2018年11月26日

ケニアにおける結核患者の権限やジェンダーについての評価

ケニアスタッフCalvinの投稿を和訳した文をご紹介します。

市民社会を含むすべてのステークホルダーにより、結核患者の健康に関する権利が性別に関わらず守られているかどうか議論するフォーラムが開催されました。
全ての患者には、ケニアにあるどの施設においても投薬治療やその他サービスを受けられる権利があります。主要な成果は脆弱で、手を差し伸べられていない人々の間における結核の削減に向けたものでした。
主要な課題のうち1つは、ヘルスケア従事者が自分の提供するサービスの範囲内で結核患者の権利や性別が関係する部分について学ぶための文書のコピーがヘルスセンターで手に入らないということでした。また、政府がその文書を保有することでその内容を国家結核手引きに反映させ、ヘルスケア従事者はそれをヘルスセンターにスケールダウンして実施ができるようになるということが議論されました。
もう1つの課題として、鍵となるグループについての信頼性の高いデータがないことが挙げられました。そのことは、鍵となるグループや脆弱なグループを割り出すシステムやヘルスケアに関わる人材が不適切であることから、取り残された地域や田舎において特に顕著です。

提言
政府は、より公平なサービスを実現するため、ジェンダーに対応した結核サービスに関する訓練やセミナーを全国的に開催するために投資を増やすべきです。
市民社会、ドナーやパートナーは予算についてのアドボカシーに参加し、結核対策のための予算配分を増やすよう働きかけるべきです。政府がHIVに対して行ったような予算増額を結核についても行うようにするためには、より多くの要望が寄せられる必要があります。
最後に、国の政府の支援の下、カウンティー政府は鍵となる、脆弱で手を差し伸べられていない人々の機密問題をクリアするデータ収集の仕組みを作ることで、彼らが誰であり、どこにいるのかを示さなくてはなりません。

Calvin
posted by resultsjp at 23:00| Comment(0) | ケニア

AN ASSESSMENT ON TB COMMUNITY RIGHTS AND GENDER TOOLS IN KENYA.

This was a discussion forum by all stakeholders and CSOs to evaluate whether or not the patient’s health rights are violated and regardless of the Gender.

Every patient deserves the right to medication and service at any medical facility in Kenya. Major achievements has been towards reduction of Tuberculosis among the Key, vulnerable and underserved populations.

One of the key issues is unavailability of printed copies of documents within the health centre’s for the Health workers to have the knowledge of TB community Rights and Gender Tools in their mode of service and also the Government to own the document so that the contents of the documents can be incorporated in the TB National Guidelines scaling down to health care workers to implement.

Secondly, lack of concrete data for the Key Populations especially from the marginalized regions and the rural settings due to inadequate health care human resource and proper mapping system to define the Key and Vulnerable populations.

Recommendations
The government should invest more on offering training and carry out seminars countrywide on the Gender-responsive TB programming of services based on the gender and cultural norms found in the country for b greater equity of services.

The CSOs, Donors and Partners should be involved in budget advocacy to increase resource allocation for TB. More calls should be embraced for the Government to increase their budget allocation to TB just like HIV.

And lastly, with the help of National Government, county governments should define and map their key and vulnerable populations by developing tools for data collection that are sensitive and address confidentiality concerns of Key, Vulnerable and Underserved Populations.

Calvin
posted by resultsjp at 22:56| Comment(3) | 情報

HIV INFECTION ON THE RISE AMONG CHILDREN

Despite efforts by national and county governments to ensure mothers give birth to HIV-free babies, new infections in children have gone up in the last one year, a new report shows.

The 2018 Kenya Aids Response Progress Report shows that children aged below 14 contributed to 7,978 of new infections in 2017, an increase from 7,105 in 2016.
The new infections were higher in boys, at 4,044, while girls stood at 3,935.

Breastfeeding especially in poor countries is one of the best ways to improve infant survival but is also an avenue for women to pass the AID causing the virus on to their infants.

HIV positive mothers who do not adhere to antiretroviral drugs also increases mother to child transmissions. Unskilled delivery, on the other hand, contributes to the increase of the deadly virus transmission to newborns.

Routine HIV testing among pregnant women at the PMTCTC has been on the ground but requires close monitoring.

According to researchers, giving anti-AIDS drugs directly to infant’s breastfed by their HIV-positive mothers significantly reduces their risk of contracting the killer virus.

Program to prevent mother to child transmission should be scaled up rapidly and antiretroviral drugs should be available to all HIV positive mothers who are breastfeeding.

Pauline
posted by resultsjp at 22:43| Comment(2) | 情報

FIRST LADY MEDICAL CAMP THAT BENEFITED THE LOCAL IN KISUMU


Kisumu County residents are set to benefit from free medical services this week courtesy of Beyond Zero, an initiative of Kenya’s First Lady Margaret Kenyatta. The two-day medical safari which happened between Thursday 22rd and Friday 23rd was held at Jomo Kenyatta Sports Grounds.

Through the initiative, residents were able to access various services that include sickle-cell screening, whose selection was informed by burden of disease.

The specialized services offered include screening for cervical, breast and prostate cancers, eye care clinic for elderly persons, orthopaedic clinic for children and screening of heart diseases in children.

Free Fistula treatment was provided at the Jaramogi Oginga Odinga Teaching and Hospital Referral Hospital from November 17 and 23.

“The medical safaris are aimed at providing integrated and specialized healthcare to Kenyans through free screening, treatment and referral services in line with the 2nd Strategic Framework 2018-2022 that seeks to promote holistic services.

Angella Langat, the Coordinator, Beyond Zero Secretariats encouraged the residents of Kisumu to take advantage of this opportunity and turn up in big numbers.

