THANK YOU!!!!

This is to everyone who has been supportive on this amazing journey. the follows, the likes, the re-blogs. we have practically become family. thank you for being family. lets continue with the journey. reproductive health is everyone’s right. this is everyone’s struggle i know i’m not alone!! LETS GO FAM.

MERRY X MASS AND A PROSPEROUS NEW YEAR!! XX

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LETS TALK SEX TONIGHT!!!

                                 story by Lilian Nansubuga

Sex education the process of acquiring information and forming attitudes and beliefs about sex, sexual identity, relationships and intimacy. Sex education is also about developing young people’s skills so that they make informed choices about their behavior, and feel confident and competent about acting on these choices. 

Sex education has been one of the abandoned topics in school. A student is so shy to even say out the word. This is all because of the mentality the attain from schools. I remember how excited I was to learn about reproductive education as a topic in primary six. But when I look back now, there is so much I was not taught simply because the teacher tackled just a 10% of what they should have taught me. So many youths especially in Uganda do not have a clue about reproductive and sexual health. Most of the early pregnancies registered in Uganda are due to ignorance. The youths do not know how to use contraceptives, most of them are naive. I was shocked when a girl above 24 years still believed in myths. She boldly explained to me how bending on your knees immediately after sex can help you to prevent conception. It was a shock and such an absurd idea. 

Schools and parents need to provide such knowledge to the young people it is everyone’s right to sex education. Parents need to stop being shy about such topics because it is part of life. Or if they totally can’t provide the knowledge themselves they could help and enroll their children in sex education workshops because it would be absurd for a child to conceive or worse catch the sexually transmitted diseases out of ignorance yet there is something they could have done about it.

There are 35 states that have laws that allow parents to opt their children out of sex education. Even worse, 3 states make parents opt their children into sex education. You can’t opt your children in or out of math. But when it comes to sex education, one of the most important things you can learn in school, a parent can take their kid out for no reason at all. I am all for religious freedom, but just because you or your religion values abstinence doesn’t mean your kids will too. Its important teens get all the information they can, and then make a decision about their own values. Don’t let religion or family values be a reason to let students be taken out of sexual health education. Don’t let your morals obstruct your kid’s learning. 

 Even if you don’t plan to be sexually active, that doesn’t mean that you shouldn’t learn about sex, anatomy, contraceptives, and the other topics that make up sex education. Knowledge is for everyone, and sex education shouldn’t be limited to certain people because of their parents’ views. Access to comprehensive, medically accurate sex education is a human right. Sex education is important. It’s been proven time and time again. We know students who receive formal sex education in schools are shown to first have sexual intercourse later than students who have not had sex education. Sex education does not encourage teenagers to have sex, it does quite the opposite.  

Every teenager should have sex education incorporated into their schooling. It shouldn’t be opt-in or opt-out but mandatory. Why should parents be able to opt their children in or out of a subject that they’ll need later in life, one way or another? Sex education should be mandatory, comprehensive, medically accurate, and taught throughout student’s school years, just like math. It’s been shown to help students, not hurt. Not only is having access to sex education that is not only comprehensive but medically accurate a human right; it’s our fundamental duty as a society to educate the next generation. Currently, we are failing.  

 Parents and teachers need to wake up and help the young people. Sex education is one of the ways to prevent early pregnancies and reduce the risk of spreading sexually transmitted diseases especially the incurable ones like HIV/AIDS.

 

 

 

Domestic Violence in Prison, Police and Army Barracks

A JOURNEY WITH ONE STEP

Domestic Violence is a very big issue with in Ugandan Barracks ie Prison, Police and Army, though much focus has never been put on them because they think, they are the best in keeping and following the Ugandan law

Domestic violence, or family violence, is violent, abusive or intimidating behavior in a relationship. There are many types of domestic violence, including social, physical, sexual and emotional. If you’re being subjected to domestic violence

The person who wrote, “it takes a strong Woman to an Officer” thought a lot about this. Officers are beautiful individuals but others spoil the codes and conduct because of the way they violate women and children’s rights.

