Archive for category: Health

Information and stories on health topics.

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Mexico’s First Midwifery School

Mexico's First Midwifery SchoolIn Mexico, traditional midwifery services have been fallen steadily as women choose to have their babies in hospitals. However, many citizens who still live too far from hospitals need midwives. To meet this demand, Mexico has established its first public midwifery school, and young women are learning this ancient practice with the intent to graduate.

Guadalupe Maniero, the school’s director, explains that in Mexico, “hospitals are oversaturated, and so it’s a big problem.” Since the 2011 law that grants midwives a place among the country’s legally accepted medical professions, age-old stigmas have begun to fade. By helping to deliver babies, doctors have much more time to spend focusing on dangerous births in which the child and/or mother are in danger.

The four-year program grants its graduates certificates that allow them to practice in legitimate health centers. By interweaving longstanding cultural traditions with modern-day needs and practices, Mexico’s first midwifery school has the potential to benefit the entire country for years to come.

– Jake Simon

Source: NPR

Mental Illness Affected More By Poverty Than War

Mental Illness Affected More By Poverty Than War
The citizens of Afghanistan have now weathered a 12-year war in the country and, as U.S. and as NATO forces prepare to pull out by the end of 2014, a new study confirms that poverty and vulnerability are more significant to the development of mental illness and anxiety than exposure to war.

The study, focusing on war and mental health in Afghanistan, says that war is undoubtedly an identifiable precursor to mental illness, but that poverty and vulnerability are actually “stronger and probably more persistent risk factors that have not received deserved attention in policy decisions,” said Dr. Jean-Francois Trani.

The study elaborates on the origins of mental illness and political violence, saying that unemployment and lack of access to resources contribute to the absence of one’s place in a social hierarchy, which leads to mental anguish that, in turn, can cause young people to act violently towards any government or institutions of authority.

The study calls these social and cultural predetermined factors “social exclusion mechanisms,” and maintains that these factors were in place before war began, but are exacerbated by military conflict. The researchers recommend that policymakers take into account all factors of these at-risk groups to create a more stable and self-sufficient Afghanistan.

– Christina Kindlon

Source: Washington University in Saint Louis
Photo: Trends Updates

US Baby Cured Of HIV

Last Sunday at the 2013 Conference on Retroviruses and Opportunistic Infections in Atlanta, doctors reported that an infant in Mississippi has been cured of HIV. The baby’s mother was HIV positive, and in hopes of controlling the virus, the baby was treated with high doses of three antiretroviral drugs within 30 hours of birth. Treatment was ongoing for 18 months. Two years later, there is no trace of HIV in the child’s blood. Early intervention with antiretroviral drugs seems to be the key to this “miracle cure.”

In the world of medicine, this is groundbreaking as this child is the first to be “functionally cured” of HIV, the virus that causes AIDS. Emphasis is being placed on the timing of intervention rather than the particular drug or number of drugs used. Dr. Hannah Gay, a pediatric HIV specialist at the University of Mississippi who treated the infant and mother, stated that the current hypothesis is that through “early aggressive therapy” they were able to prevent reservoirs or “hiding places” from being seeded with the virus. Doctors will continue to follow the unidentified baby girl’s progress but as of now, she is off of treatments and assessed by doctors as “perfectly healthy.”

In the US, 100 to 200 babies are born infected with HIV every year. Around the world, nearly one thousand babies are born infected with HIV or more than 300,000 a year. As of last Sunday, one has been cured. This is just the start of a lot of work and research that has to be done but without a doubt these findings give great hope in the possibility of a cure for HIV.

– Rafael Panlilio
Source: CNN, Reuters, You Tube

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New Pope, New Take on Contraceptives?

New Pope, New Take on Contraceptives?The beginning of this March is an important time for the Catholic Church, as Pope Benedict XVI resigns from the papacy. With the seat of St. Peter empty, what global issues will the new Pope face?

Catholics and non-Catholics alike realize that the Pope and his decisions have an influence in many areas throughout the world. The next Pope, whoever that will be, is going to inherit the Church in a time of crisis. While there is a myriad of problems to be dealt with within the Church, one issue related to international poverty will be at the forefront: the use of birth control.

Pope Benedict famously stirred up no small bit of controversy in the international aid community back in 2009 when he claimed that the use of condoms does nothing to prevent the spread of HIV and that the availability of condoms actually makes the problem worse. Around the same time, the Pope offered a rare example in which the use of condoms would be acceptable in the case of a male prostitute using one. Such comments brought about different feelings about where the Church would be going with the issue; would it stay conservative or consider altering its’ stance on condoms?

The next Pope will have an opportunity to make his own statements about birth-control and perhaps his stance may be slightly more accepting than his predecessors. It would be irrational to expect the Catholic Church to reverse its position on the issue of birth control, but it is also important to remember the relationship between overpopulation and poverty. Even the smallest bit of change could make a difference for millions and hopefully, it will start to come about with the new Pope.

– Kevin Sullivan

Source: The Guardian

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5 Critical Factors In Rwanda’s Healthcare Success

5 Critical Factors In Rwanda’s Healthcare SuccessJust in the last ten years in Rwanda, deaths from HIV, TB, and malaria have dropped by 80 percent, annual child deaths have fallen by 63 percent, maternal mortality has dropped by 60 percent, and life expectancy has doubled. All at an average annual healthcare cost of $55 per person.

Normally, after horrific national traumas, like Rwanda’s genocide of almost a million people in 1994, countries fall into a cycle of poverty and economic stagnation. Poor health and disease cripple workers and then the national economy, leaving the country ineffective to break out of depression.

