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National Health NewsPublic Health News

Thyroid patients prone to depression

by Public Health Update May 26, 2018
written by Public Health Update

Thyroid patients prone to depression

Kathmandu, May 19
A study has revealed that anxiety and depression are very common among thyroid disorder patients in the country. 
Research conducted by Binu Gorkhali, a lecturer at Nepal Institute of Health Sciences, and her team, revealed this. They had conducted the research on 129 thyroid disorder patients at Tribhuvan University Teaching Hospital. All the patients were above 20 years of age. Depression was prevalent in 42.6 per cent patients whereas, anxiety was prevalent in 50.4 per cent patients.
From among the patients, depression prevalence was significantly high in females. Around 47.1 per cent of women were found to be suffering from depression while only 25.9 per cent male patients suffered depression. Various diseases can affect mental health of people. “There is a co-relation between thyroid, anxiety and depression.
People are likely to suffer from anxiety and depression when they suffer from thyroid disorder as hormones released from thyroid gland regulates central and peripheral nervous system and as there is a problem in the regulation of hormones, the nervous systems too is affected.”
Irritability, moodiness, nervousness, hyperactivity, trouble sleeping and difficulty concentrating are common symptoms among thyroid patients,” said Dr Mrigendra Amatya.
The thyroid gland is a butterfly shaped organ located in the base of the neck which releases hormones that control metabolism.
“Though the research is conducted in a small group of patients from one hospital, an extensive field-based country-wise epidemiological studies are necessary to provide accurate information on connection between thyroid dysfunction, anxiety and depression,” said Dr Mrigendra Amatya.

HIMALAYAN NEWS SERVICE (May 20, 2018)
May 26, 2018 0 comments
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PH Important DayPublic Health

World Thyroid Day 2018: Lifestyle and diet change for better thyroid management

by Public Health Update May 26, 2018
written by Public Health Update

World Thyroid Day 2018: Lifestyle and diet change for better thyroid management

World Thyroid Day is an annual awareness day that was established in 2008 during the congress of the European Thyroid Association (ETA). It focuses on increasing awareness of thyroid health and educating about prevention and treatment of thyroid diseases. 
World Thyroid Day is an annual awareness day that has been held on May 25.The theme for 2018 is  ”Lifestyle and diet change for better thyroid management”
The thyroid gland, often referred to as simply the thyroid, is one of the largest endocrine glands. This butterfly‑shaped gland is located in the neck. Hormones produced by the thyroid influence critical body functions and regulate metabolism, therefore thyroid health is extremely important. 
Thyroid disorders are very common worldwide, they affect people of all ages and have a large range of symptoms. The most common thyroid disorders include hyperthyroidism (abnormally increased thyroid activity), hypothyroidism (abnormally decreased thyroid activity), thyroiditis (inflammation of the thyroid gland) and thyroid cancer. They are often caused by iodine deficiency. World Thyroid Day aims at increasing public awareness of thyroid deceases, namely the importance of their timely diagnosis, treatment and prevention. World Thyroid Day events and activities are coordinated by the European Thyroid Association, the American Thyroid Association, the Latin American Thyroid Society, and the Asia & Oceania Thyroid Association.

https://anydayguide.com/calendar/561

Worldwide, around 200 million people suffer from thyroid disorders, with almost 50% of cases remaining undiagnosed. This has consequences for health and well‑being, since this little organ regulates processes that are essential to survival. Creating and raising awareness of thyroid disorders is the aim of International Thyroid Awareness Week (May 22 to 28), which Merck is also supporting and is being held for the ninth time.  “It’s not you. It‘s your thyroid” is the theme of this year’s Thyroid Awareness Week. With this theme, Thyroid Federation International (TFI) – the initiator of Thyroid Awareness Week – wants to make it clear that thyroid disorders lead to symptoms that are often misinterpreted by those affected.

http://www.merckgroup.com/en/media/topics/thyroid_awareness_week_2017.html

 

