MaldivesHealth

-THE TRUTH SLEEPS IN THE MORGUE-

Communication device for differently-abled children February 24, 2007

Filed under: Technological advancement, Uncategorized — maldiveshealth @ 2:25 pm
“We envision a world where people will see an individual in a wheelchair and not instinctively think, ‘What a hard life,’ but rather, ‘What a triumphant and spirited life!’”

In a nutshell, that is what the Tango is all about. Tango is really cool and can help many parents and differetly-abled children. I am not sure if it can be reprogrammed with dhivehi. If it can be done, i think some one could do just that and introduce it to Maldives. Will be good business as well. What do you all think?

One of the greatest challenges we face as a community is making our language easier for others. That challenge includes making it easier or others to help educate exceptional children, or making it easier for others to play with people with special needs, and making it easier for others to communicate with individuals with special needs. Link to article from a father who has a child with cerebral palsy here.

 

Avian Influenza in Maldives? February 22, 2007

Filed under: Uncategorized — maldiveshealth @ 6:04 am
UNICEF and the Maldivian government are today reassuring people that reports of a bird flu outbreak in the Maldives are untrue.

The reports were spread after documents forming part of a UNICEF simulation training exercise were doctored and leaked by a third party. A document detailing the hypothetical spread of the novel influenza virus across the Maldives was passed around as if it was real.

But the document, which began as an email but was changed and reproduced as a hard copy, was part of a simulated exercise run by UNICEF on February 14 to help prepare staff for the possibility of a hypothetical emergency. In the exercise, staff were briefed on an imaginary outbreak of bird flu, and it was hypothetically stated that novel influenza was spreading across Haa Dhaal atoll. The information was all false, and part of a simulated situation that aimed to ensure UNICEF staff preparedness in the case of any future emergency.

Link minivan news.

 

A frustration February 22, 2007

Filed under: Uncategorized — maldiveshealth @ 5:28 am

There suppose to be a drug list being kept uptodate in Maldives. At least they do say so often on TV. The drug list available on the government health web site is almost useless to use and the last updated version available online was updated in 2005. The biggest frustration builds in you when you try finding a particular drug. It takes ages to go through them. Why cant they make it searcheable so that it makes easy for the users to find what they want by typing in a search box?

Do i have to be that specific for them to realise that easy access to information is a vital part of a good health care system.

 

Intel gives us the Mobile Clinical Assistant February 21, 2007

Filed under: Technological advancement — maldiveshealth @ 6:57 am

This is great news for all of us who know how time consuming and tiring a day can be in managing the vast ammount of patient information while giving the best care possible to our patients. We dont need to worry no more. Intel has come up with a all in one device with RFID technology embedded in to it. We do sometimes miss the 5 rights of medication administering: right drug, right patient, right dosage, right route and right time. We dont have to worry about any thing, not even making drug errors. Well, we might, but this technology certainly will come very handy in minimizing the errors we health care professionals make. I think we can provide patient education at its best with this device, which is one of the pillars of providing excellent health care. I am desperate to have my hand on one of these beauties, but sadly i know that it wont happen soon.

 

Intel has helped pioneer a new solution for the many challenges healthcare professionals face in dealing with patient histories and communications. Designed specifically for clinicians at the frontlines of patient care, an exciting mobile point-of-care platform called the mobile clinical assistant (MCA) helps busy medical staff in performing a vast array of important tasks. The MCA can help reduce medication dispensing errors and ease staff workloads so that clinicians can spend more time taking care of the patient.

 

Do not miss the product brochure. It explains what this beauty can really do.

Links 1, 2, 3 .

 

 

 

Worlds smallest baby February 20, 2007

Filed under: Women and child health — maldiveshealth @ 7:07 am

Free Image Hosting at ImageShack.us
More from here and here.

 

Violence Against Women: A Sad State Of Affairs February 19, 2007

Filed under: Women and child health — maldiveshealth @ 5:49 am

Violence Against Women: A Sad State Of Affairs
By Will Jordan in Male’
February 18, 2007 (From minivan news)


 

“He sometimes kept her starving for days, other times he would keep her awake for the whole night, disturbing her and scaring her verbally so she could not sleep. The abuse also included sexual violence where he would force her to have anal sex and watch porn movies. When she refused she wasbeaten.”

