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Wednesday, 10 August 2016

Harnessing the Power of Teenage Girls – By Ngozi Okonjo-Iweala

When you think of teenage girls, you might imagine common stereotypes, from the “mean girl” to the sullen high school student locked in her bedroom. The reality is that teenage girls are not only some of the world’s most marginalized people; they also have virtually unmatched potential to help build a better future for all.


As it stands, adolescent girls are routinely denied control over their destinies. More than 32 million of the poorest are currently out of school. Every day, 39,000 girls under the age of 18 become someone’s wife. For huge numbers of girls worldwide, reproductive rights seem like an impossible dream.

This situation is morally reprehensible, socially self-defeating, and economically foolish. By addressing it, we could not only protect millions of children; we could also tackle some of the greatest challenges facing the world today.

Consider the challenge posed by rapid population growth. Though population size seems to be leveling off in most parts of the world, it continues to rise fast in some regions, particularly those where girls face the highest barriers to success. In Africa, the population is expected to double by 2050 and quadruple by 2100.

If teenage girls were given the knowledge, skills, and tools to avoid unwanted pregnancy and take control of their own futures, fertility rates would drop substantially. These newly empowered and educated girls could then become agents for broader positive change within their communities.

Protecting the world’s young girls is a tall order. But countries worldwide have pledged, through the ambitious Sustainable Development Goals (SDGs), to fulfill it by 2030, including by ending child marriage and ensuring that all girls are in school. But if countries are to succeed in protecting and empowering girls, they must also embrace the promise of a key initiative: to expand access to the vaccine for human papillomavirus, which causes the vast majority of cervical cancer cases.

A relatively new development, the HPV vaccine is most effective on nine- to 13-year-old girls who have not yet been exposed to the virus, meaning that they have never been sexually active. This age requirement differentiates the HPV vaccine from most other childhood vaccines, which are mainly administered to infants.

At first glance, this might seem like a serious disadvantage, because the HPV vaccine cannot simply be incorporated into other vaccine initiatives. In fact, the age requirement provides an important opportunity to reach adolescent girls with other vital health services, such as reproductive education, menstrual hygiene, deworming, nutrition checks, vitamin shots, and general check-ups.

Encouragingly, developing-country governments have increasingly been demanding the HPV vaccine. This makes sense: of the 266,000 women who die from cervical cancer every year – an average of one every two minutes – 85% are in developing countries. If left unchecked, that figure is expected to rise to 416,000 by 2035, overtaking maternal deaths. For many of these countries, the HPV vaccine is not just an effective solution, one that prevents 1,500 deaths per 100,000 vaccinated; it is often the only solution, because the poorest countries lack the capacity to offer screening or treatment for cervical cancer. This is one reason why cancer experts, government officials, private-sector leaders, and civil society representatives met a few weeks ago in Addis Ababa for the tenth Stop Cervical, Breast and Prostate Cancer in Africa conference.

There is more good news: the foundations of an HPV-vaccine initiative have already been laid. In 2013, well before the SDGs were agreed, Gavi, the Vaccine Alliance, for which I serve as Board Chair, took steps to make the HPV vaccine available and affordable in poor countries. Since then, we have seen 23 countries introduce the vaccine through demonstration pilot projects, with five more set to follow.

But there are significant challenges ahead. While the focus on holding vaccination sessions in schools has proved successful, it is inadequate for reaching girls in countries with low school-attendance rates, especially in urban areas. Unless we find a way to reach the most vulnerable groups, no amount of political will or financing will be enough to achieve the SDGs to protect women and girls.

Given that only two Gavi-supported countries, both of which have relatively high enrollment rates, have so far introduced the vaccine nationally, it is not entirely clear how difficult it will be to overcome this challenge. As we move away from demonstration projects toward a more efficient and cost-effective system of phased national scale-ups, we should gain a better sense of what to expect.

We do have some ideas for reaching girls who are not in school – beginning with community health centers. As it stands, women are most likely to go to a community health center when they are pregnant, or to have their infants vaccinated. But by engaging with community leaders and parents to raise awareness of cervical-cancer prevention and address other local health concerns, we are finding that it is possible to generate demand and achieve good turnout at these centers.

Ensuring that all girls have access to the HPV vaccine would improve countless lives, not only by reducing rates of cervical cancer, but also by enabling the provision of numerous other critical services. It is an opportunity that should be on the minds of cancer experts, government officials, and representatives from the private sector and civil society. And it is an imperative for all of the 193 governments that have signed up to the SDGs. We must not let our girls down.


