DOCSLIB.ORG

Helping Survivors of Gender-Based Violence In

Total Page：16

File Type：pdf, Size：1020Kb

Download full-text PDF Read full-text
Helping Survivors of Gender-Based Violence In HELPING SURVIVORS OF GENDER-BASED VIOLENCE IN IRINGA AND NJOMBE REGIONS OF TANZANIA ACHIEVE THEIR REPRODUCTIVE INTENTIONS MOTTA WITNESS, CLEMENT MATWANGA, MWALUKO KONGOLA, FEDDY MWANGA, GRACE MALLYA, RICHARD KILLIAN, AND CHLOE MANCHESTER RESPOND Tanzania Project (RTP) SIGNIFICANCE/BACKGROUND RESULTS/KEY FINDINGS PROGRAM IMPLICATIONS/LESSONS • In many societies, women are socialized to accept, tolerate, and even rationalize gender-based A sizable number of GBV and VAC cases are identified at health facilities and social welfare • Eighty-two percent of survivors (3,025) were women, while 18% were men (685). In response • Orientation of RHMTs, CHMTs and Middle Level Health Managers on 1 violence. According to the National Survey of Violence against Children , almost three in 10 offices. to this, the program reached more men with gender transformation and Couple Connect GBV and VAC, a two-day curriculum, is used to orient participants on the Tanzanian women and girls aged 13–24 reported having experienced at least one incident training though community volunteers (Figure 3). availability and importance of GBV/VAC screening and clinical services. of sexual violence before their 18th birthday, and 39% of women ages 15–49 have ever • From October 2013 to June 2015, 25,979 victims of all types of violence of all ages were The approach seeks to increase perception of GBV as a violation of • Since October 2012, RTP has trained 247 service providers and social welfare officers using experienced physical violence since age 15. served through RTP-supported sites, an increase from 9,112 during the first year of the project rights and has encouraged community leaders and community members (2012–2013). the MOHSW’s GBV curriculum. • There are strong linkages between GBV and sexual and reproductive health (SRH). Because to speak out against such crimes. This and other tools developed are • An additional 145 health authorities and managers received a two-day GBV/VAC orientation. victims of violence may not be able to negotiate use of condoms or other contraception, they • The majority of survivors (76%) received services. valuable assets in reversing societal norms that perpetuate violence. are particularly at risk of unintended pregnancies or sexually transmitted infections (STIs). • FP is integrated into the comprehensive package of services offered to each GBV client, • GBV services were integrated into other RCH services to reduce the Trainee follow-up, mentorship, and supportive supervision are conducted to ensure that services including providing their method of choice. number of visits needed. RTP supported training in comprehensive FP • The EngenderHealth-led RESPOND Tanzania Project (RTP) works in close collaboration with meet the national MOHSW standards. Tanzania’s Ministry of Health and Social Welfare (MOHSW) to contribute to curbing GBV and • From October 2013 to June 2015, 1,121 clients were discharged with an FP method, counseling to strengthen integration of FP into other services. Collection violence against children (VAC) and increasing the availability, quality, and utilization of GBV- including injectables, the pill, condoms, and (in the case of rape) emergency contraception. of forensic evidence in legal prosecution cases is still a challenge, as many Figure 2: Number of GBV/VAC-related referrals, by type, according to time period, Iringa and facilities lack essential equipment for collecting samples such as semen, in related health services. • From October 2013 to June 2015, 433 women received emergency contraception, 500 Njombe,1,200 July 2013–June 2015 cases of sexual violence. received postexposure prophylaxis, and 2,426 were tested for HIV (Figure 3). Some of the sexual assault survivors did not meet the medical eligibility criteria for emergency 1,000 • Multisectoral programming around GBV (which works with various sectors, PROGRAM INTERVENTION/ACTIVITY TESTED contraception or postexposure prophylaxis. such as law enforcement, policymakers, the health sector, women’s rights organizations, legal aid organizations, GBV response organizations, • RTP has been training service providers to screen GBV/VAC survivors by identifying key • The majority of cases observed were emotional violence (53%, N=13,917) and physical 800 and safe houses) has been shown to be a best practice in preventing indications of potential GBV and then providing clinical services, such as treatment for injuries, violence (39%, N=10,215); this is due to the awareness created in the community whereby and responding to GBV. This intervention could have benefited from a STI screening, and psychosocial assessment and counseling, including child-friendly services any form of violence is not tolerated, especially physical violence, and is now considered as a 600 stronger multisectoral approach. There are also insufficient social welfare and family planning (FP) counseling. Facilities are also linked to social, legal, and psychosocial violation of rights (Figure 1). Police officers and health service providers and not enough safe houses for GBV/ services. 