“When I knew I couldn’t survive anymore I decided to come to Malé”, says Fathimath, 30.

The Gender Ministry’s Study on Women’s Health and Life Experiences makes for heavy reading. The main point – that Maldivian women suffer disturbingly high levels of violence and have little protection from it – will not come as a shock to many. It is something many people are aware of and realise, but it is the first time the issue has been so publicly confronted.

The report, which was published at the end of last year, looked in detail at a problem which affects the lives of tens of thousands of Maldivian women. It came up with many sensible recommendationsandproposedchanges.

But before those, the statistics alone are disturbing:

1 in 3 Maldivian women aged 15-49, equivalent to 27 000, reports experiencing some form of physical or sexual violence at least once in their lives.

1 in 5 women aged 15-49 in the Maldives who have ever been in a relationship report experiencing some sort of physical or sexual violence by a partner. 1 in 9 reported experiencing severe violence like being punched, kicked, choked, burnt or having a weapon used against them.

1 in 6 women in Male’, 1 in 8 for the Maldives in general, report having experienced childhood sexual abuse under the age of 15.

6.3% of women aged 15 – 49 who have ever been pregnant report being physically or sexually abused during pregnancy. Of those, 41% reported being punched or kicked in the stomach.

Unfortunately it is not just a national issue. Women all over the world suffer to a similar extent. “Globally, 1 in 3 women will be raped, beaten, coerced into sex or otherwise abused in her lifetime,” experts Heise, Ellsberg and Gottemoeller have found.

Ex-UN Secretary General, Kofi Annan outlined the gravity of the problem in March, 1999. “Violence against women is perhaps the most shameful human rights violation and it is perhaps the most pervasive. It knows no boundaries of geography, culture or wealth. As long as it continues, we cannot claim to be making real progress towards equality, development and peace.”

Problems

The report was done with technical help from the World Health Organisation and financial help from UNFPA and UNICEF. It is the first time such a detailed analysis has been made into the sad situation that affects so many Maldivian women.

It outlines how the issue is pervades many different areas of government and society. “Although the majority of the violence against women and girls occurs in the home, this study irrefutably shows that violence against women is not just a family issue. It is a health issue, an education issue, a legal issue, a social issue and a community issue,” the report says.

“Violence against women and girls is not inevitable and with a united and integrated approach we can end this shameful abuse of human rights.”

Just how shameful the abuse is becomes clear from the anonymous accounts of abused women:

“[My husband] tied me up face down on a bed with woven rope. I was 8 months pregnant then…I had to stay like that for four hours. When he untied me my hands and feet were swollen and cut. My tummy hurt really badly because I was tied face down…I cried. I had a still birth and the midwife told me it was probably due to the violence of my husband,” says one woman.

Another says, “I was having my period but he [husband] wanted to have sex. I told him and he hit me so hard in the mouth that six of my teeth became loose. I started to bleed and my lips were badly cut. He abused me the next night and the night after that.”

Another Maldivian woman explains, “One night while I was sleeping he took me to his room, placed me on the bed, tied my hands with a towel and my feet with a sarong and raped me. My brothers were at home at the time, but I couldn’t shout because I was embarrassed my brothers would find out. I became pregnant with his baby.”

One woman’s situation shows how little is done in society to confront the situation head on. “Even though he keeps on trying to aggressively beat me, the neighbours never try to stop him. They just stay there and watch the commotion. If I got any help from them, my injuries would be less.”

OpinionsandAttitudes

The report also looked into people’s attitudes towards the problem. Following a detailed survey, it charts some alarming opinions, and equally alarming justifications.

“The position of the woman in a husband/wife relationship is considered subordinate by most people. This is believed by many to be defined as such by Islam…A number of people, particularly men, use Islam to justify keeping women inside the house, restricting their rights and being violent. This understanding of Islam must be addressed,” says the report.

