WATCH PARTY KIT FOR NO WOMAN, NO CRY On May 7 at 9:30pm ET and again on May 8 at 1:00pm ET, Christy Turlington Burns’ directorial debut No Woman, No Cry will be airing on OWN: The Oprah Winfrey Network. No Woman, No Cry is a documentary that gives the issue of maternal health a face and challenges viewers to learn more and take action. In order to encourage viewers to use the film as a tool to learn, discuss and engage through their own local communities, Every Mother Counts is encouraging individuals to host watch parties so that they can gather together to watch the film with others. This toolkit is designed to facilitate those gatherings and includes the following elements: 1. Background information on the film No Woman, No Cry 2. Background information on Every Mother Counts and the Count Me In! Campaign 3. Take Action options 4. Background information on the issue of maternal health and top facts 5. Discussion questions for your watch party 6. Every Mother Counts Partner Organizations
Photo by Jake Lyell
ABOUT NO WOMAN, NO CRY “Where after all, do universal human rights begin? In small places, close to home‐so close and so small that they cannot be seen on any maps of the world.” ‐‐Eleanor Roosevelt
For hundreds of thousands of women each year, pregnancy is a death sentence. Perhaps most tragic is that 90% of these deaths are preventable. No Woman, No Cry is a gripping documentary that tells the personal stories of pregnant women and their caregivers in four countries as they try to avoid becoming one of these troubling statistics. The film covers a wide geographic area, putting audiences in the footsteps of a Maasai woman in labor who must walk five miles to a clinic with no electricity, a young pregnant woman in the slums of Bangladesh too ashamed to seek out care, a pregnant OB in Guatemala who helps women who have suffered from botched illegal abortions, and a midwife in central Florida who treats uninsured women who are denied appointments elsewhere. Drawn into the issue by her own experiences as a mother and inspired by the United Nation's Millennium Development Goal 5—to reduce maternal mortality by 75% by the year 2015, Christy Turlington Burns tells her own harrowing birth story and then sets out to see firsthand what can be done to prevent so many women from dying. The film subtly points to four different types of barriers to care that prevent many pregnant women from getting the care they need to survive their pregnancies: physical barriers in Tanzania, cultural barriers in Bangladesh, legal barriers in Guatemala, and burearcratic barriers in the US. No Woman, No Cry is produced by Turly Pictures.
ABOUT EVERY MOTHER COUNTS Every Mother Counts was founded by Christy Turlington Burns upon completion of her directorial debut, No Woman, No Cry. Now in its second year, Every Mother Counts seeks to engage new audiences to better understand the challenges and the solutions while encouraging them to take action to improve the lives of girls and women worldwide. The keystone of the campaign is www.everymothercounts.org, an interactive platform providing the tools to raise awareness, education, and action. This spring, Every Mother Counts joined with a wide variety of partners to launch the Count Me In! campaign. The Count Me In campaign will build a constituency of individuals who believe that it is no longer acceptable for mothers to die unnecessarily in pregnancy and childbirth. Every individual can make a significant and meaningful difference whether they choose to lend their time, their voice or their resources. By standing together, we will make a statement that the world needs its mothers. Our goal is to engage as many people as possible in taking one action through the campaign to demonstrate the importance of maternal health issues to them. Hosting a watch party is one such activity‐ so please let us know that you’ve hosted one and how it went! But in addition, if you and your guests have been moved to get more involved, please check our website at www.everymothercounts.org/take‐action and think about taking another step to support women around the world. The activities highlighted on the site are listed below.
TAKING ACTION The below actions are all ways you can say “Count Me In!” and signal your interest in the issue by getting involved.
