May 2024 – Centre for Family Health Initiative

MONDAY HEALTH BURST ON HEALTH IMPLICATIONS OF TOBACCO

Drug Abuse, Monday Health Burst, WHO / cfhinitiative

Tobacco use remains one of the leading causes of preventable disease and death worldwide. Despite extensive public health campaigns and increasing awareness, millions of people continue to use tobacco in various forms, exposing themselves to numerous health risks.¹ Some of the health implications include;

Cardiovascular Disease

Tobacco use is a significant risk factor for cardiovascular diseases (CVD), including heart attacks, strokes, and peripheral artery disease. Nicotine, the addictive component of tobacco, raises blood pressure and heart rate, putting extra strain on the heart. Additionally, carbon monoxide from cigarette smoke reduces the blood’s oxygen-carrying capacity, further exacerbating the risk of heart disease. Smokers are 2 to 4 times more likely to develop heart disease than non-smokers.²

Respiratory Disorders

The respiratory system is directly exposed to the harmful effects of tobacco smoke, leading to chronic obstructive pulmonary disease (COPD), emphysema, and chronic bronchitis. The tar and chemicals in tobacco smoke damage the airways and alveoli, causing inflammation, reduced lung function, and chronic respiratory symptoms. Long-term smokers often experience breathlessness, persistent coughing, and increased susceptibility to respiratory infections.

Cancer

Tobacco use is the leading cause of cancer and cancer-related deaths. It is responsible for approximately 85% of lung cancer cases, the deadliest form of cancer.³ Beyond lung cancer, tobacco use is also linked to cancers of the mouth, throat, esophagus, pancreas, bladder, kidney, cervix, and stomach. The carcinogens in tobacco smoke cause mutations in DNA, leading to uncontrolled cell growth and tumor development.

Impact on Oral Health

Tobacco use significantly affects oral health, causing gum disease, tooth loss, and oral cancers. Smokers are more prone to periodontal disease, which can lead to tooth loss if untreated. The chemicals in tobacco also reduce the blood flow to the gums, impairing healing and making the mouth more susceptible to infections.

Reproductive Health Issues

Tobacco use can adversely affect reproductive health in both men and women. In women, it increases the risk of infertility, complications during pregnancy, and adverse outcomes such as preterm birth, low birth weight, and stillbirth. Men who smoke may experience reduced sperm quality, erectile dysfunction, and decreased fertility.

Secondhand Smoke

The dangers of tobacco are not limited to users themselves. Secondhand smoke, which is the smoke exhaled by smokers and the smoke from the burning end of a cigarette, is a serious health hazard. Non-smokers exposed to secondhand smoke are at increased risk of heart disease, respiratory infections, and cancer. Children exposed to secondhand smoke are particularly vulnerable, experiencing higher rates of asthma, sudden infant death syndrome (SIDS), and ear infections. According to the World Health Organization, tobacco kills more than 8 million people per year, including an estimated 1.3 million nonsmokers who are exposed to second-hand smoke.⁴

In 2023, the Centre for Family Health Initiative, through the Community Action against Drug misuse (CAADA) project, conducted a road walk in the Dawaki, Dutse Alhaji, and Dutse Sokale areas, educating over 200 youths about the hazards of drug misuse.

The health implications of tobacco use are extensive and severe, affecting virtually every organ in the body and leading to numerous preventable diseases and deaths. Despite these known risks, tobacco addiction continues to pose a significant public health challenge. Combating this issue requires ongoing education, stronger regulatory measures, and support for individuals trying to quit. By reducing tobacco use, we can improve health outcomes and save millions of lives each year.

REFERENCES:

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SPEAK WEDNESDAY ARTICLE ON STRATEGIES FOR REPORTING GENDER-BASED VIOLENCE IN NIGERIA

Gender Based Violence, Speak Wednesday / cfhinitiative

Gender-based violence is a grave violation of human rights that affects predominantly women and girls. Reporting GBV is crucial in obtaining justice, support, and protection. However, many victims are often unsure about how to report their experiences or which authorities to approach. This lack of knowledge can hinder access to necessary resources and justice. Understanding the various strategies and resources available for reporting GBV in Nigeria is essential for empowering survivors and ensuring they receive the support they need.

Key Reporting Channels and Resources

Legal Assistance

Violence Against Persons (Prohibition) Act (VAPP): This law provides a legal framework for addressing various forms of GBV. Survivors should seek legal assistance to understand their rights under the VAPP Act.
NAPTIP (National Agency for the Prohibition of Trafficking in Persons): NAPTIP provides legal and rehabilitative support for survivors of human trafficking and GBV. They have a dedicated helpline (0703 0000 203) for reporting incidents.

