WHO

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 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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MONDAY HEALTH BURST ON CARDIOVASCULAR DISEASES

Diabetes, Monday Health Burst, WHO / cfhinitiative

Cardiovascular diseases (CVDs) stand as the leading cause of mortality worldwide, claiming 17.9 million lives annually. Ranging from heart attacks to strokes, these ailments affect the heart and blood vessels in various forms and degrees of severity.1

Some of the cardiovascular diseases include:
1. Coronary Artery Disease (CAD):
CAD, often stemming from atherosclerosis, involves the buildup of plaque in the arteries supplying blood to the heart. This condition can lead to angina (chest pain), heart attacks, and heart failure, significantly impacting an individual’s quality of life and longevity.

2. Hypertension:
Hypertension, or high blood pressure, serves as a silent killer, gradually damaging arteries and increasing the risk of heart attacks, strokes, and other complications. Its prevalence underscores the importance of regular blood pressure monitoring and lifestyle modifications.

3. Stroke:
Strokes, whether ischemic or hemorrhagic, result from disruptions in blood flow to the brain. They can cause devastating consequences such as paralysis, speech impairments, and cognitive deficits, highlighting the urgent need for stroke prevention and prompt medical intervention.

4. Heart Failure:
Heart failure occurs when the heart becomes unable to pump blood effectively, leading to symptoms like fatigue, shortness of breath, and fluid retention. It necessitates comprehensive management strategies to alleviate symptoms and improve prognosis.
Heart attacks and strokes are the primary cause of over four out of every five CVD deaths, with one-third of these deaths occurring prematurely in individuals under the age of 70. 2

5. Arrhythmias:
Arrhythmias encompass irregular heart rhythms, which can range from harmless palpitations to life-threatening cardiac arrest. Understanding the underlying causes and implementing appropriate treatment modalities is crucial for individuals with these conditions.

Risk Factors and Prevention:
Numerous factors contribute to the development of CVDs, including smoking, high blood pressure, high cholesterol, diabetes, obesity, sedentary lifestyle, and genetic predisposition. Adopting a holistic approach to prevention involves lifestyle modifications such as maintaining a balanced diet, engaging in regular physical activity, abstaining from tobacco use, managing stress, and adhering to prescribed medications.

In the fight against CVDs in Nigeria, from 2019 to 2021, CFHI in collaboration with the Health Strategy and Delivery Foundation (HSDF) implemented the Diabetes Awareness and Care Project in Imo state, Nigeria to raise awareness of type 2 diabetes mellitus (T2DM), its risk factors, and prevention in targeted communities across six (6) Local Government Areas. This initiative resulted in reaching 258,997 individuals with T2DM awareness messages, screening 16,194 people for T2DM and hypertension, establishing 12 health clubs in schools, and referring 607 individuals for further healthcare management.3

Cardiovascular diseases represent a multifaceted challenge with far-reaching implications for individuals, families, and societies at large. By promoting awareness, implementing preventive measures, and advancing medical treatments, we can strive to mitigate the impact of CVDs and improve cardiovascular outcomes globally. Empowering individuals with knowledge about risk factors, symptoms, and available resources is paramount in fostering a healthier future free from the grip of cardiovascular diseases.

Join CFHI’s “Monday Health Burst” initiative on all social media platforms for weekly discussions on basic health concern.

References:
1. https://www.who.int/health-topics/cardiovascular-diseases#tab=tab_1
2. https://www.who.int/health-topics/cardiovascular-diseases#tab=tab_1
3.https://www.cfhinitiative.org/home-2/our-projects/dac/

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MONDAY HEALTH BURST ON TRANSMISSION AND CAUSES OF TUBERCULOSIS

Monday Health Burst, WHO / cfhinitiative

Tuberculosis (TB) remains a significant global health concern, with millions of new cases reported each year. This infectious disease primarily affects the lungs but can also target other parts of the body. In 2022, an estimated 10.6 million people fell ill with tuberculosis (TB) worldwide, including 5.8 million men, 3.5 million women and 1.3 million children. ¹

TB is caused by the bacterium Mycobacterium tuberculosis, which spreads through the air when an infected person coughs, sneezes, speaks, or sings. The primary mode of transmission is through inhalation of airborne droplets containing the bacteria. However, not everyone exposed to TB bacteria becomes infected. Factors such as the duration and proximity of exposure, the infectiousness of the individual with TB, and the immune status of the exposed person play crucial roles in determining the likelihood of transmission. Certain environments can also facilitate TB transmission, particularly crowded and poorly ventilated spaces. Prisons, homeless shelters, refugee camps, and healthcare facilities are examples of settings where TB transmission can occur more readily.

