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Documenting Life and Death in Nigeria in "The Edge of Joy"

(Guest blog from the director of "The Edge of Joy", originally posted on the PBS NewsHour website)

The Edge of JoyIn the time it takes to read this post, somewhere in the world a pregnant woman will have started hemorrhaging and her baby might soon be motherless. One thousand women die every day trying to bring new life into the world, and this toll is what drew me to shoot my documentary film, The Edge of Joy.

 

I encountered many of the heartbreaking and hopeful stories that underpin this global tragedy, but it was only through the people, the doctors and nurses of Nigeria that I was able to tell them. The roughly one dozen Nigerian doctors and midwives I worked with closely over the course of making the film, didn't push agendas, or act as obstructionists when I asked tough questions or wanted to follow story lines to their natural conclusions.

 

Nigeria is better known for corruption and oil production than as the vanguard of fighting maternal mortality, but this small close-knit group of men and a handful of women trusted me not to create an indicting portrait of pregnancy and childbirth in their West African country.

 

Documentary filmmaking is an art, not a science, and at times during the making of this film, the process was challenging. I always kept my questions dignified and did my reproductive health homework so I could ask informed questions in hospitals and in the communities.

 

Getting permission to film in such sensitive settings requires government approval, a process that Habib Sadauki, the second obstetrician/gynecologist to be trained in the Nigerian state of Kano, helped me through.

 

After many meetings with the Ministry of Health and a mutual understanding that I would have a "minder" assigned to me while filming in the north, I was given permission to film in tertiary hospitals and primary health centers.

 

What I didn't know at the time is that the then Minister of Health Babatunde Osotimehin, recently appointed executive director of the UN Population Fund, had approved the access himself. During his tenure as minister, his office approved some ground breaking research about postpartum hemorrhaging.

 

I caught up with Osotimehin in May of 2009 at a health conference in Los Angeles. Our scheduled time to sit down and talk on camera kept being pushed back, so I made the bold move of taking over the role of the waitress at the café where he was enjoying a coffee.

 

Handing him a glass of water, I introduced myself as the filmmaker who had been documenting maternal health initiatives in Nigeria. I kept going on and on and he stopped me and said something to the effect of "you are persistent and persuasive just like they say" and with that got up, and came to sit with me for more than an hour.

 

We discussed safe motherhood, community leadership for better healthcare and, at the conclusion of our interview he shook my hand and said "your access is continued, enjoy your next trip to Nigeria." My field director and I began breaking down the equipment and she asked why I looked dazed. I said I was not even aware our access had to be renewed.

 

The freedom to shoot in medical settings was crucial to documenting the harsh realities of giving birth in Nigeria. In the film, blood became a ubiquitous character: women were losing too much of it, there wasn't enough of it when you needed it and midwives were always trying to keep it from flowing.

 

"Hemorrhage requires that you stop the bleeding and you repair the blood loss. If you don't repair (replace) the blood loss the woman will die," Sadauki told me.

 

We documented a case of severe bleeding where the midwives were able to manage a patient's hemorrhage with a drug and saline until her husband found a pint of blood and she received the transfusion in time to save her life.

 

And there are new tools on the horizon. A low-tech first aid device, known as the non-pneumatic anti-shock garment, shunts blood out of the extremities and back to the vital organs in cases of hemorrhage. No magic bullet, but a potential game changer for women giving birth in the developing world and new hope for the health care providers.

 

After I showed this film recently, I was embraced by a woman in the audience who thanked me for saving the world. Locked in a bear hug with a complete stranger, I thought to myself: "Thank you, but no, I'm not saving the world, I just make films about people who are saving the world."

 

# # #

 

Dawn Sinclair Shapiro's documentary film, The Edge of Joy, which was featured on PBS NewsHour in April 2011 as a selection of the PBS NewsHour partnership project with The Economist magazine -- the Economist Film Project -- will premiere on independent Link TV on Friday, October 28, at 5 pm ET and Tuesday, November 1, at 8 pm ET, and will stream on Link TV's ViewChange.org beginning on Tuesday, October 25. The Pulitzer Center on Crisis Reporting, an international journalism organization, has created an online curriculum that accompanies the film to be distributed to high school educators around the country; educators and others can download the film for free to accompany the curriculum at www.viewchange.org.

 
 

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Chernobyl 25 Years Later: Screw Up or Cover Up?

Today, on the 25th anniversary of Chernobyl, Link TV's original production Earth Focus released a detailed exposé about the possibility of a massive cover up surrounding the 1986 nuclear disaster. According to the report, international agencies, the nuclear industry, and governments all ignore critical scientific data about the real impact of the fateful accident at Chernobyl.

Authors of a new book Chernobyl: Consequences of the Catastrophe for People and the Environment say that almost a million people worldwide have died since Chernobyl-- not 4,000 as officially claimed by theInternational Atomic Energy Agency and the World Health Organization. Watch the following report for an indepth look at the real consequences of the fallout from Chernobyl -- including birth defects, mental handicaps, and diminished human intelligence -- and for how long these effects will last:

 

 

Watch more episodes of Earth Focus.

 
 

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Happy 10th Birthday to Link!

On a cold San Francisco night -- December 15, 1999 at 2AM in the morning, to be exact -- WorldLink TV took to the WorldLink TV Logoairwaves. Help us celebrate Link's 10th anniversary with a look back at our past, and a look forward to our bright future. Now available to watch online is our 5th anniversary gala event, featuring Link board member Harry Belafonte and the ever-awesome Dave Matthews. You can also watch a great mini-documentary on the beginnings of WorldLink TV (now Link TV, of course), an inspiring look at our first night on air.

While our logo (and name!) may have changed, hairs may be a touch more gray, and beloved staff and programs have come and gone, Link TV's mission remains the same -- to be your connection to the world. We've always been supported by you, our viewers, and we need your support now more than ever. So please make a tax-deductible donation to Link TV today, and help keep us on the air and web for decades to come.

 
 

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