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Bird Rock, St Kitts, St Kitts and Nevis, West Indies

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Category: Women’s Health

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Menstrual HealthWomen's Health

Expanding Menstrual Health Education in Nevis: Train-the-Trainer Session

Following the successful launch of Phase 2 of our Menstrual Health Education Project in Nevis, we were thrilled to take the next step by hosting a train-the-trainer session in collaboration with the Department of Gender Affairs and WASH United.

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Menstrual HealthWomen's Health

Advancing Menstrual Health Education in Nevis: Phase 2 Launch

Tuesday was a truly special day as we joined the Nevis Department of Gender Affairs to officially launch Phase 2 of the Nevis component of our Menstrual Health Education Project.

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BlogWomen's Health

Menstrual Health Webinar

In honor of Menstrual Hygiene Day, celebrated annually on May 28th, we hosted a webinar on May 21st, 2024, titled “From Stigma to Solutions: Transforming Perspectives on Menstrual Health.” This theme emphasizes the crucial need for collaboration to create an environment where menstruation is fully supported and destigmatized.

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BlogVolunteer BloggersWomen's HealthYou're Sweet Enough

Healthy Drinking Week

The 7-week SKN Moves annual campaign, which started on 1st August 2023, continues with a focus this week on promoting healthy drinking habits.

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EmpowHerVolunteer BloggersWomen's Health

Understanding Fibroids: What Every Woman Should Know

We are delighted to share another article from our guest blogger, Teresa Coburn. Teresa is a registered nurse with 30 years of clinical experience. She is now using her expertise, knowledge and skills to create engaging and socially responsible health content.

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EmpowHerVolunteer BloggersWomen's Health

Understanding Menstruation: A Guide to Your Monthly Cycle

Today, we are delighted to share an article from our guest blogger, Teresa Coburn. Teresa is a registered nurse with 30 years of clinical experience. She is now using her expertise, knowledge and skills to create engaging and socially responsible health content.

If you have ever had a period, you will know how uncomfortable it can be!  Stomach cramps, mood changes and craving sweet foods can be common symptoms.

But what is happening inside our bodies to make us feel this way?

Girls usually start their periods during puberty, typically between the ages of 11 and 17, and they will get periods all their life until they reach menopause around the age of 50. Also called ’Menstruation’, this is the regular vaginal bleeding that happens as part of the monthly Menstrual Cycle.  

The Menstrual Cycle is a complex 4-stage process, driven by several important hormones, that happens every month to prepare the body for pregnancy. If pregnancy doesn’t occur, the period starts and the cycle begins again.

Stages of the Menstrual Cycle

Stage 1. Menstruation (Days 1-6) – This is your period. The lining of the uterus sheds and you lose blood from your vagina. It marks the first day of the cycle and usually lasts for around 5 days. 

    • Hormone activity: Oestrogen and Progesterone levels decline.
    • How you may feel: Low in energy and tired.

Stage 2. Follicular phase (Days 7-11) This is the time between your period coming to an end and before you release an egg (ovulate). During days 7 – 11, an egg starts to mature and the lining of the uterus thickens, ready to receive a fertilised egg and develop into a pregnancy.

    • Hormone activity: Follicle-stimulating hormones (FSH), Oestrogen, and Testosterone levels begin to rise.
    • How you may feel: Energy is beginning to return.

Stage 3. Ovulation (Days 12 – 16) – An egg is released from the ovary. This usually happens in the middle of the cycle around days 12-16. The risk of pregnancy is very high if the woman has sex during this stage.  

  • Hormone activity: Oestrogen and Testosterone peak. Luteinising hormone (LH) is released. 
  • How you may feel: Energetic, confident and motivated.

Stage 4. Luteal phase (Days 17-28)This stage is the 11 days leading up to your next period and completes the Menstrual Cycle. The egg travels to the uterus through the fallopian tubes. If the egg is fertilised it will attach to the lining of the uterus and the woman will become pregnant.  If the egg is not fertilised, the uterus gets ready to shed its lining and the menstrual cycle starts again from the beginning of Stage 1.

  • Hormone activity: Oestrogen, Testosterone, FSH and LH decrease.
  • How you may feel: Energised in the first week, and in the second week PMS symptoms may begin appearing.

Although the menstrual cycle can average 28 days, many women experience differences in the length of their cycle. Anywhere from 21 to 35 days is common. And it can change each month depending on age, and lifestyle factors like stress or diet.

