February 2021

SPEAK WEDNESDAY

Girl Education, Speak Wednesday, Women Education /

THE ADVERSE EFFECTS OF CORONA VIRUS DISEASE (COVID-19) ON GIRL EDUCATION

The pandemic is having a tremendous effect on learning in communities where education is already not a priority, specifically girls’ education. By March 2020, United Nations Educational, Scientific and Cultural Organization (UNESCO) reported nearly 3 million students across the world had their education disrupted due to COVID-19 after just 13 countries ordered schools’ closure. By April 2020, 194 countries instituted countrywide schools’ closure, and this affected 91% of enrolled learners, which totals to 1.6 billion children worldwide.

Many girls especially the vulnerable ones in remote communities are the most affected, unfortunately. Even with the reopening of schools in some countries of the world, the state of girls’ education is a far cry from what it used to be before the pandemic. With families dealing with incomparable levels of stress associated with the COVID-19 pandemic, the risk of intra-family conflict and gender-based violence increases, negatively impacting girls’ self-confidence, well-being, and ability to effectively navigate key life decisions.

It is girls’ education that produces great gains in areas of health, infant mortality and the economic well-being of families and the society at large. However, these girls are the first to be pulled out of school, put to work and care for younger siblings when families face economic hardship. Loss of household income has also led to child marriage to generate income for the family.

According to research, with the emergence of Covid-19, girls spend more time with men and boys compared to when they are in school, which can lead to involvement in risky sexual behavior and increased risk of sexual violence and exploitation. In due course, this can lead to an increase in teenage pregnancies which plays a huge factor in girls not returning to school.

Finally, girls sometimes become primary caregivers for sick members of the families and for younger siblings pulling them away from school and sometimes permanently in cases where girls become the household breadwinners.

With all these factors, COVID-19 could result in severe outcomes and disproportionate effects in girls’ education, but this can be forestalled if government and non-governmental agencies are able to include gender in school reopening plans and ensure girls still have the means to continue learning while at home. For countries who have lifted the lockdown on schools, it is important that plans are in place to follow up and reengage schoolgirls who do not return to school.

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

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MONDAY HEALTH BURST

Endometriosis, Health, Health Communication, Monday Health Burst /

ENDOMETRIOSIS – CAUSES, SYMPTOMS, AND TREATMENT

Endometriosis, sometimes called “Endo,” is a common health problem in women. It gets its name from the word endometrium, the tissue that normally lines the uterus or womb. Endometriosis happens when tissue similar to the lining of the uterus (womb) grows outside of the uterus and on other areas in the body where it does not belong. It is especially common among women in 30s and 40s and may make it harder to get pregnant. Endometriosis is often found on the ovaries, fallopian tubes, tissues that hold the uterus in place or outer surface of the uterus.

The cause of Endometriosis is yet unknown, However, there are several theories associated with the causes of Endometriosis. The widely accepted theory is that the womb lining does not leave the body properly during a period and embeds itself on the organs of the pelvis. This is known as retrograde menstruation. Other factors include

  • Genetic factors -Because endometriosis runs in families, it may be inherited in the genes.
  • Immune system problems -A faulty immune system may fail to find and destroy endometrial tissue growing outside of the uterus. Immune system disorders and certain cancers are more common in women with endometriosis.
  • Hormones -the hormone estrogen appears to promote endometriosis. Research is looking at whether endometriosis is a problem with the body’s hormone system.
  • Surgery -during a surgery to the abdominal area, such as a Cesarean (C-section) or hysterectomy, endometrial tissue could be picked up and moved by mistake. For instance, endometrial tissue has been found in abdominal scars.

Endometriosis is a long-term (chronic) condition. Symptoms can vary significantly from person to person and some women have no symptoms at all. Yet, the most common symptoms include: painful periods or heavy periods which gets worse overtime; pain in the lower abdomen, pelvis or lower back, pain during and after sex, bleeding between periods, difficulty getting pregnant, painful bowel movements or pain when urinating during menstrual periods. Most women with endometriosis get pain in the area between their hips and the tops of their legs. Some women experience this pain all the time.