May 26, 2018 0 comments
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National Health NewsNational Plan, Policy & GuidelinesPublic Health News

Menstrual hygiene policy on the cards

by Public Health Update May 26, 2018
written by Public Health Update

Menstrual hygiene policy on the cards

Kathmandu, May 24
The government is set to bring National Menstrual Hygiene Management Policy so as to place menstrual hygiene in the human rights framework. 
The new policy of the government aims to spread awareness, discourage superstition and cultural malpractices related to menstruation. The draft of the policy will soon be tabled in the Parliament.
The new policy, if endorsed by the Parliament, will address long-term physical and mental health problems related to menstruation health of women and give them easy access to sanitary pads and other things women need during menstruation. The policy will also help end discriminatory practices against menstruating women.
“The main aim of the policy is to help in the management of menstrual hygiene and improve physical and mental health status of women in the country,” said Dinesh Adhikari, assistant spokesperson, Ministry of Water Supply and Sanitation.
The draft talks about problems faced by women during menstruation, taboos and misconception related to menstruation, and presents strategies of the government needs to adopt to solve the problems.
“Human rights of women are violated as women living in the mid- and far-western regions of the country are forced to leave their houses and live in a shed during menstruation. Several women are raped, killed and run the risk of being attacked by animals. The draft menstrual hygiene management policy advocates for the rights of women to live a dignified life,” added Adhikari.
(HIMALAYAN NEWS SERVICE) Published: May 25, 2018

Menstrual hygiene policy on the cards

Menstrual hygiene policy on the cards

May 26, 2018 0 comments
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Global Health NewsInternational Plan, Policy & GuidelinesPublic HealthPublic Health News

World Health Assembly delegates agree new five-year strategic plan

by Public Health Update May 24, 2018
written by Public Health Update
23 May 2018 

News Release

 

Geneva
World Health Assembly delegates today agreed an ambitious new strategic plan for the next five years. The Organization’s 13th General Programme of Work (GPW) is designed to help the world achieve the Sustainable Development Goals – with a particular focus on SDG3: ensuring healthy lives and promoting wellbeing for all at all ages by 2030.
It sets three targets: to ensure that by 2023, 1 billion more people benefit from universal health coverage; 1 billion more people are better protected from health emergencies; and 1 billion more people enjoy better health and wellbeing. WHO estimates that achieving this “triple billion” target could save 29 million lives.HHH
Speaking to the Health Assembly, Director-General, Dr Tedros Adhanom Ghebreyesus told delegates that the new strategic plan was ambitious because “it must be”.
Delegates noted that the Organization will need to make a number of strategic shifts in order to achieve these targets, notably to step up its public health leadership; focus on impact in countries; and ensure that people can access authoritative and strategic information on matters that affect people’s health. 

Key topics during this Health Assembly

Today, the debate turns to WHO’s work in emergencies. Over the coming days, delegates will make decisions relating to the International Health Regulations (2005), the Pandemic Influenza Preparedness Framework, noncommunicable diseases (NCDs); cholera, tuberculosis; snakebite; physical activity; digital health; assistive technology; polio virus; and health conditions in the occupied Palestine territory. The Health Assembly will also discuss other topics including: access to essential medicines and vaccine and women’s, children’s and adolescent’s health.

The World Health Assembly is attended by delegates from WHO Member States as well as representatives from many agencies, organizations, foundations and other groups that contribute to improving public health. Member States approve resolutions in committee before formally adopting them in the plenary session at the end of the Health Assembly, on 26 May.

