Grace Kodindo | |
---|---|
Born | Grace Kodindo 1960 (age 63–64) |
Occupation | Obstetrician |
Known for | Reducing maternal mortality in Chad and other poor countries |
Children | 2 |
Awards | Chad Medal of Honour, 1997 FIGO/Columbia University Mailman School of Public Health Distinguished Community Service Award for Emergency Obstretric Care, 2000 |
Grace Kodindo (born 1960) is a Chadian obstetrician who has championed improvements to reproductive healthcare, not only in Chad but in poor countries throughout the world. [1] [2] She has been profiled in two BBC documentaries: Dead Mums Don't Cry (2005), charting her efforts to reduce the mortality rate of pregnant and childbearing women, and Grace Under Fire (2009), reporting on her involvement in a reproductive healthcare programme in the Democratic Republic of Congo.
Grace Kodindo was born in Doba, in the south of Chad, in 1960. She is the daughter of Jean Kodindo Demba, a government official. Like her four brothers and sisters by the same parents and her other siblings, she was sent to school. After completing her secondary school education at the Lycée Félix Éboué in N'Djamena, she received a grant from the Canadian government enabling her to study at the Université de Montréal where she attended medical school. [3]
On her return to Chad, she married Amos Réoulengar who became a member of the Hissene Habre government in 1982. They had two sons together but separated in the late 1990s. In the mid-1980s, Kodindo spent four years in Sudan where she trained as a gynaecologist. In 1990, thanks to a grant from the French government, she set out to reduce the infant mortality rate in Chad which was the highest in the world with 800 deaths per 100,000 births. Even after the grant ran out, she continued to work in hospitals with few resources. Her selfless efforts in the 1990s were recognized by professionals in Europe and North America. [3]
In addition to her medical agenda, Kodindo also taught medical students at the University of N'Djamena. She worked alongside fellow Chadian physician Mariam Brahim from 1997 to 2006, coordinating a country-wide program promoting popular education for children's health in 1999. [4] Kodindo fought against female genital mutilation, raising awareness of the risk of medical complications. As a result of her efforts, in 1997 she was awarded the Chad Medal of Honour and in 2000 she received the FIGO/Columbia University Mailman School of Public Health Distinguished Community Service Award for Emergency Obstetric Care. [5] She established an increasingly closer relationship with Columbia University, eventually teaching at the Mailman School of Public Health. [3]
In 2005, the BBC presented Dead Mums Don't Cry, a documentary on Kodindo's efforts to reduce the number of women in Africa who die during pregnancy or childbirth. [6] At the time pregnant and childbearing women in Chad had a 9% chance of dying. [6] The film was widely screened, forming part of a presentation by Kodindo at New York University in October 2007. [7] The publicity led to the founding of a nonprofit organization "Hope for Grace Kodindo" for funding health programmes for women in poor African countries. As a result of the funding, in May 2008 Kodindo was able to report to the European Parliament that death during childbirth in Chad's largest maternity hospital had been reduced from 14% to 2.3% while death during pregnancy had gone down from 23% to 7.3%. [8] Thanks to widening interest in her work, Kodindo was invited to participate in the RAISE initiative launched by Columbia University and Marie Stopes International. [3]
In 2009, her involvement in a reproductive healthcare programme in the Democratic Republic of Congo led to a second BBC documentary titled Grace Under Fire. It presented the difficulties of childbirth for women living in a war zone. Kodindo commented: "By far the biggest casualties of this conflict are civilians – not the fighters. And the women and children suffer the most – their need is greatest." [3] [9] That year she was awarded the Millennium Development Goal Torch by the Danish Government for striving to provide reproductive healthcare for women throughout the world. [10]
Maternal death or maternal mortality is defined in slightly different ways by several different health organizations. The World Health Organization (WHO) defines maternal death as the death of a pregnant mother due to complications related to pregnancy, underlying conditions worsened by the pregnancy or management of these conditions. This can occur either while she is pregnant or within six weeks of resolution of the pregnancy. The CDC definition of pregnancy-related deaths extends the period of consideration to include one year from the resolution of the pregnancy. Pregnancy associated death, as defined by the American College of Obstetricians and Gynecologists (ACOG), are all deaths occurring within one year of a pregnancy resolution. Identification of pregnancy associated deaths is important for deciding whether or not the pregnancy was a direct or indirect contributing cause of the death.
