HCC’s Salt Reduction Campaign

I recently read an article on how the many observation days set aside for HIV awareness across the U.S. (this week was Native American HIV Awareness Day) may indeed dilute any comprehensive message on ending the epidemic. The various observation days this week made me think of that article. Between March 20th and 27th there are World Water Day, World TB Day and the entire week devoted to Salt Awareness. Now, the latter I had not heard off until visiting the Healthy Caribbean Coalition Website.

The focus on this year’s World Action on Salt and Health (WASH) is on Salt and Men’s health. Why men’s health? Because of a UK study noting that “more men prematurely die of cardiovascular disease (CVD) than women.  CVD accounts for 29% preventable deaths in men (compared to 21% in women).  The research shows that men eat more salt than women and on average have a higher blood pressure than women, particularly at a younger age, and are less likely to have their blood pressure measured, to take action to reduce it when it is raised or to take blood pressure lowering drugs.”

And, thus, HCC’s Salt Reduction Campaign.

As an aside, I’m interested in the evaluation of such a campaign. So, if there is someone working on evaluating this campaign or other health communication/health promotion campaigns in the region, please let me know by leaving a comment below.

 

Get The Message! Support HCC’s mission on CNCDs

Healthy Caribbean Coalition want people to “Get The Message” and help combat the rise on Chronic Non-Communicable Diseases across the region. Using social media and text messaging, the campaign aims to get  Caribbean citizens to contact their Heads of Government and encourage them to attend the upcoming UN High Level meeting on chronic diseases.

Participants can join the campaign on Facebook and Twitter.

This is an important fight for our region. In many countries CNCD are among the leading causes of mortality and morbidity.

More on the Coalition’s mission can be found at: http://www.healthycaribbean.org/hcc/index.html

Tobago reports lowest mortality rate across Trinidad & Tobago

http://www.kaltura.com/index.php/kwidget/wid/1_qvqp2653/uiconf_id/1892491

Tobago reports lowest mortality rate among five regional health authorities in the twin island nation of Trinidad & Tobago. The mortality rate was 1.8% and 2.2% in 2008 and 2009, respectively according to the Tobago Health Regional Authority (THRA). The 2008 rates for other regions were: Eastern Regional Health Authority (ERHA) was 2.4 per cent, Northwest Regional Health Authority (NWRHA) was 2.4, North Central Regional Health Authority (NCRHA) was five per cent and South West Regional Health Authority (SWRHA) was 2.8 per cent. And for 2009, ERHA was 2.7 per cent, NWRHA was 2.4 per cent, NCRHA was 5.2 per cent and SWRHA was 2.9 per cent.

Despite this, Tobago House of Assembly (THA) Chief Secretary Orville London said “that people in Tobago were not taking care of their health. ‘Too many of us are losing our legs. Too many of us suffer from hypertension, too many of us (with all due respect) are too fat and too many of us are playing with our lives.

‘I want to see more people exercising in a health centre than coming to get hypertension medicine. I want to see more people coming to get diet sheets than to get things for diabetes,’ he added. London said every individual who worked for the assembly must be subjected to criticism and scrutiny by the people of Tobago. He urged Tobagonians not to generalise or use headlines to judge categories of workers.”

The full article is available at: http://www.guardian.co.tt/news/2011/03/24/tobago-mortality-rate-lowest-nation

Music Mondays: Transactional Sex in “Yaw Yaw”

I’m starting this new feature to highlight music from across the Caribbean that in some way brings to the forefront various social issues: Good, bad and other. I had been thinking about doing this for some time because, first, I love music and second, I love Caribbean music and third, we as a region produce a range of music and although many often see and hear of the more licentious or violent segments of our music, in every song, there is so much more.

One good example is a song called “Yaw Yaw” from Dominica 2011 Road March Champion Sour Sour. Now, I have to admit I can’t help but move to the beat of this song. It’s catchy and groovy and easy to move to when you are on the road Carnival day. But, what first caught my attention about this song was not the beat but its first line:

“I hear you making more bomb than Russia; and taking more wood than a bakery”.

For anyone not familiar with the these sayings, someone “making bomb” is essentially engaging in transactional sex. Growing up, I would hear of this and that person “making bomb” tonight, so she ( and it’s usually spoken of as the female who is engaging in this behavior) could pay her light bill or water bill. And in this case, wood is a euphemism for the male genitalia.

The song then goes on to say:

“Every Saturday, I see a lady going inside of her house; next thing, I seeing six, seven fellas go inside that same house; next thing I see her, coming out with plenty money.” (This is basically the entire song.)

This explains the first part of the song about ‘making bomb and ‘taking wood’. It’s much more explicit here than at the beginning and the transactional nature of the sexual relationship is clearly stated. Now, for a country that criminalizes prostitution, this concept would never be called as such. In fact, prostitution or sex workers are only thought of in the context of the ‘other’. They are never people whom you know and grew up with and are ‘making bomb’. In fact, in many towns and villages, many people most likely know which women are ‘making bomb’ and which men are willing to pay.

The first time I heard this song, I was deep into literature on multiple and concurrent partnerships and transactional sex and how those patters helps spread HIV. For me, it was not a hard stretch to start asking questions about local epidemics in the region and the role of transactional sex. I recently saw Tribes, MTV’s Staying Alive Ignite program from Trinidad highlighting the nature of transitional sex between an older man and younger women as well as concurrent partnerships. However, not much – well nothing really – is known about this more accepted form of transactional sex.

Dominica should use Waitukubuli Nature Trail to promote active lifestyle

With the completion Dominica’s Waitukubuli Nature Trail near, this presents a great opportunity for the island to promote an active lifestyle to its citizens and to others around the Caribbean. While projects such as these are often use to promote tourism, we should never forget that with the rising costs associated with non-communicable diseases such as cancer, diabetes, heat disease and stroke, we also have a mandate to promote healthy behaviors and healthy lifestyles.

So, alongside the marketing campaigns across countries such as the United States and Europe to attract those interested in super hikes, I would like to see the government also support a local health promotion and/or social marketing to educate citizens on the benefits of such a trail to their everyday lives.

In the past few weeks, two sets of teams – a Welch couple and a group of Dominicans – have completed the 14-segment trail. Their stories are reported here and here, respectively.