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MONDAY HEALTH BURST ON SICKLE CELL DISEASE: TYPES, SYMPTOMS AND CAUSES

Sickle cell disease (SCD) is a genetic disorder that alters the structure of hemoglobin, a protein in red blood cells. Sickle cell disease is caused by inheriting abnormal hemoglobin genes from both parents. It produces abnormal hemoglobin (HbS) that can cause red blood cells to become rigid and take on a characteristic “sickle” shape under certain conditions, leading to various complications. The underlying genetic mutation affects the synthesis of hemoglobin.
Around 50 million people worldwide have SCD, with 4-6 million of those living in Nigeria (where 1 in 4 people have the sickle cell trait), which is the disease’s epicenter. Globally, around 300,000 infants are born each year with a new SCD diagnosis.1
There are numerous varieties of SCD, but the most common is sickle cell anemia (HbSS). The genes a person receives from their parents determine the particular type of SCD that person has. SCD patients inherit genes that contain the instructions or “code” for faulty hemoglobin.2 The types include:

HbSS
People with this type of SCD inherit two genes—one from each parent—responsible for hemoglobin “S.” The defective hemoglobin, hemoglobin “S” makes red blood cells stiff and sickle-shaped. This condition is known as sickle cell anemia and is usually the most severe type of SCD.

HbSC People with this kind of SCD inherit the “S” gene for hemoglobin from one parent and the “C” gene from the other parent. Typically, this is a less severe variation of SCD.

HbS beta thalassemia
People who have this form of SCD inherit a hemoglobin “S” gene from one parent and a gene for beta thalassemia, another type of hemoglobin abnormality, from the other parent. There are two types of beta thalassemia: “zero” (HbS beta0) and “plus” (HbS beta+). Those with HbS beta0-thalassemia usually have a severe form of SCD. People with HbS beta±thalassemia tend to have a milder form of SCD.
Other types are the HbSD, HbSE, HbSO: These are rare variants with different combinations of abnormal hemoglobin genes.

Symptoms:
• Chronic anemia: SCD leads to a shortage of red blood cells, causing fatigue and weakness.
• Pain crises: Intense, episodic pain due to blocked blood vessels, often in the bones, chest, abdomen, or joints.
• Organ damage: Repeated sickling of cells can harm organs like the spleen, kidneys, and liver.
• Infections: Increased susceptibility to infections, particularly in children.
• Stroke: A risk, especially in children with SCD.
• Delayed growth and development in children.
• Hand-foot syndrome: Swelling and pain in hands and feet, common in infants with SCD.

Prompt diagnosis and comprehensive care are pivotal in enhancing the lives of those with SCD, involving pain management, blood transfusions, medications, and, in severe cases, bone marrow or stem cell transplantation. Raising awareness and promoting early intervention are essential steps towards alleviating the burden of this disease on affected individuals and their families.

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

REFERENCES:
1. Ogbonna Collins (et al., 2022) in the work entitled “An overview of sickle cell disease from the socio-demographic triangle – a Nigerian single-institution retrospective study.
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9120745/

2. Centers for Disease Control and Prevention
https://www.cdc.gov/ncbddd/sicklecell/facts.html

#MondayHealthBurst
#SickleCellAwareness #PreventionIsKey #StayStrong

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SPEAK WEDNESDAY ON GENDER INEQUALITY: THE TOLL ON WOMEN AND SOCIETY

Gender, Gender Based Violence, Gender Equality, Speak Wednesday, Women, Women's Rights / cfhinitiative

Gender inequality is a pervasive issue that has plagued societies for centuries. While considerable progress has been made in recent years to address this problem, it continues to exert a profound toll on women and society at large. This article explores the multifaceted impacts of gender inequality, shedding light on the challenges faced by women and the broader repercussions for society.

1. Economic Disparities
One of the most evident consequences of gender inequality is economic disparity. Women often earn less than their male counterparts for equivalent work, leading to a persistent gender pay gap. This disparity not only affects women’s financial independence but also contributes to a cycle of poverty that can be passed down through generations.

