Cedaw related health activities 11th june
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  • The Ministry of Health is responsible for providing health care covering promotive, preventive, curative and rehabilitative services to the entire population in the country. <br /> With the guidance of the Government of the Union of Myanmar, MOH is working in collaboration with- many <br /> Related Ministries <br /> UN Agencies <br /> Bilateral Organizations <br /> INGOs and Local NGOs and other civil societies <br />
  • The Ministry of Health is responsible for providing health care covering promotive, preventive, curative and rehabilitative services to the entire population in the country. <br /> With the guidance of the Government of the Union of Myanmar, MOH is working in collaboration with- many <br /> Related Ministries <br /> UN Agencies <br /> Bilateral Organizations <br /> INGOs and Local NGOs and other civil societies <br />
  • Along with the ART programme, 12,596 patients received OI drugs from both public and private sectors in 2005. <br />

Cedaw related health activities 11th june Presentation Transcript

  • 1. CEDAW-Related Implementations on Health Dr. Nilar Tin Director (Planning) Department of Health
  • 2. CEDAW-Related Implementations on Health Article 12 • It seeks to eliminate discrimination in the access to healthcare for women • and necessitates gender specific healthcare services such as those related to pregnancy and postnatal care. • GRs that pertain to Article 12 are 14,15,19,24 General Recommendation 14 •It recommends several measures to eradicate female circumcision…. NOT APPLICABLE TO MYANMAR
  • 3. CEDAW CONVENTION General Recommendation 15 • In view of the risk and effect of AIDS especially among women and children it recommends that AIDS-combat programmes that incorporate the rights and needs of women especially in relation to their reproductive role and subordinate position be adopted. • The participation of women in healthcare and HIV infection prevention programmes is to be encouraged
  • 4. Ministry of Health  Responsible for providing health care covering promotive, preventive, curative and rehabilitative services to the entire population in the country.  Health care activities are in line with National Health Plan 2006-2011  Under the guidance of the Government of the Union of Myanmar, MOH is working in collaboration with- Related Ministries  UN Agencies  Bilateral Organizations  Non Governmental Organizations both Local and International  Other civil societies
  • 5. Nation’s commitment to International Instruments  MOH is contributing the health care activities along the following International commitments:  ICPD plus 10  Universal Declaration of Human Rights  Child Rights  CEDAW  Beijing Platform of Action  MDG 2015  FCTC (Framework Convention on Tobacco Control)
  • 6. HIV/AIDS-combat programs-NAP,DOH,MOH • Number of people living with HIV/ AIDS in Myanmar among the 15 to 49 years was 240,000 in 2009. • HIV prevalence in Myanmar has reduced from 1.5% in 2000 to 0.61% in 2009. • HIV in Myanmar has had its peak in 2000, and then leveling off. • A total of 15,191 AIDS patients have been receiving ARV as of 2008 • 30,344 PLHA have received Opportunistic Infection drugs in the public and private sectors by the end of 2008.
  • 7. HIV/AIDS combat programs • Prevention of Mother to Child Transmission Program (PMCT) was launched since 2000-2001 and has been implemented both in community- and facility-based settings in coordination and collaboration with UNICEF, UNFPA, WHO, local and INGOS and related sectors. • Community based PMCT established in (185) townships and institutional based PMCT in (38) hospitals over the country. • As of 2009, prevention from mother to child transmission has been conducted in (1,773) couple of mother and child by giving prophylactic ARV from NAP.
  • 8. HIV/AIDS combat programs
  • 9. HIV/AIDS combat programs • As of 2008, 11,072 males and 11,749 females to a total of 23451 had obtained home based care for PLHIV. • Greater involvement of people with AIDS (GIPA) programs have been implemented through formation of PLHIV networks by NAP in coordination with UN Agencies and NGOs. • PLHIV and other civil society members have actively participated in the National Strategic Plan development process and are well represented in the Country Coordinating Body for 3 Diseases Fund as well as in Technical and Strategy Group for AIDS.
  • 10. HIV/AIDS combat programs • Providing a caring, protective and supportive environment for PLHIV and their families is a key priority in Myanmar. • Strategies include – involvement of PLHIV in project activities as peer workers such as counselors, health educators and outreach workers – enabling access to education, employment and social support, along with the engagement of community leaders to promote a positive behavior around HIV issues . – NAP with support from WHO and in close collaboration with many NGOs is also implementing comprehensive and continuum of care for PLHIV by integrating prevention, clinical care and support services aiming for universal access to care.
