{"id":1162,"date":"2016-08-22T08:00:41","date_gmt":"2016-08-22T08:00:41","guid":{"rendered":"https:\/\/blogs.bmj.com\/case-reports\/?p=1162"},"modified":"2016-08-22T09:50:07","modified_gmt":"2016-08-22T09:50:07","slug":"gender-equality-and-healthcare","status":"publish","type":"post","link":"https:\/\/blogs.bmj.com\/case-reports\/2016\/08\/22\/gender-equality-and-healthcare\/","title":{"rendered":"Empowering women; Gender Equality and Healthcare"},"content":{"rendered":"

By Catrin Morgan<\/strong><\/p>\n

\u2018There is no tool for development more effective than the empowerment of women\u2019 \u2013 Kofi Annan<\/strong><\/p>\n

The leading cause of death worldwide for a young woman is HIV. (1) The literature shows that teenage girls and young women are twice as likely to be at risk of HIV infection than teenage boys and young men.\u00a0 In some countries the prevalence of HIV in adolescent girls is up to seven times greater than that of adolescent boys. (2)<\/p>\n

The utilisation of healthcare services is also important when it comes to gender inequality. Studies have shown that gender inequality can affect the use of maternal health care services especially in rural areas. Women who live in areas of rural Africa, where gender norms include tolerance to violence against women are less likely to attend antenatal care and use birthing facilities. (3)<\/p>\n

In context <\/strong><\/p>\n

The case report \u2018Pregnancy complicated by haemorrhagic ascites in a woman with newly diagnosed HIV<\/a>\u2019 tells the story of a Zambian woman of low socioeconomic status and the healthcare inequalities she faced. (4) This pregnant 24-year-old presented to Lusaka, Zambia\u2019s capital having traveled on the public bus for over eight hours from a rural region of Zambia.\u00a0 She was 15 weeks pregnant and presented with a gross ascites that she had noticed for over a month.\u00a0 This was her third pregnancy and she had received no antenatal care. On routine testing she was found to be HIV positive and was unaware of this diagnosis.\u00a0 This woman was unemployed, illiterate and could only speak her local dialect.\u00a0 She then went on to have surgery where a giant haemangioma measuring 21cm was excised.<\/p>\n

This woman\u2019s story demonstrates the barriers to healthcare millions of women in developing countries face every day.\u00a0 The combination of gender discrimination, lack of education and low socioeconomic status results in these women presenting at a later stage of illness, less likely to access routine healthcare and at a greater risk of contracting HIV infection.<\/p>\n

\"F5.large\"<\/p>\n

Figure 1: An image showing the excised specimen taken from: Morgan C, Nicholls K, Gangat N, et al. Pregnancy complicated by haemorrhagic ascites in a woman with newly diagnosed HIV. BMJ Case Rep. 2016 Jul 29;2016:10.1136\/bcr,2016-216346.<\/p>\n

What can be done? <\/strong><\/p>\n

With the emergence of many powerful female leaders over the past few years, now is the time to empower young women and girls across the world and to put a stop to gender inequality, that our patient faced in this case report. This could have a huge impact on healthcare across the world with the reduction of infections such as HIV and ultimately putting an end to AIDS epidemic across Africa.\u00a0<\/strong><\/p>\n

References <\/strong><\/p>\n

    \n
  1. World Health Organisation. Women’s Health [Internet].<\/li>\n
  2. Ramjee G, Daniels B. Women and HIV in sub-saharan africa. AIDS Res Ther [Internet]. 2013 Dec 13;10(1):30,6405-10-30.<\/li>\n
  3. Adjiwanou V, LeGrand T. Gender inequality and the use of maternal healthcare services in rural sub-saharan africa. Health Place [Internet]. 2014 Sep;29:67-78.<\/li>\n
  4. Morgan C, Nicholls K, Gangat N, Sansome S. Pregnancy complicated by haemorrhagic ascites in a woman with newly diagnosed HIV. BMJ Case Rep [Internet]. 2016 Jul 29;2016:10.1136\/bcr,2016-216346.<\/li>\n<\/ol>\n

    <\/p>\n","protected":false},"excerpt":{"rendered":"

    By Catrin Morgan \u2018There is no tool for development more effective than the empowerment of women\u2019 \u2013 Kofi Annan The leading cause of death worldwide for a young woman is HIV. (1) The literature shows that teenage girls and young women are twice as likely to be at risk of HIV infection than teenage boys […]<\/p>\n

    Read More…<\/a><\/p>\n","protected":false},"author":290,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[263],"tags":[],"class_list":["post-1162","post","type-post","status-publish","format-standard","hentry","category-global-health"],"yoast_head":"\nEmpowering women; Gender Equality and Healthcare - BMJ Case Reports blog<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/blogs.bmj.com\/case-reports\/2016\/08\/22\/gender-equality-and-healthcare\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Empowering women; Gender Equality and Healthcare - BMJ Case Reports blog\" \/>\n<meta property=\"og:description\" content=\"By Catrin Morgan \u2018There is no tool for development more effective than the empowerment of women\u2019 \u2013 Kofi Annan The leading cause of death worldwide for a young woman is HIV. 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