Pre-Menstrual Syndrome

The hormonal changes that occur during the Menstrual Cycle can have a big influence on your moods and emotions. Pre-Menstrual Syndrome (PMS) is a term used for the range of symptoms you can experience in the days before your period (Luteal phase). These can include:

  • Mood swings and irritability.
  • Bloating and fluid retention, which can cause weight gain.
  • Breast tenderness.
  • Stomach cramps.
  • Craving for sugary food or being more hungry than usual.

During this time, it is important to take care of yourself, physically and emotionally. Try to get a good sleep each night. Staying hydrated, eating regular healthy meals and taking gentle exercise can help stabilise your mood and your appetite.

Menstruation

The first few days of your period (menstruation) can be uncomfortable and you may experience:

  • Pain – stomach cramps, back pain, pain that goes down your thighs or into your bottom.
  • Headaches
  • Occasional diarrhoea
  • Heavier bleeding 
  • Nausea

The pain should be mild and easily managed with over-the-counter painkillers such as Paracetamol or Ibuprofen. Gentle exercise, like walking, can also help ease the pain. 

A hot water bottle or heat packs can be soothing for the tummy and the lower back.

Some people find aromatherapy oils to be calming and relaxing. Lavender is a good choice to mix with olive oil and massage over your tummy.

Meditation and deep breathing, or relaxing in a hot bath can also help. But sometimes rest is all you can manage, so curl up with a good book, or a favourite TV show if you get the chance.

When to see a doctor

If any of your symptoms become severe or unmanageable, last longer than a few days, or you develop a fever, please go and see your doctor.  There may be something else going on that needs medical attention. 

Sometimes our menstrual cycle fluctuates and we notice different symptoms. This usually means our body is experiencing changes. If you experience any of the following, please go and see your doctor.  

  • Late periods or missed periods. 
  • Periods coming more than once a month.
  • Very heavy bleeding.
  • Periods lasting longer than usual. 
  • Excessive pain that interferes with daily life. 

Spotting or bleeding between periods or after sexual intercourse. 

Overall Period Health

During your period, it’s important to use menstrual or sanitary products correctly, change them regularly and maintain cleanliness to prevent complications or infections. Always wash your hands thoroughly with soap and water, before and after changing your menstrual products. 

Some options for menstrual products include:

  • Sanitary pads – these attach to the inside of the underwear and absorb menstrual blood externally.
  • Tampons – are inserted into the vaginal canal and absorb menstrual blood internally. 

Both of these options need to be disposed of correctly in a  bin and not flushed down the toilet.

  • Period underwear -is used like normal underwear and has layers of special material to absorb menstrual blood externally.
  • Menstrual cups – a small latex or silicone cup that is inserted into the vaginal canal and rests against the vaginal wall to collect the menstrual blood. It is removed, emptied, rinsed and replaced.
  • Reusable pads – these are cloth, washable pads that are used in the same way as disposable pads.

These are reusable, climate-friendly and cost-effective options. They need to be cleaned thoroughly after each use.

Conclusion

A healthy menstrual cycle is a complex dance of hormones that can be uncomfortable on occasion but is a natural and normal part of being a female. Understanding the process may help alleviate some of the discomfort and confusion you may have during this time. Making sure you are looking after your physical and emotional wellbeing during each stage is essential. Choose the sanitary protection that suits your lifestyle the best, and always maintain clean hygiene practices

And remember, if you experience any unusual symptoms or have any concerns, please contact your doctor.

Sources

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BlogWomen's Health

Our New Menstrual Health Education Project

We are dedicated to promoting the holistic well-being of young individuals, and we believe that comprehensive education about menstrual health is an essential component of their growth and empowerment. That’s why we are thrilled to announce our new Menstrual Health Education Project aimed specifically at boys and girls aged 9 to 13 in St. Kitts and Nevis.

The goal of our project is to provide age-appropriate, inclusive, and engaging menstrual health education sessions to young people, fostering a positive understanding and attitude towards menstruation. We firmly believe that by equipping them with knowledge, we can empower them to embrace their bodies, support their peers, and break down the stigma surrounding menstruation.

One of our key objectives is to raise awareness about what constitutes a normal menstrual experience. By educating young girls about the typical characteristics of a healthy period, we hope to empower them with the ability to recognize any abnormal symptoms. Prompt identification of irregularities such as persistent pain, heavy bleeding, or unusual discomfort can potentially indicate underlying conditions like fibroids or endometriosis. By facilitating early detection, we strive to support young individuals in seeking appropriate medical attention and securing timely diagnoses.

