December 2020

SPEAK WEDNESDAY

Health Communication, Speak Wednesday, WHO, Women, Women's Rights /

FINANCIAL ABUSE OF WOMEN IN MARRAIGES

Did you ever think there is such a thing as “financial abuse”? When most people think of domestic abuse, the first thing that comes to mind is likely physical or verbal abuse, but research shows that financial abuse occurs just as frequently in unhealthy relationships as other forms of abuse.

According to Wikipedia, Financial abuse also known as economic abuse is a form of abuse when one intimate partner has control over the other partner’s access to economic resources, which diminishes the victim’s capacity to support themselves and forces them to depend on the perpetrators financially.

Financial abuse happens when an abuser uses control of finances to maintain power in a relationship. According to researchers, this form of abuse occurs in 99% of physically abusive relationships and women are mostly the victims. Victims of domestic violence often say that financial abuse is the main reason they stayed with an abusive partner. This is because the financial burden placed on them made survival on their own seem impossible. For instance, if an abuser is particularly violent and the victim needs to leave in order to stay safe, this is difficult without money or a credit card. Also, if the victims need to leave the relationship permanently, it is challenging to find safe and affordable housing. Provision of basic needs such as food, clothing, and transportation becomes really challenging. However, many forms of financial abuse are more subtle, like when an abuser hides financial information or withholds money for household needs.

Unlike other forms of abuse, financial abuse can be difficult to recognize because it varies from situation to situation since there is no one way to handle money in a relationship. However, there are concrete tactics an abusive partner may use to keep their partners trapped which includes among others: gives you “allowances” or “budgets” without your input; requiring you to account for everything you spend; pressures you to quit your job or sabotages your work responsibilities; feels entitled to your money or assets; spends your money without your knowledge and controls how all of the household finances are spent.

The effects of financial abuse are often devastating especially for women. They feel inadequate and unsure of themselves due to the emotional abuse that accompanies financial abuse. They also have to go without food and other necessities because they have no money. In the short-term, financial abuse leaves victims vulnerable to physical and emotional abuse and violence. Without access to money, credit cards, and other financial assets, it is extremely difficult to adequately plan.

Though it is not easy to break free from financial abuse, it is possible. Victims should evaluate their personal confidence level regarding finances, gain information about their assets and liabilities, gather important financial and personal documents such as copies of bank statements, birth and marriage certificates, and seek for financial independence through learning of new skills, savings, or getting a good job. Financial independence is essential in achieving healthy relationships.

Speak Wednesday is an initiative of CFHI to address issues of gender based violence and gender inequality. Join us every Wednesday on all our social media platforms for more episodes.

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MONDAY HEALTH BURST

Gender, Health, Mental Health, Monday Health Burst, Postpartum Depression /

POSTPARTUM DEPRESSION (PPD)

Postpartum depression (PPD) or postnatal depression is a complex mix of physical, emotional, and behavioural changes that happen in some women after giving birth. According to the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5), PPD is a form of major depression that begins within 4 weeks after delivery.

Symptoms of postpartum depression can be hard to detect. However, many women have these symptoms following childbirth: Difficulty sleeping, change in appetite, excessive fatigue, decreased libido, frequent mood changes, depression, low self-esteem, suicidal thoughts, panic, thoughts of hurting someone else, and obsessive-compulsive disorder (OCD). The OCD obsessions are usually related to concerns about the baby’s health, or irrational fears of harming the baby.

There is no one cause of postpartum depression. A number of factors can increase the chances: A history of depression prior to becoming pregnant, or during pregnancy; Age at time of pregnancy; Ambivalence about the pregnancy; Number of children — the more children, the more likely it is for one to be depressed in a subsequent pregnancy; Having a history of depression or premenstrual dysphoric disorder (PMDD); Limited social support; Loneliness during pregnancy; Marital conflict; Sleeplessness; Anxiety; Hormonal imbalance — The dramatic drop in oestrogen and progesterone after giving birth may play a role. Other hormones produced by the thyroid gland may also drop sharply and make one feel tired, sluggish, and depressed.

The diagnosis of postpartum depression is based not only on the length of time between delivery and onset, but also on the severity of the depression. PPD often keeps one from doing their daily activities. Hence, when the ability to function is affected, it is important to consult a health care provider, such as Obstetrician-gynaecologist or primary care doctor, who will screen for depression symptoms and develop a treatment plan. This is because PDD symptoms worsen when left untreated. Though PPD is a serious condition, it can be treated with medication and counselling.
Postpartum depression is treated differently depending on the type and severity of a woman’s symptoms. Treatment options include anti-anxiety or antidepressant medications, psychotherapy, and participation in a support group for emotional support and education. For severe cases, intravenous infusion of a new medication called brexanolone (Zulresso) may be prescribed.