2. Limited Educational Opportunities
In many parts of the world, gender inequality restricts women’s access to education. This lack of educational opportunities hampers their personal growth and economic prospects. Moreover, when women are denied access to education, society as a whole miss out on their potential contributions to various fields.
3. Unequal Representation in Leadership
Gender inequality is glaringly evident in the underrepresentation of women in leadership positions. Whether in politics, business, or academia, women continue to face barriers that hinder their ascent to influential roles. This imbalance deprives society of diverse perspectives and innovative solutions that women leaders can bring.

4. Health and Healthcare Disparities
Women often face disparities in healthcare access and quality, with some countries lacking comprehensive reproductive health services and family planning options. This inequity can lead to adverse health outcomes for women and their families. Furthermore, gender-based violence and discrimination can have severe mental and physical health consequences for women.

5. Unpaid Domestic Labour
Women disproportionately shoulder the burden of unpaid domestic labour, including childcare and household chores. This leaves them with less time and energy to pursue personal and professional aspirations. Society misses out on their full potential when this unpaid labour goes unrecognized and unvalued.

6. Gender-Based Violence
Gender inequality is closely linked to gender-based violence, which includes physical, sexual, and emotional abuse. The prevalence of such violence affects not only individual women but also disrupts social cohesion and contributes to a culture of fear and mistrust.

7. Hindrance to Social Progress
Gender inequality poses a significant hindrance to overall social progress. When half of the population is systematically marginalized and denied equal opportunities, society as a whole cannot reach its full potential. Gender equality is a fundamental human right and a cornerstone of a just and prosperous society.

8. The Path to Gender Equality
Efforts to address gender inequality must involve individuals, communities, governments, and institutions working together. Key steps include:

– Implementing and enforcing equal pay policies
– Promoting education and educational access for girls and women
– Encouraging women’s participation in leadership roles
– Providing comprehensive healthcare services, including reproductive health
– Recognizing and valuing unpaid domestic labour
– Combatting gender-based violence through legislation and awareness campaigns

Gender inequality takes a toll on both women and society. It hampers individual potential, perpetuates economic disparities, and fosters social injustice. Achieving gender equality is not just a moral imperative; it is essential for building a fair, prosperous, and progressive society. It is the responsibility of all individuals and institutions to work tirelessly towards a future where gender inequality is eradicated, and the full potential of all members of society can be realized.

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

#SpeakWednesday #GenderEquality #GenderDiscrimination #WomensFinance

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SPEAK WEDNESDAY ON IMPACT OF GENDER BASED VIOLENCE ON GIRLS’ EDUCATION

ChildNotBride, Gender Based Violence, Gender Equality, Girl Education / cfhinitiative

Gender-based violence (GBV) is the most prevalent yet least obvious human rights violation in the world, according to UNICEF. It involves impairment to a person’s bodily, sexual, mental, or financial health brought on by socially accepted gender power disparities. Threats of violence, coercion, and deprivation of liberty—in public or private—are also included.

There are several types of gender-based violence: In every country, there are shockingly high instances of intimate relationship violence, as well as sexual assault, child marriage, female genital mutilation, trafficking for sexual exploitation, female infanticide, and “honour” crimes.

GBV is frequently identified as a serious impediment to girls’ regular school attendance. Fear of violence, harassment, or assault can keep girls at home, preventing them from participating in academic and extracurricular activities. This fear-driven absenteeism, as recorded by UNICEF, results in missed classes and can eventually lead to girls dropping out of school entirely. As a result, their educational path is plagued by gaps, limiting their long-term chances.

Beyond the physical consequences, the psychological stress caused by GBV has a long-term impact on girls’ academic achievement. According to UNESCO, the aftermath of violence can emerge as anxiety, despair, and low self-esteem, impairing children’s ability to concentrate, learn, and actively participate in school activities. This psychological cost detracts from their overall learning experience.

