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PH Important DayPublic Health

“Make Handwashing a Habit!” – Global Hand washing Day 2016

by Public Health Update October 15, 2016
written by Public Health Update
October 15 is Global Handwashing Day!!


A global advocacy day dedicated to increasing awareness and understanding about the importance of hand washing with soap as an effective and affordable way to prevent diseases and save lives.

The 2016 Global Handwashing Day theme is “Make Handwashing a Habit!” For handwashing to be effective it must be practiced consistently at key times, such as after using the toilet or before contact with food. While habits must be developed over time, this theme emphasizes the importance of handwashing as a ritual behavior for long-term sustainability. Habit formation is currently a hot topic in behavior change and the water, sanitation, and hygiene sector. This theme taps into that interest and is also a gateway to discussing what the sector knows about how habits are formed.

Global Handwashing Day is an annual global advocacy day dedicated to increasing awareness and understanding about the importance of handwashing with soap as an easy, effective, and affordable way to prevent diseases and save lives.
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Handwashing with soap is an easy, effective, and affordable do-it-yourself protection that prevents infections and saves lives.
Handwashing with Soap is Easy
Everyone can protect themselves, their families, and their communities through handwashing with soap. It requires few resources—just soap and a small amount of water—yet the benefits are huge.
Handwashing with Soap is Effective
When handwashing with soap is practiced regularly at key times, such as after using the toilet or before contact with food, it can dramatically reduce the risk of diarrhea and pneumonia, which can cause serious illness and death. Handwashing with soap also helps prevent the spread of other infections such as influenza and Ebola.
Handwashing with Soap is Affordable
Cost is not the principal barrier to handwashing with soap. Almost everyone in the world can afford multipurpose bar soap, or detergent to make soapy water, though recent surveys have found a soap access equity gap, meaning the world’s poorest households are less likely to have access to soap. Furthermore households which do have access to soap commonly use it for laundry, dish washing or bathing, rather than for handwashing. Investments in hand washing promotion are very cost effective, and can also maximize the health benefits of other interventions from access to clean water and sanitation infrastructure to nutrition promotion.
Source of Info: http://globalhandwashing.org/global-handwashing-day/
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Hand washing is easy to do and it’s one of the most effective ways to prevent the spread of many types of infection and illness in all settings—from our home and workplace to child care facilities and hospitals. Clean hands can stop germs from spreading from one person to another and throughout an entire community.

Learn more about when and how to wash your hands.
When should you wash your hands?
  • Before, during, and after preparing food
  • Before eating food
  • Before and after caring for someone who is sick
  • Before and after treating a cut or wound
  • After using the toilet
  • After changing diapers or cleaning up a child who has used the toilet
  • After blowing your nose, coughing, or sneezing
  • After touching an animal, animal feed, or animal waste
  • After touching garbage
What is the right way to wash your hands?
  • Wet your hands with clean, running water (warm or cold), turn off the tap, and apply soap.
  • Lather your hands by rubbing them together with the soap. Be sure to lather the backs of your hands, between your fingers, and under your nails.
  • Scrub your hands for at least 20 seconds. Need a timer? Hum the “Happy Birthday” song from beginning to end twice.
  • Rinse your hands well under clean, running water.
  • Dry your hands using a clean towel or air dry them.
SOURCE OF INFORMATION
CENTER FOR DISEASE CONTROL AND PREVENTION

October 15, 2016 0 comments
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PH Important DayPublic Health

World Mental Health Day- 2016 : Psychological First Aid

by Public Health Update October 10, 2016
written by Public Health Update
World Mental Health Day is observed on 10 October every year, with the overall objective of raising awareness of mental health issues around the world and mobilizing efforts in support of mental health.

The theme of this year’s World Mental Health Day, observed on 10 October, covers “psychological first aid”. Efforts in support of the day will focus on basic pragmatic psychological support by people who find themselves in a helping role whether they be health staff, teachers, firemen, community workers, or police officers. 

Screen Shot 2015 10 05 at 09.48.00 400x250
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Despite its name, psychological first aid covers both psychological and social support. Just like general health care never consists of physical first aid alone, similarly no mental health care system should consist of psychological first aid alone. Indeed, the investment in psychological first aid is part of a longer-term effort to ensure that anyone in acute distress due to a crisis is able to receive basic support, and that those who need more than psychological first aid will receive additional advanced support from health, mental health and social services.

