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Public Health

“GBV Not Only a Societal Problem, a Public Health Problem Too”- WHO

by Public Health Update January 16, 2016
written by Public Health Update
Late Post
At a WHO-sponsored event in Kathmandu organized as a part of ‘16 days of activism against gender based violence’ (GBV) from 25 November to 10 December, WHO Nepal’s Dr Akjemal Magtymova emphasized the public health dimensions of GBV and reiterated WHO’s commitment to help end the problem. 

“Violence against women is not only a societal problem, it is a public health problem too as it can have lasting physical and psychological effects. Strengthening health systems to address GBV is an important part of WHO’s support to its member states,” she said. 



According to Dr Magtymova, the problem of GBV – both at a global and local level – is significant. “While every third woman experiences physical or sexual violence globally, the burden in WHO’s South-East Asia Region is almost 38%, higher than the world average. In Nepal, as per 2011 data, 22% of women of reproductive age had experienced physical violence at least once since the age of 15, and 12% had experienced sexual violence at least once in their lifetime. The majority of victims never sought help,” she said.
While Dr Magtymova stressed the importance of high-level tools to help stem GBV – including World Health Assembly Resolution WHA67.15, which urges states to strengthen the role of the health system in addressing violence, in particular against women, girls and children – she said awareness-raising and advocacy efforts are needed to convert these into systemic and behavioral change. “Advocacy events such as this are crucial in disseminating positive messages to the youth, as well as sensitizing policymakers to the ways in which public health institutions can help end GBV,” she said. “As public health advocates we have a duty to effect change. We take that duty seriously.”




Source: WHO Nepal
January 16, 2016 0 comments
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Public Health

Latest Ebola outbreak over in Liberia; West Africa is at zero, but new flare-ups are likely to occur -WHO

by Public Health Update January 16, 2016
written by Public Health Update
14 JANUARY 2016 | LIBERIA – Today, WHO declares the end of the most recent outbreak of Ebola virus disease in Liberia and says all known chains of transmission have been stopped in West Africa. But the Organization says the job is not over, more flare-ups are expected and that strong surveillance and response systems will be critical in the months to come.


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Liberia was first declared free of Ebola transmission in May 2015, but the virus was re-introduced twice since then, with the latest flare-up in November. Today’s announcement comes 42 days (two 21-day incubation cycles of the virus) after the last confirmed patient in Liberia tested negative for the disease 2 times.
All 3 countries at zero
“WHO commends Liberia’s government and people on their effective response to this recent re-emergence of Ebola,” says Dr Alex Gasasira, WHO Representative in Liberia. “The rapid cessation of the flare-up is a concrete demonstration of the government’s strengthened capacity to manage disease outbreaks. WHO will continue to support Liberia in its effort to prevent, detect and respond to suspected cases.”
This date marks the first time since the start of the epidemic 2 years ago that all 3 of the hardest-hit countries—Guinea, Liberia and Sierra Leone—have reported 0 cases for at least 42 days. Sierra Leone was declared free of Ebola transmission on 7 November 2015 and Guinea on 29 December.
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“Detecting and breaking every chain of transmission has been a monumental achievement,” says Dr Margaret Chan, WHO Director-General. “So much was needed and so much was accomplished by national authorities, heroic health workers, civil society, local and international organizations and generous partners. But our work is not done and vigilance is necessary to prevent new outbreaks.”
Vigilance needs to be maintained


�
WHO cautions that the 3 countries remain at high risk of additional small outbreaks of Ebola, like the most recent one in Liberia. To date, 10 such flare-ups have been identified that were not part of the original outbreak, and are likely the result of the virus persisting in survivors even after recovery. Evidence shows that the virus disappears relatively quickly from survivors, but can remain in the semen of a small number of male survivors for as long as 1 year, and in rare instances, be transmitted to intimate partners.
“We are now at a critical period in the Ebola epidemic as we move from managing cases and patients to managing the residual risk of new infections,” says Dr Bruce Aylward, WHO’s Special Representative for the Ebola Response. “The risk of re-introduction of infection is diminishing as the virus gradually clears from the survivor population, but we still anticipate more flare-ups and must be prepared for them. A massive effort is underway to ensure robust prevention, surveillance and response capacity across all three countries by the end of March.”
WHO and partners are working with the Governments of Guinea, Liberia and Sierra Leone to help ensure that survivors have access to medical and psychosocial care and screening for persistent virus, as well as counselling and education to help them reintegrate into family and community life, reduce stigma and minimize the risk of Ebola virus transmission.
The Ebola epidemic claimed the lives of more than 11 300 people and infected over 28 500. The disease wrought devastation to families, communities and the health and economic systems of all 3 countries.