UN reports that the complicated link between GBV and harmful practices such as early marriage and pregnancy is also obvious. For females who have been subjected to violence, the pursuit of education may be overshadowed by societal standards that promote marriage and child-rearing. Early marriage frequently results in girls dropping out of school, creating a cycle of limited education and limited possibilities.

To address the issue of domestic violence and its impact on girls’ education, the government, civil society, international organizations, and individuals can confront gender-based violence head on and create a society in which girls are free from the cycle of violence and have access to high-quality education to succeed in life.

Speak Wednesday is an initiative of CFHI to address issues around gender-based violence and gender bias.
#SpeakWednesday #GBV #Girl’srights #Girls’Education #genderequality #genderbias

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MONDAY HEALTH BURST ON SYMPTOMS OF BREAST CANCER

Breast Care, Monday Health Burst, World Breastfeeding Week / cfhinitiative

Breast cancer is a disease in which abnormal breast cells grow out of control and form tumors. It is a global health concern that affects millions of women every year. According to the World Health Organization’s (WHO) data from 2020, breast cancer is one of the most prevalent cancers worldwide, significantly impacting diagnosis and mortality rates. As one of the most prevalent cancers worldwide, early detection and awareness are crucial in combating its devastating effects.

According to the World Health Organisation (WHO), in 2020, an alarming 2.3 million women were diagnosed with breast cancer tragically; there were 685,000 deaths attributed to the disease globally. This indicates the urgent need for awareness, education, and early detection measures to combat the devastating impact of breast cancer on women’s lives. It is also worth noting that by the end of 2020, approximately 7.8 million women diagnosed with breast cancer within the past five years were still living, underlining the persistent challenges posed by this cancer even after initial diagnosis and treatment.

Breast cancer can manifest through various symptoms, but one of the most common signs is the presence of a lump or an area of enlarged breast tissue. While not all breast lumps are cancerous, it is crucial to have them examined by a medical professional to rule out any potential malignancy. Beyond lumps, other symptoms to watch for include:

1. Breast Lump: A palpable lump or an area of enlarged breast tissue is often the first noticeable sign of breast cancer. While not all lumps are cancerous, consulting a medical professional for evaluation is crucial.
2. Thickening or Swelling: An unexplained thickening or swelling in part of the breast can indicate an underlying issue. This change might be subtle, so regular self-examinations are essential.
3. Skin Changes: Breast cancer can lead to skin changes such as irritation, dimpling, or pitting. Redness, rash-like textures, or flaky skin around the nipple or breast area should not be ignored.
4. Nipple Abnormalities: Changes in the nipple, such as inversion or pain, could indicate an underlying issue. Any discharge from the nipple that is not breast milk, particularly if it includes blood, should be evaluated by a medical professional.
5. Alterations in Breast Shape or Size: Any noticeable change in the size or shape of the breast, particularly if it’s limited to one breast, should raise concern and prompt a medical evaluation.
6. Breast or Nipple Pain: Persistent pain or discomfort in any area of the breast, including the nipple, should be evaluated by a healthcare professional.

The importance of early detection cannot be overstated. Detecting breast cancer at an early stage significantly improves the chances of successful treatment and positive outcomes. Regular breast self-examinations, clinical screenings, and mammograms are pivotal in identifying potential issues.

Breast cancer is a formidable challenge that affects millions of women worldwide. Recognizing the symptoms, encouraging regular self-examinations and screenings, and advocating for improved resources and awareness are all essential components in the fight against breast cancer. By spreading awareness and knowledge, we can work together to minimize the global burden of breast cancer and improve the well-being of those affected by this condition.

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

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SPEAK WEDNESDAY ON EFFECT OF WORKPLACE VIOLENCE AGAINST WOMEN

Gender Based Violence, Gender Equality, Girl Education, Speak Wednesday, Women Education, Women's Rights / cfhinitiative

A lot of female workers are forced to work in intimidating, hostile or humiliating environment where they are often asked for sexual favors, exposed to inappropriate jokes, insinuations and physical contact that can amount to assault making a work environment uncomfortable for them. According to research, between 40 and 50 percent of women experience unwanted sexual advances, physical contact or other forms of sexual harassment at work.

