Dr. James Nyikal

All parliamentary appearances

Entries 1241 to 1250 of 3161.

• 22 Aug 2018 in National Assembly: Thank you, Hon. Temporary Deputy Speaker, for giving me this opportunity to talk about the serious problem of vesico-vaginal fistula. This is a serious problem that arises from difficult and prolonged labour, which causes damage to the bladder and to the vagina, therefore causing a direct connection between the urinary bladder and The electronic version of the Official Hansard Report is for information purposes only. Acertified version of this Report can be obtained from the Hansard Editor. view
• 22 Aug 2018 in National Assembly: the vagina. Therefore, urine, henceforth, moves directly from the bladder into the vagina and out without any control. Affected women continuously leak urine and they cannot control it. If it happens backwards, the same happens with the rectum and so; once again, faeces pass out in the same way through the vagina. Because of that, women suffer terrible social problems. They are wet all the time. They try to dress appropriately, but the urine continues to leak and they have a terrible smell. Because of that, they get frequent infections. view
• 22 Aug 2018 in National Assembly: That aside, the social stigma associated with it leads to many married women to be divorced. Often nobody says why. Even the women themselves hide this. Therefore, the social suffering may even be greater than the physical suffering. It is a big problem. Four out of 1,000 women who deliver get into this problem basically because they had difficult labour and took a long time to deliver, therefore, damaging the structures in the birth canal. That is what happens. It is directly as a result of poor healthcare, particularly obstetrics care. In a few cases, it may be damage due ... view
• 22 Aug 2018 in National Assembly: I support that we should have a programme that deals with it. We need data and there is a process to get it, so that all women that are affected are in a programme and can be taken care of. More importantly, this is a preventable condition. If we have proper obstetrics care, attending ante-natal clinics, delivering in situations where caesarean section can be done, this should not happen. I assure you that if we can go into universal healthcare, where every woman can deliver in a hospital, and where caesarean section can be done - and it can be ... view
• 22 Aug 2018 in National Assembly: So, as much as we put a lot of emphasis in starting a programme of training surgeons, the most important way to address this would be to improve our ante-natal and obstetrics care so that no woman gets it. Programmes such as Linda Mama will go a long way in eliminating this problem. I do not think we should have a big programme to its treatment. We need a programme of eliminating it. If every woman delivers in a hospital and gets appropriate care, fistula will be a thing of the past. That is where we should be. We should ... view
• 22 Aug 2018 in National Assembly: Hon. Temporary Deputy Speaker, I am almost done. view
• 22 Aug 2018 in National Assembly: In summary, our mobilisation of communities, support of health services, the availability of care and implementation of universal health coverage, particularly focusing on deliveries, will actually eliminate fistula. In the meantime, there are a large number of women with the problem. What we need is comprehensive data. We need to put up a two-pronged programme to take care of the women already affected, and to make sure that no other women gets the problem. view
• 22 Aug 2018 in National Assembly: Hon. Temporary Deputy Speaker, I take cue from the Mover and from you. This is a matter we should look into in the Departmental Committee on Health and support the programmes that are already in existence. The public should be made to know that the woman affected has not done any wrong, and that the stigma should be removed. Many do not even say The electronic version of the Official Hansard Report is for information purposes only. Acertified version of this Report can be obtained from the Hansard Editor. view
• 22 Aug 2018 in National Assembly: that they are sick. They are people who need empathy, sympathy and care. We will then be able to deal with the fistula issue. view
• 22 Aug 2018 in National Assembly: Thank you. view