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Shocking – In 4.5 hrs 60 women sterilised under Mobile and Torch light in Azamgarh #Vaw #WTFnews

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Another Shocking incident of using a  torch light , even a mobile flash do the Sterilisation!!!

60 women sterilised in  4 hours

 

On an average 4.5 minute per sterilisation

 

The sterilisation operation as done with torchlight and mobile light.

 

No lessons learnt fro chhattisgarh and jharkhand sterilisation deaths 

 Just a few months ago, In  Chhattisgarh ddozens of women after sterilization lost their lives . Claiming to provide adequate health department on Friday Martinganj Azamgarh district in the four-hour operation, 60 women did.

 

The hospital was not lit in the evening  and thet doctors surgery started on mobile light . Martinganj district sterilization camp was held on Friday in the block. 60 women had registered for the sterilization cap .  A team of doctors led by  Dr S P Tiwari arrived at 3.30 p.m. Martinganj block operation began after 8 pm the night .

There was no provision in the light of the hospital. The evening came for sterilization of women highlighted the torch and mobile operation, then the doctor. The Department of Health is beating Didora of adequate sterilization camp. When he spoke to Martinganj medical charge DHANNANJAY Singh said  the electric power  was being uSed to cool the mobile  vaccines. and  the present time there is no light. Later,  IT will be restored.

 

Under the Central  National Rural Health Plan  all the  health centers have been equipped with all facilities including electricity . Yet women’s lives are at stake physician and administrator.  The four and half hour operation is  life threatening for the women. The most important thing is that the hospital is not adequate beds. The medical team was so fast that he made a sterilization just 45 minutes.

A medical team of the Central Government in accordance with the  rules standards  can conduct not moe than 30 surgeries in a day

In januray  2015 , A number of women operated for sterilization were left unattended on the hospital floor in cold weather at Rahul Sankritayan District Women Hospital in Azamgarh
A vasectomy camp was organised at the hospital, where 45 women were operated.

It exposed the reality of medical facilities in Mulayam Singh Yadav’s constituency.

Medical superintendent, Dr Amita Agrawal said that there were only eight beds in the hospital and expressed inability to provide bed to these women.

 

आजमगढ़ में मोबाइल की रोशनी में हुआ नसबंदी का आपरेशन चार घंटे में 60 महिलाओं का किया आपरेशन महिलाओं की जिन्दगी से खेल रहा स्वास्थ्य विभाग ४.५ मिनट में हुआ एक की नसबंदी नसबंदी में लापरवाही से हो चुकी हैं कई मौतें आजमगढ़। महिलाओं की नसबंदी में हो चुकी मौतों से स्वास्थ्य विभाग कोई सबक नहीं ले रहा है।

अभी कुछ माह पूर्व ही छत्तीसगढ़ विलासपुर जनपद के तखतपुर ब्लाक में दर्जनों महिलाएं नसबंदी कराने के बाद काल के गाल में समा गयीं। समुचित व्यवस्था देने का दावा करने वाला स्वास्थ्य विभाग शुक्रवार को आजमगढ़ जनपद के मार्टिनगंज में साढ़े चार घंटे में 60 महिलाओं का आपरेशन कर दिया। अस्पताल में रोशनी की व्यवस्था नही थी तो शाम होते ही चिकित्सकों ने मोबाइल की रोशनी में सर्जरी शुरु कर दी। जनपद के मार्टिनगंज ब्लाक में शुक्रवार को नसबंदी शिविर का आयोजन किया गया था।

इसमें नसबंदी के लिए 60 महिलाओं का पंजीयन हुआ था। डा.एसपी तिवारी के नेतृत्व में चिकित्सकों की टीम अपराह्न 3.30 बजे मार्टिनगंज ब्लाक पर पहुंची उसके बाद आपरेशन शुरु हुआ जो रात करीब 8 बजे तक चला। अस्पताल में रोशनी की कोई व्यवस्था नहीं थी। शाम होते ही नसबंदी के लिए आयी महिलाओं पर जब टार्च व मोबाइल से रोशनी डाली गई तो चिकित्सक ने आपरेशन किया। स्वास्थ्य विभाग नसबंदी शिविर में समुचित व्यवस्था का ढिढोरा पीटता रहा है। जब मार्टिनगंज चिकित्सा प्रभारी डा.धनन्जय सिंह से बात हुई तो उन्होंने कहा कि मोबाइल वैक्सीन को ठंडा करने के लिए बिजली की व्यवस्था है। वर्तमान समय में यहां रोशनी नहीं है। बाद में ठीक करा दिया जायेगा। केंद्र सरकार की योजना राष्ट्रीय ग्रामीण स्वास्थ्य योजना के तहत जनपद के वि•िान्न स्वास्थ्य केंद्रों को सभी सुविधाओं से युक्त किया गया है। इसके बावजूद महिलाओं की जिन्दगी चिकित्सक और व्यवस्थापक दाव पर लगा रहे हैं। साढेÞ चार घंटे में 60 आपरेशन मूलभूत सुविधाओं के अभाव में करना जोखिम भरा कदम है।

सबसे अहम बात यह है कि अस्पताल में पर्याप्त मात्रा में बेड भी नहीं है। इस मेडिकल टीम को इस कदर जल्दी थी कि उसने एक नसबंदी में महज 4.5 मिनट ही लगाये। केंद्र सरकार के मानकों के अनुसार एक मेडिकल टीम एक दिन में महज 30 सर्जरी कर सकती है लेकिन यहां तो एक अकेले डाक्टर ने ही 60 महिलाओं की नसबंदी कर डाली । भ ले ही महिलाओं की जान जोखिम में पड़ी रही।

Reported in Amar Ujwala newspaper click below

Amar Uajala-Varanasi-Azamgarh, 28-2-15, pg. 2

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Karnataka State launches Health Adalat

It will address health issues at the grassroots

HEALTHJSA
Karnataka became the first State in the country to launch a Health Adalat on Tuesday to address health issues at the grassroots and ensure all health facilities extended by the government reached all sections of society.

