Afia Appiah

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  Afia commented on the article | over 2 years ago

  Why I'm Against a Global Fund for Maternal Health

  Interesting discussion. Somewhat along the lines of "if we have efficient health systems in place appalling maternal mortality rates will go away."

  
  

  I agree with Alanna re not creating another fund whose management will eat up about 20% of the money available. There should be strenghtening of the existing health system to make maternal health part and parcel of existing healthcare. The mother has to continue her medical care when she is done with ante and post maternal care. Isolating maternal health will be disastrous to continued healthcare after delivery.

  
  

  But we have think of: what if preganant women just don't go to the existing health facilities for ante-natal care, deliveries and post-natal care. What if they are comforatble with the trusted midwife in their community? 

  
  

  Building health facilities, roads to the health facilities and where possible instituting emergency maternal transportation within communities all come second place to the woman making the choice to go to the health institution.

  
  

  Managing Maternal Choices. That is the key.