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『世界の肖像』コミュの最貧地の妊産婦 助ける好機 サラ・ブラウン(英国首相夫人)

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サラ・ブラウン(英国首相夫人)
2008年05月31日
http://www.asahi.com/international/africa/tokusetu/message/TKY200805290182.html

最貧地の妊産婦 助ける好機

 出産に臨む際、再び会えないと覚悟して、夫や子供に別れを告げる伝統を持つ地域が世界に多くある。根絶すべき悲劇だ。こうした女性の命を救わなければ、途上国が直面する他の問題解決に取りかかれない。

 国連は00年、8分野のミレニアム開発目標(MDGs)を設定し、主要国は受け入れた。出産で命を落とす母親の数を15年までに4分の1に減らす目標を立てたのは称賛に値する。だが、全く前進していない。

 今後1年間、途上国を中心に世界で50万人以上の母親が亡くなる。これは1分に1人の死だ。また死者1人について30人の割合で、けがや身体障害を負っている。

 母親の死で何百万人もの乳幼児と子供も危険な状態におかれる。もし当たり前の医療を受けられれば、大多数の女性を救うことができる。

 福田首相は最近、日本国内の産科と小児科の医師を増やすと約束した。日本は、洞爺湖サミットを世界の最貧地域の母親を助ける好機にすることができる。

 世界では約400万人の医療従事者が不足している。例えばシエラレオネでは、2800人に対し1人しかいないし、看護師は8600人に1人だ。日本では500人に1人の医師と、111人に1人の看護師がいる。

 医療従事者は、妊娠期間を通して女性を見守り、女性の出産と新生児が生後間もない時期を無事に過ごすのを見届けるべきだ。日本の母子手帳のような試みは、こうした段階の大切さを認識している。

 もはや知識の問題ではない。私たちは妊産婦の命を救う方法を知っている。政治的意思の問題なのだ。「安全に母親になるためのホワイトリボン連盟」は、この問題について91カ国で運動をしている。また私たちは最近、妊産婦の死亡を根絶するための国際的な運動も始めた。洞爺湖サミットを含め、命を救うために必要な、女性の健康管理への投資を確保するための政治的意思の高まりを求めていく。

 力を合わせれば、次世代への最高の贈り物ができる。

   ◇

(英語の原文は以下の通り)

Sarah Brown

Wife of Britain's prime minister

 In many parts of the world it is traditional for an expectant mother to say goodbye to her husband and other children when she goes into labour, understanding that she might not see them again.

This is a global tragedy that must be brought to an end. We cannot begin to resolve any of the other problems facing the developing world if we do not first save the lives of these women.

 In 2000 the United Nations established the eight Millennium Development Goals setting out what the major countries accepted as achievable targets.

 It is to the great credit of these countries that they included in these goals the objective to reduce the number of mothers dying in childbirth by three-quarters by 2015. It is to no-one's credit that this is the only Millennium Development Goal where absolutely no progress has been made. The figures today are the same as they were twenty years ago.

 Across the world more than half a million mothers' lives will be lost between now and this time next year―almost all of them in developing countries―one death every minute. For every death, thirty women are left suffering from injuries and disabilities.

 Across sub-Saharan Africa and much of South Asia mothers are dying needlessly at a time that should be joyous.

 Millions of babies and older children are left without a mother putting them at much higher risk. Children who have lost their mothers are up to four times more likely to die.

 Yet, almost all their mothers' lives could be saved, if only they received the care taken for granted by most women in the world today.

 Prime Minister Fukuda's recent promise to increase the number of obstetricians and paediatricians shows Japan's commitment to maternal health care at home.

 The Hokkaido G8 is Japan's opportunity to help mothers in the poorest parts of the world too, and I welcome Prime Minister Fukuda's promise to use the meeting to help improve global health care.

 There is a global shortage of about four million health workers, and where there is conflict, essential health services often disappear entirely.

 In Sierra Leone, for example, there is one health worker per 2,800 people and only one nurse per 8,600 people. This compares to Japan where there is one doctor for every 500 people and one nurse for every 111 people.

 Health workers should be there to see a woman through pregnancy, see her newborn into the world and see her child successfully through the early stages of life.

Initiatives like Japan's Boshi Techo (Mother and Child Health Handbook) recognise the importance of these steps.

 So this is no longer an issue of knowledge. We know how to save these lives. It is an issue of political will.

 The White Ribbon Alliance for Safe Motherhood is campaigning on this issue in ninety one countries around the world. From the grass roots up, the Alliance finds ways to reach women who know firsthand the problems and the solutions to save women's lives in their own communities. Recently we launched a global campaign to End Maternal Mortality, its Promise to Mothers Lost.

 The campaign will encourage the growing political will to secure the investments in women's health care needed to save lives, including at the G8 Summit in Japan in July.

 We all have a part to play to save women's lives needlessly lost in childbirth.

Together we can make sure that maternal mortality doesn't remain the forgotten Millennium Development Goal, but the single greatest gift that we can give the next generation.

 Sarah Brown is wife of Prime Minister Gordon Brown and Patron of The White Ribbon Alliance for Safe Motherhood.

http://www.promisetomothers.org/

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