1. Big Five Women’s health Issues in South Africa

2.  Single biggest factor ensuring change is continual pressure of a group of determined and motivated people  the time has come for women to push for improvements in women’s health care.  High maternal death rates,  abuse of women and children,  late presentation of breast and cervical caner, “to strike a women, is to strike a rock”

3.  In Europe and the USA, organizations such as EUROPA DONNA, have lobbied for change and for women to not accept treatment in non specialized units History

4. I am Lion, hear me ! Violence against women and children

5. II n South Africa 22 5% of Women are assaulted on a weekly bases 22 0% of Women are abused by their partner TT he average age of girls who are sexually abused was found to be as young as 11 years old THE STATISTICS

6. I am leopard, know me by my spots Cervical cancer should not be difficult to spot, vaccinate and look close for early change

7.  HPV Vaccines and regular pap smears  Biggest cancer killer of women in Africa in conjunction with HIV  Potentially preventable via the Vaccine  Treatment is a huge burden both in a socio and economic sense What can be done?

8. I am Buffalo, I have a mean and hungry look Breast cancer should not be seen when big and ugly but spotted from afar when hiding

9.  Most common cancer in women in South Africa  Increasing in incidence  Awareness especially in African women in rural areas is very low  Between 60 and 80 percent patients seen in clinics have locally advanced disease BREAST CANCER

10. I am Elephant, I never forget HIV awareness, and living for a long time with a diagnosis …should be our goal

11. What’s the fuss?

12. I am Rhino, please save me Maternal Health and neonatal care, lets not lose our future

13.  Riskiest time of a women's life is during pregnancy and post-partum.  THE BIG 5 OF MATERNAL MORTALITY  Hypertensive complications  Pregnancy related Sepsis  Non pregnancy related Sepsis (HIV or TB)  Hemorrhaging  Underlying medical conditions (primarily cardiac) Look after the Future

14.  There is a role for many players in women's health however coordinated game playing and inspiring others to join the cause is as important as managing the problems