  • 11. Care and support for the persons infected and affected with HIV and AIDS
  • 12. CEDAW CONVENTION General Recommendation 19 a)It recognizes the violence against women in general puts their health and life at risk. DOH Gender and Women’s Health project has worked upon GBV during 2008-2009 biennium 1. Gender sensitive disaster management trainings were given to Basic Health Staff from the disaster affected areas of Ayeyarwaddy Division, Yangon Division and Mon State. •Participatory training with exercises on sharing of experience of BHS from disaster struck areas followed by theoretical training.
  • 13. CEDAW CONVENTION 2. Survey on Gender Based Domestic Violence in two townships in Myanmar Total (265) married women (107) from Pyinmanar and (158) from Hlegu, living in periurban or rural areas were interviewed. Data analysis near to final. Later dissemination of survey results and sensitization of G sensitive policy and programmes to PM. General Recommendation 19 b)Similarly, certain traditional practices harmful to health of women and children, for example, female circumcision, dietary restrictions on pregnant women and preference of the male child, must be addressed.
  • 14. Antenatal care for Pregnant Mothers Includes nutrition promotion activities and heath education for AN mothers to take nutritious foods during pregnancy
  • 15. Control of Protein Energy Malnutrition (PEM) in children • Interventions : – Growth Monitoring and Promotion – Nutrition Rehabilitation • Community Nutrition Centres • Hospital Nutrition Units • Village Food Banks – Proper infant and young child feeding • Impact: Prevalence of under-weight decreased from 38.6% in 1997 to 31.8% in 2003
  • 16. Preference of male child • Myanmar culture also prefers male child as the parents would have a chance to let the son enter into monkhood (Shin pyu) which happens to be a huge ceremony, depending upon the capacity of the family, believed to be a great merit to the family. • Although this value has in most people’s heart, if girls are born still there is no discrimination as girls are thought to be the ones who will look after the family. (results from BHS trainings on Gender and Health)
  • 17. CEDAW CONVENTION General Recommendation 19 c)It also seeks to prevent coercion of women with respect to fertility and reproduction, and recommends fertility control to help avoid unsafe medical procedures. • In Myanmar, birth spacing project -started since 1991, providing services thru’ community-based distribution system. • The birth spacing projects were funded by different funding agencies FPIA, UNFPA and UNDP. • It has been expanded in phase manner. • Couple counseling and informed choices of both male and female contraceptive methods are the main activities in quality reproductive health care services. • Previous-unwanted, unplanned pregnancy in married couples leading to unsafe abortion-complications-MMR;CPR 40%(2007)
  • 18. CEDAW CONVENTION General Recommendation 24 • Unequal power relations based on gender and harmful traditional practices like female genital mutilation, polygamy and marital rape make women more vulnerable to AIDS • Therefore, states are called upon to ensure women’s right to sexual health information, education and services (including illegal women residents and those who have been trafficked with due regard to confidentiality)
  • 19. CEDAW Convention • As a result of safe motherhood activities, maternal mortality ratio (MMR) has declined over the years from 580 per 100,000 live births in 1990 to 380 in 2005 (Revised 1990 estimation of maternal mortality 1996 WHO/UNICEF). • With a paradigm shift from safe motherhood to Making Pregnancy Safer, Myanmar is striving to improve the health of mother through women's rights approach. • Ensuring universal access to essential reproductive health care information and services by 2015 is of national health concern.
  • 20. CEDAW Convention Strategic Plan for Reproductive Health (2009-2013) • Behavior Change Communication Strategy for Reproductive Health-to adolescent girls and women to have information on – – – – – sexual health promotion of birth spacing and preventing unwanted pregnancies dangers of unsafe abortion danger signs during pregnancy, childbirth and postpartum preventing and use of services on reproductive morbidities including STI/RTI/HIV and reproductive cancers (RH/WCHD/Adolescent Health/Gender) Body mapping exercise with girls
  • 21. CEDAW Convention • General Recommendation 24 • It recognizes specific health care needs of women in difficult situations such as those in armed conflict, prostitution or trafficking, and women with vulnerabilities like older women and women with disabilities. It also calls upon the states to ensure healthcare services that address the needs of these special groups of women. • Elderly Health Care project- DOH MOH initiated since 1993 and covers (80) townships – – – – – Community based elderly health care Opens clinics at different levels up to Rural Health Center Medical check up, treatment and counseling Encourage exercise Encourage self help groups, recreation and local visits