Monday Health Burst is an initiative of CFHI to address basic health issues. Join us every Monday on all our social media platforms for more health-related articles.

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SPEAK WEDNESDAY

16DaysOfActivism, Female Genital Mutilation, Gender, Gender Based Violence, Health /
FEMALE GENITAL MUTILATION AND ITS EFFECTS

“Have you ever heard of Female genital mutilation? The doctor asked me. This was after my over 20 hours of labor, an ordeal which left me depressed for over a month. It took me a while before I responded because it was the least question I ever would imagine answering at such moment.
I had just come out of one of the difficult deliveries he had ever carried out he continued after I replied “yes”. A delivery which at first didn’t seem like I was going to spend more than 6 hours at most because I was 100% effaced and with my labor progression, getting dilated would not be so much of a trouble. After being fully dilated and the baby just wouldn’t come down the delivery canal, an assisted delivery using a vacuum extractor was performed which left me with a vaginal hematoma and still with no baby, I was opted for a caesarean section due to the excessive bleeding and the other effects an obstructed labor has on both mother and unborn child. After all the medical jargons, he finally disclosed I had been genitally mutilated probably as a child and it was the reason for the complications I had just experienced.”

The above near death experience was recounted by Mrs Mary Alex, a human rights activist and a current volunteer at Centre for Family Health Initiative ……….

Female genital mutilation (FGM) is a traditional practice that has no medical benefit and severe health consequences for girls and women. According to Wikipedia, It is a procedure that involves partial or completely removing the external females genitalia or other injury to the female genital organs whenever for non-medical reasons. FGM is recognized internationally as a violation of the human rights of girls and women. It deprives them of the opportunity to make critical and informed decisions about their sexuality. It is an act which is deeply rooted in cultural beliefs and perceptions. Data shows that Nigeria, due to its large population, has the highest number of female genital mutilation (FGM) worldwide. About 20 million women and girls in Nigeria have undergone female genital mutilation which is 10% of the global total.

There are 4 types of FGM; Type I, Type II, Type III and Type IV. Types I and II are most prevalent, but variation exists within countries and communities. Type III is experienced by about 10 per cent of all affected women. FGM has serious implications for the sexual and reproductive health of girls and women. Its effects vary depending on the type performed, the expertise of the practitioner and the conditions under which it is performed. Complications can include severe pain, shock, hemorrhage, infection, urine retention and more. In some cases, hemorrhage and infection can be severe enough to cause death. Long-term risks include complications during childbirth (difficult delivery, excessive bleeding, caesarean section, need to resuscitate the baby, etc.) and newborn deaths; vaginal problems (discharge, itching, bacterial vaginosis and other infections); menstrual problems (painful menstruations, difficulty in passing menstrual blood, etc.); scar tissue and keloid; sexual problems (pain during intercourse, decreased satisfaction, etc.) and psychological problems (depression, anxiety, post-traumatic stress disorder, low self-esteem, etc.) among others.

Despite the graveness of the issue, the practicing societies consider it as a necessary part of raising a girl, and a way to prepare her for adulthood and marriage. It is seen as a sure medium to ensure premarital virginity and marital fidelity.
Currently, 13 out of 36 states in Nigeria have their own individual state laws expressly prohibiting FGM/C. These states are Lagos, Osun, Ondo, Ekiti, Bayelsa, Ogun, Delta, Ebonyi, Oyo, Imo, Edo, Cross-River and Rivers. The 2015 Violence Against Persons Prohibition Act (VAPP) acknowledges FGM as a criminal act, however since its enactment, there has been no convictions. Out of the 36 states, only 4 states: Abuja, Anambra, Oyo and Ebonyi have domesticated or actively enforced the law.

Speak Wednesday is an initiative of CFHI to address issues of gender based violence and gender inequality. Join us every Wednesday on all our social media platforms for more episodes.

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MONDAY HEALTH BURST

16DaysOfActivism, Gender Based Violence, Monday Health Burst /
GENDER BASED VIOLENCE – A THREAT TO WOMEN’S REPRODUCTIVE HEALTH

 

Gender-Based Violence is any act of violence that results in physical, sexual or psychological harm or suffering directed towards persons on the basis of their gender. This includes threats of violence, coercion or arbitrary deprivation of liberty, whether occurring in public or private. World Health Organisation (WHO) defines reproductive health as a state of complete physical, mental and social well-being and not merely the absence of disease or infirmity, in all matters relating to the reproductive system and to its functions and processes.