Health and Family Welfare Minister U.T. Khader, who launched the adalat here, heard people on the problems they encountered in obtaining facilities in government hospitals and also availing themselves of benefits under other programmes.

Mr. Khader said that the State government thought of launching the adalat following complaints voiced in the media by the public about the lack of facilities in government hospitals.

The move was also aimed at narrowing the gap between the Health Department and the elected representatives who function as a bridge between the government and the people. “The adalat will also provide an opportunity to health officials to introspect on the implementation of government programmes,” he added.

Mr. Khader said that several programmes, including the school health programme under which doctors should regularly visit schools to assess the health status of all children, are not known to the people. Under the programme, if schoolchildren require medical care, they should be referred to a government hospital and provided free treatment. Every school should have a health card for every one of their students.

Chincholi MLA Umesh Jadav and elected representatives from the Gulbarga Zilla Panchayat, including Leader of Opposition Sanjeev Yakapur, complained that none of the government programmes have been given any publicity and that they were not aware of school health programme. Taking exception to the functioning of the Health and Family Welfare Department, Mr. Khader pulled up the officials in-charge of the school health programme and directed the department to hold a workshop for elected representatives and provide them with details of all government programmes.

When representatives of different organisations and the people complained about the shortage of doctors and lack of treatment facilities in health centres and hospitals, the Minister said that the Health and Family Welfare Department should organise taluk-level health camps to extend the benefits of the Vajpayee Arogyashree programme to the needy.

http://www.thehindu.com/todays-paper/tp-national/tp-karnataka/karnataka-launches-health-adalat/article6374691.ece

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Right to dignity – barriers to healthcare for transgenders

BANGKOK, 14 August 2014 (IRIN) – Dorian Wilde, 26, an activist from Malaysia, was thrilled to be invited to the 2014 World Professional Association of Transgender Health (WPATH) symposium in Bangkok, but his journey to Thailand was fraught. His experience is not unique – to him, to Malaysia, or to air travel. Transgender people everywhere face extraordinary barriers when attempting to access services, including the most essential, such as healthcare.

“At nearly every stage of the process I got questioned as if I was a fraud,” he told IRIN. “‘Is this really you? Are you sure?’ official after official asked me.” Wilde, a transgender man, carries documents listing him as a female, the sex he was assigned at birth. “The travel agent put my birth name and gender on the plane ticket,” he sighed.

From being labelled as having a disorder to shouldering the burden of some of the highest rates of violence and HIV infection in the world, the perils of daily life for transgender people are multi-layered and can inflict substantial harm, experts and activists say.

Laxmi Narrain Tripathi, an activist who worked on a 2014 landmarktransgender rights case in India’s Supreme Court, commented: “We even struggle to access information about our own health because so many of us are economically marginalized and uneducated.”

“Trans people face stigma and discrimination and harassment in healthcare, and so do providers,” said Walter Bockting, a professor of medical psychology at Columbia University in New York City. “We need to strategically support providers working with transgender people, many of whom struggle bravely to do this work and expand its reach.”

Research focusing on the experiences of transgender people is exposing disturbing levels of violence and discrimination. The Trans Murder Monitoring Project documented 1,123 reported killings of trans people in 57 countries worldwide from 1 January 2008 to 31 December 2012, but under-reporting is likely. According to the Joint United Nations Programme on HIV and AIDS (UNAIDS), transgender women are over 50 times more likely to acquire HIV than the general population.

The barriers to dignified access to healthcare are legal, societal, and logistical. Documents do not match appearance, services are sometimes economically out of reach, and the provision of care can be imperilled by untrained providers and even threats against those who try to provide it. Experts and activists say equitable access to healthcare underpins the realization of other human rights for transgender people. And it all begins with the messy politics of diagnosis.

Pathology and empowerment

“No one’s identity is a disorder. When we are talking about [the] mental health problems many transgender people experience, we are not referring to ‘gender dysphoria’ [feeling an emotional and psychological identity as male or female opposite to one’s biological sex] or any other trans-specific diagnosis,” said Lin Frazer, president of WPATH. “We are talking about [the] mental health problems they suffer due to stigma and lack of access to services… It’s not inherently pathological to be gender non-conforming or transgender.”

The UN World Health Organization (WHO) International Classification of Diseases, version 10 (ICD-10), generally accepted as the standard definition of health conditions, is under revision and “Significant changes in the classification of gender identity and conditions related to sexuality have been proposed.” WPATH has been spearheading a campaign to move “gender incongruence” categories out of the Mental and Behavioural Disorders chapter and into a more respectful and less pathological place in version 11.

“WPATH has been. [talking to] the WHO to consult on the ICD-11 revisions (to be published in 2017),” said Gail Knudson, WPATH’s secretary-treasurer and medical director of the Transgender Health Program at Vancouver Coastal Health in Canada. “Transgenderism will likely be called ‘gender incongruence’, and not be located in the section on mental disorders.”

The goal is to erode the pathology stigma associated with transgender people, while maintaining the possibility of a medical designation so that those who need to access gender transition-related health services and insurance can do so.

“For some transgender people at a particular point in their lives, in some parts of the world, having a diagnosis can be important – it allows them to access care, get reimbursed for care, and achieve the changes they want,” Bockting said.

Justus Eisfeld, co-director of Global Action for Trans Equality (GATE), said: “WHO will move trans people out of the disorders section… so it’s not as stigmatizing, but trans people can still access medical care through the classification if they want and need it.”

The pathways to accessing gender transition-related and general healthcare are often barred by the limited access to documentation transgender people experience almost everywhere. “I do not suffer from gender dysphoria, I suffer from bureaucratic dysphoria,” one trans person told a United States court.

Unofficial people 

“At the doctor’s office, I register, I sit there, and then. I hear a call for ‘Ms. Eisfeld’ to come in because maybe my ID document still lists me as a woman, not a trans man, and the receptionist just wrote down what was there. When trans people attempt to access a healthcare facility, the first stumbling block is the receptionist,” Eisfeld said.