The Day provides an opportunity for all stakeholders working on mental health issues to talk about their work, and what more needs to be done to make mental health care a reality for people worldwide. 

What is Psychological First Aid?
  • When terrible things happen, we want to reach out a helping hand to those who have been affected. Psychological First Aid (PFA) is a humane, supportive and practical response to people suffering exposure to serious stressors and who may need support. It is an approach to help people recover by responding to their basic needs and showing them concern and care, in a way that respects their wishes, culture, dignity and capabilities. 
What does PFA involve? 
  • giving non-intrusive, practical care and support 
  • assessing people’s needs and concerns 
  • helping people address basic needs (food, water) 
  • listening, but not pressuring, people to talk  
  • comforting people and helping them to feel calm 
  • helping people connect to information, services and social support 
  • protecting people from further harm 

Who can offer PFA?
  • Perhaps you are called upon as a staff member or volunteer to help in a major disaster, or you find yourself at the scene of an accident where people are hurt. You may be a health worker helping someone who has been the victim of violence, or you may be a teacher, firefighter, police officer or emergency medical technician. Learning about PFA will help you to know the most supportive things to say and do for people who are very distressed. It will also give you information on how to approach a new situation safely for yourself and others, and not to cause harm by your actions. 

Who can benefit from PFA?

  • Although many people cope well enough in crisis situations, others may feel overwhelmed, confused, fearful, sad,
    angry or numb. PFA may be helpful for people who feel emotionally distressed after a crisis event. However, some people may need specialized help, such as those in need of emergency medical care or with very serious emotional reactions such as being disoriented or unable to care for themselves. If you are providing PFA, know your limits! If possible, refer people in need of specialized help, to, for example, a health-care professional or psychologist. 
WORLD HEALTH ORGANIZATION



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October 10, 2016 0 comments
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Public Health

[Research Article] Should low-income countries invest in breast cancer screening?

by Public Health Update October 6, 2016
written by Public Health Update
[Research Article]
Should low-income countries invest in breast cancer screening?
[FULL PAPER]

Gyawali, B., Shimokata, T., Honda, K. et al. Cancer Causes Control (2016). doi:10.1007/s10552-016-0812-8

Abstract
With the increase in incidence and mortality of breast cancer in low-income countries (LICs), the question of whether LICs should promote breast cancer screening for early detection has gained tremendous importance. Because LICs have limited financial resources, the value of screening must be carefully considered before integrating screening programs into national healthcare system. Mammography—the most commonly used screening tool in developed countries—reduces breast cancer-specific mortality among women of age group 50–69, but the evidence is not so clear for younger women. Further, it does not reduce the overall mortality. Because the women in LICs tend to get breast cancer at younger age and are faced with various competing causes of mortality, LICs need to seriously evaluate whether mammographic screening presents a good value for the investment. Instead, we suggest a special module of clinical breast examination that could provide similar benefits at a very low cost. Nevertheless, we believe that LICs would obtain a much greater value for their investment if they promote primary prevention by tobacco cessation, healthier food and healthier lifestyle campaigns instead.destop%2B%25281%25291

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If you want to share your research paper in this blog, feel free to share your research articles. I will help you to share your work with public health professionals network belonging with this Blog. Contact: mail4sagun@gmail.com or Message :www.facebook.com/sagun.paudel 

October 6, 2016 0 comments
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Notice

Important Notice – Nepal Health Professional Council (NHPC)

by Public Health Update October 3, 2016
written by Public Health Update
Important Notice – Nepal Health Professional Council (NHPC)
NHPC
Kantipur (1 July 2016)

October 3, 2016 0 comments
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PH Important DayPublic Health

''Take A Stand Against Ageism'' – International day of older people 2016

by Public Health Update October 1, 2016
written by Public Health Update
[1st October, 2016]
International day of older people 2016 ”Take A Stand Against Ageism” 

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It is an opportunity to highlight the important contributions that older people make to society and raise awareness about the issues and challenges of ageing in today’s world. As a result of declining fertility rates and increased life expectancy, ageing is emerging as a key policy issue around the world. There are around 600 million people, or 10% of the world’s population, over the age of 60. 
By 2050, 80% of older people will be living in low and middle-income countries. It is estimated that nearly 142 million people or about 8% of the total population in the South-East Asia Region is over 60 years old and lives in urban areas. 
– Dr Poonam Khetrapal Singh, Regional Director, WHO South-East Asia
[Download full Message]

What is ageism?

