.
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I believe many girls and women still do not have equal opportunities to realize rights recognized by law. In many countries, women are not entitled to own property or inherit land. Social exclusion, “honor” killings, female genital mutilation, trafficking, restricted mobility and early marriage among others, deny the right to health to women and girls and increase illness and death throughout the life-course.
We will not see sustainable progress unless we fix failures in health systems and society so that girls and women enjoy equal access to health information and services, education, employment and political positions.
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This article makes me wonder about women’s health issues in places like that, I hope some people will finally wake up after reading this.
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This is very important especially here in Kenya where women were not even considered to be citizens in the past constitution. So yes you could bear children but you were not a citizen by right but through your husband…
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This is a very informative and well written article. I could not believe some of the statistics, unbelievable.
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Equality between women and men is a fundamental right, a common value of the EU, and a necessary condition for the achievement of the EU objectives of growth, employment and social cohesion. Although inequalities still exist, the EU has made significant progress over the last decades in achieving equality between women and men. This is mainly thanks to equal treatment legislation, gender mainstreaming and specific measures for the advancement of women.
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It’s sad in today’s society that there are still these kinds of issues taking place. It’s about time in the 21st century that women rise to the equality of men. Women deserve the same rights to education, support and care that men afford themselves. After all without women there would be no men.
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Hey I dont understand why my comments aren’t getting published on here. As a woman who used to do volunteer work in South Africa, i can definately relate to this issue. We may be living in the 21st Century but 90% of people’s mindset is still living in the stone age and thats the truth. Since we are talking about equalities here, please give me the same opportunity to get my opinion across and let me comment on your blog ma’am.
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What a good revelation this is. In Africa, women health education is a great cause of health problems and death. This is more so in the rural areas. Rural health education( at a high level)will reduce death greatly.
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The best way to overcome the difference in health issues between women and men is to educate and encourage more women to remain in the health industry. As their understanding of women is of course a lot better than the male counterparts.
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This is a great way to inform women and also men. Thanks for posting. This is very informative.
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Oh my goodness, I didnt realise any of that was so prominent – that’s an alarming amount of statistic, governments need to invest more in healthcare, its not fair that people suffer just because of their location in the world for something which could be treated in another.
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Women’s health should be made to be more of an issue in countries like those, there is no reason that such an obvious case of what would seem to be little more than gross negligence should continue to be tolerated with such little consequence, if any.
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Thank you for sharing this post, its interesting. I think that education also play an important part to maintain a healthy life… If the people/women in the under developed countries are being educated about their health, mortality rate might decrease and lives could be saved. Barbara.
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How will this foundation get the message delivered? and does educating them actually raise their morbidity rate? I get that unsafe medical practices are involved – but does educating the women keep the male doctors from treating them the same? What will we do to address this?
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More women’s health information. You will greatly help a lot of women by posting articles like this. More power!
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Really useful article, but I guess it will take long time before see any improvement in women rights in developping countries! which kinda makes me sad
I cannot agree more with this quote:
“Women are not dying because of diseases we cannot treat. They are dying because societies have yet to make the decision that their lives are worth saving.”
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The graphical representation is really easy to digest and was able to hint to us the underlying problems of the poorer health of women.
It is indeed sad for us to learn of such inequalities in the developing world, but the problem is not that clear cut. The idea that the female is inferior to the male is widely accepted in the developing world, by not only men, but also some women. The same scenario is observed in Asian countries, such as Japan, where females with the same qualifications as their male counterparts will almost always have a lower upward mobility.
Perhaps, we should gather the opinions of the women to see if they are willing to accept equality in the first place.
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I can’t believe it. Those statistics are very sad and shocking. Living in our country you just don’t think things like this are going on somewhere else in the world. I will have to look into the Bill and Melinda Gates Foundation if they are truly helping these people. Thanks for bring this to our attention.
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Yes, i agree with that women are not dying because of diseases we cannot treat. They are dying because societies have yet to make the decision that their lives are worth saving. I must add up that the society fails to see what our women needs and i’m afraid that its been like that for all these years.
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This is a very sad yet very useful blog. Thank you for posting such informative post, this can help spread awareness to our societies women and also in men.
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This is a very informative and well written article. I could not believe some of the statistics, unbelievable.
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The horrendously high rate of pregnancy related complications in Afghanistan is shocking, but not solely a women issue surely? The average man’s life expectancy would be low and his life hard, as well. However, I do take the point and the women are certainly taking more than their fair share of the burden. I do so hope as others have said, that the military campaign can really make a difference in the country.
