Archive

health care

KAMPALA, Uganda – Ugandan activists are marching to the constitutional court to sue over the deaths of two pregnant women who they say died because they did not pay adequate bribes to government medical workers.

Lawyer Nuur Nakibuuka Musisi said Friday they are also demanding basic services for pregnant women. Government hospitals are supposed to provide free care.

Valente Inziku says nurses refused to treat his wife, who was in labor, even after he gave them the 10,000 shillings (about $4) they asked for. He says in an affidavit that nurses ignored her cries of pain for more than eight hours before she died, late last year. The baby also died.

Friday’s protest follows several opposition-led marches — some of which have turned violent — over government corruption and rising food and fuel costs.

http://news.yahoo.com/s/ap/20110527/ap_on_re_af/af_uganda_pregnancy_deaths_1

TOPEKA, Kan. — Kansas legislators approved restrictions on private insurance coverage for abortions and adopted a state budget stripping funds from a Planned Parenthood affiliate, capping a string of victories Friday for abortion opponents only four months after sympathetic Gov. Sam Brownback took office.

This year, five major proposals favored by abortion opponents cleared the GOP-dominated Legislature as members heeded a call from Brownback to create “a culture of life.” But Planned Parenthood of Kansas and Mid-Missouri, the target of much of lawmakers’ efforts, confirmed that it is consulting with attorneys over possible legal challenges

“Four or five anti-choice bills, as we would characterize them, is pretty significant,” said Tait Sye, a spokesman for the Planned Parenthood Federation of America. “It would be in the top tier of anti-choice legislatures, which is probably what Brownback wants.”

Brownback, a Republican, is expected to sign the bill sent to him by the state House a mere 15 minutes before lawmakers adjourned their annual session. The House’s early-morning vote was 86-30 in support of a larger bill that included the abortion coverage restrictions. The state Senate had approved it Thursday night, 28-10.

The measure prohibits insurance companies from offering coverage of abortions as part of their general health plans, except when a woman’s life is at risk. If the bill becomes law as expected, starting in July, individuals and employers who want abortion coverage would have to buy supplemental policies that cover only abortion.

Supporters of the bill argue that it will protect employers who oppose abortion rights from having to pay for policies that cover the procedures. The legislation also says that no state or federally administered health-insurance exchange in Kansas established under last year’s federal health care overhaul law can offer coverage for abortions, other than to save a woman’s life.

The $13.8 billion budget approved by legislators, also early Friday, includes a provision diverting about $330,000 in federal family planning funds away from Planned Parenthood of Kansas and Mid-Missouri to public hospitals and health departments. The group’s top executive warned that it will be forced to reduce services dramatically at clinics in Hays and Wichita that don’t perform abortions without affecting one in the Kansas City suburbs that terminates pregnancies.

Brownback already has signed legislation to tighten restrictions on late-term abortions and require doctors to obtain written permission from parents before terminating minors’ pregnancies. Legislators also have sent him a bill to impose new health and safety standards specifically for abortion clinics, which the governor plans to sign Monday.

“Governor Brownback has never been shy about the fact that he’s pro-life,” spokeswoman Sherriene Jones-Sontag said.

Kathy Ostrowski, legislative director for the anti-abortion group Kansans for Life, said the state’s new laws will protect women who seek abortions from dangerous clinics and provide more accurate reporting by doctors about their activities.

“It has obviously been a good session,” Ostrowski said after lawmakers adjourned.

Democratic Govs. Kathleen Sebelius and Mark Parkinson, who held the office before Brownback, blocked most major changes in Kansas abortion laws, vetoing legislation that is becoming law this year.

“There’s clearly a message here that women are dispensable,” said state Rep. Annie Kuether, a Topeka Democrat and one of the Legislature’s shrinking number of abortion rights supporters. “I’m sick and tired of being treated like a second-class citizen.”

The measures in Kansas are part of a wave of anti-abortion legislation across the nation, as abortion opponents have been encouraged by the election of new Republican governors last year and conservative legislators.

The Guttmacher Institute, a research organization supporting abortion rights, says Kansas and Missouri are among seven states now with restrictions on private health insurance coverage of abortion. Also, a dozen states, including Kansas, restrict coverage in health exchanges.

Planned Parenthood officials say moves to strip funds from affiliates are afoot in at least five other states; one in Indiana has filed a lawsuit there.

“Why would we want to continue to give Planned Parenthood tax dollars to ostensibly prevent pregnancy, when they make even more money performing abortions when that ‘prevention’ fails?” said Mary Kay Culp, Kansans for Life’s executive director.

But Brownlie said the Planned Parenthood clinics offer a wide range of services, including thousands of breast exams and tests for sexually transmitted diseases each year. The federal dollars account for about 10 percent of the budget for its Kansas operations, he said.

http://www.huffingtonpost.com/2011/05/13/kansas-abortion-bill-law_n_861525.html

Women who do routine jobs such as cleaners are almost six times more likely to die from alcohol abuse than women in better paid roles, according to new government research.

The report by the Office for National Statistics found cleaners, sewing machinists and bar staff face 5.7 times greater risk of fatal liver disease, mental disorders and poisoning than doctors and lawyers.

This was despite richer women downing almost twice as much alcohol, the study finds.

Meanwhile men who worked as van drivers and labourers have a three and a half times bigger threat of meeting a similar fate than than those in higher managerial and professional work.

The new report is the first analysis of the social inequalities in adult alcohol-related mortality in England and Wales in the last decade as measured by the National Statistics Socio-economic Classification (NS-SEC).

A year ago an ONS report found professional and managerial women are downing almost twice as much alcohol as the lower paid.

They are drinking an average of 10.2 units a week – more than a bottle of wine – compared with 6.5 units for manual workers.

Statistician Myer Glickman, whose team compiled the latest findings, said: ‘They are an apparent contradiction but it could be down to a number of factors.

‘One could be there are other things affecting people’s health such as whether they are smokers or have a poorer diet which may make them more vulnerable to the effects of alcohol.

‘Also patterns of drinking may be different, such as binge drinking on particular types or brands of alcohol rather than drinking similar or even greater amounts but over a longer period of time.

‘The greater difference between male and female social groups could also be down to the fact that professional women in general are particularly advantaged when it comes to good health.’

The most alcohol related deaths occurred in males aged between 50 and 54 with routine jobs (52.2 per 100,000). For women it was for those in routine work and age 45 to 49 (42 per 100,000).

For the less advantaged groups, alcohol-related mortality peaked in middle age and then declined, whereas for managers and professionals, the risk of mortality increased steadily the older they got.

The report said this means alcohol-related deaths in the less advantaged groups tend to be younger as well as being more common.

The study also found the number of alcohol-related deaths in England and Wales doubled between 1991 and 2008, rising from 3,415 (6.4 per 100,000 population) in 1991 to 7,344 (12.4 per 100,000) in 2008. But the most recent data in 2009 indicated a drop in alcohol related deaths of 3.3 per cent, to 7,099.

Regionally, the highest mortality rate for men in all occupied classes combined was found in the North West of England (26.9 per 100,000) followed by the North East (23.7), the West Midlands (23.6) and London (21.3).

These areas all had significantly higher mortality rates for all occupied classes combined than England and Wales as a whole, where the figure was 19 per 100,000.

The lowest mortality rate was in the East of England (12.4 per 100,000), half of that seen in the North West. The second lowest was the South West (15.2) followed by the East Midlands and the South East, both 15.5 per 100,000. Similar regional patterns were observed for women, but with lower overall death rates.

Previous survey results have suggested that less advantaged social groups drink less in total than the more advantaged groups.

Therefore the explanation for these inequalities is not a simple one, and may be associated with differences in the detailed patterns of drinking among different groups or with the influence of underlying factors other than alcohol consumption, said the report.

Alcohol-related deaths include only these causes defined as being most directly due to alcohol consumption, such as alcoholic liver disease (accounting for approximately two-thirds of all alcohol-related deaths), fibrosis and cirrhosis of the liver, (18 per cent), mental disorders (9 per cent) and accidental alcohol poisoning (3 per cent).

It does not include other diseases where alcohol has been shown to contribute to the risk of death, such as cancers of the mouth, oesophagus and liver. It also excludes deaths from accidents and violence where alcohol may have played a part.
Read more: http://www.dailymail.co.uk/health/article-1390829/Women-low-paid-jobs-times-likely-die-alcohol-abuse.html#ixzz1NVlNd5j5

The coalition may present itself, like all the main political parties, as pro-family, but it is mothers who have become the “shock absorbers” for the coalition’s cuts in welfare benefits and childcare provision, say critics.

From cuts to maternity grants and child benefits, to closures of Sure Start centres, childcare schemes and after-school clubs, it is women – particularly single mothers on low incomes – who bear the brunt of attempts to reduce the deficit.

The changes will affect women’s incomes and ability to enter the job market, critics say, and put many at risk of poverty. “The disproportionate impact of the cuts on women raises issues of fairness and calls into question the idea of society sharing the weight of national debt reduction,” said Abigail Davies, assistant director of policy and practice at the Chartered Institute of Housing. “Overall the public spending cuts are known to impact disproportionately on single parent families, most of which are headed by women. Cuts to benefits and public spending, coupled with stricter job-seeking expectations for lone parents claiming benefits, will trap some women in an impossible situation.”

Benefit cuts that affect women include reductions in the childcare tax credit, the Sure Start maternity grant, and the health in pregnancy grant, and the freezing of child benefit rates for three years.