400 Higher level facility VAC survivors. • Demand creation and community awareness are done by engaging Community Action Teams, Figure 1: Number of GBV/VAC survivors seen for various services, by type of service, according to • Referral linkages need to be strengthened to ensure that GBV/VAC who conduct community health talks and distribute GBV information pamphlets,and by time period, Iringa and Njombe, July 2013–June 2015 200 Legal aid survivors can get the social and medical services they need, including engaging service providers to conduct facility health talks. their FP method of choice. This involves partnering with local women’s 6,000 0 July–Sept. Oct.–Dec. Jan.–March April–June July–Sept. Oct.–Dec. Jan.–March April–June and legal community-based organizations, such as the National 2013 2013 2014 2014 2014 2014 2015 2015 METHODOLOGY 5,000 Organization for Legal Assistance, the Iringa Disabled Youth Development Cooperation, UMATI (the national IPPF affiliate), and Kiota Women’s • EngenderHealth has scaled up the total number of supported sites from 49 facilities in 2013 to 4,000 Figure 3: Number of clients receiving various services, by type of service, according to time Health and Development (Kiwohede). 121 facilities in 2015, including taking over sites in September 2013 that had been supported period, Iringa and Njombe, October 2013–June 2015 by another partner. Interventions were conducted in 10 districts in Iringa and Njombe 3,000 Neglect (VAC only) regions, in close collaboration with the national and local governments, and included partner 600 ACKNOWLEDGMENTS coordination annual meetings. 2,000 Sexual violence 500 RTP acknowledges the MOHSW collaborators at the zonal, regional, district, • EngenderHealth contributed to institutionalization of a GBV/VAC strategy through a number Emotional violence and facility levels, the generosity of the American People for their support of tools: a National GBV/VAC Training Curriculum for Health Care Providers and Social Welfare 1,000 400 through the U.S. Agency for International Development (USAID), GBV Officers developed by the MOHSW, in collaboration with Pathfinder International and the Physical violence 0 Emergency contraceptives implementing partners, and EngenderHealth colleagues. The contents of National GBV Technical Working Group (of which EngenderHealth is a member); a trainee 300 July–Sept. Oct.–Dec. Jan.–March April–June July–Sept. Oct.–Dec. Jan.–March April–June Postexposure prophylaxis this poster are the responsibility of EngenderHealth and do not necessarily follow-up tool; a nonclinical staff orientation tool for GBV/VAC; and a GBV/VAC orientation 2013 2013 2014 2014 2014 2014 2015 2015 reflect the views of USAID or of the U.S. government. package for local government leaders. 200 HIV testing • Community Health Management Teams (CHMTs) are supported to conduct quarterly supportive RTP supports service providers and social welfare officers to link clients to police, to higher 100 supervision visits to all districts, including routine data quality assessment. EngenderHealth • EngenderHealth, Inc., Plot #254, Mwai Kibaki Road/Kiko Avenue, PO Box level health facilities, or for legal aid. The greatest number of referrals were to the police, supported the MOHSW to develop such monitoring tools as a GBV client card, a client register, 78167, Dar es Salaam, Tanzania followed by referrals to higher health facilities and to legal aid. Some of the cases were 0 a tally sheet, and monthly summary forms. Service providers are trained on these tools, as well Oct.–Dec. Jan.–March April–June July–Sept. Oct.–Dec. Jan.–March April–June 2013 2014 2014 2014 2014 2015 2015 resolved at home and by local village leaders (Figure 2). 1 UNICEF Tanzania, U.S. Centers for Disease Control and Prevention (CDC), and Muhimbili University of Health and Allied as on the MOHSW’s District Health Information System. These tools were used to evaluate the Sciences. 2011. Violence against children in Tanzania: Findings from a national survey, 2009. Summary report on the prevalence project in terms of the number of clients reached and the quality of services. of sexual, physical and emotional violence, context of sexual violence, and health and behavioural consequences of violence experienced in childhood. Dar es Salaam. www.engenderhealth.org INTERNATIONAL CONFERENCE ON FAMILY PLANNING • NOVEMBER 2015.