Sessions are thoughtfully designed to address a wide range of topics related to menstrual health, including the biology of menstruation, menstrual hygiene practices, managing menstrual discomfort, and understanding the emotional and social aspects of menstruation. We approach these subjects with sensitivity, ensuring that young participants feel comfortable, respected, and able to ask questions in a safe and non-judgmental environment.

Book A Session Today

We understand the crucial role that schools, churches, and youth groups play in nurturing young minds and creating opportunities for growth. That’s why we extend an open invitation to these organisations to book a session for their young people.

Our passionate and trained menstrual health educators will visit your premises and deliver interactive sessions that align with your specific needs and objectives.

To book a session for your school, church, or youth group, simply reach out to us using the contact details provided on the flyer on your right.

Join us in this collaborative journey towards menstrual health education and make a lasting impact on the lives of young individuals.

Collaboration

This project is being implemented in partnership with WASH United and supported by the Advancement of Children Foundation.

WASH United, is a leading organisation dedicated to menstrual hygiene advocacy, and they bring extensive expertise and experience in promoting menstrual hygiene and breaking down taboos surrounding menstruation. They have provided us with invaluable educational resources which have been adapted for St. Kitts and Nevis, training, and technical support, enabling us to deliver engaging and informative sessions tailored to the needs of our young audience.

This project would not be possible without a generous grant from the Advancement of Children Foundation. The Advancement of Children Foundation (ACF) is a non-profit organisation dedicated to positively impacting the lives of children and youth in our community. Their mission is to create a nurturing environment that fosters learning, growth, and contribution while providing essential community and family support. Committed to eliminating violence and negative coercive forces, ACF strives to create a safe and empowering space for young individuals to thrive. With a focus on education, health, and overall well-being, the Advancement of Children Foundation plays a pivotal role in supporting initiatives that enhance the lives of children and youth in St. Kitts and Nevis. Their belief in the importance of menstrual health education has made it possible for us to reach more young people and create a lasting impact on their well-being.

In Summary....

Together with WASH United and the Advancement of Children Foundation, we are dedicated to empowering young individuals with knowledge, dismantling taboos, and fostering a positive attitude towards menstruation. 

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BlogEmpowHerHealth PolicyWomen's Health

UHC and Gender Equality

Universal Health Coverage (UHC) is a fundamental human right, which means that everyone should have access to essential health services without financial hardship. While some progress has been made in some parts of the world, gender inequality remains a significant barrier to achieving UHC. Women and girls face unique challenges when it comes to accessing healthcare, including discriminatory policies, social and cultural norms, and economic constraints.

In February, the Commonwealth Foundation hosted a Roundtable discussion on Advancing Universal Health Coverage through Gender Equality. The event was attended by health experts and civil society leaders, including our Programme Director, Abi Begho. The event was an opportunity to discuss the importance of gender when introducing universal healthcare and to explore ways to make health systems more equitable and inclusive.

During the discussion, panellists shared insights on why gender-sensitive health policies matter, what policies make health systems more equitable and inclusive, and how to build adequate and resilient health systems that are efficient, accessible, and equitable. Civil society leaders working directly with communities on health access for women and girls also shared their experiences and provided valuable input.

One of the key takeaways from the Roundtable discussion was the need for gender-sensitive policies that address the specific health needs of women and girls. This includes policies that address reproductive health and maternal health, as well as policies that address the unique health needs of women at different stages of their lives, such as menopause and post-menopause.

Another key takeaway was the importance of building adequate and resilient health systems that are efficient, accessible, and equitable. This includes investing in health infrastructure, training and supporting health workers, and ensuring that essential medicines and supplies are available and affordable.

The discussion also highlighted the importance of involving civil society in the policymaking process to ensure that the needs and perspectives of women and girls are taken into account. Civil society organizations play a critical role in advocating for gender-sensitive policies and holding governments accountable for their commitments to UHC.

At the end of the discussion, participants had the opportunity to develop key policy asks that will go to Health Ministers and policymakers within and beyond the Commonwealth. This was an important step in ensuring that the voices of civil society are heard and that policies are developed with the needs of women and girls in mind.

