ia; a;S%kag S%kag tf tfrys ys m% m%pKav Kav;aj ajh h iN My - PowerPoint PPT Presentation

ia; a;S%kag S%kag tf tfrys ys m% m%pKav Kav;aj ajh h iN My Mys s fi fi!LHuh LHuh n, n,mE mEu DR (MRS) N. MAPITIGAMA CONSULT LTAN ANT COMMUNITY Y PHYSICI CIAN PROGRAM AMME MANAG AGER R FOR GENDER R AND WOMEN’S HEALTH FAMILY LY HEALTH BUREAU AU MINISTRY RY OF HEALTH Dr N M 1

ia;%skag tfrys m%pKav;ajh fi!LHuh .eg¿jlao@  ia ia;%skag skag tfrys m%pKav av;ajh ajh uq¿ q¿ f,djgu fmdÿj ÿjq m%Yak Yakhls' ls'  th th jsjsO jsjsO ixi ixial alD;sl sl" iu iudcsh csh" N= N=f.da,Sh a,Sh" wd wd.usl usl yd yd wd¾ d¾:sl sl ia ia:r mqr qrd me me;srS srS we we;'  udkj ysu susl slus ms< s<sn sno .eg¿jls' s'  uyck fi! i!LHh ms< s<sn sn| jsY sYd, m%Yakh akhla la nj nj yÿkdf.k we we;' Dr N M 2

ia;%S mqreI iudcNdjh u; mokus jq ysxikh f,dj mqrd m%p,s; njg idlaIs Dr N M

ia;%skag tfrys m%pKav;ajh ie.jqKq" f,dalh mqrd m%p,s; fi!LHuh .eg¿jls' wefursld tlai;a ckmofha" iEu jirlosu us,shk 2'4 la ldka;djka  ysxikhg yd myroSug ,la jk w;r" m%ckl jhfiys isgsk ldka;djka jevs jYfhkau wk;=re j,g ,lajk fya;=jo fuhfõ' wefursld tlai;a ckmofha 28] la yd tx.,ka;fha 25] la ldka;djka ^;u  csjs; ld,h ;=,& tla j;djla fyda ;u iylref.ka ysxikhg ,la jS we;' ^ UNICEF 2000 & tx.,ka;fha jirla mdid ldka;djka 10 lf.ka tla wfhla nrm;, f,i  ;u mqreIhdf.ka ysxikhg yd myr lEug ,la jk w;r" wefursld tlai;a ckmofha iEu ;;amr 15 lg jrla ldka;djla ;u iylref.a myroSï j,g ,la fõ' ^ Epstein 1998 & Dr N M 4

f,dal fi!LHh ixjsOdkh u.ska wka;¾cd;slj isÿ lrk ,o iuslaIKh 24000 00 la a ldka; a;djka a iyNd Nd.s s lrjd .kak akd ,o w;r my; ioyka a rgj,a j,a 10 fha ha iyNd. Nd.s;aj s;ajfhka hka isÿ sÿ lrk ,os' - nx., .,dfoaY dfoaYh - n%iS,h S,h - b;sf sfhd hdam amshdj shdj - cm cmdk dkh - fmar are rdcHh - keusn snshdj shdj - iefudaj ajd rdcHh - i¾nshdj shdj - ;dhs, hs,ka;h a;h - gekai aidkshdj shdj Dr N M 5

fuu wOHhkfha wruqK  iyl ylre u.sk .ska a isÿ sÿjk jk ysx ysxikfhka a ldka; a;djka a wdrlaI aId lrjkak akdj djq q lreKq Kq yd yd jv j jvd;a a ysx ysxikhg ,la a jSu Sug fya; ya;=jk k lreKq Kq yÿ yÿkd d .e .ekSu Su' '  Yd Ydrsr srsl sl" ,sx. sx.sl sl yd yd udkisl sl ysx ysxikfhys ys jHdma; ma;sh sh ks¾ s¾kh lsr srsu su' ' fuyso ysos s iylr ylre e u.sk .ska a isÿ sÿjk ysx ysxikh flfrys ys jsf jsfYaI YaI wjOdkh h fhduq q lr we;' '  iyl ylre u.sk .ska a isÿ sÿjk jk ysx ysxikh fya; ya;=fjka a u;=jk fi!LH LHuh uh .e .eg¿ wOHhkh lsr srsu su' Dr N M 6