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This is a very important data: «Furthermore, HIV/AIDS accounts for 11% of worldwide deaths with approximately 47 percent of the 34.3 million adults living with HIV/AIDS being women». Women who transmit AIDS to their children. A cure for AIDS is a priority.
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This is shocking but important information about the plight of women in developing countries. . We must all do what we can in this situation but raising awareness such as this article is the first step.
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With out reducing poverty and increasing girls education, efforts to reduce woman mortality rate will be very hard indeed.
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quality between women and men is a fundamental right, a common value of the EU, and a necessary condition for the achievement of the EU objectives of growth, employment and social cohesion. Although inequalities still exist, the EU has made significant progress over the last decades in achieving equality between women and men. This is mainly thanks to equal treatment legislation, gender mainstreaming and specific measures for the advancement of women.
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I agree that women are certainly taking more than their fair share of the burden. Equality between women and men is a fundamental right, a common value of the EU. The best way to overcome the difference in health issues between women and men is to educate and encourage more women to remain in the health industry.
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Not to make this a political issue but politics do play into things. The U.S. has the best healthcare in the world. Flawed, yes, but as it is it is the best. Education is also so important, especially in the role of preventing dangerous abortions and preventing the spread of STD’s. Private donations and mission work go a long way.
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Having spent a great deal of time in the third world, I would like to observe that much of a young girl’s education surrounds marriage, sex and contributing to the family unit. In Basutoland in the 1960s girls were initiated in cold mountain huts how to dance, how to sit when a man approaches and what to cook. W need to pluck the brightest out of this traditional environment and educate them here, or in Europe so they can go back to their homeland and make a contribution. The old ways die hard and only a eye-opener will make significant change.
Thank you for the opportunity to comment
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This is important information about the plight of women in developing countries. Women’s health should be made to be more of an issue in countries like those. I hope my country will do the best they can.
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“Women are not dying because of diseases we cannot treat. They are dying because societies have yet to make the decision that their lives are worth saving.”
Sometimes humans does not seem too human at all. I have seen it everywhere, but the most touched i felt after visiting India. Human life in many areas there is not worth much at all. Sad, but true…
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The Global Alliance for Women’s Health (GAWH) is committed to advancing women’s health in all stages of life and at all policy levels through health promotion, education, advocacy, and program implementation.
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This is a very interesting article, I was caught before eclampsia set in but I do feel that women should be monitored much more closely after they reach 30 weeks of pregnancy, as your article shows there are many ways that problems occur we need to get better at recognising those signs before they develop. More education for women on risks and signs to look out for would be good I felt that I wasn’t equipped to recognise problems and to know what was normal or not!
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It is sad to know the statistics that women are not treated equally and enjoy their human rights for themselves and for their children. A reality to all to address especially to the societies who put womens rights at the back end.
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Women are not dying because of diseases we cannot treat. They are dying because societies have yet to make the decision that their lives are worth saving.And I am agree with this saying….
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1 in 6 women dying from pregnancy related complications is an appalling statistic. I am completely floored. I suppose I am guilty of developed world complacency or if you like ignorance. I had no idea that this statistic would be like this. In this day and age this stat regardless of where you live and what you believe should not be the norm.
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My sister went to Africa to visit her missionary daughter. What she witnessed and learned about women and how they are treated was shocking to her.
How can we raise the status of women worldwide? That is the question she had just for the village she visited in Africa. They didn’t know or want to know about birth control, abortion, or how to prevent aids. In fact, it is customary for the men to carry on with as many women as possible, thus spreading HIV virus.
So keep up the good work Dr, Sciarra.
Thomas
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This is simply unbelievable. These women should not be dying like this. People need to wake up and the govenment needs to take not of just what is going on. It’s not acceptable in this day and age.I’m furious.
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I can’t believe there are 60-80,000 deaths per year from unsafe abortions. Pro choice is the only way to go. Thanks for the article.
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I can’t believe that in 2011 one in six women will die from pregnancy related complications in some countries. I understand that in Africa it might be even worse. Thank you for this eye opening, informative article.
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Unbelievable, women are still getting abused all around, and it is not happening in undeveloped countries only, even in the U.S and Europe you see women getting domestic abuses, abuses at work and making them pass for the shame of telling the story over and over and get questioned as if it would be their fault.
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Recently, I read that even though life expectancy is higher for women than men in most countries, a number of health and social factors combine to create a lower quality of life for them.
Unequal access to information, care and basic health practices further increases the health risks for women.
Women need to be educated about these issues and have easier access to information such as this blog.
