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"What is women's empowerment, and how and why does it matter for women's health? Despite the rise of a human rights-based approach to women's health and increasing awareness of the synergies between women's health and empowerment, a lack of consensus remains as to how to measure empowerment and successfully intervene in ways that improve health. Women's Empowerment and Global Health provides thirteen detailed, multidisciplinary case studies from across the globe and through the course of a woman's life to show how science and advocacy can be creatively merged to enhance the agency and status of women. Accompanying short videos provide background about programs on the ground in India, the United States, Mexico, Nicaragua, Zimbabwe, and South Africa. Women's Empowerment and Global Health explores the promises and limits of programmatic, scientific, and rights-based work in real-world settings and provides the next generation of researchers and practitioners, as well as students in global and public health, sociology, anthropology, women's studies, law, business, and medicine, with cutting edge and inspirational examples of programs that point the way toward achieving women's equality and fulfilling the right to health."--Provided by publisher

"What is women's empowerment, and how and why does it matter for women's health? Despite the rise of a human rights-based approach to women's health and increasing awareness of the synergies between women's health and empowerment, a lack of consensus remains as to how to measure empowerment and successfully intervene in ways that improve health. Women's Empowerment and Global Health provides thirteen detailed, multidisciplinary case studies from across the globe and through the course of a woman's life to show how science and advocacy can be creatively merged to enhance the agency and status of women. Accompanying short videos provide background about programs on the ground in India, the United States, Mexico, Nicaragua, Zimbabwe, and South Africa. Women's Empowerment and Global Health explores the promises and limits of programmatic, scientific, and rights-based work in real-world settings and provides the next generation of researchers and practitioners, as well as students in global and public health, sociology, anthropology, women's studies, law, business, and medicine, with cutting edge and inspirational examples of programs that point the way toward achieving women's equality and fulfilling the right to health."--Provided by publisher

Population growth and climate change are currently the two greatest threats to food security in the Sahel region of Africa. The population of the countries that make up the Sahel is projected to nearly double by 2050, from 506 million to 912 million. Paired with the expected rise in temperature and increased frequency of extreme climatic events, these numbers could quickly overwhelm relief efforts. Strengthening human capital and economic stability are critical to prevent catastrophic suffering. This article recommends two evidence-based approaches that expand women's autonomy and support their income-earning potential while building resilience to climate change. The first recommendation, would be greater investments in adolescent girls' education and autonomy, including efforts to delay marriage and childbearing. The second calls for an improvement in the availability and quality of reproductive health services, with a special focus on voluntary family planning. These interventions can increase incomes, reproductive autonomy and gender equity which build community resilience and adaptability to climate change.

A consensus emerged in the late 1990s among leaders in global maternal health that traditional birth attendants (TBAs) should no longer be trained in delivery skills and should instead be trained as promoters of facility-based care. Many TBAs continue to be trained in places where home deliveries are the norm and the potential impacts of this training are important to understand. The primary objective of this study was to gain a more nuanced understanding of the full impact of training TBAs to use misoprostol and a blood measurement tool (mat) for the prevention of postpartum haemorrhage (PPH) at home deliveries through the perspective of those involved in the project. This qualitative study, conducted between July 2009 and July 2010 in Bangladesh, was nested within larger operations research, testing the feasibility and acceptability of scaling up community-based provision of misoprostol and a blood measurement tool for prevention of PPH. A total of 87 in-depth interviews (IDIs) were conducted with TBAs, community health workers (CHWs), managers, and government-employed family welfare visitors (FWVs) at three time points during the study. Computer-assisted thematic data analysis was conducted using ATLAS.ti (version 5.2). Four primary themes emerged during the data analysis, which all highlight changes that occurred following the training. The first theme describes the perceived direct changes linked to the two new interventions. The following three themes describe the indirect changes that interviewees perceived: strengthened linkages between TBAs and the formal healthcare system; strengthened linkages between TBAs and the communities they serve; and improved quality of services/service utilization. The data indicate that training TBAs and CHW supervisors resulted in perceived broader and more nuanced changes than simply improvements in TBAs knowledge, attitudes, and practices. Acknowledgeing TBAs important role in the community and in home deliveries and integrating them into the formal healthcare system has the potential to result in changes similar to those seen in this study.

Recent efforts to reduce maternal mortality in developing countries have focused primarily on two long-term aims: training and deploying skilled birth attendants and upgrading emergency obstetric care facilities. Given the future population-level benefits, strengthening of health systems makes excellent strategic sense but it does not address the immediate safe-delivery needs of the estimated 45 million women who are likely to deliver at home, without a skilled birth attendant. There are currently 28 countries from four major regions in which fewer than half of all births are attended by skilled birth attendants. Sixty-nine percent of maternal deaths in these four regions can be attributed to these 28 countries, despite the fact that these countries only constitute 34% of the total population in these regions. Trends documenting the change in the proportion of births accompanied by a skilled attendant in these 28 countries over the last 15-20 years offer no indication that adequate change is imminent. To rapidly reduce maternal mortality in regions where births in the home without skilled birth attendants are common, governments and community-based organizations could implement a cost-effective, complementary strategy involving health workers who are likely to be present when births in the home take place. Training community-based birth attendants in primary and secondary prevention technologies (e.g. misoprostol, family planning, measurement of blood loss, and postpartum care) will increase the chance that women in the lowest economic quintiles will also benefit from global safe motherhood efforts.