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

Dr N M 1

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 2

• 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;'

ia;%skag tfrys m%pKav;ajh fi!LHuh .eg¿jlao@

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

Dr N M

Dr N M 4

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 5

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 6

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 7

2 7 3 4 3 1 5 6 2 3 4 3 3 4 7 1 1 4 1 7 2 3 4 7 3 2 9 2 3 3 1 2 9 3 7 3 6 5 2 6 9 4 1 4 7 4 1 5 6 2 3

10 20 30 40 50 60 70 80

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

• m

e n w h

• 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

• m

e n w h

• 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

• m

e n w h

• 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

P re v a le n c e

• f p

h y s ic a l a n d /o r s e x u a l p a rtn e r v io le n c e (W H O , 2 4 )

iylre u.ska isÿjkakd jq Ydrsrsl$,sx.sl ysxikfha m%jk;djh (WHO, 2004)

Dr N M 8

iylre u.ska ;on, Ydrsrsl ysxikhka we;s jSfï m%jk;djh (WHO, 2004)‏

12141311 24 1210161622 1620 35 20 2750 13 1817 25

10 20 30 40 50 60 70

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

• m

e n w h

• 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

• m

e n w h

• h

a v e e x p e r ie n c e d

• n

l y m

• 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 9

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

9 28 9 19 20 27 6 6 4 14 5 11 13 18 3 3

5 10 15 20 25 30 Brazil Cap Brazil Prov Peru Cap Peru Prov Thailand Cap Thailand Prov Namibia Japan ever physically or sexually abused by partner no abuse by partner

% women who

report their current health status as “poor”

• r “very poor”

Dr N M 10

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 11

Ydrsrsl ysxikh yd ish osjs ydkslr .ekSfus woyi w;r we;s iïnkaO;djh

Violence and suicidal ideation

47 35 40 34 38 33 26 32 20 14 16 14 16 16 11 11

10 20 30 40 50

Brazil Cap Brazil Prov Peru Cap Peru Prov Thailand Cap Thailand Prov Namibia Japan

physical or sexual abuse by partner no abuse by partner

% of women who have ever thought of suicide

Dr N M 12

Ydrsrsl ysxikh yd .nsidjka we;s jSfus m%jk;djh w;r we;s iïnkaO;djh

9 3 4 3 5 2 6 4 1 9 7 2 1 1 4 8 1 3 8 1 7

2 4 6 8 1 1 2 1 4 1 6 1 8 2 B r a z i l C B r a z i l P E t h io p ia P N a m i b 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 P T a n z a n ia C T a n z a n ia P n

• a

b u s e b y p a r t n e r e v e r p h y s i c a l l y

• r

s e x u a l l y a b u s e d b y p a r t n e r

Dr N M 13

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 14

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&

• m%ck

ckl l moaO aO;sh sh wdY%s; s; frda.

• a. ;;Aj

Aj ^PID&

• 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 15

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 16

2 9 2 6 .4 1 .9 1 .5 1 9 .5 9 7 .8 2 .3

A l l m a t e r n a l C

• n

d i ti

• n

s S T I s i n c l u d i n g H I V T u b e r c u l

• s

i s C a r d i

• v

a s c u l a r d i s e a s e ( M a te r n a l ) S e p s i s R a p e a n d d

• m

e s t i c v i

• l

e n c e A l l c a n c e r s O b s t r u c t e d l a b

• r

M a l a r i a

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 )

jhi 15-44 w;r ldka;djkaf.a fi!LHh flfrys n,mdkakdjq f;dard.;a wjodkus iy.; ;;ajhka

ysxikh" Ydrsrsl ÿn,;djhkag yd urKhg m%Odk idOlhls

Dr N M 17

%

• f to

ta l m u rd e rs c

• m

m itte d b y

• p

p

• s

ite

• s

e x in tim a te p a rtn e rs (v a rio u s s tu d ie s )

4 4 8 .6 7

2 4 6 8 1

%

• f a

ll m u rd e rs

• f m

e n %

• f a

ll m u rd e rs

• f w
• m

e n

L

• w

fig u re H ig h fig u re

iylref.ka isÿjk ysxikh iyldrshf.a cSjs;h jskdY lsrSug idOlhla jsh yel'

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

Dr N M 19

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

ldka;djkag w;ajsoskakg isÿ jk ysxikhka iEu m%foaYhlskau" iEu iudc ia:rhlskau yd ish,q cd;skag wh;a mqoa.,hska w;rska jd¾;d fõ' Z ysxikhg ,la jkakdjq fndfyda ia;%ska jhi wjq' 20-44 w;r fõ' Z tu ysxikhka isÿ lrkafka iajdushd" kEoehska" wi,ajdiska yd fjk;a iuSm;uhka jsisks'

Dr N M 20

2006 j¾Ifhaos lrK ,o iuSlaIKhla

• niakdysr m,df;a ldka;djka ;u iylref.ka

ysxikhg ,la jsfus m%jk;djh

• jhi 18 - 49 ;a w;r jsjdyl ldka;djka
• 750 l idusm,hla
• f,dal fi!LH ixjsOdkfha iuSlaIKh ioyd fhdod

.kakd ,o m%YaKdj,shu ^WHO questionnaire& fhdod .kakd ,os'

Dr N M 21

• ;u csj

sjs; s; ld,h ;=<os s Ydrsr srsl slj j ysx sxik ikhg g ,la a jsf sfï m%jk; k;djh jh 34'4] la a fõ fõ'

• miq

iq .sh sh jir ir ;=<os s Ydrsr srsl slj j ysx sxik ikhg g ,la a jsf sfï m%jk;d k;djh jh 8'8] la a fõ fõ'

• ;u csj

sjs; s; ld,h ;=<os s b;du nrm;, ;, f,i Y i Ydrsr srsl slj j ysx sxikh ikhg g ,la a jsug sug we;s s m%jk;d k;djh jh 19 19'8] la a fõ'

iuSlaIK m%;sM,

Dr N M 22

ia; ia;S%S%kag kag tf tfrys s m% m%pKav;ajh av;ajh ksi ksid we d we;sj ;sjk k fi! i!LHuh Huh .eg¿

ia;%S mqreI iudcNdjh u; mokï jq ysxikh

udrdka;sl m%;sM, udrdka;sl fkdjk m%;sM,

• ishosjs kid .ekSsu
• ud;D urK
• AIDS wdidok yd wdY%S; m%YAK

YdrSrsl Srsl fi!LHhg hg ydksl slr r mqr qreÿ$ wensn sneysj sjSu Sus

YdrSr Srsl sl

• s.

s.=ld,Skj Skj mj;sk sk fi!LH .eg,q q

udkisl sl

m%Pkl kl fi!LH H ms< s<sn sno .eg¿

^fhdaks ud¾.fhka reOsrh jykh jSu" fhdaks ud¾.fhka ÿ.o we;s Y%djhka msg jSu" Tima ld,fhaos we;s jk fõokdjka" ,sx.sl fn,ySk;ajh" fY%daksfha fõokdjka&

.¾NkS wjOsfha ixl=,;d$LBW

Dr N M 23

ueosy;a jSu

nyq wdh;ksl msjsiqula wjYHhhs'

fi!LH fiajlhskaf.a j.lSus

ia;=;shs