Have you had experience growing up in a Barrack community? Do You think Officers are perpetrators of Domestic violence ?, then listen, there is high violation of women rights and yet, these are the same people who keep and…

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THE 16 DAYS OF ACTIVISM AGAINST GBV. BE APART OF IT

STORY BY NANSUBUGA LILIAN

Gender violence, also known as gender-based violence is the harm inflicted upon individuals and groups that is connected to normative understandings of their gender. Gender based violence is normally towards women but in few circumstances even men are abused. Such violence is directed against women because they are women. Gender based violence (GBV) is a structural problem that is deeply embedded in unequal power relationships between men and women. Such violence is perpetuated by harmful social and cultural expectations about gender roles typically associated with being a woman or being a man, a girl or a boy. It functions as a mechanism for enforcing and sustaining gender inequality. Two terms commonly used to refer to violence experienced by women in the household are domestic violence and intimate partner violence. Domestic violence means all acts of physical, sexual, psychological or economic violence within the family or domestic unit or between former or current partners. While intimate partner violence is the behavior by an intimate partner that causes physical, sexual, or psychological harm including acts of physical aggression, sexual coercion, psychological abuse and controlling behaviors.

Women and girls who are subjected to mechanism for enforcing and sustaining gender inequality. Women and girls or men and boys who are subjected to violence receive the message that they are worthless than others and that they do not have control over their own lives and bodies. This has direct consequences with respect to their health, employment and participation in social and political life. What is absurd is the fact that most of these abused victims do not find it necessary to fight such acts against them. They give up on life and just get used to being abused continuously in the name of love.

What is important to note is that GBV also includes violence against men and boys. For instance boys may become subject to sexual abuse by family members or trafficked for the purpose of sexual exploitation. In some settings, sexual violence against males may even be more prevalent compared to females, for example, in prisons and armed forces. Nevertheless, due to the unequal distribution of power between men and women, women and girls constitute the vast majority of persons affected by Gender based violence (GBV) with the majority of perpetrators being male.

GBV violates a number of women’s rights, including the right to life, the right not to be subject to torture or cruel, inhuman or degrading treatment or punishment, the right to equal protection under the law, the right to equality in the family, or the right to the highest standard attainable of physical and mental health.

Some people may think that gender based violence only refers to domestic violence but this is not true, violence against women occurs In many settings-the family, at the work place, at schools or university, on the streets, in political life, or in state institutions like prisons or health institutions. Perpetrators can therefore be private persons, such as intimate partners, other family members, acquaintances, employers, co-coworkers or strangers, as well as state officers, prison guards or soldiers.

While GBV to women in all areas of life, the family is the place where women experience the most violence. According to world Health Organization (WHO) estimates, nearly one-third (30%) of all women worldwide who have ever lived in a relationship have experienced physical and/or sexual violence from an intimate partner. Furthermore women are disproportionately affected by killings committed by intimate partners and other family members. It is so important to educate people about such offences if we are to end gender based violence because some women are ignorant that they think that it is okay for their husbands to beat them simply because they saw them talk with other men they call this love and over protective of them because they love them so much but this is nothing close to love it is abuse.

It is so important that victims of gender based violence acknowledge that they are being abused and take action. Because if the victim is not willing to come out and fight for their rights then it is as good as nothing for an outsider to fight for them. Gender based violence should stopped everyone is worthwhile no one deserves to be tortured. All lives matter. We are all equals.

 

CHILD MARRIAGES: THE ROOT CAUSE OF EARLY PREGNANCIES.

story by  Lilian nansubuga

Child marriage has been referred to as early marriage or child brides. Child marriages are the kind of marriages in which a child under the age of 18 years is married off by their parents or guardians. This occurs worldwide, but is mainly seen in South Asia, Africa, and Latin America.  Child marriage is a human rights violation because it directly impacts girls’ education, health, psychological well-being, and the health of their offspring. It increases the risk for depression, sexually transmitted infection, cervical cancer, malaria, obstetric fistulas, and maternal mortality. Their offspring are at an increased risk for premature birth and, subsequently, neonatal or infant death. One of the most effective methods of reducing child marriage and its health consequences is mandating that girls stay in school.