Give Your Time • Donate your used cell phone to Hope Phones: Hope Phones is partnering with Every Mother Counts to turn your old cell phones into a lifeline. With your help, we'll equip health care workers in the Democratic Republic of Congo with phones and software to better reach pregnant women in need. Give Your Voice • Share your story: We are universally connected by pregnancy and childbirth. Tell a story about yourself, a mom in your life, or someone who made a difference. Upload a photo, video or message to the Every Mother Counts v‐wall (virtual wall) and connect to people from around the world. •
Join the movement: Progress begins with you. Join our community to receive updates on the issue and the campaign. Visit www.everymothercounts.org to join and the Count Me In campaign and find ways how YOU can contribute the maternal health relief. Stay informed! o "Like" Us on Facebook, www.facebook.com/everymothercounts o Follow us on Twitter: @ EveryMomCounts ,@CTurlington, @ETThornton Improve maternal care in the US: This Mother's Day, Amnesty International is partnering with Every Mother Counts to fight maternal mortality in the U.S. and around the world. Join our Mother's Day card action today.
Give a Donation •
Sponsor midwife training: No woman should have to give birth alone. Every Mother Counts is partnering with Save the Children to support midwife training in Afghanistan, where maternal health rates are at their worst.
Lend a lift: Sometimes women simply can't get to the care they need. Every Mother Counts and Riders for Health will provide health workers in Western Kenya with motorcycle transportation and the necessary training to ensure that women can be reached with life saving care.
Spare a landfill and save a life: Help ensure that clinics have at least the most basic equipment and supplies to help ensure a safe delivery. Help fund a shipping container to get donated medical supplies to the clinics that need them the most.
Build a health clinic: Every Mother Counts is partnering with CARE to build health clinics in the Democratic Republic of Congo which will allow women access to clean delivery environments and basic obstetric care.
ABOUT THE ISSUE Hundreds of thousands of mothers continue to die each year due to complications in childbirth, touching off a ripple effect that devastates children, families and communities. Almost all of those deaths are preventable. In 2000, 189 countries committed to ending extreme poverty worldwide through the achievement of the eight Millennium Development Goals (MDGs). MDG 5—to improve maternal health—set a target of reducing maternal mortality by three‐fourths by 2015 (Target 5.A). In 2007, the world’s leaders added a second target under MDG 5—to achieve universal access to reproductive health (Target 5.B). MDG 5 remains the furthest off track of all MDGs and the health and well being of millions of mothers remains in peril each year. With increased awareness, leadership, policy and funding, this can change. “No Woman, No Cry” shares the powerful stories of at‐risk pregnant women in four parts of the world, including a remote Maasai tribe in Tanzania, a slum of Bangladesh, a post‐abortion care ward in Guatemala, and a prenatal clinic in the United States. Each of these women’s stories highlights the barriers to care that prevent women from accessing lifesaving interventions and reduce maternal deaths. The major barriers to care include: •
Emergency services: up to 15 percent of all women who give birth suffer life‐threatening complications that, in most cases, can be treated with emergency obstetric care such as the administration of drugs to treat hemorrhage or anticonvulsants to treat eclampsia or removal of the placenta after birth.
Access to quality care: crucial to preventing avoidable maternal deaths and injuries is quality maternal health care that is accessible to all women including trained health workers, adequate equipment and supplies, transportation and funding.
Improving postpartum care: twenty million of the estimated 210 million women who become pregnant each year experience life‐threatening complications, many of which occur during the postpartum period. Postpartum care includes identifying and treating complications such as postpartum hemorrhage, infection and complications from unsafe abortions, as well as addressing unmet needs for contraception.
Family planning: An estimated 215 million women would likely delay or avoid pregnancy but do not have access to modern contraceptives. Meeting this need would prevent 53 million unintended pregnancies and 150,000 maternal deaths.
Strengthening systems and policies: Improving the health care system in countries is a critical component to reducing maternal mortality and the health of a nation. Strong leadership, policies and political will that will commit to and deliver the necessary resources for women to have safe pregnancies are needed.
