National Family Planning Day 2017

by Public Health Update September 17, 2017

National Family Planning Day, celebrated on 18th Sep every year to advocate family planning services.

National Family Planning Day 2017

The theme of Fourth National Family Planning Day 2017 is ‘‘Byabastit Pariwar: Swasthya ra Bikas ko Adhar”. Government of Nepal & partner organizations will organize various activities national-wide to advocate family planning services. The main aim of the National Family Planning Day is to raise awareness on family planning which will helps to ensure individuals and couples are able to fulfill their reproductive needs by using appropriate family planning methods based on informed choice.

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Family Planning ''Opportunities, challenges & Priorities in Nepal

by Public Health Update September 17, 2017

written by Public Health Update

Family Planning ” Opportunities, challenges & Priorities in Nepal

COUNTRY CONTEXT

There is a stagnated CPR and unmet need remains high
Inequalities in accessing family planning (FP) and demand for FP
Proportion of long-acting and reversible contraceptive usage is low

OPPORTUNITIES

Developed National Health Sector Strategy (2016-2020) and Costed Implementation Plan (CIP) (2015- 2020)
Data on FP and health services from national surveys (MICS, health facility survey 2016 and NDHS) available
Existence of strong national coordination mechanism (FP sub-committee)
Wide-spread demand generation interventions supported by many donors and government
Existing capacity for integrated FP services at Primary Healthcare Center(PHC)/Health Post(HP)
Expanding engagement of private sector in procurement and supply of contraceptives

CHALLENGES

Inefficient public procurement system, which creates delays for contraceptive procurement leading to frequent stock outs
Issues with quality of data: accuracy, adequacy, and time.
Quality of FP counseling services remains an issue
Lack of skilled health workers to provide quality FP

PRIORITIES

Effective advocacy with Parliament and Ministry of Finance to prevent budget cuts for FP and Ministry of
Health to centrally position FP within the integrated service delivery; formalization of public-private
partnerships and partnership with civil society
Expand LARC service sites and also training sites on quality FP (including in counseling)
Expand access to contraceptives among adolescents (including for unmarried adolescents) and
marginalized populations (both rural and urban)
Improve health system mechanisms for procurement and supply-chain to ensure regular availability of
commodities at service delivery points
Harmonize logistic data from various sources (LMIS, HMIS, etc) for realistic and accurate forecasting

The above analysis was originally developed by FP2020 focal points for Nepal in collaboration with the
FP2020 Secretariat and other partners during the Asia Focal Point Workshop in Bali, Indonesia in January
2016. FP2020’s focal point representatives are from the government and two donor organizations, usually
UNFPA and USAID, and serve as the key representatives of FP2020 in-country. They coordinate with each
other, the government, partners and other stakeholders, and the FP2020 Secretariat to drive progress on
the country’s family planning goals. These opportunities, challenges, and priorities serve as the foundation
of the shared agenda of action across the next 12- to 18-month horizon. (Original Source of information)

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World hunger again on the rise, driven by conflict and climate change, new UN report says

by Public Health Update September 15, 2017

written by Public Health Update

World hunger again on the rise, driven by conflict and climate change, new UN report says