Sexual and reproductive health (SRH) is a field of research, health care, and social activism that explores the health of an individual's reproductive system and sexual well-being during all stages of their life. Sexual and reproductive health is more commonly defined as sexual and reproductive health and rights, to encompass individual agency to make choices about their sexual and reproductive lives.
Félix Malloum or Félix Malloum Ngakoutou Bey-Ndi was a Chadian military officer and politician who served as the second President of Chad from 1975 to 1978.
Byllye Yvonne Avery is an American health care activist. A proponent of reproductive justice, Avery has worked to develop healthcare services and education that address black women's mental and physical health stressors. She is best known as the founder of the National Black Women's Health Project, the first national organization to specialize in Black women's reproductive health issues. For her work with the NBWHP, she has received the MacArthur Foundation's Fellowship for Social Contribution and the Gustav O. Lienhard Award for the Advancement of Health Care from the Institute of Medicine of the National Academy of Sciences, among other awards.
Maternal health is the health of women during pregnancy, childbirth, and the postpartum period. In most cases, maternal health encompasses the health care dimensions of family planning, preconception, prenatal, and postnatal care in order to ensure a positive and fulfilling experience. In other cases, maternal health can reduce maternal morbidity and mortality. Maternal health revolves around the health and wellness of pregnant women, particularly when they are pregnant, at the time they give birth, and during child-raising. WHO has indicated that even though motherhood has been considered as a fulfilling natural experience that is emotional to the mother, a high percentage of women develop health problems and sometimes even die. Because of this, there is a need to invest in the health of women. The investment can be achieved in different ways, among the main ones being subsidizing the healthcare cost, education on maternal health, encouraging effective family planning, and ensuring progressive check up on the health of women with children. Maternal morbidity and mortality particularly affects women of color and women living in low and lower-middle income countries.
Contraceptive security is an individual's ability to reliably choose, obtain, and use quality contraceptives for family planning and the prevention of sexually transmitted diseases. The term refers primarily to efforts undertaken in low and middle-income countries to ensure contraceptive availability as an integral part of family planning programs. Even though there is a consistent increase in the use of contraceptives in low, middle, and high-income countries, the actual contraceptive use varies in different regions of the world. The World Health Organization recognizes the importance of contraception and describes all choices regarding family planning as human rights. Subsidized products, particularly condoms and oral contraceptives, may be provided to increase accessibility for low-income people. Measures taken to provide contraceptive security may include strengthening contraceptive supply chains, forming contraceptive security committees, product quality assurance, promoting supportive policy environments, and examining financing options.
Health problems have been a long-standing issue limiting development in the Democratic Republic of the Congo.
Health in Chad is suffering due to the country's weak healthcare system. Access to medical services is very limited and the health system struggles with shortage of medical staff, medicines and equipment. In 2018, the UNHCR reported that Chad currently has 615,681 people of concern, including 446,091 refugees and asylum seekers. There is a physician density of 0.04 per 1,000 population and nurse and midwife density of 0.31 per 1,000 population. The life expectancy at birth for people born in Chad, is 53 years for men and 55 years for women (2016). In 2019 Chad ranked as 187 out of 189 countries on the human development index, which places the country as a low human development country.
Uganda, like many developing countries, has high maternal mortality ratio at 153 per 100,000 live births.According to the World Health Organization (WHO), a maternal death is the death of a woman while pregnant or within 42 days of termination of pregnancy, irrespective of the duration and site of the pregnancy, from any cause related to or aggravated by the pregnancy or its management but not from accidental or incidental causes. In situations where attribution of the cause of death is inadequate, another definition, pregnancy-related death was coined by the US Centers for Disease Control (CDC), defined as the death of a woman while pregnant or within 42 days of termination of pregnancy, irrespective of the cause of death.