The Global Commission on HIV and the Law noted in its 2012 report: “The denial of papers is one of the most concrete bureaucratic means by which the law erases the personhood of the transgendered.”

Paisley Currah, a professor of political science at the City University of New York, has researched how government agencies define gender. “The immense number of state actors defining sex ensnares. [transgender people] in a Kafkaesque web of official identity contradiction and chaos,” he noted in a 2011 paper.

A 2014 film by the Open Society Foundations (OSF) showed that documentation with one’s proper gender is essential, echoing research by theCentre for American Progress and Human Rights Watch (HRW). Legal victories around the world, including in ArgentinaIndiaPakistan, and Nepal, demonstrate some progress in making documentation available for transgender people.

The UN International Civil Aviation Organization (ICAO) regulations allow mandates that all international travel documents, such as passports, list sex as F for female, M for male, or X for unspecified.

Nonetheless, a 2013 report on transgender healthcare issues by OSF noted that “bias against trans people is embedded in policies and practices that structure many of the routine activities of daily life, such as forming a family, obtaining an identity document, using a public restroom, having a job, accessing health care, or even walking down the street.”

“Bias against trans people is embedded in policies and practices that structure many of the routine activities of daily life, such as forming a family, obtaining an identity document, using a public restroom, having a job… or even walking down the street.”

Laws can sometimes fuel violent aggression. In Kuwait anyone found “imitating the opposite sex in any way” faces a year in prison, a substantial fine or both. In Malaysia activists have challenged laws that mean “transgender women face a daily risk of arrest just for being themselves”, according to HRW.

The Global Commission on HIV and the Law says repressive legal environments such as censorship laws go beyond the lack of. [proper] documents and include laws that criminalize male-to-male sex (which affect transgender women who retain legal identity as male) and either allow police to target, abuse and arrest transgender people or turn a blind eye when they do, encouraging impunity. Restrictive NGO registration policies can be just as exclusionary.

Care in crisis 

Even when transgender people can access healthcare, practitioners are not always informed or amenable. “I’ve met some doctors who… want to provide care for transgender people, but even if they are scientifically interested or. see it as part of their duty… they are scared of the social consequences,” said Malaysian activist Wilde.

Natt Kraipet, coordinator of the Bangkok-based Asia-Pacific Transgender Network (APTN) commented: “The care isn’t particularly good. Generalists tend to not know much about our healthcare needs. They don’t know where to send us – the male or female ward.”

The UNAIDS regional director for Asia-Pacific, Steve Kraus, noted that “Specific services for transgender people. [are] practically non-existent, particularly in resource-poor settings. Even in so-called sophisticated settings, people are generally receiving surgery, hormones, implants, but… [not] advice, counselling, psycho-social support… [which] increases vulnerability to HIV and other issues.”

The learning curve for healthcare professionals is not steep. OSF researchers found that “Many of the services trans people need to stay healthy and to transition to whatever degree is appropriate for them… are routinely provided to non-trans people.”

Bockting said many general healthcare providers have a “keen scientific interest” in transgender healthcare issues. However, “When doctors and nurses learn about all the hardships… the barriers for the communities… for their own interventions, including the legal limits of what they can do for a patient, there is a degree of outrage and frustration among providers who are committed to healthcare. [and] learning about transgender issues. for the first time.”

The socio-economic barriers to care are often a huge hurdle, especially when there are so few caregivers. “The gap between transgender healthcare specialists and transgender people is enormous. It’s too expensive and specialized,” said APTN’s Kraipet.

Indian activist Tripathi commented: “Even WPATH is too elite for most of my hijaras [people assigned male at birth with feminine identity and appearance, sometimes called transgender women]. These experts who have their fancy meetings to talk about us and our needs – they should be with us. see how we live.”

Cianan Russell, a Bangkok-based activist, stressed that care should not only focus on interventions such as genital surgery. “In situations where there is weak mental health infrastructure coupled with easy access to medical interventions, you can walk into a clinic and say, ‘I want this operation done to my body’. If you have money, it gets done and you go home, but there’s no counselling or follow up.”

Labels and assumptions

Using identity terms in policies, protocols, and programmes can be confusing and contested. The Yogyakarta Principles cemented the right to self-identify one’s own gender, but listed no terms.

“Transgender” has become an umbrella term for people with gender-variant identities, but it is not universally accepted, and the terms people choose can have powerful impacts.

An analysis of US-based survey data for 2008 showed that transgender respondents who chose to write in their own gender identity term instead of choosing one of the listed options “have significantly higher educational attainment than their peers who did not write in their gender, [but are] living in the lowest household income category at a much higher rate than those who did not write in their gender.”

Nearly 75 percent of respondents who chose their own identity term were assigned female at birth but put their identity on the “transmasculine spectrum”, pointing to a blind spot of knowledge about transgender men.

Kraus of UNAIDS cautions that “we should not make assumptions about the sexual preferences or identity of transgender women or. men, and this is precisely why more. research is needed, led by transgender people.”

Many HIV interventions have traditionally used “transgender” to refer to male-to-female transgender people because they represent an at-risk population, but Kraus said, “The term transgender does not apply to transgender women only, and HIV and other health issues affect both transgender men and women.”

Wilde, who has published videos of his transition process online, pointed out that “When you lump trans-men together with trans-women, it’s lumping completely different issues and experiences under one heading, which is harmful. It will make our [transgender men’s] visibility and attempts to gain visibility even more difficult in the future because people will say, ‘You already have your own data category’.”

Assuming that the sexual behaviours of transgender men mirror those of lesbian women can also cause harm. “It’s a dangerous assumption that the type of sex trans men are having is low-risk, lesbian-like sex,” Russell said, adding that exclusion from research and outreach can fuel the idea that healthcare access is not an option for trans-men.

Eisfeld commented: “The subconscious mechanisms of exclusion that are ingrained in us… require conscious efforts to be undone.”