815 million people now hungry – Millions of children at risk from malnutrition

15 September 2017, Rome – After steadily declining for over a decade, global hunger is on the rise again, affecting 815 million people in 2016, or 11 per cent of the global population, says a new edition of the annual United Nations report on world food security and nutrition released today. At the same time, multiple forms of malnutrition are threatening the health of millions worldwide.
The increase – 38 million more people than the previous year – is largely due to the proliferation of violent conflicts and climate-related shocks, according to The State of Food Security and Nutrition in the World 2017.
Some 155 million children aged under five are stunted (too short for their age), the report says, while 52 million suffer from wasting, meaning their weight is too low for their height. An estimated 41 million children are now overweight. Anaemia among women and adult obesity are also cause for concern. These trends are a consequence not only of conflict and climate change but also of sweeping changes in dietary habits as well as economic slowdowns.
The report is the first UN global assessment on food security and nutrition to be released following the adoption of the 2030 Agenda for Sustainable Development, which aims to end hunger and all forms of malnutrition by 2030 as a top international policy priority.
It singles out conflict – increasingly compounded by climate change – as one of the key drivers behind the resurgence of hunger and many forms of malnutrition.
“Over the past decade, conflicts have risen dramatically in number and become more complex and intractable in nature,” the heads of the Food and Agriculture Organization of the United Nations (FAO), the International Fund for Agricultural Development (IFAD), the United Nations Children’s Fund (UNICEF) the World Food Programme (WFP) and the World Health Organization (WHO) said in their joint foreword to the report. They stressed that some of the highest proportions of food-insecure and malnourished children in the world are now concentrated in conflict zones.
“This has set off alarm bells we cannot afford to ignore: we will not end hunger and all forms of malnutrition by 2030 unless we address all the factors that undermine food security and nutrition. Securing peaceful and inclusive societies is a necessary condition to that end,” they said.
Famine struck in parts of South Sudan for several months in early 2017, and there is a high risk that it could reoccur there as well as appear in other conflict-affected places, namely northeast Nigeria, Somalia and Yemen, they noted.
But even in regions that are more peaceful droughts or floods linked in part to the El Niño weather phenomenon, as well as the global economic slowdown, have also seen food security and nutrition deteriorate, they added.
Key numbers
Hunger and food security

Overall number of hungry people in the world: 815 million, including:
– In Asia: 520 million
– In Africa: 243 million
– In Latin America and the Caribbean: 42 million
Share of the global population who are hungry: 11%
– Asia: 11.7%
– Africa: 20% (in eastern Africa, 33.9%)
– Latin America and the Caribbean: 6.6%

Malnutrition in all its forms

Number of children under 5 years of age who suffer from stunted growth (height too low for their age) : 155 million
– Number of those living in countries affected by varying levels of conflict: 122 million
Children under 5 affected by wasting (weight too low given their height): 52 million
Number of adults who are obese: 641 million (13% of all adults on the planet)
Children under 5 who are overweight: 41 million
Number of women of reproductive age affected by anaemia: 613 million (around 33% of the total)

The impact of conflict

Number of the 815 million hungry people on the planet who live in countries affected by conflict: 489 million
The prevalence of hunger in countries affected by conflict is 1.4 – 4.4 percentage points higher than in other countries
In conflict settings compounded by conditions of institutional and environmental fragility, the prevalence is 11 and 18 percentage points higher
People living in countries affected by protracted crises are nearly 2.5 times more likely to be undernourished than people elsewhere

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The State of Food Security and Nutrition in the World 2017

September 15, 2017 0 comments

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Shining a spotlight on maternal and neonatal sepsis: World Sepsis Day 2017

by Public Health Update September 14, 2017

written by Public Health Update

Shining a spotlight on maternal and neonatal sepsis: World Sepsis Day 2017

WHO calls for prevention of life-threatening condition

Shining a spotlight on maternal and neonatal sepsis: World Sepsis Day 2017: 12 September 2017: Sepsis is a life-threatening condition that arises when the body’s response to infection causes injury to its own tissues and organs. As infections frequently complicate serious diseases, sepsis is a final common pathway to death from both communicable and non-communicable diseases around the world. If sepsis develops during pregnancy, while or after giving birth, or after an abortion, it is called maternal sepsis. Sepsis in newborn babies is called neonatal sepsis.

Despite being highly preventable, maternal and neonatal sepsis continues to be a major cause of death and
 morbidity for pregnant or recently pregnant women and newborn babies. Infections are the primary cause
 of approximately 35000 maternal deaths every year. As a primary or contributing cause, sepsis can be
associated with up to 100000 maternal deaths every year. Neonatal sepsis kills around 1 million newborn
babies every year.

Risk factors: When health facilities are overcrowded and poorly resourced women are at greater risk of infection and sepsis. Women who undergo caesarean sections in such conditions are at even greater risk. Health workers are also often unaware of the signs and symptoms of sepsis and so are unable to recognise the condition and treat it in time.
Sepsis can be prevented
One of the greatest tragedies of the thousands of deaths caused by sepsis, is that they could have been easily prevented. As Dr Tedros Ghebreyesus outlines in his video address, we know what can be done to reduce the risk of sepsis:

access to clean water and sanitation;
access to quality care during pregnancy and birth;
responsible and timely access to the right medicines;
proper infection prevention and control in hospitals and clinics.
In addition, health workers need to be adequately trained and skilled to be able to recognise the signs of sepsis and to treat the condition effectively.