The causes of TB include:

Bacterial Infection: Mycobacterium tuberculosis is the main causative agent of TB. When someone with active TB disease coughs or sneezes, they release bacteria into the air, which can then be inhaled by others.

Weak Immune System: People with weakened immune systems, such as those living with HIV/AIDS, malnutrition, or other conditions that compromise immunity, are at higher risk of developing TB. The immune system normally helps control TB infection, but when it’s weakened, the bacteria can multiply and cause active disease.

Close Contact: Close and prolonged contact with someone who has active TB increases the risk of transmission. This is why household members, close friends, and healthcare workers who care for TB patients are at higher risk.

Drug Resistance: Misuse or inadequate use of antibiotics can lead to the development of drug-resistant strains of TB. Drug-resistant TB is more challenging to treat and requires more prolonged and costly therapy.

Social Determinants: Socioeconomic factors such as poverty, overcrowded living conditions, and limited access to healthcare contribute to the spread of TB. These factors not only increase the risk of transmission but also hinder timely diagnosis and treatment, leading to more severe disease outcomes.

Tuberculosis transmission and causes are multifaceted, involving biological, environmental, and social factors. Preventing the spread of TB requires a comprehensive approach that includes early detection, effective treatment, infection control measures, and addressing the underlying social determinants of health.

Recently, CFHI collaborated with the National Tuberculosis and Leprosy Control Programme (NTBLCP) and other relevant stakeholders to increase public awareness of the symptoms and significance of tuberculosis screening and treatment in Nigeria.

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.who.int/news-room/fact-sheets/detail/tuberculosis

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MONDAY HEALTH BURST ON PROSTATE CANCER OVERVIEW-SYMPTOMS AND TREATMENT

Cancer, Men's Health, Monday Health Burst, WHO / cfhinitiative

In Nigeria, prostate cancer is the most commonly diagnosed malignancy among men and a hospital prevalence of 182.5 per 100,000 male admissions was recorded in 2010 in Osun State.1

Prostate cancer is a type of cancer that develops in the prostate. Males have a little gland called the prostate that resembles a walnut that secretes seminal fluid, which feeds and carries sperm.

In it’s early stage, prostate cancer may not show any symptoms, but may result in indications and symptoms like: difficulty urinating, a weaker stream of pee, blood in the urine, blood in the semen, bone pain, weight loss without attempting, and erectile dysfunction when the cancer becomes advanced.2

Options for treating prostate cancer rely on a number of variables, including how quickly the disease is developing, if it has spread, your general health, and the potential advantages or disadvantages of the treatment. Some of the treatment options include; surgery to remove the prostate, radiation therapy, freezing or heating prostate tissue, and hormone therapy.

Around 1 in 8 males will receive a diagnosis of prostate cancer at some point in their life. However, only 1 in 41 of these will die as a result. This is because treatment is effective, especially in the early stages. Routine screening enables doctors to detect many cases of prostate cancer before they spread.

Individuals and organizations are encouraged to create awareness of the need for routine check-ups to prevent advanced-stage prostate cancer.

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.

#MondayHealthBurst #MensHealth #ProstateCancer

References:

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MONDAY HEALTH BURST ON URINARY TRACT INFECTIONS

Health, Monday Health Burst, WHO / cfhinitiative

Urinary Tract Infections(UTIs) are common infections caused by bacteria that enter the urethra and infect the urinary system. These germs are usually from the skin or the rectum. While the infections can affect any region of the urinary tract, bladder infections (cystitis) are the most prevalent form. Another kind of UTI is pyelonephritis, or kidney infection. Though less frequent, they are more dangerous than bladder infections.(Centre for Disease Control,CDC).
Causes of UTIs:
Bacterial Invasion: The majority of UTIs are caused by bacteria entering the urethra and traveling up to the bladder.
Risk Factors: Women are more prone to UTIs due to a shorter urethra. Other risk factors include sexual activity, urinary tract abnormalities, a weakened immune system, and catheter use.

Symptoms of UTIs:
Painful Urination: A burning sensation during urination is a common symptom.

Frequent Urination: The urge to urinate more often than usual.

Cloudy or Strong-Smelling Urine: Changes in urine color and odor may indicate an infection.

Pelvic Pain: Discomfort or pressure in the lower abdomen.

Diagnosis:
If you suspect a UTI, a healthcare professional will typically perform a urinalysis to check for bacteria and white blood cells. In some cases, imaging tests may be ordered to identify any structural issues in the urinary tract.