Authorities in Charge

Nigerian Police Force: Survivors can report GBV incidents to the nearest police station. The police are obligated to investigate and provide protection to survivors. Specialized units, such as the Gender Desk in police stations, are trained to handle GBV cases sensitively.
Ministry of Women Affairs: This ministry is crucial in coordinating responses to GBV and supporting survivors. It collaborates with various national and international partners to improve reporting mechanisms and survivor support services.

Helplines and Emergency Services

National GBV Helpline: The Federal Ministry of Women Affairs, supported by the EU-UN Spotlight Initiative, has established the ReportGBV.ng platform. This includes a 24/7 helpline (0800 3333 3333) where survivors can report incidents and receive immediate support (ReportGBV) (Spotlight Initiative).
Emergency Services: In urgent situations, survivors should contact local police or emergency medical services. It’s crucial to have emergency contacts readily available.

Supportive Organizations

Non-Governmental Organizations (NGOs): Numerous NGOs offer legal aid and advocacy for women and girls facing violence. They also conduct awareness programs to educate the public about GBV and its impact. (ReportGBV) Survivors can approach these organizations for help navigating the legal system, understanding their rights, counselling, and legal assistance.

Reporting GBV is essential for accessing justice and support. Survivors in Nigeria have various channels and resources available, from helplines and legal assistance to supportive organizations and online platforms. By leveraging these resources and addressing the barriers to reporting, we can create a safer environment for all and work towards eradicating GBV.

Speak Wednesday is an initiative of CFHI to address issues around gender-based violence and gender bias.

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MONDAY HEALTH ON IMPACT OF LACK OF MENSTRUAL PRODUCT ON MENTAL HEALTH

Monday Health Burst, WHO / cfhinitiative

Menstrual hygiene is a crucial aspect of health for individuals who menstruate, yet millions around the world face significant challenges in accessing necessary products and facilities. On any given day, more than 300 million women worldwide are menstruating. In total, an estimated 500 million lack access to menstrual products and adequate facilities for menstrual hygiene management (MHM).¹ The absence of adequate menstrual hygiene products not only affects physical health but also has profound implications for mental health.

Menstruation is often shrouded in stigma and taboo, leading to feelings of shame and embarrassment. Inadequate access to menstrual hygiene products exacerbates this stigma, forcing many individuals to use ineffective alternatives like old clothes, rags, or even paper, which can be uncomfortable and unreliable. This situation often results in leaks and odors, further stigmatizing the individual. The fear of being judged or ridiculed can lead to social isolation, where individuals avoid school, work, or social interactions, perpetuating a cycle of exclusion and loneliness.

The lack of menstrual hygiene products is a significant barrier to education for young girls. Many miss several days of school each month or drop out entirely due to the unavailability of adequate facilities and products. This educational disruption has long-term consequences, including diminished career opportunities and economic instability, which can contribute to chronic stress and anxiety. The constant worry about managing menstruation in public spaces further compounds the mental health burden.

Furthermore, using unsuitable alternatives to sanitary products can cause physical discomfort and health issues, including infections. The constant battle with discomfort and the potential for health complications can create a persistent state of anxiety and stress. The fear of potential health problems and the inability to maintain basic hygiene can severely impact self-esteem and overall mental health.

The recurring monthly challenge of managing menstruation without proper products creates a relentless emotional strain. The inability to afford or access menstrual products can evoke feelings of helplessness, frustration, and inadequacy. For those already struggling with poverty, the added financial burden of purchasing menstrual products can lead to heightened stress and anxiety. The emotional toll of constantly worrying about menstrual hygiene can diminish overall quality of life and lead to more severe mental health issues, such as depression.

Effective menstrual hygiene management (MHM) is crucial for empowering women and girls to reach their full potential. Poor menstrual health and hygiene have far-reaching negative impacts across various sectors. Consequently, the Centre for Family Health Initiative (CFHI) employs a comprehensive approach to improving menstrual hygiene in its operations within vulnerable communities in Nigeria.