WHO

May 24, 2018 0 comments
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PH Important DayPublic Health

International Day to End Obstetric Fistula 23 May

by Public Health Update May 23, 2018
written by Public Health Update

International Day to End Obstetric Fistula  23 May

23 May 2018
May 23 is the United Nations’ (UN) International Day to End Obstetric Fistula, which promotes action towards treating and preventing obstetric fistula, a condition that affects many girls and women in developing countries. In its resolution A/RES/67/147, the General Assembly calls on the international community to use the International Day to significantly raise awareness and intensify actions towards ending obstetric fistula.
Obstetric fistula is one of the most serious and tragic injuries that can occur during childbirth. It is a hole between the birth canal and the bladder or rectum caused by prolonged, obstructed labour without treatment.
The condition typically leaves women incontinent, and as a result they are often shunned by their communities. Sufferers often endure depression, social isolation and deepening poverty. Many women live with the condition for years – or even decades – because they cannot afford to obtain treatment.
An estimated 2 million women in sub-Saharan Africa, Asia, the Arab region, and Latin America and the Caribbean are living with this injury, and some 50,000 to 100,000 new cases develop worldwide each year. Most fistulae occur among women living in poverty in cultures where a woman’s status and self-esteem may depend almost entirely on her marriage and ability to bear children. Yet fistula is almost entirely preventable. Its persistence is a sign that health systems are failing to meet women’s essential needs.
Obstetric fistula symptoms generally manifest in the early post-partum period. However, other, equally severe symptoms such as psychological trauma, deteriorating health, increasing poverty, and social stigmatization by family and friends can and often do occur.
Obstetric fistula can be prevented and in most cases treated. Reconstructive surgery with a trained, expert fistula surgeon can repair the injury, with success rates as high as 90 percent for less complex cases. The average cost of fistula treatment—including surgery, post-operative care and rehabilitation support—is $300 per patient.
Obstetric fistula is preventable; it can largely be avoided by:

  • delaying the age of first pregnancy;
  • the cessation of harmful traditional practices; and
  • timely access to obstetric care.

The prevention and treatment of obstetric fistula contribute to achieving Sustainable Development Goal 3, which is ensuring healthy lives; in this case, improving maternal health.

UNITED NATIONS

fistula

May 23, 2018 0 comments
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Communicable DiseasesGuest PostPublic HealthResearch & Publication