A CHILD PARENT WITH HER NEW BORN TWIN BABIES

Most of these marriages are arranged by parents, and girls rarely meet their future husband before the wedding. The girls know that after the wedding they will move to their husband’s household, become the responsibility of their in-laws, and might not see their own family or friends for some time.

Although child marriage includes boys, most children married under the age of 18 years are girls. In most cases the girls are already booked by their groom’s family at an early age and the children rarely have a say about this. Three main forces drive child marriages: poverty, the need to reinforce social ties, and the belief that it offers protection. Child marriage is predominantly seen in areas of poverty. Parents are faced with 2 economic incentives: to ensure their daughter’s financial security and to reduce the economic burden daughters place on the family as there is a belief that Girls are costly to feed, clothe, and educate, and they eventually leave the household. Marriage brings a dowry to the bride’s family. The younger the girl, the higher the dowry, and the sooner the economic burden of raising the girl are lifted. Parents also believe that marrying their daughters young protects them from rape, premarital sexual activity, unintended pregnancies, and sexually transmitted infections, especially human immunodeficiency virus (HIV) and AIDS. This has only been a primitive ideology because in Uganda, the HIV prevalence rate of married girls and single girls between the ages of 15 and 19 years is 89% and 66%, respectively. Their husbands infected these girls. Because the girls try to prove their fertility, they had high-frequency, unprotected intercourse with their husbands. Their older husbands had prior sexual partners or were polygamous. In addition, the girls’ virginal status and physical immaturity increase the risk of HIV transmission secondary to hymenal, vaginal, or cervical lacerations. Research demonstrates that child marriage also increases the risk of human papillomavirus transmission and cervical cancer.

Mothers under the age of 18 have a 35% to 55% higher risk of delivering a preterm or low-birthweight infant than mothers older than 19 years. The infant mortality rate is 60% higher when the mother is under the age of 18 years. Data demonstrate that even after surviving the first year, children younger than 5 years had a 28% higher mortality rate in the young mother’s cohort.  This morbidity and mortality is due to the young mothers’ poor nutrition, physical and emotional immaturity, lack of access to social and reproductive services, and higher risk for infectious diseases.

Parents who believe in early marriage need to be counseled and taught about the dangers of early marriages to their children. There are better ways to solve the poverty issues rather than relying on dowry which denies their children their childhood. And even the children need to be taught about their rights like the right to education, in so doing this will highly reduce the number of child brides. Child marriages is a human rights violation and it should be stopped.

 

 

 

 

 

 

KNOWLEDGE IS POWER: LEARN ABOUT THE EMERGENCY CONTRACEPTION (EC).

Story by Lilian Nansubuga

Emergency contraception is used to help keep a woman from getting pregnant after she has unprotected sex or in case the birth control method failed. Accidents are human that’s why there are Emergency contraceptives (EC) which can prevent up to over 95% of pregnancies when taken within 5 days after intercourse.

FIG 1.1: Below are some of the examples of emergency contraception.

Emergency contraception (EC) involves taking 1 or 2 pills within 5 days of unprotected intercourse. The hormones in two types of EC are the same hormones commonly found in birth control pills. The earlier the emergency contraception is administered after intercourse, the more effective it is.

The medication is a concentrated dose of progesterone that prevents the egg from leaving the ovary, meeting with sperm or attaching to the uterus, depending on your cycle stage. If you are already pregnant, the emergency contraception pill will not work.  So many teenagers in Uganda have conceived at an early age simply because they are ignorant about the emergency contraception. Emergency contraceptives are only and only to be used in case of an accident.

There are 2 ways to prevent pregnancy after you have unprotected sex :

Option 1: Get a ParaGard IUD within 120 hours (5 days) after having unprotected sex. This is the most effective type of emergency contraception.

