Reproductive Healthcare in SenegalThe country of Senegal has made major strides over the past 10 years for access and care in women’s reproductive and maternal health. Here are some initiatives and four recent centers that have opened to provide women with reproductive healthcare in Senegal in both rural and urban settings.

Reproductive Healthcare Barriers for Senegalese Women

Senegal’s healthcare system is not free to the public. If one does not have the funds to pay for their needed care, they are refused treatment. With more than 50% of Senegal’s population in poverty, only 32.5% of births are performed with a healthcare professional, making the maternal death rate one in 61 women.

Senegalese women are averaged to have at least four children, which is often a result of early forced marriage and the patriarchal family structure. Young women are limited from attaining an education, inhibiting their ability to gain knowledge and power over their reproductive and maternal health.

Over 77% of Senegalese women who desire sexual contraception such as birth control, do not have access to that resource. This has led to unplanned pregnancies for women 20 years old and younger. Additionally, most young women do not receive sexual education in school or at home. This results in less than a third of women in Senegal having a comprehensive understanding of HIV/AIDs or how to protect themselves from such diseases. Government initiation and non-profit organizations are improving these statistics. More women in Senegal are receiving resources and education for their reproductive healthcare.

The Maputo Protocol

Before the 2000s, there was no access to national government or international organizations’ reproductive health for Senegalese women. In 2005 Senegal signed the agreement of the African Charter of Human Rights and Rights of Women, known as the Maputo Protocol, declaring Senegalese women’s reproductive health to be a “universal human right” that must be protected. Following the Maputo Protocol, the Senegalese healthcare system began providing contraception as well as pregnancy and STI testing for women over the age of 15.

4 Centers and Initiatives for Women’s Reproductive Healthcare in Senegal

  1. Keur Djiguene Yi Center: The Keur Djuguene Yi Center is the first public OBGYN clinic in Dakar, Senegal that provides complete reproductive and maternal care to women who cannot afford or have access to government-provided healthcare options. Opening its doors in 2017 with the help of Dr. Faye, the lead gynecologist on-site, more women than ever before in Senegal now have access to pre and post-natal exams, “education on contraception, HIV prevention, family planning and infant immunization,” free of cost. Dr. Faye has been consciously expanding on the center, adding another full-time gynecologist in 2019. She hopes to expand the center to operate at full capacity with an entire team of OBGYN professionals to help four times the number of patients the Keur Djiguene Yi Center services currently.

  1. VOICES mHealth Program: The World Health Organization partnered with the Voices project, created an initiative for reproductive and maternal awareness in Senegal. The VOICEmHealth Program uses voice messages to spread the word about openings of women’s healthcare centers as well as education on maternal care and child-feeding practices. The project works with Bajenu Gox, known as “community godmothers,” to extend the amount of knowledge and power for young women through home visits and information on their healthcare during and after their pregnancy to reach women who do not have access to a cellular device. Voices mHealth program is a highly effective project in its ability to have immediate, trusted contact with Senegalese women living in both rural and urban communities.

  1. Le Korsa: Le Korsa is a nonprofit organization that empowers communities and healthcare centers in Senegal to improve their provided healthcare with grants and educational resources. One of the organization’s most impactful recent projects was in 2017 when Le Korsa began the renovation of the Tambacounda Hospital’s Maternity and Pediatric Units. The project is expected to finish in 2021, providing more enhanced and comfortable care to the 47,000 annual visitors.

  1. Bajenu Gox Project — Action Et Developpement: The Action Et Developpement organization in Senegal has made major strides in having increased community inclusion and education on women’s healthcare with a global lense. Partnering with the Bajenu Gox of the Kaolack, Fatick, Saint Louis, Louga and Dakar regions in 2015, the Bajenu Gox project has brought new, needed knowledge to rural and urban Senegal. The Bajenu Gox in these locations are now trained on how to talk about the prevention of  STI’s and HIV/AIDs in their local communities. They are bringing a new wave of education to young women and forever changing the empowerment of women in Senegal through awareness of their rights.

With the remarkable breakthroughs in women’s reproductive healthcare in Senegal, women now have access to centers and initiatives. The foundation for a new perspective, action and approach towards the autonomy of a women’s health and reproductive system in Senegal is now able to grow and flourish.

– Nicolettea Daskaloudi

Photo: Flickr

Female Genital Mutilation in the Middle EastFemale genital mutilation, or FGM, is a practice that is most common in cultures with strict patriarchial structures. Many people believe that the ritual is only performed in Africa, but in actuality, thousands of girls undergo female genital mutilation in the Middle East every year. Though many claim the procedure is done for religious reasons, researchers have found that it predates Christianity and Islam. In fact, female Egyptian mummies have been found with FGM. This is a deep-rooted and harmful practice that still continues today. The United Nations formally recognizes FGM as a form of torture that oppresses women.

