Global Health Action - Haiti
To contribute to the reduction of maternal and infant mortality in the Petit Goave Region of Haiti.
Mia Forman, MCHIP
CORE Group Spring Meeting, April 29, 2010
At the 2016 CCIH Annual Conference, Dr. Tonny Tumwesigye of the Uganda Protestant Medical Bureau discusses how UPMB incorporated fertility awareness methods into its Family Planning services to expand options for families.
Prepared by:
Richmond Aryeetey (University of Ghana), Afua Atuobi-Yeboah (University of Ghana), Mara van den Bold (International Food Policy Research Institute), Nick Nisbett (Institute of Development Studies)
Global Health Action - Haiti
To contribute to the reduction of maternal and infant mortality in the Petit Goave Region of Haiti.
Mia Forman, MCHIP
CORE Group Spring Meeting, April 29, 2010
At the 2016 CCIH Annual Conference, Dr. Tonny Tumwesigye of the Uganda Protestant Medical Bureau discusses how UPMB incorporated fertility awareness methods into its Family Planning services to expand options for families.
Prepared by:
Richmond Aryeetey (University of Ghana), Afua Atuobi-Yeboah (University of Ghana), Mara van den Bold (International Food Policy Research Institute), Nick Nisbett (Institute of Development Studies)
Monitoring and Evaluation Framework for MAA: Mothers’ Absolute AffectionNandlal Mishra
Mothers’ Absolute Affection (MAA): A Nationwide programme of the Ministry of Health and Family Welfare, Government of India initiated in August 2016 aims to revitalize efforts towards promotion, protection and support of breastfeeding practices through health systems to achieve higher breastfeeding rate.
Towards Strengthening Equity and Inclusiveness in NTD approaches : Who is lef...COUNTDOWN on NTDs
Ms Christine Makia presented this during an Organised Session titled - Beyond 2020 with Neglected Tropical Diseases: Leaving no one behind in the journey 2030; during the European Congress on Tropical Medicine and International Health on 18th September 2019 in Liverpool.
Reproductive Health Lecture Note !
The Nairobi Summit on ICPD25 provides an opportunity to complete the unfinished business
of the ICPD programme of action and also a chance to commit to a forward-looking sexual
and reproductive health and rights (SRHR) agenda to meet the Sustainable Development
Goals (SDGs) and its targets. It is an opportunity for the global community to build on the
ICPD framework and fully commit to realizing a visionary agenda for SRHR and to reaching
those who have been left behind. This agenda must pay attention to population dynamics and
migration patterns, recognize the diverse challenges faced by different countries at various
stages of development, and ground policies and programmes in respect for, and fulfilment of,
human rights and the dignity of the individual (United Nations Population Fund, 2019).
Since 1994, the world has developed through responding to the Millennium Development
Goals (MDGs), which focused on the achievement of a few, specific health targets, to commit
to the comprehensive 2030 Agenda for Sustainable Development. The aspirational targets
of the health SDG (SDG 3 – Good Health and Well-being) are not merely ambitious in
themselves, but cover nearly every important aspect of human well-being, both physical and
relational. Unlike the MDGs, the SDGs explicitly recognize sexual and reproductive health as
essential to health, development and women’s empowerment. Sexual and reproductive health
is referenced under both SDG 3, including met family planning needs, maternal health-care
access and fertility rates in adolescence, and SDG 5 (gender equality), which additionally refers
to sexual health and reproductive rights.
With the SDGs, the world has also committed to achieving UHC, including financial risk
protection, access to high-quality essential health-care services and access to safe, effective,
high-quality and affordable essential medicines and vaccines for all. In connection with the
74th session of the United Nations General Assembly (2019), world leaders made a political
declaration1
recommitting to achieving UHC by 2030. The declaration further re-emphasizes
the right to health for all and a commitment to achieving universal access to sexual and
reproductive health services and reproductive rights as stated in the SDGs. As such, UHC
and SRHR are intimately linked. Without taking into account a population’s SRHR needs,
UHC is impossible to achieve, as many of the basic health needs are linked to people’s sexual
and reproductive health. Similarly, universal access to SRHR cannot be achieved without
countries defining a pathway towards UHC, which includes prioritizing resources according to health needs.
