When her rapist was arrested, 16-year old Brigitte* thought the worst was behind her. But when she discovered she was pregnant, she had little choice but to drop out of school and work the family fields in her village, in the Manika health zone of the Democratic Republic of Congo (DRC). She certainly could not afford antenatal care (ANC) visits.
The DRC government has made maternal health one of its highest priorities, and partners like the USAID-funded Integrated Health Project Plus (IHPplus) have collaborated with the Ministry of Health to make that vision a reality. Knowing that ANC visits are out-of-reach for many women, IHPplus subsidizes free and reduced-cost care for expectant mothers. And knowing that many women are not aware of the benefits of ANC visits, IHPplus has organized a variety of campaigns to educate mothers-to-be. Continue reading “A door-to-door campaign for antenatal care”
Fatimata Kané est directrice du programme FCI de MSH au Mali.
Mettre un enfant au monde est tout un travail différent. Tout le monde peut aider quelqu’un qui est malade, mais tout le monde ne peut pas faire le travail d’une sage-femme–guider une femme et son bébé en toute sécurité pendant la grossesse et l’accouchement. Je sais ce que signifie garder les femmes et les bébés vivants et en bonne santé parce que je suis une sage-femme. Continue reading “Femmes saines, nations en santé”
Alanna Savage is a Senior Communications Specialist for the FCI Program of Management Sciences for Health (MSH) and Andrew Gaydos is a Project Support Associate at MSH.
In our ambitious vision to reach all people, everywhere, it is ever more necessary to examine the varying life experiences–the actual realities–of the people whose health we work to improve. Part of this examination requires a critical look at how gender plays out in the power structures of society, the daily lives of people, and more concretely, in the “who, what, where, when, and how” of health-seeking behavior and access to essential reproductive and maternal health care.
Maternal mortality in Mali remains high–587 women die for every 100,000 live births–but only 28 percentof sexually active women of reproductive have satisfied their demand for family planning. Women and girls continue to confront widespread sexual and gender-based violence, including female genital mutilation/cutting (FGM/C); in 2015, about 126,000 women and girls received prevention services, protection, and care related to FGM/C. And thanks to the work of the FCI Program of MSH, traditional and faith leaders are advocating for family planning and coming together to provide support to survivors of gender-based violence and to identify early warning signs of imminent violence.
Gender inequality undoubtedly plays a role in high maternal mortality and unmet need for family planning and the continuance of sexual and gender-based violence. As long as women and girls must continue to fight for equal voice and an equal share of opportunity and power, their lives and health will remain under threat. Gender influences health outcomes, access to care, providers’ treatment of patients, relationships among health workers and supervisors, and health career barriers and opportunities.
Melissa Garcia is Senior Technical Officer for the International Consortium for Emergency Contraception and Sarah Rich is Senior Program Officer at Women’s Refugee Commission. This post originally appeared on the blog for the Sexual Violence Research Initiative.
Emergency contraception (EC) can reduce the risk of pregnancy after unprotected sex, including in cases of sexual violence. Global guidance is clear that EC should be offered to women and girls within 120 hours of sexual violence to prevent the traumatic consequences of pregnancy resulting from rape.
Yet women and girls who have experienced unprotected sex, including through sexual violence, do not routinely have access to EC. The global aid communities must work together to increase access to EC for sexual violence survivors around the world, including for women and girls who are the most marginalized, like those living in crisis-affected settings. A range of strategies can be implemented to improve access to EC. Further research is also needed to identify, evaluate, and invest in new and innovative solutions. Continue reading “Emergency contraception is a simple part of post-rape care: Why is it not routinely provided?”
Martha Murdock is Technical Strategy Lead for regional programs at the FCI Program of Management Sciences for Health. This post originally appeared on MSH’s Global Health Impact Blog.
As a part of the international “16 Days of Activism Against Gender-Based Violence” campaign for the prevention and elimination of violence against women and girls, MSH is sharing its experience working to eradicate gender-based violence.
“We remember the hard times the women and girls of Douentza have experienced,” said Animata Bassama, a representative of the women of Douentza, referring to the fighting and ensuing gender-based violence (GBV) that plagued Mali in 2012.
Ariadna Capasso is Senior Technical Advisor for the FCI Program of Management Sciences for Health.
Violence against women, including forced or coerced sex, is an epidemic that persists all over the world. But women with disabilities, often marginalized and denied their sexual and reproductive health rights, are particularly vulnerable to such abuse.
In June, UNFPA launched WE DECIDE, a global initiative to promote gender equality and social inclusion of young persons with disabilities and advocate for the end of sexual violence. The FCI Program of MSH worked with UNFPA and a broad range of partners in the field of disabilities to build consensus for the framework of the four-year initiative and to develop communications materials for the initiative, including a video and an infographic that conveys key messages and data on the status of persons with disabilities and gender-based violence.
Mapingure was raped and sought EC at a hospital. The provider told her that she needed a police report. But by the time she came back… she was told it was too late to assist her. She became pregnant as a result of the rape.
–Zimbabwe case from 2014, presented by Godfrey Dalitso Kangaude in “Country overviews of legal grounds/policies related to health, rape, and safe abortion,” April 2016
Amy Boldosser-Boesch is the Senior Technical Director for the FCI Program of Management Sciences for Health (MSH).To receive updates in your inbox from the FCI Program and other MSH programs, please subscribe here.
A lot has happened since we first announced, a couple of months ago, the exciting news that a new chapter has begun for FCI’s mission to save women’s lives!
Ariadna Capasso is senior program officer for the Latin America and Caribbean (LAC) program, and Maria Faget is LAC regional adviser on youth and adolescents.
The rights and needs of persons with disabilities are too often neglected, violated or ignored. This is manifested in acts of discrimination, emotional abuse, and physical and sexual violence, especially among adolescent women. Fifteen percent of people—close to 1 billion–around the world live with a disability, and 80% of them live in developing countries. Many women with disabilities, including adolescents, face unacceptable discrimination. Around 68% of women with a psychosocial disability will suffer sexual abuse before they turn 18. Women with disabilities often see their right to make decisions in regards to their fertility and motherhood curtailed, through practices such as forced sterilization and limited access to family planning methods. These practices are often the result of generalized stereotypes and lack of cultural sensitivity towards disabilities.