Katherine Rake, chief executive of the Family and Parenting Institute, said: “The targeting of family benefits for cutbacks in the last 12 months means women’s incomes have been disproportionately hit. For many women, child benefit was the only source of income they received directly, giving them independence and control over family spending. The coalition’s decision to end universal child benefit was therefore a particularly painful blow.”

There are concerns that single parents – most of whom are women – will also be unfairly affected by housing benefit reform. “This will require some families to move, which is expensive, unsettling, affects [children's] educational performance, and puts families into less economically successful areas with reduced employment opportunities,” said Davies. “Cuts to tax credits, Sure Start, after-school clubs and so on, create further barriers to employment for single parents.

“The government wants to encourage social mobility and tackle poverty, but these cuts do not create an environment which supports women or enables them to help themselves.”

Despite the government’s commitment to guarantee 15 hours a week free childcare provision, childcare support has been badly hit by local authority spending cuts. These have led to widespread cuts in Sure Start children’s centres and after-school and holiday play schemes. Although many councils have committed themselves to keeping centres open, most have reduced services drastically.

A survey of mothers using Sure Start centres, carried out in February by the Daycare Trust charity, found that 35% felt that the removal or reduction of services would leave them more socially isolated, and 32% felt it would be harder to see their midwife or health visitor.

Rake said there had been some positive policy developments for mothers over the past 12 months, such as proposals for shared postnatal parental leave, and to extend rights to flexible working. She added: “The government must deliver on these proposals if it is to make strides towards a truly family-friendly society.”

http://www.guardian.co.uk/lifeandstyle/2011/may/20/women-coalition-mothers-child-benefits

AUSTIN — A state health program that helps low-income women get birth control, Pap smears and cancer screenings could cease to exist as some lawmakers try to shore up their anti-abortion credentials.

About 120,000 women are covered monthly by the Women’s Medicaid Health Program, which must be renewed this year to continue. The state provides about $3 million annually to keep the program afloat and gets about $28 million in matching money from the federal government.

The Health and Human Services Commission estimates that, if renewed, the program would save the state about $84 million over the next two years by reducing unwanted pregnancies through contraceptives.

But conservative Republican state lawmakers, who have launched an

effort to cripple funding for abortion providers and “affiliate” organizations that work with them, are pushing a bill that could eliminate the program altogether.

A measure by state Sen. Bob Deuell, R-Greenville, would continue the health program but includes a provision that stipulates that it would cease to exist if organizations such as Planned Parenthood challenge the state in court and win access to funding.

“I think the election shows that a great majority of voters put people in office that do not want money to go to abortion providers or their affiliates,” Deuell said.

Deuell’s bill passed out of the Health and Human Services committee on a 5-1 vote and is headed to the full Senate.

State Sen. José Rodríguez, D-El Paso, cast the only vote against the bill.

Rodríguez said he opposes the bill because it cuts money for Planned Parenthood, which “has a track record and a history of providing services without complaints under the Women’s Health Program.”

By law, state and federal money for the program cannot be used for abortions.

Planned Parenthood provides abortions but has clinics that do not. Those clinics get funding through the program to offer women’s health services such as birth control and cancer screenings.

Rodríguez said his biggest concern with the bill is that if the state loses a lawsuit, the program could be eliminated entirely.

“We should have some kind of fallback position in the event that there is a successful challenge so that this program continues,” he said.

In 2005 the Legislature passed a bill establishing the Women’s Medicaid Health Program with an amendment that barred abortion providers or their affiliates from receiving funding.

Through the program, low-income women can visit a variety of health-care providers and get free health screenings, birth control and gynecological exams.

When the program was being implemented in 2007, lawyers from the Health and Human Services Commission said the exclusion of clinics that are connected in some way to abortion providers would not withstand a legal challenge. They advised the commission’s director to allow organizations such as Planned Parenthood to participate.

Since then, the attorney general has issued an opinion allowing the state to enforce the amendment. The state’s Health and Human Services Commission is now implementing measures that would bar organizations such as Planned Parenthood from receiving the money, officials said.

Planned Parenthood officials said that each year through the program their agency provides birth control and services such as cancer screenings to more than 40,000 women.

Peter Durkin, president and CEO of Planned Parenthood Gulf Coast, said the organization is “prepared to move forward with a lawsuit if that’s what it takes to continue to provide cervical cancer screenings and other health care to the women who depend on our health centers.”

The bill will have to get 21 votes to be heard on the Senate floor. That would require that at least two Democrats support the measure.

Republican lawmakers, as part of their anti-abortion platform, removed funding for women’s health and family planning services in the Texas House budget and have sought to advance similar measures in the Senate.

http://www.elpasotimes.com/news/ci_17986546?source=rss

Height is often used as a proxy for health, because children who get good nutrition and health care tend to grow taller than their forebears.

Now new research shows that the average height of women in 14 African countries is shrinking. And that spells bad news for the future health of those nations.

Researchers at the Harvard School of Public Health looked at the heights of women ages 25 to 49 in 54 countries who had been measured between 1994 and 2008, and compared that to the heights of women in 1945.

They found that women in 14 African countries lost stature, while women in 21 countries stayed the same. In 19 other nations, including Bangladesh and Kazakhstan, women gained stature. The results were reported in the online journal PLosONE.

The changes in average height were almost always associated with income: Poor women lost height, while more affluent women grew taller. The women in the top 20 percent in income gained height in all countries, and were almost 2 centimeters taller on average than the poorest women in their countries. Women in Guatemala showed the biggest height difference between rich and poor, with an almost 8-centimeter gap.

Even though there’s been a big drop in infant mortality in the time covered by this survey, the stagnation and decline in height “suggest little improvement, and perhaps deterioration, in early childhood living conditions,” according to the study authors.

That’s true not just in Africa.

Through most of American history, Americans have been the tallest people on the planet. Credit that to abundant food and fewer diseases than in the crowded cities of Europe. But Americans’ height plateaued in the 1960s; the Dutch are now the tallest population on Earth. And a 2010 study by economist John Komlos found that African-American women in the United States have actually lost height, starting with those born in 1975.

Since a population’s height usually predicts health, wealth and life expectancy, a loss of height is troubling, the kind of thing usually seen only in times of famine or war, Komlos says.

http://www.npr.org/blogs/health/2011/04/26/135740094/shrinking-height-of-poor-women-reflects-lack-of-food-health-care?ft=1&f=1001

Porn performer Derrick Burts, 24, learned he was HIV-positive in October after getting tested for sexually transmitted diseases at a healthcare clinic in the San Fernando Valley that serves the adult film industry.

Video: Watch the interview

Burts’ positive test result Oct. 9 came a little more than a month after he had last tested HIV-negative at the same clinic, the Adult Industry Medical Healthcare Foundation, known as AIM. In the weeks in between, he worked on both gay and straight porn sets in California and Florida.

Burts, who performed in straight films as “Cameron Reid” and gay films as “Derek Chambers,” spoke publicly about his diagnosis for the first time Tuesday in an interview with The Times at the AIDS Healthcare Foundation offices in Hollywood. He is scheduled to speak at a 10 a.m. Wednesday news conference.

He sought help from the foundation, which has long been critical of the straight porn industry’s testing protocol and failure to require condom use, after becoming disappointed in his follow-up care at Sherman Oaks-based AIM.

Burts said he now wants to speak out to warn others that the work he was doing was “very dangerous.”

“What they tell you in porn is, ‘You’re not going to make any money if you wear a condom, you know, viewers don’t want to see that,’ ” he told The Times, “so I didn’t even know you had an option to wear a condom. I had never seen a condom on a straight set in my entire life.”

The gay and straight porn industries take different approaches to stemming the spread of sexually transmitted diseases. Gay porn producers typically require condom use, but not HIV testing. In the San Fernando Valley-based straight porn industry, regular tests are required of workers, but condom use is rare.

Burts said that after getting his test results he gave AIM clinic staff the names of about a dozen performers he had worked with in the previous weeks in both gay and straight productions in California and Florida.

AIM officials said last month that no one on their quarantine list had tested HIV-positive. It was not clear whether the list included all the performers named by Burts since he worked out of state and on gay productions.

AIM officials could not immediately be reached for comment Tuesday night. One attorney for the clinic was traveling outside the U.S., according to an e-mail from him earlier in the day.

The clinic has drawn criticism from AIDS activists and state officials who say clinic officials have failed to promptly report HIV and other sexually transmitted diseases.

In 2004, a male porn star, Darren James, contracted HIV and spread the virus to three female performers before it was detected. The outbreak shut down porn production for a month.

James, who has also become a proponent of condom use on porn sets, told The Times last year that he felt he had received poor follow-up care from AIM clinic officials. He spoke about his experiences after a female performer tested HIV-positive. After her diagnosis no other cases were detected among performers and clinic officials said she had rarely worked in the industry

In recent weeks, state workplace safety officials have been considering whether to mandate condom use and additional testing for porn performers.

Last month, AIM officials said the most recent testing “affirms the efficacy of AIM Healthcare Foundation’s testing protocols, as voluntarily implemented by the adult entertainment industry,” adding that “it is regrettable but inevitable that people continue to acquire the HIV virus in their personal life.”

Burts said Tuesday that clinic officials told him they had traced his infection to another performer, who he said they described as a “known positive.”

He called AIM’s statement “completely false.” “There is no possible way. The only person I had sex with in my personal life was my girlfriend.”

His girlfriend, who accompanied him to the interview Tuesday, is also an adult film performer and was among the performers whose names he gave AIM, Burts said. She is HIV-negative, he said.

http://latimesblogs.latimes.com/lanow/2010/12/video-porn-actor-condom.html

The Senate has rejected a bill that would have blocked funding for implementation of President Obama’s new healthcare law.