Female Genital Mutilation in the Middle East

  1. Where does FGM occur? FGM was previously believed to only occur in Africa, however, recent advocacy efforts revealed that the practice extends to many other countries, especially in the Middle East. In the Middle East, FGM is mostly concentrated in Southern Jordan, Iraq and Northern Saudi Arabia. There have also been cases of FGM in Qatar, Syria and the United Arab Emirates. The practice most often occurs in small ethnic enclaves where the ritual is considered tradition. It is important to recognize that FGM occurs in many places outside of Africa in order to stop the practice completely.
  2. Who is most impacted by FGM? In Egypt, about 87% of girls are affected by FGM. According to a UNICEF study from 2013, many of them are traumatized by the experience before the age of 14. In many other Middle Eastern and African countries, the majority of girls are cut before the age of 15. Current rates are certainly improving, but it is likely that one in three girls in Egypt, Iraq, Yemen, Sudan and Djibouti will experience FGM by 2030. In the United Arab Emirates, 34% of the women surveyed said they had experienced FGM. Twenty percent of women surveyed in Saudi Arabia are subject to the practice.
  3. What are the impacts of FGM? This practice has severe short-term and long-term negative impacts on women who undergo the procedure. Young girls are held and tied down while a local village cutter, usually not a licensed medical professional, performs the procedure with little or no anesthetic. In short, FGM can cause death, infections, hemorrhage and severe pain. In Egypt, there was a public outcry after a doctor performed FGM on a 12-year-old girl who then bled to death. The doctor was arrested, but the practice is extremely traumatizing and can cause severe psychological damage in the long run. It can lead to chronic infections and trouble with childbirth. Girls who undergo FGM are also more likely to drop out of school and become child brides.
  4. Steps are being made to reduce FGM. As information becomes more readily available, more and more people are speaking out against the procedure. It is finally being recognized as a violation of human rights. Though FGM is most common in Egypt, the country has made the most progress in the past 30 years, according to UNICEF. FGM is completely banned in Egypt and doctors can go to jail if they perform it. It has also been banned in Sudan. In Yemen, FGM can no longer be performed in medical facilities, but it has not been banned at home.
  5. FGM rates are decreasing. As can be inferred, many women are now against the practice of FGM. However, some more traditional cultures still advocate for the circumcision of women. In Egypt, Sudan, Yemen, Iraq and Djibouti, 70% of all women were affected by FGM 30 years ago. Today, half of all girls in those five countries undergo FGM. Although FGM is still allowed in Iraq, it is illegal in Iraqi Kurdistan. Many people against the practice explain that law is not enough and there needs to be stricter enforcement to ensure the end of female circumcision.
  6. A call to action: According to UNICEF, there has been a massive movement to end FGM in the last 25 years. There are many organizations, like the Orchid Project, that campaign against the traditional cutting in the Middle East and Asia. In 2013, UNICEF formally recognized that FGM is a problem that extends to areas outside of Africa. In addition, the United Nations celebrates International End FGM day every February 6, which is a huge step forward in spreading awareness. The U.N. also made it a goal to stop FGM in all countries by 2030.
FGM is a way to oppress women and makes girls feel like their body is a sin. It is a horrible practice that leaves long-lasting wounds in our global society. Not only is it a form of torture, but it strips women from basic human rights. Thankfully, more people are becoming familiar with female genital mutilation in the Middle East and elsewhere. Allies around the world are working hard to bring an end to the practice.

Karin Filipova
Photo: Flickr

5 Facts About Sex Education in IndiaAdequate sex education in India has been lacking for centuries. However, India has started to make way for a whole new sex education curriculum. Here are five facts about sex education in India.

5 Facts About Sex Education in India

  1. The current Indian Health Minister was against sex education in India. In 2014, India’s Health Minister, Harsh Vardhan, declared that he wanted to ban sex education. Instead of sex education, Vardhan declared that yoga should be compulsory in schools. This declaration against sex education was in opposition to a 2007 health education program for adolescents that India’s National AIDS Control Organization and its Ministry of Human Resource Development was promoting. He opposed this education because he believed it was against traditional Indian values. In an interview with the New York Times, Vardhan said, “condoms promise safe sex, but the safest sex is through faithfulness to one’s partner.” There was a great amount of uproar among opposers because of all his comments on this topic encouraged abstinence over education. After receiving a lot of grief from his comments opposing sex education, he tweeted, “Media got it wrong again. I am against “so-called” sex education not sex education per se. Crudity, Vulgarity out, values in.”
  2. Teachers were threatened with violence if they were to conduct sex education. Around the same time as Vardhan’s comments, the right-wing group Rashtriya Swayamsevak Sangh and Shiksha Bachao Andolan Samiti led an attack that included “threats of physical violence against teachers and schools that dared to carry out the 2007 health education program. As a consequence, several different states in India banned sex education.
  3. Better sex education is now a part of India’s school curriculum. After years of sex education being banned in many Indian states, Prime Minister Narendra Modi rolled out a sex education program in 2018. This training is vital since India is number three in the world’s HIV epidemic. This education involves role-playing and activity-based modules that are taught by trained teachers and student peer educators. In this training, students learn about sexual violence and sexual health among other topics. The whole training in total is 22 hours. Each week the schools set aside one period for the training.
  4. The Internet Could Be a Key Tool to Provide More Comprehensive Sex Education. Better India conducted research in 2017 and found that 77 percent of males and 54 percent of females use the internet. Projections show that internet usage will reach more than 600 million people by 2021. In a society where sex is taboo, learning about sex education privately online is often times the solution. Media content on sex education in Hindi has become popular. mDhil’s videos on sex and STIs have received 1.2 million views on YouTube. The shareability of this content increases the reach of sex education.
  5. The fight for fair sex education is not over. Despite great strides, sex education is still considered taboo in India. It is considered by many to be a Western influence that corrupts Indian culture. The Family Planning Association of India conducted a workshop on “Sexual and Reproductive Health and Rights for All” in July of 2019. The organization hopes to break down taboos around sex, reproduction and homosexuality. India’s Health Ministry is also working to improve awareness about sex and sexuality. In 2017, it stated homosexual feelings are natural. This is a progressive stance for a country with previous laws against homosexual intercourse.

This biggest barrier toward sex education in India will probably be cultural norms against talking about sex. These norms are heavily ingrained in Indian society. However, India is making small but important steps to provide more comprehensive sex education.

– Emily Joy Oomen

Photo: Flickr