Bringing Antiretroviral Therapy (ART) services one step closer to people’s door

by Public Health Update May 23, 2018
written by Public Health Update

Bringing Antiretroviral Therapy (ART) services one step closer to people’s door

Nepal detected its first HIV case in 1988 and started antiretroviral therapy (ART) almost after more than a decade only. The ART programme was first started in Nepal in 2004 from Sukraraj Tropical and Infectious Diseases Hospital the central level referral hospital for all tropical diseases in Nepal. Since 2004 the ART programme has been expanded gradually and by the end of 2017 the ART services has been made available in all the 77 districts of Nepal.
All ART centres in Nepal are co-located either with the Central, Regional, Sub-regional, Zonal, District or sometimes even with peripheral health facilities (Primary Health Care Centres) with an exception of Sparsha and Maiti Nepal in Kathmandu (two NGO run ART centres). ART centres are the backbone of the National ART programme of Nepal. Most of the ART centres have a dedicated ART counsellor who supports in ART initiation, dispensing medicines; maintaining records and logistics; coordinating for CD4, viral load and other tests for the clients.
Nepal is a country with very difficult geographical terrain. As most of the ART centres are co-located with the hospitals which are most of the times in the district headquarter; it is often time consuming and difficult for clients to travel monthly to the ART centre for their pill pick up. This sometimes results in non-adherence if the clients miss their visit schedule to the ART centre. Also the financial costs associated with travel and other expenses during the course of travel adds extra economic burden to the families of People living with HIV.
In 2016; National Centre for AIDS and STD Control (NCASC) came with the idea of “Dispensing Centre” so as to bring the ART services to as close as peoples door. The concept is very simple; those clients who are well on ART and stable; will be transferred to a peripheral health facility with trained health providers who will then refill the ARV medicines for the clients. These Dispensing centres will not initiate ART but only refill the ARV medicines for stable clients. The Dispensing centre works under the supervision of ART centres. NCASC has developed standard operating procedures for the dispensing centre and these are closely monitored by the ART centre and from NCASC.
Kanchanpur is a district in Province no 7 of Nepal that is around 700 KM far away from the capital city Kathmandu. The ART centre located in Mahakali Zonal Hospital in Kanchanpur is providing ART services to 257 People living with HIV (PLHIV). Dodhara & Chandani are two villages pretty far from the district headquarter of Kanchanpur from where around 50-60 clients are currently taking ART from Mahakali Zonal Hospital. Reaching to the district headquarter for PLHIVs living in Dodhara & Chandani is not easy. These two villages are often referred to as the only villages of Nepal that are on the other side of Mahakali river; the river which is border between Nepal and India in Far western region. For the people of Dodhara and Chandani to reach the district headquarter they have to make a journey through multiple means of transportation. They have to walk for some hours; take a bike ride on the dodhara chandani bridge (the second longest suspension bridge in Asia) and take tuk-tuk (Auto Rikshaw) on the other side of the bridge to reach the district headquarter. For the convenience of PLHIVs of this area; A Dispensing Centre has been recently opened in Dodhara Primary health Care Centre. Thirty six PLHIVs who used to go to the Mahakali Zonal Hospital every month have already accessed the ARV medicine from this Health Centre.  Mr Jaya Bahadur Mahara a Public Health Inspector in this Primary Health Care Centre (PHCC) has worked day and night to establish the dispensing centre in this PHCC. There are 36 clients who are already receiving ART from this site. Mr Mahara believes that this number will increase slowly as the people from around this area who are receiving ART from the Mahakali Zonal Hospital will be transferred to this site slowly. Mr Prem Joshi another health worker from the centre shares “this site is very convenient for the clients as their one whole day and transportation cost will be saved which they had to expenses in the past just to access ARV medicines”. In the near future the centre is planning to do sample collection for viral load testing in the site itself and transport the samples to Seti Zonal Hospital (Another nearby district where viral load testing service is available).
“In the past we used to allocate one whole day and used to expense certain amount of money just to fetch our ARV but now we can refill our monthly ARVs from the health facility just next to our home. This is very helpful for us” shares one of the PLHIV who has been taking ARV from Mahakali Zonal Hospital since last five years.
Since NCASC started the practice of opening dispensing centre; 25 dispensing centres have already been opened across the country. Out of 25 dispensing centre; six are in far western region. Far western region of Nepal is one of the region with most difficult geographic terrain and the region that is badly affected by the HIV epidemic. In the hilly districts of this region there are many pocket areas with high HIV burden and reaching to the district headquarter from some areas takes one or two days and costs a lot. So the concept of dispensing centre in this region is much more relevant than in any other region of the country. Dispensing centres have already been established in Kamal Binayak and Chaurmandu of Achham district; Jogbudha of Dadeldhura; Sanagaon of Doti; Melauni of Baitadi and many are in the process of opening. All these are helping in bringing ART services to as close as people’s door.

Sanjeev Raj Neupane, Sujan Joshi and Keshav Bhatt

More from Author: Involvement of people living with diseases in the NCD response

Related : 

Once-a-week pill for HIV shows promise in animals

2.5 percent of total HIV-infected in Nepal are children under 4

More people suffering from HIV/AIDS in the country are receiving antiretroviral drugs

New recommendations of WHO “Treat-All” for People living with HIV and those at risk

The 22nd International AIDS Conference (AIDS 2018)

Right to health- World AIDS Day 2017

World AIDS Day 2017 (WAD2017), Pokhara

Submit your articles : mail4sagun@gmail.com

May 23, 2018 0 comments
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National Plan, Policy & GuidelinesPublic Health NotesReportsResearch & Publication

Annual report of the Department of Health Services (DoHS) 2073/74 (2016/2017)

by Public Health Update May 22, 2018
written by Public Health Update

Annual report of the Department of Health Services (DoHS) 2073/74 (2016/2017)

The annual report of the Department of Health Services (DoHS) for fiscal year 2073/74 (2016/2017) is the twenty-third consecutive report of its kind. This report focuses on the objectives, targets and strategies adopted by Nepal’s health programmes and analyses their major achievements and highlights trends in service coverage over three fiscal years.

