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2 July 2014 Felicia Stewart Center at UCSF ANSIRH Oakland, California, USA. Women’s Health in Women’s Hands: The Promise of MPTs. Special Guests: Manjula Lusti-Narasimhan (WHO) Ina Park (CDPH) Bethany Young Holt (CAMI/IMPT). Multipurpose Prevention Technologies. - PowerPoint PPT Presentation
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Special Guests:Manjula Lusti-Narasimhan (WHO)
Ina Park (CDPH)Bethany Young Holt (CAMI/IMPT)
Women’s Health in Women’s Hands:The Promise of MPTs
2 July 2014 Felicia Stewart Center at UCSF ANSIRH Oakland, California, USA
Women’s Health in Women’s Hands: The Promise of MPTs2 July 2014 – Oakland, California
Multipurpose Prevention TechnologiesMPTs prevent a combination of unintended pregnancy, STIs, HIV/AIDS
Should be safe & easily available
Are designed with key input from women for their specific needs & preferences
Women’s Health in Women’s Hands: The Promise of MPTs2 July 2014 – Oakland, California
Women’s Health in Women’s Hands: The Promise of MPTs2 July 2014 – Oakland, California
What’s in the pipeline? Small Organic
Molecules Broad Spectrum
Natural Products Proteins/Peptides Non-Hormonal
Contraceptives
Women’s Health in Women’s Hands: The Promise of MPTs2 July 2014 – Oakland, California
WHO Global Reproductive Health Strategy
Promote and strengthen SRH services through:
improving antenatal, delivery, postpartum and newborn care;
providing family planning, including infertility services;
eliminating unsafe abortion; combating STIs, including HIV,
RTIs, cervical cancer and other gynaecological morbidities;
promoting sexual health.
Women’s Health in Women’s Hands: The Promise of MPTs2 July 2014 – Oakland, California
Global Need 222 million women have an unmet
need for modern contraception. Each day, close to 800 women in
developing countries die from complications related to pregnancy and childbirth.
Each year 1.7 million people die from AIDS related causes and 2.5 million become newly infected with HIV.
1 million people contract a sexually transmitted infection every day.
Women’s Health in Women’s Hands: The Promise of MPTs2 July 2014 – Oakland, California
WHO/RHR/HRP Core Functions Identifying gaps and priorities and shaping the global SRH research
agenda Providing leadership on matters critical to improving SRH through
knowledge generation, synthesis and management Supporting national research, technical capacity strengthening and
engaging in relevant partnerships Articulating ethical and evidence-based options for policy
formulation and programme development to improve SRH, in collaboration with regional and country offices
Monitoring and evaluation of SRH situations and trends, advocacy, catalysing change and supporting intervention delivery
Developing of WHO guidelines: clinical standards, norms and related policy and technical guidance documents
Developing pre-qualification of products
Women’s Health in Women’s Hands: The Promise of MPTs2 July 2014 – Oakland, California
Case Study: Kajiata• Age 33, married• Lives in region with high rates
of HIV and HSV-1• Already has 6 children• Currently gets the Depo
injection• Husband spends a significant
amount of time out of the village and she accepts he is unfaithful
• Husband will not wear a condom
Women’s Health in Women’s Hands: The Promise of MPTs2 July 2014 – Oakland, California
Case Study: Angie• Age 19• Lives in region of the US with
high incidence of chlamydia• Currently using long acting
reversible contraception • No longer in a committed
relationship• Doesn’t always use a condom
Women’s Health in Women’s Hands: The Promise of MPTs2 July 2014 – Oakland, California
Consequences of STIs STIs enhance the biological risk for HIV infection
and transmission and can impact how the disease progresses.
Long-term health consequences of STIs include: Cervical cancer Pelvic inflammatory disease Infertility Tubal or ectopic pregnancy
Infants born to infected mothers can suffer from perinatal or congenital infections.
Women’s Health in Women’s Hands: The Promise of MPTs2 July 2014 – Oakland, California
In the United States Nearly half of all
pregnancies among American women are unintended.
STIs are the most commonly reported communicable diseases in the US.
There are18.9 million new cases of STIs each year in the US, half of them among 15-24 year olds.
Source: Guttmacher Institute
Women’s Health in Women’s Hands: The Promise of MPTs2 July 2014 – Oakland, California
Chlamydia, Gonorrhea, and Primary & Secondary SyphilisCalifornia Rates, 1990–2012
0
100
200
300
400
500
1990 '92 '94 '96 '98 2000 '02 '04 '06 '08 2010 '12
Year
Rat
e pe
r 100
,000
pop
ulat
ion
Chlamydia
Gonorrhea
P&S Syphilis 7.8(N=2,936)
89.3(N=33,780)
448.9(N=169,797)
>206,000 cases of bacterial STIs reported in California
Selected STIs in California
Women’s Health in Women’s Hands: The Promise of MPTs2 July 2014 – Oakland, California
Mistimed or Unwanted PregnancyMIHA 2011
Nearly 1/3 of pregnancies in CA are unplanned
Women’s Health in Women’s Hands: The Promise of MPTs2 July 2014 – Oakland, California
Chlamydia Among Females, 2012 Ages 15-24, By County
Women’s Health in Women’s Hands: The Promise of MPTs2 July 2014 – Oakland, California
Chlamydia among females (2012) vs Unplanned Pregnancy (2011)
1) LA County2) Southeastern
CA3) San Joaquin
Valley
Women’s Health in Women’s Hands: The Promise of MPTs2 July 2014 – Oakland, California
Genital Herpes—Initial Visits to Physicians’ Offices, 1966–2012
NOTE: The relative standard errors for genital herpes estimates of more than 100,000 range from 18% to 30%. SOURCE: IMS Health, Integrated Promotional Services ™. IMS Health Report, 1966–2012.
2012-Fig 48. SR, Pg 45
Women’s Health in Women’s Hands: The Promise of MPTs2 July 2014 – Oakland, California
STIs in WomenWomen are disproportionately affected by genital herpes
1 in 9 men1 in 5 women
Source: CDC MMWR April 23, 2010 / 59(15);456-459
Women’s Health in Women’s Hands: The Promise of MPTs2 July 2014 – Oakland, California
What you can do?SHARE
Spread the news about life saving MPTs with your colleagues and networks. Visit our website to access factsheets, PowerPoint presentations, MPT meeting reports and other resources.
COLLABORATEJoin the IMPT and help move the research, policy, funding and education efforts forward to save lives – learn more on our website.
CONTRIBUTEYour financial and in-kind support can accelerate MPT education, research and introduction.
Visit www.cami-health.org or www.MPTs101.org to learn more!
Women’s Health in Women’s Hands: The Promise of MPTs2 July 2014 – Oakland, California
Collaboration, advocacy & research to advance MPTs
Women’s Health in Women’s Hands: The Promise of MPTs2 July 2014 – Oakland, California
Collective Impact Approach
Women’s Health in Women’s Hands: The Promise of MPTs2 July 2014 – Oakland, California
Questions?
Women’s Health in Women’s Hands: The Promise of MPTs2 July 2014 – Oakland, California
Acknowledgements Bill & Melinda Gates Foundation Mary Wohlford Foundation USAID World Health Organization The generous support from individual
donors like you!
Women’s Health in Women’s Hands: The Promise of MPTs2 July 2014 – Oakland, California
Support for this project is made possible by the generous support of the American people through the United States Agency for International Development (USAID)
under the terms of the HealthTech Cooperative Agreement #AID-OAA-A-11-00051, managed by PATH. The contents are the responsibility of CAMI/PHI and its partners
and do not necessarily reflect the views of USAID or the US Government.
Thank You!