The 47-53 vote, which broke along party lines, was an expected result in the chamber, which is run by Democrats. The bill fell short of the 60 votes needed to move forward.

The Senate agreed to hold the vote as part of the compromise spending deal negotiated last week. The deal

Although it had little chance of passing, Republicans insisted on the vote in order to put Democrats on record as defending the law – which has limited public support. The vote will likely be used as a political weapon in the 2012 campaigns.

No Democrats voted for the measure.

Also as part of the budget agreement the Senate took up a bill blocking federal money from flowing to Planned Parenthood. That measure also failed, though this time five Republicans also voted with Democrats in opposition: Sens. Olympia Snowe, (Maine), Lisa Murkowski (Alaska), Susan Collins (Maine), Scott Brown (Mass.) and Mark Kirk (Ill.).

Jaipur, Apr 16 (PTI) An RTI report has revealed that the uterus of 226 women were removed in three hospitals of Rajasthan, after which the administration has temporarily suspended their recognition and ordered a three-member inquiry committee to probe the incident.

The probe team to be led by Dausa Chief Medical and Health Officer O.P. Meena said, “We have seized the records of five hospitals and process to record statements of women and doctors is going on.”

The NGO which filed the RTI application alleges that the operations were ”unnecessary and designed for monetary benefits”.

They say that the hospitals located in Bandikui town in Dausa earned about Rs 14,000 for every case and removed the uterus of 226 out of 385 women patients who had visited the hospitals from March to September last year.

Durga Prasad, General secretary of the NGO Akhil Bhartiya Grahak Panchayat, claimed that the doctors did the surgery even when it was not necessary.

One of the women who underwent the surgery but did not wish to be identified said, “I had a constant stomach ache and they removed by uterus, but the pain did not go. Then I went to Jaipur for treatment and it was found that I was wrongly operated upon”.

Meanwhile doctors and the management of the hospitals have rejected the charges.

“We are being accused of surgically removing uterus in 90-95 per cent cases (of total operations of female patients) but the fact is that the percentage of uterus removal (hystrectomy) is about 20-25 per cent only,” Dr. Rajesh Dhakad, owner of Madhur hospital, told PTI.

He further said, “The NGO is misrepresenting the figures and creating confusion.”

Dr. Sunil Katta, owner of Katta hospital said that that uterus were removed only in the cases where it was necessary.

Another surgeon and owner of Balaji hospital Dr. Santosh Dube said that the hospitals charged Rs. 7000-8000 in all (in each case) for the operation of uterus removal and the figure of 14,000 was also not true.

The incident comes close on the heels of the death of 17 pregnant women in Jodhpur district after being given contaminated glucose.

http://in.news.yahoo.com/uterus-226-women-removed-rajasthan-probe-ordered-20110416-064400-855.html

Hong Kong is restricting the number of mainland Chinese women allowed to give birth in the city’s hospitals which are struggling to cope with the tens of thousands who arrive each year.

The number of mainland women who opted to deliver across the border accounted for nearly half of Hong Kong’s 88 thousand births last year. The Hong Kong government has placed a freeze on accepting non-local women into public hospitals until the end of December. It’s all part of a much broader picture: how Hong Kong can support an influx of babies that ultimately will have rights to education, employment and welfare.

Reporter: Sonja Heydeman
Speakers:Professor Gabriel Leung, Under Secretary for Food and Health, Hong Kong government

HEYDEMAN: Hong Kong’s government has come under immense pressure in recent weeks after doctors made a rare public call for a cap on the number of babies delivered in the city as resources for local mothers are stretched thin. The Hong Kong government’s Under Secretary for Food and Health, Professor Gabriel Leung says the main issue involves the capacity of the health system in both public and private sectors to deal with pregnant women who want to give birth in Hong Kong. He says the objective is for local Hong Kong women to have a place in a hospital of their choice.

LEUNG: My undersatnding in agreement with the private hospitals is they would be given priority and I’ve been given the reassurance that they have been given priority, even in the private sector since 2006. So that is the overiding policy objective number one. Then secondly the key question is how should we and what policy levers we should be using to ensure the highest possible quality of care for pregnant women to give birth in Hong Kong and this would apply to all pregnant women who give birth in our system and of course how could we make sure that any medical needs of newborn babies be taken care of best?

HEYDEMAN:Professor Gabriel Leung says a freeze on accepting non-local women in the public hospital system is a temporary stop gap measure.

LEUNG: While we try to plot a way forward in concert with all vested stakeholders into this particular issue. So in fact the public hospital bookings have been filled until October November. So for all intents and purposes we really have only one month left in 2011. And as for 2012 most of those babies have not yet been conceived so we still have a month or two to finalise our plans and then we will have a whole package of policy announcements to deal with this problem comprehensively.

HEYDEMAN: Many mainland Chinese mothers are keen to give birth in Hong Kong, because it will entitle their child to right of abode and education. In 2010, figures showed 40 thousand Chinese babies were born in Hong Kong .. accounting for 45% of all Hong Kong births .. a more than a 10% increase since 2005. Professor Gabriel Leung says clearly this is more than just a health services issue. He says it’s part and parcel of a much larger approach to population policy.

LEUNG: Really the obstetrics and the neo-natal health service is really the first of many issues we need to address comprehesively in the medium term, including if and when these newborns choose to as they come to Hong Kong for schooling, that would be an education issue and of course an employment which some view quite positively because Hong Kong like most developed nations has an aging population and a population pyramid that increasingly looks like and inverted triangle, rather than a true pyramid so that’s the labor issue. And then there would be associated welfare issues with regards to the provision of health services as well as other welfare services and social services to these newborn babies who would become Hong Kong permanent residents by birth.

HEYDEMAN: Professor Leung says these issues need to be discussed openly within the community.

LEUNG: What we need to do in the immediate future in the next month or two is to ensure the two overriding policy objectives are met in terms of the health services and then in the medium term to really think through, throughly discuss and flesh out all the issues with regards to education, welfare, social services and ultimately the population policy the make up of Hong Kong society in the coming decades.

http://www.radioaustralia.net.au/asiapac/stories/201104/s3188498.htm

MANILA, April 7, 2011—Women’s rights group, Tanggol Bayi (Women Defend!), assailed the alleged harassments by government forces against three community health workers in Baguio City.

In a statement, Cristina “Tinay” Palabay, Tanggol Bayi’s convener says that Milgaros Ao-wat, Germelina Dacanay and Rosalinda Suyam, all working for Community Health Education, Services and Training in the Cordillera Region (CHESTCORE), an NGO that has been working to build community-based health programs since 1981; have been receiving death threats via text messaging and that there were “suspicious” men who were following them, wherever they go.

“Tanggol Bayi is alarmed at these latest forms of harassment directed at the three women. We are one with CHESTCORE in denouncing these blatant violations of the health workers’ civil and political rights, and call for the termination of Oplan Bayanihan, under which the agents of the military and the state function to threaten, harass, and “neutralize” progressive organizations and individuals,” said Palabay.

Palabay fears that the three would have the same fate as that of Morong 43, who were arrested due to suspicion of being rebels, although their cases were dismissed by the Department of Justice, as per order by President Benigno C. Aquino III himself, due to lack of evidence. They were released from Philippine National Police (PNP) custody last December 17, 2010.

Last April 5, six of the Morong 43, namely Dr. Merry Mia Clamor, Dr. Alexis Montes, nurse Gary Liberal, Ma. Teresa Quinawayan, Reynaldo Macabenta and Mercy Castro had officially filed a criminal case against former president and now Pampanga Rep. Ma. Gloria Macapagal-Arroyo for their arrest.

“Our community health workers could just as easily have gone abroad to seek greener pastures because of the lack of government subsidy for health services and decent compensation for health workers, but they instead have chosen to serve our fellow Filipinos in the communities. They travel to far-flung areas, putting aside personal safety and comfort, in order to bring much-needed medical and training services to the poorest regions of the country with the goal of empowering them and alleviating their poverty. And yet these modern-day heroes suffer injustices at the hands of the military,” Palabay said.

Palabay called on the Filipino human rights community and those who have been served by CHESTCORE not to allow arbitrary arrest of the three health workers.

“Let us not allow this to happen again to our CHESTCORE health workers. Let us not allow injustice and impunity to prevail,” said Palabay.

http://www.cbcpnews.com/?q=node/15220

amny

Photo credit: Unlike others, Jakhari Xavier, 22, chose to take medical guidance from a doctor. (RJ Mickelson/amNY)

Meisha Montierro shrugs off concerns that she is not being monitored for potential liver and blood clot complications, or even an increased risk of cancer, that might result from the four estrogen-packed pills she consumes daily to help coax the rounded hips, softened skin, and high voice she wants from her born-boy body.

“I know how to take care of myself,” said Montierro, 21, atranssexual from Far Rockaway.

Medicaid paid for her estrogen until a clerical mistake again designated her as “male,” cutting her off from prescriptions. Her physician wrote a letter to correct the error, but Montierro hasn’t submitted it. It’s so much easier, she explained, just to order estrogen from the Internet.

“I take the highest dosage I can take,” she said.

Transsexual youths are obtaining hormones on the grey and black markets to help their outsides match their insides, doctors and transgender youth told amNewYork.

While numbers are elusive, for every transgender kid seeing a physician, “there are 10 we’re not seeing,” said Johanna Olson, an assistant professor of clinical pediatrics at Children’s Hospital of Los Angeles.

Transsexual people have always faced insurance and cultural discrimination, as well as other obstacles to good medical care. But even when trans-sensitive care is available, some youth prefer to self-prescribe, amNY found.