This report also identifies issues, problems and constraints and suggests actions to be taken by health institutions for further improvements. The main institutions that delivered basic health services in 2073/74 were the 123 public hospitals including other ministries, the 1,715 non-public health facilities, the 200 primary health care centres (PHCCs) and the 3,808 health posts. Primary health care services were also provided by 12,180 primary health care outreach clinic (PHCORC) sites. A total of 16,022 Expanded Programme of Immunization (EPI) clinics provided immunization services. These services were supported by 49,001 female community health volunteers (FCHV). The information on the achievements of the public health system, NGOs, INGOs and private health facilities were collected by DoHS’s Health Management Information System (HMIS).
Annual reportpdg page 001

Direct Download   Direct Download  Direct Download

  • Annual Report of DoHS 2069/2070 (2012-2013)

  • Annual Report of DOHS 2070/71 (2013/2014)

  • Annual Report of the Department of Health Services (DoHS) – 2071/72 (2014/2015)

  • Annual Report Department of Health Services 2072/73 (2015/2016)

May 22, 2018 1 comment
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National Plan, Policy & GuidelinesResearch & Publication

सरकारको आगामी आर्थिक वर्ष २०७५/०७६ को नीति तथा कार्यक्रममा स्वास्थ्यका कुराहरु

by Public Health Update May 21, 2018
written by Public Health Update

program page 001 1 program page 002 program page 003 program page 004

May 21, 2018 0 comments
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LivePublic HealthPublic Health Events

Seventy-first World Health Assembly #WHA71 #Live

by Public Health Update May 21, 2018
written by Public Health Update

Seventy-first World Health Assembly #WHA71 #Live

The World Health Assembly is the decision-making body of WHO.  It is attended by delegations from all WHO Member States and focuses on a specific health agenda prepared by the Executive Board.
The main functions of the World Health Assembly are to determine the policies of the Organization, supervise financial policies, and review and approve the proposed programme budget.
This year’s Health Assembly takes place on 21–26 May 2018 in Geneva, Switzerland. 

WATCH LIVE   LIVE  LIVE 

LIVE from the World Health Assembly: @DrTedros addresses the Assembly #WHA71 https://t.co/qm3ltJinMl

— World Health Organization (WHO) (@WHO) May 21, 2018

May 21, 2018 0 comments
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Guest PostPublic Health