Things To Know About Maternal Mortality
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One Death Every 90 Seconds Hundreds of thousands of women die every year from pregnancy and childbirth complications, making reproductive health problems the leading cause of death worldwide among women ages 15 to 44. Experts estimate that 90% of these deaths are preventable.
15% Experience Life-Threatening Complications | 15 percent of all pregnancies result in a potentially fatal complication during labor or delivery. Women in the developing world rarely have access to emergency medical care.
Girls | Pregnancy is the biggest killer of women ages 15-19 in the developing world. Nearly 70,000 young women die every year because their bodies are not ready for parenthood.
Sub-Saharan Africa | In sub-Saharan Africa, 1 in 30 women is likely to die in childbirth (it’s 1 in 5,600 in developed countries). 9 out of 10 women in sub-Saharan Africa will lose a child during their lifetime. Only 30% of women in sub-Saharan Africa have contact with a health worker after giving birth. The United States | The United States ranks 50th globally in maternal health, even though it spends more on health care per capita than any other nation in the world. African American women are four times more likely to die in childbirth than Caucasian women.
Disabilities | For every woman who dies in childbirth, 20 more suffer from debilitating complications. That means every year, 7 million women suffer from post-delivery infections, disabilities, and severe
Economics | The United States Agency for International Development (USAID) estimates that maternal and newborn mortality costs $15 billion in lost productivity every year. Prevention | Over 200 million women who would like to choose when they get pregnant don’t have access to modern contraceptives. Giving these women access could reduce the number of maternal deaths due to unsafe abortion by a third. Education | Women who have completed their secondary education decide to have a skilled health worker present at their delivery 84% of the time—which translates to a higher chance of survival for mother and baby.
We Know What Works | We know what it takes to prevent 90% of all maternal deaths—and they’re often simple, common-sense, affordable solutions. Help change the lives of women and their families across the globe.
Make a difference at
.org LEARN • ADVOCATE • VOLUNTEER Main sources for this fact sheet: CARE, The Lancet’s Maternal Survival and Women Deliver Series (2006/2007), the 2005 World Health Report, British Medical Journal and UNFPA publications.
DISCUSSION QUESTIONS Use these questions as a starting point to stimulate discussion during your viewing party. First Commercial Break • What are the biggest barriers that Janet faces in delivering her child? • Share experiences or reflections on your experiences giving birth. How were you feeling in those final moments before labor? How did your fears compare/contrast with the issues Janet faces? Second Commercial Break • Dr. Godfrey Mbaruku from the Ifakara Health Institute said “When a woman dies, there are far reaching effects to the whole family. In a country like Tanzania women are the ones who do most of the work in the rural areas. They are the ones who fetch the water; they are the ones who do the farming. They are the ones who take care of the families, more than the men. And if they die, then it’s a disaster for the whole family.” If Janet was unable to successfully deliver what do you think would happen to her family and what would this mean for the community? • What do you think Janet would have done had the film crew not been nearby to assist with transportation? • What sort of solutions do you think might make a difference in Janet’s case? Be sure to check the Every Mother Counts website to learn how you can get involved and be part of the solution to reduce maternal deaths globally. Did you know even when a woman does get to a health center often there may be no trained staff, no drugs nor the necessary surgical equipment to perform a caesarean section? Third Commercial Break • On her way home after giving birth to a healthy baby boy, Janet says ‘If God blesses me; I would like my children to have an education because yesterday my life was saved by education. If they were uneducated, they would not have been able to save me.” How does this sentiment weave through the stories of all the women in the film? What role does education play in improving the health of mothers around the world? • The US spends the most per capita on health yet there are still far too many women who do not receive the care they need. What did it cost you to have a baby? How did costs and access impact your experience here in the US? Fourth Commercial Break • In Bangladesh, expecting mother Monica expressed distrust and fear of giving birth in a hospital and explained local beliefs surrounding infertility and modern medicine. What cultural influences have shaped your perspective on pregnancy and motherhood? • Dr. Sabina Faiz Rashid from Brac University remarked in Bangladesh hospitals “You have poor women coming in and they’re too scared to be vocal. They don’t want to ask too many questions. And they are not active