Globally, it is estimated that one in three women experience either physical or sexual intimate partner violence or non-partner sexual violence in their lifetime. These figures are mirrored in Nigeria, with 30 percent of girls and women aged between 15 and 49 reported to have experienced sexual abuse. It is a great concern because sexual abuse poses great threat to the general health of its victims, most especially on their reproductive health. Examples include inability to control their own reproductive health and plan their families, unwanted pregnancies and sexually transmitted infections (STIs), including Human Immunodeficiency Virus (HIV).

Aside sexual abuse, there are other forms of GBV that puts women at risk like female genital mutilation, child marriage, emotional violence, work place violence, among others. In Nigeria, harmful practices such as child marriage are prevalent with 43 percent of girls married before the age of 18, of which the highest number is found in the North Eastern part of the country according to WHO. Also, the report states that once girls in Nigeria are married, only 1.2 percent of those aged 15 to 19 have their contraception needs met, leading to high levels of early and teenage pregnancy.

It is important for everyone to scale up prevention efforts that address unequal gender power relations as a root cause of gender-based violence in order to mitigate GBV cases in the society. GBV is not a family affair, hence,  all perpetrators should be made to face the law rather than having family members intervene. This is because GBV is never a one off case. Social media is also an important platform that can be used to connect to others outside the normal social circles. Just like the #16DaysOfActivismAgainstGBV, everyone including government and civil societies should work together to amplify the need to stop GBV.

Monday Health Burst is a platform created by Centre for Family Health Initiative (CFHI) to address basic health issues. Join us every Monday on all our social media platforms for more health related articles.

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SPEAK WEDNESDAY

Nation Building, Speak Wednesday, Women, Women in Leadership /

WOMEN’S CIVIL AND POLITICAL RIGHTS

According to Wikipedia, Civil and political rights are a class of rights that protect individuals’ freedom from infringement by governments, social organizations, and private individuals. They ensure one’s entitlement to participate in the civil and political life of society and the state without discrimination or repression which includes among others freedom from discrimination and the right to privacy, the right to peaceful assembly, free expression, the right to vote, and freedom of religion.

Historically, women have been excluded from political life and decision making processes. Women’s campaigns for participation in the public and political arena date back as far as the 19th centuries and continues today. Despite representing half the global population, women comprise less than 20 percent of the world’s legislators. From discrimination and violence to a lack of support and resources, women face innumerable challenges to participation in the civic and political life of their countries.

Women in Nigeria face many challenges and discriminatory practices under some existing laws and customs. The Nigerian society is patriarchal in nature, this is due to the influence of the various religions and customs in many parts of Nigeria. Women are seen as the ‘weaker sex’ , hence, all forms of discriminatory practices by the state and society (especially by men) are condoned. Political life in Nigeria is based on male norms and values, and men determine the standards for political participation and the rules that govern the electoral process, greatly limiting women’s participation in politics.

Although Women’s political participation has improved, but much still needs to be done. On the 15th day of March 2016, for instance, members of the Nigerian Senate at its plenary session, voted against and consequently, dumped the “Gender Parity and Prohibition of Violence against Women Bill” that aimed to give women equal rights in marriage, education and employment. Under the law, a widow in Nigeria would have automatically become the custodian of her children and husband’s property upon her husband’s death. While a few lawmakers supported the bill, others believed that it violated the African spirit. In the African custom, women are considered the weaker gender, often repressed, seen as a baby making machine and as property. If there was better representation of women in the Senate, there is no doubt that the bill would have passed.

According to certain provisions of the Convention on the Elimination of all Forms of Discrimination against Women (CEDAW), and the protocol to the African Charter on the Rights of Women in Africa and the National Gender Policy, Women have the right to participate in political processes that affect them, their families, and their societies. Countries with increased women’s participation and leadership in civil society and political parties tend to be more inclusive, responsive and democratic. Truth is, when women significantly participate in peace processes, they meaningfully help to expand the scope of agreements and improve the prospects for lasting peace.

Speak Wednesday is an initiative of Centre for Family Health Initiative to stop the cycle of domestic violence by breaking the silence around gender-based violence and gender bias. Join us every Wednesday on all our social media handles for more episodes.

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