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Big Five Women’s health Issues in South Africa “to strike a women , is to strike a rock” Single biggest factor ensuring change is continual pressure of a group of determined and motivated people the time has come for women to push for improvements in women’s health care. High maternal death rates, abuse of women and children, late presentation of breast and cervical caner, History In Europe and the USA, organizations such as EUROPA DONNA, have lobbied for change and for women to not accept treatment in non specialized units I am Lion, hear me ! Violence against women and children THE STATISTICS In South Africa 25% of Women are assaulted on a weekly bases 20% of Women are abused by their partner The average age of girls who are sexually abused was found to be as young as 11 years old I am leopard, know me by my spots Cervical cancer should not be difficult to spot, vaccinate and look close for early change What can be done? HPV Vaccines and regular pap smears Biggest cancer killer of women in Africa in conjunction with HIV Potentially preventable via the Vaccine Treatment is a huge burden both in a socio and economic sense I am Buffalo, I have a mean and hungry look Breast cancer should not be seen when big and ugly but spotted from afar when hiding BREAST CANCER Most common cancer in women in South Africa Increasing in incidence Awareness especially in African women in rural areas is very low Between 60 and 80 percent patients seen in clinics have locally advanced disease I am Elephant, I never forget HIV awareness, and living for a long time with a diagnosis …should be our goal What’s the fuss? I am Rhino, please save me Maternal Health and neonatal care, lets not lose our future Look after the Future Riskiest time of a women's life is during pregnancy and post-partum. THE BIG 5 OF MATERNAL MORTALITY Hypertensive complications Pregnancy related Sepsis Non pregnancy related Sepsis (HIV or TB) Hemorrhaging Underlying medical conditions (primarily cardiac) There is a role for many players in women's health however coordinated game playing and inspiring others to join the cause is as important as managing the problems