Bangladesh Bringing Care Closer to Home
In Bangladesh, 90 percent of women deliver at home in unsanitary conditions, often without medically trained assistants.
GE is working to address cost, quality and access in this underserved area to reverse maternal deaths and help pregnant women come to full term and deliver their babies safely.
GE teamed with Grameen Kalyan—a sister company of Grameen Bank, the pioneering microfinancing organization that won the Nobel Prize for its work to alleviate poverty—to find ways to improve Kalyan’s existing healthcare delivery systems and primary care clinics in rural Bangladesh.
The partnership’s challenge was to figure out how to ensure that Bangladeshi women could carry their pregnancies to full term, and then deliver in a safe environment. Part of the solution was to help expectant mothers move with their families from home births with traditional birth attendants to regional facilities where they could be attended by midwives. In partnership with Grameen Kalyan, GE gained access to 30 resource-deprived rural clinics and supplied them with training and technology, including antenatal care and GE’s portable ultrasound system, LOGIQ Book.
Using the concept of task shifting, the partnership made some critical tasks the work of less-specialized health professionals. It successfully trained local Bangladeshi paramedics in ultrasound technology and designed and implemented a health integration system for referrals. GE and Grameen Kalyan have now trained 16 paramedics in obstetric ultrasound. More than 10,000 women in 50 rural communities have been screened and more than 500 obstetric complications (including placenta previa, ectopic pregnancy, pre-eclampsia, eclampsia and breech delivery) have been identified for treatment.
Key learnings from Bangladesh will be used to prepare ongoing trials as GE expands its evidence gathering to Indonesia, Vietnam and Africa.
Rex Widmer on GE’s Partnership with Grameen
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