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The Power and Promise of Girls' Education - Save the Children

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<strong>The</strong> data collected for <strong>the</strong> Mo<strong>the</strong>rs’ Index document <strong>the</strong><br />

tremendous gaps between rich <strong>and</strong> poor countries <strong>and</strong><br />

<strong>the</strong> urgent need to accelerate progress in <strong>the</strong> health <strong>and</strong><br />

well-being <strong>of</strong> mo<strong>the</strong>rs <strong>and</strong> <strong>the</strong>ir children. <strong>The</strong> data also<br />

highlight <strong>the</strong> regional dimension <strong>of</strong> this tragedy. Eight <strong>of</strong><br />

<strong>the</strong> Bottom 11 countries are in sub-Saharan Africa. That<br />

region also accounts for 14 <strong>of</strong> <strong>the</strong> 20 lowest-ranking<br />

countries.<br />

<strong>The</strong> contrast between <strong>the</strong> top-ranked country, Sweden,<br />

<strong>and</strong> one <strong>of</strong> <strong>the</strong> lowest-ranked countries, Ethiopia, is<br />

striking. A trained attendant is present at virtually every<br />

birth in Sweden, while only 6 percent <strong>of</strong> births are<br />

attended in Ethiopia. Nearly all Swedish women are<br />

literate, 72 percent are using some modern method <strong>of</strong><br />

contraception, <strong>and</strong> only 1 in 333 will see her child die<br />

before his or her first birthday. At <strong>the</strong> opposite end <strong>of</strong><br />

<strong>the</strong> spectrum, only 1 in 3 women is literate in Ethiopia,<br />

6 percent are using modern contraception, <strong>and</strong> 1 in 9<br />

children dies before his or her first birthday.<br />

Individual country comparisons are especially startling<br />

when one considers <strong>the</strong> human suffering behind <strong>the</strong><br />

statistics:<br />

• Fewer than 15 percent <strong>of</strong> births are attended by<br />

trained health personnel in Bangladesh, Ethiopia <strong>and</strong><br />

Nepal.<br />

• 1 woman in 10 dies in pregnancy or childbirth in Mali,<br />

Rw<strong>and</strong>a <strong>and</strong> Tanzania; <strong>the</strong> ratio is 1 in 7 in Malawi.<br />

• 3 <strong>of</strong> every 4 pregnant women in <strong>the</strong> Democratic<br />

Republic <strong>of</strong> Congo, Gambia, Madagascar <strong>and</strong> Turkey<br />

are anemic.<br />

Family Planning <strong>Save</strong>s Lives: As Contraceptive<br />

Use Rises, Maternal <strong>and</strong> Infant Deaths Decline<br />

122 in<br />

1,000<br />

6%<br />

1 in 10<br />

Mali Ug<strong>and</strong>a Bolivia Vietnam United<br />

States<br />

Infant mortality<br />

rate<br />

81 in<br />

1,000<br />

1 in 13<br />

53 in<br />

1,000<br />

18%<br />

27%<br />

57%<br />

19 in<br />

1 in 47<br />

1,000<br />

Lifetime risk <strong>of</strong><br />

maternal mortality<br />

1 in<br />

270<br />

71%<br />

7 in<br />

1,000 1 in<br />

2,500<br />

75%<br />

4 in<br />

1,000 1 in<br />

8,200<br />

Finl<strong>and</strong><br />

Percent <strong>of</strong> women using<br />

modern contraception<br />

<strong>The</strong> data in <strong>the</strong> Mo<strong>the</strong>rs’ Index indicate that increased access to<br />

<strong>and</strong> use <strong>of</strong> modern contraception can lead to dramatic<br />

improvements in infant <strong>and</strong> maternal survival rates. For<br />

example, in Finl<strong>and</strong>, where 75 percent <strong>of</strong> women use birth<br />

control, only 1 in 8,200 mo<strong>the</strong>rs dies in childbirth during her<br />

lifetime <strong>and</strong> 4 out <strong>of</strong> 1,000 infants do not make it to <strong>the</strong>ir first<br />

birthday. Compare this to Mali, where 6 percent <strong>of</strong> women use<br />

birth control, 1 in 10 mo<strong>the</strong>rs dies in childbirth, <strong>and</strong> 1 in 8<br />

infants dies before reaching age 1.<br />

Every year, millions <strong>of</strong> women <strong>and</strong> children in <strong>the</strong> developing<br />

world die as a result <strong>of</strong> births that are too close toge<strong>the</strong>r, too<br />

early, or too late in a woman’s life. In developing countries,<br />

maternal mortality is <strong>the</strong> leading cause <strong>of</strong> death for women <strong>of</strong><br />

reproductive age, killing 529,000 women a year.At least 1 in 9<br />

is a teenage girl. Every minute <strong>of</strong> every day, at least one<br />

woman dies from complications <strong>of</strong> pregnancy <strong>and</strong> childbirth.<br />

Family planning also makes important contributions to child<br />

survival. More than 10 million children under 5 die every year<br />

in <strong>the</strong> developing world. Family planning could prevent 25<br />

percent <strong>of</strong> <strong>the</strong>se deaths by spacing births at least two years<br />

apart, by helping women to bear children during <strong>the</strong>ir<br />

healthiest reproductive years, <strong>and</strong> by enabling parents to have<br />

<strong>the</strong>ir desired number <strong>of</strong> children.<br />

38<br />

THE POWER AND PROMISE OF GIRLS’ EDUCATION

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