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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Link Media Partners with Revolution Hunger

This week, we had the opportunity to talk with Dr. Sharon Norton, Director of Development at the Mathile Institute for the Advancement of Human Nutrition. Link Media is collaborating with the Mathile Institute for the Advancement of Human Nutrition this year to raise awareness about global hunger and malnutrition through Revolution Hunger. Revolution Hunger is a unique campaign that harnesses the power of teens across the United States to take on the problems of hunger and malnutrition around the world.


Revolution Hunger - Get Involved!

Hi Sharon. Thanks for joining us to talk about your work. First and foremost, what is the mission of the Mathile Institute for the Advancement of Human Nutrition, and what type of work does it do?

Our mission is creating lasting solutions that enable nutritional well-being in children. Our work is focused on children under the age of five and particularly those under the age of two. The provision of proper nutrition to this difficult to reach and often overlooked age group can help prevent stunting, improve cognitive outcomes, and ensure more positive health consequences for life.

 

In terms of hunger and malnutrition, what are the major challenges happening globally?

Overall, the majority of our work is aimed at resolving hidden hunger. Hidden hunger is a chronic lack of vitamins and minerals that can lead to physical and cognitive afflictions. In Central America for example, there is a dire need for nutritional intervention to alleviate hidden hunger as evidenced by the average prevalence of 23.5% stunting regionally. Stunting is essentially where children do not grow to their potential in height and Guatemala and Honduras top the list with 54.5% and 30.1%, respectively, in stunted children under the age of 5. Moreover, anemia, iodine and/or vitamin deficiencies affect over 16 million young children and 5 million pregnant women in this region. This is a significant issue as those affected by micronutrient deficiency worldwide exceeds two billion. Dietary deficiencies are borne disproportionately by children, mothers, and those living in rural communities. Resolution of these deficiencies will result in improved health outcomes for children and mothers.

 

How did you find your way to the position you now hold? How do you feel personally connected to this cause?

I think it has been the combination of an open mind, a spirit of discovery and skills that had the potential for broad application. When I entered college, I was 100% sure I wanted to be a veterinarian, then I started taking nutrition classes and learned that I loved nutrition, ration formulation and working with large animals. That took me into an entirely different career, but my degree in nutrition has allowed me to work in a number of different nutrition related sectors. Today, at the Mathile Institute I am using my nutritional training to help resolve malnutrition in children. But I also get to apply other skills I picked up while working in the packaged goods sector such as technical communications and consumer understanding methodologies. My personal connection to my work stems from my belief in the "Golden Rule" -- treating others as we would wish to be treated. I believe in treating people with dignity and respect and, for children, I believe that includes their right to a healthy diet.

 

You have the amazing opportunity to learn about a lot of positive work happening in the field around this cause. What is one of the most inspiring stories you have come across recently?

I was incredibly inspired by an experience I had not long ago in El Salvador. We met with FUSAL, a private non-profit organization in El Salvador that channels the experience and social responsibility of a committed Salvadoran business family. This family has solidarity with the most vulnerable people in society and are dedicated to human development, which is why health and education are at the core of their non-profit organization's work. I had the opportunity to visit one of FUSAL's project sites in a rural community. The community workers were teaching the mothers about nutrition and health, demonstrating how to prepare more nutritious meals and ways to provide their babies stimulation to enhance cognitive development. I was so inspired by the sense of community, kindness and the care among these women and among those that were serving them. It was an example of the kind of humanity and action that we need to solve the problem of hunger in this world.

 

Another story that continually moves me the life and work of Dr. Norman Borlaug. This one, soft-spoken man, with humble, Midwestern roots, was able to change the world through his Green Revolution, an agricultural initiative, which increased crop yields so countries could feed their people.  He received the Nobel Peace Prize for his contributions to ending hunger. Norman Borlaug has been credited with saving over a billion people from starvation.  Knowing that one person can make that type of impact is personally inspiring.

 

What does "under-nutrition" mean to you? Where is this happening?

Many people may hear the word undernutrition and think this means not having enough food or calories.  While that is one form of undernutrition, hidden hunger that I described earlier is another and very prevalent form. But even in the developed world, we see undernutrition due to the inability to access nutritious food. While some of this is linked to poverty, many with the financial means and ability to access a healthy diet make poor food choices. They often do not consume enough of the foods they need to derive important nutrients needed for health. The bottom line is, undernutrition is a global epidemic and the first step in ending it is awareness of the issue and the causes.

 

Your organization has just launched a new initiative called "Revolution Hunger," what ignited your interest in an initiative that mobilizes teens?

I am really excited about this initiative and it was actually inspired by Norman Borlaug. He dedicated his life to fighting hunger around the world. His skill, passion and deep respect for communities in the developing world ignited a global movement that would feed billions worldwide. The spirit of Revolution Hunger was born out of his example and is a campaign that arms teens with information about hunger's causes and solutions and challenges them with calls to action to fight the issue. Everyone has a role and everyone can be a hunger fighter through Revolution Hunger.