Other symptoms may include persistent exhaustion and tiredness, discomfort when defecating,  bleeding from the back passage (rectum) or blood in feces, and coughing blood in rare cases when the endometriosis tissue is in the lung. How severe the symptoms are depends on where in the body the abnormal tissue is, rather than the amount of tissue present. A small amount could be more painful than a large amount. It is worthy of note that Endometriosis is rare in women who are in the menopause stage.

There is presently no cure for endometriosis. Endometriosis can be a difficult condition to deal with, both physically and emotionally but treatments are available for the symptoms and problems it causes. The symptoms of endometriosis can often be managed with painkillers and hormone medication, which help prevent the condition interfering with daily activities. Still, there is no known cure for endometriosis. For women who are not interested in getting pregnant, hormonal birth control is generally the first step in treatment. Patches of endometriosis tissue can sometimes be surgically removed to improve symptoms and fertility also. However, Surgery is usually chosen for severe symptoms, when hormones are not providing relief or if there are fertility problems.

Monday Health Burst is an initiative of CFHI to address issues of basic health concerns. Join us every Monday for more interesting episodes

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SPEAK WEDNESDAY

Gender, Gender Based Violence, Health, Speak Wednesday, WHO, Women, Women Education, Women's Rights /

CHILD MARRIAGE – THE MAJOR CAUSE OF THE SOCIO-ECONOMIC VULNERABILITY OF WOMEN AND GIRLS

Child marriage is a widespread violation of human rights. It is an impediment to social and economic development, and it is rooted in gender inequality. The low value placed on girls and women brings about the act and acceptability of child marriage in societies where the practice is common. According to UNICEF, Child marriage refers to any formal marriage or informal union between a child under the age of 18 and an adult or another child. Child marriage is principally practiced in the rural and poor communities where young girls are regarded as economic burden and quickly married off to assuage household expenses.

Child marriage has been a common practice among many ethnic groups in the world including Nigeria. However, it has contributed to series of negative consequences both for young girls and the society in which they live. It is a violation of human rights in general and of girl’s rights in particular. For both women and girls, child marriage has profound physical, intellectual, psychological and emotional impacts.

Aside the emotional and mental distress, intolerance, school drop-out, Fistula diseases, early widowhood, frustration and hatred for the man accompanied with child marriage,  child marriage is inherently linked to low educational level, social isolation, severe health risks which results in increased gender inequality and vulnerability to poverty for girls, young women, families and the society at a large.

It is essential that efforts be aligned towards providing easy access for girls to entrepreneurial opportunities. In 2020, CFHI through Institute of Human Virology Nigeria (IHVN) and Catholic Caritas Foundation of Nigeria (CCFN) funded projects empowered 453 women with non- interest loans to start or expand their businesses, thereby increasing their social economic capital while empowering them with financial literacy and accountability. CFHI did not only provide loans, but also provided 97 startup kits to adolescents who were trained in different skills including sewing, barbing, hair dressing, baking, furniture making, Computer, among others. Thirty-three (33) newly enrolled adolescents are still in training.

As we celebrate the International Day of Women and Girls in Science tomorrow, the promotion of girl education should be a priority for NGOs and the Government. This is an ideal solution to the issue of girl-child marriage.

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

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MONDAY HEALTH BURST

Female Genital Mutilation, Gender, Health, Health Communication, HIV/AIDS, Hygiene, Mental Health, Monday Health Burst, Stop FGM, Women's Rights /

EFFECTS OF FEMALE GENITAL MUTILATION (FGM)

According to World Health Organization, more than 200 million girls and women alive today have undergone female genital mutilation (FGM) in 30 countries in Africa, mostly in the Middle East and Asia. All forms of FGM are associated with increased health risk in the short- and long-term. Below are some of the health risks.

Short-term health risks of FGM

Severe pain. Cutting the nerve ends and sensitive genital tissue causes extreme pain. The healing period is also painful.