In conclusion, the Commonwealth Foundation’s Roundtable discussion on Advancing Universal Health Coverage through Gender Equality was an important event that highlighted the need for gender-sensitive policies and equitable health systems. It was an honour to contribute to this conversation and to work alongside other health experts and civil society leaders to promote UHC for all. By working together and advocating for gender-sensitive policies, we can create a world where everyone has access to essential health services and can live healthy, fulfilling lives.

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BlogEmpowHerHealth PolicyNon-Communicable Diseases (NCDs)Women's Health

The Need for Gender-Sensitive Health Policies

International Women’s Day is a time to celebrate the achievements of women and acknowledge the work that still needs to be done to promote gender equality. One area where gender disparities persist is in women’s health, particularly when it comes to non-communicable diseases (NCDs).

NCDs are responsible for more than two-thirds of all deaths worldwide, and in St Kitts and Nevis, they account for over 80% of deaths and illnesses. Women in the Federation are disproportionately affected by some NCDs, such as diabetes and cancer, and are also at risk of developing chronic reproductive illnesses such as fibroids, endometriosis and PCOS.

Women’s exposure to stress, which is often linked to the many roles they fill in society, can increase their risk of developing an NCD. Cultural barriers, gender stereotypes, and discrimination can also contribute to poor health outcomes for women.

To address these disparities, gender-sensitive health policies are necessary. These policies must be informed by research and take into account the unique needs and experiences of women. They should also focus on reducing disparities in health outcomes between different groups of women, such as those based on age and income.

Gender-sensitive health policies must prioritize access to essential health services and address the social and economic factors that contribute to poor health outcomes. This includes ensuring access to maternal and reproductive health services, mental health services, and services for NCDs.

International Women’s Day provides an opportunity to reflect on the progress made towards improving women’s health and renew our commitment to advancing gender equity. It is a reminder that women’s health is a human rights issue, and that everyone has a role to play in promoting gender equality and empowering women to take control of their health.

Let’s work together to create gender-sensitive health policies that are grounded in the principles of equity and inclusion, and prioritize women’s health in our personal and professional lives. By making healthy lifestyle choices, advocating for policies that promote women’s health, and supporting organizations that work towards improving women’s health outcomes, we can create a world where all women have access to the care they need to thrive.

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BlogEmpowHerWomen's Health

The Launch of EmpowHer

We are thrilled to announce the successful launch of our EmpowHer project, which aims to empower women living with non-communicable diseases (NCDs) in St. Kitts and Nevis.

The launch event, which took place on Monday 13th February, was a great success and featured a number of inspiring speakers who shared their insights and expertise on gender and NCDs.

The event started with a beautiful opening prayer by Novelia Rawlins-Nwosu, Coordinator of the Chronic Metabolic Disease Programme at the Ministry of Health. This was followed by an introduction by Abi Begho, Programme Director at Lake Health and Wellbeing, who gave an overview of the project and its goals.

His Excellency Michael Chau-Hong Lin, Resident Ambassador for the Republic of China Taiwan, also delivered a speech, expressing his country’s support for the project and its commitment to improving the lives of women living with NCDs.

The Permanent Secretary of the Ministry of Social Development and Gender Affairs, Ms Azilla Clarke, also spoke at the event. Her remarks highlighted the important role that women play in society and the need to address the specific challenges that women living with NCDs face.

Dr Marissa Carty, NCD Programme Coordinator at the Ministry of Health, delivered an informative and inspiring talk on NCDs and women in St. Kitts and Nevis. Terysia Herbert-Browne, Project Officer at Lake Health and Wellbeing, also gave a detailed presentation on the EmpowHer project, its objectives, and its expected outcomes.

The event was brought to a close by Andrew Tseng Kuo, Project Manager for the Women’s Employment, Entrepreneurship and Financial Inclusion Project  (WEEFIP) project, who emphasized the important role that the project will play in empowering women and supporting them in their efforts to overcome the challenges they face.

We are excited about this project and its potential to make a real difference in the lives of women living with NCDs in St. Kitts and Nevis. We believe that by focusing on women who are living with these conditions, we can help to improve their quality of life and promote positive health outcomes.

If you missed the launch event, you can access the full recording on YouTube below.

There is also a short 4-minute summary video of the launch that you can view below.

If you would like to register for the EmpowHer workshops or find out more about the project, please email us at events@lakehealthandwellbeing.com. We would be delighted to hear from you and to share more about this important initiative.