“Some women still believe they are obliged to have sex with their husband whenever he wants which means that many women are unable to see sexual abuse within a marriage for what it is.”

The survey also showed that the youth do not seem to be any more liberal or enlightened. “Most men 15-34 agreed that a wife should be hit if she disobeys her husband, however all men 35-49 disagreedwiththestatement.”

“Most men 15-20 agreed that a wife should be beaten if he finds out that she has been unfaithful, however most men 20-49 disagreed that a woman should be hit.”

The report reflects that, “Surprisingly some of the younger men (15-20) had very conservative views, thinking that a man has good reason to hit his wife under some circumstances, whereas more of the older generation thought women should not be hit…Some men and women still believe that hitting a woman under some circumstances is justifiable. The first step must therefore be to teach women about their rights and that they do not deserve to be hit under any circumstances.”

Protection?

There are a number of serious structural problems in the Maldives which seem to be actively propagating the situation. For example, in rape and sexual abuse cases, “no forensic evidence is taken, because of a lack of resources and because it is not possible to prosecute using forensic evidence in the Maldives…it was noted that; ‘in severe cases of rape generally after a short stay in hospital the girl will be taken home and the parents will not want to fuss too much about legal issues.’”

The report outlines a lack of specialised training, limited finances, lack of guidelines, lack of counsellors and social workers, lack of staff and time as problems in the health sector, all of which act as barriers to providing victims with effective treatment.

A lack of confidentiality was also seen as a problem inhibiting counselling. Some took the attitude that as the community was so small, it was near impossible to guarantee anyone genuine anonymity, despite the fact that many would be discouraged from talking about what had happened to them without the possibility of remaining anonymous.

LegislativeProblems

“No specific definition of rape exists. It is termed ‘forced Zineh (sex outside of marriage), therefore marital rape is not a conceivable crime under the law.” That is one of a number of issues the report outlines that make the Maldivian legal system hopelessly inadequate in providing protection to women who become the victim of violence.

“Currently in the Maldives there is no legislation that deals specifically with violence against women including domestic violence and workplace harassment. These acts of violence can only be pursued through the conventional criminal justice system and it is obvious that this has been insufficient to prevent domestic and other forms of violence against women or protect victims.”

The report outlines more specific problems. “Under Maldivian law rape is particularly difficult to prove. A man can only be convicted of rape if there are two male witnesses or four female witnesses willing to testify or if he confesses in court. Even if he confesses in police custody he can retract his statement in court and he cannot be charged.”

Another issue highlighted is that, “according to the law a child is a person under the age of 18, however a child is still considered to be able to consent to sexual relations so there is no such thing asstatutoryrape.”

Minivan News also notes that the law affords no confidentiality to rape victims in the media, which actively discourages many victims of sexual violence from reporting the crimes against them. Victims who choose to report sexual crimes are currently named on the Attorney General’s website and in newspapers. They are offered no anonymity, and in fact are likely to achieve notoriety as a result of becoming the innocent victim of a rapist.

Suggestions

The report concludes that there are serious structural problems which allow the problem of violence against women to go on unchecked. The experts have some clear messages for the police:

“Treat domestic violence incidences as serious forms of violence. Speak to victims of domestic violence alone. Accompany women to the hospital when seeking medical treatment for injuries. Conduct further training and sensitisation on gender based violence issues for law enforcement officersatalllevels.”

To the legal experts it offers more stern advice: “Develop specific laws on gender based violence. Develop a clear and unambiguous definition of domestic violence. Raise the costs to perpetrators of gender based violence. Change laws that restrict and disempower women. Send a clear message that domestic violence is unacceptable. Train and sensitise law enforcement personnel on gender base violence issues.”

But the report calls on everybody to work together to deal with the problem. It realises that in order to tackle the issue in the most effective way, fundamental changes have to be made in society. It calls on the people to “empower women and girls by eliminating discriminatory law, strengthen women in leadership and decision-making and increase access to education, economic resources andhealthinformation.”

The report also recommends that women be given greater control over their money and their bodies, something that can only happen if men realise the rights of women to those things.