Load more

Recommended publications
  • The Male Reproductive System
    Management of Men’s Reproductive 3 Health Problems Men’s Reproductive Health Curriculum Management of Men’s Reproductive 3 Health Problems © 2003 EngenderHealth. All rights reserved. 440 Ninth Avenue New York, NY 10001 U.S.A. Telephone: 212-561-8000 Fax: 212-561-8067 e-mail: [email protected] www.engenderhealth.org This publication was made possible, in part, through support provided by the Office of Population, U.S. Agency for International Development (USAID), under the terms of cooperative agreement HRN-A-00-98-00042-00. The opinions expressed herein are those of the publisher and do not necessarily reflect the views of USAID. Cover design: Virginia Taddoni ISBN 1-885063-45-8 Printed in the United States of America. Printed on recycled paper. Library of Congress Cataloging-in-Publication Data Men’s reproductive health curriculum : management of men’s reproductive health problems. p. ; cm. Companion v. to: Introduction to men’s reproductive health services, and: Counseling and communicating with men. Includes bibliographical references. ISBN 1-885063-45-8 1. Andrology. 2. Human reproduction. 3. Generative organs, Male--Diseases--Treatment. I. EngenderHealth (Firm) II. Counseling and communicating with men. III. Title: Introduction to men’s reproductive health services. [DNLM: 1. Genital Diseases, Male. 2. Physical Examination--methods. 3. Reproductive Health Services. WJ 700 M5483 2003] QP253.M465 2003 616.6’5--dc22 2003063056 Contents Acknowledgments v Introduction vii 1 Disorders of the Male Reproductive System 1.1 The Male
    [Show full text]
  • Reaching out to People Living with HIV/AIDS in India
    Spring 2006 United Nations Update Population Award Laureate Reaching Out to People Living with HIV/AIDS in India “The doctor was very loving and only 35,000 were receiving ART. patient. It’s rare to get doctors like Weak supply systems, prohibitive him. I have a lot of respect for him. costs, and lack of information He was not only my doctor, he was about HIV treatments all con- also my counselor—he helped me tribute to this treatment gap. Even disclose my status to my wife. Thanks people who receive ART face to him, I could counsel others who ongoing challenges due to side saw my side effects and were scared effects, a dearth of treatment to start ART (antiretroviral therapy).” information in local languages, —HIV-positive client and/or lack of support on how to manage treatment regimens. menting an integrated training With the second highest number The good news is that a nation- initiative that includes establish- of people living with HIV/AIDS in al effort is underway to address ing two Continuing Education the world after South Africa, India these issues. EngenderHealth’s and Training Centers (CETCs); is facing one of its biggest public India Office is part of a diverse these will serve as model training health challenges. India accounts consortium of local Indian non- centers for the consortium for nearly 10% of the 40 million governmental organizations throughout the six states. The people living with HIV/AIDS glob- (NGOs) working to improve the centers will also provide ongoing ally and more than 60% of the quality of care and support ser- training and support to providers 7.4 million such people in the vices for people taking ART.
