MaldivesHealth

-THE TRUTH SLEEPS IN THE MORGUE-

Global health out look December 25, 2006

Filed under: Uncategorized — maldiveshealth @ 2:06 pm
We always hear that millions have been raised or pledged to tackle a certain health problem in a certain part of the world. To tackle HIV to avian influenza, millions perhaps billions has been donated.

In an article written by Laurie Garret from Foreign Affairs magazine (Jan-Feb 2007 ed.), she writes about the challenges facing health at a global scale. It high lights the importance of not depending on foreign donations to rectify the problems. If we think locally, most of the challenges do apply to us.

1. Brain Drain
2. Shortage of Health Care professional
3. Lack of visionary leaderships
4. Most successful programs run by NGOs who work independently without any influence from governments
5. Stovepiping
6. Dutch Disease
7. Commonwealth Code of Practice for the International Recruitment of Health Workers (shortage of skilled workers…most severe in small island countries)
8. Why Increasing maternal survival and overall life expectancy is a good indicator

 

Ask for it (part 2) December 24, 2006

Filed under: Uncategorized — maldiveshealth @ 2:40 pm

It has been stated in many research that doctors don’t give people time to say what’s on their minds. In fact it seems that the patients usually have something like 23.1 seconds to mention their concerns before the doctor interrupts. Recently i had an 80 year old client who was from the former Yugoslavia. Her main complaint was that the doctors she had been seeing did not listen to her. At first, i had no clue to what she was talking. I started interrupting her in the hope that i might be able to know more. She did baffled me. She became quiet angry sometimes probably as i was being articulated by her as one of those who weren’t giving her time to talk. Considering her coming from a situation where she might have gone through a lot of hardship ( fmr . Yugoslavia), i started nodding and listening more despite the crap she was throwing towards me and soon the sorry plight she was in became more clearer more sooner (5 days) than i first thought.

What a strong character she was. I learned and realised from her that one of the qualities i have is good listening skills. I was so proud to let all others know that i am handling this patient who has been unmanageable before, who i am now handling with so much ease and more understanding and respect. Some times some people need more respect than others. Sometimes some people need more time than others. Sometimes somepeople need more understanding from others. Only if we learned to listen a little bit more.

 

Nadhaa writes on schizo affective disorder December 19, 2006

Filed under: Uncategorized — maldiveshealth @ 12:01 pm

Nadhaa writes on her blog about schizoaffective disorder, schizophrenia in general and on stigma. Stigma is a big issue for those facing a mental illness.

Read more about myths and facts here.

Have you ever thought that people with a mental illness are violent? Have you ever had concerns about your own mental well being, but felt ashamed or ambarassed to tell anyone? Answer yes to any one of these, and you are one of the millions of people who reinforce myths and misconceptions around mental illness, every day, wihout even really knowing it.

You can read on how much an influence and problem it is with media on stigma issues here.

 

HIV spread intentionally or is it the unhygienic conditions December 19, 2006

Filed under: Uncategorized — maldiveshealth @ 11:18 am
Poor hygiene is a major problem in our hospitals too. It is very easy to transfer diseases across patients in a poor hygiene environment. With all the infections like toxoplasmosis , chikungunya
and all other nasty “bugs”, extra precuationary measures must be implemented in hospitals to reduce the risk of hospital acquired infections.

It is reportd by BBC that a few nurses and a doctor has been sentenced to death in Libya on the assumption that they were infecting children with viruses intentionally. The accused are fighting for their lives by saying that it is the unhygienic conditions of the hospitals were to blame.


And a study of some of the patients’ blood, published in the scientific journal Nature, backed the theory that poor hygiene was the cause of the outbreak.

 

How to prevent health?!!!!!????? December 16, 2006

Filed under: Uncategorized — maldiveshealth @ 1:30 pm

Health policy says,


Emphasis will be given to prevent health of women, children and other vulnerable groups in the society.

I have no idea what they are talking about here.

 

Womens status (health inc.) as in 2001 December 16, 2006

Filed under: Uncategorized — maldiveshealth @ 1:13 pm

This article comes from Science Blog. Copyright © 2004

30/01/2001

Press Release
WOM/1259

Committee on the Elimination of

Discrimination against Women

Twenty-fourth Session

506th Meeting (AM)

WOMEN’S POLITICAL PARTICIPATION, FAMILY VIOLENCE, DIVORCE AMONG ISSUES

DISCUSSED, AS COMMITTEE CONSIDERS REPORT OF MALDIVES

The Committee on the Elimination of Discrimination against Women this morning heard replies of Maldives to questions on its initial report (document CEDAW/C/MDV/1), which was first considered on 24 January. At that time, the Committee’s 23 experts asked questions regarding Maldives compliance with the Convention on the Elimination of All Forms of Discrimination against Women. (For background information, see Press Release WOM/1255 of 24 January.)