  • Ageism is the stereotyping and discrimination against individuals or groups on the basis of their age; ageism can take many forms, including prejudicial attitudes, discriminatory practices, or institutional policies and practices that perpetuate stereotypical beliefs. 

1st October is the United Nations International Day of Older Persons. The theme for this year’s day is “Take A Stand Against Ageism”. Ageism, the stereotyping and discrimination against people on the basis of age, which causes serious social prejudice with significant consequences for older people.

Is ageism really a problem?
  • Today, there are around 600 million people aged 60 years and over worldwide. This number will double by 2025 and will reach two billion by 2050, with the vast majority of older people in the developing world.
  • Ageism is widely prevalent and stems from the assumption that all members of a group (for example older adults) are the same. Like racism and sexism, ageism serves a social and economic purpose: to legitimize and sustain inequalities between groups. It’s not about how we look. It’s about how people that have influence, assign meaning to how we look. In 2014, governments around the world recognized ageism as “the common source of, the justification for, and the driving force behind age discrimination.”
  • Negative ageist attitudes are widely held across societies and not confined to one social or ethnic group. Research suggests that ageism may now be even more pervasive than sexism and racism. This has serious consequences both for older people and society at large. For example ageism limits the questions that are asked and the way problems are conceptualized and is hence a major barrier to developing good policies.


What is the impact of ageism on health?

  • Ageism has harmful effects on the health of older adults. Research shows that older adults with negative attitudes about ageing may live 7.5 years less than those with positive attitudes.
  • Ageism has been shown to cause cardiovascular stress, lowered levels of self-efficacy and decreased productivity.
  • Negative attitudes are also widely present even within the health and social-care settings where older adults are at their most vulnerable.
  • Some of this prejudice arises from observable biological declines and may be distorted by awareness of disorders such as dementia, which may be mistakenly thought to reflect normal ageing.
  • Ageism can become self-fulfilling by promoting in older people stereotypes of social isolation, physical and cognitive decline, lack of physical activity and economic burden.
  • Negative attitudes about providing long-term care for those who need it also make it difficult to recruit paid care workers in many countries. This may reflect ageism in the broader culture, the tendency to equate long-term care with poor-quality working conditions, or the low status accorded to caregiving.

How can we combat ageism?

  • Tackling ageism will require a new understanding of ageing by all generations. This understanding needs to counter outdated concepts of older people as burdens, and acknowledge the wide diversity of the experience of older age, the inequities of ageism, and demonstrate a willingness to ask how society might organise itself better.
WORLD HEALTH ORGANIZATION



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PH Important DayPublic Health

World Heart Day 2016 : Power your Life

by Public Health Update September 29, 2016
written by Public Health Update
World Heart Day on 29 September is the world’s biggest platform for raising awareness about cardiovascular disease (CVD). World Heart Day is the World Heart Federation’s biggest global awareness raising platform for cardiovascular disease. Since it was launched in 2009, it has grown rapidly and now enjoys huge global participation and support.

World Heart Day Poster 29 september 4
http://www.yogadayquotes.com/
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WHD web bann 6dae673865
World Heart Day Logo

On World Heart Day 2016, the World Heart Federation and its partners are calling on governments around the world to strengthen monitoring and surveillance of cardiovascular health. 

The World Heart Federation Global Policy Call 

The World Heart Federation calls on all governments to implement reliable and fit for purpose surveillance and monitoring systems for cardiovascular disease (CVD) in order to better prevent, treat and control the world’s biggest killer. 
The World Heart Federation is emphasizing the need to ensure that every country has information on the World Health Organization Global Action Plan (GAP) Targets and a set of measures or indicators on quality of care appropriate to a range of contexts including the primary healthcare level. 
This call is tied to the strengthening of health systems, in particular monitoring and surveillance, by providing complementary recommendations to governments drawn from the World Health Organization NCD Global Action Plan 2013-2020 and the Health Data Collaborative, supported by the World Bank, USAID and WHO. 
In establishing systems for monitoring the burden and treatment of CVD governments should prioritize the following actions:

