Advocating corporate policy change on women's health and family planning: Lessons from the environmental movement

2017 ◽  
Author(s):  
Matthew McFall ◽  
Carolyn Rodehau ◽  
David Wofford

Subject The impact of the 'gag rule'. Significance US President Donald Trump on January 23 re-instated the 1984 Mexico City Policy, which prevents US family planning funding from going to foreign organisations that give information about abortion, and expanded it to include all US funding assistance. Known as the ‘global gag rule’, the policy is likely to end up restricting funding for women's health services in general. Impacts The inadvertent effects of the gag rule-- eg, unsafe abortions -- could in principle be offset by higher funding for contraceptive services. However, such an increase in funding is unlikely to occur. This is set to reverse gains in maternal mortality globally.


2016 ◽  
Vol 76 (3) ◽  
pp. 476-485 ◽  
Author(s):  
L Andreoli ◽  
G K Bertsias ◽  
N Agmon-Levin ◽  
S Brown ◽  
R Cervera ◽  
...  

ObjectivesDevelop recommendations for women's health issues and family planning in systemic lupus erythematosus (SLE) and/or antiphospholipid syndrome (APS).MethodsSystematic review of evidence followed by modified Delphi method to compile questions, elicit expert opinions and reach consensus.ResultsFamily planning should be discussed as early as possible after diagnosis. Most women can have successful pregnancies and measures can be taken to reduce the risks of adverse maternal or fetal outcomes. Risk stratification includes disease activity, autoantibody profile, previous vascular and pregnancy morbidity, hypertension and the use of drugs (emphasis on benefits from hydroxychloroquine and antiplatelets/anticoagulants). Hormonal contraception and menopause replacement therapy can be used in patients with stable/inactive disease and low risk of thrombosis. Fertility preservation with gonadotropin-releasing hormone analogues should be considered prior to the use of alkylating agents. Assisted reproduction techniques can be safely used in patients with stable/inactive disease; patients with positive antiphospholipid antibodies/APS should receive anticoagulation and/or low-dose aspirin. Assessment of disease activity, renal function and serological markers is important for diagnosing disease flares and monitoring for obstetrical adverse outcomes. Fetal monitoring includes Doppler ultrasonography and fetal biometry, particularly in the third trimester, to screen for placental insufficiency and small for gestational age fetuses. Screening for gynaecological malignancies is similar to the general population, with increased vigilance for cervical premalignant lesions if exposed to immunosuppressive drugs. Human papillomavirus immunisation can be used in women with stable/inactive disease.ConclusionsRecommendations for women's health issues in SLE and/or APS were developed using an evidence-based approach followed by expert consensus.


2017 ◽  

This case study describes how a scorecard ranking, corporate engagement, and consumer activism catalyzed the largest food and beverage companies to change their ways. This case study is part of a broader analysis on key lessons women’s health advocates can learn from the environmental movement on effective strategies for driving changes in corporate policies and practices.


2017 ◽  

This case study describes how companies, nongovernmental organizations, and government leveraged market forces to tackle deforestation in the Amazon. This case study is part of a broader analysis on key lessons women’s health advocates can learn from the environmental movement on effective strategies for driving changes in corporate policies and practices.


Author(s):  
Jayanta Kumar Biswas ◽  
Soumen Das Poddar ◽  
Ganesh Saravagi ◽  
Ajith Nilakantan

OBJECTIVE: During the COVID-19 pandemic, more precisely as a result of restrictions on movement and continuing altered perception of essential health care services, women’s health is disproportionately affected due to reduced access to services as per reports and statements made by different global and national level Government and non-government agencies. We aimed to evaluate the health care impacts related to contraception, family planning, and safe motherhood in an Indian Armed Forces secondary level care hospital during the COVID-19 pandemic. STUDY DESIGN: Immediate health care effect on women’s sexual and reproductive life during pandemic months (April to August of the year 2020) is analyzed through a retrospective observational cohort study in a single Indian Armed Forces secondary level care hospital experience. RESULTS: It has shown more late reported unintended pregnancies requiring surgical intervention, more late-registered antenatal cases and consequently delayed essential evaluations, increased trend in high-risk cases requiring in-patient care (IPD), and reduced access to contraception and family planning services in comparison to those in the previous two years. CONCLUSION: Considering these negative impacts noted in this observation, with the help of policymakers, government, and other non-government agencies, all services should be made available to women including un-interrupted out-patient (OPD) and IPD services in all hospitals, along with continued basic infection prevention and control precautions (IPC) to both clientele and health care workers (HCW). Telemedicine can also play a supplementary role in various aspects of women’s health to avoid upcoming population explosion and for better maternal-child health care.


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