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Ask Esther Imaniragena to name her top challenge as she doles out contraceptive advice and supplies at a Rwandan health clinic and the answer comes short and fast: men.
Too many men do not share the task of family planning, said Imaniragena, one of many birth-control champions who are deploying wily tactics to encourage burden-sharing.
Be it cornering men after their wives give birth or touting a new type of “model husband” in a society that values virility, champions of birth control are trying new ways get men involved.
If they can find them, that is.
“The biggest challenge we have is males do not come,” said Imaniragena, who runs family planning at the Rwamagana Health Center in the east of the country.
Patients strolling the center’s grounds on a recent day were overwhelmingly female, babies wrapped tightly to their backs and umbrellas in hand to protect against the fierce sun.
Getting men on board has major benefits in developing nations that struggle with booming populations, a trend that puts pressure on limited resources and fuels fresh cycles of poverty, said experts, researchers and policymakers gathered at an international family planning conference this week in Rwanda.
Involving men increases contraceptive use, reducing infant and maternal mortality and the number of unwanted children. All of this frees up women for school or jobs.
Insuring universal access to family planning by 2030 is among the global targets for sustainable development that were adopted in 2015 by the United Nations.
The experts said the key to success is to inform and involve men while preserving women’s autonomy. And while some of the more creative efforts have worked, most schemes are localized and remain small-scale in the face of deep-seated resistance.
One way to find men
To target men, the Rwamagana clinic has started talking about contraception to husbands when they come to collect their wives after childbirth, Imaniragena said.
It is a start.
“We cannot say that they are involved as we wish, but this is the occasion to find them,” she told visitors at the rural outpost, which was ringed by rice paddies, banana trees and fields of maize.
The results are impressive in terms of numbers reached. Last week, 15 out of 16 couples went home with newborns as well as family planning methods, according to the clinic, which serves more than 50,000 people. Most couples opted for hormonal implants or injectable contraception.
The effort mirrored a campaign launched two years ago in Benin whose focus was cutting child and maternal deaths, said Gisele Dunia of the University Research Co., a health care company working in the west African nation. Not only did the number of couples using family planning more than double within a year, but men would influence other men to do the same, she said.
Male support ‘generally low’
As of last year, four in 10 women of reproductive age in developing regions were using modern contraceptive methods — implants, injections and contraceptive pills — with rates ranging from two in 10 in Africa to half in South America and the Caribbean, according to research by the Guttmacher-Lancet Commission, a global group of experts, published this year in The Lancet, a medical journal.
But men’s support for partners’ sexual and reproductive health and empowerment “is generally low,” the Lancet report said.
Such support dips as low as 12 percent in Lesotho and climbs as high as 77 percent in Rwanda, it said.
“Women continue to shoulder the responsibility of contraceptive use,” the Lancet report said. “Given that men are often gatekeepers for women’s access to services, involving men during pregnancy, childbirth and onward (when women want) can potentially increase gender equality and male support.”
The best way to reach men in Uganda is to empower women, said Reuben Kizito of the Zaam Community Health Development Organization, which trains women and offers small loans.
“There are so many women out there who believe that the more children you give him, the more he loves, yet they are practically destroying themselves,” he told the Thomson Reuters Foundation. “So if we are in a position to empower them economically, then they are in a position to stop that habit.”
Men take little responsibility for family planning and think that pregnancy will keep other men away from their women, he said.
“When we have more women economically empowered, then the men will listen,” Kizito said. “Now they are not listening.”
Mali runs a project that trains “model husbands” in local communities, organizers said, while programs in Togo are promoting “positive masculinity” for boys.
In the Philippines, a project called El Hombre — using men-to-men conversations — nearly doubled the rate of contraceptive usage where it was employed, said Jose Augustus Villano of the Commission on Population, a government agency.
Those rates have dropped significantly since the 2016 election of President Rodrigo Duterte, he said. Duterte’s policies and practices, including a war on drugs that has killed thousands of people, have drawn international condemnation. (VOA)
By Olivia Sarkar
Comforting Christmas cocktails help you enjoy the celebrations and get into the festive spirit. The Leela Palaces, Hotels, and Resorts offer distinctive cocktails ranging from Hot Toddies to Decadent Egg Nogs. Sit back and enjoy one martini at a time to make the festive season a little brighter.
Dirty Chai Eggnog:
30 ml Bourbon
30 ml Baileys
90 ml Hot milk tea
Sweet cream foam to top up
Cinnamon powder and star anise.
1. In a heavy bottomed med sauce pot, prepare tea with milk. Strain and let it cool.
2. In a cocktail shaker add egg white, Bourbon, Baileys with whole spices. Shake well.
3. Pour the tea in the glass followed by ingredients from cocktail shaker.
4. Garnish with nutmeg and cinnamon powder, whole star anise
Eggnog is a Christmas favourite that is accustomed to toasts for good health and prosperity.| Pikist
Inspired by the Christmas Spirits and holiday flavours is a wonderful concoction of warm whisky, sweet vanilla, and thick butter.
45 ml Butter fat washed Whiskey
20 ml Ginger bread syrup
15 ml Spiced Apple liquor
2 dashes of Bitters
1/2 teaspoon Vanilla extract
1. Pour all ingredients into a cocktail shaker
2. Shake well
3. Pour into an old-fashioned glass
4. Garnish with Gingerbread cookie
Inspired by the Christmas Spirits and holiday flavors is a wonderful concoction of warm whisky, sweet vanilla, and thick butter. | Flickr
(Keywords: Santa's Apple, Egg Nogs, December, Cocktail, Cocktail, Christmas, holiday, celebrations)
Probiotics may significantly improve the symptoms of pregnancy-related nausea, vomiting and constipation, finds a new study.