  • Strengthen vital and cause of death registration systems (to better record statistics on births and causes of death)
  • Include details of CVD key interventions (for example services provided, numbers of people being treated) in existing health information systems
  • Collect information on a representative sub sample of the population on the prevalence and quality of care of patients with hypertension and CVD; and undertake periodic data collection on the behavioural and metabolic risk factors (harmful use of alcohol, physical inactivity, tobacco use, unhealthy diet, overweight and obesity, raised blood pressure, raised blood glucose, and hyperlipidemia), and determinants of risk exposure such as marketing of food, tobacco and alcohol in a sub sample of the population.  [READ MORE: www.worldheartfederation.org]

HEART%2BDAY
Kantipur (29 Sep 2016)


Prevention of Heart Diseases: 
In many cases, Heart Diseases are preventable with lifestyle factors, such as: 

  • Maintaining a low-fat and low-sodium diet 
  • Adopting a good exercise regimen 
  • Maintenance of a normal body weight 
  • Smoking cessation 
  • Stress management. 
  • In addition, early treatment of patients with prehypertension or hypertension reduces the risk of cardiovascular complications. 

Key Points to be done;
· Don’t smoke
· Manage your blood sugar
· Get your blood pressure under control
· Lower your cholesterol
· Know your family history
· Stay active
· Lose weight
· Eat healthy

High blood pressure may be prevented by living a healthy lifestyle, including some of the following:

  • Eating a nutritious, low-fat diet; 
  • Exercising regularly; 
  • Decreasing salt (sodium) intake, read food labels so you know the salt content before you buy a product in the grocery store or eating a meal at a fast food restaurant, and avoid adding salt to foods; 
  • Maintain a healthy weight and if you are overweight or obese, try to lose weight; 
  • Drink alcohol in moderation; 
  • Stop smoking; 
  • Get routine health assessments and blood pressure screening; 
  • Taking your blood pressure medications as directed, even if you’re feeling fine; and 
  • Reduce stress and practice relaxation techniques, physical activity will help to prevent. 

http://www.emedicinehealth.com/high_blood_pressure/page12_em.htm#high_blood_pressure_prevention

September 29, 2016 0 comments
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PH Important DayPublic Health

World Rabies Day : Educate. Vaccinate. Eliminate

by Public Health Update September 28, 2016
written by Public Health Update
28 September 2016

World Rabies Day is celebrated annually to raise awareness about rabies prevention and to highlight progress in defeating this horrifying disease. 28 September also marks the anniversary of Louis Pasteur’s death, the French chemist and microbiologist, who developed the first rabies vaccine. 

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Today, safe and efficacious animal and human vaccines are among the important tools that exist to eliminate human deaths from rabies while awareness is the key driver for success of communities to engage in effective rabies prevention.
The theme for 2016 is Rabies: Educate. Vaccinate. Eliminate. which emphasises the two crucial actions that communities can do to prevent rabies. It also reflects the global target to eliminate all human deaths from dog-mediated rabies by 2030.


Rabies: A preventable disease

Rabies, passed to humans primarily through dog bites, is always fatal by the time its symptoms start, but it is entirely preventable.

Washing wounds thoroughly with soap and water after a bite is an effective way of preventing infection, while both pre-exposure and post-exposure vaccinations for humans exist. Global elimination of the disease is feasible through mass vaccinations of dogs, which transmit 95% of rabies cases to humans.

Ending human deaths from dog-mediated rabies by 2030

In December 2015, countries from across the world met with WHO, the World Organization for Animal Health (OIE), the Food and Agriculture Organization of the United Nations (FAO) and the Global Alliance for Rabies Control (GARC), and agreed to end human deaths from dog-mediated rabies by 2030.
Source of Info : WHO

September 28, 2016 0 comments
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PH Important DayPublic Health

Sep 26 Every Year !! World Contraception Day

by Public Health Update September 26, 2016
written by Public Health Update
World Contraception Day (WCD) is annually observed on September 26. This day was observed for the first time in 2007, when it was initiated by coalition of 16 international family planning organizations. 