The purpose of this paper is to define and describe the key components of a comprehensive,
life course approach to SRHR. Furthermore, the ambition is to describe how countries can move towards universal access to SRHR as an essential part of UHC.
RH 4 GMPH Students
Review the Effectiveness of Community-based Primary Health Care in Improving ...CORE Group
Review the Effectiveness of Community-based Primary Health Care in Improving Child and Maternal Health: Leveraging Results for Advocacy HENRY PERRY and PAUL FREEMAN
CORE Group Fall Meeting 2010. WHO/UNICEF - Joint Statement Service Delivery & Program Implications, - Winnie Mwebesa & Stella Abwao, Save the Children.
Evolution of National Family Planning Programme (NFPP) and National Populatio...Dr Kumaravel
This presentation discuss the evolution of India's National Family Planning Program and National Population Policy 2000, significant impact of 1994 Cairo conference on country's Reproductive health approach.
The scientific study of methods to promote the systematic uptake of research findings and other evidence-based practices into routine practice and hence improve the quality and effectiveness of health services
Menstruation and menstrual practices are still clouded by taboos and socio-cultural restrictions resulting in adolescent girls remaining ignorant of the scientific facts and hygienic health practices, which sometimes result into adverse health outcomes.
Menstrual Hygiene is vital to the empowerment and well-being of women and girls worldwide. It is about more than just access to sanitary pads and appropriate toilets – though those are important. It is also about ensuring women and girls live in an environment that values and supports their ability to manage their menstruation with dignity.
Monitoring and Evaluation Framework for MAA: Mothers’ Absolute AffectionNandlal Mishra
Mothers’ Absolute Affection (MAA): A Nationwide programme of the Ministry of Health and Family Welfare, Government of India initiated in August 2016 aims to revitalize efforts towards promotion, protection and support of breastfeeding practices through health systems to achieve higher breastfeeding rate.
Towards Strengthening Equity and Inclusiveness in NTD approaches : Who is lef...COUNTDOWN on NTDs
Ms Christine Makia presented this during an Organised Session titled - Beyond 2020 with Neglected Tropical Diseases: Leaving no one behind in the journey 2030; during the European Congress on Tropical Medicine and International Health on 18th September 2019 in Liverpool.
Reproductive Health Lecture Note !
The Nairobi Summit on ICPD25 provides an opportunity to complete the unfinished business
of the ICPD programme of action and also a chance to commit to a forward-looking sexual
and reproductive health and rights (SRHR) agenda to meet the Sustainable Development
Goals (SDGs) and its targets. It is an opportunity for the global community to build on the
ICPD framework and fully commit to realizing a visionary agenda for SRHR and to reaching
those who have been left behind. This agenda must pay attention to population dynamics and
migration patterns, recognize the diverse challenges faced by different countries at various
stages of development, and ground policies and programmes in respect for, and fulfilment of,
human rights and the dignity of the individual (United Nations Population Fund, 2019).
Since 1994, the world has developed through responding to the Millennium Development
Goals (MDGs), which focused on the achievement of a few, specific health targets, to commit
to the comprehensive 2030 Agenda for Sustainable Development. The aspirational targets
of the health SDG (SDG 3 – Good Health and Well-being) are not merely ambitious in
themselves, but cover nearly every important aspect of human well-being, both physical and
relational. Unlike the MDGs, the SDGs explicitly recognize sexual and reproductive health as
essential to health, development and women’s empowerment. Sexual and reproductive health
is referenced under both SDG 3, including met family planning needs, maternal health-care
access and fertility rates in adolescence, and SDG 5 (gender equality), which additionally refers
to sexual health and reproductive rights.