participants in the whole birthing experience. It’s taken away from them, the power of giving birth.” How do you relate to this statement if at all? How can women be empowered to take a more active role in birthing process while preserving their traditional beliefs? Fifth Commercial Break • After hearing Robbie share his story of his wife’s passing after giving birth, were you surprised to learn that more research is not being done on maternal deaths? How did this make you feel? • Maternal deaths in the US are still far too common and oftentimes the reason is unknown because states are not required to report on the cause of maternal death. The Maternal Health Accountability Act would require states to report on the cause of maternal death yet many legislators remain unaware of this important legislation. Check the Every Mother Counts website to find out how you can partner with Amnesty International USA to educate your member of Congress on this piece of legislation. • At its most basic level, family planning simply means giving a woman and her family access to the tools she needs to plan when she can have additional children. What added significance do these choices have for women with very limited resources? How can family planning help address maternal health broadly speaking? Sixth Commercial Break • Dr. Romeo Menéndez in Guatemala observed “Eight or nine years ago, mentioning the words ‘reproductive health’ in Guatemala was almost like talking about a sin. As long as we are not able to separate the decisions of a secular state, which is in charge of public policy, from the interference of religious ideology we will never be able to get out of the current situation we are in.” What role do personal beliefs play in the debate over reproductive rights? • Broadly speaking, why is it that you think that maternal health remains an issue? What social factors come into play and impact the prioritization of this issue on the global agenda? • Christy talks about her hopes for her children and how they will view the world. What do you think we most need to do to address this issue globally? What does it take to move from awareness to action? How can the public/individuals like you make that happen? After the Film • Did you or someone you know experience a complication in pregnancy or childbirth? How was it handled? How might that experience have been different in one of the other countries profiled in the film? Has this film inspired you to get involved? Discuss with your group which of the actions on www.everymothercounts.org most resonate with your viewing party and make a plan to get involved. Let us know how we can support your activities!
AFTER THE SCREENING: STAY IN TOUCH! o After viewing the film, please visit www.everymothercounts.org to learn more about how you can help raise awareness on maternal and child health. Be sure to also join the Every Mother Counts Facebook page, www.facebook.com/everymothercounts, and follow Every Mother Counts on Twitter: @ EveryMomCounts, @CTurlington, @ETThornton SUBMIT TO OUR VWALL! We would LOVE to see your photos/text/videos from your "No Woman, No Cry" watch party! The Vwall is an interactive online collage including stories of moms from around the world who are all connected. Using stories, photos, tweets, and videos, the wall is a place to share your own story or a story of a mom you love and reflect on how universal the experience of pregnancy, childbirth and even motherhood truly are. Explore the wall, read the stories, but more importantly‐post your own! PARTNER ORGANIZATIONS • American College of Nurse‐Midwives • MomsRising • Amnesty International • mothers2mothers • Averting Maternal Death and Disability • ONE • BabyCenter • Partners in Health • Big Fuel • Path • Blog Her • Pathfinder • BRAC USA • Planned Parenthood Federation of America • CARE • Population Council • Dining for a Cause • (RED) • DOC2DOCK • Riders for Health • Family Care International • Save the Children • Go‐MCH • Starbucks • Hope Phones • UNFPA • Jennifer Fisher Jewelry • White Ribbon Alliance • The LifeWrap • Women Deliver • Millennium Promise CREDITS Christy Turlington Burns Director & Producer, No Woman, No Cry Founder, Every Mother Counts Erin Thornton Executive Director, Every Mother Counts Dallas Brennan Rexer Producer, No Woman, No Cry
Clancy McCarty Co‐Producer, No Woman, No Cry Outreach Manager, Every Mother Counts Nicolas Newbold Associate Producer, No Woman, No Cry Director of Communications, Every Mother Counts