“What I’ve noticed in this younger generation is that people are not patient,” said Jakhari Xavier, 22, a midtown trans man.

Trinity Lorenzo, 22, gives credence to Xavier’s observation. “I don’t have any obstacles” to medical care, said the Crown Heights resident. “I just don’t feel like seeing a doctor.” She buys her estrogen “from a friend,” who takes it, too. She says she has confidence in what she buys because the $70 bottles she buys are “unopened.”

Xavier’s desire to have medical guidance was strengthened after a friend wound up hospitalized “for almost a year,” after self-administering black-market testosterone. Xavier suspects his friend obtained testosterone that was somehow tainted.

Contaminated or counterfeit drugs are indeed a danger when obtaining drugs via unorthodox means. Law enforcement sources said that while it is illegal to obtain estrogen and testosterone without a physician’s prescription, users are rarely if ever prosecuted: Most enforcement efforts are targeted at dealers peddling testosterone and anabolic steroids, classified as Schedule III drugs, they said.

Transgender youth are disproportionately likely to be rejected by their parents and to wind up homeless – a condition very much at odds with consistent medical care.

But research shows that trans kids who are given supportive, appropriate medical care and psychological services early in life tend to be less depressed and anxious, less likely to commit or try to suicide, and more successful in life.

“The urge to live authentically is an urge that is unparalleled. It’s so powerful, people will take their own life and put it at risk,” Olson said.

Sidebar:

A 2009 study in the American Journal of Public Health showed that a lack of transgender friendly and transgender knowledgeable medical specialists were major barriers to care for transgender people. Other studies of urban male to female transgender persons have shown that unsupervised hormone use ranges from 29 to 63%. Being under a physician’s care is associated with reduction in high risk behaviors, from smoking cessation to obtaining needles from a licensed physician.

http://www.amny.com/urbanite-1.812039/some-transgender-youths-look-to-black-market-hormones-1.2802396

INDIANAPOLIS — Indiana’s prosecution of a pregnant woman accused of killing her fetus by swallowing rat poison during a suicide attempt could discourage women from seeking prenatal care, medical groups have argued in a court brief.

The American College of Obstetricians and Gynecologists, the American Medical Women’s Association, the National Asian Pacific American Women’s Forum and other groups filed the brief in a Marion County court Friday on behalf of 34-year-old Bei Bei Shuai, who was charged with murder and feticide last month.

Police say friends took Shuai to a hospital in Anderson after she told them she swallowed rat poison Dec. 23. She was transferred to a hospital in Indianapolis, where she gave birth Dec. 31. The baby named Angel Shuai died three days later.

Shuai spent more than four weeks in inpatient psychiatric care, according to The Indianapolis Star. She was recovering from depression when the prosecutor filed charges three weeks ago, said her attorney, Linda Pence. Shuai has been in jail since then. A hearing is set for Tuesday to determine whether she should be released on bail.

The medical groups argue in a brief co-written by two professors at the Indiana University School of Law-Indianapolis that the charges against her should be dismissed.

“The goal of these prosecutions is to promote fetal welfare, but in fact it’s more likely that they will endanger fetal welfare, because now pregnant women may have to be worried because a trip to the doctor’s office may end up as a trip to jail,” said professor David Orentlicher, who helped write the brief. Orentlicher is a doctor as well as a lawyer, while his co-author, professor Jennifer Girod, is a nurse and an attorney.

Orentlicher said the case could keep pregnant women from seeking prenatal care if they feel they could be accused of mistreating their fetus.

“Prosecuting pregnant women who are trying to harm themselves is very bad public policy,” Pence said. “This is the most expansive interpretation that a prosecutor could give.”

The American Civil Liberties Union has also submitted a brief to the court, arguing that charging Shuai with a crime for attempting suicide is unconstitutional because a man or woman who wasn’t pregnant would not have been charged for the same act.

A spokesman for the Marion County prosecutor’s office said the agency is reviewing the documents filed on Shuai’s behalf and has no comment.

http://newsandtribune.com/local/x930488827/Woman-charged-in-suicide-attempt-after-fetus-died

NEW YORK (Reuters Health) – Women who work rotating shifts may be somewhat more likely to experience shifting menstrual cycles according to a new study that raises the possibility of work schedules affecting fertility.

In a study of more than 71,000 U.S. nurses, researchers found that those working rotating shifts were more likely than other nurses to have irregular menstrual periods.

Irregular, for the purposes of the study, meant that the time between a woman’s periods usually varied by more than a week.

Women on rotating shifts were also more likely to have either very short menstrual cycles (fewer than 21 days between periods) or very long ones (40-plus days) — although few women in the study were at either of those extremes.

In general, menstrual irregularities make it harder for a woman to become pregnant. Whether shift work induces disruptions in some women’s cycles that contribute to infertility remains unknown for now.

The current findings do not actually prove that shift work, itself, disrupts women’s menstrual periods, according to lead researcher Christina C. Lawson, of the U.S. National Institute for Occupational Safety and Health.

Her team factored in a number of other things that might explain the link, however — like the women’s age, weight and exercise levels — and shift work was still connected to menstrual irregularities, Lawson told Reuters Health.

“That gives us more confidence in the association,” Lawson said, but an association does not necessarily equate to cause-and-effect.

On the other hand, there are physiological reasons to believe that rotating shifts could alter a woman’s menstrual cycle.

Working nights disrupts the body’s natural circadian rhythms, and studies have shown that this can alter basic physiological functions — like blood pressure control and hormone production.

“We don’t really know the exact mechanism,” Lawson said. “One possibility could be that exposure to light at night alters melatonin production.”

Melatonin is a hormone produced mainly during dark hours that helps regulate sleep and other body processes. Its relationship to reproductive hormones in humans is not clear.

The study findings, published in the journal Epidemiology, are based on data from a long-running study of female nurses from across the U.S.

At the start of that study, just over 5,000 women between the ages of 28 and 45 had worked at least 20 months of rotating shifts in the past 2 years. (A rotating shift meant any month where a woman worked at least 3 nights in addition to days and evenings. The study did not look at women who worked nights only.)

Of women who did the most rotating shifts, 12 percent said they had irregular periods. That compared with 9 percent of the nearly 58,000 women who had worked no rotating shifts in the past 2 years.

When Lawson’s team accounted for other factors, women who’d worked at least 20 months of rotating shifts were 23 percent more likely to have irregular periods than those who’d worked none.

Women who’d worked fewer rotating shifts fell somewhere in between.

When it came to having very short or long menstrual cycles, the odds were higher among nurses who’d worked the most rotating shifts.

Few women were at those two extremes, though: 2 percent of those with at least 20 rotating shifts said their menstrual cycles lasted 40 to 50 days, for example. That compared with 1 percent of all other women.

For women who must work the night shift, Lawson said, “my biggest advice is to try to take care of yourself and catch up on your sleep when you can.”

It’s not clear whether that catch-up sleep can right any menstrual irregularities. But it’s a wise move for your overall well-being anyway, according to Lawson.

She also suggested that women who work nights pay close attention to their diet and exercise habits — both of which can be challenging for people on irregular work schedules.

In this study, Lawson noted, overweight and obese women were more likely than normal-weight women to have irregular menstrual cycles.

http://news.yahoo.com/s/nm/20110401/hl_nm/us_shift_work_menstrual_cycle_1

ATLANTA (AP) — Pregnant women will still be able to get a drastically cheaper version of a new expensive drug that prevents premature birth, federal health officials said Wednesday.

Since the drug was approved, it’s been unclear whether women would have to pay $1,500 per dose for the licensed version or could continue to have it made by specialty pharmacies for $10 to $20.

The price increase caused an outcry, and the Food and Drug Administration on Wednesday took the unusual step of declaring that pharmacies can still make the cheap version of the once-a-week shot on an individual basis, as they have for years. The agency said it wouldn’t step in unless there was a problem with the safety of the specially made version.

In response, KV Pharmaceutical Co, which has government approval in February to exclusively sell the drug named Makena (mah-KEE’-nah), said it was committed to making sure all women who need the drug have access to it. The company said it plans an announcement this week regarding concerns about the drug’s price.

Doctors and others welcomed the new drug because it would be easier to get and mean more consistent quality, but were stunned when the $1,500 per dose price was announced. Total cost during a pregnancy could be as much as $30,000.

The FDA does not control pharmaceutical pricing. The company said the price was justified because very premature infants need months of intensive care and often suffer disabilities, and because it spent millions bringing the drug to market.

Last month, the company sent a letter to special pharmacies across the country, warning them to stop making the cheaper version or they would face FDA enforcement. An FDA spokeswoman initially said the company’s letter was accurate. But on Wednesday, the FDA stated that wasn’t right.

The FDA has become increasingly aware of public worry and anger over whether women would still be able to get the drug, and whether state Medicaid programs that serve the poor would still be able to pay for it, federal officials said.

“In order to support access to this important drug, at this time and under this unique situation, FDA does not intend to take enforcement action against pharmacies” that compound the drug, also known as 17P, the statement said.

The FDA’s action was applauded by the March of Dimes, which initially had a muted reaction to Makena’s cost but has become more forceful in calling for a price reduction. The announcement “lays to rest any ambiguities about whether specialty pharmacies can continue to compound 17P. It would be a tragedy to interrupt access to this important drug,” a statement from the group said.

“FDA’s announcement is a victory for pregnant women, consumers, and taxpayers,” said U.S. Sen. Sherrod Brown, an Ohio Democrat who has called for a federal investigation into Makena’s pricing.

America’s Health Insurance Plans, which represents health insurers, also welcomed the FDA’s announcement. And the news was quickly spread in a memo to states from the Centers for Medicare and Medicaid Services, the federal agency over government insurance programs for the elderly and poor.