Responding to questions, Aneesa Ahmed, Deputy Minister of the Ministry of Women’s Affairs and Social Security in Maldives, said that after the Beijing Conference, the Ministry of Women’s Affairs began formulating a National Plan of Action. A Committee was formed in order to identify the critical areas from the Beijing Platform of Action that had to be implemented in Maldives. These areas included education and training of women, women and health, violence against women, women and the economy, and women in power and decision-making.

She said two articles of the Constitution bar a woman from becoming either the President of the Republic or the Vice-President. The question of removing the discriminatory clauses was widely debated upon, and a two-thirds majority of the Special Majlis, or the Constitutional Council, voted in favour of retaining the clauses. In a democracy, the majority view had to be respected. However, this did not rule out the possibility of the people considering the matter in the next round of constitutional review.

The Deputy Minister said the prevalence of violence against women in Maldives was not known, due to a lack of research in that area. What transpired between a husband and wife and within the family was considered a private matter. Violence was perceived as a shameful issue and being a victim of violence brought disrespect to the family.

There were many factors that contributed to the high divorce rate in Maldives, she said. One reason was the way in which a man could get a divorce. In the Islamic Sharia, the verbal pronouncement by the husband was adequate to terminate the marriage without having to go to court. Another reason for the high divorce rate was the lack of any social stigma on the divorced person.

She said the situation of HIV/AIDS in Maldives was pretty good, so far. The people enjoyed relative freedom from the HIV/AIDS pandemic. The first case had been identified in 1991, and in the 10 years since, a total of 10 people had been infected with HIV/AIDS. Only one out of the 10 was a woman. As a precautionary measure to prevent the spread of the disease, expatriates who tested positive for the virus were returned to their country.

In her concluding remarks, the Chairperson of the Committee, Charlotte Abaka of Ghana, said that unless democracy was based on respect for equality, it could not be called a democracy. It did not seem right that women were prohibited from being the President of the country just because the majority of the Constitutional Council had voted to retain that provision of the Constitution. Other issues that concerned the Committee included violence against women and the use of contraceptives.

The Committee will continue its work at 3 p.m., when it is scheduled to take up responses from Kazakhstan.

State Response

ANEESA AHMED, Deputy Minister of the Ministry of Women’s Affairs and Social Security in Maldives, said two articles of the Constitution bar a woman from becoming either the President of the Republic or the Vice President. The question of removing the discriminatory clauses had been widely debated and a two-thirds majority of the Special Majlis, or the Constitutional Council, voted in favour of retaining the clauses. In a democracy, the majority view had to be respected. However, this did not rule out the possibility of the people considering the matter in the next round of constitutional review.

The courts of first instance in Maldives include the Criminal Court, the Civil Court, the Family Court, the Juvenile Court, and the Island Courts, she said. All cases of appeal were referred to the High Court. However, if a person was dissatisfied with the decision of the High Court, he or she may petition to the President, who is the highest authority of administering justice, to review the case.

She said that although there was no separate Ombudsman’s Office, the functions of the Ombudsman were carried out in various ways. If a person had grievances, he or she could petition a higher authority, such as a concerned minister or the President. In cases of official malfeasance or the embezzlement of funds, people could take such cases to the Anti-Corruption Board.

The national machinery for the advancement of women at present was comprised of the Gender Equality Council, the Ministry of Women’s Affairs and Social Security and the Island and Ward Women’s Committees, she said. A Gender Equality Council was established in December 2000, presided over by the President. The Vice-Chairperson of the Council was the Minister of Women’s Affairs and Social Security. The Council had members from all the Government Ministries and leading non-governmental organizations (NGOs), as well as most of the educational institutions under the College for Higher Education.

For the initial report, she said information was first collected from the Island Women’s Committees and Ward Women’s Committee. This was followed by consultations with those Committees and the National Women’s Council. An independent consultant compiled the actual report. There was no direct involvement by NGOs. The phenomenon of NGOs acting as pressure groups was quite new in Maldives, and there were very few well-established ones.

Ms. AHMED said that the objectives of the National Policy on Women were to incorporate women into the mainstream of economic activities and integrate their needs and perspectives in development planning. The Policy was also used to promote mass awareness on gender issues, among people at all levels. Strategies for implementation of the Policy included strengthening the national machinery for women and undertaking massive advocacy, awareness and social mobilization programmes through mass media and women’s organizations.

