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  1. 1

    Report of the Global Action against Female Genital Mutilation Project Second Annual Inter-Agency Working Group Meeting. Held at: AVSC International, New York, November 6 and 7, 1995.

    Research, Action and Information Network for Bodily Integrity of Women [RAINBO]; Columbia University. Center for Population and Family Health [CPFH]

    [Unpublished] 1995. [2], 19, [23] p.

    In November 1995, the Inter-Agency Working Group on Female Genital Mutilation (FGM) Meeting provided a forum for international agencies to share information on relevant policies and programs and technical knowledge in research, intervention, and evaluation and to develop ethical approaches and strategies for FGM activities. Following a summary of the welcoming remarks, the report of the meeting reviews global FGM activities in 1994. For example, Ghana outlawed FGM. Meeting participants heard an update on FGM-related presentations and/or discussions at the Beijing Conference. Next on the agenda was an overview of the current and future programs of the meeting's host, the Research, Action and Information Network for Bodily Integrity of Women (RAINBO). It revolved around grants and technical capacity building, communications and information dissemination, and the immigrant outreach project. In-country FGM-related activities in Egypt and Ethiopia were discussed next. International activities' updates were provided by UN and bilateral organizations (UNICEF, WHO, USAID, UNFPA, Overseas Development Agency, Swedish International Development Cooperation Agency) as well as technical agencies, private foundations, research institutions (Japan's Network for Women and Health, the Wallace Global Fund, Harvard University, Family Health International), Program for Appropriate Technologies in Health, and the Ford Foundation. A presentation by the president of the National Committee Against the Practice of Excision in Burkina Faso focused on FGM activities in Burkina Faso and addressed the plans for a West African operational research network to coordinate research activities and help integrate programs of intervention. The West Africa focus continued with a presentation on proposed projects in Mali and Ghana. New and innovative projects highlighted next included a video project in Burkina Faso and Human Rights Community Training Projects in Kenya. The meeting concluded with a discussion of strategies for the future.
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  2. 2

    Drugs in the management of acute diarrhoea in infants and young children.

    World Health Organization [WHO]. Diarrhoeal Diseases Control Programme

    [Unpublished] 1986. 6 p. (WHO/CDD/CMT/86.1)

    This article presents an overview of current therapeutic practice as recommended by the World Health Organization (WHO) Diarrheal Disease Control Program. The recommendations apply solely to acute diarrheal disease in infants and children. Therapy for such cases is primarily concerned with the prevention or correction of dehydration, the maintenance of nutrition, and the treatment of dysentery. The various approaches to treatment considered are: 1) oral rehydration, which is highly effective for combating dehydration and its serious consequences, but does not diminish the amount or duration of diarrhea; 2) antimotility drugs, none of which are recommended for use in infants and children because the benefits are modest and they may cause serious side effects, such as nausea and vomiting; 3) antisecretory drugs, only a few of which have been properly studied in clinical trials, virtually all of which have important side effects, a low therapeutic index, and/or only modest efficacy. Consequently, none can at present be recommended for the treatment of acute infectious diarrhea in infants and children. 4) aciduric bacteria, on which conclusive evidence is still lacking; 5) adsorbents: kaolin and charcoal have been proposed as antidiarrheal agents in view of their ability to bind and inactivate bacterial toxins, but the results of clinical studies have been disappointing. 6) improved Oral Rehydration Salts (ORS): this may turn out to be the most effective and safest antidiarrheal drug. 7) antibiotics and antiparasitic drugs for a few infectious diarrheas (e.g., cholera). Antibiotics can significantly diminish the severity and duration of diarrhea and shorten the duration of excretion of the pathogen. No antibiotic or chemotherapeutic agent has proven value fort the routine treatment of acute diarrhea; their use is inappropriate and possibly dangerous. It is concluded that oral that oral rehydration is the only cost-effective method of treating diarrhea among infants and children.The Inter-African Committee's (IAC) work against harmful traditional practices is mainly directed against female circumcision. Progress towards this aim is achieved mostly through the efforts of th non governmental organizations (NGO) Working Group on Traditional Practices Affecting the Health of Women and Children and the IAC. In 1984 the NGO Working Group organized a seminar in Dakar on such harmful traditional practices in Africa. The IAC was created to follow up the implementation of the recommendations of the Dakar seminar. The IAC has endeavored to strengthen local activities by creating national committees in Benin, Djibouti, Egypt, Ethiopia, Gambia, Ghana, Kenya, Liberia, Mali, Nigeria, Senegal, Sierra Leone, Somalia, Sudan and Togo. IAC activities in each country are briefly described In addition, the IAC has created an anatomical model, flannelgraphs, and slides to provide adequate educational material for the training of medical staff in teaching hospitals and to make village women aware of the harmful effects of female circumcision. The IAC held 2 African workshops at the Nairobi UN Decade for Women Conference. The African participants recognized the need for international solidarity to fight female circumcision and showed a far more definite and positive difference in their attitude towards the harmful practice than was demonstrated at the Copenhagen Conference/ Forum of 1980. At the United Nations level, female circumcision is receiving serious consideration. A special Working Group has been set up to examine the phenomenon. Finally, this article includes a statement by a sheikh from the Al Azhar University in Cairo about Islam's attitude to female circumcision.
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  3. 3

    The Hosken Report: genital and sexual mutilation of females. 3rd rev. ed.

    Hosken FP

    Lexington, Massachusetts, Women's International Network News, 1982 Nov. 338 p.

    This report documents the existence and prevalence in Africa and in other regions of the world of the cultural practice of female circumcision and genital mutilation (FC/GM). This serious problem is examined so that it can be abolished. Until recently the problem was hidden from the public, and most health, government and international agency officials denied that the practices were widespread. In 1979 at a World Health Organization (WHO) seminar on traditional health practices, the problem received international attention. Recommendations made by the seminar participants urged nations to adopt policies to abolish FC/GM, to establish commissions to coordinate activities aimed at abolishing the practices, and to intensify efforts to educate the public and health professionals about the problem. In 1984 it was estimated that 79.97 million women in Africa had FC/GM operations performed at some time during their life. The proportion of women who have had FC/GM operations was almost 100% in Somalia, 90% in Ethiopia, 80% in Sudan, Mali, and Sierra Leone, and 60% in Kenya, Ivory Coast, and Gambia. Information is provided on 1) the extent of the practices, 2) the health problems associated with FC/GM, 3) the 1979 WHO seminar, 4) the history of FC/GM, and 5) the cultural beliefs supporting the practices. Case histories provide detailed information on the practices in 11 African countries, 4 countries on the Arab Pennisula, and 2 Asian countries, including Sudan, Somalia, Egypt, Ethiopia, Kenya, Nigeria, Mali, Upper Volta, Senegal, Ivory Coast, Sierra Leone, People's Democratic Republic of Yemen, Oman, United Arab Emirates, Bahrain, Indonesia, and Malaysia. The existence of FC/GM practices in many other countries, including Western nations, is also documented. These practices are also discussed in reference to the depressed status of women in many African countries, and the role of women in these countries is examined in regard to legal matters, education, employment, agriculture, family planning, development, and urbanization. Political factors hindering the abolition of the practices and the hesitancy of international agencies such as WHO, US Agency for International Development, and the UN Children's Fund, to deal with the problem are discussed. There is some evidence that FC/GM operations are being conducted in hospitals in a number of African countries, and efforts must be made to prohibit the introduction of these practices into the modern health care system. Suggestions are provided for action and education programs aimed at abolishing FC/GM practices. An annotated bibliograpy, containing 78 references, is also provided.
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