Experts say the Makena situation is unusual. More commonly, pharmaceutical companies develop a new drug and – after it comes on the market – some pharmacies may try to make a version of the licensed drug. But in this instance, pharmacies were making it before KV.

What’s more, the FDA’s regulation of special pharmacies is “a gray area” based on agency policies, not laws, noted Alvin J. Lorman, a respected Washington, D.C.-based food and drug lawyer.

KV, based in suburban St. Louis, previously announced a patient assistance program that would discount the price for women who met certain guidelines. The company said Wednesday it was “exploring additional ways to help provide affordable access for all patients who are prescribed Makena.”

Makena is a synthetic form of the hormone progesterone. An earlier version first came on the market more than 50 years ago to treat other problems; it was withdrawn in the 1990s, though not for safety reasons.

The drug got a new life in 2003, when a study showed it helps prevent premature birth in women who previously delivered early. Doctors started prescribing it, and pharmacies mixed it.

http://customwire.ap.org/dynamic/stories/U/US_MED_PREMATURE_BIRTH_DRUG?SITE=CAWOO&SECTION=HOME&TEMPLATE=DEFAULT&CTIME=2011-03-30-16-26-07

 

Anti-Abortion Movement Grows

Anti-abortion billboard in the West Adams district in Los Angeles. (Photo by Jorge Rivas/Colorlines.com)

Just over a year ago, in February 2010, Ryan Bomberger’s impassioned campaign to convince black people that abortion is genocide burst into mainstream view. Bomberger’s Radiance Foundation, a Georgia-based anti-abortion group, placed dozens of billboards around Atlanta in coordination with black history month, touching off a media firestorm. “Black children are an endangered species,” said the billboards, of which there are now at least 170 in at least five cities and states.

“I’m an adoptee and adoptive father who has worked in the urban community most of my adult life,” says Bomberger, who is black. “I mourn the loss of beautiful possibility, not only in the unborn children who are unjustly killed, but the would-be mothers and fathers who are propagandized to believe that abortion solves any of the issues we face as a society.”

anti_abortion_crop_022411.jpgIn the year since the Radiance Foundation campaign began, the abortion-as-black-genocide meme has spread widely. As the House voted to defund Planned Parenthood last month, Georgia Republican Paul Broun lectured on the floor about eugenics. Last week, the group Life Always sparked outrage with a billboard in lower Manhattan that declared, “The most dangerous place for an African-American is the womb.” FOX News shows have been abuzz with talk about high abortion rates in urban centers and among black women. Suddenly, the right is terribly concerned with the well-being of black babies.

The black-focused billboards direct viewers to websites—Bomberger’s toomanyaborted.com and Life Always’ thatsabortion.com. The two sites have a similar message: abortion is tantamount to genocide in the black community. Both campaigns identify Planned Parenthood as the villain at the center of this genocide—they claim the organization targets African Americans through outreach and strategic clinic locations, and point to founder Margaret Sanger’s early 20th century involvement in eugenics.

All of these campaigns also take as their staring point a fact that everybody agrees upon: black women have the highest rates of abortion in the United States. According to Melissa Gilliam, University of Chicago researcher and Guttmacher Institute board member, an African-American woman is four times more likely than a white woman to have an abortion in her lifetime. According to the Guttmacher Institute, 37 percent of all abortions in 2004 were obtained by black women, 34 percent by white women and 22 percent by hispanic women.

So why are African-American women having so many more abortions than other groups? Most reproductive rights and health advocates say it’s because of a much higher rate of unintended pregnancy among black women, a fact that is supported by data: black women have an unintended pregnancy rate three times that of white women, according to Guttmacher. This imbalance derives from larger health disparities: lack of access to health care, lower rates of contraceptive use, and higher rates of untreated STDs and of preventive disease overall.

Groups like the Radiance Foundation, in their language about abortion as “genocide” and “holocaust,” imply instead a larger conspiracy, perhaps promoted by government, to threaten the black community. And like other public health conspiracy theories that have circulated in black neighborhoods over the years, the assertion is rooted in a very real and troubling history.

An Ugly Past Remains Present

Women’s reproduction has long been at the mercy of state control, particularly for women of color. For black women, this history dates back to slavery. As Dorothy Roberts outlined in her seminal 1998 book, “Killing the Black Body,” women held in bondage had no control over their fertility whatsoever, and they were relied upon and manipulated in order to produce the next generation of labor. Even after emancipation, eugenics and paternalistic ideas about who was fit to reproduce influenced government policy in the U.S. These policies overwhelmingly impacted the lives and health of women of color, as well as low-income women, women with disabilities and others deemed “unfit.” There is a deep history of forced sterilization across communities of color—some of which actually did result in the near elimination of certain Native American tribes.

These practices are not ancient history, and many incarnations still exist today: primarily through economic and social welfare programs that limit women’s access to certain forms of contraception or place caps on how many children they can have when receiving welfare. For example, undocumented women I worked with in Pennsylvania were able to get coverage for sterilization as part of their emergency medical coverage during pregnancy, but could not receive coverage for other forms of birth control since their Medicaid ran out shortly after giving birth. Women’s reproduction—but more specifically, the reproduction of women of color and low-income women—remains a practice in which the government is invested and deeply entwined.

Roberts outlines in her book how this reasoning was used within the black community to decry birth control and family planning, including abortion, from the early 20tht century through the civil rights era. Critics claimed that for the black community to succeed, black women needed to produce children, and that any attempt to limit fertility represented an effort to eliminate or weaken the race. In 1934, Marcus Garvey’s nationalist organization, the Universal Negro Improvement Association, came out against birth control. Garvey’s group and others called it “race suicide” and argued that controlling reproduction through birth control was harmful to the black community overall, and likely being promoted by whites in service of racism. This rhetoric popped up again and again in black nationalist movements, most often coming from the male leaders and figureheads. Bomberger echoes it today.

“After years of extensive research into the immense disparity of abortion’s impact on the black community, it was readily apparent that the history of the birth control movement (and America’s racist and eugenics-driven history of dehumanizing efforts to control black populations) provided much of the explanation,” Bomberger told me in a recent interview.

He is a compelling leader for the black anti-abortion movement. A young African-American man, Bomberger leads with his own personal story about abortion—a common thread among movement spokespeople. A video on the Radiance Foundation website tells his story. Bomberger was adopted as an infant by a white Christian family. His biological mother, Bomberger claims, conceived him during a rape. In his own words, he “was once considered ‘black and unwanted’ but instead was adopted and loved.”

endangeredspecies-billboard.jpgHis group is behind the largest billboard campaign we’ve seen to date: 172 so far in Atlanta, Arkansas, Milwaukee, Texas and most recently Los Angeles, with plans for expansion. But the Radiance Foundation and Bomberger are no means alone in the black anti-abortion movement. At least four other groups—Life Always, National Black Pro-life Coalition, National Black Pro-life Union and Issues4Life—also work specifically on abortion in the black community. The leadership behind these groups is primarily African-American, male and religious. Of the nine speakers advertised on the National Black Pro-Life Coalition’s website, three are women and six are religious—ministers, pastors or other Christian religious figures. While Bomberger partners with Issues4Life, a California-based anti-abortion group, he says he has no relationship to Life Always, the group behind the NYC billboard that was taken down last week.

New Voices, Same Messages

If these groups are not working in concert, they nonetheless share common messaging, particularly Christian-based rhetoric about sexual purity, abstinence and heterosexual marriage. Most of their websites also provide the typical anti-choice information about abortion, but with a racialized spin.

A 170-billboard campaign cannot be a cheap endeavor—Bomberger’s campaign site invites corporate sponsorships of “between $5,000 and $10,000” to cover new billboards—but it’s not clear how these campaigns are being financed thus far. Bomberger responded to my inquiry by stating that “there is no conspiratorial right-wing anything funding us. It’s individuals, mostly, who are simply passionate about defending life, in all of its stages.” Others, however, allege that there are connections between this work and the Republican Party.

In fact, the black anti-abortion movement doesn’t look all that different from the mainstream, and mostly white, version—similar language about abortion, morality and reproduction; similar strong Christian influence. But the specifically racialized take, which often borrows from the language of civil rights and genocide, has a unique weight coming from within the black community. One of the often mentioned spokespeople of this movement is the is Alveda King, the neice of Dr. Martin Luther King Jr. She’s affiliated with the NBPC as well as the National Black Pro-life Union.

endangeredspecies-billboard34.jpgOf course, they overlook another part of black America’s history with reproductive rights. According to Roberts, black women were actually overwhelmingly in support of birth control and fought to gain access to it throughout the 20th century. In 1941, the National Council of Negro Women became the first national women’s group to endorse birth control. Prominent female political figures in the black community came out against the rhetoric of their male counterparts when it came to reproduction. “Black women have the right and the responsibility to determine when it is in the interest of the struggle to have children or not to have them and this right must not be relinquished,” declared Frances Beal, head of the Black Women’s Liberation Committee of the Student Non-violent Coordinating Committee (SNCC) during the civil right movement.

Roberts explains that these women had good reason to be in support of birth control: They were already using rudimentary methods of family planning, and suffered greatly from illegal and unsafe abortions. Prominent male leaders also stood beside them in support of family planning, including Martin Luther King, Jr., Jesse Jackson and the Black Panther Party, among others.

“They have discovered a very volatile and provocative way of getting their anti-abortion message across,” Roberts argues. “They are misusing and distorting history in order to support their view on abortion.”

