August 2011

  • Women of the World

    Rebecca Shore

    JHU∙CCP | Communications Specialist

    Male involvement in family planning is not a new discovery to the field of public health, although often it is overlooked as a means of outreach. NPR highlights Nigeria’s struggle to involve men in family planning in its recent blog this week discussing the Society for Family Health’s mass media campaign targeted towards men and family planning. Though this program was seen as successful because men were more frequently accompanying their wives to the family planning clinic, there was skepticism whether women in Nigeria will use contraceptives and reduce the size of their families. A professor at Brown University, Daniel Smith, believes that Nigerians favor large extended families as a way to stay socially connected so it will be an uphill battle to reduce family size, even if there is an increase in contraceptive use.

    In Jordan, USAID’s male involvement in family planning and reproductive health program found that after six years of implementing the program, men were more likely to include their wives in decision-making and a higher percentage of the population was accurately informed about the different contraceptive methods. Prior to the beginning of the project, the use of modern family planning methods was limited because of husband opposition and religious and health concerns. Many societies have a patriarchal structure and without the approval of men, women have very little choice in their contraception. In a study in Cambodia where there was a high level of knowledge and accessibility to contraceptives, women were more likely to use contraceptive if they perceived their husband’s approval and if they felt there was an ease of communication between them.

    In other recent news, Ashley Judd, actress and activist, discussed the need for men to be active in family planning and their power in women’s reproductive health choices worldwide. Judd urged family planning programs in developing countries to involve men because of their significant influence over women’s reproductive health decisions. Male methods of contraceptives make up only 26% of contraceptive use globally: 12% withdrawal and abstinence, 7% vasectomy, and 7% condoms. Beyond men’s involvement in choosing to use male contraceptive methods of vasectomy or condoms, they should also be included in family planning discussions and counseling generally to encourage or facilitate a women’s contraceptive choice. Reproductive choices are imperative to a healthy pregnancy and healthy children. Involving men in these choices removes a common barrier to women’s use of family planning, which, in turn, empowers women and girls in all aspects of their lives.

  • Cassandra Mickish

    JHU∙CCP | Communications Specialist

    UNICEF, WHO, and several other international organizations promoted breastfeeding this week in recognition of World Breastfeeding Week, but the decision to breastfeed a child becomes more complicated and controversial when the mother learns she has HIV. Can breastfeeding be safe and healthy when the mother is infected with HIV?



    In 2010, WHO released new guidelines on HIV and infant feeding, which can be found in K4Health’s recently updated Prevention of Mother-to-Child Transmission (PMTCT) Toolkit. Although there are many similarities to the previous guidelines from 2006, the new guidelines focus on maximizing the likelihood of “HIV-free survival,” not just reduction of the likelihood of HIV transmission, in order to maximize the health and nutrition of the baby and mother as well as minimize the risk of HIV transmission. Depending on the circumstances, the nutritional and health benefits of exclusive breastfeeding may outweigh the risks of exposure to HIV in breast milk. Breastfeeding reduces the risk of diarrheal disease, malnutrition, and other common causes of child morbidity and mortality, which may pose a greater danger than the potential risk of HIV transmission through breast milk. New evidence also shows that treatment of the mother with antiretroviral drugs (ARVs) significantly reduces the risk of transmitting HIV through breast milk.



    The new guidelines also focus on establishing national or sub-national recommendations so that health providers in a given area can consistently recommend either exclusive breastfeeding with ARVs or replacement feeding based on the resources available, access to ARVs, the cultural norms, HIV prevalence, and the common causes of infant and child morbidity and mortality. However, it is also recommended that providers inform mothers about their options and discuss the alternatives.



    The theme of this year’s breastfeeding week focuses on communication as an essential component of protecting, promoting, and supporting breastfeeding. Communication between mothers, their families, and their health providers is necessary to ensure that families understand and can implement the provider’s recommendations for the infant feeding plan. 

  • Rebecca Shore

    JHU∙CCP | Communications Specialist
     

    With the world’s population growing, particularly in developing countries, breastfeeding is one of the most cost-effective and nutritious options for most mothers. From August 1–7, World Breastfeeding Week highlights breastfeeding as a contribution to women’s family planning. WHO states, "Breastfeeding is the best way to provide newborns with the nutrients they need." WHO also recommends exclusive breastfeeding until a baby is six months old and continued breastfeeding with the addition of nutritious complementary foods for up to two years or beyond.

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