Read more here – http://www.irinnews.org/report/100488/right-to-dignity-barriers-to-healthcare-for-transgenders

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MDG Report 2014: India among worst performers in poverty reduction, maternal death and sanitation

Author(s): Moushumi Sharma 
Date:Jul 9, 2014

Report shows good progress in areas like poverty alleviation and access to clean water and controlling diseases like TB, Malaria

imageSome MDG targets, such as increasing access to sanitation and reducing child and maternal mortality are unlikely to be met before the deadline

The United Nations (UN) released this week the Millennium Development Goals (MDG) Report, 2014. The report, launched by UN secretary-general Ban Ki-moon, says that many of the development goals have been met or are within reach by 2015.

The report is the latest finding to assess the regional progress towards the eight developmental goals that the UN targets to achieve by 2015, including eradication of extreme poverty and hunger, achieving universal primary education, promoting gender equality and women empowerment, reducing child mortality, improving maternal health, combating HIV/AIDS, malaria and other diseases, ensuring environmental sustainability and developing a global partnership for development.

Progress slow but target possible
Ban Ki-moon has lauded the progress so far, saying that many global MDG targets have already been met. The report states that extreme poverty in the world has reduced by half; over 2.3 million people gained access to clean drinking water between 1990 and 2012; gender disparities in school enrollment in developing nations have been eliminated to a large extent; and political participation of women has increased. The report maintains that if the current trend of progress continues, the world might surpass MDG targets on malaria, tuberculosis and access to HIV treatment. An estimated 3.3 million deaths from malaria could be averted between 2000 and 2012 due to substantial expansion of malaria intervention programmes, while intensive efforts to fight tuberculosis have saved an estimated 22 million lives worldwide since 1995.

But it is too soon to celebrate. According to the report, some MDG targets, such as reducing child and maternal mortality and increasing access to sanitation, are unlikely to be met before the deadline.

India’s dismal performance
India’s progress has been below the mark on the parameters of poverty, child and maternal mortality and access to improved sanitation. In 2010, one-third of the world’s 1.2 billion extremely poor (32.9 per cent) lived in India alone. The poverty figures for the same year for Nigeria and Bangladesh, two countries less developed than India, were 8.9 per cent and 5.3 per cent respectively.

A recent study by an international non-profit ranked India 137th among 178 countries when it comes to maternal and child health, categorising the country among the worst performers (Read: India among worst performers in maternal and child health). The UN report states that India had the highest number of under-five deaths in the world in 2012, with 1.4 million children in the country dying before age five. This is shameful when one takes into account notable reductions in the under-five mortality rate since 1990 and particularly since 2000 in low-income countries such as Bangladesh, Ethiopia, Malawi, Nepal, Niger, Rwanda, Uganda and the United Republic of Tanzania.

While the global maternal mortality ratio (MMR) dropped by 45 per cent between 1990 and 2013, India still accounts for 17 per cent of maternal deaths. India’s MMR target for 2015 is to bring down maternal mortality to less than 109 deaths per 100,000 live births. But only three states—Kerala, Tamil Nadu and Maharashtra—have so far been successful in reaching this target (Read: India nowhere near millennium goal for maternal mortality.

The UN report further states that MMR in developing regions—230 maternal deaths per 100,000 live births in 2013—was 14 times higher than that of developed regions, which recorded only 16 maternal deaths per 100,000 live births in the same year. It maintains that the best possible way of reducing neonatal mortality is through greater investment in maternal care during the first 24 hours after birth.

Scourge of open defecation
Between 1990 and 2012, two billion people worldwide gained access to improved sanitation, but a billion people still defecate in the open. A vast majority of the world’s population—82 per cent—resorting to open defecation live in middle-income, populous countries like India and Nigeria.

Official data on open defecation in India will put any country to shame. The country has the world’s largest population that defecates in the open. (Read: Mission possible. According to data released by the National Sample Survey Office in December 2013, 59.4 per cent of the rural population resorted to open defecation. 2011 Census figures put the number of rural houses without toilets at 113 million.

To make matters worse for the country’s reputation, a recent study conducted by the Research Institute for Compassionate Economics, Uttar Pradesh, claims that in 40 per cent of rural households in Bihar, Madhya Pradesh, Uttar Pradesh, Haryana and Rajasthan, which have a functional toilet, at least one member chose to defecate in the open. At least 30 per cent of the world’s population, which defecates in the open, live in these five states alone (Read: Despite having toilets at home, many in rural India choose to defecate in open.

Hope for the future
Presenting the report, Ban Ki-moon said that the world is “at a historic juncture, with several milestones before us”. He underscored that the report makes clear “the MDGs have helped unite, inspire and transform…and the combined action of governments, the international community, civil society and the private sector can make a difference”. “Our efforts to achieve the MDGs are critical to building a solid foundation for development beyond 2015. At the same time, we must aim for a strong successor framework to attend to unfinished business and address areas not covered by the eight MDGs,” the UN chief said.

Read mor where- http://www.downtoearth.org.in/content/mdg-report-2014-india-among-worst-performers-poverty-reduction-maternal-death-and-sanitation

 

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Open Letter to Health Minister – Sex and Those Oh So Elusive “Indian Values”

harshvardhan_sex_education_bee

Dear Dr Harsh Vardhan,

This is to say I feel for your cause, and how difficult it must be to tackle such a grave problem in a difficult country such as ours. After all, which country wants an AIDS epidemic? And look at how everyone, including the WHO, is struggling worldwide. And after all, what have they managed thus far save feebly suggest that safe sex, or condom use, may be one way out of this global crisis. You on the other hand have made a grand, and bold, move in suggesting that the solution lies in a return to “Indian culture”, and in discontinuing sex education in schools (not that too many probably have it). Excellent! I have been wondering how you would go about it, and how this unique initiative would be actualised. And I realised, to my great horror, that you may run into some severe difficulties here. So in order to be of some help, I began to do a spot of research that could be of use, and what I’ve been coming up with, well, is very worrisome….