They are also misusing the much-cited data on black abortions. Abortion rates alone may appear to support the black anti-choice movement’s genocide claims. But those numbers can’t be taken in isolation. The fertility rate, for instance, directly counters the provocative genocide language. According to Gilliam, the fertility rate (meaning the average number of children a women will have in her lifetime) is the same for white and black women: 2.0. The black community in the U.S. is not in a state of population decline due to abortion, and continues to reproduce at rates equivalent to whites.

More broadly, there is the crucial point that criminalizing abortion actually poses a greater threat to the African-American lives. Before the procedure was legalized, “Illegal abortion was the cause of 25 percent of the white women’s deaths due to pregnancy, 49 percent of the black women’s, and 65 percent of the Puerto Ricans’,” as Shirley Chisholm, the first African American woman in Congress and a strong supporter of reproductive rights, wrote in her memoir. In addition, the legalization of abortion resulted in significant improvements in maternal and fetal mortality rates. “Maternal mortality in New York City dropped by more than half during the first year [abortion was legal], to an all-time recorded low. Infant mortality also dropped to a new low,” reports New York Times columnist Linda Greenhouse. Bomberger responded to Greenhouse’s column that shared this data, refuting it with his own version of these numbers.

Reproductive rights advocates, including women of color, have come out strong against the billboard campaigns led by Bomberger and his movement cohorts. Sistersong Women of Color Reproductive Justice Collective has been organizing against the billboards since their launch in Atlanta last year. They’ve formed a group, called the Trust Black Women Coalition, that responds specifically to the racialized messaging. These advocates say that the campaigns unfairly target African-American women themselves.

“Black women’s wombs are not the main enemy of black children,” says Roberts, who says they promote “toxic stereotypes” about black mothers’ irresponsibility. “Racism and sexism and poverty are the main enemy of black children. [The billboard] doesn’t highlight the issues behind why women are having so many abortions, it just blames them for doing it.”

Indeed, it all leaves out the state policies that have had significant impacts on black women’s reproductive choices—welfare family caps, for example, that limit the number of children a for which a mother can receive support.

Planned Parenthood, instead, has been at the center of this movement’s attacks. They have come under fire for the government funding they receive under Title X—money specifically earmarked for family planning services like contraception as well as cancer screenings and overall reproductive health. Planned Parenthood has become a central health care provider nationwide, known for the affordability of their services and being a resource for low-income women and women of color. The abortion care they provide (which is not funded by federal money and, in fact, is legally mandated to remain separate from their other operations) has placed them at the center of this debate.

As Loretta Ross and the Trust Black Women Coalition have pointed out, it was African American women who asked Margaret Sanger to bring family planning clinics to black neighborhoods, and it’s African American women now who seek out and support Planned Parenthood for the wide range of health services they provide, only a portion of which is abortion.

“They are essentially blaming black women for their reproductive decisions and then the solution is to restrict and regulate black women’s decisions about their bodies,” Roberts says of the burgeoning black anti-abortion movement. “Ironically, they have that in common with eugenicists.”

http://colorlines.com/archives/2011/03/past_and_present_collide_as_the_black_anti-abortion_movement_grows.html

OSAKA — Kansai area hospitals and the Osaka Prefectural Government say a growing number of pregnant women from the devastated Tohoku region, as well as some in Tokyo worried about the possible effects of radiation from the Fukushima nuclear crisis, are moving to the area to give birth.

In the aftermath of the March 11 quake and tsunami, and amid fears in Tokyo of increased radiation levels in the tap water and air, many residents of eastern Japan have temporarily relocated to the Kansai region, especially pregnant women.

The Osaka Prefectural Government said late last week that 149 women from Tokyo and Chiba, Kanagawa, Fukushima, and Miyagi prefectures had arrived in Osaka hospitals to give birth since the disaster, and forecast that the number could increase. Among them, 58 were from Tokyo, where the discovery last week of high levels of radioactive iodine in the water supply led officials to issue a precautionary warning that infants should not drink tap water or milk formula made with tap water.

The Tokyo Metropolitan Government lifted the warning Thursday after the level of iodine fell, but as of Sunday, parts of Fukushima and Chiba prefectures were still being advised not to give infants tap water, according to the health ministry.

Radiation readings in both Tokyo and around the Fukushima plant are well below what experts consider dangerous to human health. But the government and media are sending out mixed messages, telling people the levels are not dangerous and yet warning about possible harm to infants.

Such reports, and a fear that the plant will continue to leak radiation over a wide area for a long time, are driving the increase in women in eastern Japan fleeing to Kansai to give birth, Osaka officials and hospitals say.

There are discussions under way in Osaka about what to do if the area receives a mass influx of Kanto residents requesting not only maternity care but other forms of assistance. Options mentioned include accepting possibly up to 10,000 evacuees from quake- and tsunami-stricken areas.

“The 10,000 evacuees would not be living in temporary housing. There are prefectural and municipal housing units available. But it wouldn’t be a problem to accept that many. The Osaka mayor has also suggested that the city’s Intex Osaka exhibition halls, near the port, could be used to house people,” Osaka Gov. Toru Hashimoto said last week.

While accommodations may not be a concern, there are however questions about whether Osaka has enough doctors and nurses to treat not only pregnant women but a large number of displaced evacuees if necessary.

A Health, Labor and Welfare Ministry survey last year showed there were just over 13,000 doctors representing 40 different specialties — including 570 maternity specialists — at 629 hospitals and clinics in a Osaka Prefecture, which has a population of about 8.8 million.

That’s a ratio of roughly one doctor for every 677 residents in the prefecture.

However, the survey also showed that there were only 309 doctors specializing in emergency medicine, or about one for every 28,479 residents.

http://search.japantimes.co.jp/rss/nn20110328a2.html

NAIROBI, 18 March 2011 (IRIN) – A go-slow by nurses at Pumwani Maternity Hospital in Nairobi’s Eastleigh area has exposed serious challenges at Kenya’s largest maternity hospital, with officials calling for urgent intervention to improve services.

“Working conditions at the hospital remain deplorable,” Festus Ngare, secretary-general of the Kenya Local Government Workers’ Union, which represents the nurses, told IRIN on 17 March. “Although we have reached agreement with the hospital’s management on some of the issues and others are still pending, the working environment at the hospital is a major concern for all.”

The 180 nurses at the hospital staged the go-slow on 16 March to protest at being overworked and the withholding of their uniform and other allowances by the hospital’s management.

Ngare said: “As a matter of urgency, the [Nairobi City] Council should have not less than 30 doctors and not less than 100 nurses posted to the hospital immediately to help ease the workload. At the moment, some nurses find that after working a 6pm to 8am shift, there is no one to relieve them. They find themselves working for many more hours and this is not only a danger to the mothers and their newborn babies but a danger to the nurse herself.”

According to Pumwani’s chief executive officer, Fridah Govedi, the hospital delivers an average of 80-100 babies daily, 20 of them by Caesarian sections. Ideally, she said, there should be one nurse for four patients but in Pumwani one nurse can serve up to 20 patients.

She said the hospital had two full-time doctors. Doctors from the Nairobi City Council’s district-level hospitals are often called in to help, Govedi added.

“What we need is support to boost personnel so we can improve the work environment,” Govedi said. “We lack specialized reproductive health delivery equipment such as foetal monitors; there is poor laboratory support and we rely on old equipment most of the time. The hospital started operations in 1926 and relies on donations for any new equipment.”

She said there was only one resuscitation machine for newborns. “Although we encourage skin-to-skin contact as soon as possible, it is sometimes difficult when up to three babies need resuscitation at the same time.”

Govedi said although there were three operating theatres, only one ran effectively because Pumwani lacked comprehensive obstetric care facilities, such as a blood transfusion unit. “We rely on the National Transfusion Unit and we sometimes lose mothers because it can take time to get the blood to a patient.”

She said besides support for personnel, infrastructure development and a blood transfusion unit, the hospital required support for its midwifery school to enable the hospital to become a comprehensive reproductive healthcare one-stop facility.

“We are willing to partner with any donor organization to improve Pumwani,” she said. “We have the city council’s go-ahead to engage one-on-one with donors and we have even launched the Babies of Pumwani Initiative, with the aim of getting all those who were born in Pumwani to come back and see that standards at the maternity hospital have improved.”


Photo: Allan Gichigi/IRIN
Nurses at Pumwani Maternity Hospital staged a go-slow on 16 March to protest at being overworked (file photo)

Pumwani, run by the Nairobi City Council, is a public health facility, and often waives the Ksh3,400 (US$42) charge for normal delivery and Ksh6,000 ($75) for Caesarian sections for the most vulnerable.

Ultimatum

Govedi said the allowances issue raised by the nurses would be solved at month-end when they would receive their arrears with their salaries.

Achieng*, who delivered her baby on the day of the nurses’ go-slow, told IRIN: “I gave birth at 8.25am with the help of trainee nurses; things were really bad for many of us on that day. Whenever I called out to a nurse, they would refuse to attend to me. It is only later that I learnt that they were on strike.

“Although my delivery was normal, I don’t know yet when I will go home, I have been in the hospital now for four days; I don’t know whether this has anything to do with the action by the nurses but I am glad that today they are back at work.”

Ngare, the unionist, said the nurses had resumed work but the union had given the hospital’s management until 24 March to solve their grievances. “If they have not done anything, then we’ll issue a proper strike notice and this won’t be good for the poor women who seek to deliver their babies at Pumwani.”

According to the 2008-2009 Kenya Demographic and Health Survey, Kenya’s maternal mortality ratio for the 10-year period before the survey is 488 maternal deaths per 100,000 live births.

http://www.irinnews.org/report.aspx?ReportID=92229

An estimated 7,000 women die in Kenya every year from pregnancy-related complications. Between 20 and 30 per cent of these deaths are due to excessive bleeding.