WORLD HEALTH ORGANIZATION

Reducing sepsis-related deaths can be achieved by attention to simple health measures in healthcare
facilities during the peripartum period, such as:

Promoting handwashing
Ensuring clean birth practices
Reducing overcrowding in facilities
Improving access to water and sanitation
Strengthening infection prevention and control measures

Source of info : Global Maternal & Neonatal Sepsis Initiative

Various Positions- Karnali Academy of Health Sciences

Gorkhapatra National Daily (13 Sep 2017)

Various Positions- Karnali Academy of Health Sciences

September 14, 2017 0 comments

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Ministry of Health Maldives gets WHO Excellence in Public Health Award

by Public Health Update September 12, 2017

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Ministry of Health Maldives gets WHO Excellence in Public Health Award

WHO Media Center (SEAR/PR/1659)

Ministry of Health Maldives gets WHO Excellence in Public Health Award

Male, Maldives, 8 September 2017 – The Ministry of Health Maldives has been conferred Excellence in Public Health award by WHO South-East Asia Region.
“The award is an acknowledgement of the significant achievements of the Ministry of Health. Maldives is on an accelerated journey to strengthen its health system. It has been making enormous contributions to health and wellbeing of its people as well as the Region,” Dr Poonam Khetrapal Singh, Regional Director, WHO South-East Asia Region, said while giving the award to Mr Abdulla Nazim Ibrahim, Minister of Health Maldives, at a function last evening.
Dr Khetrapal Singh lauded the leadership and contribution of Mr Ibrahim to Maldives’ successes in health.
Maldives spends 9% of its GDP on health, the highest in the Region. It has established fully functional primary health centres in every inhabited island, backed by both sea and land ambulance fleets for timely referrals in emergencies. State-run pharmacies have been set up in every inhabited island, which dispense 455 medicines on national essential drug list free of cost.
The health insurance scheme is leading to decline in out-of-pocket expenditure. The Health Ministry’s Quality of Care Framework, with 125 standards, covers everything from infrastructure to the competence of health workers, availability of medicines, patient safety and infection control, continuity of care and patient rights.
To combat the growing threat of non-communicable diseases, the government has been making commendable efforts, one of them being 58% increase in import duty and tax on sugary drinks and tobacco products. This is the highest tax on sweetened drinks globally, the Regional Director said.
The Award for Excellence in Public Health, given annually, recognizes the contributions of an individual, an institution or a programme that has made significant difference to the improvement of health and well-being of the people in their countries.

WHO Media Center (SEAR/PR/1659)

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Align national TB strategies with commitment to end TB by 2030: WHO

by Public Health Update September 12, 2017

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Align national TB strategies with commitment to end TB by 2030: WHO