In today’s edition of Speak Wednesday, we retell the story of one of our beneficiaries, Grace (not her real name). Grace, an orphan, who was discovered by one of our community volunteers in Sabon Lugbe community, was a victim of workplace violence. She worked as a live-in house help for a certain family in the community, but was occasionally sexually abused by her boss. Although she endured for a while out of desperation to keep her job (she was the bread winner of the home), she had to leave because it started affecting her mental health and productivity. Few months later, she got a job in a beer parlour where she was also preyed upon sexually by both the customers and the owner of the business.

When CFHI was made aware of her sad experience, she was immediately enrolled into skills acquisition training and given startup kits for her business through IHVN project. Currently, she is successfully running her tailoring business in the community.

Gender based violence in the workplace is a major hindrance to women’s economic empowerment, autonomy and independence, however, this can be tackled if there is a collective agreement by major stakeholders on policies to prevent and address GBV in the workplace.

Thank you for joining today’s Speak Wednesday on workplace violence. Join us every Wednesday for more episodes as we work together to end all forms of violence against women and girls.

#SpeakWednesday #GBVStory #EndGBVNow

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MONDAY HEALTH BURST ON COMMON CHALLENGES OF BREASTFEEDING FACED BY MOTHERS

Breast Care, Monday Health Burst / cfhinitiative

Breastfeeding can be challenging but is also one of the most rewarding experiences a mother can have. Some of the common challenges faced by breastfeeding mothers include the following;
Breast Engorgement
When your breasts are overflowing with milk, it is called breast engorgement. They could hurt, feel pain, and be hard.

Lactation and Thrush
Nipple damage or cracks can occasionally result in thrush infections. As a result, your nipple or breast may become infected with the candida fungus that causes thrush.

Clogged Milk Duct
A clogged milk duct may result from persistent breast engorgement. You might detect a little sensitive bump in your breast.
Frequent feedings from the afflicted breast could be beneficial. If at all feasible, place your infant such that their chin is pointed in the direction of the lump so they may feed from that area of the breast.

Mastitis
Mastitis (inflammation of the breast) happens when a blocked milk duct is not relieved. It makes the breast feel hot and painful and can make you feel unwell with flu-like symptoms.

Cracked or sore nipples
Sore nipples frequently occur because your infant is not correctly positioned and attached to the breast.
It’s vital to get assistance from your midwife, health visitor, or breastfeeding professional as soon as possible because tolerating the pain or discomfort could worsen it.

Over the years, CFHI has organized numerous events to educate mothers about the importance of exclusive breastfeeding for six months and how to overcome any challenges that may arise. Most recently, an event was held at the Byazhin Primary Health Care Centre in Kubwa, Abuja, where over 90 expectant mothers were sensitized on the benefits of breastfeeding for both mothers and babies and how to manage breastfeeding while at work.

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

Reference:
https://www.nhs.uk/conditions/baby/breastfeeding-and-bottle-feeding/breastfeeding-problems/common-problems/

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SPEAK WEDNESDAY ON BARRIES INHIBITING WOMEN’S ADVANCEMENT IN DECISION-MAKING ROLES

Female Roles in Nation Building, Gender Based Violence, Gender Equality, Girl Education / cfhinitiative