    [Show full text]
  • Infection Prevention
    Infection Prevention A reference booklet for health care providers 2nd edition Infection Prevention A reference booklet for health care providers 2nd edition © 2011 EngenderHealth. All rights reserved. 440 Ninth Avenue New York, NY, 10001 U.S.A. Telephone: 212-561-8000 Fax: 212-561-8067 e-mail: [email protected] www.engenderhealth.org EngenderHealth works to improve the health and well-being of people in the poorest communities of the world. We do this by sharing our expertise in sexual and reproductive health and transforming the quality of health care. We promote gender equity, advocate for sound practices and policies, and inspire people to assert their rights to better, healthier lives. Working in partnership with local organizations, we adapt our work in response to local needs. The first edition of this publication was made possible by a grant from the Bill & Melinda Gates Foundation. EngenderHealth has taken all reasonable precautions to verify the information contained in this handbook. However, the material is provided on an “as is” basis, without warranty or condition, either expressed or implied. Responsibility for interpreting and using the information contained herein belongs to the reader alone; the publisher (EngenderHealth) is in no way liable for any loss or damage, of any kind, arising from its use. Printed in the United States of America. Printed on recycled paper. ISBN 978-1-885063-99-1 Suggested citation: EngenderHealth. 2011. Infection prevention: A reference booklet for health care providers, 2nd edition. New
    [Show full text]
  • SEED™ Assessment Guide for Family Planning Programming
    SEED™ Assessment Guide for Family Planning Programming SEED™ Assessment Guide for Family Planning Programming © 2011 EngenderHealth EngenderHealth 440 Ninth Avenue New York, NY 10001 U.S.A. Telephone: 212-561-8000 Fax: 212-561-8067 e-mail: [email protected] www.engenderhealth.org This publication was made possible through support provided by the F.M. Kirby Foundation. The opinions expressed herein are those of the publisher and do not necessarily reflect the views of the foundation. Cover design, graphic design, and typesetting: Weronika Murray and Tor de Vries Printing: Automated Graphic Systems ISBN 978-1-885063-97-7 Printed in the United States of America. Printed on recycled paper. Suggested citation: EngenderHealth. 2011. The SEED assessment guide for family planning programming. New York. Photo credits: M. Tuschman/EngenderHealth, A. Fiorente/EngenderHealth, C. Svingen/EngenderHealth. ii ContEntS Acknowledgments .................................................................................................................................. iv Acronyms and Abbreviations ................................................................................................................... v Introduction ................................................................................................................................. 2 EngenderHealth’s SEED Programming Model .......................................................................................... 3 How to Use This Assessment Guide........................................................................................................
    [Show full text]
  • Choices in Family Planning: Title Page/Contents/Acknowledgements
    Realizing Rights in Sexual and Reproductive Health Services Choices in Family Planning: Informed and Voluntary Decision Making © 2003 EngenderHealth. All rights reserved. 440 Ninth Avenue New York, NY 10001 U.S.A. Telephone: 212-561-8000 Fax: 212-561-8067 e-mail: [email protected] www.engenderhealth.org This publication was made possible, in part, through support provided by the Office of Population, U.S. Agency for International Development (AID), under the terms of cooperative agreement HRN-A-00-98-00042-00. The opinions expressed herein are those of the publisher and do not necessarily reflect the views of AID. ISBN 1-885063-33-4 Cover design: Virginia Taddoni Cover photo credits: UNICEF: Didier Bregnard; Hugo Hoogenboom; United Nations: John Isaac; United Nations Printing: Automated Graphic Systems, Inc. Printed in the United States of America. Printed on recycled paper. Library of Congress Cataloging-in-Publication Data Choices in family planning: informed and voluntary decision making: realizing rights in sexual and reproductive health services. p. cm. A “tool kit” which includes four sections: Introduction; Discussion guide; Preliminary assessment guide; Next steps guide. ISBN 1-885063-33-4 1. Birth control—Decision making. 2. Reproductive health—Decision making. 3. Contraception—Decision making. 4. Family size—Decision making. 5. Women— Health and hygiene. I. Title: Realizing rights in sexual and reproductive health services. II. EngenderHealth (Firm) HQ766.C52234 2002 304.6’66—dc21 2002192721 Contents Acknowledgments v Introduction
