Workshop on the reduction of maternal mortality in ... - UNFPA Nigeria

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Working groups onmaternal mortalityreductionClosing of Day 1 Effective measure need to be put in place to curb poverty – e.g. ensure that fertilizerdistribution gets to those who need them The participants were assured of government’s commitmtent to enhance fertilizerdistribution in the State and help reduce poverty.The participants were distributed into various working groups depending on their categoriesrepresenting the different stakeholders present in the workshop. The facilitators guided thediscussion while rapporteurs documented the proceedings which would guide the State in thedevelopment of the action plan.Each group discussed the challenges posed to the maternal health status in the stateunder the following sub-headings; infrastructural, policy, human resources as well ascommunity and cultural issues. Thereafter a plan of action was articulated by each group toaddress the challenges. The groups reviewed the issues in broad terms while payingparticular attention to areas that directly relate to their areas of expertise or focus.Day 1 proceedings closed at about ……6.00 p.mProceedings of Day 2ACTIVITIESOpeningPROCEEDINGS AND DISCUSSIONSThe Chairman of the session welcomed participants to the second day of the workshop andhighlighted key activities outlined for the dayTechnicalsessionPresentation on the Overview of Breast and Cervical CancerHighlights of the presentation were:Breast cancer –• Leading cause of death in cancer patients in Nigeria• Most important risk factor is being a woman and other risk factors include age, familyhistory of breast cancer, early exposure to radiation, nulliparity, late age of first live birthand late age of menopause.• Major symptoms include painless mass and nipple discharge amongst others.• Early detection saves lives• Self breast examination, breast ultrasound, mammography and MRI are the main methodsof screening and early detection.Cervical cancer• Second only to breast cancer as the commonest type of cancer amongst women inNigeria.8
• It is now on the increase due to the relationship with the HIV/AIDS epidemic.• If detected early 100% cure is possible• Risk factors include infection with the Human Papilloma Virus (HPV), infection with theHuman Immuno Deficiency Virus (HIV), early sexual debut, multiple sexual partners andmultiparity.• Pap smear provides an opportunity for early detection reducing the incidence by about 60– 90% and death rate by about 90%.Actions to take• Community mobilization and sensitization in partnership with civil society groups, NGOsand FBOs to increase awareness about cancer.• Establishment of screening centre across the nation• Support legislation on cancer treatment and include cancer under the NHIS.• Build capacity for pap smear nationwide• Immunize widely with the HPV vaccine.Create functional referral systems for patients with cancer.Questions and Answers Are these cancers associated with the type of food one takes? Are there any relationship between these cancers and abortion The vaccine for cervical cancer is it in the form of injection because our people already associateinjections with maladies such as poliomyelitis Is the vaccine for cervical cancer available in Nigeria and what is the cost? Why do you say that Pap Smear is a preferred method of screening for cervical cancer Discharge of breast milk in elderly women in their sixties or in women after menopause is itassociated with cancer? What is the link between family planning and cancers The proliferation of patent medicine stores and private clinics that render substandard services ina population that is highly ignorant, what measures is the State Government taking to safeguardthe health of her citizenry from unwholesome practices?ResponsesCervical cancer vaccine is given as injection in the arm from 9 to 24 years.No food is associated with these cancersThere is no association between abortion and these cancers.There is no relationship between milk discharge in elderly women and occurrence of breastcancerPap smear was introduced in 1958 and has been in use for a long time. It is very accurate andstandardized.The cervical cancer can be sourced from Gavi based in Geneva. Also it could be procured fromGlasgow Smithline.There is a directorate of Pharmaceutical services which handles the monitoring of the chemiststores and clinics.9
Page 1 and 2: Reportof theWorkshop</stron
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Page 6 and 7: Poverty Girl child education UNFPA
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Page 16 and 17: Agenda of the workshopDAY ONE09.00
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Workshop on the reduction of maternal mortality in ... - UNFPA Nigeria

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