Over the years, CFHI has provided SafePad^TMfor more than 2000 vulnerable women and girls in underserved communities. We have partnered with many organizations to commemorate Menstrual Hygiene day by campaigning and raising awareness against period poverty, providing education on menstrual hygiene, and distributing free SafePad^TM

The impact of lacking menstrual hygiene products extends far beyond physical discomfort, deeply affecting mental health and overall well-being. Addressing this issue is not only a matter of public health but also of human rights and gender equality. By ensuring that everyone has access to the necessary menstrual hygiene products and education, we can alleviate significant mental health burdens and promote a healthier, more inclusive society.

Reference:

https://www.worldbank.org/en/topic/water/brief/menstrual-health-and-hygiene¹

https://mailchi.mp/b838e480faa1/cfhi-prioritizing-menstrual-hygeine-in-nigeria

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MONDAY HEALTH BURST ON INFLUENZA – PREVENTIVE MEASURES

Monday Health Burst / cfhinitiative

According to the World Health Organization (WHO), there are approximately one billion cases of seasonal influenza each year, leading to 3–5 million instances of severe disease. Tragically, this results in 290,000–650,000 respiratory deaths annually. ¹

Influenza, or the flu, is a contagious respiratory illness caused by influenza viruses, capable of causing mild to severe illness and, in some cases, even death. Seasonal influenza outbreaks are common worldwide, particularly during colder months. However, there are effective preventive measures available to greatly minimize the risk of contracting and spreading the flu.

Vaccination:

Getting an annual influenza vaccine is the most effective way to prevent the flu and its complications. The vaccine stimulates your immune system to produce antibodies against the virus strains included in the vaccine, providing protection throughout the flu season. It’s important to get vaccinated each year as the circulating flu strains can change.

Hand Hygiene:

Frequent handwashing with soap and water or using alcohol-based hand sanitizers is crucial in preventing the spread of influenza viruses. Viruses can live on surfaces for hours, and touching these surfaces and then touching your face can lead to infection. Make it a habit to wash your hands thoroughly, especially before eating or touching your face.

Respiratory Hygiene:

Cover your mouth and nose with a tissue or your elbow when coughing or sneezing to prevent the spread of respiratory droplets containing the virus. Dispose of tissues immediately and wash your hands afterward. Avoid close contact with people who are sick, and if you are sick, stay home to prevent spreading the virus to others.

Boosting Immunity:

Maintaining a healthy lifestyle can strengthen your immune system and help fight off infections. This includes eating a balanced diet rich in fruits and vegetables, staying hydrated, getting regular exercise, managing stress levels, and getting enough sleep. A healthy immune system is better equipped to defend against influenza viruses.

Avoid Touching Your Face:

Influenza viruses can enter your body through your eyes, nose, or mouth. Avoid touching your face, particularly with unwashed hands, to reduce the risk of infection. If you do need to touch your face, ensure your hands are clean.

High-Risk Individuals:

Certain groups are at higher risk of developing complications from the flu, including young children, pregnant women, older adults, and those with underlying health conditions. It’s particularly important for these individuals to get vaccinated and take extra precautions to avoid exposure to the virus. ²

Preventing influenza requires a combination of personal hygiene practices, vaccination, and healthy lifestyle choices. By adopting these preventive measures, you can significantly reduce the risk of getting infected with the flu and protect both yourself and those around you from this contagious illness.

References

https://www.who.int/news-room/fact-sheets/detail/influenza-(seasonal)

https://www.cdc.gov/flu/prevent/whoshouldvax.htm

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SPEAK WEDNESDAY ON HOW TRADITIONAL GENDER ROLES CONTRIBUTE TO A CULTURE OF VIOLENCE AGAINST WOMEN AND GIRLS

Gender Based Violence, Speak Wednesday / cfhinitiative

Gender-based violence is a pervasive global issue rooted in entrenched social norms and power structures. gender roles play an important role in perpetuating a culture where violence against women and girls is normalized, tolerated, and even condoned.

At the heart of traditional gender roles lies the concept of patriarchy, where men hold primary power and authority while women are relegated to subordinate positions. Patriarchal societies uphold rigid gender norms that dictate women’s subservience, passivity, and dependence on men. This power dynamic not only reinforces the belief that men are entitled to control women but also justifies violence as a means of asserting dominance and maintaining control.

According to UN Women, patriarchal norms perpetuate violence against women by fostering a culture of impunity for perpetrators and silencing survivors. The prioritization of male honour over the rights and well-being of women and girls further exacerbates the prevalence of violence in such societies.