MEDIA CENTER

News release
WHO
January 16, 2016 0 comments
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National Health NewsPublic HealthPublic Health News

Parliament passes Vaccination Bill

by Public Health Update January 5, 2016
written by Public Health Update


11942493
Thehimalayantimes (1/5/2016)


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Public Health

Ph.D in Public Health – IOM

by Public Health Update December 16, 2015
written by Public Health Update

IOM
Kantipur (16th Dec 2015)



Urgent%2Bnotice%2Bregarding%2BPh.D%2BProgram
IOM Notice

December 16, 2015 0 comments
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MiscellaneousPublic Health Notes

Human Development Report -2015

by Public Health Update December 15, 2015
written by Public Health Update
Human Development Index (HDI): A composite index measuring average achievement in three basic dimensions of human development—a long and healthy life, knowledge and a decent standard of living. 
See Technical note 1 at http://hdr.undp.org/sites/default/files/hdr2015_technical_notes.pdf for details on how the HDI is calculated.
HHH

Life expectancy at birth: Number of years a newborn infant could expect to live if prevailing patterns of age-specific mortality rates at the time of birth stay the same throughout the infant’s life.

Expected years of schooling: Number of years of schooling that a child of school entrance age can expect to receive if prevailing patterns of age-specific enrollment rates persist throughout the child’s life.

Mean years of schooling: Average number of years of education received by people ages 25 and older, converted from education attainment levels using official durations of each level.
Gross national income (GNI) per capita: Aggregate income of an economy generated by its production and its ownership of factors of production, less the incomes paid for the use of factors of production owned by the rest of the world, converted to international dollars using PPP rates, divided by midyear population.

HDI RANK OF NEPAL: 145 
Low Human Development
HDI VALUE: 0.548

Very high human development 0.800 and above 

High human development 0.700–0.799 
Medium human development 0.550–0.699 
Low human development Below 0.550

hdi

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READ WEB VERSION HD REPORT:CLICK HERE
DOWNLOAD PDF FILE
December 15, 2015 0 comments
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PH Important DayPublic Health

Health for All: 12.12.15 : Universal Health Coverage Day

by Public Health Update December 12, 2015
written by Public Health Update
Universal health coverage is defined as ensuring that all people have access to needed promotive, preventive, curative and rehabilitative health services, of sufficient quality to be effective, while also ensuring that people do not suffer financial hardship when paying for these services. Universal health coverage has therefore become a major goal for health reform in many countries and a priority objective of WHO. 

Universal health coverage embodies three related objectives:
  • Equity in access to health services – those who need the services should get them, not only those who can pay for them;
  • that the quality of health services is good enough to improve the health of those receiving services; and
  • financial-risk protection – ensuring that the cost of using care does not put people at risk of financial hardship.

WHO
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The global community has spoken: universal health coverage is right, smart and overdue. But too many people are still waiting to access quality, essential health services without financial hardship.


December 12, 2015 0 comments
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Public HealthPublic Health Notes

Loksewa Imp: List of Free medicines available in Nepal (Source of Info: www.nepalihealth.com)

by Public Health Update December 12, 2015
written by Public Health Update
tabal1 copy
Original Source of Info : http://www.nepalihealth.com

tabal2 copy
Original Source of Info : http://www.nepalihealth.com

tabal3 copy
Original Source of Info : http://www.nepalihealth.com

tabal4 copy
Original Source of Info : http://www.nepalihealth.com


tabal5 copy
Original Source of Info : http://www.nepalihealth.com


December 12, 2015 0 comments
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International Plan, Policy & GuidelinesPublic Health

Health in 2015: from MDGs to SDGs – WHO

by Public Health Update December 10, 2015
written by Public Health Update
WHO launched a new comprehensive analysis of global health trends since 2000 and an assessment of the challenges for the next 15 years.

This report aims to describe global health in 2015, looking back 15 years at the trends and positive forces during the Millennium Development Goal (MDG) era and assessing the main challenges for the coming 15 years.

“Health in 2015: from MDGs to SDGs” identifies the key drivers of progress in health under the United Nations Millennium Development Goals (MDGs). It lays out actions that countries and the international community should prioritize to achieve the new Sustainable Development Goals (SDGs), which come into effect on 1 January 2016.
Read more: http://www.who.int/gho/publications/mdgs-sdgs/en/

Download full Report: “Health in 2015: from MDGs to SDGs


December 10, 2015 0 comments
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Public Health

Health and human rights -Human Rights Day

by Public Health Update December 10, 2015
written by Public Health Update
Human Rights Day is observed every year on 10 December. It commemorates the day on which, in 1948, the United Nations General Assembly adopted the Universal Declaration of Human Rights. In 1950, the Assembly passed resolution 423 (V), inviting all States and interested organizations to observe 10 December of each year as Human Rights Day. 

“Our Rights. Our Freedoms. Always.”
United Nations
banner hmrd 2015
http://www.un.org/en/events/humanrightsday/
“The right to the highest attainable standard of health” requires a set of social criteria that is conducive to the health of all people, including the availability of health services, safe working conditions, adequate housing and nutritious foods. Achieving the right to health is closely related to that of other human rights, including the right to food, housing, work, education, non-discrimination, access to information, and participation.