Now at the outset, I presume, by “Indian culture” you mean all things Hindu. Naturally. But where does one turn? I mean, look at that most favourite of Indian gods, Krishna! Fun loving chap, but not exactly the one we can turn to, can we, in this dark hour of need? Cavorting with all the village belles, running off with their clothes, for god’s sakes, and what is worse, seems to have cultivated quite a jolly little harem. Eight official wives, and many unnamed junior queens it seems…Don’t get me wrong, I too think that must have been fun (for him, and hopefully them) but not quite what we are looking for here, is it? I began flipping through other useful sources, and all I keep coming encountering are our cultural stumbling blocks. Look at our texts, or temples – all of them seem to be worshipping not merely the body beautiful, but revelling quite openly in its erotic possibilities. Tauba, tauba….But then kama, desire, is meant to lead us to moksha, right? Born out of the interaction with atman, buddhi, and manaskama they say is the fourth principle of the human constitution. These Ancients, I tell you! And that redoubtable sex manual, Kamasutra; well that was written by none other than that venerable sage, Vatsyayana. In sheer despair, I thought I should turn from texts to places of worship. Now one would imagine that at least the temples would be free of such defiling thoughts – but no! You wander down, from north to south, and do I dare tell you this – these places are replete with erotic sculptures – from just ordinary, rather boring, coupling to contortionists, multiplicists, and dear dear, the cult of bestiality. And what does one do with those temples devoted to genitalia – lingams and yonis  – and crowds thronging to not just worship, but actually look at all this!  I can tell you this honestly; by this stage of my research my head had begun to spin. What was “Indian culture” I asked? What were our values? Didn’t Indians think of anything but sex? I mean, look at those more austere Christians with their well grounded beliefs in monogamy, reproduction oriented sexuality, and a life focused on service of God, and the poor. Hey, not saying we should emulate them; not quite “Indian” are they? Or indeed, the polygynous Muslims. But you know what, Dr Harsh Vardhan? The supposed four wife formula for Muslim men is actually four less than the prescribed numbers of lovers for those dreadfully oversexed Nayar women! Eight men, at any given time, for those polyandroussavarna nymphomaniacs……terrible!

I was distressed, discovering all this, and wondered what you must be going through. Such a difficult time, this! At least we have that wonderful custodian of Truth, Mr D Batra, coming to our aid now. But what do we do with all these grievous things of the past? How do we ban, erase, suppress, repress, this history of Indian “cultural values”, this profusion of kama? What’s worse, it seems to be going strong even today – look at our ever-growing numbers! True, publically we could blame Muslims, homosexuals, transgenders and any other “deviant” group for the ills of the nation, but privately? We know that its our own Hindu majority, with its long historic tradition in sexual celebration that is breeding like rabbits. Inside their happy marital homes, on those ever so active marital beds, Indians are going at it, relentlessly. Those bonny Indian babies aren’t being made by the deviants, though some, poor things, may contribute a few to our numbers! It’s the straight and narrow that has kept this hallowed Indian tradition – from Kamasutra to continuous copulation – alive. And sex, as we know Dr Harsh Vardhan, is the dreaded root of sex based diseases…..

What an awful predicament; I do feel for you! Personally, I’d suggest a small compromise for the moment; until the tide turns, why don’t we just stick to those boring old condoms, and the odd sex-ed class or two? May just help us get past the initial stages. We can then devise some other clever stratagem, rooted naturally in “Indian values”, to take us further in this battle against immorality, corruption, and all similar evils that dog Indian society today.

Yours respectfully,

I remain,

Your Concerned Well Wisher

| G Arunima

http://31.media.tumblr.com/tumblr_m41ihfmtSx1ruq5t7o1_1280.jpg (yoni temple; kamakhya)

http://www.kamat.com/kalranga/tantra/lingam/3535.htm (lingam worship)

http://indian.culturextourism.com/sculptured-erotic-art-of-khajuraho-temples/ (khajuraho)

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The State of the World’s Midwifery (SoWMy) 2014 #healthcare #womenrights

maternal

 

The State of the World’s Midwifery (SoWMy) 2014 presents findings on midwifery from 73 low and middle- income countries. The report, produced by UNFPA, the International Confederation of Midwives (ICM), the World Health Organization (WHO) and several other partners, shows the progress and trends that have taken place since the inaugural 2011 edition, and also identifies the barriers and challenges to future progress. The report focuses on the urgent need to improve the availability, accessibility, acceptability and quality of midwifery services. Despite a steady drop in maternal and newborn deaths since 1990, hundreds of thousands of women and newborns continue to die each year during pregnancy and childbirth: An estimated 289,000 women and about 3 million newborn babies died in 2013 alone. The vast majority lost their lives due to complications and illnesses that could have been prevented with proper antenatal care and the presence of a skilled midwife during delivery.

FULL REPORT DOWNLOAD HERE

MATERNALHEALTH

MATERNALHEALTH

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Sexual violence soars in South Sudan #Vaw

South Sudan’s ongoing violence puts women at risk of sexual and gender based violence.

JUBA, 13 May 2014 (IRIN) – Sexual and gender-based violence might not be a new phenomenon in South Sudan, but the current crisis and the near absence of protection for civilians has exacerbated it, analysts say.

“We do know that it [sexual and gender-based violence] is a major issue. Even though many victims of sexual violence do not report their ordeal because of the stigma that it carries, wherever we went we met women and girls who told us that they had been raped by either government or opposition forces,” Donatella Rovera, senior crisis response adviser at Amnesty International, told IRIN.

On 8 May, Amnesty International released a report in which it documented atrocities committed against civilians, including rape and sexual violence, by the two warring parties in South Sudan’s five-month old conflict.

“The current militarized environment, where armed men are ubiquitous and civilian law enforcement is virtually absent, places women and girls at a heightened risk of sexual violence. Persistent reports of sexual violence perpetrated by both government and opposition forces strongly indicate that conflict-related sexual violence is widespread,” Amnesty International said in its report.

