For Hindus, marriage is a sacrosanct union. It is also an important social institution. Marriages in India are between two families, rather two individuals, arranged marriages and dowry are customary. The society as well as the Indian legislation attempt to protect marriage. Indian society is predominantly patriarchal. There are stringent gender roles, with women having a passive role and husband an active dominating role. Marriage and motherhood are the primary status roles for women. When afflicted mental illness married women are discriminated against married men. In the setting of mental illness many of the social values take their ugly forms in the form of domestic violence, dowry harassment, abuse of dowry law, dowry death, separation, and divorce. Societal norms are powerful and often override the legislative provisions in real life situations.
Objectives:To describe the development of a postgraduate clinical training programme in mental health for the Pacific region by the Fiji National University (FNU), the challenges and benefits. Conclusions: The establishment of FNU's one-year full-time postgraduate diploma in mental health (PGDMH) has resulted in graduates across the Pacific in all three main regions of Oceania trained as frontline practitioners in mental health. Most of the graduates hold key mental health positions in their respective countries. The PGDMH provides culturally relevant and sensitive training in settings and with resources similar to the graduates' homelands. Challenges relate mainly to the sustainability of the programme, selection of candidates, addressing the needs of stakeholders and teaching in an evolving, under-resourced mental health service. The ongoing challenge continues to be the maintenance of a symbiotic co-existence that results in mutual benefits for both the University and stakeholders without jeopardizing the integrity of the programme or the independence of the University.
Background: The present observational, cross sectional study was carried out in rural women (n=117) from the Varanasi area with natural menopause to evaluate menopausal symptoms in women above the age of 40, as well as to evaluate the correlation of age on these symptoms. Materials and Methods: A crossectional assessment by interviewing regarding the menopausal complaints in the following 40-44(n=27), 45- 50(n=30) and above 50 (n =60) years age groups. Menstrual rating scale (MRS) was administered to all the women forming the sample. Results: Mean age at menopause was 47.35 years. Mean number of menopausal symptoms in three age groups were as (mean±SD)10.53±7.33, 7.70± 6.76 and14.50±10.77 respectively, which varied significantly (F=4.86, df=2, 87, P=0.009). The study reveal, varying nature of symptoms with age and MDSM (Mean Duration since Menopause), with vasomotor symptoms being more prevalent with lesser MDSM and psychological and rheumatic complaints more prevalent with increasing age and MDSM in this region. Conclusion: Such regional studies will help to corroborate data so that health care providers can plan strategies for the middle aged women suffering from these menopausal symptoms. DOI: http://dx.doi.org/10.3126/ajms.v6i1.8431 Asian Journal of Medical Sciences Vol.6(1) 2015 87-90
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