Doctors have since 2006 been lobbying to have the government license the drug known as Misoprostol which they say is 95 per cent effective in stopping the bleeding and which they want distributed in all public hospitals and rural dispensaries.

While the drug is registered for the treatment of ulcers and as a painkiller in combination with other drugs, the government has been reluctant to license it for gynaecological use because some women have used it to terminate pregnancies.

But a study by doctors indicates that 97 per cent of all women use the Misoprostol pill for the right purpose with only a fraction misusing it to induce illicit abortions.

The pill is also said to be cheaper in dealing with postpartum bleeding than the injections which currently are used. The government should not blind itself to the fact the lives of thousands of new mothers could be saved if the pill was used for properly for gynaecological treatment.

That must be the guiding factor when considering the pill’s registration.

http://allafrica.com/stories/201103180280.html

Lyon-Martin clinic
The Lyon-Martin Health Services clinic serves thousands of homeless, gay and lesbian and underprivileged patients a year.

A 30-year-old clinic named after The City’s most famous lesbian couple has one month to raise $500,000 or else its board of directors will start to pull the plug.

Lyon-Martin Health Services is a Market Street center that serves thousands of homeless, gay and lesbian and underprivileged patients a year. But faced with about $1.5 million in debt, the board’s chair said it can no longer employ its staff of about 18 unless the donations funnel in by March 31.

“People are fighting very hard to keep it open,” board chair Lauren Winter said.

The clinic, named after famous gay feminists and civil rights activists Del Martin and Phyllis Ann Lyon, started as a volunteer organization in 1979. It became a moral backbone for a community that struggled through the AIDS epidemic in the early 1980s.

“They really stepped up and collected blood for gay men,” said Peter Grobert, a gay man who has lived in the Castro since the ’60s. “They put up bulletins that said, ‘Sisters, let’s get together for our gay brothers,’ since gay men couldn’t donate.”

So with this history, a momentous month of fundraising is not nearly as dubious as it may sound.

At the end of January, the center’s board voted to initiate a closing plan unless it could quickly raise at least $250,000 to keep the doors open and come up with a financial plan. And it did. As of Thursday, the center had raised $318,000.

A transman who visited the center years ago but now lives on the East Coast is coercing his philanthropic grandma to tack on another $10,000, Winter said.

“I was actually considering auctioning a date with me, but I didn’t know how much that’d bring in and that’s a scary thing to do,” Winter said.

But she said they still need $500,000 to secure a two-year debt-payoff system.

Supervisor Ross Mirkarimi, who represents the clinic’s district, also called for an emergency hearing that was held Wednesday night to generate ideas for city support. The City’s Budget and Finance Committee is scheduled to discuss the issue at its next regular meeting.

“The City can’t let them close,” Grobert said. “They just do too much.”

In the meantime, patients such as Patty Morse, who has relied on the clinic’s services for several years to help fix and relieve her damaged back tissue, are anxious.

“I’m petrified,” Morse said. “I don’t know where else I can go.”

kkelkar@sfexaminer.com

 

Serving the community

2,500 Patients Lyon-Martin serves a year

$318,000 How much it has raised so far

$500,000 How much more it needs by March 31 to stay open

39 Percentage of patients who are minorities

14 Percentage who are transgender

41 Percentage who are lesbian or bisexual

84 Percentage who are 200 percent below the federal poverty line

In the wake of growing public outrage over the 150-fold increase in the price of a drug used to prevent premature birth — newly approved Makena, a form of progesterone, will cost $1,500 a dose compared with $10 for existing versions — Senator Sherrod Brown (D-Ohio) has sent a letter to manufacturer KV Pharmaceuticals asking the company to “immediately reconsider” its pricing.

“I am deeply concerned that your company appears to be taking advantage of FDA approval at the expense of women, children and federal and state budgets,” Brown wrote.

In an email, Brown said, “By ratcheting up prices, fewer women will be able to afford the drug, increasing rates of preterm birth nationwide. This isn’t in the interest of children, new mothers or taxpayers.”

Progesterone has been prescribed for other purposes for decades — but when large controlled trials showed that a long-acting form called 17-hydroxyprogesterone caproate could prevent premature birth in the mid-2000s, that compound was given “orphan drug” status by the FDA so that it could be developed for approval for this use. In the meanwhile, specialty pharmacies called “compounding pharmacies” were allowed to sell it.

Many patients have reacted with dismay and outrage to Makena’s high price.  In the comments section of our earlier story, a father wrote in describing his experience with the compounded form of the drug. “Kimball” wrote:

My wife had our 1st child 7 weeks early and he spent 28 days in the NICU. The cost of this experience was just under $150,000. It was a frightening and humbling experience. Our physician prescribed hydroxyprogesterone and our second son was born at full term naturally with no complications despite my wife being dilated at 4cm for a month and 6cm for a week prior to the birth. Our third son is due Apr 30th and is now in the safe zone from major complications of premature birth. We have four shots left of this compounded drug and are SO grateful that we have already paid for the 5ml doses at $55. I’m all for capitalism but this news is actually highway robbery.

The company has not yet responded to a request for comment but has previously justified its pricing by noting the high yearly costs of premature birth and the expense of winning FDA approval for the compound.

In other bad news for KV, its former CEO, Marc Hermelin, pleaded guilty Thursday to violating drug labeling laws and was sentenced to 30 days in prison, a $1 million fine and a forfeiture of $900,000. The crime involved 30-mg and 60-mg morphine tablets that contained more of the painkiller than labeled; that may seem less egregious than selling drugs with less active ingredients than advertised, but the oversized pills could have killed patients by overdose. Hermelin was fired as KV’s CEO and chairman in 2008 but did not resign as a company director until late 2010, according to Bloomberg News.

After sentencing Hermelin, U.S. District Judge E. Richard Webber commented, “Greed, abuse of power and recklessness, that’s what I see.” Apparently, so do many others in the ongoing saga of Makena.

A year after its passage, the federal health care overhaul is opening fresh battlefields in an old and bitter debate. Almost immediately after the law took effect, five states passed bills that will prohibit private insurance plans sold on new state-based marketplaces from covering abortion, except in dire circumstances such as to save the mother’s life.

Now 22 more states are considering similar abortion measures.

The impact of those bills would be limited to individuals and small businesses that buy insurance on the so-called exchanges. But nearly half of those states are also contemplating an even more far-reaching proposal: making it illegal for all private plans to cover abortion, regardless of whether they are sold on exchanges. That step, which has become law in four states, would affect the type of plan used by the 14.5 million women ages 18 to 45 — one-fourth of women in that age group — whose insurance is obtained for them by mid-sized and large employers, according to Paul Fronstin of the Employee Benefit Research Institute.

None of the pending state legislation would affect plans that very large employers sponsor directly and that are regulated by Congress.

But the scale and scope of the current legislative push is unprecedented, say activists on both sides.

The effort represents a new battleground in the long-running struggle over how much states should regulate abortion. Since the Supreme Court declared the procedure legal in 1973, antiabortion activists have mounted legislative attacks on its accessibility and funding.

The current state-level push to ban abortion coverage in the exchanges is a response to the controversial attempt by drafters of the federal health care overhaul to ensure that it complies with long-standing congressional policy against using federal money to pay for abortion.

That challenge produced a dramatic showdown last year between Democrats who oppose abortion and those who support abortion rights, and the law was saved with a compromise:

Insurers are allowed to include abortion coverage in their exchange plans, but everyone who buys such a plan must make two separate premium payments — one covering the bulk of the policy and another, as little as $1 per month, for the plan’s abortion coverage. Any federal subsidies can be applied only to the first payment.

It is difficult to predict the effect on women’s access to abortion because there’s little solid information on how many private insurance plans cover abortion, according to experts at the Guttmacher Institute, a nonprofit reproductive health research center that gathers the most comprehensive data on the subject in the United States.

Statistics on how many women use insurance to pay for abortions are almost as murky.

According to a 2008 Guttmacher survey, about a third of women who obtain abortions are uninsured — the population most likely to be served by the exchanges.

Another third have Medicaid, the state-federal insurance program for the poor, which restricts abortion coverage to narrow circumstances.

The remaining third of women have private insurance — employer-based coverage or plans they buy themselves. Yet the vast majority still pay for their abortions out of pocket.

The reason is unknown. It’s possible that their plans do not cover the procedure or have high deductibles. It’s also possible that they have privacy concerns.

Whatever the case, only 12 percent of women who have abortions use private insurance to pay for them.

The largest share, 57 percent, pay out of pocket. About 20 percent use Medicaid. The remainder generally rely on private assistance.

While hardly low compared with other medical procedures, the price of an abortion during the first trimester — when 90 percent of abortions are performed — may also be within reach of all but the poorest women: The median cost of terminating a pregnancy at 10 weeks is about $470. The cost rises to $1,500 at 20 weeks.

5th March 2011

Risky business: It is against the law for abortion pills to be taken without the supervision of a doctor or specially-trained nurse

Abortion pills are being sold online for just £15 by British firms.

Women can have the tablets delivered in less than a week, enabling them to terminate their pregnancies illegally and in secret.

It is against the law for the pills to be administered without the supervision of a doctor or specially-trained nurse.

Side-effects include bleeding and severe infections. They can even kill if not taken correctly.

Campaigners warned yesterday that the availability of the pills amounts to modern-day ‘backstreet abortion’.

There are no figures for the numbers of British women buying these tablets online but there are concerns that increasing numbers are turning to them.