A sectoral approach was used to address the problems of women in development in order to make them explicit within the framework of sector-based planning, she said. Individual sectors such as health, education and media were entrusted with the responsibility of framing programmes and projects that consider women a distinct target group. Along with the broad objectives and strategies enunciated in the main National Policy on Women, sectoral strategies were recommended for education, economy, politics and leadership, and legislation.

After the Beijing Conference on Women, the Ministry of Women’s Affairs began formulating a National Plan of Action, she said. A Committee was formed, and it identified the critical areas from the Beijing Platform of Action that had to be implemented in Maldives. These areas included education and training of women, women and health, violence against women, women and the economy, and women in power and decision-making. A seminar was then held, and officials from all Government Ministries and representatives from all sectors of civil society finalized the draft Plan of Action. It has since been submitted to the Government for endorsement.

The Deputy Minister said that there had been no temporary special measures taken to improve the position of women. There were no quotas for the cabinet, the People’s Majlis or any leadership position in the atolls or islands. The use of quotas had not been contemplated for awarding scholarships or fellowships in higher education or vocational training. Nevertheless, introducing quotas had been recommended to the Government as a strategic action to achieve a society where women and men were equal in the political, social and economic spheres.

The prevalence of violence against women in Maldives was not known due to a lack of research in that area, she said. What transpired between a husband and wife and within the family should not be made public. Women hesitated to report domestic violence. Violence was perceived as a shameful issue and being a victim of violence brought shame and disrespect to the family. As there was no alternative housing facility for the victims of domestic violence, women often had no choice but to return to living in the same house.

In response to the question on whether the mother could have her child on her passport without the father’s consent, she said with regret that this was not the case. There had been discussions with the concerned authorities on this issue, and she hoped this restriction would be lifted.

Statistics revealed that there had been a sharp decline in women’s participation in the labour force since the late 1970s, she said. No studies had been done on how this had affected women’s lives so there was no empirical evidence of increased poverty among women. On a positive note, in recent years there had been a slow but steady rise in the number of young women who sought employment in the tourism sector.

Contraceptives, she said, were freely available to registered married couples. Permanent methods such as tubal ligation and vasectomy were also available at hospitals. Condoms, oral pills, injection, and IUDs were accessible through the Island Health Posts, Health Centres, Family Planning Clinics and the Society for Health Education, an NGO. Prescriptions were not required for obtaining contraceptives unless a health worker found it necessary to refer a woman to a doctor in order to have her general health assessed prior to recommending her oral contraceptives. Once a couple was registered for family planning services, either spouse could obtain contraceptives.

All marriages in the Maldives must be conducted in accordance with the Family Law, she said. The minimum legal age for marriage was recently raised to 18 years. There was no restriction on marriage between Maldivians and migrants. Marriage to a Maldivian provides the foreign national certain benefits such as automatic resident visa and the waving of the resident permit fee.

There were many factors that contributed to the high divorce rate in Maldives, she said. One reason was the way in which a man could get a divorce. In the Islamic Sharia, the verbal pronouncement by the husband was adequate to terminate the marriage without having to go to court. Reporting to the courts was required only for the purpose of registering the divorce. Another reason for the high divorce rate was the lack of any social stigma on the divorced person. Remarriage among the same couple who were once divorced was also fairly common.

The situation of HIV/AIDS in Maldives was pretty good so far, she said. The people enjoyed relative freedom from the HIV pandemic. The first HIV case was identified in 1991 and in the 10 years since, a total of 10 people had been infected with HIV/AIDS. Only one out of the 10 was a woman. As a precautionary measure to prevent the spread of HIV/AIDS, expatriates who were tested positive for the virus were returned to their country.

Comments by Experts

Thanking Ms. Ahmed for her detailed and honest answers, an expert added that article 13 of the country’s Constitution did not include reference to non-discrimination on the grounds of sex. Under national law, some legal provisions were considered void if they were found to be in contradiction with the Sharia. On education, she wanted to know about the plans to improve tertiary education of women. The provisions regarding lowering the age of marriage also needed to be further clarified.

Significant efforts to achieve advancement of women had been made in the country, another expert said. However, the lack of research on the issue of violence against women had attracted her attention. As far as domestic violence was concerned, it was understandable that due to tradition, many women felt ashamed to come forward and report it, but it was not a private affair. It had to be addressed in implementation of the Convention. She hoped that more information would be provided on that issue in the next report.

