TAILIEUCHUNG - Women's Health Problems in Pakistan

Screening for cervical cancer with cervical cytology reduced the incidence of cervical cancer by more than 50% over the past 30 years in the United States [8]. However, it is estimated that 50% of the women in whom cervical cancer is diagnosed each year will have never had cervical cytology testing [8]. One approach for further reducing the incidence and the mortality of cervical cancer would be to increase the screening rates among groups of women at highest risk, who currently are not being screened. Another would be the establishment of appropriate serum testing for the early. | Middle East Journal of Family Medicine 2004 Vol. 2 2 Women s Health Problems in Pakistan Dr Manzoor Ahmed Butt General Medical Practitioner Researcher Trainer Maqbool Clinic Research Training Centre Dhoke Kala Khan Shamsabad Rawalpindi-46300 Pakistan. A Brief Background Ours is a male dominant society where only very few females enjoy full rights and have access to opportunities of even very basic human needs. This is even more true in the health sector where unfortunately there is a great lack of female doctors combined with a large number of female quacks in the country and the situation is at its worst in Shamsabad where there is only one or two qualified female doctors. The female doctors are neither easily available nor easily affordable and women do not prefer to be examined by male doctors. There are a lot of government hospitals which provide free or low fee treatment to women but those are not preferred because of - The casual and offhand behaviour of doctors - More than one male doctor examining the patient at one time - The fear of crowds of medical students present at time of examination - The fear that doctor may misuse this opportunity for some evil deed Right from the beginning of my career I have had very strong intentions to organize the primary health care system in my area and to make my clinic a model for others. Towards this end I was very fortunate because I became involved with two very useful people Dr Christopher Rose PhD Ex. Executive Director Action in International Medicine AIM London UK and Dr Barry H. Smith MD PhD Director of Dreyfus Health Foundation DHF New York USA. The two organizations were jointly operating a very famous Programme called CCI-Programme. CCI Programme Training Workshop Dr Rose visited Pakistan twice in 1998 and 1999 at my request. We had identified the Top Ten Health Problems of Shamsabad List during his last visit. Women s health problems were on the top of the list. The term Women s Health Problems is strictly .

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