There is a fear that underage schoolgirls too afraid to discuss an unwanted pregnancy with their parents or GP will use the websites.

The pills are far cheaper than having the treatment privately, which can cost up to £500.

They also enable women to terminate their pregnancies quickly and quietly in their own home rather than having to make several trips to a clinic, which may involve taking time off work or school.

They need only fill in a quick online form giving their date of birth, address, and details of any allergies or medication they are taking.

A Mail investigation has discovered that the pills are widely available from online pharmacies including several British-based firms for between £15 and £28 a time.

DANGERS OF DIY TERMINATIONS

Side-effects from taking the tablets include excessive bleeding, infections of the womb and, in rare cases, blood poisoning.

Women who have this type of abortion are twice as likely to need hospital treatment as those who have the procedure done surgically.

Up to 1.5 per cent are admitted to hospital suffering from complications, compared with 0.6 per cent who have surgery. Around 1 per cent develop pelvic inflammatory disease, an infection of the womb which can cause infertility.

And in some cases women have lost so much blood they have needed a transfusion.

Most suffer pain or cramps in the abdomen. Diarrhoea, nausea and vomiting are also common. There have been two known deaths caused by early medical abortion tablets since they were first offered in Britain in 1991

United Pharmacies, based in West London, sells the tablet for just £15. An employee claimed they were ‘very popular’ with three to four packs bought every week.

The company said they were out of stock, with a new delivery expected within three weeks.

But the Mail was able to purchase the tablets from another firm, Eurodrugstore, which is also based in London, for £27.70 plus £9 delivery.

They arrived within three working days, in an authentic-looking pack complete with full instructions.

The drugs are used in hospitals or privately-run clinics for ‘early medical abortions’, which can only be carried out within the first nine weeks of pregnancy. Women take two sets of tablets between 24 and 48 hours apart.

Dr Kate Guthrie of the Royal College of Obstetricians and Gynaecologists said: ‘There is still a social prejudice about abortions.

‘Women may turn to these websites because they are embarrassed or they are just so appalled by their pregnancy.

‘They might be reluctant to see their GP in case they think badly of them. They are effectively backstreet abortions.’
Read more: http://www.dailymail.co.uk/news/article-1363227/Abortion-pills-sold-illegally-online-15.html#ixzz1FqP5fwbq

March 4, 2011

Ever since the news emerged last month that a 20-year-old woman who received a silicone injection in her buttocks in a Philadelphia hotel room died, the issue of so-called underground cosmetic procedures has re-emerged into the forefront of mainstream media.

Missing in the coverage of Claudia Aderotimi’s tragic death, however, were transgender people. She was not trans herself, but many gender-variant women pursue similar treatments due to the perception or reality that they lack other options to help create a body on the outside that matches how they feel-or want to look-on the inside.

Michael Silverman, executive director of the Transgender Legal Defense and Education Fund, described these illegal procedures as “incredibly dangerous.” Silverman, who also leads the Transgender Health Initiative of New York, added they often have an irreversible, long-term impact on a person’s body that can even prove fatal.

“Dangerous is an understatement,” he told EDGE. “This is often industrial-grade silicone going directly into somebody’s body. Veins can be pierced, which can lead to death if the silicone travels around the body and lodges in the lungs.”

Silverman and other activists, however, understand why many trans people opt to undergo these risky procedures, even while they are well aware of the dangers. A survey the National Gay and Lesbian Task Force and the National Center for Transgender Equality commissioned found trans Americans continue to suffer a disproportionate rate of discrimination in the health care system. Half of respondents said they had to educate their health care providers about trans-specific health issues. And 19 percent said doctors and other medical providers had refused to treat them altogether.

An unwelcoming and uninformed health care industry is just the tip of the iceberg of the obstacles trans Americans face when they access (or try to access) the health care system. Facing higher unemployment rates, many trans people lack health insurance. And even when employed, the vast majority of private policies do not cover hormone therapy, sex-reassignment surgery and other trans-specific procedures. Medicaid and other publicly-funded plans also do not cover them.

“We hear about this very frequently and we’re going to continue to hear about it frequently as long as the conditions we see for trans people accessing health care don’t change,” said Silverman. “There is tremendous discrimination faced by trans people who feel alienated from the health care system, so as long as the main structures in the system tell trans people you’re not welcome here, they’re going to find what they need and want elsewhere.”

Silicone providers should not be “chastised simply as criminals”
Elizabeth Rivera-Valentine; a community organizer with the Boston-based TransCEND, acknowledged silicone injections and other “underground” procedures are risky for trans people. She emphasized such avenues for treatment are not a new phenomenon within many communities. Her organization, which is an HIV/AIDS prevention and health care project affiliated with AIDS Action Committee, neither endorses nor condemns these procedures.

She emphasized silicone providers should not all be chastised simply as criminals who exploit a serious need some trans women who cannot afford other means to achieve a similar end have. Rivera-Valentine encourages those who may want to undergo these procedures to do their homework and thoroughly research potential providers.

“Silicone pumping has become a means of quick body feminization for a more reasonable price,” she said. “If you’re going to a good silicone pumper, a lot of them really do their research and go out of their way to ensure they’re doing everything as correctly as possible.”

Rivera-Valentine added, however, she often encourages other trans women to be more patient with their bodies and themselves as they transition. This patience may seem somewhat counter-intuitive to the fact those who achieve a more “feminine” appearance more quickly will not only lead to higher self-esteem, but also avoid harassment and discrimination down the road. Rivera-Valentine stressed “passing” is often central to attaining economic opportunities that are otherwise few and far between.

“I advise girls to take the time they need and do things in moderation,” she said. “There are girls who are very quick to want to feminize their body and to not take into consideration the risk they’re placing themselves in.”

More trans acceptance would decrease demand for underground procedures
Regardless of how one feels about silicone injections and other procedures happening outside of accredited medical supervision, it is clear their popularity points to a much broader societal shift that would need to occur in order for their demand to dissipate. Mara Keisling, NCTE’s executive director, said as visibility and acceptance of trans Americans continues to grow, the need for some to access these types of procedures will begin to decline.

Judging by controversial and decidedly transphobic depictions on media that range from Saturday Night Live skits, Super Bowl advertisements and Craig Ferguson’s late-night talk show, progress remains somewhat elusive on that front. And the lack of trans-specific laws at the local, state and federal level only exacerbates the problem.

“Families accepting and protecting and loving their children would keep people from this, an economy that allows fairer access to health care would prevent it, government policies that allow us to change ID documentation better would help stop this,” said Keisling. “Like anything else, the way to stop a public health problem is always more complex than it appears to be, and it’s never as easy as telling people not to do it.”

Silverman also pointed to broader concerns ahead for those who would like to see fewer transpeople accessing dangerous underground procedures. The key piece that’s missing: Affordable alternatives that safely affirm a trans person’s full identity.

“People need alternatives,” added Silverman. “Until there’s political will on the part of public health authorities to achieve that, we’re going to continue to see situations where trans people are dying to get the health care we need.”

http://www.edgeonthenet.com/news////116991/some_transgender_women_turn_to_underground_cosmetic_procedures

22nd February 2011

Statistics: Pregnancy rates in teenagers are at the lowest point in nearly 30 years

Pregnancy rates among teenagers are at their lowest level for almost 30 years but have risen dramatically among women in their 30s and 40s.

Data from the Office for National Statistics (ONS) reveals a 5.9 per cent decline in rates among under-18s between 2008 and 2009, to 38.3 per 1,000 teenagers aged 15 to 17.

Overall, there were 38,259 pregnancies in this age group in 2009 compared with 41,361 in 2008, a decline of 7.5 per cent.

Among under 16s, there were 7,158 in 2009, compared with 7,586 in 2008, a 5.6 per cent drop. Some 60 per cent of these pregnancies led to an abortion.

The biggest increase in conception rates was among women aged 30 to 34 – a 3.5 per cent  leap between 2008 and 2009.

And in 1990, 89.7 per 1,000 women in this age group fell pregnant, rising to 125.9 per 1,000 in 2009.

Overall, 213,300 women in this age group fell pregnant in 2009, up from 161,400 in 1990.

The data for England and Wales showed a big jump among women aged 35 to 39, from 33.6 conceptions per 1,000 women in 1990 to 60.1 in 2009.

Some 116,500 women aged 35 to 39 fell pregnant in 2009, compared with 56,000 in 1990.

Among women aged 40 and over, rates almost doubled from 6.6 per 1,000 in 1990 to 12.8 in 2009.

In 1990, 12,000 women in this age group fell pregnant, more than doubling to 26,800 in 2009.

Simon Blake, national director of Brook sexual health charity, said: ‘It is good news that the teenage pregnancy rates have decreased as this shows the amount of good work that has been taking place around the country over the last 10 years.

‘However, we strongly urge the Government to ensure a continued local and national focus on teenage pregnancy as we know that if we stop focusing on delivering sexual health services the rates will go up.

‘In times of public spending cuts making cuts to sexual health services is short sighted as this is crucial to young people’s wellbeing and actually saves money – for every £1 spent on contraception £11 is saved.’

Gill Frances, former chair of the Teenage Pregnancy Independent Advisory Group, said: ‘This excellent news reflects the intensive work that was going on in 2008/9.

‘However, we are currently experiencing major cuts in teenage pregnancy work around the country which will halt progress and push up the rates again.

‘The data for this year won’t be out until 2013 by which time a lot of the fantastic work that was under way will have been shut down.

‘We urge local councils and primary care trusts (PCTs) to think strategically now and prioritise teenage pregnancy reduction, which is cost-effective and reduces critical problems such as child poverty and health inequalities.’