Global & Disaster Medicine

Archive for the ‘Women issues’ Category

India: Arrest and jail time for Muslim men who terminate their marriages by simply uttering, “Talaq” 3 times.

NPR

 


Mastectomies surge in Venezuela due to unaffordability of 21st Century medical care

Lancet

“…..Today’s standard treatments allow women to preserve their breasts through complementary chemotherapy, radiology, and hormonal treatments (for hormone-driven cancer). But Venezuela’s public health system no longer offers these treatments, and with the average Venezuelan earning $1 a month, they are out of reach for most. Surgeons are incredulous at the excessive number of mastectomies coming through their hospitals; at one facility, mastectomies are up 30-40% in 5 years.….”


2018: A year punctuated by brutal crimes against young girls in India.

NYT

The world’s most dangerous countries for women 2018


Rohingya: Babies conceived by rape in Myanmar are now being delivered in the camps.

NY Times

“……Everyone in the Rohingya refugee camps in Bangladesh knows of the rapes and how the Myanmar military has, for decades, used sexual violence as a weapon of war, particularly against ethnic groups that are not from the nation’s Buddhist majority.

They know that it is not the fault of the Rohingya women and girls, who were often gang-raped at gunpoint, their mothers, sisters or daughters sobbing and screaming nearby.

Nevertheless, in traditional Rohingya Muslim society, rape brings shame to households. Any resulting pregnancies are viewed as heaping even more disgrace on families, according to counselors working in the refugee camps……”


An official public health policy has been created to stop the practice of virginity testing from being performed in every clinic and hospital in Afghanistan.

The Guardian

  • Virginity testing was banned in 2016, but police have continued to pick up girls and women suspected of having sex, and take them to hospitals or clinics where they are forced to undergo a virginity test.
  • According to a 2016 Human Rights Watch report, almost half of all women incarcerated in Afghanistan – and 95% of girls in juvenile detention – are there for “moral crimes” such as sex before marriage.

 


WHO’s latest research: Heat-stable carbetocin is as safe and effective as oxytocin in preventing postpartum haemorrhage.

WHO

WHO study shows drug could save thousands of women’s lives

27 June 2018

News Release
Geneva
A new formulation of a drug to prevent excessive bleeding following childbirth could save thousands of women’s lives in low- and lower-middle-income countries, according to a study led by the World Health Organization (WHO) in collaboration with MSD for Mothers and Ferring Pharmaceuticals.
Currently WHO recommends oxytocin as the first-choice drug for preventing excessive bleeding after childbirth. Oxytocin, however, must be stored and transported at 2–8 degrees Celsius, which is hard to do, in many countries, depriving many women of access to this lifesaving drug. When they can obtain it, the drug may be less effective because of heat exposure.

The study, published today in the New England Journal of Medicine, has shown an alternative drug – heat-stable carbetocin – to be as safe and effective as oxytocin in preventing postpartum haemorrhage. This new formulation of carbetocin does not require refrigeration and retains its efficacy for at least 3 years stored at 30 degrees celsius and 75% relative humidity.

“This is a truly encouraging new development that can revolutionize our ability to keep mothers and babies alive,” says Dr Tedros Adhanom Ghebreyesus, Director-General of WHO.

Approximately 70 000 women die every year because of post-partum haemorrhage – increasing the risk that their babies also die within one month.

The clinical trial, the largest of its kind, studied close to 30 000 women who gave birth vaginally in 10 countries: Argentina, Egypt, India, Kenya, Nigeria, Singapore, South Africa, Thailand, Uganda and the United Kingdom.

Each woman was randomly given a single injection of either heat-stable carbetocin or oxytocin immediately following the birth of her baby. The study found that both drugs were equally effective at preventing excessive bleeding after birth.

Since both drugs in the study were kept in at the temperatures required to ensure maximum efficacy of oxytocin, the trial may underestimate the benefit expected with heat-stable carbetocin use in real-life settings where oxytocin may have degraded due to exposure to higher temperatures.

“The development of a drug to prevent postpartum haemorrhage that continues to remain effective in hot and humid conditions is very good news for the millions of women who give birth in parts of the world without access to reliable refrigeration,” says Dr Metin Gülmezoglu, from the Department of Reproductive Health and Research at WHO.

The next step is regulatory review and approval by countries.

WHO will ask its Guideline Development Group to consider whether heat-stable carbetocin should be a recommended drug for the prevention of postpartum haemorrhage.

About the study

This WHO study, also referred to as the CHAMPION (Carbetocin HAeMorrhage PreventION) trial, was funded by MSD for Mothers. Heat-stable carbetocin was provided by Ferring Pharmaceuticals, the product innovator and oxytocin was provided by Novartis for the study. The study was conducted under a collaborative arrangement between WHO, MSD for Mothers and Ferring Pharmaceuticals. Following the positive results from the trial, the parties will now work to advance affordable access to this lifesaving drug in countries that have a high burden of maternal deaths.

The world’s most dangerous countries for women: a global poll of about 550 experts on women’s issues.

Thomas Reuter Foundation

  • India is the most dangerous country for women in terms of sexual violence and slave labor
  • Afghanistan
  • Syria
  • Somalia
  • Saudi Arabia. ……
  • Just one Western nation appeared in the top 10: the US, which ranked joint third for a question on the risk of sexual violence, coercion, and harassment.

 


Chhaupadi: “In this corner of Nepal, deep in the Himalayas, women are banished from their homes every month when they get their period. They are considered polluted, even toxic….”

NY Times

“……The practice is called chhaupadi (pronounced CHOW-pa-dee), from Nepali words that mean someone who bears an impurity, and it has been going on for hundreds of years. But now, the Nepali government and advocates for women are trying to end it...…”

 


A major drop in anemia among India’s pregnant women has been spurred by the decline in open defecation, along with later pregnancies and improved education for women

PH Nutrition

Identifying sociodemographic, programmatic and dietary drivers of anaemia reduction in pregnant Indian women over 10 years

“……Results:

In the model accounting for both non-dietary and dietary factors, increased age at pregnancy (P<0·001), reduced village-level open defecation (P=0·001), consuming more Fe (P<0·001) and folic acid (P=0·018) and less phytate (P=0·002), and urbanization (P=0·015) were associated with anaemia reductions. A 10 mg increase in daily household Fe supply from 2012 levels was associated with a 10 % reduction in anaemia……”


A spoon in underwear: How does that help protect against forced marriages?

Thomas Reuters Foundation

“……”The spoon will trigger metal detectors when you go through security checks…..You will be taken aside and you can then talk to staff in private.”…..”


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