    [Show full text]
  • Choices in Family Planning: Informed and Voluntary Decision Making © 2003 Engenderhealth
    Realizing Rights in Sexual and Reproductive Health Services Choices in Family Planning: Informed and Voluntary Decision Making © 2003 EngenderHealth. All rights reserved. 440 Ninth Avenue New York, NY 10001 U.S.A. Telephone: 212-561-8000 Fax: 212-561-8067 e-mail: [email protected] www.engenderhealth.org This publication was made possible, in part, through support provided by the Office of Population, U.S. Agency for International Development (AID), under the terms of cooperative agreement HRN-A-00-98-00042-00. The opinions expressed herein are those of the publisher and do not necessarily reflect the views of AID. ISBN 1-885063-33-4 Cover design: Virginia Taddoni Cover photo credits: UNICEF: Didier Bregnard; Hugo Hoogenboom; United Nations: John Isaac; United Nations Printing: Automated Graphic Systems, Inc. Printed in the United States of America. Printed on recycled paper. Library of Congress Cataloging-in-Publication Data Choices in family planning: informed and voluntary decision making: realizing rights in sexual and reproductive health services. p. cm. A “tool kit” which includes four sections: Introduction; Discussion guide; Preliminary assessment guide; Next steps guide. ISBN 1-885063-33-4 1. Birth control—Decision making. 2. Reproductive health—Decision making. 3. Contraception—Decision making. 4. Family size—Decision making. 5. Women— Health and hygiene. I. Title: Realizing rights in sexual and reproductive health services. II. EngenderHealth (Firm) HQ766.C52234 2002 304.6’66—dc21 2002192721 Contents Acknowledgments v Introduction
    [Show full text]
  • Exploring the Human Resources for Health Landscape for Adult Male Circumcision Rollout in Four Districts in Nyanza Province, Kenya
    Exploring the Human Resources for Health Landscape for Adult Male Circumcision Rollout in Four Districts in Nyanza Province, Kenya By Paul Perchal, George Odingo, and Melinda Pavin © 2011 EngenderHealth. 440 Ninth Avenue New York, NY 10001 U.S.A. Telephone: 212-561-8000 Fax: 212-561-8067 e-mail: [email protected] www.engenderhealth.org This publication was prepared under a subagreement funded by FHI under Grant No. 47394, funded by the Bill & Melinda Gates Foundation. The content of this publication does not necessarily reflect the views, analysis, or policies of FHI or the Bill & Melinda Gates Foundation, nor does any mention of trade names, commercial products, or organizations imply endorsement by FHI or the Bill & Melinda Gates Foundation. Suggested citation: Perchal, P., Odingo, G., and Pavin, M . 2011. Exploring the human resources for health landscape for adult male circumcision rollout in four districts in Nyanza Province, Kenya. New York: EngenderHealth Photo credits: Cover and pp. 8, 11, and 39, Multy Media Agencies; p. 6, S. Odiwuor; p. 15, APHIA II/EngenderHealth CONTENTS 4 ACKNOWLEDGMENTS 5 ACRONYMS & ABBREViations 6 EXECUTIVE SUMMARY 10 BACKGROUND 12 OBJECTIVES & METHODOLOGY 16 FINDINGS • Desk Review • Facility Assessments • In-Depth Interviews • Focus Group Discussions 36 DISCUSSION • Human Resource and Training Gaps • HRH Strategies for Addressing Gaps • Barriers and Facilitating Factors 40 CONCLUSION & RECOMMENDations 43 REFERENCES ACKNOWLEDGMENTS EngenderHealth would like to thank the following people for their
    [Show full text]
  • Comprehensive Counseling for Reproductive Health—Participant’S Handbook © 2003 Engenderhealth
    From Comprehensive Counseling for Reproductive Health—Participant’s Handbook © 2003 EngenderHealth Appendix D HIV and STI Resource Materials What Are STIs and RTIs7 . 215 Seriousness of ST1/RTIComplications 216 Why ShouldReproductive Health Services Focus on RTIs and STIs7 217 SpecialConcerns for Women 219 Common STIs and RTIs 219 Critical Components of STJ and RTI Management 222 What Are HIV and AIDS7 224 How HIV Is Transmitted . 224 How HIV Is Not Transmitted . 