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All international non-governmental organizations, that support observance of World Contraception Day, have a vision of a world where every pregnancy is wanted. Observation of this day raises public awareness of the means of contraception.
WCD’s mission is to improve awareness of contraception and to enable young people to make informed choices on their sexual and reproductive health.

https://anydayguide.com/calendar/231 
https://www.your-life.com/en/for-doctors-parents-etc/about-wcd/

Benefits of family planning / contraception (World Health Organization)
  • Promotion of family planning – and ensuring access to preferred contraceptive methods for women and couples – is essential to securing the well-being and autonomy of women, while supporting the health and development of communities.
  • Preventing pregnancy-related health risks in women: A woman’s ability to choose if and when to become pregnant has a direct impact on her health and well-being. Family planning allows spacing of pregnancies and can delay pregnancies in young women at increased risk of health problems and death from early childbearing. It prevents unintended pregnancies, including those of older women who face increased risks related to pregnancy. Family planning enables women who wish to limit the size of their families to do so. Evidence suggests that women who have more than 4 children are at increased risk of maternal mortality.
    By reducing rates of unintended pregnancies, family planning also reduces the need for unsafe abortion.
  • Reducing infant mortalityFamily planning can prevent closely spaced and ill-timed pregnancies and births, which contribute to some of the world’s highest infant mortality rates. Infants of mothers who die as a result of giving birth also have a greater risk of death and poor health.
  • Helping to prevent HIV/AIDSFamily planning reduces the risk of unintended pregnancies among women living with HIV, resulting in fewer infected babies and orphans. In addition, male and female condoms provide dual protection against unintended pregnancies and against STIs including HIV.
  • Empowering people and enhancing educationFamily planning enables people to make informed choices about their sexual and reproductive health. Family planning represents an opportunity for women to pursue additional education and participate in public life, including paid employment in non-family organizations. Additionally, having smaller families allows parents to invest more in each child. Children with fewer siblings tend to stay in school longer than those with many siblings.
  • Reducing adolescent pregnancies
    Pregnant adolescents are more likely to have preterm or low birth-weight babies. Babies born to adolescents have higher rates of neonatal mortality. Many adolescent girls who become pregnant have to leave school. This has long-term implications for them as individuals, their families and communities.
  • Slowing population growth
    Family planning is key to slowing unsustainable population growth and the resulting negative impacts on the economy, environment, and national and regional development efforts.

Contraceptive methods (World Health Organization)

