Insights & Updates – Page 20 – Global Reproductive Health at Duke

OMEGA FOUNDATION MEETING WITH HARUN KODIAGA – HEAD OF PROGRAMS

June 4, 2019December 6, 2024 by Faith Otewa1 Comment

I had the opportunity to meet with Harun, the Head of Programs at the Omega Foundation (OF) at the Kisumu Office. The OF mission is, “to strengthen the capacity of communities to live meaningful lives through integrated health and innovative livelihood solutions” across 12 counties in Kenya: Kisumu, Siaya, Migori, Homa Bay, Busia, Bungoma, Nandi, Uasin-Gishu, Kakamega, Vihiga, and Bomet. OF undertakes various projects including Sexual and Reproductive Health Service Delivery and Advocacy projects funded by Planned Parenthood Global. The projects are being implemented in Kisumu, Siaya, and Homa Bay counties respectively with an objective to increase awareness of, access to, and use of quality family planning (FP) and Post Abortion Care (PAC) services. Twenty facilities in Kisumu are supported in delivery of the services and focus on strengthening the capacity of partners to provide facility-based FP and PAC services and advocate for expansion of Sexual and Reproductive Health (SRH) rights and services. To achieve their goals, the OF supports provision of...

Duke Students in Action

June 3, 2019December 6, 2024 by Molly PaleyNo Comments

This past year, I had the opportunity to work on a Bass Connections research team: Big Data for Reproductive Health (BD4RH). Bass Connections projects are interdisciplinary teams of undergraduate and graduate students, professors, and researchers. I became interested in reproductive health research after taking Dr. Megan Huchko’s global reproductive health course in the spring of 2017. It was through her course that I developed my understanding of and passion for reproductive health policy and gender equality. The BD4RH team reflected my passion for reproductive health through the project’s commitment to reduce contraceptive discontinuation rates. The initial goals of our research were to create and disseminate data visualization tools that use reproductive health data from USAID’s Demographic and Health Surveys (DHS). The DHS collect data in over 80 different countries, and the surveys’ contraceptive calendar tracks women’s month-by-month contraceptive use over a five-year period. Our project began in the summer of 2018 when undergraduate student, Saumya Sao, and Masters student, Melanie Wai,...

Conflict Affects Women in Unique Ways

June 3, 2019December 6, 2024 by Stacey DixsonNo Comments

The Helper and the Witness Guest post by Kelly Hunter In 2018 the Nobel Peace Prize was shared by two very different individuals: Denis Mukwege, a 63-year-old Congolese doctor who founded the Panzi Hospital, and Nadia Murad, a 24-year-old Iraqi Yazidi human rights activist, who at age 19 was kidnapped by ISIS. What cause united these unique individuals from disparate parts of the globe? The Nobel committee recognized their advocacy for victims of wartime sexual violence, defined by scholars as “rape; sexual slavery and forced marriage; forced prostitution, pregnancy, and sterilization; sexual mutilation; and sexual torture” (Elizabeth Jean Wood, 2018). Dr. Mukwege has dedicated his career as a gynecologist to physically healing victims of conflict-related sexual violence in Africa and Ms. Murad, a survivor of such violence has founded an organization to raise funds and awareness to support other women brutalized by this increasingly common war crime/crime against humanity. The Nobel committee’s recognition reflects what scholars and international organizations have long realized:...

Expect the Unexpected

June 3, 2019December 6, 2024 by Megan HuchkoNo Comments

As students and faculty start lifting their heads from the end of semester rush and head off to Summer adventures, we have a chance to reflect on all we have accomplished this past year and to celebrate our graduating students. I had the opportunity to think more about this as I prepared my remarks for DGHI's undergraduate commencement on May 10. The opportunity to speak to graduates and their families was one of the most meaningful experiences I’ve had since joining the Duke faculty in 2016. Asked to talk about my journey from Duke student to a career in medicine and global health, I told the students that they need to expect the unexpected, be prepared for— and maybe even proud of— the inevitable failures, and to take chances on new adventures and challenges. As we embark on new and exciting projects with learners across the university and medical school this summer, I am encouraged to see a new generation of researchers and...