The right to health includes both freedoms and entitlements. 

  • Freedoms include the right to control one’s health and body (e.g. sexual and reproductive rights) and to be free from interference (e.g. free from torture and from non-consensual medical treatment and experimentation).
  • Entitlements include the right to a system of health protection that gives everyone an equal opportunity to enjoy the highest attainable level of health.

Health policies and programmes have the ability to either promote or violate human rights, including the right to health, depending on the way they are designed or implemented. Taking steps to respect and protect human rights upholds the health sector’s responsibility to address everyone’s health.

Key facts

  • The WHO Constitution enshrines “…the highest attainable standard of health as a fundamental right of every human being.”
  • The right to health includes access to timely, acceptable, and affordable health care of appropriate quality.
  • Yet, about 100 million people globally are pushed below the poverty line as a result of health care expenditure ever year.
  • Vulnerable and marginalized groups in societies tend to bear an undue proportion of health problems.
  • Universal health coverage is a means to promote the right to health.

Human rights-based approaches
A human rights-based approach to health provides strategies and solutions to address and rectify inequalities, discriminatory practices and unjust power relations, which are often at the heart of inequitable health outcomes.
The goal of a human rights-based approach is that all health policies, strategies and programmes are designed with the objective of progressively improving the enjoyment of all people to the right to health. Interventions to reach this objective adhere to rigorous principles and standards, including:

  1. Non-discrimination: The principle of non-discrimination seeks ‘…to guarantee that human rights are exercised without discrimination of any kind based on race, colour, sex, language, religion, political or other opinion, national or social origin, property, birth or other status such as disability, age, marital and family status, sexual orientation and gender identity, health status, place of residence, economic and social situation’1.
  2. Availability: A sufficient quantity of functioning public health and health care facilities, goods and services, as well as programmes.
  3. Accessibility: Health facilities, goods and services accessible to everyone. Accessibility has 4 overlapping dimensions:

  • non-discrimination
  • physical accessibility;
  • economical accessibility (affordability);
  • information accessibility.

4. Acceptability: All health facilities, goods and services must be respectful of medical ethics and culturally appropriate as well as sensitive to gender and life-cycle requirements.

5. Quality: Health facilities, goods and services must be scientifically and medically appropriate and of good quality.
6. Accountability: States and other duty-bearers are answerable for the observance of human rights. Universality: Human rights are universal and inalienable. All people everywhere in the world are entitled to them.
Policies and programmes are designed to be responsive to the needs of the population as a result of established accountability. A human rights based-approach identifies relationships in order to empower people to claim their rights and encourage policy makers and service providers to meet their obligations in creating more responsive health systems.

World Health Organization

Media Center

Health and human rights

Fact sheet N°323
December 2015

December 10, 2015 0 comments
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2011 Nepal Demographic and Health Survey (NDHS)

by Public Health Update December 6, 2015
written by Public Health Update
The 2011 Nepal Demographic and Health Survey (NDHS) provides up-to-date information on the population and health situation in Nepal. The 2011 NDHS is the fourth National Demographic and Health Survey conducted in the country. Repeated surveys allow for an analysis of trends over time. The survey is based on a nationally representative sample. It provides estimates at the national, ecological zone, developmental region, and in some cases, sub regional levels.






Fertility

  • Total fertility rate 2.6
  • Women age 15–19 who are mothers or now pregnant (%) : 17 
  • Median age at first marriage for women age 25–49 (years) : 17.5 
  • Median age at first intercourse for women age 25–49 (years) :17.7 
  • Median age at first birth for women age 25-49 (years) : 20.2 
  • Married women (age 15–49) wanting no more children (%):73 
  • Mean ideal number of children for women 15–49 : 2.1

Family Planning

  • Current use of any modern method (currently married women 15–49) (%) : 43 
  • Currently married women with an unmet need for family planning (%) : 27

Maternal and Child Health

  • Maternity care (women who gave birth in past 5 years) Received antenatal care from a skilled provider (%) : 58 
  • Births assisted by a skilled provider (%)  : 36 
  • Births delivered in a health facility (%) : 35 
  • Child vaccination Children 12–23 months fully vaccinated (%) : 87



Nutrition 

  • Children <5 years who are stunted (moderate or severe) (%) : 41 
  • Children <5 years who are wasted (moderate/evere) (%): 11
  • Children <5 years who are underweight (moderate/severe) (%) : 29 
  • Median duration of any breastfeeding (months) : 33.6 
  • Median duration of exclusive breastfeeding (months) 4.2 3
  • Prevalence of anemia in children 6-59 months (%) : 46 
  • Prevalence of anemia in women age 15-49 (%) : 35



Childhood Mortality (Number of deaths per 1,000 births)

    • Infant mortality (between birth and first birthday) : 46 
    • Under–five mortality (between birth and fifth birthday) : 54

    December 6, 2015 0 comments
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