Treatment:
Antibiotics: The primary treatment for UTIs involves a course of antibiotics to eliminate the infection.

Pain Relief: Over-the-counter pain relievers can help alleviate symptoms.

Hydration: Drinking plenty of water can help flush out bacteria from the urinary system.

Prevention:
Hygiene Practices: Wipe from front to back after using the toilet to prevent bacteria from entering the urethra.

Stay Hydrated: Adequate fluid intake promotes regular urination, helping to flush out bacteria.

Urinate After Intercourse: Emptying the bladder after sexual activity can reduce the risk of UTIs.

Conclusion:
Urinary tract infections are a common health concern, especially among women. Understanding the causes, symptoms, and preventive measures is crucial for prompt diagnosis and effective treatment. If you suspect a UTI, consult with a healthcare professional for personalized advice and care.
#MondayHealthBurst
#UrinaryTractInfection

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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MONDAY HEALTH BURST ON MOTHER-TO-CHILD TRANSMISSION (MTCT) OF HIV

Monday Health Burst, WHO / cfhinitiative

AIDS is the leading cause of death for women of reproductive age, and women are disproportionately affected by HIV, according to UNAIDS.
HIV infection in pregnancy threatens maternal immune health and can lead to perinatal transmission of HIV in utero, intrapartum, or through breastfeeding postpartum. A woman living with HIV can transmit the virus to her baby during pregnancy, childbirth, or breastfeeding (known as mother-to-child transmission or MTCT).

The WHO estimates that every year, 1.3 million women and girls living with HIV become pregnant worldwide. Without treatment, 15% to 45% of HIV-positive mothers transmit the virus to their unborn children during pregnancy, labor, delivery, or breastfeeding.
Although HIV can be transmitted through breastfeeding, taking HIV medicines and having an undetectable viral load during pregnancy and throughout breastfeeding lower the risk of passing HIV to less than 1%.

To prevent MTCT, a combination of strategies is typically employed:

 Antiretroviral Therapy (ART): Pregnant women with HIV are prescribed ART drugs. These drugs can reduce the viral load in the mother’s body, lowering the risk of transmission to the baby.

 Scheduled Caesarean Section: In some cases, a scheduled caesarean section may be recommended to reduce the risk of transmission during childbirth, particularly if the mother’s viral load is high.

 Avoiding Breastfeeding: In regions where safe alternatives are available and affordable, mothers with HIV are advised to avoid breastfeeding, as the virus can be transmitted through breast milk.

 Safe Infant Feeding: If breastfeeding is necessary due to limited access to safe alternatives, it’s recommended that the mother continues taking ART, and the baby is also prescribed ART to reduce the risk of transmission.

 Preconception Planning: Women of reproductive age living with HIV should receive counseling and guidance on family planning and HIV prevention to ensure safer pregnancies.

 Testing and Monitoring: Regular HIV testing and monitoring during pregnancy are crucial to assess the effectiveness of ART and adjust the treatment as needed.

These strategies have significantly reduced the rate of MTCT of HIV. Still, it’s essential for pregnant women to receive proper medical care and follow the guidance of healthcare providers to minimize the risk to their babies.

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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MONDAY HEALTH BURST ON SYMPTOMS AND CAUSES OF HEPATITIS B

Hepatitis B, Monday Health Burst, WHO / cfhinitiative

Hepatitis B is a viral infection that attacks the liver and can cause both acute and chronic diseases. Having chronic hepatitis B raises your risk of getting liver cancer, liver failure, or cirrhosis, which permanently scars the liver.
The World Health Organization (WHO) estimates that around 1.5 million people are diagnosed with chronic hepatitis B infection annually, which affects a total of 296 million individuals.

SYMPTOMS
Hepatitis B may occasionally go undetected without any obvious signs. This is common among children.
Acute hepatitis B symptoms can start to show about 1 to 4 months after contact with the virus. Some of these symptoms include:
• Weakness and exhaustion
• Appetite loss
• Vomiting
• Jaundice
• Clay-colored stool
• the aching in one’s joints

CAUSES:
According to MayoClinic, the causes of Hepatitis B include:
• Sexual contact: It is possible to contract hepatitis B if one engages in unprotected sexual activity with an infected individual. The virus can be transmitted through bodily fluids such as blood, saliva, semen, or vaginal secretions.
• Sharing of needles/Accidental needle sticks: HBV easily spreads through needles and syringes contaminated with infected blood. Sharing IV drug paraphernalia puts one at high risk of hepatitis B.
• Mother to child: Pregnant women infected with HBV can pass the virus to their babies during childbirth. However, the newborn can be vaccinated to avoid getting infected in almost all cases. It is advisable to discuss with a healthcare provider the option of getting tested for hepatitis B if you are pregnant or planning to conceive.

