More newborns dying in West and Central Africa as world "fails poorest babies"

A week old baby lies in one of the ICU bays at one of the Norton Children's Hospital neonatal intensive care units in this Feb. 13, 2018 photo, in Louisville, Ky. (AP)
Updated 20 February 2018

More newborns dying in West and Central Africa as world "fails poorest babies"

WASHINGTON: Babies born in the world’s poorest countries, most of them in Africa, still face “alarming” risks of death that can be 50 times as high as those in the richest countries, according to a UNICEF report released Tuesday.
While the last quarter-century has seen broad improvements in older children’s health, “we have not made similar progress in ending deaths among children less than one month old,” said Henrietta Fore, UNICEF’s executive director.
“Given that the majority of these deaths are preventable, clearly we are failing the world’s poorest babies.”
The differences are stark. A baby born in Pakistan — the country with the worst newborn mortality rate — faced a one in 22 chance of death, while a newborn in Japan had only a one in 1,111 risk of dying, the report said.
Of the 10 highest-risk countries, eight are in sub-Saharan Africa, countries where “pregnant women are much less likely to receive assistance,” due to poverty, conflict or weak institutions, according to the report.
Those eight countries are the Central African Republic (a one in 24 chance of death); Somalia, Lesotho, Guinea-Bissau and South Sudan (all with a one in 26 chance); Cote d’Ivoire (one in 27) and Mali and Chad (both with a one in 28 chance).
Each year, some 2.6 million babies do not survive through their first month.

The report was released in conjunction with the launch of a global campaign, called Every Child Alive, aimed at ensuring “affordable, quality health care solutions for every mother and newborn.”
More than 80 percent of newborn deaths can be prevented, the report says, “with access to well-trained midwives, along with proven solutions like clean water, disinfectants, breastfeeding within the first hour, skin-to-skin contact and good nutrition.”
But shortages of properly trained health workers and midwives are a major problem in poorer nations.
While a rich country like Norway has 18 doctors, nurses and midwives for every 10,000 people, impoverished Somalia has only one.
Every year, one million babies die the day they are born.
“We know we can save the vast majority of these babies with affordable, quality health care solutions,” Fore said.

In general, babies born in richer countries fare far better, but there are differences within countries. Babies born to the poorest families are 40 percent more likely to die than those born to the least poor.
Sadly typical was the story of Mary James, an 18-year-old from rural Malawi.
When her labor started, she and her sister made the long trek to a health center on foot. When her baby was delivered, he was small and terribly weak. She says an overstretched staff did its best, but by night the child was gone.
“I felt like my heart was breaking,” James told UNICEF staff. “I had a name for the child but he never opened his eyes.”
Since improvements to health care can be expensive, “it is crucial to invest the money in a smart way,” UNICEF’s global maternity and newborn program chief Willibald Zeck told AFP.
That can mean something as simple as ensuring that a pregnant woman who has walked three days to a health care facility is received with “dignity,” so she remains long enough to receive proper postnatal care.
But the dearth of expensive equipment matters. Zeck, who worked as an obstetrician/gynecologist in Tanzania, said women were often unsure how pregnant they were, and he would have to use his hands to estimate whether a fetus was premature or seriously underweight.
Still, among countries that have made dramatic improvements is low-income Rwanda, which more than halved its rate from 1990 to 2016, illustrating that “political will to invest in strong health systems... is critical,” the report said.
Education matters, too. Babies born to mothers with no education face nearly twice the risk of early death as babies whose mothers have at least a secondary education.
The United States — generally affluent, but with considerable income inequality and wide variations in access to health care — was only the 41st safest country for newborns.
The countries with the lowest newborn mortality rates, after Japan, are mostly well-off countries with strong education and health care systems: Iceland (a one in 1,000 chance of death), Singapore (one in 909), Finland (one in 833), Estonia and Slovenia (both one in 769), Cyprus (one in 714) and Belarus, Luxembourg, Norway and South Korea (all with risks of one in 667).


UK university SOAS to cut costs over COVID-19 and financial problems

Updated 21 min 20 sec ago

UK university SOAS to cut costs over COVID-19 and financial problems

  • Latest figures show that the internationally renowned higher education institution has multi-million pound deficits and risks running out of cash next year
  • SOAS said that it had taken short term action to reduce costs

LONDON: A UK university specializing in the study of Asia, Africa and the Middle East has been forced to slash costs and implement drastic staff cuts after the coronavirus disease (COVID-19) pandemic exacerbated its financial problems.
Staff at the School of Oriental and African Studies (SOAS), part of the University of London, said they feared that management was cutting costs to make the college an attractive takeover target for an overseas institution or one of its London rivals, UK newspaper the Guardian reported.
Latest figures show that the internationally renowned higher education institution has multi-million pound deficits and risks running out of cash next year.
The effects of the pandemic on student recruitment meant “a material uncertainty exists that may cast significant doubt on the school’s ability to continue as a going concern” over the next 12 months, SOAS’s auditors warned.
One academic at SOAS told the Guardian that the college’s senior managers had “been unable to make significant changes over the last few years, and now it has ended in a big crisis. This is a serious failure of management.”
Its senior academics were ordered to identify staff cuts that were to be submitted on Friday, and departments were asked to balance their budgets while expecting a 50 percent drop in new international students, the report said.
SOAS’s International Foundation Courses and English Language Studies Center, which provides courses to international students, has reportedly been told to make so many cuts that it will effectively disappear, along with its 55 staff.
The college’s highly regarded international development department, which is ranked eighth in the world, will also suffer from major cuts. Its famed anthropology and sociology department is likely to lose between a third and half of its academic staff.
“I think people are in shock,” a staff member said. “This all happened while we are still coping with COVID-19.”
SOAS released a statement on Friday saying the coronavirus pandemic had affected all British universities and that it was “taking decisive action now so that we can continue to ensure we provide an excellent student experience to our new and returning students.”
It acknowledged that although its “accounts show that SOAS has already taken steps to reduce its deficit position,” the “impact of COVID-19 has put finances across the HE sector under even greater pressure than before.”
It added that it had taken short term action to reduce costs including “pausing capital spend, line by line scrutiny of non-pay budgets” and reducing the use of building space in the Bloomsbury area in London, outside its core campus.
SOAS also said that additional proposals for change were being considered and would be implemented ahead of the start of the new academic year in September. 
SOAS, University of London, has been ranked in the UK’s top 20 universities for Arts and Humanities, according to the 2020 Times Higher Education World University Ranking.
The rankings place SOAS 13th in the UK and 57th in the world.