Photo Getty Images Caption: Former Newcastle Knights coach Nathan Brown The Knights announced last week that Brown’s time at the helm would come to an end after the 2019 season.However, the 46-year-old has left effective immediately, the Knights said in a statement on Tuesday.”The nib Newcastle Knights can confirm coach Nathan Brown has departed the club effective immediately,” a statement read.BREAKING NEWS: Nathan Brown to depart the club, effective immediately.https://t.co/6d06f0NSwT#GoHardGoKnights #20Knighteen— Newcastle Knights (@NRLKnights) August 27, 2019″This decision has been made in conjunction with Brown in the best interest of the club.”Kristian Woolf will take over as interim coach for the remainder of the 2019 season.”With two games remaining, Newcastle are 11th in the NRL ladder, three points behind eighth-placed Brisbane Broncos.
For its part, Adam and Girl have commented that it could be cataloged as “crazy” considering the situation of the team that season, also indicating the latter that “make three goals away from home and finish losing is difficult. “They have also referred to the goal that gave them the victory, marked by Moreno in minute 93 from the center of the field, a goal that, has commented its author, was the first of his career in First does not believe that he returns to repeat in the rest of his career.Regarding the last game of that season, Osasuna al Betis, Chica and Moreno have indicated that they were “close” to tie, although the latter has commented that “it started very badly”, they came out with an alignment different than usual and, like the rest of the season, “that match was a mess. “Chica has referred to the role of the Osasuna goalkeeper, commenting that, although he scored the goal of his team, Andrés Fernández also made Three other stops.At the defense’s question, they have all assured that they were not vacationing that summer in Javea and that they have not been users of the number of telephone 611 and that it was allegedly used to specify threats with Osasuna.Regarding the characteristics of their contracts, Adam and Moreno have indicated that they did not have a reduction of emoluments in case of descent of the team, although this was the case of Chica, noting that I was interested in descending but more than for an economic issue,“dignity” and respect for the club and the fans. Several former Betis players during the 2013-2014 season have denied knowledge of any size taking place match and have ensured that they received no offer for part of a teammate or member of Osasuna.This Wednesday Antonio Adan, Juanfran have testified Moreno and Javi Chica in the trial against six former directors of Osasuna, three former Betis players and two real estate agents accused of appropriation undue, corporate, false business document, forgery of the annual accounts and sports corruption due to the alleged adjustment of matches.At the prosecution’s question, they have all been knowledgeable that match-fixing is illegal and have claimed that they have never received any offer from any employee or manager from Osasuna, as well as any fellow Betis to predeterminesome matchLikewise, most have indicated that they did not listen to any classmates talk about an offer or meeting for determine a match although Moreno has commented that “at the end of It was normal for years to hear rumors “, although he has clarified that he has never seen him or” no one “has offered him” money directly. “In reference to the penultimate meeting of the season between Valladolid and Betis, in which the Sevillians ended up winning after several comebacks, Moreno explained that “Betis was already down,” so they played “quieter”, while Valladolid “played a lot”, what makes “many mistakes” because of the nerves, a “normal” match End of season.
Defending three-time champion Lewis Hamilton narrowly outpaced his championship leading Mercedes teammate Nico Rosberg to lead in Friday’s opening practice for Sunday’s British Grand Prix. (Latest Sports stories)The 31-year-old Briton clocked a best lap of one minute and 31.654 seconds to finish .033 seconds ahead of his German rival, a day after the pair had been told to obey a new ‘code of engagement’ after crashing three times in five races.German Nico Hulkenberg was third fastest for Force India, .8 of a second adrift of the two Mercedes and ahead of compatriot and four-time champion Sebastian Vettel of Ferrari.Australian Daniel Ricciardo was fifth for Red Bull ahead of Finn Kimi Raikkonen, whose future with Ferrari was settled earlier on Friday morning when the team said he had been re-signed for 2017.Hamilton, seeking a hat-trick of Silverstone wins, trails Rosberg by 11 points in the championship.