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Mahmoud Fathalla has hit the nail on the head with his very perceptive comment. It is restrictive practices carried on in the name of religion and/or culture that keep many areas of the world in the dark ages, even in the so-called modern societies of today. It is only social awareness at the grass roots level that can cure this, not just technical knowledge in the hands of a few.
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I just found your blog while searching for articles about pregnancy related death. Very informative post. Thank you for sharing this with us.
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What an informative article, really enjoyed the extensive details. Thanks for such a wonderful contribution. The stats were astonishing.
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There is no doubt that in the “developing world” problems exist. Especially for women. But what you are looking to do is change cultures! I admit, to see suffering and death that could be avoided borders on heartbreaking. Your efforts are valiant but you indeed face a very steep mountain to climb.
Just my opinion
Sara
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Mahmoud Fatalla is exactly right. Women aren’t dying because of incurable disease. They’re dying because it’s easier to replace them than cure them. There are many societies today where the value of women is very low. That needs to change before the medical conditions will start to improve for many women.
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Interesting blog but I think the figures of abortion will be higher….there’s a lot of unreported abortions that’s why. Agree?
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13% for unsafe abortion? It’s ridiculous, there are so many types of contraception around us. Lack of info is the real problem.
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This is a really excellent read for me. Must admit that you are one of the best blogger I ever saw. Thanks for posting this informative article.
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Here in the states we take for granted what so many others lack in the developing countries. The more education that can be provided and the more resources that can be offered to these parts of the world, the better.
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“women are dying because societies have yet to make the decision that their lives are worth saving.” These words say it all. A very remarkable post thankyou for highlighting how devalued women really are in this world
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As we know that whenever something new happens or discovered, there are so many problems. Especially for women. But what you are looking to do is change cultures! Our efforts are valorous but we face a very steep mountain to climb.
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I am blown away that in this day and age women still die from pregnancy problems. We spend billions on war while this is still a problem….. Food for thoughts
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Education is the answer. Once a woman or anyone for that matter receives an education, they then have the tool to help themselves and their community.
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The governing bodies of these countries need to be targeted to increase the awareness of their people; they always have money available for arms and weapons – they need to make money available to look after the wellbeing of their own people.
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Unfortunately, the political climate needs a lot of shaking out in some poorer countries. Note what is currently happening in northern Africa right now. Women’s rights overall will hopefully get a long overdue boost up. GD.
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Although I agree with most of the article, I do believe that simple education could go a long way to finding and preventing things from happening. There needs to be more support.
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This is very alarming figure. I agree with Mahmoud Fathalla when he said “Women are not dying because of diseases we cannot treat. They are dying because societies have yet to make the decision that their lives are worth saving.” I think we need to increase information,education and awareness about women’s health.
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This is so sensitive and its one thing my country has been trying to fight.Women are experiencing so many problems and among these include pregnancies and other issues.The developing countries don’t have enough facilities to provide to them thus suffering from all these diseases.This information is so educative and we must work together to get a solution to all these problems that are affecting our countries.Sex education must be the key to all schools.Great site
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Fascinating statistics. I think another reason for women having pregnancy complications at birth in non-developed countries is because of the hygiene consideration. We are very fortunate to always ensure that tools are sterilized before use. Thank you for sharing.
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quality between women and men is a fundamental right, a common value of the EU, and a necessary condition for the achievement of the EU objectives of growth, employment and social cohesion. Although inequalities still exist, the EU has made significant progress over the last decades in achieving equality between women and men. This is mainly thanks to equal treatment legislation, gender mainstreaming and specific measures for the advancement of women.
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I feel you brought up some real great points and ideas and i know that you mentioned the Bill & Melinda Gates Foundation i wanted to say afew words about it that its Guided by the belief that every life has equal value, the Bill & Melinda Gates Foundation works to help all people lead healthy, productive lives. In developing countries, we focus on improving people’s health and giving them the chance to lift themselves out of hunger and extreme poverty. In the United States, we seek to ensure that all people—especially those with the fewest resources—have access to the opportunities they need to succeed in school and life
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“Women are not dying because of diseases we cannot treat. They are dying because societies have yet to make the decision that their lives are worth saving.”
Thank God this has changed a lot for better even in rural part of India.
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Sadly
I feel you brought up some real great points and ideas quality between women and men is a fundamental right. This is so sensitive and its one thing my country has been trying to fight for women. Women are experiencing so many problems
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I really liked your post.Will come back for future updates..
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This is an impressive figure, developed countries should do more to prevent and avoid health issues that can be improved, as is abortion, there are multiple solutions, but there is no commitment, countries such as Cuba with less economic development, provide more than 50000 doctors each year to support poor countries, is a worthy example to copy, despite its political and social situation, we must recognize that
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In this 2100 century, I thought that we in this world had come a much longer way in giving prenatal care to woman in less develop countries. I am Shocked.