“We received testimonies from women and girls victims of sexual violence from all the main conflict-affected areas: Juba and areas in Unity, Jonglei and Upper Nile states,” Amnesty International’s Rovera, told IRIN.

In its report, also released on 8 May, the UN Mission in South Sudan (UNMISS) noted that the “conflict has exacerbated the vulnerability of women and children in South Sudan to sexual violence.”

In the report, UNMISS said: “All parties to the conflict have committed acts of rape and other forms of sexual violence against women of different ethnic groups. Credible information suggests that sexual violence took place in connection with the occurrence of human rights and humanitarian law violations before, during, and after heavy fighting, shelling, looting, and house searches.”

It added: “Women of nationalities of neighboring countries were also targeted. The forms of sexual violence used during the conflict include rape, sometimes with an object (guns or bullets), gang-rape, abduction and sexual slavery, and forced abortion. In some instances, women’s bodies were mutilated and, in at least one instance, women were forced to go outside of their homes naked.”

In Central Equatoria State, for instance, UNMISS reported that sexual violence increased during “the days following 15 December. At least 27 incidents were documented, of which 22 incidents were attributed to Government security forces and mainly to the SPLA [Sudan People’s Liberation Army]. These include 14 incidents of rape and gang-rape, one attempted rape and four cases of sexual slavery…

“For example, in the days following 15 December, Nuer women were stopped in a street of Juba by SPLA soldiers and taken to unknown places. They were then assigned to soldiers who repeatedly raped them. In some instances, survivors were subsequently taken as `wives’ by the soldiers. On 16 December, three girls under 18 years old were gang-raped by SPLA soldiers when they broke into their house and found them alone.”

Testimony

Monica*, a 27-year-old mother of six, lies on a bed inside a makeshift tent in a protection of civilians camp in Tomping as she recounts how she was repeatedly raped in Gudele, a densely populated area in the capital, by suspected government troops. Just a few hours after the violence began; troops loyal to the government overran parts of Juba, shooting indiscriminately at civilians, leaving many dead and thousands more injured. Monica’s 35-year-old husband was among those killed in the attacks.

“They came and kicked our door and got in and they hit us with gun butts and told us to lie down. They were asking my husband about guns but he didn’t have any. They wanted to know our ethnicity too. They raped me – each of them. I don’t know how many they were. They then killed my husband,” Monica told IRIN.

She was five months pregnant when the rape happened. Three months later, she lost her pregnancy. Monica is still too afraid to return home despite Juba experiencing some relative peace.

“I don’t want to go back now. It is scary for me what I went through. Now you can see I’m sick. I don’t how to start when I go back and I’m not sure this [the rape ordeal] will not happen again,” she said.

Photo: IRIN
Outside the camps, women are often attacked at places like water collection points or when they venture into the forests to look for firewood.

Alcohol and drug abuse

Even those sheltered in UN bases are not safe. A camp manager in Tomping anonymously told IRIN of cases where women are reportedly harassed.

“Women and girls are harassed at night. Many are even too fearful to bathe at night or go out to the toilet. Those women who are living alone are constantly harassed by young men here. It is big problem,” he said.

He added that alcohol and drug abuse had made cases of sexual harassment in the camps even worse.

“The men and boys here have nothing to do and they get alcohol. When they take alcohol or abuse other drugs, they become unruly. Husbands are abusing their wives, and girls are constantly chased in the dark. You can hear noises and screams at night.”

According to the UN Population Fund (UNFPA), an estimated 10,000 displaced women and girls who are currently living in areas which are inaccessible to aid organizations are at risk of sexual violence.

“There is need to put more attention on the protection of displaced populations. Unless this can be done, the number of women and girls facing sexual violence could increase considerably due to high insecurity and the loss of community protection mechanisms as a result of the conflict. We have reports of women and girls being raped when they go out to look for food or firewood,” Julitta Onabanjo, UNFPA regional director, told IRIN.

Aid workers told IRIN that fear to report rape within the community, and insecurity, had made it even harder to reach or treat survivors.

“It is even harder to reach those women and girls who have been raped and are living outside the camps. But here in the camp, at least we have a few trusted community volunteers who have been able to refer cases to us and we counsel and where possible, we treat survivors,” an aid worker who preferred anonymty , told IRIN from a temporary camp in Awerial County in Lakes State.

UNFPA said: “Awareness of the benefits of early reporting of rape cases is still low among community members, and often cases are reported well after the 72 hours required for administering lifesaving treatments such as antiretrovirals and emergency contraception.”

Amnesty’s Rovera said: “There are NGOs which are providing medical and psycho-social assistance to those survivors of sexual violence who are accessible, notably in the camps for displaced people in UN bases. However, only a very small percentage of those displaced by the conflict – less than 10 percent – are in the camps in UN bases. The majority are sheltering in remote rural areas, with little or no access to humanitarian assistance of any kind.”

Over one million people have so far been displaced since the conflict began. On 5 May President Salva Kiir and rebel leader Riek Machar penned a deal to cease hostilities for at least one month to allow for the evacuation of civilians caught up in the conflict.

*Not a real name

Read more — http://www.irinnews.org/report/100085/sexual-violence-soars-in-south-sudan

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Who Is Behind the Pain Killer Epidemic? Big Pharma, Of Course

The FDA approved Zohydro, with five to 10 times the abuse potential as its predecessor, OxyContin.

Photo Credit: Artem Furman / Shutterstock.com

May 6, 2014  |

There is good news and bad news when it comes to the nation’s decade-long opioid/heroin addiction epidemic. The good news is the government has cracked down on pill mills, strengthened warnings on pill labels and approved an injectable form of naloxone which reverses heroin overdoses and will reduce deaths in the hands of caregivers andpolice.

The bad news is on the same day the FDA announced plans to tighten restrictions on hydrocodone combination products like Vicodin, it approved the long-acting drug Zohydro made from hydrocodone bitartrate which has five to 10 times the abuse potential of the infamous OxyContin. The FDA did so over the objections of many medical and public health groups and itsown advisory committee. And even as public health professionals are outraged by the FDA’s tin ear and refusal to learn from the opioid addiction epidemic, a pill that combines oxycodone with morphine is also inching its way toward approval.