Modern methods

MethodDescriptionHow it worksEffectiveness to prevent pregnancyComments
Combined oral contraceptives (COCs) or “the pill”Contains two hormones (estrogen and progestogen)Prevents the release of eggs from the ovaries (ovulation)>99% with correct and consistent useReduces risk of endometrial and ovarian cancer
92% as commonly used
Progestogen-only pills (POPs) or “the minipill”Contains only progestogen hormone, not estrogenThickens cervical mucous to block sperm and egg from meeting and prevents ovulation99% with correct and consistent useCan be used while breastfeeding; must be taken at the same time each day
90–97% as commonly used
ImplantsSmall, flexible rods or capsules placed under the skin of the upper arm; contains progestogen hormone onlyThickens cervical mucous to block sperm and egg from meeting and prevents ovulation>99%Health-care provider must insert and remove; can be used for 3–5 years depending on implant; irregular vaginal bleeding common but not harmful
Progestogen only injectablesInjected into the muscle every 2 or 3 months, depending on productThickens cervical mucous to block sperm and egg from meeting and prevents ovulation>99% with correct and consistent useDelayed return to fertility (about 1–4 months on the average) after use; irregular vaginal bleeding common, but not harmful
97% as commonly used
Monthly injectables or combined injectable contraceptives (CIC)Injected monthly into the muscle, contains estrogen and progestogenPrevents the release of eggs from the ovaries (ovulation)>99% with correct and consistent useIrregular vaginal bleeding common, but not harmful
97% as commonly used
Combined contraceptive patch and combined contraceptive vaginal ring (CVR)Continuously releases 2 hormones – a progestin and an estrogen- directly through the skin (patch) or from the ring.Prevents the release of eggs from the ovaries (ovulation)The patch and the CVR are new and research on effectiveness is limited. Effectiveness studies report that it may be more effective than the COCs, both as commonly and consistent or correct use.The Patch and the CVR provide a comparable safety and pharmacokinetic profile to COCs with similar hormone formulations.
Intrauterine device (IUD): copper containingSmall flexible plastic device containing copper sleeves or wire that is inserted into the uterusCopper component damages sperm and prevents it from meeting the egg>99%Longer and heavier periods during first months of use are common but not harmful; can also be used as emergency contraception
Intrauterine device (IUD) levonorgestrelA T-shaped plastic device inserted into the uterus that steadily releases small amounts of levonorgestrel each daySuppresses the growth of the lining of uterus (endometrium)>99%Decreases amount of blood lost with menstruation over time; Reduces menstrual cramps and symptoms of endometriosis; amenorrhea (no menstrual bleeding) in a group of users
Male condomsSheaths or coverings that fit over a man’s erect penisForms a barrier to prevent sperm and egg from meeting98% with correct and consistent useAlso protects against sexually transmitted infections, including HIV
85% as commonly used
Female condomsSheaths, or linings, that fit loosely inside a woman’s vagina, made of thin, transparent, soft plastic filmForms a barrier to prevent sperm and egg from meeting90% with correct and consistent useAlso protects against sexually transmitted infections, including HIV
79% as commonly used
Male sterilization (vasectomy)Permanent contraception to block or cut the vas deferens tubes that carry sperm from the testiclesKeeps sperm out of ejaculated semen>99% after 3 months semen evaluation3 months delay in taking effect while stored sperm is still present; does not affect male sexual performance; voluntary and informed choice is essential
97–98% with no semen evaluation
Female sterilization (tubal ligation)Permanent contraception to block or cut the fallopian tubesEggs are blocked from meeting sperm>99%Voluntary and informed choice is essential
Lactational amenorrhea method (LAM)Temporary contraception for new mothers whose monthly bleeding has not returned; requires exclusive or full breastfeeding day and night of an infant less than 6 months oldPrevents the release of eggs from the ovaries (ovulation)99% with correct and consistent useA temporary family planning method based on the natural effect of breastfeeding on fertility
98% as commonly used
Emergency contraception (levonorgestrel 1.5 mg)Progestogen-only pills taken to prevent pregnancy up to 5 days after unprotected sexPrevents ovulationIf all 100 women used progestin-only emergency contraception, one would likely become pregnant.Does not disrupt an already existing pregnancy
Standard Days Method or SDMWomen track their fertile periods (usually days 8 to 19 of each 26 to 32 day cycle) using cycle beads or other aidsPrevents pregnancy by avoiding unprotected vaginal sex during most fertile days.95% with consistent and correct use.Can be used to identify fertile days by both women who want to become pregnant and women who want to avoid pregnancy. Correct, consistent use requires partner cooperation.
88% with common use (Arevalo et al 2002)
Basal Body Temperature (BBT) MethodWoman takes her body temperature at the same time each morning before getting out of bed observing for an increase of 0.2 to 0.5 degrees C.Prevents pregnancy by avoiding unprotected vaginal sex during fertile days99% effective with correct and consistent use.If the BBT has risen and has stayed higher for 3 full days, ovulation has occurred and the fertile period has passed. Sex can resume on the 4th day until her next monthly bleeding.
75% with typical use of FABM (Trussell, 2009)
TwoDay MethodWomen track their fertile periods by observing presence of cervical mucus (if any type color or consistency)Prevents pregnancy by avoiding unprotected vaginal sex during most fertile days,96% with correct and consistent use.Difficult to use if a woman has a vaginal infection or another condition that changes cervical mucus. Unprotected coitus may be resumed after 2 consecutive dry days (or without secretions)
86% with typical or common use. (Arevalo, 2004)
Sympto-thermal MethodWomen track their fertile periods by observing changes in the cervical mucus (clear texture) , body temperature (slight increase) and consistency of the cervix (softening).Prevents pregnancy by avoiding unprotected vaginal sex during most fertile98% with correct and consistent use.May have to be used with caution after an abortion, around menarche or menopause, and in conditions which may increase body temperature.
Reported 98% with typical use (Manhart et al, 2013)