In a statement, Langat said Beyond Zero will also donate an Abbot Point of Care device to Jaramogi Oginga Odinga Teaching and Hospital Referral Hospital.

The technology is set to revolutionise the turnaround time for receiving babies’ results of HIV positive mothers from 30-90 days to 24 hours.

Kisumu becomes the second county to host medical safaris after Narok County where more than 5,000 people received health care services.

Hilda

posted by resultsjp at 22:39| Comment(2) | 情報

Kenya, Japan And Canada Co-Host First Ever Global Sustainable Blue Economy In Nairobi.

The three-day Blue Economy conference kick-started on Monday morning of 26 November 2018 amid disruption of traffic in the city.

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The event is co-hosted by three countries Kenya, Japan, and Canada, with Eleven Heads of State being among delegates that will attend the country’s inaugural ocean economy summit.

Kenyan Foreign Affairs Cabinet Secretary Monica Juma indicated over 11,000 delegates had already confirmed participation exceeding an earlier target of 6,000 delegates.

Nairobi City County Governor, Mr. Mike Sonko said during a welcome dinner that ‘The Sustainable Blue Economy Conference in Nairobi builds on the momentum of the UN’s 2030 Agenda for Sustainable Development, the 2015 Climate Change Conference in Paris and the UN Ocean Conference 2017’.

Preparations to host a large number of delegates have been going on in the last few weeks with high ways being spruced up properly as Nairobi prepares to host the first ever global sustainable Blue Economy Conference.

The conference will focus on creating sustainable economic growth, ensuring healthy & clean waters, building safe and resilient coastal communities.

Nairobi Governor Mike Sonko added that all are set for the event and they will open several doors for Kenyans.The main agendas for the conference are:

• creating sustainable economic growth;
• ensuring healthy and clean waters; and
• building safe and resilient coastal communities.

It is estimated that half of the world’s population lives within 60 kilometers of the sea and three-quarters of all large cities are located along the coast.
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Blue economy industries account for the livelihoods of 660 to 820 million people worldwide, with women accounting for about 15 percent of those engaged in fisheries.

This makes the blue economy a major blueprint to the global realization of the UN SDGS.

Dickens
posted by resultsjp at 22:36| Comment(2) | 情報

TEENAGE HEALTH IN CRISIS AS TEENAGE PREGNANCIES RISE BY A BIG MARGIN TEENAGE HEALTH IN CRISIS AS TEENAGE PREGNANCIES RISE BY A BIG MARGIN

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That almost one in five Kenyan teenage girls is a mother represents not only a huge cost to the health sector but also a betrayal of potential on a shocking scale.

Consider this. Statistics from the United Nations Population Fund (UNFPA) indicate that between June 2016 and July 2017, 378,397 adolescents in Kenya aged 10 to 19 got pregnant.

Numerous studies have documented the fact that a high number of teens are already sexually active. These young girls are part of the four in ten women in Kenya aged between 15 and 49 who have unintended pregnancies.

Statistics say the majority are from poor families - it means an end to any dreams of coming out of poverty because they cannot continue with education. Complications during pregnancy are the second cause of death for 15 to 19-year-old girls, therefore it means their already poor families have additional health care costs to meet.

Children born to such young mothers are more prone to physical and cognitive development. The overall effect is a perpetuation of the cycle of poverty that brings personal catastrophe while weakening social and economic development and adding strain to already stretched medical services.

In reproductive health, as in most things, knowledge is power. But across sub-Saharan Africa too many teenage girls lack knowledge of their bodies, their contraceptive options, and their rights. The notion of rights is central.

As the UNFPA report The Power of Choice states, in countries where rights to health, education, and opportunity prevail, fertility rates tend to be lower. Through exercising their wider rights, people exercise choice about the timing and number of their children.

Three years ago, Kenya launched the Adolescent Sexual and Reproductive Health Policy. Unless bold decisions are made to implement that policy, pregnancies among our youth will continue to be a wrecking ball to the national development agenda particularly the Big Four and the SDGs.

In order for every girl to achieve her full human potential, the entire country should be engaged to initiate a change in mindset in Kenya. There should be a national conversation on this subject be leveraged into national action.

Abuta Ogeto
posted by resultsjp at 22:24| Comment(2) | 情報

ストップ結核パートナーシップ推進議員連盟総会

本日、参議院議員会館においてストップ結核パートナーシップ推進議員連盟総会が開催されました。今回の総会では、一つ目のテーマとして、今年の9月に開催された、国連総会では初となる結核に関するハイレベル会合及びサイドイベント、そしてハイレベル会合に先立って今年の4月に開催された世界結核議員連盟の会合についてそれぞれ報告がなされた後、二つ目のテーマである平成31年度結核対策関係予算について厚生労働省及び外務省から説明があり、その後質疑応答及びその他の発言という流れで行われました。
質疑応答において厳しい質問や意見が多く出されましたが、それは結核を終息させる道のりの険しさについての自覚と、それでも成し遂げるという決意の表れなのだろうと感じました。
また、世界で唯一の胸部疾患等の学術的非営利組織、国際結核肺疾患予防連合会(The Union)により、アドボカシー活動における貢献に対する初めての例として秋篠宮妃殿下が名誉会員に選ばれたというニュースや、潜在感染者の血清診断キット開発、未発症患者の検出、発症予防ワクチンの開発等についての新潟大学からの情報提供、結核対策と栄養改善についての公益財団法人味の素ファンデーションからの提言などがあり、中身の濃い総会となりました。
UME

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posted by resultsjp at 19:30| Comment(2) | 結核