Many of the current addicts started out on narcotic painkillers and turned to cheaper and more available heroin when their supply became cut off or got too expensive. This risky switch from pills to street drugs was abetted by the creation of a “deterrent-proof” version of OxyContin that people could no longer crush and snort. (The reason OxyContin had been king on the street was all 80 milligrams could be ingested at once if the pill was crushed, a rush described by users as better than cocaine.)

But why were millions of Americans on narcotic painkillers, once limited to terminal and cancer pain, surgery and accidents, to begin with? Because Big Pharma paid doctors in advisory positions to institute looser guidelines, reports the Milwaukee Wisconsin Journal-Sentinel — and quickly discovered that the medical establishment and patients neither remembered or cared why narcotic painkillers had been the most restricted of all drugs.

One example of the pay-to-play is the American Geriatrics Society, which changed its guidelines in 2009 to recommend “that over-the-counter pain relievers, such as ibuprofen and naproxen, be used rarely and that doctors instead consider prescribing opioids for all patients with moderate to severe pain,” writes medical reporter John Fauber. To recommend narcotic painkillers over over-the-counter painkillers is outrageous enough. But half the panel’s experts “had financial ties to opioid companies, as paid speakers, consultants or advisers at the time the guidelines were issued,” Fauber reports. The University of Wisconsin’s Pain & Policy Studies Group also took $2.5 million from opioid makers even as it pushed for looser use of narcotic painkillers, he reports.

Thanks to the “second look” inspired by Pharma money, narcotic painkillers soon were prescribed for back injuries, headaches, arthritis, fibromyalgia, toothaches and mental issues like depression. They were even prescribed for “unemployment” and “withdrawal symptoms” from opioids, said Businessweek. While pill mills did a brisk business, employers were paying an extra $39,000 for a work injury case when short-acting opioids like Percocet were added and an extra $117,000 when long-acting opioids like OxyContin were added to the case. Ka-ching!

And there was another, more insidious way that Pharma got the medical establishment and prescribers to reconsider narcotic painkillers. Federal regulators and executives of Pharma companies that make pain drugs have held private meetings at expensive hotels at least once a year since 2002. The meetings are under the auspices of IMMPACT, an organization funded by 11 drug companies including makers of narcotic painkillers.

As early as 2003, Raymond Dionne, a National Institutes of Health (NIH) official, questioned the ethics of the schmoozing of federal officials and industry in closed meetings and suggested open meetings on the NIH campus. Federal officials should not be accepting expensive dinners at the Four Seasons Hotel, he wrote in correspondence to IMMPACT.

Robert Dworkin, an IMMPACT co-founder, actually found the ethical concerns amusing. If you want, we will buy you and other government officials “inexpensive sandwiches” he wrote back in an email, adding, “The rest of us undoubtedly will feel guilty, but we will probably resist the temptation to have tuna fish in respect for your plight.” Dworkin is a professor and pain expert at the University of Rochester Medical Center in Rochester, NY.

IMMPACT has a clear and stated goal of “improving the design, execution, and interpretation of clinical trials of treatments for pain.” One “improved design” federal officials admit grew out of the clandestine meetings is called “enriched enrollment.” It is a new system that allows Pharma companies to eliminate people who respond poorly to a drug or don’t tolerate the drug at all before the clinical trial begins. This fait accompli system is like drawing a bull’s eye around an arrow after it been shot into a wall (or “reaching the person to whom I am speaking,” as Lilly Tomlin used to spoof). The sleazy science increases the chance of a drug being approved, how quickly it is approved and of course lowers Pharma’s costs. Both Purdue Pharma, who makes OxyContin, and Janssen, which makes Duragesic and Nucynta, have acknowledged the value of IMMPACT’s efforts to improve clinical trial procedures.

And there is more bad science associated with opioids. When it comes to long-term as opposed to short-term relief of pain, there is scant scientific evidence of narcotic painkillers’ effectiveness despite Pharma’s promotion of their long-term use. The drugs even paradoxically make pain worse when used for more than a short period of time. Patients risk developing opioid-induced hypersensitivity (OIH) which is an increased pain sensitivity that makes it even harder to quit the already addictive drugs. Last year, Johnson & Johnson, Janssen’s parent company, wasinvestigated by the city of Chicago for deceptive marketing of narcotic painkillers to city employees. The city claims Janssen improperly marketed the opioids for long-term treatment of chronic pain, such as back pain and arthritis. Janssen maintains the opioids are safe and effective over an extended period of time.

Thanks to Pharma, we are now seeing the reason for narcotic painkillers’ traditional tight control. In addition to their addiction and abuse potential and overdoses, opioids are linked to respiratory suppression, sleep apnea, bowel obstruction, constipation, serious cognitive problems, depression, apathy, hormonal changes (decrease in testosterone), a decrease in immune responses and an increased risk of falls and fractures, especially in the elderly. Thanks to Pharma’s narcotics party, more than 17,000 people are dying in the U.S. every year from opioid overdoses and emergency room admissions for non-heroin opioids have leapt from 299,000 in 2001 to 885,000 in 2011. Poisonings from legal and illegal drugs now exceed car accidents in injury deaths.

But despite a near consensus among doctors and medical groups and public officials that narcotic painkillers are becoming a health catastrophe, the damage is not likely to end soon with Zohydro ER inexplicably approved this year and likely to become OxyContin 2.0.

Explaining the FDA’s apparent nose-thumbing to patients and medical professionals in favor of Pharma, FDA spokesperson Morgan Liscinsky said, “Prescribers now have a hydrocodone option for patients who require an extended-release opioid.” Most would say we do not need another opioid “option.”

Martha Rosenberg is an investigative health reporter and the author of “Born With a Junk Food Deficiency: How Flaks, Quacks and Hacks Pimp the Public Health (Random House).”