8 comments:

  1. i was diagnose with genital warts,last six months which finally shows out! i had hpv. for very long time i suffered for the virus which i contracted it from my ex cheated boyfriend and i was told there is no hpv cure. except treatment to control it i just fill killing my self because there was no hope all i could think loosing my life because it was so embarrass for been hpv patient. about few weeks ago i read possible natural cure on line which was guarantee and i purchased it. after two weeks taking herbal treatment the hpv got eliminated by killing all symptoms and the warts in my genital area disappeared. it so amazing i got ride to the hpv. i so much like to shear this testimony to every article for others living with hpv there is possible natural herbs to eliminate it. email Dr galiga for help. his herbal clinic address; drgaligaherbalcenter@gmail.com

    ReplyDelete
    Replies
    1. my
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      Delete
  2. HOW I GOT CURED FROM HPV WARTS VIRUS
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    ReplyDelete
  3. Am Success Puga from USA. I can’t believe this. A great testimony that i must share to all HERPES patient in the world i never believed that their could be any complete cure for HERPES or any cure for HERPES,i saw people’s testimony on blog sites of how DR Ekpiku prepare herbal cure and brought them back to life again. i had to try it too and you can,t believe that in just few weeks i started using it all my pains stop gradually and i had to leave without the HERPES DRUGS the doctor gave to me. Right now i can tell you that few months now i have not had any pain,delay in treatment leads to death. Here is his email:ekpikuspellhomeofgrace@hotmail.com or ekpikuspellhomeofgrace@gmail.com his WHATSAPP number is +2348073673757
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  4. Am James smith from USA... this is unbelievable i have be suffering for {Genital Herpes virus} how i get cure from my herpes virus with the help of Dr Adagba is a great herbalist man from Africa in Nigeria,people do say Nigeria are all scam i believe and just give a try to him after i have been scam by 4 different people in that country,i meet Dr Adagba email on website,though I went through different website I saw different testimonies about different spell casters and herbalist, I was like: 'Many people have this Human Papilloma virus (HPV) why are people still suffering from it?' I though of it, then I contact Dr ADAGBA via email, I didn't believe him that much,I just wanted to give him a try,he told me that he will prepare herbal cure that i will take in 2 week,so he can prepare a herbal cure on me from his temple.. after three days I started getting more stronger my blood started flowing normally i started experiencing changes all over me as the great Dr Adagba assured me that i have been cured,after some time i went to the doctor to confirmed if i have be finally healed behold it was TRUE,and kind of spell you can think of or any illness i advice you all to contact him: adagbaspiritualtemple@gmail.com if you have hepatitis B herpes cancer Hiv/AIDS any kind of and he also do love spell,urgent cure to your disease and have a good health as he always want to be.his private email: adagbaspiritualtemple@gmail.com you can call or whatsapp him for any information his Mobil number +2349057354407 you can visit his website:
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    ReplyDelete
  5. I am Susan, i live in Maharashtra in India, i was diagnosed with hepatitis b for 6years ago i lived in pain with the knowledge that i wasn't going to ever be well again, i contacted so many doctors on this issue and all was in vial, because i was determined to get my life back so one day i saw a post about Dr Ekpiku who cure all manners of diseases, including hepatitis b, I contacted him via email: ekpikuspellhomeofgrace@hotmail.com and made purchase of the hepatitis Vaccine, i received the Vaccine through DHL within 3 days, when i received the Vaccine i applied it as prescribed and i was totally cured of hepatitis b within few's days of usages, i went back to my doctor and he confirmed that i was negative.I was free curable cured from the disease, am so happy now, Viewers contact Dr Ekpiku via email: ekpikuspellhomeofgrace@gmail.com.

    ReplyDelete
  6. my
    name is Helen Greg from U.S.A. My heart is filled with so much joy
    as I write this testimony. I want to tell the world about a great man
    called Dr. Odinaka who cured my husband and I of HIV/AIDS with herbal
    medicine. My husband and I have be hiv/aids positive for the past four
    (4) years. We have tried so many solutions and my husband even fall into
    the hands of scam. One fateful day while browsing the internet I saw a
    testimony by one mr. Elizabeth on how this great Dr. Odinaka cured his seven
    (7) years hiv/aids through herbal medicine so I decided to give a try, a
    try that changed our life for good. So I contacted this great man and
    he send some herbal medicine for me and my husband which we took within
    five (7) days. It was a great surprise when we went for test the
    following day and it came out negative. God will bless you Dr. odinaka,
    you will leave long. Because of the joy you brought into my family
    again. You can also contact him on his email. odinakaspiritualtemple@gmail.com. You can also call him on phone: +2348147673395

    ReplyDelete
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    ReplyDelete