In recent decades, significant strides have been made toward gender equality in various spheres of life. However, despite these advancements, a substantial gender gap persists when it comes to women’s representation in decision-making roles across industries and sectors. The underrepresentation of women in positions of power and authority, particularly in decision-making capacities, remains a complex and concerning issue. Gender discrimination impedes women’s advancement in decision-making roles, economic empowerment, safety, and autonomy, which has an impact on the country’s GDP and economy. These stereotyping and unconscious biases are barriers to obtaining gender balance. They are also linked to larger sociological, political, economic, and governance issues. Furthermore, internal hurdles within women, along with insufficient leadership support, add to the imbalance. In Nigeria’s Senate and House of Representatives, men hold 96.5% of the 423 seats, while women only have 3.5%. In addition, during the recent Ministerial screening, out of 48 seats, less than 16% were occupied by women.
The primary factors contributing to the underrepresentation of women include:
A lack of effective government action;
Lower levels of female employment and education;
Sexism, sometimes but not always deriving from religion or traditional practices;
A corrupt and patronage-based political system;
Violence at elections, including against women candidates.
Additionally, within the professional sphere, despite notable growth in the number of women occupying middle management positions over the past two decades, the proportion of female Chief Executive Officers within major corporations remains remarkably low. This discrepancy can be attributed to a variety of factors, including:
Inadequate exposure to line management roles.
Limited access to promising career paths.
Gender-related variations in linguistic styles and socialization.
Prevalent gender-based stereotypes.
The persistence of established networks favouring male advancement.
Superficial inclusion efforts, often referred to as tokenism.
However, this can be addressed with conscious efforts by the government, civil society, international organizations, and individuals. By deliberately and cooperatively addressing gender discrimination barriers in Nigeria through policy reforms, transformation of discriminatory cultural norms, provision of funds, mentoring, and leadership training, women can attain greater participation and prosper in leadership roles.
According to the UNDP, gender equality (Goal 5) will help to enable women’s full and effective involvement and equal chances for leadership at all levels of decision-making in political, economic, and public life.
Speak Wednesday is an initiative of CFHI to address issues around gender-based violence and gender bias.
#SpeakWednesday #GenderEquality #GenderDiscrimination #WomenInLeadership

REFERENCES
Kelly, L. (2019). Barriers and enablers for women’s participation in governance in Nigeria. K4D Helpdesk Report. Brighton, UK: Institute of Development Studies.
Oakley, J.G. Gender-based Barriers to Senior Management Positions: Understanding the Scarcity of Female CEOs. Journal of Business Ethics 27, 321–334 (2000). https://doi.org/10.1023/A:1006226129868
Kayode Oyero. (2023). #IWD2023: Women Get 15 Out Of 423 Senate, Reps Seats.
https://www.channelstv.com/2023/03/08/iwd-women-get-15-out-of-423-senate-reps-seats/

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MONDAY HEALTH BURST ONBENEFITS OF BREASTFEEDING FOR MOTHERS

Exclusive Breastfeeding, Monday Health Burst, World Breastfeeding Week / cfhinitiative

Breastfeeding, the natural act of nourishing an infant with breast milk, has been an integral part of human history for centuries. Beyond its well-known advantages for infants, breastfeeding offers many remarkable benefits for mothers. The journey of motherhood is enriched through this bond that not only nurtures the child but also contributes to the physical and emotional well-being of the mother.

Welcome to Monday’s Health Burst! In today’s episode, we will explore the benefits of breastfeeding for mothers.

Breastfeeding offers several health benefits to mothers, including:

• Postpartum Weight Loss: Breastfeeding burns extra calories, aiding in weight loss after childbirth.

• Uterine Contraction: It helps the uterus return to its pre-pregnancy size faster by promoting uterine contractions.

• Reduced Risk of Certain Cancers: Breastfeeding has been linked to a decreased risk of breast and ovarian cancers.

• Bone Health: Women who breastfeed may have improved bone density in the years following childbirth.

• Reduced Risk of Type 2 Diabetes: Breastfeeding may lower the risk of developing type 2 diabetes later in life.

• Cardiovascular Health: It can contribute to improved heart health and reduce the risk of cardiovascular diseases.

• Emotional Well-being: Breastfeeding can enhance the release of hormones that promote maternal bonding and reduce postpartum depression.

Breastfeeding is not only a gift to the child but also a precious gift to the mother. Its physical, emotional, and psychological benefits contribute to the overall well-being of mothers during the postpartum period and beyond. The bond forged through breastfeeding enhances the mother’s self-esteem, emotional stability, and a sense of purpose while reducing the risk of various diseases and fostering a healthier lifestyle.