Involvement of people living with diseases in the NCD response

by Public Health Update May 19, 2018
written by Public Health Update

Involvement of people living with diseases in the NCD response

Sanjeev Raj Neupane

In last four years I lost five of my close relatives due to different form of Non-communicable diseases (NCDs). They all passed away in between the age of 50 to 55 and they all look apparently healthy before they passed away.
As a common man, I also had a belief that science has solution to every problem and medicine has a cure for every ailment. But I lost belief in science and medicine when a physician looking after my mother in law in a hospital in Kathmandu says they could do nothing to save her and asks us to fulfill her last wishes if there are any. In next week she passed away. She was diagnosed with a rare form of Cancer at a very late stage. One of my uncle who was just 57 years fell suddenly due to heart attack while he was in a morning walk. By the time he was rushed to hospital he was declared dead. He was apparently very healthy and was doing household chores as regular before the sudden heart attack. These two cases are just an example of how brutally the cruel NCDs are affecting families around the globe like slow poison.
We have lived and taught in such a way that only the communicable diseases are serious problems whereas non-communicable diseases have always got less attention. Some of the non-communicable diseases (Such as obesity) are even linked as a marker of affluence and a good standard of life. Sometimes NCDs kill people instantly like sudden heart attacks and sometimes they can even lead to devastating long-term economic consequences for individuals and household in resource-limited settings. In many cases, people don’t consider NCDs as a problem until and unless it happens to themselves or to their close family members. In many cases, those who are living with NCD don’t know or sometimes don’t even believe that they have NCD problem.
A recently released NCDI poverty commission report has mentioned that in Nepal in last twenty-five years the burden of non-communicable disease has more than doubled and 51% of all deaths and disabilities are accountable to NCDs. Though NCD is included in basic health services the availability of medications and readiness of NCD services in Nepal is very limited.
If we see the numbers; the numbers are huge. Non-communicable diseases kill 40 million people each year, accounting for 70% of all deaths globally. The total death toll and the economic loss due to NCDs and its consequences are huge. However, the response in regards to the burden is very negligible. If substantial investments are not made quickly for NCDs there is the likelihood that all the progress made as of now on Health Sector will be pushed back.
There are many lessons and success stories that the newly emerging NCD programs need to learn from other successful public health programs. I have been working in the field of HIV for more than a decade. One of the major successes in HIV programme is the involvement of people living with the disease and people affected by the disease in HIV programming. One of the elements that is currently missing in the response in NCD globally is the involvement of people living with NCD and families affected by NCD in its response. There are many technical working groups and different high-level meetings happening somewhere at some point of time to discuss on the strategic responses for NCDs, however, the participation and representation from the People affected or living with NCDs(PLWNCD) is very limited or none at all. If the NCD programs need to succeed they need to urgently involve people living or family members affected by NCDs in the planning and response of NCDs.

Sanjeev Raj Neupane, Technical Specialist for Global Fund Programs, Save the Children US


RELATED POST 

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The Nepal NCDI Poverty Commission Report

Package of Essential Noncommunicable (PEN) disease interventions in Nepal

Survey: Data consolidation on Nepalese NCDI studies – The Nepal NCDI Poverty Commission

Montevideo Roadmap 2018-2030 on NCDs as a Sustainable Development Priority

May 19, 2018 1 comment
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Public Health Update
  • Home
  • Public Health
    • Home 1
      • Adolescent Sexual and Reproductive Health (ASRH)
      • Antimicrobial Resistance (AMR)
      • Communicable Diseases
      • Digital Health & Health Informatics
      • Environmental Health & Climate Change
      • Health Financing and Economics
      • Health Equity
    • Home 2
      • Health Literacy, Health Education & Promotion
      • Human Resource for Health
      • Humanitarian Health & Emergency Response
      • Implementation Research
      • International Health
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      • Maternal, Newborn and Child Health
    • Home 3
      • Neglected Tropical Diseases (NTDs)
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      • One Health
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    • Home 4
      • Road Traffic Accidents (RTA)
      • Sustainable Development Goals (SDGs)
      • Tobacco Control
      • Universal Health Coverage
      • Vaccine Preventable Diseases
      • Vector-Borne Diseases(VBDs)
      • Notices
  • Public Health Update
    • Home 1
      • Public Health News
      • Global Health News
      • Outbreak News
      • National Health News
      • COVID-19
    • Home 2
      • Fact Sheet
      • Health in Data
      • PH Important Day
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      • Health Systems
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      • Public Health Innovation
  • Public Health Opportunities
    • Fully funded
    • Travel Grants
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    • Conference
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      • Laboratory Jobs
      • Nutritionist Jobs
  • Downloads
    • International Plan, Policy & Guidelines
    • National Plan, Policy & Guidelines
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  • School of Public Health
    • Home 1
      • Courses
      • Master’s Degree
      • Undergraduate Degree
      • PhD
    • Home 2
      • Universities
      • Syllabus
      • Public Health Notes
      • Mentorship Program
      • Startup Project
    • Home
      • Summer and Winter Courses
      • Summer Courses
      • Online Courses
      • Workshop
      • Training
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