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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MONDAY HEALTH BURST ON SARCOMA – CAUSES AND TREATMENT

Health, Monday Health Burst, WHO / cfhinitiative

Sarcoma, a rare form of cancer, encompasses a variety of malignancies that arise in the body’s connective tissues, such as bones, muscles, tendons, blood vessels, and soft tissues. Commonly observed symptoms are as follows:

Painless lump
Weight loss
Trouble in breathing
Pain in the affected bones
Swelling
Fatigue
A limp when the sarcoma is in your leg.

While the precise causes of sarcoma remain unclear, several factors can contribute to its development. Here are some potential causes and risk factors associated with sarcoma:

Genetic factors: Genetic mutations or inherited conditions can increase the likelihood of developing sarcoma in certain cases.

Radiation exposure: Previous exposure to high levels of ionizing radiation, particularly during cancer treatment or nuclear accidents, has been linked to an elevated risk of sarcoma. This is more common among individuals who have undergone radiation therapy for other types of cancer.

3. Environmental factors: Certain environmental elements, such as exposure to specific chemicals or toxins, may contribute to sarcoma development. For example, exposure to vinyl chloride, a chemical used in plastics manufacturing, has been associated with an increased risk of a specific type of sarcoma called angiosarcoma.

Chronic lymphedema: Prolonged swelling of the limbs caused by damage or removal of the lymphatic system, often resulting from cancer treatment or surgery, can elevate the risk of developing lymphangiosarcoma, a type of sarcoma.

Treatment:

According to Mayo Clinic’s Publication in December, 2022; Surgery is commonly employed as the primary treatment for sarcoma, aiming to remove the cancerous cells. Additional treatments may be administered before or after surgery, depending on the type and location of the sarcoma, the aggressiveness of the cells, and the presence of metastasis in other parts of the body. The optimal therapy for each individual is determined based on these factors.

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 – Combating Cyberviolence Against Women

Gender, Mental Health, Speak Wednesday, WHO, Women, Women's Rights / cfhinitiative

The widespread usage of the internet and the quick development of technology have had various positive effects on society. They have, however, also contributed to a worrying development: cyberviolence against women. Women’s safety, privacy, and wellbeing are seriously threatened by this type of online assault. This, the UN identified as a kind of gender-based violence that exacerbates existing inequities.

According to UN Women, cyberviolence against women takes various forms, such as sexual harassment, stalking, intimate image abuse, trolling, doxing, and misogynistic hate speech. Additionally, technology is used to facilitate other forms of violence, including intimate partner or domestic violence and trafficking. These digital tools enable abusers to monitor, track, threaten, and perpetrate violence, while traffickers exploit technology to profile, recruit, control, and exploit their victims. Reports by UN Women and the UN Special Rapporteur on Violence Against Women highlight the adverse impacts of cyberviolence, including psychological and emotional distress, fear, social isolation, and educational and professional consequences faced by victims.

Women at heightened risks of cyberviolence includes young women and girls, women in public life including women’s rights activists, women human rights defenders, women in politics, and women journalists.

Nigeria has taken significant steps to address cyberviolence against women through its legal system. The Cybercrime Act of 2015 criminalizes various forms of cyberviolence, including cyberstalking, cyberbullying, identity theft, and the distribution of sexually explicit materials without consent. This legislation plays a crucial role in protecting women from online abuse and provides a legal framework to prosecute perpetrators. Furthermore, legal frameworks like the Violence Against Persons (Prohibition) Act, and the Convention on the Elimination of All Forms of Discrimination Against Women (CEDAW) recognizes cyberviolence as a form of violence against women. These legislative measures provide a foundation for protecting women from online abuse and prosecuting perpetrators.

Although Nigeria has made strides in addressing cyberviolence against women, stronger enforcement measures are required to guarantee that existing laws are implemented.

Raising awareness and promoting legislative changes are essential components in the fight against cyberviolence against women, in addition to legal measures. Public campaigns, educational initiatives, and media outreach should emphasize raising awareness of the seriousness of the problem, encouraging appropriate online conduct, and creating an environment where women may feel respected and safe.

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

#SpeakWednesday #Cyberviolence #GenderBasedViolence #Women’sRights #GenderStereotype #GenderBias #GenderInequality