With the SDGs, the world has also committed to achieving UHC, including financial risk
protection, access to high-quality essential health-care services and access to safe, effective,
high-quality and affordable essential medicines and vaccines for all. In connection with the
74th session of the United Nations General Assembly (2019), world leaders made a political
declaration1
recommitting to achieving UHC by 2030. The declaration further re-emphasizes
the right to health for all and a commitment to achieving universal access to sexual and
reproductive health services and reproductive rights as stated in the SDGs. As such, UHC
and SRHR are intimately linked. Without taking into account a population’s SRHR needs,
UHC is impossible to achieve, as many of the basic health needs are linked to people’s sexual
and reproductive health. Similarly, universal access to SRHR cannot be achieved without
countries defining a pathway towards UHC, which includes prioritizing resources according to health needs.
The purpose of this paper is to define and describe the key components of a comprehensive,
life course approach to SRHR. Furthermore, the ambition is to describe how countries can move towards universal access to SRHR as an essential part of UHC.
RH 4 GMPH Students
Review the Effectiveness of Community-based Primary Health Care in Improving ...CORE Group
Review the Effectiveness of Community-based Primary Health Care in Improving Child and Maternal Health: Leveraging Results for Advocacy HENRY PERRY and PAUL FREEMAN
CORE Group Fall Meeting 2010. WHO/UNICEF - Joint Statement Service Delivery & Program Implications, - Winnie Mwebesa & Stella Abwao, Save the Children.
Evolution of National Family Planning Programme (NFPP) and National Populatio...Dr Kumaravel
This presentation discuss the evolution of India's National Family Planning Program and National Population Policy 2000, significant impact of 1994 Cairo conference on country's Reproductive health approach.
The scientific study of methods to promote the systematic uptake of research findings and other evidence-based practices into routine practice and hence improve the quality and effectiveness of health services
Menstruation and menstrual practices are still clouded by taboos and socio-cultural restrictions resulting in adolescent girls remaining ignorant of the scientific facts and hygienic health practices, which sometimes result into adverse health outcomes.
Menstrual Hygiene is vital to the empowerment and well-being of women and girls worldwide. It is about more than just access to sanitary pads and appropriate toilets – though those are important. It is also about ensuring women and girls live in an environment that values and supports their ability to manage their menstruation with dignity.
MATHEMATICS BRIDGE COURSE (TEN DAYS PLANNER) (FOR CLASS XI STUDENTS GOING TO ...PinkySharma900491
Class khatm kaam kaam karne kk kabhi uske kk innings evening karni nnod ennu Tak add djdhejs a Nissan s isme sniff kaam GCC bagg GB g ghan HD smart karmathtaa Niven ken many bhej kaam karne Nissan kaam kaam Karo kaam lal mam cell pal xoxo
Building a Raspberry Pi Robot with Dot NET 8, Blazor and SignalR - Slides Onl...Peter Gallagher
In this session delivered at Leeds IoT, I talk about how you can control a 3D printed Robot Arm with a Raspberry Pi, .NET 8, Blazor and SignalR.
I also show how you can use a Unity app on an Meta Quest 3 to control the arm VR too.
You can find the GitHub repo and workshop instructions here;
https://bit.ly/dotnetrobotgithub
1. Acceptability and Effectiveness of
Menstrual Health & Hygiene (MHH)
Intervention Among Young Women in
Zimbabwe
MandiTembo (PhD Research Fellow)
Global Health and Development Department
Faculty of Public Health and Policy
LSHTM/BRTI
2. Defining MHH
… is menstrual hygiene management (MHM) and the broader systemic
factors that inform menstruation and menstrual experiences
1. UNICEF. Guidance on Menstrual Health and Hygiene. www.unicef.org/wash: UNICEF, WASH; 2019 March. Report No.
3. Background
2. Ndlovu E, Bhala E. Menstrual hygiene - A salient hazard in rural schools: A case of Masvingo district of Zimbabwe. Jamba. 2016;8(2):204.