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

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SPEAK WEDNESDAY ON GENDER BASED VIOLENCE; MEDIA’S ROLE IN RESHAPING PERCEPTION

Gender, Gender Based Violence, Gender Equality / cfhinitiative

Gender-Based Violence: Media’s Role in Reshaping Perceptions

Media plays a crucial role in reshaping gender-based violence (GBV) perceptions by influencing public awareness, attitudes, and understanding of GBV. Through various platforms like news, movies, TV shows, and social media, media can raise awareness, challenge stereotypes, empower survivors, educate the public, and influence policy and advocacy. However, the media’s responsibility in reporting GBV comes with pitfalls that can perpetuate harmful norms and hinder efforts to address the issue effectively. Examples:

Normalization of Violence:

– Lack of coverage can create an illusion that GBV is not a prevalent issue, normalizing abusive behaviour and attitudes.

Victim Blaming:

– When incidents go unreported or underreported, it can reinforce victim-blaming attitudes, suggesting that survivors are responsible for the violence they experience.

Silencing Survivors:

– Media silence may discourage survivors from coming forward, fearing stigmatization and disbelief, further isolating them and hindering their path to justice and healing.

Lack of Public Awareness:

– Insufficient reporting prevents the public from understanding the scale and severity of GBV, leading to complacency and inaction.

Impeding Policy and Legal Reforms:

– Without media attention, the urgency for policy changes and legal reforms to protect victims and hold perpetrators accountable may be undermined.

Missed Opportunities for Prevention:

– Media can be a powerful tool in promoting prevention efforts, but these opportunities are lost without adequate reporting.

Misrepresentation and Stereotyping:

– When incidents are reported, media portrayals may perpetuate harmful stereotypes, reinforcing gender norms and biases.

Undermining Advocacy Efforts:

– Media serves as a conduit for advocacy efforts, but insufficient coverage can hamper campaigns and awareness-raising initiatives.

Fostering a Culture of Silence:

– A lack of media attention can create a culture of silence around GBV, hindering collective efforts to challenge and combat it.

Impact on Funding and Resources:

– Insufficient reporting may lead to reduced funding and resources for organizations working to address GBV, impeding their ability to support survivors and prevent future violence.

The Media’s role in reshaping perceptions of gender-based violence is undeniable and carries a significant responsibility in how it reports on the issue.

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

#SpeakWednesday #GenderEquality #GenderDiscrimination #Women’sFinance

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HEALTH BENEFITS OF EXCLUSIVE BREASTFEEDING TO BABIES

Monday Health Burst / cfhinitiative

Breastfeeding is the act of feeding an infant breast milk from the breast. Exclusive and continued breastfeeding could help prevent 13% of death globally among children under five year old.¹

World Health Organization (WHO) recommends exclusive breastfeeding for six months and encourages continuing breastfeeding even after solid foods are introduced until the age of two. It is also recommended, that Children initiate breastfeeding within the first hour of birth.

The benefits of exclusive breastfeeding cannot be understated as it includes;

Brain development: A US study showed that toddlers and preschoolers who had been exclusively breastfed for at least three months had brains with twenty to thirty percent more white matter which connects different regions of the brain and transmits signals between them than those who had no breast milk. Therefore, Infants who are breastfed exclusively are more likely to have higher intelligence quotient (IQ) than formula fed babies.²

Life long benefits: Children who were breastfed are less likely to suffer from diseases such as leukaemia and lymphoma and tend to have better eyesight, and straighter teeth than those who had formula milk.

Breastfeeding also helps to lower baby’s risk of becoming obese or developing type 1 or type 2 diabetes as adult.

Exclusive breastfeeding is known to considerably decrease infant mortality on account of common childhood illness. It is one of the ways to minimize the chances of a baby getting diarrhoea, allergies, pneumonia and suffering from malnutrition.

Sadly, three in five babies are not breastfed in the first hour of life and two out of three infants are not exclusively breastfed for the recommended six months.³

More awareness should be created on the benefits of exclusive breastfeeding. Furthermore, support from family members and friends is vital in encouraging mothers to breastfeed their infants exclusively.

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

References