Align national TB strategies with commitment to end TB by 2030: WHO
WHO MEDIA CENTER (SEAR/PR/1663)
Male, Maldives, 10 September 2017 – World Health Organization has called on countries in South-East Asia Region to build on recent momentum aimed at ending TB by 2030, commending their resolve to take action and urging all countries to review and align national plans with the Delhi Call to Action.
“The Region-wide momentum established to ‘bend the curve’ and end TB by 2030 is laudable. The Delhi Call for Action, issued by health ministers in March, demonstrates high-level awareness that business as usual is not enough, and that intensified efforts are needed. We have reached a critical consensus; the pressing need now is to translate commitment into action,” Dr Khetrapal Singh, Regional Director, WHO South-East Asia, said.
Across the Region, TB remains the largest cause of death and suffering due to any communicable disease among the most productive age groups. Although the Region accounts for approximately one quarter of the world’s population, it has nearly half the number of new TB cases and close to 40% of TB deaths globally. In recognition of TB’s outsized burden, accelerating progress towards the 2030 target – which requires a 90% reduction in TB deaths and 80% decrease in TB incidence – is now one of WHO South-East Asia Region’s Flagship Priority Areas of work.
As a critical first step in implementing recent commitments, Dr Khetrapal Singh emphasized the need for countries to align national plans with the 2030 target. “By reviewing and amending national TB plans countries will enhance their ability to mobilize and utilize resources efficiently. Good planning is key to establishing the foundations for success,” she said.
The Regional Director likewise highlighted the need for countries to identify the package of interventions best suited to their challenges, whether that means focusing on strengthening TB services, accelerating case detection or investing in research and development. “All countries face unique challenges, meaning they should each adapt the regional and global strategies to their context. We must avoid taking one-size-fits-all approach, and must instead seek-out and embrace tailored solutions that meet specific needs and challenges,” Dr Khetrapal Singh said.
The Regional Director affirmed WHO South-East Asia Region’s ongoing commitment to supporting countries implement the Delhi Call for Action, including by implementing mandatory case notification and working with regulatory authorities to introduce newer drugs for the treatment of drug-resistant TB. The Regional Director also reiterated WHO’s continued support for the provision of universal Drug susceptibility testing (DST)-guided treatment, for addressing MDR-TB and TB in immunocompromised patients, and for increased focus on the social aspects of TB.
“By planning effectively and making smart, high-impact interventions, countries across the South-East Asia Region can lift TB’s significant burden and end the disease as a public health threat once and for all,” Dr Khetrapal Singh said.
‘Bending the curve’ and ending TB was a key agenda item at the Seventieth session of the Regional Committee which concluded today in Maldives. The Regional Committee is the highest decision-making body for public health in the South-East Asia Region, and includes health ministers and senior health ministry officials of the Region’s 11 Member countries – Bangladesh, Bhutan, Democratic People’s Republic of Korea, India, Indonesia, Maldives, Myanmar, Nepal, Sri Lanka, Thailand and Timor-Leste.
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Take action on road safety; prevent road injury, death across South-East Asia Region: WHO

WHO Media Center

SEAR/PR/1662

Male, Maldives, 10 September 2017: The World Health Organization today urged health ministers from across the South-East Asia Region to intensify action to enhance road safety, including by strengthening post-crash response and working across sectors to increase the safety standard of roads and vehicles.
“Road traffic injuries constitute a major public health burden, with significant health and socioeconomic costs. Though the behavior of road users matters, good public policy has the potential to dramatically reduce the burden. To this end, the health sector has a critical role to play,” Dr Poonam Khetrapal Singh, Regional Director, WHO South-East Asia, said.
Road traffic injuries kill approximately 316 000 people each year in the WHO South-East Asia Region, equaling 865 fatalities each day. Twenty to 50 times that number are injured or disabled and require long-term care. Vulnerable road users, pedestrians, cyclists and motorcyclists make up 50% of all road traffic deaths in the Region.
“Strengthening post-crash response is vital to tackling road-related morbidity and mortality. All countries should have a nationwide emergency phone service, while pre-hospital response and hospital trauma care systems should be fit for purpose. In addition, steps should be taken to enhance early rehabilitation and support for road crash victims. This will help avoid long-term complications and enhance quality of life. It will also reduce health care usage over the life-course,” she said.
As per the Decade of Action for Road Safety 2011-2020, as well as the Sustainable Development Goals, all countries in the Region are now striving to halve the number of deaths and injuries from road traffic accidents by 2020.
To achieve this target, Dr Khetrapal Singh emphasized the importance of gathering more and better data on road safety incidents. “Good data allows authorities to analyze and understand the factors causing road crashes, as well as to devise and implement cost-effective solutions,” she said. ”Clear lines of responsibility and partnership among government agencies and stakeholders can help this process, especially given the problem’s multi-sectoral nature.”
The Regional Director also outlined how countries can build better road infrastructure – including bicycle lanes and pedestrian crossings – to protect vulnerable road users, while stressing the need for legislators to ensure laws related to vehicle manufacturing are harmonized with global standards.
“Safer vehicles save lives. Each one of the seven priority international vehicle safety standards should be included in all new cars sold in the Region, from seat belts to electronic stability control. Just two of the Region’s countries currently apply any of these standards. No country applies all. All countries can – and must – take action,” Dr Khetrapal Singh said.
The Regional Director reiterated WHO’s commitment to assist Member countries in capacity-building and providing guidance and technical support to improve emergency medical services for people injured and disabled in road traffic crashes.
Road safety is a key agenda item at the Seventieth session of the Regional Committee currently being held in Maldives. The Regional Committee is the highest decision-making body for public health in the South-East Asia Region, and includes health ministers and senior health ministry officials of the Region’s Member countries – Bangladesh, Bhutan, Democratic People’s Republic of Korea, India, Indonesia, Maldives, Myanmar, Nepal, Sri Lanka, Thailand and Timor-Leste.