Shock. Can be caused by pain, infection and/or haemorrhage.

Genital tissue swelling. Due to inflammatory response or local infection.

Infections. May spread after the use of contaminated instruments (e.g. use of same instruments in multiple genital mutilation operations), and during the healing period.

Excessive bleeding (haemorrhage). Can result if the clitoral artery or other blood vessel is cut.

Human immunodeficiency virus (HIV). The direct association between FGM and HIV remains unconfirmed, although the cutting of genital tissues with the same surgical instrument without sterilization could increase the risk for transmission of HIV between girls who undergo female genital mutilation together.

Urination problems. These may include urinary retention and pain passing urine. This may be due to tissue swelling, pain or injury to the urethra.

Impaired wound healing. Can lead to pain, infections and abnormal scarring.

Death. Death can result from infections, including tetanus, as well as haemorrhage that can lead to shock.

Mental health problems. The pain, shock and the use of physical force during the event, as well as a sense of betrayal when family members condone and/or organize the practice, are reasons why many women describe FGM as a traumatic event.

 

Long-term health risks of FGM

Infections:

  • Chronic genital infections. With consequent chronic pain, and vaginal discharge and itching. Cysts, abscesses and genital ulcers may also appear.
  • Chronic reproductive tract infections. May cause chronic back and pelvic pain.
  • Urinary tract infections. If not treated, such infections can ascend to the kidneys, potentially resulting in renal failure, septicaemia and death. An increased risk of repeated urinary tract infections is well documented in both girls and adult women who have undergone FGM.

Painful urination. Due to obstruction of the urethra and recurrent urinary tract infections.

Vaginal problems. Discharge, itching, bacterial vaginosis and other infections.

Menstrual problems. Obstruction of the vaginal opening may lead to painful menstruation (dysmenorrhea), irregular menses and difficulty in passing menstrual blood, particularly among women with Type III FGM.

Excessive scar tissue (keloids). Excessive scar tissue can form at the site of the cutting.

HIV (Human immunodeficiency virus). Given that the transmission of HIV is facilitated through trauma of the vaginal epithelium which allows the direct introduction of the virus, it is reasonable to presume that the risk of HIV transmission may be increased due to increased risk of bleeding during intercourse, because of FGM.

Sexual health problems. FGM damages anatomic structures that are directly involved in female sexual function and can therefore also influence women’s sexual health and well-being. Removal of, or damage to, highly sensitive genital tissue, especially the clitoris, may affect sexual sensitivity and lead to sexual problems, such as decreased sexual desire and pleasure, pain during sex, difficulty during penetration, decreased lubrication during intercourse, and reduced frequency or absence of orgasm (anorgasmia). Scar formation, pain and traumatic memories associated with the procedure can also lead to such problems.

Childbirth complications (obstetric complications). FGM is associated with an increased risk of caesarean section, postpartum haemorrhage, recourse to episiotomy, difficult labour, obstetric tears/lacerations, instrumental delivery, prolonged labour, and extended maternal hospital stay. The risks increase with the severity of FGM.

Obstetric fistula. A direct association between FGM and obstetric fistula has not been established. However, given the causal relationship between prolonged and obstructed labour and fistula, and the fact that FGM is also associated with prolonged and obstructed labour, it is reasonable to presume that both conditions could be linked in women living with FGM.

Perinatal risks. Obstetric complications can result in a higher incidence of infant resuscitation at delivery and intrapartum stillbirth and neonatal death.

Mental health problems. Studies have shown that girls and women who have undergone FGM are more likely to experience post-traumatic stress disorder (PTSD), anxiety disorders, depression and somatic (physical) complaints (e.g. aches and pains) with no organic cause.

Pain. Due to tissue damage and scarring that may result in trapped or unprotected nerve endings.

Though FGM may be normative and considered to be of cultural significance in some settings, the practice is always a violation of human rights, with the risk of causing trauma and leading to problems related to girls’ and women’s mental health and well-being. (WHO,2020)

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