 

What do you hope to see as a result of the work of your organization?

We hope that through our collaborative effort we will alleviate malnutrition and put an end, once and for all to the 25,000 daily deaths that result from hunger-related issues. We believe that capacity-building with initiatives like Revolution Hunger are part of the answer. We also are confident that our approach to establishing new nutritional innovations coupled with community awareness and education programs, relevant behavior change initiatives, and ongoing engagement of community leaders will produce scalable and sustainable solutions.

 

How can others get involved in what you do?

For teens go to revolutionhunger.org and learn what it takes to become a hunger fighter. Watch the video, take a personality quiz and begin the journey to face, fight and live the battle to fight hunger. Participate in activities to fight hunger in your local community and beyond. For adults, I would also suggest visiting revolutionhunger.org to not only learn more about hunger but also what you can do to become a teen advocate. If you are a teacher, we also have begun to develop case studies that can give students the opportunity to explore and tackle real issues in the classroom. I hope everyone will join the fight and join the revolution!

 
 

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Saving Children in Sudan: From Link TV Journalist to Activist

I have never looked at a film with as much trepidation as Machine Gun Preacher. The film is based on the true story of Sam Childers, an ex-con and drug addict who went to Africa and experienced a complete transformation. He exchanged his old days of drug addiction and violence to become the impassioned founder of the Angels of East Africa, a rescue organization for children orphaned in Sudan.

 

I had already known about the unspeakable horrors that families have experienced in Sudan. I had vaguely known about Joseph Kony, the head of the Lord's resistance army (LRA), and how he kidnapped children and then enslaved them. I knew that it would be incredibly painful to see the depiction of children suffering this way and being stripped of their innocence. However, I felt it was my duty as a citizen of the world to see this movie. You bet I was a crying basketcase during this film, but I became a transformed activist as well after the credits rolled.

 

Sam Childers is a real flawed hero, a larger than life personality that Hollywood scriptwriters can only dream of creating. As an ex-biker-gang member, he found God and made the life-changing decision to go to East Africa to help repair homes destroyed by civil war. He became outraged by the horrific violence faced by the region's vulnerable populace, especially the children. Ignoring the warnings of more experienced aide workers, Sam breaks ground for an orphanage where it's most needed -- in the middle of territory controlled by the brutal LRA, the renegade militia that forces children younger than ten to become soldiers, or sold into sex slavery (which fortunately was not depicted in this film). But Sam not only builds a shelter, he leads armed missions deep into enemy territory to retrieve kidnapped children, restoring peace to their lives. He wields an AK-47 in one hand, and a bible in the other, channeling all of his anger into finding Joseph Kony. That a biker with lambchop sideburns and tattoos could single handedly save over a thousand orphans is an inspiring message that one person could indeed affect positive change.

 

Actor Gerard Butler gives an intense performance, channeling the intimidating yet empathic Childers. While it is hard to empathize with his unlikable character in the beginning of the film, you transform along with him in his journey toward the end. You see his intensity and passion when he is preaching, even as his Scottish accent is replaced with a very believable Southern drawl. You can feel every bit of anger in the sweat beads on his brow as he pleads with community members to help him with his cause. Equally important to this narrative is his wife Lynn, who patiently and bravely supports him as he sells his business to use the money for the orphanage, flies to Sudan regularly to dangerous missions, and nearly forecloses his home to raise more money for the orphans' food and supplies. Michelle Monaghan was perfectly cast as a woman who appears vulnerable, but has the quiet strength and fortitude to counterbalance Sam's angry and unpredictable outbursts.

 

Some critics may argue that Machine Gun Preacher relies too much on Sam's boldness and not enough on the character exploration of the children, but I can see the motive. If the job of this film is to embolden people to do more to help the situation in Africa, then the goal has been accomplished. Perhaps the director, Mark Forster, wanted the audience to feel for the children's plight without exploiting them.

 

Anyone can identify with San Childers, whether wealthy, poor, a victim, a perpetrator, a religious person, or an atheist. If the point is to move people across the board into action to save these children, then I think Machine Gun Preacher does this brilliantly. Of course the children deserve their own narrative, as they are victims of a man that would make Osama Bin Laden look tame in comparison. But they need our immediate help even more. The primary question in my mind after the film was: why don't more Americans know about the so-called Lord's Resistance Army, and the hundreds of thousands of innocent people they have killed for nearly three decades? Why don't they know that this army forces children to hack their own parents with a machete to death in order to instill violence and self hatred in their young hearts... and making it impossible to return home? Why don't they know that this army decapitates the lips, ears, arms and legs of these children and other villagers to punish them?