Women in Chad, a landlocked country in Central Africa, are the mainstay of its predominantly rural-based economy and they outnumber the men. Chad is a country with diverse and rich cultural practices, such as male beauty pageants and long-kept-secret hair products. Despite their numbers in the general population, there are very few women in governmental positions and gender equality is far from being a reality in Chad. Chad is rated by the World Bank as the third least gender equal country in Africa. Additionally, there are few women who attain higher education, and many who receive a college degree do so outside of the country.
Access to safe and adequate sexual and reproductive healthcare constitutes part of the Universal Declaration of Human Rights, as upheld by the United Nations.
Agnes Allafi is a Chadian politician and sociologist. During her political career, Allafi was the Minister of Social Services two times between the late 1990s to early 2000s.
Maternal mortality refers to the death of a woman during her pregnancy or up to a year after her pregnancy has terminated; this metric only includes causes related to the pregnancy, and does not include accidental causes. Some sources will define maternal mortality as the death of a woman up to 42 days after the pregnancy has ended, instead of one year. In 1986, the CDC began tracking pregnancy-related deaths to gather information and determine what was causing these deaths by creating the Pregnancy-Related Mortality Surveillance System. According to a 2010-2011 report although the United States was spending more on healthcare than any other country in the world, more than two women died during childbirth every day, making maternal mortality in the United States the highest when compared to 49 other countries in the developed world.
Black maternal mortality in the United States refers to the death of women, specifically those who identify as Black or African American, during or after child delivery. In general, maternal death can be due to a myriad of factors, such as the nature of the pregnancy or the delivery itself, but is not associated with unintentional or secondary causes. In the United States, around 700 women die from pregnancy-related illnesses or complications per year. This number does not include the approximately 50,000 women who experience life-threatening complications during childbirth, resulting in lifelong disabilities and complications. However, there are stark differences in maternal mortality rates for Black American women versus Indigenous American, Alaska Native, and White American women.
Khalié Brahim Djadarab or Khalié Madeleine is a Chadian political activist.
Chaniece Wallace, a black woman and physician, died at 30 years of age from complications of pregnancy two days after the birth of her daughter. Her death is seen as preventable and is viewed in the context of high rates of maternal mortality in the United States, particularly among the African American population. It is cited as an example in medical and scholarly publications to call for improved health outcomes in the black U.S. population. Wallace died despite several factors seen as protective: she was "highly educated, employed as a health care practitioner, had access to health care, and had a supportive family." Wallace was a fourth year pediatric chief resident at the Indiana University School of Medicine and was working at Riley Children's Health Hospital at the time of her death.
Sy Koumbo Singa Gali is a Chadian journalist and human rights activist. She joined the Chadian Ministry of Information in 1982 and remained there until 1990. Gali then worked for Jean Alingué Bawoyeu, the Chadian Prime Minister between 1991 and 1993 before becoming a journalist. She established the newspaper L’Observateur in early 1997. Gali has twice served prison sentences for her work. She worked for the United Nations as a volunteer and served as a public information officer for its peace keeping UN Organisation Mission in the Democratic Republic of the Congo called MONUSCO in 2007.
Bosede Bukola Afolabi is a UK-born Nigerian Gynaecologist, Professor, and Head of Department of Obstetrics and Gynaecology at the College of Medicine, Lagos University Teaching Hospital, Lagos, Nigeria. She is the founder and chairperson of the Maternal and Reproductive Health Research Collective (MRHRC), a research and training NGO. She is also the Director at the Centre for Clinical Trials, Research and Implementation Science (CCTRIS).
Mariam Brahim is a Chadian physician. She worked as a professor and pediatrician at the University of N'Djamena. Educated in the Soviet Union, she graduated from a medical school in Leningrad in 1983 and earned her doctorate from the Russian Academy of Sciences in Moscow in 1997. Along with physician Grace Kodindo, Brahim coordinated and supervised public health programs for children's health in Chad from 1997 to 2006.
Achta Toné Gossingar was a Chadian midwife, health activist, and politician. The first midwife to graduate in Chad, from the 1990s until her death in 2011, she led several public health initiatives on behalf of the government of Idriss Déby.