RESTRICTED
MOBILITY
SCHOOL/WORK
ABSENTEEISM
STIGMA AND SHAME
POOR PHYSICAL AND
PYSCHOSOCIAL WELL-
BEING
MHH NOT A HEALTH OR
RESEARCH PRIORITY
LACK OF ACCESS TO MHH
EDUCATION, PRODUCTS, AND
SUPPORT
4. Study objectives
1. Design a comprehensive MHH intervention within CHIEDZA
2. To investigate the effect of the MHH intervention on MHH knowledge,
practices, and perceptions
3. To investigate the acceptability of the MHH intervention
5. Published – Tembo et al. “Menstrual product choice and uptake among young women in Zimbabwe: a pilot study. ”
Ambassadors
All eligible female CHIEDZA clients
- Reusable pads or menstrual cup
(can swap after 3 months)
- Supporting products
- Education/information
MHH cohort of 300
- reusable pads + menstrual cup +
period pants
- supporting products
- Education/information
6. Methods
Embedded within the CHIEDZA trial
MHH Intervention in CHIEDZA (mixed methods)
• MHH service uptake and product choice using a biometric system
• FGDs and IDIs with clients and providers
MHH Cohort (n=300, quarterly follow-up for 1 year)
• FGDs and and IDIs
• Quantitative questionnaire
• Period tracking diary
7. MHH uptake and product choice
HARARE (N=9612) BULAWAYO (N=8408) MASH EAST (N=9455)
MHH Intervention (info only) 94.1% 96.7% 94.9%
MHH Intervention (cup or pads) 87.3% 83.9% 88.2%
• Reusable Pads 93.5% 86.2% 97.5%
• Menstrual Cup 6.5% 13.8% 2.5%
8. MHH uptake and product choice
HARARE (N=9612) BULAWAYO (N=8408) MASH EAST (N=9455)
MHH Intervention (info only) 94.1% 96.7% 94.9%
MHH Intervention (cup or pads) 87.3% 83.9% 88.2%
• Reusable Pads 93.5% 86.2% 97.5%
• Menstrual Cup 6.5% 13.8% 2.5%
9. Qualitative results
• MHH intervention was acceptable
• Provision of MHH products & community buy-in is important
• Integration of MHH and SRH:
• Increased female engagement
• CHIEDZA as “service for women”
• Providers workload increased
“I will liken educating clients about the cup as one preaching a sermon, and then you feel like this word is
for me, but on your way home you meet a friend who then diverts you from what was preached... When a
client goes home with [a cup] she will hear another set of information and will be convinced to not use the
cup based on the advice at home”- (Harare, FGD, CHW).
In press – BMC Health Service Research: “Integration of a menstrual health intervention in a community-based sexual and reproductive health service for young people in Zimbabwe: A qualitative
acceptability study”
11. Strengths and challenges
Strengths
• Inclusion of pain management
• Multi-component intervention to improve MH
• Inclusion of boys in MH health education sessions
• Looking at MH among out-of-school young women
Challenges
• COVID-19 restrictions and protocols
• Delayed data collection and analysis
• Loss to follow-up
12. Take-Aways
• MHH is an acceptable SRH pathway
• Community engagement KEY to sustainable change
• Service integration important for female engagement
• Comprehensive MHH must include:
• access to a CHOICE of MH products
• education and support
• pain management
13. Acknowledgements
Funding:
• Fogarty TRENT Grant
• Swiss Development Cooperation (SDC)
• Wellcome Trust
Supervisors:
• Dr Constance Mackworth-Young
• Dr Suzanna Francis
• Prof Helen Weiss
• Dr Jenny Renju
Advisory Committee:
• Prof Rashida Ferrand (CHIEDZA PI)
Institutions:
• LSHTM
• Biomedical Research and Training Institute
• Ministry of Health and Child Care
Study Team:
Tsitsi Bandason
Nicol Redzo
Ethel Dauya
Nancy Gweshe
Precious Ndlovu
Pauline Ishmael
Tafadzwa Nzazu
CHIEDZA Intervention Team
Collaborators:
Johnson and Johnson
The Butterfly Cup
AFRIpads
Days for Girls
East and Southern Africa Menstrual Health Research
Network
Fellow PhD Students
Editor's Notes
Talk about:
However, implementors need mitigate 1) overshadowing of other SRH services and 2) negatively informing male engagement