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This is a very informative article and well written. I could not believe some of the statistics, amazing
It takes good coordination between us, WHO, the health department, local government and the people.
“Women are dying from diseases that are not treatable. They are dying because societies have to decide that his life is worth saving.”
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I really enjoy reading your Articles. Thank you for this much needed info.
Is there a way to forward an article to a friend? Thanks.
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Thanks for post this article, it’s a useful post. Education is very important but unfortunately in the under developed countries like india, pakistan and etc. They do not get any chances to get educate and it make them lack of the health knowledge. Anyway, thanks for share this post. I will share it with some of my female friends.
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save world and save women’s health
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A very interested read and very informative. AIDS is a horrible world wide issue that i hope a cure is found to relive people of their suffering
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A current concerned issue. Thanks very much for sharing a lot of this good information! Looking forward to reading more blogs!
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So how do we get involved? Its such a huge problem. So sad for women to be treated like this. She could be your Mom or sister or daughter!
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I have to say for some reason the one that got me is 13% dying due to unsafe abortions….That means many more are forced into having children who they id not want in the first place….. I wonder how many of those kids end up involved in criminal activities later on in life…
Vicious circle… I’m now going to go check the stat for 2011… here hoping a lot has changed since 2005
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Women should all be pro-choice. It is their body, after all.
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I have to say for some reason the one that got me is 13% dying due to unsafe abortions….That means many more are forced into having children who they id not want in the first place….. I wonder how many of those kids end up involved in criminal activities later on in life…
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This figure is very alarming. I agree with Mahmoud Fathalla when he said “Women are not dying from diseases that we can not treat. They are dying because societies have yet to make the decision that their lives are worth saving.” I think we need to increase information, education and awareness about women’s health.
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This could possibly relates to lack of education and knowledge among the women in under developed countries. That’s the reason why knowledge is so critical that will help these women to protect themselves from becoming the victims. It is sad actually to hear the numbers keep on rising each year but what we can do is to give them on going support and great education so that the next generation will become more educated.
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Thanks for the very informative read. It appears the HPV infection is going to result in many other problems besides cervical cancers. Research shows that many of the oral and throat cancers are now related to the HPV virus. Its great that a vaccine has been developed for women and given to pre-teen girls for the prevention of this virus. It would be equally great if the same vaccine were as effective for the male population as they are also being affected.
EDITOR’s REPLY: they are testing the vaccine in boys.
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I completely agree with the inequalities of women around the world. We need to SPREAD education or else problems like these will never cease. Great writing.
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The statistics stated here are horrendous! As an American, I take for granted good health care and easy access to any vital information I may need at any given time. It is a good thing that this information is brought up to those people who are willing and able to lend a helping hand in any way possible to those who have need of it.
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i agree with Lonny Lang
Women should all be pro-choice. It is their body, after all.
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These statistics are troubling to me. As women we must discuss the solution and encourage the men in our lives to support it. We must have more far reaching blogs like this bring awareness to this problem?
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Education is the most important thing, but unfortunately in the under developed countries like my India, every girl isn’t getting the education they deserve.
Thanks for posting this article.
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This is a good content. We have the first woman to be a President in Thailand. Also I think woman can do many thing as same as man did too.
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when i stumbled upon this i assumed it was going to be filled with boring advice, but really it came out to be quite useful. brav0!
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The reasons of maternal death are still shocking me. 11% HIV, 13% unsafe abortion – all this could be avoided. Not to mention many kinds of infections,which are the result of a miserable life-style. It is already urgent, that the underdeveloped countries come nearer to a level of normal human life. I hope such articles will be read from people who can move something to better.
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Powerful blog. I hate to even think of this stuff but its the facts. Thanks!
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One of the primary issues here, is a lack of focus on women specific medical needs. The vast majority of research is performed on, and for men. Women are functionally different creatures with different medical needs.
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One of the primary issues here, is a lack of focus on women specific medical needs. The vast majority of research is performed on, and for men. Women are functionally different beings with different medical needs.
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The figures you have published especially for Afghanistan are tragic. 1 in 6 women will DIE from pregnancy related complications in this day and age. Terrible.
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The best way to overcome the difference in health issues between women and men is to educate and encourage more women to remain in the health industry. As their understanding of women is of course a lot better than the male counterparts.
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I would have never guessed that many people had HIV. What is causing a 1 and 6 death rate in women having children in 3rd world countries?
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