Option 2: Take an emergency contraception pill commonly known as the morning after pill within 120 hours (5days) after having unprotected sex. There are 2 types of morning-after pills:

  • A pill with Ulipristal acetate. Them a nurse or doctor to get the Ella emergency contraception.
  • You need a prescription from a nurse or Doctor to get the Ella emergency contraception.
  • Ella is the most effective type of morning after pill.
  • You can take ella up to 120 hours (5days) after unprotected sex and it works just as well on day 5 as it does on day 1.

 

If you’re taking an emergency contraceptive(EC)because you made a mistake with your hormonal birth control, Plan B or the copper IUD are better options for you than ella. The IUD is a small, T-shaped device placed into the uterus by a doctor within 5 days after having unprotected sex. The IUD works by keeping the sperm from joining the egg or keeping a fertilized egg from attaching to the uterus. Your doctor can remove the IUD after your next period. Or, it can be left in place for up to 10 years to use as your regular birth control method. You can buy these morning-after pills over the counter without a prescription in most drugstores and pharmacies.

These types of morning-after pills work best when you take them within 72 hours (3 days) after unprotected sex, but you can take them up to 5 days after. The sooner you take them, the better they work.

NOTE: Always remember that emergency contraceptives will not prevent you from catching sexually transmitted diseases.

You can use emergency contraception to prevent pregnancy if:

  • You didn’t use a condom or other birth control method when you had Vaginal sex
  • You messed up your regular birth control (forgot to take your birth control pills, change you patch or ring, or get your shot on time) and had Vaginal sex
  • Your condom broke or slipped off after ejaculation(Cumming)
  • Your partner didn’t pull out in time.
  • You were forced to have unprotected vaginal sex.

If you use emergency contraception correctly after you have unprotected sex, it makes it much less likely that you’ll get pregnant. But don’t use it regularly as your only protection from pregnancy, because it’s not as effective as regular, non-emergency birth control methods (like the IUD, pill, or condoms).

The best emergency contraception (EC) for you depends on a few things like:

  • When you had unprotected sex
  • Which kind of emergency contraception (EC) is easiest for you to get
  • Your height and weight (called your BMI)
  • Whether you’re breastfeeding.
  • If you’ve used the pill, patch, or ring in the last 5 days

It’s best to use the most effective method of emergency contraception that you can. But the more effective methods, like the IUD and ella, can be harder to get. The IUD has to be put in by a nurse or doctor, and you need a prescription to get ella. You can order ella online, but it can take a day to get it in the mail — so depending on when you had unprotected sex, there may not be enough time.

Plan B is less effective than the IUD and ella, especially if you take it more than 3 days (72 hours) after sex or have a higher BMI. But Plan B and other types of morning-after pills like the postinors are the easiest to get. You don’t need a prescription, and anybody can buy them over the counter at drugstores, no matter your age or gender.

Don’t use two different kinds of morning-after pills (like Plan B and ella) at the same time or within 5 days of each other, because they may counteract each other and not work at all. And don’t take more than one dose of either type of morning-after pill — it won’t give you extra protection from pregnancy, but it can make you feel sick.

If you can’t get the most effective types of emergency contraception, remember that using whichever method you can get is still better than not using anything at all. And timing is really important. In fact, many people get the morning-after pill ahead of time and keep it in their medicine cabinet, so if they need it, they can take it as soon as possible.

Emergency contraception will help you be in charge of your own decision making.

 

THE FISTULA NIGHTMARE

             story by Lilian Nansubuga

A vaginal fistula is an abnormal opening that connects your vagina to another organ. For example, a vaginal fistula can link your vagina to your:

  • Bladder
  • Ureters, the tubes that carry your pee from your kidneys to your bladder
  • Urethra, the tube that carries your pee down from your bladder and outside your body
  • Rectum, the lower part of your large intestine
  • Large intestine
  • Small intestine

A lady leaking due to vaginal fistula. 