The study, published in the journal Nutrients, showed that nausea hours (the number of hours participants felt nauseous) were reduced by 16 per cent, and the number of times they vomited was reduced by 33 per cent.
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Probiotic intake also significantly improved symptoms related to the quality of life, such as fatigue, poor appetite and difficulty maintaining normal social activities, as scored by questionnaires.
"The cause of nausea and vomiting during pregnancy is unknown to this date. Various theories have been proposed, but none of them is conclusive," said lead author Albert T. Liu from the University of California, Davis.
Also Read : Changes in the Skin during Pregnancy
"Nausea, vomiting and constipation during pregnancy can significantly diminish the quality of patients' lives. Once nausea and vomiting during pregnancy progress, they can become difficult to control, and sometimes the patient even needs to be hospitalized," Liu added.
For the study, the team involved a small yet significant number of participants who took a probiotic capsule twice a day for six days and then took two days off. They then repeated the cycle.
The team found that probiotics were also found to reduce constipation significantly.Unsplash
The probiotics were available over-the-counter and mainly contained Lactobacillus., a type of good bacteria. Each capsule contained approximately 10 billion live cultures at the time of manufacture.
Participants kept 17 daily observations of their symptoms during the duration of the study, for a total of 535 observations for the researchers to statistically assess.
The team found that probiotics were also found to reduce constipation significantly.
Another finding was that vitamin E levels increased after taking probiotics. Higher levels of vitamin E were associated with low vomiting scores. (IANS/SP)
(Keywords : probiotics, pregnancy, nausea, vomiting, nutrients, symptoms, fatigue, appetite, constipation, vitamin.)
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By Olivia Sarkar
If the year 2020 appeared bleak for the world, the year 2021 served as a frightening reminder that it wasn't so much about the year as it was about the times we've come to live in. Every domain and industry has experienced seismic shifts, both for the better and for the bad. However, just a few fields have seen such a huge paradigm shift as online dating throughout the course of 2021.
It becomes critical to document and analyse the important observations in the year 2021's dating trends in order to determine where online dating stands and where it is headed. This is where a poll conducted by one of India's popular dating apps, QuackQuack, comes in handy. "The pandemic has undoubtedly thrown a few curveballs towards folks wanting to date," remarked Mr. Ravi Mittal, Founder and CEO of QuackQuack, in response to the survey report. Males and females, in my opinion, are fast coming to terms with a new universe of online dating every day, adopting more self-paced and healthier forms of dating, a growing process that will soon become the standard."
The key takeaways from the survey can be best summarized as below:
- Vaccination is a must: An overwhelming 8 out of 10 persons in the survey's sample size expressed support for mandatory vaccination as a prerequisite to a date. A considerable 65 per cent and 75 per cent of people in the 18-20 and 21-30 age categories, respectively, agreed on the same thing. The need of a double jab was consistently emphasized across the country's top cities and tier 2 cities, with 75 per cent and 70 per cent of the sample size in each believing that the first step toward a safe date would have to be complete immunization of the other.
An overwhelming 8 out of 10 persons in the survey's sample size expressed support for mandatory vaccination as a prerequisite to a date. | Photo by CDC on Unsplash
- Dating with a purpose: The poll revealed that, because of the Covid procedures in place, people have had little motivation to walk outside, leading them to think on the nature of the dates they've discovered on the dating app rather than searching for matches in a desperate manner. The survey found that 47 per cent of women and 35 per cent of men agreed with this behavioral change, and that the act of reflection and introspection allowed them to have healthier relationships than before.
The difference in deliberate dating trends between people who live in cities and those who live in rural or semi-urban settings was quite similar. While roughly 37 per cent of urban teenagers believed their dating experience had taken an intentional turn, 39 per cent of rural or semi-urban teenagers felt the same way.
The difference in deliberate dating trends between people who live in cities and those who live in rural or semi-urban settings was quite similar. | Photo by René Ranisch on Unsplash
- Location is pivotal: According to the survey, a whopping 58 per cent and 56 per cent of people between the ages of 18 and 20 and 21 and 30 preferred hooking up with someone from a different place to broaden their search for a potential spouse. This trend proved to be more prevalent among women, as 58 per cent of them were comfortable dating partners from foreign countries, compared to only 50 per cent of men. Further study into a demographic analysis of the sampled data found that 46 per cent of those living in major metro cities preferred dating outside of their home location, while 57 per cent of those living in smaller cities and towns favored the same.
According to the survey, a whopping 58 per cent and 56 per cent of people between the ages of 18 and 20 and 21 and 30 preferred hooking up with someone from a different place to broaden their search for a potential spouse. | Pixabay
- Video calling versus meeting in person: Due to the ongoing Covid problem across the country, a large majority of 56 per cent of 18 to 20-year-olds preferred having their first date on a virtual medium and were risk-averse, according to the survey. On the other hand, 43 per cent of persons aged 30 and up, who adhere to a more traditional approach, decided to meet in person while taking all essential safety steps.
43 per cent of persons aged 30 and up, who adhere to a more traditional approach, decided to meet in person while taking all essential safety steps. | Photo by Matt W Newman on Unsplash
According to the survey, a vast majority of 56 per cent of 18 to 20-year-olds preferred having their first date on a virtual medium and were risk-averse due to the ongoing Covid crisis across the country. In contrast, 43 per cent of people aged 30 and up who prefer a more traditional approach preferred to meet in person while following all necessary safety precautions according to the survey. (IANS/ MBI)
(Keywords: meeting, Video calling, Location, Vaccination, dating trends, 2021, Online Dating)