The Inaccessibility of Sexual Health Care for Disabled Women in Canada

The Inaccessibility of Sexual Health Care for Disabled Women in Canada

In Canada, standard health protocol recommends that women receive a Pap test every few years in order to detect cervical cancer as early as possible. However, health practitioners at ACCESS, a clinic in Vancouver which provides sexual health services exclusively for disabled women, have identified a significant deficit in the accessibility of such services for the demographic they serve. This inaccessibility is derived in part from a widespread lack of appropriate equipment. Many offices do not possess an accessible exam bed with a lift, preventing gynecological screening for disabled women. Additionally, many doctors, in providing care to these women, draw upon the misguided assumption that individuals with disabilities are not sexually active and thus neglect to ask their patients for a comprehensive history of their sexual health. Because this discourse does not occur, or is  not prioritized due to more immediate health issues directly relating to the disability, cervical cancer is rarely screened for amongst disabled women, and thus persists largely...
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Tumaini La Maisha Health Services Organization

Tumaini La Maisha Health Services Organization

This is a non-profit organization that works jointly with Kisumu Hospice Center established at Jaramogi Oginga Odinga Teaching and Referral Hospital (JOOTRH) on cancer projects. Breast, cervical, prostate and esophageal cancers are its focus. The Kisumu Hospice serves the local community and supports a satellite hospice center at the Siaya District Hospital. On average, the hospice aids 50 patients each month. The organization promotes cancer awareness and helps navigation through patient referall by community screening and linkage. The foundation has established an accommodation unit in Nairobi that hosts a total of six patients at a time who have been referred for radiotherapy. It has also established a school in Nyakach (Kisumu County) for vulnerable children and offers support to the school. The organization works with partners like Aga Khan Health Services, JOOTRH and Oncology Department to offer services to cancer patients. The organization takes the lead in participating in national events, organizing medical camps and community outreach programs with an aim to...
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World Cancer Day

World Cancer Day

Yesterday, on February 4th, the world celebrated World Cancer Day. Initiated in February 2000 at the World Summit Against Cancer for the New Millennium in Paris, the event is an initiative of the Union for International Cancer Control. The Paris Charter aims to promote research, prevent cancer and raise awareness. 2019 marks the beginning of the organization's "I Am and I Will" campaign, which will last till 2021 and emphasize each individual's personal commitment to reducing cancer's impact. In concurrence with World Cancer Day, the UN World Health Organization released a statement explaining that incidences of cervical cancer will likely increase by almost 50 percent in 2040. It noted that the number of new cases could be reduced if all girls between the ages of 9 and 14 are vaccinated for HPV. The organization stressed the importance of collaboration between governments, UN agencies and healthcare professionals to preventing increased rates of cervical cancer....
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New York State Passes Reproductive Health Act

New York State Passes Reproductive Health Act

On the 46th anniversary of Roe v. Wade, the New York legislature passed a law protecting a woman's right to abortions. The most controversial aspect of the law is its provision for abortions after 24 weeks, in cases of fetal in-viability or danger to the woman's life or heath. According to the Guttmacher Institute, only slightly more than one percent of abortions are performed during or after 21 weeks of pregnancy. The law also took abortion off of the state's criminal code, which prevents medical professionals from being criminally prosecuted. The pro-choice community has lauded the law's passage, considering it a protection against possible future decisions by the Supreme Court. The Catholic Bishops of New York State denounced the law, and many critics claim it is too far-reaching....
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Plan International Meeting

Plan International Meeting

I met with Plan International on January 17th. Plan International is an independent children’s rights organization committed to supporting vulnerable and marginalized children and their communities. The organization directly works with the community, schools, Ministry of Health, Ministry of Education and County Government. PLAN International works in 18 counties across Kenya: Nairobi, Machakos, Kajiado, Tharaka Nithi, Siaya, Bungoma, Busia, Taita Taveta, Kilifi, Mombasa, Kwale, Vihiga, Kakamega, Kisii, Migori, Homabay, Kisumu and Marsabit. PLAN’S key areas of focus are; Child protection Improving access to basic, quality education and early childhood development Quality healthcare including water, sanitation and hygiene, as well as adolescent and child health Youth employment and economic opportunities Resilience-building through disaster risk management To achieve part of this core activities, PLAN implements an Adolescent Sexual and Reproductive Health Rights (ASRHR) Project in Kisumu County, in the 2 sub-counties Kisumu West and Seme. The project targets children, parents and the community at large to enhance the wellbeing of the youth. The project implements: Training...
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Judges Block Trump Birth Control Policy