A recent article in BMJ, led by Dr. Paul Farmer, Chair of the Department of Global Health and Social Medicine at Harvard Medical School, examined data from the World Health Organization (WHO) and attempted to identify why Rwanda was able to make such dramatic progress when so many other nations have failed before them.

They identified 5 critical factors In Rwanda’s healthcare success:

1. The government formed a centralized plan for economic development, with one of the pillars being health care; knowing that, without improving health, poverty would persist. There were heavy research and reliance on facts and data to formulate their health metrics.

2. Aid allocation was controlled and monitored; the government insisted that all aid agencies meet transparency and accountability standards consistent with the national development plan.

3. A treatment plan addressing all the associated issues around AIDS was implemented:  tuberculosis, malnutrition, need for in-home care, community health workers, “psychosocial” support, primary and prenatal care.

4. Financial incentive was given to coordinate care; a performance-based financing system was set up to pay hospitals, clinics and community health workers to follow-up on patients and improve primary care.

5. Universal health insurance for all citizens, with particular attention to providing for the most vulnerable populations. The average, annual out-of-pocket health spending was cut in half, and households experiencing health care bills that force them into poverty were significantly reduced. (Half the funding came from international donors and a half from annual premiums of less than $2 per person.)

Access to healthcare for ALL citizens is a prerequisite for controlling diseases and thus allowing for economic growth to lift people, and nations, out of poverty. The medical advances in Rwanda have pushed their economic growth, the GDP per person has tripled, and millions have been lifted from poverty over the last decade. Rwanda offers a replicable model for the delivery of high-quality healthcare and effective oversight, and even with limited resources.

– Mary Purcell

Source: The Atlantic

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Oscar Nominated Film Documents Children’s Heart Surgery

Filmed in 2012, ‘Open Heart’ documents the journey of eight patients going through surgery at the Salam Center in Khartoum, Sudan. Salam is Africa’s only state-of-the-art, free-of-charge cardiac hospital offering children’s heart surgery and has been operating since 2007.

‘Open Heart’ follows Dr. Gino Strada, a surgeon at Salam and features Angelique Tuyishimere, the six-year-old daughter of a Rawandan farmer. Close to a third of the patients at Salam are under 14 making children’s heart surgery a common occurence at Salam.

Salam employs four cardiac surgeons  and is set up for 1,500 operations per year. However, due to funding issues, last year only 600 patients were operated on. Dr. Strada is forward about admitting the need in Africa is more than Salam can aid, but is still very happy with the progress that has been made and optimistic about the future.

Now, Davidson and the doctors – Rusingiza and Strada – will be attending the Oscars. If passport and visa issues are resolved, six-year-old Angelique and her dad will also be attending. Although he stands the chance of being honored at the Oscars, documentarian Kief Davidson still has not lost sight of the original problem being addressed – the lack of affordable healthcare in Africa, especially concerning the preventable diseases fought at Salam.

– Pete Grapentien

Source ABC News

The Link Between Volunteering and Happiness Levels in the Elderly

The Link Between Volunteering and Happiness Levels in the ElderlyFor many seniors, the act of volunteering at a local mission or community outreach center is simply a chance to give back to those less fortunate than themselves. However, based upon the results of a recent study, seniors might also want to consider the little known correlation between altruism, helping, volunteering, and happiness levels that result as an added bonus to their commitment to serve.
Researchers at Case Western Reserve University in Cleveland, Ohio conducted a longitudinal study in which they followed a group of 585 community living seniors over the course of three years. During the study, the research participants’ psychosocial well-being outcomes were measured in two waves; this included life satisfaction, positive effects, negative effects, and depressive symptoms. The results of the study – though expected – was nevertheless important in regards to quantifying the positive outcomes of certain behaviors in the elderly population. Subsequently, evidence emerged that overwhelming supported the link between seniors exhibiting higher traits of altruism, informal helping, and volunteering and happiness levels.
This research is great news for national and community service and can act as even more of an incentive for seniors to get involved in organizations such as The Borgen Project for the long term benefits of increased volunteering and happiness levels. Simply stated, by giving a little of their time and/or financial resources whenever possible, retired seniors can help win the war on global poverty.
– Brian Turner

Source: Journal of Aging and Health
Photo: New York State Senate

Nasty Secrets of Indian Healthcare

Indian Healthcare
Private healthcare has grown in prominence in India, constituting 93 percent of all hospitals and 85 percentof doctors today. The government clinics are sparse, leaving Indians no choice but to seek private healthcare. With no real government regulations, many private practices are taking advantage of the poor, uneducated or illiterate patients, and especially women. By providing expensive treatments that are not necessary, many are left in atrocious debts and physical pain.

Oxfam personnel in India have obtained substantial evidence on these abuses committed against Indian women at these private clinics and hospitals. Doctors have coerced thousands of women to get unnecessary hysterectomies when they come in for treatment for stomachaches or abdominal problems. Akhil Bhartiya Grhak Panchayat, a local NGO in Dausa, has found that almost 70 percent of the women who have gone to the clinics, which the NGO obtained information from, have had hysterectomies performed on them. The investigation also revealed that many of these women were less than 29 years old.

Besides hysterectomies, many women were also tricked into having cesarean surgeries instead of a natural delivery. A cesarean operation can cost about four times as much as a normal delivery.  In addition to the cost of the operation, the doctors would then charge for consultation and hospital beds. These unwarranted procedures leave the women deeply in debt, and sometimes in worse physical shape and unable to work.

These unnecessary treatments for financial gains are unethical and a violation of human rights. Oxfam urges the Indian government to regulate the private healthcare sector and work towards developing an affordable healthcare system for everyone in India. Oxfam is working to end this exploitation of women in need of health services.

– Pimrapee Thungkasemvathana

Source: Guardian

Photo: Time