Disruptive Women in Health Care

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Celebrate International Women’s Day with CARE

By | Sunday, February 14th, 2010
Karen Nielsen

On December 2nd, 2009 Disruptive Women in Health Care launched a new series on The Value of Health: Creating Economic Security in the Developing World at the Women in the Arts Museum in Washington DC.

As part of the evening, we talked about the book, HALF THE SKY.  Now they’ve made it a movie.

Let’s help fill the theaters for this very special event!

At HALF THE SKY Live, a one-night-only event inspired by stories from the New York Times best seller “Half the Sky” by Pulitzer Prize-winning journalists Nicholas Kristof and Sheryl WuDunn. The evening will be hosted by Andrea Mitchell and feature musical performances, celebrity commentary and the world premiere of “Woineshet,” a short film by Academy Award®-winner Marisa Tomei and Lisa Leone. You’ll also enjoy appearances from India.Arie, Maria Bello, Diane Birch, Michael Franti, Dr. Helene Gayle, Angelique Kidjo, Nicholas Kristof, Marisa Tomei, Melanne Verveer, Sarah Ferguson, Duchess of York and others.

 Experience HALF THE SKY Live on Thursday, March 4, 2010 at 7:30 p.m. (local time) in select movie theaters across the country.

http://www.ncm.com/Fathom/OriginalPrograms/event/Half_The_Sky.aspx

A Sound She Will Never Forget

By | Tuesday, January 19th, 2010
Karen Nielsen

My mother’s generation lived in fear of diseases we have the privilege to forget.  She graduated from nursing school 60 years ago, in an era when people died each day from diseases that today are physicians have never seen.

Like many from her generation, she is haunted by a sound she will never forget, the sound of an iron lung pushing life into patients crippled from polio who could not breathe on their own. It was a time when polio could not be prevented and the fear of paralysis and death haunted the country.

On April 12, 1955, church bells rang out, kids were let out of school, people danced in the streets. It was great news: Salk’s polio vaccine worked! Fifty years later, as my mother strolled through the National Museum of American History’s polio exhibit, she shared with me the stories of patients as we gazed together at artifacts from those harrowing days.

I was raised understanding the value of prevention and the gift of immunization. In the 70’s, you would find flu vaccine in our kitchen refrigerator, safely stored until the family lined-up for our fall ritual. Dad was always first, reminding the rest of us that needles were nothing to fear. It was a house with limited resources, yet there was always money for immunization. My mother never wanted to see her children suffer the fate she witnessed every day in the pediatric ward of her hospital.

I was reminded once again of these memories as I read the news of the H1N1 vaccine surplus. The good news is that we have enough; the scientists and companies did their part and now it’s our turn. The latest estimate from the Centers for Disease Control and Prevention is that 1 in 5 Americans are vaccinated against swine flu. We can do better than this. Immunization clinics are in abundance and the vaccine is available through pharmacies and in many grocery stores. In many cases, it’s literally just around the corner. Whether near or far, it’s worth the effort to find a clinic and get immunized.

I am lucky. I was raised in a home that understood prevention starts with each one of us. That prevention is a decision that must be prioritized against competing interests. Yes, my immunization card is up to date and I am grateful. Many are not as fortunate. But I have a nurse to thank for this, a nurse who witnessed the tide of history change in her lifetime and ensured her children were protected. This nurse, my mother, still hears in her mind the sounds of an era long forgotten, an era whose lessons are still relevant today. We will always face the challenge of communicable disease and if we are lucky, scientists will discover new vaccines. In the mean time, we should value the ones we have, knowing that prevention is gift not to be taken for granted.

Women’s Empowerment: a Call to Action

By | Thursday, December 3rd, 2009
Karen Nielsen

The following post by Karen Nielsen, President of Nielsen & Associates, LLC, is part of Disruptive Women’s “The Value of Health: Creating Economic Security in the Developing World” series.

Karen Nielsen has worked in the health care field for over 20 years, predominately focused on collaborative efforts between private and public organizations. Ms. Nielsen consults with industry and non-government organizations (NGOs) to identify and enable public health-centered solutions.


A young girl in Africa awakens early to fetch water for her families’ daily needs. She will need to make multiple trips, carrying the largest volume possible to shorten the task. This daily ritual can take 3 hours or more. For these young girls there will be no school, basic necessities of life are their first priority. They will marry young, have children and the cycle of limited education and opportunity will begin all over again for the next generation.  Education can help break this cycle. However to change the health and economic status of women, empowerment is the key to success.

In February of 2006, the World Health Organization (WHO) released a report entitled What is the evidence on effectiveness of empowerment to improve health? The report stated that improved education for women, including adult literacy and empowerment, improves child health and reduces fertility. Microenterprises were identified as a faster route to improving health. However, the report warned that “it is not enough to increase women’s percentage of household income; this must be accompanied by increasing women’s autonomy, mobility, decision-making authority and power within the household.” Many argue that one leads to the other: increasing a woman’s percentage of household income leads to the increased autonomy but it is not guaranteed. Providing only micro financing without a contextual understanding of societal restrictions will not ensure women’s empowerment. Effective solutions must be created and offered in an integrated and sustainable manner.

The United Nations (UN) Millennium Development Goals (MDGs) are attempting to create an integrated, sustainable approach to reducing poverty by 2015. If you look at the eight categories you see the impact they have on women and children: (1) reduce poverty and hunger, (2) universal education, (3) improve gender equality, (4 & 5) improve maternal and child health, (6) combat HIV/AIDS, (7) ensure environmental sustainability and (8) global partnerships. The MDGs are a framework, agreed to by all the world’s countries and all the world’s leading development institutions, with a goal to unify efforts to improve the lives of the world’s poorest. You will note that the eight goals are larger themes with many subcategories. For instance, under goal number 7, environmental sustainability, Target 3 is to “halve, by 2015, the proportion of the population without sustainable access to safe drinking water and basic sanitation”. A WHO report on the Self Employed Women’s Association (SEWA) in India has shown that a regular supply of drinking water, adequate housing and proper sanitation not only makes a substantial difference in health status, but also in income generation. Women shoulder the largest burden of water collection, reducing the amount of time that can be used for income generation. The UN estimates that in sub-Saharan Africa alone, 40 billion hours each year are spent collecting water, equal to a year’s labor for the entire workforce of France. The same report reinforces that lack of sanitation negatively impacts women beginning at a young age. In areas where no latrine is available for students, adolescent girls quit school instead of facing the humiliation of relieving themselves in front of others. The system as a whole must be considered when addressing the needs of women and girls.

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