Judges Block Trump Birth Control Policy

This Monday, Philadelphia District Judge Wendy Beetlestone decided to block a Trump administration rule that would allow employers to decline contraceptive healthcare coverage on religious grounds. While the Women's Health Amendment of the Affordable Care Act originally required employer-provided healthcare plans to include free or affordable birth control, the current administration amended the ACA to expand religious-based exemptions. The Trump administration's rules would have impacted tens of hundreds of childbearing-age women, increasing pressure on state-funded healthcare services. This nationwide injunction followed a similar decision earlier in the day, in which a California judge blocked the new rules for 13 states and the District of Columbia. After this decision, California Attorney General Xavier Becerra said in a statement that “the law couldn’t be clearer – employers have no business interfering in women’s healthcare decisions. Today’s court ruling stops another attempt by the Trump Administration to trample on women’s access to basic reproductive care. It’s 2019, yet the Trump Administration is still trying to roll...
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Increase in Sexual Assault Services Announced in Nigeria

Increase in Sexual Assault Services Announced in Nigeria

Story by Alex Lichtl T'19 The Vice President of Nigeria, Professor Yemi Osinbajo, announced at a National Conference on Sexual and Gender Based Violence Response that Nigeria now has eleven sexual assault referral clinics in ten states. This is an increase from only three clinics in three states two years before, and reflects the government’s efforts to increase access to protective services for victims of sexual and gender based assault. These clinics provide forensic, medical, legal and psychological services to victims. The Vice President explained that over the past three and a half years the Rule of Law Advisory Team has partnered with different organizations to establish Gender Based Violence Response Teams across the States. Due to these efforts, more States are adopting laws to hold perpetrators accountable. Currently, stakeholders are working to establish Standard Operational Guidelines which can provide standardized steps to be used across the country. According to Vice President Osinbajo, these efforts are crucial because women bring value...
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HIV Patients Sue Government Over Lack of Septrin

HIV Patients Sue Government Over Lack of Septrin

Co-trimoxazole preventive therapy is a feasible intervention for people living with HIV. It works to reduce HIV-related morbidity and mortality through an off-patent drug, which is widely available in resource-limited settings. The World Health Organization (WHO) conditionally recommends the use of co-trimoxazole as treatment for opportunistic infections in people living with HIV/AIDS. In Uganda, previous reports by the State Minister for Health stated that there was a funding shortage for the drug. The Global Fund, with headquarters in Geneva, Switzerland has since stepped in to provide all funds for the drugs available from July 2018 onwards. This is good news, as daily intake of co-trimoxazole relieves symptoms and prolongs life for people living with HIV/AIDS. However, a human rights organization and two people living with HIV have sued the Ugandan Government and the National Medical Stores (NMS) for alleged failure to supply public health centers with septrin as one of the essential drugs for treatment of AIDS for the months of March...
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Eradicating Human Diseases: Opportunities and Risks

Eradicating Human Diseases: Opportunities and Risks

The Director of the Center for Global Reproductive Health, Dr. Megan Huchko, participated in a panel on November 28th entitled "Eradicating Human Diseases: Opportunities and Risks." Dr. Gavin Yamey (Director for the Center for Policy Impact in Global Health) moderated the event, which featured Dr. Christopher Plowe (Director of the Duke Global Health Institute), Dr. Lavanya Vasudevan (Assistant Professor in Community and Family Medicine) and Dr. Osondu Ogbuoji (Deputy Director of the Center for Policy Impact in Global Health) as additional panelists. While the panelists disagreed on the definition of eradication, they all commented upon 'donor fatigue' and the economic and political difficulty of completing eradication as cases dwindle. The panel discussed the difficulty global health programs face in second-world countries, which don't benefit from the same economic resources as first-world countries or as many donations as third-world countries. The panelists stressed the importance of continued screenings, especially in the case of cervical cancer, and emphasized the necessity of childhood vaccinations....
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The KCHSSIP 2018-2022 Validation Meeting

The KCHSSIP 2018-2022 Validation Meeting

The KCHSSIP (Kisumu County Health Sector Strategic and Investment Plan) 2018-2022 validation meeting held at the Acacia Hotel on 9th Nov 2018 saw the Kisumu County Health Department and a consortium of partners come together to finalize a plan, which is based on data from county health services over the last 5 years, as well as experiences and lessons learned during implementation of the first strategic plan from 2013 to 2017. The plan attempts to effectively position the County Health Department in the correct contexts of the health system pillars: human resources for health, health technology and infrastructure, pharmaceutical and medical supplies, health governance and leadership, health service delivery, health financing, health information system, health sector policies and context and health sector social outcomes. It also examines county health burdens such as malaria, HIV/AIDS, diarrheal diseases, skin diseases, pneumonia, tuberculosis and other respiratory diseases and non-communicable diseases. The document has gone through a process of stakeholder’s participation and input and is now...
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