Presentation on theme: "IMPROVING WOMEN’S HEALTH POLICY & INTERVENTIONS"— Presentation transcript:
1IMPROVING WOMEN’S HEALTH POLICY & INTERVENTIONS DR CHITRA RAGHUNANDANDIR. PROFESSOROBS & GYNE DEPT, L.H.M.C & S.S.K.H, NEW DELHIDR SHILPA DHINGRAASST. PROFESSOR
2Women’s health a major development task for us An unfinished agendaChallenges include reducingMaternal mortalityUnwanted fertilitySexually transmitted infection ( HIV, AIDS)Female feticide & Violence against women.
3LIFE CYCLE OF WOMEN & HEALTH ISSUES INFANCY AND CHILDHOOD(0-9 YEARS)Sex selectionGenital mutilationDiscriminating nutritionDiscriminating Health care
4ADOLESCENCE ( 10-15 YEARS) Early child bearing and abortion STD & HIV InfectionUndernutrition and AnemiaIncrease substance abuse
6POST REPRODUCTIVE (45 YEARS & ABOVE) Gynecological MalignanciesCardiovascular diseasesOsteoporosisOsteoarthritisDiabetes MellitusLIFE TIMEGender ViolenceEnviornmental and occupational hazardsDepression
7HARD FACTS MATERNAL MORTALITY India accounts for 20% of maternal deaths.Every minute one women dies of pregnancy and childbirth.MMR is 330/ 100,000 live births.Greater than Bangladesh & Pakistan
8HARD FACTS POPULATION PARABLES Indian population is 1.2 billion. India occupies 2.4% of world land.17.5% of world population.One out of 6 people in world live in India.35% population below the poverty line.
9HARD FACTSThe total number of HIV Rose from 8 million in 1990 to 34 million in 2010Prevalence of HIV in children- 3.4 millionPeople newly infected in millionIndia has population of 1 Billion out of which half in sexually active groupTotal number of people with HIV in India is 23.9 lakhs in 2009 with children accounting for 3.5%Parent to child transmission: 5.4% of all routes
10HARD FACTS FEMALE FETICIDE / GENDER ISSUE Sex Ratio 940/ 1000. Deficit of 3 crore women.60 million girls missing.2000 girls aborted everyday in India.A girl child is killed and disowned every hour.35% of girls sexually abused between 12 to 16 years.
11KEY ISSUES, POLICY & INTERVENTIONS Complication of pregnancy and childbirth are major cause of death and disability among women of reproductive age leading to high maternal mortality in India.PREVENTIONImproving diet supplimentation of pregnant and lactating women.Health care providers and skilled midwife.Strengthening referral system for effective management of complications.Tertiary level centers fully equipped.
12Uncontrolled fertility / Sexually transmitted infection Unequal power between men and women in sexual relationship exposes women to involuntary exposure to sex, sexually transmitted infections and unwanted pregnancy.
13PREVENTION Empowering women with education and employment. Family planning and sexual counselling.Sex education of young adolescents.Promotion of mutual consent and condom uses.
14Female feticide, Domestic violence, rape and sexual abuse occur in all regions, class and age. Affects 30% women worldwide.
15PREVENTION Law Counselling Support services Medicare Raise awareness Mobilize support
16STAKE HOLDERS Family Society Health Professionals Strong & Sustained government agenciesWell endowed resourses.
17INTERVENTIONSStrengthen the performance of overall health system specially district level.Effective programs to promote increased utilization of maternal health services / EOC.Women access to basic and comprehensive emergency obstetric care.Availability of skilled birth attendant.Information on maternal morbidityMaternal death audits.
18Quality of care where health services are available and affordable NEEDSSkilled staff / Professionals.Effective client provider interaction.Adequate supply of drugs.Communication programmes.Information to poor women and familyOn health problems and importance of seeking care.
19Focused Interventions Ante- natal servicesBasic Ante-natal carePrompt detection/Management and referal of ante-natal complicationsTT InjectionIron and folic acid supplementationTreatment of other associated infection
20Safe Delivery Post-Partum Care Skilled birth attendant Timely detection and referral of intra-natal complicationsTertiary level Obstretics carePost-Partum CareFamily planning servicesMonitoring for post-partum sepsis
21Preventing unwanted pregnancy Emergency contraceptionMedical termination of pregnancyManagement of unsafe abortion complicationsPost- abortal contraception
22Prevention of RTI & STIPromotion of barrier contraception and distributionSymptomatic management of RTIScreening and treatment of sex-workersScreening for cervical cancer
23Positive Health promotions Public education program foradequate nutritionDecision on family sizeSafer sexMale participationEducation and employmentSchool Health ProgramOn reproductive health, dangers of substance abuse
24Eradication of social problems Law, public education and services to eradicateDomestic violenceSexual assaultForced prostitutionEarly childhood marriagesStrict regulation of use and abuse of medical technology
25INTERVENTIONS STI treatment education. Social marketing of condoms. Voluntary testing of HIV and counselling.Women controllerd barrier methods for preventing STI / pregnancy.
26To summarise…… Women Health requires Favourable health policies.Strengthening and expanding health services.Positive attitude and approach.Long term basis … improvement in nutrition, education and employment opportunities for women for positive impact on health.