225 Modes of Transmission 226 HIV Risk and Vulnerability 229 HIV Testing 232 EngenderHealth Comprehensive Counseling for Reproductive Health—Participant's Handbook 213 Appendix D What Are STIs and RTIs? Sexually transmitted infections (STIs)—also known as sexually transmitteddiseases (STDs)— are infectionspassed from person to person primarily by sexual contact. Some STIs can be passed to a baby during pregnancy, delivery, or breastfeeding, causing seri- ous complications. Some STIs, including human immunodeficiency virus (HIV), the virus that causes acquired immunodeficiencysyndrome (AIDS), can also be passed through unclean sur- gical instruments, injection needles, and skin-cutting tools, as well as through transfusions of infected blood. STIs are part of a broader group of infections known as reproductive tract infections (RTIs). RTIs include infectionsof the reproductive system that: • Are not caused by sexual contact, including infections caused by an imbalance of normal reproductive tract microorganisms (such as yeast infections) • Are acquired during medical procedures (often when there is a failure in aseptic technique) STIs can be divided into two broad categories: curable and incurable. • Curable STIs can be treated with medications, such as antibiotics or antimicrobials. These STIs include syphilis, gonorrhea, chlamydia, trichomonas, lymphogranuloma venereum (LGV), chancroid,granuloma inguinale, pubic lice, and scabies.
    [Show full text]
  • Participant Handbook
    Men’s Reproductive Health Curriculum Introduction to Men’s Reproductive Health Services— 1 Revised Edition 2008 EngenderHealth. All rights reserved. EngenderHealth 440 Ninth Avenue New York, NY 10001 U.S.A. Telephone: 212-561-8000 Fax: 212-561-8067 e-mail: [email protected] www.acquireproject.org This publication is made possible by the generous support of the American people through the Office of Population and Reproductive Health, U.S. Agency for International Development (USAID), under the terms of cooperative agreement GPO-A-00-03-00006-00. The contents are the responsibility of EngenderHealth and do not necessarily reflect the views of USAID or the United States Government. ISBN: 978-1-885063-72-4 Suggested citation: EngenderHealth. 2008. Introduction to men’s reproductive health services— Revised edition: Participant handbook. New York. Contents Acknowledgments ...........................................................................................................................v Introduction .................................................................................................................................. vii 1 Delivering Men’s Reproductive Health Services ...................................................................1.1 The Importance of Involving Men in Reproductive Health ...................................................... 1.1 The Range of Men’s Reproductive Health Services ..................................................................1.5 A Framework for Working with Men ........................................................................................1.9
    [Show full text]
  • Long-Acting and Permanent Contraception: an International Development, Service Delivery Perspective Roy Jacobstein, MPH, MD
    Long-Acting and Permanent Contraception: An International Development, Service Delivery Perspective Roy Jacobstein, MPH, MD Recent scientific findings about long-acting and permanent methods of contraception underscore their safety, effectiveness, and wide eligibility for individuals who desire them. This has led to new guidance from the World Health Organization to inform national policies, guidelines, and standards for service delivery. Although developing countries have made much progress in expanding the availability and use of family planning services, the need for effective contraception in general (and long-acting and permanent methods in particular) is large and growing because the largest cohorts in human history are entering their reproductive years. More than half a billion people will use contraception in developing countries (excluding China) by 2015, an increase of 200 million over levels of use in 2000. The health, development, and equity rationales that historically have underpinned and energized the international family planning effort remain valid and relevant today. Despite the other compelling challenges faced by the international health community, the need to make family planning services more widely available is pressing and should remain a priority. J Midwifery Womens Health 2007;52:361–367 © 2007 by the American College of Nurse- Midwives. keywords: contraception, female sterilization, implants, international family planning, IUDs, reproductive health, vasectomy, WHO Medical Eligibility Criteria INTRODUCTION of maternal mortality and an even greater risk of maternal morbidity. By contrast, women in developed countries Over the past four decades, the organized international face a lifetime risk of maternal death of one in 2800 family planning effort has made great progress in ex- 2 panding the availability and use of voluntary reproduc- (.035%).