Read more here– http://www.alternet.org/drugs/who-behind-opioid-epidemic-big-pharma-course?akid=11782.155169.uXzmKd&rd=1&src=newsletter989688&t=3&paging=off&current_page=1#bookmark

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Health Ministry official held on rape charges #Vaw

rapepublic1

Press Trust of India  |  <news:geo_locations>New Delhi 

 Last Updated at 22:46 IST
 

A 32-year-old widow has accused a senior accountant, who works with the Health Ministry, of allegedly raping her following which he has been arrested, police said today.

“The incident took place in Saket area of South Delhi on Wednesday. The accused has been identified as 40-year-old Harish Sharma,” said a police official.

As per the victim, she was well acquainted with Sharma and on Wednesday she went to meet him at his home in Pushp Vihar in Saket.

“The woman alleged that Sharma was alone at his home where he forced himself upon her. After raping her, he also threatened her not to reveal the incident to anyone,” the official said.

However, the woman filed a complaint with the police following which a case has been registered and the accused was arrested, police said.

In another incident, a 27-year-old woman alleged that she was gang-raped by two persons in East Delhi‘s Gandhinagar area last night who have been arrested.

“The incident took place at around 11 PM when the woman who works at a garment factory was about to leave the premises after work when her employer and his associate called her to a room behind the factory on some pretext where they allegedly raped her,” said a senior police official. Later, the woman somehow escaped and made a PCR call.

“A case of rape was registered at Gandhi Nagar police station after medical examination of the girl confirmed rape. Her statement under section 164 of the CrPc has also been recorded. We have detained a few persons who worked at the factory,” said a police official.

Read more here –  http://www.business-standard.com/article/pti-stories/health-ministry-official-held-on-rape-charges-114032801239_1.html

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Press Release – Removal of Keshav Desiraju from MoHFW, Govt must reply

 

Date-14/2/2014
Press Release
 
Removal of Sri Keshav Desiraju from MoHFW
Government must answer allegations of malafide intent
The Jan Swasthya Abhiya expresses grave concern at the manner in which Sri Keshav Desiraju,  Secretary in  the Ministry of Health and Family Welfare, has been transferred out in a summary and precipitate manner, barely 11 months after being appointed. In an interaction with the media, Minister of Health Sri Ghulam Nabi Azad, has termed it a “regular affair” and further that the public and media need not concern itself with such transfers.
It is inconceivable that a routine transfer would be effected in such a precipitate manner, especially when no replacement for Mr.Desiraju appears to have been decided upon. Nor is there any evidence that Mr.Desiraju’s services were urgently required in the Ministry of Consumer Affairs, to which he has now been transferred. The honourable Minister in the interaction with the media has observed that Mr.Desiraju was a “capable officer”. It is then a matter of public concern that a capable officer, heading the Ministry of Health has been shunted out, thus leaving a key ministry concerned with peoples’ health and welfare without an executive head. It is precisely such cavalier transfers that undermine the ability of public institutions to perform their tasks in an honest, transparent and efficient manner. The transfer of M.Desiraju, in fact, is a violation of the spirit of the Supreme Court’s ruling of October 2013 where the honourable Court hadasked the Centre and all state governments to take steps within three months to insulate the bureaucracy from political pulls and pressures, and further to ensure fixed tenures for serving officers.
Of even greater concern are media reports that Mr.Desiraju’s transfer is linked to some of his decisions. Key among these, as reported in sections of the media, is his unwillingness to accept Dr.Ketan Desai as a key functionary of the Medical Council of India (MCI).
Dr.Ketan Desai’s has attracted the attention of criminal investigative and income tax agencies on several occasions in the past.  A prima facie case was established against him in December 2000 following investigations by the Income Tax Department, which had raided his house. In 2002, Dr Desai was removed from the post of chairman of MCI following a Delhi High Court order (dated 22nd November, 2002) that accused him of turning the MCI into a “den of corruption”. While he managed to get himself acquitted of these charges, he was charged again in 2010 by the CBI, while serving as the Chairman of the MCI. He was arrested by the CBI on April 22, 2010 on charges of disproportionate assets and for allegedly receiving a Rs.2 crore bribe to give recognition to a private medical college based in Patiala (Gyan Sagar Medical College). The MCI had also suspended Dr.Desai’s license to practice medicine as a consequence of these charges.
Dr.Desai, media reports suggest, is presently out on bail. In October 2013 the Gujarat University nominated him as a member of the MCI and there have been speculations that he would again offer himself for the post of Chairman of the MCI. It may be recalled that after Dr.Desai’s arrest, in May 2010the MCI was superceded by a Board of Governors whose term expired on May 14, 2013.  After passage of the Medical Council (Amendment) Bill in 2013 the MCI is being constituted afresh. Reports suggest that, despite pressures, after having consulted with the CBI Mr. Desiraju did not want to sanction the re-entry of Ketan Desai into the MCI.
It has also been reported in a section of the media that there were other areas of differences between Mr.Desiraju and the Government. It is reported that he was charged of being ‘inflexible’ in his reluctance to license a foreign manufacturer of stents (which are devices used in procedures such as angioplasty for heart patients).
It is a matter of grave concern if these indeed are the actual reasons behind Mr.Desiraju’s removal. It may be recalled that the Supreme Court had also observed in its October 2013 order that: “”We notice that much of the deterioration of the standards of probity and accountability with the civil servants is due to the political influence or persons purporting to represent those who are in authority”. The country’s public health system is widely seen as one of the poorest performing in the world. The system has been brought to this pass as a result of systematic and callous neglect of public health care institutions. Actions such as in the present instance, that appear to defend corrupt practices and commercial interests, can only make things worse.
The JSA demands that the Government of India clarify why a ‘capable officer’ (in the government’s own words) was asked to relinquish charge in such an unseemly way.
The people of the country have a right to know whose interests the Government of the day seeks to preserve.
sd-
(Dr.Amit Sengupta)
For National Co-ordination Committee (NCC) of JSA
Ph. +91-9810611425

 

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