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COVID-19: How We’re Responding

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Also, mark your calendars for March 8, 2021! We are hosting a virtual event on #InternationalWomensDay entitled, “Towards a Fistula-Free Future: 15 Years of Breakthroughs and Program Impact.” Register today: http://bit.ly/FCPlus-Webinar

Thanks everyone! The FC+ website is a great place to start for more information and resources on fistula prevention and treatment, including research results, project reports, and stories from providers and clients. http://bit.ly/fistularesources https://twitter.com/EngenderHealth/status/1364608432880443393

Obstetric fistula is a beacon of inequality, as it occurs where women are already living with limited resources and access to healthcare. Additionally, once fistula occurs, women often face significant stigma and isolation which can impact their social and economic wellbeing. https://twitter.com/EngenderHealth/status/1364605591528886273

We also must strengthen the healthcare workforce, particularly by supporting high-quality surgical training to ensure women receive quality c-sections when needed–a focus of the new @USAID_MOMENTUM Safe Surgery in Family Planning & Obstetrics project led by @EngenderHealth.

Great question! To truly #EndFistula, we must prevent new cases while treating existing ones. Some keys to fistula prevention are girls’ education, addressing poverty, delaying marriage age, access to sexual & repro healthcare, and timely & high-quality emergency obstetric care. https://twitter.com/EngenderHealth/status/1364605397756182530

Yes. Depending on severity, there are surgical & non-surgical treatment options. The Fistula Care Plus (FC+) project works to strengthen the entire continuum of care–from prevention to fistula diagnosis, safe surgical repair, rehabilitation, & reintegration back to her community. https://twitter.com/EngenderHealth/status/1364605303858282499

Obstetric fistula is a maternal injury that can occur from prolonged/obstructed labor where a woman is left with a hole in the birth canal that leaks urine and/or feces. An estimated 2 million women live with this devastating condition–almost all in low & middle-income countries. https://twitter.com/EngenderHealth/status/1364598320333791237

Starting now! Tune in to for an interactive session on obstetric fistula with the @USAID @fistulacare Plus project.

"Everyone, equally, has a human right to health. However, our health systems, communities, and nations do not support people's health equally or equitably."

Read the full text from @EngenderHealth & @POuagaPF on diversity and solidarity in global health: https://bit.ly/3uvFsCO

Prioritize inclusion of people who suffer the most from inequities in health and health-care for designing solutions to address their needs. Commentary with @EngenderHealth team who talk about #power & #DiversityandInclusion in global health @TraciLBaird https://www.thelancet.com/journals/langlo/article/PIIS2214-109X(21)00029-2/fulltext#%20

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April 23, 2020

Top Six Steps for Ensuring Quality SRH Service during COVID-19

DoctorEngenderHealth published Guidance for Ensuring Quality Sexual and Reproductive Health (SRH) Service Provision during the COVID-19 Pandemic, offering different sets of recommendations specifically designed for health facilities and facility managers and for providers, to ensure they can “continue to lead SRHR programming around the world amid the pandemic.” The guidance also provides recommendations tailored for clients. EngenderHealth clinical and program teams will use this guidance in working with partners to ensure SRH services continue to meet the needs of the community even as the pandemic forces shifts in how service providers interact with clients.

Some of the top recommendations include:

For Facilities and Facility Managers

  • Establish procedures (including isolation and quarantine) for staff who may be exposed to and/or experiencing COVID-19 symptoms.
  • Provide soap and water or hand sanitizer stations at the facility entrance for all who enter.
  • Set up chairs or mark seats and standing areas to allow clients to maintain a distance of at least two meters (six feet) between one another. Use masking tape to mark these distances, as appropriate. Determine and clearly mark areas where overflow clients can wait to ensure recommended distancing.

For Providers

  • Providers should consider prioritizing use of medical abortion (MA) to reduce client time in facilities (in support of social distancing); to reduce procedures to preserve PPE; and to reduce reliance on surgical equipment (e.g., manual vacuum aspiration equipment), where possible.
  • Providers should also emphasize the benefits of long-acting reversible contraception specifically in the context of the pandemic, where access to contraceptive supplies may be limited (e.g., due to commodity supply reductions related to manufacturing and transport challenges and travel restrictions that may prevent clients from accessing resupply of short-acting methods).
  • Recognizing that the availability of contraceptive commodities may be diminished and the available method mix therefore reduced—due to commodity manufacturing reductions and transport restrictions—providers should be prepared to modify family planning counseling services to reorient clients to alternate methods (i.e., those different from a client’s current method). For example, providers may need to increase counseling services in fertility awareness methods (such as the standard days method) and emergency contraception. Note, this may require undergoing refresher trainings in these methods.

The complete Guidance for Ensuring Quality Sexual and Reproductive Health (SRH) Service Provision during the COVID-19 Pandemic is available here as a PDF download.

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