iylre u.ska isÿjkakd jq Ydrsrsl$,sx.sl P re v a le n c e o f p h y s ic a l a n d /o r s e x u a l ysxikfha m%jk;djh (WHO, 2004) p a rtn e r v io le n c e (W H O , 2 0 0 4 ) 80 6 9 70 6 2 60 5 6 5 2 5 0 4 7 4 7 4 7 50 4 1 4 1 3 7 40 3 6 3 4 3 4 3 3 3 1 3 1 3 0 2 9 2 9 30 2 7 2 3 2 3 2 3 1 7 20 1 4 1 0 10 0 B ra zil C B ra zil p N a m ib ia C P e ru C P e ru P T h a ila n d C T h a ila n d P T a n za n ia C T a n za n ia P % w o m e n w h o h a v e e v e r e xp e rie n ce d p h ysica l p a rtn e r v io le n ce % w o m e n w h o h a v e e v e r e xp e rie n ce d se xu a l p a rtn e r v io le n ce % w o m e n w h o h a v e e xp e rie n ce p h ysica l a n d /o r se xu a l v io le n ce Dr N M 7

iylre u.ska ;on, Ydrsrsl ysxikhka we;s jSfï m%jk;djh (WHO, 2004) ‏ 70 60 50 40 2750 25 35 30 1817 1620 20 20 13 24 1210161622 10 12141311 0 B r a z il C B r a z il p E t h io p ia P N a m ib ia C P e r u C P e r u P T h a ila n d C T h a ila n d PT a n z a n ia CT a n z a n ia P % w o m e n w h o h a v e e v e r e x p e r ie n c e d s e v e r e p h y s ic a l p a r t n e r v io l e n c e % w o m e n w h o h a v e e x p e r ie n c e d o n l y m o d e r a t e p h y s ic a l p a r t n e r v io l e n c e Dr N M 8

whym;a fi!LHh ;;ajhka jd¾;d lrkakdjq ldka;djka m%;sY;h yd Ydrsrsl ysxikh jd¾;d lrK ldka;djka w;r we;s iusnkaO;djh Proportion of women reporting poor health and association with reported violence % women who 0 5 10 15 20 25 30 report their 9 current health Brazil Cap 4 status as “poor” 28 or “very poor ” Brazil Prov 14 9 Peru Cap 5 19 Peru Prov 11 ever physically or 20 Thailand Cap 13 sexually abused by partner 27 Thailand Prov 18 no abuse by 6 Namibia 3 partner 6 Japan 3 Dr N M 9

ysxikh fi!LH .eg¿ we;s lrkakdjq wjodkus iy.; lreKls wmfhdac hdackhg hg ,la a fkdjq q ldka; a;djka a yd ieioSf Sfusos usos Bg f.dÿre jq q  ldka; a;djka a my; ,laI aIK K fmkak akqu qus s lrhs hs - jvd; d;a a jevs vs fr frda. da. ,laI laIK - l%Shd Shdldrs; rs;aj ajfha fha ÿn,;djhk djhka a ^wvd, , jSu Sus s yd ySk Sk jSu Sus& s& - jvd d wyhm hm;a a fi fi!LH H ;;aj ajhk hka a - fi!LHh Hh fiaj ajdjka a jevs vs jYfhk hka a Nd Ndjs; s;d lsr srsu su - jsj sjsO sOdldrjq q frda. a. ;;aj ajhk hka a yÿkd ÿkd .ekSu Su wmfhdac hdackfhy hys s nrm;, ;, nj frda. a. ,laI aIKhk Khkays ays nrm;, ;, njsk ska a  ms< s<sU sUsnq snq lrhs' hs' Dr N M 10

Ydrsrsl ysxikh yd ish osjs ydkslr .ekSfus woyi w;r we;s iïnkaO;djh Violence and suicidal ideation 0 10 20 30 40 50 % of women 47 Brazil Cap 20 who have ever 35 thought of Brazil Prov 14 suicide 40 Peru Cap 16 34 physical or Peru Prov 14 sexual abuse 38 by partner Thailand Cap 16 33 Thailand Prov no abuse by 16 partner 26 Namibia 11 32 Japan 11 Dr N M 11