    [Show full text]
  • Saving Lives: One New Mother at a Time
    o. 1 2012/N Uma-Shree Pal (right) with client, Rashida Begum, who survived after giving birth, because of misoprostol. IN THIS Saving Lives: One New Mother at a Time ISSUE As a young girl, Uma-Shree Pal dreamed of An estimated 85% of women in Bangladesh The Shang Ring being able to improve health for people in give birth in their homes without the her community. Helping to save mothers’ presence of a formally trained health Interview with lives during childbirth fits perfectly into her professional. Postpartum hemorrhage kills Pam Barnes childhood vision. so many new mothers in settings like this because without medical knowledge, it is New Board At age 35, Uma-Shree is now a government- difficult to tell the difference between normal Members trained field worker in the Tangail District of and excessive bleeding before it is too late— Bangladesh, working to distribute misoprostol, women often accept all postdelivery bleeding Empowering a drug that can prevent postpartum as normal, mistakenly thinking that it is Youth for a hemorrhage (PPH)—the leading cause of simply menstrual blood that built up for Healthy Life maternal death in the country and globally. nine months. “I wanted to serve my community,” said But a single dose of misoprostol, which Uma-Shree, mother of a 5-year-old boy. costs just 50 cents, can help prevent “That is what motivated me to help mothers women from dying needlessly. As part of an access the medicine and assistance they need EngenderHealth-led program, Uma-Shree to stay healthy.” works in four villages, home to 3,000 people continued on next page > www.engenderhealth.org > continued from front page and some 62 home births per year, to distribute a dose and nongovernmental organizations to distribute of misoprostol to pregnant women during their third misoprostol and ensure their appropriate use.
    [Show full text]
  • 2017 Impact Report President’S Message
    2017 IMPACT REPORT PRESIDENT’S MESSAGE We are living in a new reality. It’s the power of she. For nearly 75 years, EngenderHealth has Looking ahead, EngenderHealth is more been on the front lines fighting for women’s committed than ever to championing Ulla Müller with Khadija sexual and reproductive health and rights at all levels rights-based approaches to and her daughter at an across more than 110 countries. We have sexual and reproductive health, advancing tackled tough issues before and have knowledge and solutions to reach more EngenderHealth-supported weathered daunting political challenges women and girls, and expanding strategic site in Tanzania. and constrained funding climates. Yet today partnerships that will unleash women’s is different: Attacks on women’s sexual and and girls’ potential and ensure sustainable reproductive rights are unprecedented in development. As you will read in the stories scope and are growing. that follow, we are well on our way toward achieving our goals and forging a new This reality only fuels our resolve to work reality for women and girls everywhere. smarter and harder—we will not rest until sexual and reproductive rights are Thank you for your invaluable partnership respected as human rights, so that women and generous support to make this vision and girls have the freedom to reach their a reality. full potential. Because when a woman can access contraception and the full spectrum of sexual and reproductive health services, including safe abortion, she can determine the course of her future. She will be healthier, is more likely to finish her Ulla E.
    [Show full text]