Mortality RateYear 2002200520102015 * The numbers corresponding to 2015, 2016 and 2017 may not reflect the engagement of community midwives, who are not certified by the Ministry of Public Health but are trained and contribute to the success of the maternal and neonatal wellbeing around the country. Skills-Gap Training:Action for Development (AfD) has developed a training program aimed at directly addressing these skills gaps. Through partnership with the Geneva Health School, University of Applied Sciences Western Switzerland (HEdS) training modules were developed in 5 key areas; eclampsia, pre-eclampsia, management of the third stage of labour, post-partum haemorrhage and care of the newborn.Midwives taking part in an Action for Development training session in Panjsher Province, AfghanistanThe overall objective of the training is to reduce maternal and infant mortality rates in rural areas of Afghanistan through improvement of the skills and competences of the midwives.Specific objectives are:Increase the proportion of pregnant women who receive ante-natal careIncrease the proportion of births attended by qualified midwivesExpand the use of family planning servicesImprove the management and treatment of the most common complications during pregnancy and birthIncrease the demand for care through community outreach.Focusing on midwives in rural Afghanistan, AfD has trained 490 midwives since 2014 in 7 provinces – Kapisa, Herat, Parwan, Bamyan, Panjsher, Takhar and Kabul. After receiving the training, each midwife is able to go on to train an average of 5 other midwives in a cascade model of training, supervised by the Ministry of Public Health (MoPH).In 2017 AfD undertook an evaluation of the program to assess its impact. The full findings are available in this report.Summary of Findings:Analysis shows that 100% of midwives participating in the training affirm that it has allowed them to better handle pregnancy, deliveries, newborn care and related complications. In addition, the midwives interviewed said that the training filled gaps in their knowledge and increased their professional confidence.The evaluation also shows that there was an increase in the satisfaction rate of communities receiving services from the midwives. Furthermore, HMIS (Health Management Information System of the MoPH, Afghanistan) data depicts an increase in pregnant women receiving antenatal and postnatal services at the health facilities by 19% and 30% respectively in the period 2013-2016.Additional data covering the three-year training period in all five provinces indicates:12% increase in the number of pregnancy related consultations10% increase in the number of deliveries in health facilities26.5% increase in the number of family planning consultationFigure 1. Skills acquired by midwives during the AfD trainingMinistry of Public Health Officials who participated in the evaluation had the following observations.Benefits of the program included:increased knowledge and capacity of the midwivesincreased interaction between midwives, which has facilitated an increase in the sharing of knowledge and experienceimprovement in the trust local people have in their community healthcare providersimprovement in the prevention of complications during pregnancy and childbirthreduction in infant mortalityreduction in maternal mortalityAnd the following recommendations:increase the duration and frequency of the trainingexpand the number of topics covered by the trainingroll out the training to more provincesincrease the number of partners in order to increase fundingFactors to Consider Going ForwardThe evaluation revealed three potential risk factors to the future success of the project:1) Under-investment in healthcare means that in some cases health centres lacked the necessary equipment and medication, infrastructure and staff capacity for the trainers to carry out the training in the best possible way.2) A shortage of midwives generally means that those who are practising have a heavy workload and sometimes not enough time to cover subjects beyond immediate care e.g. family planning advice.3) An increase in budget will be needed to roll out the recommended improvements.2019 is an exciting year for AfD’s midwife training project. A new nutrition module is planned for completion by the end of the year. We are collaborating with the MoPH to include the new Maternal Child Health Handbook in our programme and finally, through continued partnership with HEdS, Switzerland and funding from the Conservation, Food and Health Foundation, Boston, Massachusetts, five new training modules have been produced and will be rolled out across additional provinces in 2019, 2020 and beyond.References http://www.childmortality.org/files_v22/download/UN%20IGME%20Child%20Mortality%20Report%202018.pdf https://www.statista.com/statistics/264714/countries-with-the-highest-infant-mortality-rate/ WHO, Afghanistan: country profiles; Maternal mortality in 1990-2015 https://www.theguardian.com/global-development/2017/jan/30/maternal-death-rates-in-afghanistan-may-be-worse-than-previously-thought https://www.sciencedirect.com/science/article/pii/S2214109X17301390 http://www.actfordev.org/presentation/documents/ Obstructed Labour, Family Planning, Infections, Miscarriage Care and Manual Vacuum Extraction Other estimates show the risks are even worse: a 2015 survey indicated 1 in 14 women in Afghanistan die of pregnancy-related causes.The 2014 report from United Nations Population Fund (UNFPA), in partnership with the World Health Organization (WHO) and the International Confederation of Midwives (ICM) ‘The State of Afghanistan’s Midwifery 2014’ states that only 23 percent of the needs for maternal and reproductive health services in Afghanistan are currently being met.Afghanistan has an enormous need for qualified midwives. The country has only 3.2 nurses or midwives per 10,000 people, according to the World Health Organization.Under Taliban rule (1996-2001) women were banned from working and studying, leading to an acute shortage of midwives. On-going conflict, internal displacement and difficulties in women accessing education and employment have added to the shortage of midwives in Afghanistan. The government has sought to address this issue by reducing the training period from 4 years to 18 months in the Community Midwifery Education Program. Although this policy has led to an increase in the overall number of midwives, the breadth and depth of their skills and knowledge has been compromised.It is difficult to give an exact number of midwives available in Afghanistan as no live registry of licensed midwives exist. The following table is based on data from the Afghan government.Table 2. Midwife availability in Afghanistan 2002-2017 Maternal mortality rate (MMR) (death per 100,000 live birth)1600821584396 Share this: Newborn Mortality rate (death per 1000 live birth)1651297745 Number of Midwives4672,1674,6003,426*2,349*3,302* ShareEmailPrint To learn more, read: Year200220082014201520162017 Posted on August 19, 2019August 19, 2019By: Alison Farnham, MA MMedSci, Public Health Specialist, Action for Development; Olena Kuzyakiv, HBSc, Public Health Specialist, Action for DevelopmentClick to share on Facebook (Opens in new window)Click to share on Twitter (Opens in new window)Click to share on LinkedIn (Opens in new window)Click to share on Reddit (Opens in new window)Click to email this to a friend (Opens in new window)Click to print (Opens in new window)Background: Afghanistan has one of the highest infant mortality rates in the world with estimations between 52 and 110 per 1,000 live births in 2017, depending on the source., In addition, thousands of Afghan women die each year from preventable pregnancy-related causes; 396 maternal deaths per 100,000 births. These figures are alarming enough, however many agencies assert that the actual figures are in fact much higher and that the actual maternal mortality ratio is likely to lie between 800 and 1200 per 100,000 live births. The situation is particularly bad in rural and difficult to reach areas, where as few as 3% of deliveries are attended by a skilled professional.Newborn baby at Action for Development health facility, Kabul, AfghanistanTable 1: Maternal and Newborn mortality in Afghanistan, 2002-2015