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Medical Abortion in India continues to face high levels of stigma — this stigma pushes women who seek it away from legal services; curtails free dissemination of information on abortion; and affects the delivery of essential services in the public health system.
Consequently, millions of women prefer not to go to public health facilities for abortion services. It is estimated that 78 percent of the 15.6 million abortions that take place each year in India occur in non-facility settings, mainly through medical abortion pills.
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Newly published evidence (Incidence of Treatment for Postabortion Complications in India, 2015) in BMJ Global Health (by Susheela Singh, Rubina Hussain, Chander Shekhar, Rajib Acharya, Melissa Stillman, Ann M Moore) further suggests that in 2015, 5.2 million women in India received treatment for induced abortion complications, a treatment rate of 15.7 per 1000 women aged 15 to 49 comparable to countries where abortion law is highly restrictive, and unsafe abortion is likely to be prevalent.
Notably, many of the patients who were treated for postabortion complications resulting from the use of medical abortion pills may not have needed treatment to complete their abortion ½ if they had been provided accurate information on how the method works, what to expect after taking the pills, and how to recognize a complication.
On March 16, amendments to the Medical Termination of Pregnancy (MTP) Bill 2020 were passed; while on the one hand, the Bill is being applauded for removing some recurring barriers for women seeking abortions; it could have also empowered women with complete choice. However, we should not underestimate the opportunities this policy reform brings: It has the potential to improve the experiences of millions of women who terminate unintended pregnancies in India each year.
Firstly, the MTP Act and its Regulations and operational guidelines currently only permit obstetrician-gynecologists and MBBS doctors who have been trained and registered to provide abortion in approved facilities. Therefore, policymakers need to consider expanding the provider base for legal abortion services.
Registered providers in unapproved facilities may provide medical abortion, however, they must have referral linkages to approved facilities. The training requirements as laid out in the abortion law are rigorous and do not distinguish between surgical and medical methods of abortion. Given this situation, the government could increase access to safe abortion services by permitting and providing simplified training to a larger number of providers, who would then be certified to provide medical abortion only.
This will not only significantly increase the options for women seeking abortion services but also leverage the potential of medical abortion technology. The paper also recommends that to ensure that women seeking abortions are well-supported and provided credible information, including on referral facilities, policies should extensively cover community health intermediaries and equip them with adequate information to direct and guide women looking to terminate an unwanted pregnancy.
Secondly, there is a need to improve the experience of women seeking treatment for post-abortion complications in public facilities. In the study – ‘Incidence of Treatment for Postabortion Complications in India’, 2015- conducted in six Indian states ½ Assam, Bihar, Gujarat, Madhya Pradesh, Tamil Nadu, and Uttar Pradesh, respondents estimated that a variable but high proportion of all women receiving post-abortion care were admitted with incomplete abortion from use of medical abortion; Prolonged or abnormal bleeding and incomplete abortion resulting from use of methods other than medical abortion were also common complications.
However, it should be noted that the clinical efficacy of medical abortion in the early gestation period is 95 to 98 percent when the method is used correctly and drugs are of high quality, and at a minimum, 5 percent of all users of medical abortion would have incomplete abortions and may need medical treatment.
Since most medical abortion users in India obtain the method outside of the formal health system and the method they are using is highly effective, the paper points to the possibility for patients to experience an incomplete abortion or other complications as a result of the medication being administered incorrectly or the medication is being compromised.
Nevertheless, this points to the important recommendation that to improve women’s experience of using medical abortion, all women who use medical abortion (and especially those who obtain it outside of facilities) must receive accurate information and good quality medical abortion supplies. However, for those who still approach facilities for treatment of post-abortion complications following medical abortion, there is a need to address a range of issues such as inadequate privacy and confidentiality, provider biases, and cost barriers.
Lastly, women must have access to accurate information on medical abortion regardless of the source of care preferences. One way to do this, as the paper recommends, would be to improve access to information via inserts in medical abortion packets to help facilitate women’s ability to use the method correctly, know what to expect and when to seek care. There is also a need for innovative approaches for public dissemination of information about the correct usage of the method by means that reach more women.
Medical abortion is a safe and effective technology that has had a major impact in opening up access to safe abortion for women in India. We must leverage it for expanding legal providers in the formal health system while also making accurate information available to women on the usage of the method. (IANS/AD)
Heinz has just rolled out a new product that the condiment company says is the "biggest innovation in sauce since the packet itself." Earlier this month, the world's largest producer of ketchup announced the Packet Roller, a ketchup bottle-shaped gadget that allows users to squeeze the most out of a condiment packet, CNN reported.
"Do not click 'purchase' unless you are prepared to change everything about the way you sauce," the Heinz Packet Roller website says. The roller goes for $5.70. The roller is pocket-sized, can be added to a keychain, and features a packet corner cutter.
Heinz has just rolled out a new product that the condiment company says is the "biggest innovation in sauce since the packet itself | Flickr
This announcement could be part of the fast-tracked, "future-focused culinary and packaging innovations" that Steve Cornell, president of Kraft Heinz's US grocery business unit, hinted at earlier this year amid a shortage of ketchup. A surge in takeout and delivery food orders during the pandemic led to a scarcity of ketchup packets, the report said.