From a young age, girls are socialized into prescribed gender roles that dictate acceptable behaviours, interests, and aspirations based on their gender. UNICEF emphasizes that gender stereotypes perpetuate harmful attitudes and beliefs that contribute to the normalization of violence against women and girls. Boys are conditioned to equate masculinity with dominance, aggression, and control, while girls are taught to prioritize compliance, submission, and caretaking roles.

These gendered expectations create a fertile ground for the justification and perpetration of violence. Boys who don’t fit the mould of the stereotypical masculine may become the target of bullying and social exclusion, which makes them turn to violence as a way to maintain their masculinity and social standing. Similarly, girls who challenge gender norms may face backlash and punishment, further reinforcing the cycle of violence and oppression.

In conclusion, traditional gender roles play a significant role in perpetuating a culture of violence against women and girls by reinforcing patriarchal power dynamics, perpetuating harmful stereotypes, exacerbating economic disparities, and intersecting with other forms of discrimination. It is crucial to question and alter these deeply ingrained gender norms, empower women and girls, and advance gender equality at all societal levels to effectively confront and prevent violence.

Speak Wednesday is an initiative of CFHI to address issues around gender-based violence and gender bias.

#SpeakWednesday #GenderRoles #StopGBV #StopGenderStereotype #Girlsrights #WomenRights #genderequality #genderbias

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MONDAY HEALTH BURST ON ECTOPIC PREGNANCY

Monday Health Burst, WHO / cfhinitiative

Pregnancy is typically viewed as a joyous and natural event, but sometimes complications can arise that require urgent medical attention. One such complication is an ectopic pregnancy, a condition that can pose serious risks to a woman’s health and requires timely intervention.

An ectopic pregnancy occurs when a fertilized egg implants and grows outside the uterus, most commonly in the fallopian tube. However, it can also occur in other areas such as the cervix, ovary, or abdominal cavity. Since these locations are not designed to support the growth of a developing embryo, an ectopic pregnancy cannot progress normally and poses serious risks to the mother. Ectopic pregnancies occur in about 2% of all pregnancies.¹

Recognizing the symptoms of an ectopic pregnancy is crucial for prompt medical intervention. Common symptoms include:

Abdominal or Pelvic Pain: Sharp, stabbing pain in the abdomen or pelvis is a hallmark symptom. The pain may be localized on one side.

Vaginal Bleeding: Light to heavy vaginal bleeding may occur, often different from normal menstruation.

Shoulder Tip Pain: This can be a sign of internal bleeding and occurs when blood irritates nerves around the diaphragm, causing referred pain to the shoulder tip.

Weakness, Dizziness, or Fainting: These symptoms can indicate significant internal bleeding and require immediate medical attention.

Gastrointestinal Symptoms: Nausea, vomiting, diarrhea, or pain during bowel movements.

The majority of ectopic pregnancies occur due to conditions that hinder the normal movement of the egg through the fallopian tube.² This can be attributed to various factors:

Previous Pelvic Surgery: Scar tissue, adhesions, or inflammation resulting from past pelvic surgeries can impede the egg’s journey through the fallopian tube.

Fallopian Tube Damage: Damage to the fallopian tubes, often caused by sexually transmitted infections (STIs), can disrupt the egg’s passage.

Irregular Fallopian Tube Shape: Some individuals are born with fallopian tubes that have irregular shapes, which can interfere with the egg’s movement.

Blockages: The presence of growths or obstructions within the fallopian tube can physically prevent the egg from traveling towards the uterus, leading to an ectopic pregnancy.

Several factors increase the risk of ectopic pregnancy:

Previous Ectopic Pregnancy: Women who have had one ectopic pregnancy are at increased risk of another.

Pelvic Inflammatory Disease (PID): Infections such as chlamydia or gonorrhea can lead to inflammation and scarring of the fallopian tubes.

Previous Abdominal or Pelvic Surgery: Surgeries such as cesarean section or surgery to the fallopian tubes can increase the risk.

Smoking: Women who smoke have a higher risk of ectopic pregnancy.

Early diagnosis of ectopic pregnancy is crucial to prevent life-threatening complications. Diagnostic methods include ultrasound imaging and blood tests to measure pregnancy hormone levels.

Ectopic pregnancy is a serious condition that requires swift medical attention. Knowing the symptoms and risk factors can help women seek timely care and improve outcomes. With advances in medical technology, most women who experience an ectopic pregnancy can go on to have successful pregnancies in the future, but early detection and treatment are essential. If you suspect an ectopic pregnancy or experience any concerning symptoms, do not hesitate to seek medical advice promptly.

References

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