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September 11, 2017 0 comments

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''Take a minute, change a life''- World Suicide Prevention Day 2017

by Public Health Update September 10, 2017

written by Public Health Update

World Suicide Prevention Day 2017

World Suicide Prevention Day 2017
The theme of the 2017 World Suicide Prevention Day: ‘Take a minute, change a life.’ Suicide is a major public health problem, with far-reaching social, emotional and economic consequences. There are approximately 800 000 suicides a year worldwide, and it is estimated that at least six people are directly affected by each suicide death.
The factors contributing to suicide and its prevention are complex and not fully understood, but there is increasing evidence that the media can play a significant role in either enhancing or weakening suicide prevention efforts. Media reports about suicide may minimize the risk of imitative (copycat) suicide or increase the risk. The media may provide useful educational information about suicide or may spread misinformation about it.
On the one hand, vulnerable individuals are at risk of engaging in imitative behaviours following media reports of suicide, particularly if the coverage is extensive, prominent, sensational, explicitly describes the method of suicide, and condones or repeats widely-held myths about suicide. The risk is particularly pronounced when the person who died by suicide had a high social status and/or can easily be identified with.. http://apps.who.int/iris/bitstream/10665/258814/1/WHO-MSD-MER-17.5-eng.pdf?ua=1
Key facts

Close to 800 000 people die due to suicide every year.
For every suicide there are many more people who attempt suicide every year. A prior suicide attempt is the single most important risk factor for suicide in the general population.
Suicide is the second leading cause of death among 15–29-year-olds.
78% of global suicides occur in low- and middle-income countries.
Ingestion of pesticide, hanging and firearms are among the most common methods of suicide globally.

Introduction
Every year close to 800 000 people take their own life and there are many more people who attempt suicide. Every suicide is a tragedy that affects families, communities and entire countries and has long-lasting effects on the people left behind. Suicide occurs throughout the lifespan and was the second leading cause of death among 15–29-year-olds globally in 2015.
Suicide does not just occur in high-income countries, but is a global phenomenon in all regions of the world. In fact, over 78% of global suicides occurred in low- and middle-income countries in 2015.
Suicide is a serious public health problem; however, suicides are preventable with timely, evidence-based and often low-cost interventions. For national responses to be effective, a comprehensive multisectoral suicide prevention strategy is needed.
Who is at risk?
While the link between suicide and mental disorders (in particular, depression and alcohol use disorders) is well established in high-income countries, many suicides happen impulsively in moments of crisis with a breakdown in the ability to deal with life stresses, such as financial problems, relationship break-up or chronic pain and illness.
In addition, experiencing conflict, disaster, violence, abuse, or loss and a sense of isolation are strongly associated with suicidal behaviour. Suicide rates are also high amongst vulnerable groups who experience discrimination, such as refugees and migrants; indigenous peoples; lesbian, gay, bisexual, transgender, intersex (LGBTI) persons; and prisoners. By far the strongest risk factor for suicide is a previous suicide attempt.
Methods of suicide
It is estimated that around 30% of global suicides are due to pesticide self-poisoning, most of which occur in rural agricultural areas in low- and middle-income countries. Other common methods of suicide are hanging and firearms.
Knowledge of the most commonly used suicide methods is important to devise prevention strategies which have shown to be effective, such as restriction of access to means of suicide.
Prevention and control
Suicides are preventable. There are a number of measures that can be taken at population, sub-population and individual levels to prevent suicide and suicide attempts. These include:

reducing access to the means of suicide (e.g. pesticides, firearms, certain medications);
reporting by media in a responsible way;
introducing alcohol policies to reduce the harmful use of alcohol;
early identification, treatment and care of people with mental and substance use disorders, chronic pain and acute emotional distress;
training of non-specialized health workers in the assessment and management of suicidal behaviour;
follow-up care for people who attempted suicide and provision of community support.