If women have more control over themselves and their situations, greater self-esteem and a more acute sense of their own personal power, then they have more chance of protecting themselves from such forms of violence.

Other links related to this news:

 

EXPERTS OF ANTI DISCRIMINATION COMMITTEE CRITICIZE MALDIVES OVER PROHIBITION ON WOMEN HOLDING TOP POLITICAL, JUDICIAL OFFICE

 MINISTER OF GENDER AND FAMILY MS AISHATH OHAMED DIDI’S INTRODUCTORY STATEMENT

GENDER ISSUES IN CRIMINAL JUSTICE SYSTEM OF MALDIVES (REPORT BY UNIVERSITY OF MELBOURNE PROFESSORS)

MAKING CHILDRENS RIGHTS WORK:COUNTRY PROFILE ON MALDIVES

WOMEN STATUS IN 2001

 

101 Things To Do With A Mobile Phone In Healthcare February 17, 2007

Filed under: Technological advancement — maldiveshealth @ 8:09 pm

Hello! Who thought that you could do all this 101 years ago. Where is  watania or dhiraagu ? Hello!

 Appointment Reminders (SMS)

Patient Support (SMS)

Medication Reminders (SMS)

Appointment Booking

Medical Data On SIM Card

Patient Information For Relatives

Peer Support For Patients

Post Cardiac Surgery Support

Accessing Patient Records
Access To Dietary Information

ePrescribing

Patient Paging In Outpatient Clinic.

Link here and here.

 

The CPR glove February 17, 2007

Filed under: Technological advancement — maldiveshealth @ 6:29 pm

Fear no more if the need arises where you have to perform Cardio pulmonary Rescucutation (CPR). These two geniuses have invented the life saving CPR glove. I have come across many health professionals who has told me that either they forget the rates of compression, go too slow or too hard with the compressions during emergencies and emphasizes on how important it is to apply the right pressure (if too soft = no pressure on heart= no blood circulation=no oxygen=death). Well, it seems that you dont have to worry no more.

Although it uses the same concept of the defibrillators available today it will surely be very handy as a glove.

 

Baby dies after circumcision February 17, 2007

Filed under: Uncategorized — maldiveshealth @ 7:44 am
The spokesman said: “The circumcision was carried out safely and in accordance with the usual scrupulous adherence to the strict rules governing the procedure and the mohel (circumciser). link.

Then why did the baby die?

 

The Resourceful Patient: The 21st century paradigm February 14, 2007

Filed under: Uncategorized — maldiveshealth @ 1:49 pm
The authors describe their book as something that a present day reader may perceive the views as radical but for those who will be 20 in 2021 as expecting the resources they describe to be routinely available and the culture of clinical practice to be one which starts from the assumption that the patient is in charge. This e-book gives you a lot of options on how you can read the book and refers the reader as “gentle reader”. How gentlemanly is that? Before you start reading this fascinating and great book with the concept of the patient being in charge, i warn you that the health care standard in Maldives is not even comparably near to what the writer describes as the present state of health care. Please find time and continue on this fascinating journey of the new paradigm to a better health care system in the 21st century. I hope you will Enjoy.

Whichever route you choose, Gentle Reader, we hope you find the ideas in the book of interest….

At present it is assumed that the doctor is the responsible person, and the patient incompetent and in need of care. As the book will argue, this assumption is wrong, and it creates an unsustainable prsesure on healthcare professionals. Even if only 10% of patients would like to share decision-making - and the evidence is that the proportion would be much higher in certain age and social groups - the basic premise should be that the patient is competent, not that the patient is incompetent. Even when groups of patients who might be thought to be incompetent are considered, it cannot be assumed that everyone is incompetent. Furthermore, even though only a minority of patients wish full control or shared decision-making, the majority of patients would like more information and involvement than they get at present.

This book is committed to promoting the concept of the resourceful patient, namely the patient who is not only aware of his rights but is also made aware of his responsibilities and is willing to accept them, provided, of course, that he is given the resources to do so.

The link to the e-book is here.