 

While I have always been a donor to Unicef, UNRWA, and St Jude's Hospital, this film compelled me to do two things: First, I donated to Sam Childer's cause at Machinegunpreacher.org/donate. Secondly, I decided to register and participate in the Global Forum on Human Trafficking through Notforsalecampaign.org. The primary victims of slavery still alive in this world are women and children from Sudan to Armenia, Thailand to Brazil. Machine Gun Preacher challenges us to take part in this narrative -- through the eyes and experience of fellow American Sam Childers. As I wrote earlier, I was a basketcase after watching this film, but I have now filled my basket with an arsenal of tools to try and make a difference in these innocent lives, the start of my own journey from a Link TV journalist, to an activist.

 

Link TV Journalist Blanche Shaheen had the opportunity to interview Machine Gun Preacher stars Gerard Butler and Michelle Monaghan about their experience making the film. Watch the conversation here:


 

To learn more about Blanche Shaheen, visit www.Blanchestudio.com

 
 

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This Mother's Day, Tour the World's Best and Worst Places to be a Mother

Each Mother's Day, I celebrate the two most miraculous, deliriously happy days of my life -- the days I gave birth to my two children. What I counted on during my birth experiences: health care, a safe and sanitary environment, and supportive and trained birth personnel. What would have never occurred to me, a resident of the United States having a baby in a very typical way in a wealthy nation: the day I become a mother is the most dangerous and deadly day I will face.

 

But in many parts of the developing world, the day a woman becomes a mother is a day too often obscured by terrible tragedy and danger. She will face losing her baby and losing her own life - on a day and occasion that we commemorate with cards and flowers here in the United States as Mother's Day.

 

According to international development organization, Save the Children, "around the world, more than 350,000 women die each year from complications of pregnancy and childbirth, and millions more develop some kind of disability. When a mother dies, her children are much more likely to be poor, to drop out of school, and to die before age five." The ripple effect is dramatic.

 

To take a deeper look into the lives of the world's mothers, I was fortunate to have the opportunity to work with independent non-profit broadcaster, Link TV, and Save the Children to co-produce a new half-hour documentary that takes viewers on a global tour of the best and worst places in the world to be a mother. (Conspicuous plug: You can view online at www.SavetheChildren.org/world-mothers or www.ViewChange.org beginning on May 3, or watch the broadcast on Link TV on Friday, May 6 and Tuesday, May 10. Check time and channel info.)

 

Based on Save the Children's just-released 2011 "State of the World’s Mothers" report, the special -- ViewChange: The Mothers Index -- takes viewers on an international journey to learn what it takes for global mothers and their children to thrive, introducing us to young moms and spotlighting programs that are changing the odds. In a unique collaboration in "global development storytelling," the show -- part of Link TV's ViewChange.org project that combines global development progress stories and direct action -- includes stories from the ONE campaign's Living Proof series.

 

WATCH "THE MOTHERS INDEX":


So, what's the data behind the stories? For its 2011 report, Save the Children conducted a comprehensive study of 164 countries, and compiled a "Mothers' Index." At the top of the index, women have access to excellent health services, skilled health workers, and opportunities for education and advancement. But the gap between the top and bottom-ranked countries is dramatic. At the bottom of the list, one in three children suffers from malnutrition, and one in 30 women will die from pregnancy-related causes. (See the full report at www.savethechildren.org)

 

When you watch, you’ll be struck -- as I was -- when you hear the story of one young mother who had buried eight babies and prayed that the ninth would live to see his first birthday. And you’ll hear from a 19-year-old mother in Nepal, nine months pregnant, as she matter-of-factly states, "My last baby was breech-born, and this time, I just might die."

 

But the terrible odds are not the whole story. The real story is the incredible strength and spirit of these mothers around the world -- and the importance of institutional solutions and government programs that are changing the statistics in preventable scenarios.

 

For example, we learn about the commitment from Sierra Leone’s government, which has just implemented a new program to provide free health care for pregnant women and children under five.

 

In Malawi, grandparents and village elders are now being trained as community health workers -- a tremendous program that's contributing to Malawi's breathtaking success in under-five child mortality over the past 20 years. Since 1990, Malawi has cut its under-five mortality rate in half thanks to its government’s commitment to programs like this -- a feat that seems even more remarkable considering that 40 percent of the Malawi population lives in poverty.

 

In rural Bangladesh, empowering girls through education will change the cycle of poverty, creating a ripple effect over the generations. And in India, one mother observes that "if you are uneducated, it is as if you have only one eye." The simple act of giving bicycles to girls -- to allow them to travel to school -- is changing the lives of young women in some of the poorest parts of the country.

 

What's the hope and mission of a project like this? To learn, of course, and to be inspired by the universal strength of mothers in all parts of the world -- and to take action and support programs that are working. For more info and actions you can take, visit www.ViewChange.org, click on the show, and consider the actions in the "take action" section of the player.

 

Happy Mother's Day.   

 

* * *

 

Caty Borum Chattoo is Assistant Professor at American University’s School of Communication in Washington, D.C.  As a documentary producer and strategic communication consultant, she collaborates with Link TV and ViewChange.org.

 
 

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