Traditional Methods
Calendar method or rhythm methodWomen monitor their pattern of menstrual cycle over 6 months, subtracts 18 from shortest cycle length (estimated 1st fertile day) and subtracts 11 from longest cycle length (estimated last fertile day)The couple prevents pregnancy by avoiding unprotected vaginal sex during the 1st and last estimated fertile days, by abstaining or using a condom.91% with correct and consistent use.May need to delay or use with caution when using drugs (such as anxiolytics, antidepressants, NSAIDS, or certain antibiotics) which may affect timing of ovulation.
75% with common use
Withdrawal (coitus interruptus)Man withdraws his penis from his partner’s vagina, and ejaculates outside the vagina, keeping semen away from her external genitaliaTries to keep sperm out of the woman’s body, preventing fertilization96% with correct and consistent useOne of the least effective methods, because proper timing of withdrawal is often difficult to determine, leading to the risk of ejaculating while inside the vagina.
73% as commonly used (Trussell, 2009)


World Health Organization

Related Posts: 

  • National Family Planning Program, Nepal
  • National Family Planning Day (18- Sep 2016)
  • Family Planning 2020 (FP2020) Commitment, Nepal
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PH Important Day

“Pharmacists: Caring for you” – World Pharmacists Day 2016

by Public Health Update September 25, 2016
written by Public Health Update
World Pharmacists Day was the brainchild of the International Pharmaceutical Federation (FIP), with the council of this organization voting to establish the event in the late 2000s during a conference they staged in Istanbul, Turkey.


The aim of the day is to bring attention to pharmacies and the positive benefits they offer when it comes to health and FIP encourages all its members to get involved to make the event a success. 

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“Pharmacists: Caring for you” – World Pharmacists Day 2016

Each year the organization announces a different theme so that associations and individuals in the pharmaceutical industry can put together national campaigns or local projects to showcase the good work they do in helping to improve the health of people around the world. This can include giving lectures, holding exhibitions, or organizing an activity day for adults and kids to demonstrate the many ways that a pharmacy can help them.

daysoftheyear.com
“This year’s theme was chosen to reflect the important role of pharmacists in providing care to the public, and also to highlight the emotional connection they have with their patients. The role of pharmacists has evolved from that of a provider of medicines to that of a provider of care. Pharmacists have a vital role in the outcome of pharmacological therapies and ultimately strive to improve patients’ quality of life,” 
Dr Carmen Peña, FIP President



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Public Health

Type 2 Diabetes and Its correlates: A Cross Sectional Study in a Tertiary Hospital of Nepal

by Public Health Update September 20, 2016
written by Public Health Update
[RESEARCH ARTICLE]
Type 2 Diabetes and Its correlates: A Cross Sectional Study in a Tertiary Hospital of Nepal
[FULL PAPER]

Ranabhat, K., Mishra, S.R., Dhimal, M. et al. J Community Health (2016). doi:10.1007/s10900-016-0247-x

Abstract

Type 2 diabetes mellitus (T2DM) is an emerging global health problem in Nepal. However, there is still a paucity of information on its burden and its risk factors among service users from a hospital based setting. This is a cross sectional study conducted among the service users of diabetes clinic in Tribhuvan University Teaching Hospital of Nepal. A sample size of 154 was selected systematically from the patient registration from 30th July to 16th August, 2013. Of the 154 participants, 42.85 % had T2DM. Higher mean body mass index (26.50 ± 5.05 kg/m2) and waist circumference (92.47 ± 11.30 cm) was found among the individuals with T2DM and, compared to those without diabetes (Body mass index 25.13 ± 4.28 kg/m2: waist circumference 88.91 ± 12.30 cm) (P = 0.013). In further analysis, the sedentary occupation (aOR 3.088; 95 % CI 1.427–6.682), measure of high waist circumference (aOR 2.758; 95 % CI 1.238–6.265) individuals from lower socioeconomic status (aOR 3.989; 95 % CI 1.636–9.729) right knowledge on symptoms of diabetes (aOR 3.670; 95 % CI 1.571–8.577) and right knowledge on prevention of diabetes (aOR 3.397; 95 % CI 1.377–8.383) were significantly associated with T2DM status. The current findings suggest that health programs targeting T2DM should focus increasing awareness on harmful health effects of sedentary occupation, symptoms of T2DM and its prevention among the urban population.

Ranabhat, K., Mishra, S.R., Dhimal, M. et al. J Community Health (2016). doi:10.1007/s10900-016-0247-x


© Springer Science+Business Media New York 2016 

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Post requested by: KAMAL RANABHAT

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