Expect the Unexpected

June 3, 2019December 6, 2024 by Aarushi VenkatakrishnanNo Comments

How Marie Stopes Works to Promote Access to Reproductive Health Services

May 17, 2019December 6, 2024 by Faith OtewaNo Comments

I had the privilege to meet Rose Omia, the Regional Marketing Coordinator for Marie Stopes on March 27th, 2019. Marie Stopes is a non-governmental organization focused on sexual and reproductive health and provides contraception, safe abortion, and post-abortion services. The services are offered through a network of clinics and mobile outreach clinics to enhance accessibility to as many people as possible. Marie Stopes delivers services through its AMUA Clinics that offer high quality and affordable (subsidized prices) health services to women, young people, and communities’ regardless of anyone's ability to pay. In order to empower and promote the well-being of the adolescents (ages 15 -19), services are offered to them free 3 days a week. Through their network of mobile outreach clinics, Marie Stopes promotes freedom and choice by conducting monthly outreaches for 5 days in all the various counties they work. Many services such as permanent family planning methods like tubal ligation are offered by the mobile outreach team comprised of...

Alabama and Georgia Pass Restrictive Abortion Laws

May 16, 2019December 6, 2024 by Molly PaleyNo Comments

On Wednesday, Alabama Governor Kay Ivey signed into law the most restrictive anti-abortion legislation in the country. The bill not only bans abortion at nearly every stage of pregnancy, it also criminalizes the procedure for doctors who perform abortions. Although women who receive an abortion will not be prosecuted, the new law targets doctors who could face up to 99 years in prison for performing an abortion. The bill includes protections when a mother’s life is endangered, but it does not include exceptions for rape or incest. While the courts have continued to reaffirm a woman’s constitutional right to an abortion since the decision in Roe v. Wade, the Alabama law is most recent attempt to challenge the 1973 precedent. Since the beginning of 2019, nearly 300 restrictive abortion laws have been introduced in state legislatures across the country. Earlier this month, Georgia governor Brian Kemp signed into law a fetal heartbeat bill that prohibits abortion after a doctor can detect...

Kisumu Nurse Spotlight: Everline Oruko

April 30, 2019December 6, 2024 by Faith OtewaNo Comments

Everline Oruko is a nurse at Migosi sub-County Hospital, one of three sites in Kisumu, Kenya, that offers cervical cancer screening and treatment. As the Nursing Officer in Charge, Everline leads a team of nurses and staff to improve uptake of cervical cancer screening and cryotherapy treatment for those who test positive. Despite many fits and starts, Everline has remained a constant in the effort to reduce cervical cancer among women in Kisumu. Our Kisumu site coordinator, Faith Otewa, sat down with Everline to talk about her job and her commitment to her work in cervical cancer prevention: Everline was first employed by the Ministry of Health at Ahero Health Facility after she graduated in 1993 with a Diploma in Nursing. She further enrolled for certificate courses in Counseling and HIV Testing Services (HTS) because she felt these would make her service delivery better. Everline then became sponsored for a course in counseling supervision because of her commitment at work. Upon...

South Korea Poses Amendment for Anti-Abortion Law

April 14, 2019December 6, 2024 by Emily WoodrowNo Comments

South Korea has fostered an anti-abortion law for 66 years which names abortion a crime with repercussions of heavy fines and women facing up to a year in jail and doctors facing up to two years. Last Thursday, South Korea’s Constitutional Court ruled this law unconstitutional and concluded that Parliament must revise the law by 2020 or else it will become invalid. There are a few exceptions to the law which allow for abortions under the situations of pregnancy from rape or incest, pregnancy which poses great risk to the mother’s health, or pregnancy that will result in a child with a serious deformity. However, a study does prove that since the law has been enacted, there have been huge amounts of illegal abortions—49,7000 abortions took place in 2017 and an estimated 94% of those were performed illegally. There also seems to be a general shift in trends of what South Koreans think of abortion because a poll shows that...

Updates on Research With Male Birth Control

April 2, 2019December 6, 2024 by Emily WoodrowNo Comments

Last week, the drug 11-beta-MNTCD, a male contraceptive pill, was introduced at the Endocrine Society annual meeting. There has been a lot of efforts in both the scientific and medical communities to develop male birth control in recent years. Dr. Christina Wang, associate director of the Clinical and Translational Science Institute at the Los Angeles Biomedical Research Institute, noted how this new pill works to mimic testosterone’s effects, but does not allow for sperm production in the testicles. Dr. Wang then also predicted that this pill will not actually be able to be sold in the market for another decade due to the need of much more research and specific trials testing the pills effectiveness. In addition to the production of pills, the idea of a contraception through a body gel that men apply to their back and shoulders where it is absorbed by their skin is also being researched and made for trials. The production of the...

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