Vaginal fistulas can be upsetting and embarrassing because they leak and cause bad smells. But they can also cause complications, like:

  • Vaginal or urinary tract infections that keep coming back
  • Hygiene problems
  • Stool or gas that leaks through the vagina
  • Irritated or inflamed skin around your vagina or anus
  • An abscess — a swollen clump of infected tissue with pus that could be life-threatening if it’s not treated
  • Fistulas that come back

Women who have Crohn’s disease and develop a fistula have a high risk of getting complications, such as fistulas forming again later or fistulas that don’t properly heal.

Fistulas develop when an organ becomes inflamed or injured. In most cases fistulas develop when there is massive pressure imposed on the joints .The most common location for a fistula is around the anus. These are called perianal fistulas. Over half of fistulas form in this location. The second most common location is between 2 loops of intestine. Fistulas can also form between the:

  • rectum and vagina
  • intestine and skin and intestine and bladder

 

What are symptoms of fistula?

Symptoms of a fistula depend on where the connection has formed. Fluid or waste may leak continually from the anus or vagina or seep through the wall of the abdomen.

If you have a perianal fistula, you may have ongoing rectal pain or swelling. A fistula between the intestine and bladder can cause a urinary tract infection that keeps returning. Fistulas between 2 loops of the intestine may not cause any symptoms.

What Causes It?

Just inside your anus are several glands that make fluid. Sometimes, they get blocked or clogged. When that happens, a bacteria buildup can create a swollen pocket of infected tissue and liquid. Doctors call this an abscess.

If you don’t treat the abscess, it’ll grow. Eventually, it’ll make its way to the outside and punch a hole in the skin somewhere near your anus.

Fistulas can form in the digestive tract or perianal region after surgery, radiation therapy for cancer, or traumatic injury. Some diseases and infections can cause fistulas, such as diverticulitis, sexually transmitted disease, and tuberculosis.

Another cause of fistula is early pregnancies in young teenage girls. With early pregnancies the bones have not yet matured enough to be strong to hold a baby. There tends to be complications during the delivery and in the end a fistula is developed.

Unsafe abortions also may lead to a fistula called vescicoviginal fistula.

 

How to prevent fistulas

Avoid early pregnancies as the body still has to develop to be able to carry a baby.

Unsafe abortions should be avoided and practice safe abortions.

Family planning allows couples to delay early births, space desired births, and limit family size. Up to one-third of all maternal deaths and injuries could have been prevented if women had access to contraception. Family planning can also help women with a repaired fistula achieve a successful pregnancy, if that is their desire; by helping them delay a future pregnancy until they are fully healed. Women who have experienced repair are generally advised to abstain from sexual relations for a period of time to allow them to heal. In some situations, for some women find it difficult to comply with this recommendation. Other women may need a longer time before they are able to successfully sustain a pregnancy, and family planning methods can help couples determine when the best time to get pregnant is.

Timely Cesarean section is critical for women with obstructed labor. doctors performing a cesarean delivery must be competent so that they do not inadvertently create an iatrogenic fistula. fistula care plus works with hospitals to ensure that quality cesarean sections are available from trained health professionals.

What’s the Treatment?

Some fistulas may heal on their own. If it’s a small bladder fistula, your doctor might want to try putting a small tube called a catheter into your bladder to drain the pee and give the fistula time to heal by itself.

He might also want to try special glue or plug made of natural protein to seal or fill the fistula. Still, many people need surgery. What kind of surgery you get depends on the type of fistula and where it is. It could be laparoscopic, where your doctor makes small cuts (incisions) and uses cameras and tools. Or it could be abdominal surgery, where you get a regular incision with a tool called a scalpel.

For a vaginal fistula that connects to your rectum, your doctor might:

  • Sew a special patch over the fistula
  • Take tissue from your body to close the fistula
  • Fold a flap of healthy tissue over the fistula
  • Fix the muscles of your anus if they are damaged

Your doctor will likely also prescribe an antibiotic to treat infection caused by the fistula.

fistula is real and we need to be cautious about our health.