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Wednesday, June 2nd, 2010 - 3 comments

Accessing the Pill: Every woman counts

How do we ensure that women in developing countries can access the Pill? Let’s work with local organizations, leaders, and health centers to help women.

This is a crucial and challenging question that both you and I have to think, reflect, and implement today, not tomorrow. It is believed that most of the developing countries have lots of problems like hunger and famine, prolonged drought, pollution, deforestation, low per capital, disease, illiteracy, poverty, high maternity death rate among others simply because of failure to control and plan for their families.

Two leaders helping out

I have taken time to look closely at the leaders most prominent and famous people both in my country and Beyond. I just want to cite two Americans who share a name as examples.

Bill Clinton with a family of one girl child and Bill Gates the owner of Microsoft. With all the financial ability they have, they have a very small family to cater for. This is because such people are well informed.

Strings attached to contraceptives are many that most developing countries have, like sensitization, improper distribution, negative opinion from stakeholders among others.

Finding the best contraceptive method for each woman

My sister seriously campaigns against contraceptives as she developed a healthy problem after depending on a 3months injection before testing whether her health conditions would fit the method. So maybe before distribution of contraceptives, we should also think about testing these women to find the fitting contraceptive method so that we avoid negative opinions emerging from the women who been negatively affected.

Such women have over weighed those who have positively gained out of the contraceptives who up to now remain silent. We should under the sensitization and education program record and broadcast voices of contraceptive beneficially to women gatherings whenever there is chance.

Many women have been blocked from using the contraceptives simply because of what they hear others say about them.

How to distribute contraceptives?

Contraceptives should be taken out to women at their homes. Health Centres should be use to store these contraceptives but not act as distribution centres. Most healthy centres are far located from some people and only access them when there is a very serious illness. Most people even fail to get transport to access these centres when they are sick so image! Can such women access healthy centres for contraceptives which seem to be luxurious?

Today women have many small associations which make them gather to give developmental assistance to the each other under loan schemes. What if contraceptive distribution organization liaised with the leaders of these small associations to educate the women about contraceptive advantages as well as distribute them at the end of the gathering?

Local council leaders could be used to distribute pills and other contraceptives to their subordinates. Healthy workers who control these contraceptives would move around with local leaders  on a door-to-door basis to identify women who need the contraceptive services and have them serviced. This I think in Uganda may work where every 500-1000 people have a local council administration comprising of 10 executive elders with a woman representative as a must

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The views expressed in this blog-post are solely those of the author.

Comments (3)

Chris Harding
Wednesday 2nd June, 2010, 10:38pm

First, I appreciate any information that comes from a person who has personal experience!

Since Mr. Bbumba has been a teacher, he understands the difficulty with distribution. In addition, he has witnessed his sister's negative experience, which he uses to suggest "testing".

Personally, I have never lived in Africa so I haven't experienced difficulties associated with distribution. On the other hand, I do realize the importance of a proper transportation infrastructure. As an ex-soldier, I know the importance of "roads" and this is why Militaries will immediately build dirt roads into a conflict zone. A road facilitates delivery and distribution.

Sadly, I don't know if village to village contraceptive delivery would work. Why? Because temperature is important for Oral Contraceptive storage. Still, I know health-care practitioners have had success with delivery of HIV drugs and condoms in a similar manner described by Mr. Bbumba.

I would also like to provide the following. Although the topic is different, similar difficulties were encountered.

• "For purposes of this analysis, the multiple causes of maternal death are sorted into three categories: clinical causes, health services issues, and sociocultural factors. These obviously overlap, but there is utility in considering them separately."- "The Multiple Causality of Maternal Death", In Her Lifetime: Female Morbidity and Mortality, Page 95.

• "The barriers to maternity care that an affect maternal mortality and morbidity fall into three categories: (1) geographic and convenience factors, (2) acceptability factors, and (3) factors related to quality of care."-From "Health Services", In Her Lifetime: Female Morbidity and Mortality, Page 106

• "Women not taking contraception are likely to have more pregnancies, each of which adds to overall risk, a risk further increased by the growing likelihood that women whose pregnancies are unwanted will resort to clandestine abortion." -"Maternal Health and Planning", In her Lifetime: Female Morbidity and Mortality, Page 107

• Perhaps a trained Traditional Birth Attendant, who has access to proper storage, could be the go between while health-care professionals carefully monitor medical complaints. From what I understand, many villages have a Traditional Birth Attendant, and many have been trained in specific health care delivery methods. -From many resources.

Still, Oral Contraceptives can be quite dangerous, and I believe a "properly" structured system should be in place but this may not be feasible.

In her Lifetime: Female morbidity and mortality in Sub-Saharan Africa:
§Christopher P. Howson, Polly F. Harrison, and Maureen Law, Editors; Committee to Study Female Morbidity and Mortality in Sub-Saharan Africa, Institute of Medicine. National Academy Press[online].1996, pp. xii,308. Available from: National Academy Press. ISBN-10:0-309-07695-1; ISBN-13:978-0-309-07695-1.

Bbumba Solomon
Friday 11th June, 2010, 9:45am

Chris,
i concer with you that the door to door may not be appropiet when it comes to distribution more so give the teperatures and facilities for storing the contraceptives not being favourable. However i meant that phealthy works would door to to senstize and pick specific days when still they take contraceptives out to the community other than having them kept in store. My aurgument is based on the raelity that many people only visit healthy centers whle sick.

Thanks for your coment any way

Iks
Thursday 24th June, 2010, 4:23pm

Hello everyone,

Respect to everyone!

As a medical student...and from how I have heard from my friends,the pills brought very often a lots of health problems!
And in my opinion condoms are the best solution.
There are projects I am working on about the contraception...
And I would realy apriciate your opinion...from all around the world!

Thanx
I(x)

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Guest Editor

Solomon Bbumba

Training Director, PIPED-Uganda

About

Am Solomon Bbumba a teacher by profession. i taught Primary school children for over 6 years before i come the training Director PIPED-Uganda where i head training of teachers to intergrate Information communication technology in the teaching and learning process and as professions. I am a son of Late Rev James Bbumba who died when i was just 6 years and Noumi Bbumba who passed away when i was 16 years. I come from a family of 9 children and i am the fifth born in them. My job description also lets me create electronic teaching content for primary school teachers while teaching.

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