Ydrsrsl ysxikh yd .nsidjka we;s jSfus m%jk;djh w;r we;s iïnkaO;djh 1 9 2 0 1 8 1 6 1 4 1 3 1 4 1 2 1 0 9 1 0 8 8 n o a b u s e b y 7 7 8 p a r t n e r 6 5 6 4 4 3 3 4 2 2 1 e v e r p h y s i c a l l y 2 0 0 o r s e x u a l l y 0 a b u s e d b y p a r t n e r C P l C l P u u P C C P r C i r P z i z e e ia ia a a P d P d ia ia r p n r B b n B io n n m ila ila i a a h a z z a a h n n E t N h T a a T T T Dr N M 12

ysxikh ksid .¾NKSNdjh u; we;s jk wys;lr n,mEï 1' fhdaks ud¾.h yd .ens f., wdY%s; wdidokhka 2' fkdfïre ore Wm;a ^ Pre mature Labour & 3' .nsidjSï 4' u< ore Wm;a 5' .¾NKS wjOsfha we;sjk reOsr jykh jSï 6' wvq nr Wm;a ^ Low birth weight & 7' mq¾j .¾NKS yd .¾NKS fi!LHh fiajdjka ^ud;D fi!LHh fiajdjka& kshus; l,g ,nd fkd.ekSu' Dr N M 13

ysxikh ksid fjk;a kdrsfjsoS .eg¿ we;sfjs ,sx sx.sl sl ysx sxikhg khg ,laj ajq q jsg sg my; ,laI aIK K fmkak akqu qus s lrhs fhdak hdaks s ud¾.fhka .fhka reOsr srh h jykh kh jSu Su  fhdak hdaks s ud¾.fhk .fhka a Y%djhka jhka msg sg jSu Su  udia a Y=oaO aOsf sfhaoS haoS wOsl sl fjso sokdj dj  ,sx sx.sl sl l%shdl shdldrs;ajh drs;ajh fjkia a jSu Su ^wvmK K jSu Su" fn,ySk Sk jSu Su&  Aj ^ PID & m%ck ckl l moaO aO;sh sh wdY%s; s; frda. a. ;;Aj  Worh$hg rh$hgs s nf nfvys s we we;sj ;sjk k os¾ s¾>ld,Sk ld,Sk fjso sokdj dj  Dr N M 14

by; iuSlaIKhg wkqj  f,dal alh mqr qrd iEu ldka; a;djka a ;sf sfofkl=f.k .ka a tla a wfhla" la" ;u ;u iy iylr lre w;sk ;ska a myr yr lE lEug" ,sx. sx.sl sl wmfhdac ackh khg g ,laf afjs' s'  Yd Ydrsr srsl sl yd yd , ,sx. sx.sl sl wmfhdac ackh kh" " ld ldka; ka;djk jkaf af.a .a fi!LH LHh h ;;aj ajfha a msr srsysu sysug yd yd Yd Ydrsr srsl sl ÿn,;d^f ^fn,y ,ySk;d Sk;djh jhka& ka& ioyd yd m%Odk idOlhlafjs afjs Dr N M 15

ysxikh" Ydrsrsl ÿn,;djhkag yd urKhg m%Odk idOlhls jhi 15-44 w;r ldka;djkaf.a fi!LHh flfrys n,mdkakdjq f;dard.;a wjodkus iy.; ;;ajhka 2 9 2 6 .4 D is a b ilit y - a d ju s t e d lif e y e a r s lo s t ( m illio n s ) 1 0 .9 1 0 .5 1 0 9 .5 9 7 .8 2 .3 A l l m a t e r n a l S T I s i n c l u d i n g T u b e r c u l o s i s C a r d i o - v a s c u l a r ( M a te r n a l ) R a p e a n d A l l c a n c e r s O b s t r u c t e d M a l a r i a C o n d i ti o n s H I V d i s e a s e S e p s i s d o m e s t i c l a b o r v i o l e n c e Dr N M 16

iylref.ka isÿjk ysxikh iyldrshf.a cSjs;h jskdY lsrSug idOlhla jsh yel' % o f to ta l m u rd e rs c o m m itte d b y o p p o s ite -s e x in tim a te p a rtn e rs (v a rio u s s tu d ie s ) 1 0 0 8 0 7 0 6 0 L o w fig u re H ig h fig u re 4 0 4 0 2 0 8 .6 4 0 Dr N M 17 % o f a ll m u rd e rs o f m e n % o f a ll m u rd e rs o f w o m e n

YS% ,xldfõ lrk ,o wOHhkhkag wkqj ysxikfha j¾;udk ;;ajh