DONATE
Sightsavers blog

Health heroes: the women working to eliminate NTDs

Helen Hamilton, March 2016
A family group standing together.

“Neglected tropical diseases have a devastating impact, and the major burden is often carried by women”

What do Evodia from Cameroon, Abena from Ghana and Mariama from Guinea all have in common? They’re just three of the millions of women on the front line in the fight against infectious diseases of poverty.

Evodia is a community distributor for Mectizan®, a drug that protects communities form river blindness. She ensures that members of her community receive their annual treatment.

Abena is a mother of five, living in the village of Gyankobaa, a remote community that health services struggle to reach. She makes sure that when treatments to protect her family against neglected tropical diseases are distributed, her family takes them.

Mariama is a community nurse in the Labe region of Guinea Conakry. She delivers much-needed eye care services and trains community health workers on eye health.

Neglected tropical diseases (NTDs), such as trachoma and onchocerciasis, have a devastating impact on communities and families. The major burden of this is often carried by women.

But women like Evodia, Abena and Mariama are often also the front line of defence against these diseases – as health workers or volunteers, and as mothers, sisters, daughters, aunts and grandmothers, protecting their families from ill health.

 

A woman holding a measuring stick to determine treatment dosage, standing next to a family.
Evodia (far left), from Cameroon, holds a measuring stick to determine how many doses of treatment each person needs to protect against onchocerciasis.

Participation is a major barrier to tackling NTDs

Let’s take trachoma as an example. It’s the world’s most common infectious cause of blindness and like many other NTDs, is very much linked to living in poverty – in crowded and unclean environments with poor access to water, sanitation and hygiene services. Each episode of ‘active trachoma’ infection causes scarring on the inside of the eyelid and without treatment, this scarring can make the eyelashes turn inward, scraping against the eye and slowly causing blindness.

Trachoma infection is most common in children. This means that women, as primary caregivers, are much more exposed than men to episodes of infection over their lifetime.

At the same time, through activities such as hygiene promotion, acting as community health volunteers and workers and disseminating health information through peer networks, women are uniquely placed within their communities to lead efforts to combat diseases like trachoma. Often it is participation, not skillsets, that is the major barrier.

Studies from another blinding NTD, onchocerciasis (also known as river blindness), show that women’s involvement in and delivery of preventive treatment can yield significant successes.

The same review found that community members reported women’s networks and their soft skills were a major asset to the programme, with women being viewed as more committed, persuasive and more patient than men in the distribution of Mectizan. And in some cases, a lack of women’s involvement in delivery of these treatments was cited as one reason for the limited effectiveness in the distribution of community treatments.

Mariama the student supervisor and OCO at Labe Eye care unit wears a bright lime green work smock. She is looking through a machine, examining a man's eye.

Inclusion of women in NTD programmes

We know that elimination of trachoma and onchocerciasis is possible, and thanks to initiatives like the Global Trachoma Mapping Project we know where we need to target resources to eliminate these diseases.

But it requires more than just the usual calls for health promotion, political will and effective resource allocation. It requires the meaningful inclusion of women in the process as leaders and genuine participants, not simply service users or passive treatment recipients.

We need to establish more and stronger mechanisms for women’s active participation in NTD programmes. The participation of women like Evodia, Abena and Mariama in designing and implementing programmes that meet their needs and those of their communities is critical to achieving elimination of these diseases.

 

By Helen Hamilton, Policy Adviser at Sightsavers

Want to read more about our work?

Neglected tropical diseases
Nanny Powers stands in the street holding her voting card.
Sightsavers blog

A battle to reach the ballot box: Cameroon’s growing disability movement

As Cameroon prepares for its general election, Sightsavers Country Director Joseph Oye explains why he hopes more people with disabilities will vote.

Joseph Oye, October 2018
Nine year old Sonali smiles to camera
Sightsavers blog

We’re making huge progress on avoidable blindness, but we still have work to do

Sightsavers’ Charity Dandak reflects on our achievements through the Seeing is Believing programme, and highlights the challenges we still face to tackle avoidable blindness.

Charity Dandak, October 2018
Two smiling children from the Yendi district in Ghana wave their hands in the air.
Sightsavers blog

What we’ve learned from trachoma elimination in Ghana

Sarah Bartlett discusses Sightsavers’ involvement in this milestone, what we’ve learned from the experience and the work that lies ahead.

Sarah Bartlett, September 2018