Annually, over 500,000 women die due to pregnancy
and pregnancy-related causes worldwide, and this number
has not changed appreciably in decades. Over 99% of
these deaths occur in the developing world. In addition
to maternal deaths, there are a far greater number
of women and children worldwide who suffer the consequences
of unsafe childbirth and a lack of access to emergency
obstetrical care; these consequences include such
injuries as Obstetric Fistula (OF) and the consequences
of mother-to-child transmission of HIV.
Improving maternal care worldwide has been an area
of interest for me since I had the opportunity to
spend a two-month elective in Uganda after my first
year of medical school. Since that time I have taken
numerous opportunities to work in developing countries,
in particular in Sub Saharan Africa and to participate
in clinical care and research.
The Scace/Genesis Award in Global Reproductive Health
is allowing me to pursue a Master’s Degree in
Public Health (MPH), concentrating in International
Health and with an interdisciplinary concentration
in Women and Gender Health at Harvard University.
This education formalizes my public health skills
and training through the teaching of crucial public
health and research skills including biostatistics,
epidemiology and ethics as well as skills and courses
specific to the practice and research of international
reproductive health. As part of the MPH program, I
will also be writing a thesis which will focus on
programming to improve maternal health care in the
Eldoret, Kenya area (site of the ASANTE University
of Toronto Reproductive Health Partnership) in the
context of the new Mother-Baby Hospital, currently
under construction.
In the course of pursuing the Master’s Degree
in Public Health course of studies at Harvard University,
I remain involved in international health work through
the University of Toronto Department of Obstetrics
and Gynecology, primarily through the ASANTE Reproductive
Health Partnership in Eldoret, Kenya.
Current areas of research focus on factors associated
with Obstetric Fistula and OF outcomes, evaluating
various methods of screening for cervical cancer in
resource poor settings and developing and evaluating
a training program in essential obstetrical skills
for maternal and neonatal health care workers in the
region.
The opportunity to spend the year in Boston provides
the opportunity for the development of connections
and collaborations with other individuals in the Boston
academic circles working in global health. Having
completed a Master’s Degree in Public Health,
the training will greatly benefit future clinical
and research work and will also help future trainees
at the University of Toronto with an interest in the
area of Global Women’s Health.