In April, Heinz pledged to increase production of ketchup by 25 per cent to 12 billion packets annually. "Gone are the days of fumbling with ketchup packets, pants ruined by mustard disasters, and minutes taken off your life trying to get to the bottom of that mayo packet. With the patent-pending Heinz Packet Roller, what was once taxing becomes simple -- just snip and roll to squeeze out every drop of your sauce of choice," the website says
Keywords: Heinz, Packet roller, sauce, company, ketchup
Swiss tennis ace Roger Federer, who is recovering from a right-knee surgery he underwent last month, said on Sunday that it was a difficult process to decide whether to undergo a third right-knee surgery after having two last year. But following Wimbledon, where he was "really unhappy" with his performance in reaching the quarterfinals, Federer opted to go through with it.
Federer, who made a late decision to attend this year's Laver Cup in Boston -- a tournament held between teams from Europe and the rest of the world -- said on the sidelines of the event that the recovery and rehabilitation are "going to take me a few more months and then we'll see how things are at some point next year". "The reception I've received, everybody is so upbeat that I'm here. They wish me all the best and they don't even see the crutches. They just want me to be good again and enjoy the weekend," Federer said in an interview for the event with former world No. 1 Jim Courier.
"I've seen some incredible tennis, some great matches and it's been wonderful. I'm really happy I made the trip," the winner of 20 majors was quoted as saying by atptour.com. On why he opted for a third surgery, the tennis ace said, "I was just nowhere near where I wanted to be to play at the top, top level. But I tried my best and at the end... too much is too much. Now I've just got to take it step by step," Federer said.
Federer received thunderous ovations inside Boston's TD Garden, where he has often been sitting in the front row watching the action or behind the scenes visiting with the players. | Wikimedia Commons
"I've got to first walk again properly, run properly and then do the sidesteps and all the agility work and then eventually I've got to be back on the tennis court. But it's going to take me a few more months and then we'll see how things are at some point next year. "I've got to take my time. I don't want to rush into anything at this point. This is also for my life. I want to make sure I can do everything I want to do later on. There's no rush with anything, so I'm actually in a really good place. I think the worst is behind me. I took the time and, I don't know, I'm just really in a good place. I'm really happy."
Federer received thunderous ovations inside Boston's TD Garden, where he has often been sitting in the front row watching the action or behind the scenes visiting with the players. The former world No. 1 has played in the first three editions of the Laver Cup. "I think Boston is a great city. The stadium is wonderful, the crowds have been incredible. Both teams are stacked with absolute quality and top players," Federer said. "That's what the idea was behind it: that everybody could come together, have the most incredible weekend, learn from one another and then hopefully that's going to inspire them, motivate them and get them going for the rest of this year, next year." (IANS/ MBI)
Keywords: Roger Federer, tennish, player, sports, knee, surgery
By Hitesh Rathi
Cleopatra, was regarded as a great beauty, to preserve her skin, she took her daily bath in donkey milk. Besides, Hippocrates, the father of medicine, prescribed donkey milk for various diseases including fever, wounds, etc. To add to these benefits, donkey milk has four times the amount of Vitamin C than cow's milk has. So, it's no secret that donkey milk is a powerhouse of nutrients for both the skin and body.
Used for Anti-Ageing and Healing
The milk contains essential fatty acids that work as powerful anti-ageing and healing properties. These fatty acids blur the wrinkles on the skin and help to regenerate damaged skin. Plus, donkey milk also contains anti-bacterial properties which are effective in healing skin irritation and redness.
The milk contains essential fatty acids that work as powerful anti-ageing and healing properties.| Flickr
Antioxidant and Nutrient-Rich
Known as a "natural elixir of youth", donkey milk is packed with antioxidants and nutrients. It contains vitamin E, amino acids, vitamins A, B1, B6, C, E, Omega 3, and 6. These properties together make it a rich ingredient when it comes to skin treatment. Moreover, vitamin D is another important ingredient for human skin, and the primary source to get it is through UV exposure. At the same time, too much of that leaves an adverse effect on the skin. Here is when donkey milk acts as a great substitute as it naturally contains vitamin D. All in all, if this milk is applied frequently, it brings a glowing effect while making the skin look brighter.
Known as a "natural elixir of youth", donkey milk is packed with antioxidants and nutrients.| Photo by Jernej Graj on Unsplash
Moisturizer and Softener
By now it's a well-known fact that this milk works as a powerful moisturizer for the skin. Besides, if donkey milk is used consistently, it acts as a great cleanser as well as helps in keeping the skin healthy, hydrated, and soft.
If donkey milk is used consistently, it acts as a great cleanser as well as helps in keeping the skin healthy, hydrated, and soft. | Photo by febri sym on Unsplash
Therefore, donkey milk with its healing, nutritional and rejuvenating properties for the skin is rapidly emerging as a key ingredient for skincare. These are also driving several leading players to roll out personal care products such as soap, cream, etc. manufactured using donkey milk. Moreover, the global donkey milk market is expanding rapidly with the market value projected to reach $68,139.0 thousand by 2027, registering a CAGR of 9.4 per cent from 2021 to 2027. And the growing use of donkey milk as an ingredient in cosmetic and personal care products will significantly contribute toward the growth of this market in the years to come. (IANS/ MBI)
Keywords: Skin, donkey milk, skincare, anti-ageing, soft skin, hydrate, antioxidant, healing