World Suicide Prevention Day 2017

Suicide is a complex issue and therefore suicide prevention efforts require coordination and collaboration among multiple sectors of society, including the health sector and other sectors such as education, labour, agriculture, business, justice, law, defense, politics, and the media. These efforts must be comprehensive and integrated as no single approach alone can make an impact on an issue as complex as suicide.

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WHO South-East Asia Region commits to building health systems resilience to climate change

by Public Health Update September 7, 2017

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WHO South-East Asia Region commits to building health systems resilience to climate change

SEAR/PR/1656

Male, Maldives, 7 September 2017: In recognition of the immense and increasing public health risks caused by climate change, Member countries of WHO South-East Asia Region today unanimously endorsed the Malé Declaration, committing to build health systems able to anticipate, respond to, cope with, recover from and adapt to climate-related shocks and stress.
“Climate change is happening, and is a risk to public health. Whether from greater severity and intensity of extreme weather events, changes in the spread and abundance of disease-carrying vectors such as mosquitoes, or changes to the physical environment that cause displacement or threaten livelihoods, climate change is already having an impact across our Region. Today’s Declaration demonstrates the commitment of the South-East Asia Region’s Member countries to take effective and immediate action,” Dr Poonam Khetrapal Singh, Regional Director, WHO South-East Asia, said.
The Declaration being adopted at the Seventieth Regional Committee session of the WHO South-East Asia Region – the Region’s highest decision-making body – builds on recent initiatives at country, regional and global levels to tackle the public health risks caused by climate change. The Declaration is accompanied by a Framework for Action to be implemented between 2017 and 2022, and calls on UN agencies and other international organizations, development partners, philanthropic agencies, academic and civil society organizations to mobilize human, financial and technical resources for this purpose.
“Building health systems resilience to climate change requires buy-in from all stakeholders,” the Regional Director emphasized. “As outlined in the Declaration, core action points include establishing and strengthening climate change and health information systems and research; integrating climate risks with national disaster risk management; enhancing health sector preparedness for climate-related events, including by securing essential services such as water and sanitation, waste management and electricity; and initiating the greening of the health sector by adopting environment-friendly technologies and using energy-efficient services. By fully implementing these and other initiatives, health systems can protect vulnerable populations across the Region against health risks caused by climate change,” Dr Khetrapal Singh said.
The Regional Director emphasized WHO’s support to Member countries as they implement the Malé Declaration, and committed to mobilizing resources, promoting knowledge and experience-sharing mechanisms, and providing technical support to Member countries at the same time as building local capacity. She affirmed WHO’s commitment to presenting a progress report at the Seventy-fifth session of the WHO Regional Committee for South-East Asia in 2022.
“WHO South-East Asia Region is committed to supporting Member countries as they strive to strengthen health systems to deal with one of the 21st century’s most pressing issues – climate change. We know what must be done. We can and must act now to meet the immense and increasing public health risks caused by climate change,” Dr Khetrapal Singh said.
The Seventieth session of the Regional Committee is currently being held in Maldives, and includes health ministers and senior health ministry officials from Member countries – Bangladesh, Bhutan, Democratic People’s Republic of Korea, India, Indonesia, Maldives, Myanmar, Nepal, Sri Lanka, Thailand and Timor-Leste.

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September 7, 2017 0 comments

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Family Planning ” Opportunities, challenges & Priorities in Nepal

World hunger again on the rise, driven by conflict and climate change, new UN report says

815 million people now hungry – Millions of children at risk from malnutrition

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Shining a spotlight on maternal and neonatal sepsis: World Sepsis Day 2017

WHO calls for prevention of life-threatening condition

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Various Positions- Karnali Academy of Health Sciences

Gorkhapatra National Daily (13 Sep 2017)

Various Positions- Karnali Academy of Health Sciences

Ministry of Health Maldives gets WHO Excellence in Public Health Award

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Align national TB strategies with commitment to end TB by 2030: WHO

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Take action on road safety; prevent road injury, death across South-East Asia Region: WHO

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World Suicide Prevention Day 2017

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