Country Response

Ms. AHMED said that she would not be able to respond to the questions regarding the Constitutional clauses, which had been mentioned by experts. Regarding NGOs, she said that although they had not been asked to participate in the writing of the country’s report, they would be invited in the future.

She went on to say that Maldives was making efforts to expand its tertiary education. Against strong objections from some quarters, the marriage age had been recently raised to 18 years. Under the circumstances, discretionary powers to lower that age to 16 had been given to the magistrates.

The country hoped to continue research of the problem of violence against women, she said. She agreed that violence should not be considered a private family matter — it should become a public problem.

Chairperson of the Committee, CHARLOTTE ABAKA of Ghana, addressed the issue that women could not be President of the country, because the majority of the population had voted to retain such a provision in the Constitution. Unless democracy were based on respect for equality, it could not be called a democracy. She hoped that the Government would further address that issue.

She went on to say that the issue of violence against women was a great concern to the Committee. The State party of the Convention was obliged to ensure security of women in both public and private spheres. She was also concerned that the issue of contraceptives was left to women alone. Both partners should be responsible for that.

In conclusion, she thanked the delegation for its responses.

 

The Circumcision Information and Resource Pages December 15, 2006

Filed under: Uncategorized — maldiveshealth @ 2:15 pm

The Circumcision Information and Resource Pages are an Internet resource that provide you with information about all aspects of the genital surgery known as circumcision. CIRP is essentially divided into two parts:

The Circumcision Reference Library contains technical material, medical and historical articles, and statistics.

The Circumcision Information Pages contain a more readable collection of information, suitable for parents and educators.

This site has links to information on the rights of the child, religious issues, and related issues.

I found this resourse base very informative. As it is the circumcision season in Maldives, it is importan that parents know about how it is done and different issues regarding the matter.

 

Sexually Transmited Diseases on the rise December 11, 2006

Filed under: Uncategorized — maldiveshealth @ 7:24 am
It is widely known among us Maldivians that teenagers and adults likewise engage in unsafe sexual practices. Sex is a curious subject for most teenagers and with any other curiosities they tend to experiment. Most of the time they are more worried about getting pregnant than aquiring a sexually stansmitted disease (STD). Little do most know about chlamydia, herpes simplex and herpes simplex 2 (virus usually persists in individual for life), genital warts, Gonorrhea, donovanosis,syphilis,congenital syphilis and most importantly HIV. Lymphogranuloma Venereum is another infection that we dont hear often but is common in India and in the tropics. All these infections can cause severe complications such as Pelvic Inflammatory Disease (PID) if untreated. PID can cause infertility and even cause death.

I think that being silent is one of the reasons that contribute to STD infections in younger adults and teenagers. These teenagers are afraid to ask their mom or dad thinking that by asking such questions they could be vilified or in fear that their parents may assume that they are in to something mischievious. The parents do most of the times. Shooed away by telling them that it is an inappropriate subject to talk to. I mean, what is appropriate if not talking about their health? If we look at the schools we dont see them doing much either in making awareness about other health issues and i dont see how they can do better with a “taboo subject”.

The best thing to stay safe from most (it has been known that some of these do get through condoms) of these infections is to use condoms. Carry one always if you are that active. Encourage your partners to use one. Have the courage to say NO if without condom. Dont have multiple sex partners as most of these terrible diseases linger around with those having multiple partners. Know who your partner is and their sexual behavior is crucial.

Only using a condom is not safe either. Every one should know how to use them. I have heard stories from some islanders who used to wash and reuse condoms. Yes. They hang them to dry on ropes just like clothes. In India they have another problem. It seems that they are using too a bigger size because they dont know that they come in different sizes and is available. I am not familiar with the availability in Maldives, but i think it should be made easily accesible to the young.

 

Why you should COMPLETE a full dose of antibiotics December 9, 2006

Filed under: Uncategorized — maldiveshealth @ 5:21 pm
I have come across people who are on antibiotics who discontine their medications for 2-3 days and then again start continuing them. Some stop their medications as soon as their symptoms start to become little better. These kinds of practices can be very harmful to them. Madsci gives a good explanation which is simple to understand and why someone should not stop and continue and complete their dose of antibiotics.

 

Hospital Acquired Infections December 9, 2006

Filed under: Uncategorized — maldiveshealth @ 5:03 pm

It is a major problem all over the world. Hospitals has become a breeding ground for bacteria and infections. Some one who went to the hospital for a routine dental check up can return home infected with a deadly bug which can be even life threatening.