Dimensions of women healthcare

The history of women’s healthcare reflects broader social, cultural, and scientific developments over time

ANCIENT AND TRADITIONAL PRACTICES

PREHISTORIC AND ANCIENT TIMES: Early human societies likely had rudimentary knowledge of women’s health, passed down through generations. Evidence from archaeological findings suggests that prehistoric women may have used herbal remedies and rituals to manage childbirth, menstruation, and fertility. Ancient civilizations like Egypt, Greece, China, and India had more formalized systems of medicine. Ancient Greek medicine, influenced by Hippocrates, also addressed women’s health, although often through a male-dominated perspective.

TRADITIONAL AND INDIGENOUS MEDICINE: Across various cultures, women’s healthcare was managed by women within the community, such as midwives, herbalists, and healers. These women used a combination of herbs, rituals, and spiritual practices to address health issues. In many indigenous cultures, knowledge about women’s health, including fertility, childbirth, and menstruation, was deeply tied to cultural practices and beliefs. This knowledge was often transmitted orally and through hands-on experience.

MEDIEVAL EUROPE: During the Middle Ages, women’s healthcare was influenced by both folk medicine and emerging medical practices. Midwives played a central role in childbirth, and herbal remedies continued to be widely used. However, the rise of the Church and the Inquisition led to the persecution of many women healers, often labelled as witches. This period saw a decline in women’s autonomy over their healthcare, as male physicians began to dominate the medical field.

ENLIGHTENMENT AND SCIENTIFIC REVOLUTION: The 18th century, known as the Enlightenment, brought significant advances in scientific understanding, including anatomy and physiology. However, women’s healthcare remained a peripheral field, often focusing on reproduction rather than overall health. The 19th century saw the establishment of obstetrics as a medical specialty, with a focus on childbirth and maternal health. Despite this, women continued to have limited access to professional medical care, particularly in rural areas. The early 20th century saw the rise of public health movements that focused on improving maternal and child health, birth control, and hygiene. The work of Margaret Sanger in promoting birth control and establishing Planned Parenthood was pivotal in giving women control over their reproductive health. The evolution of women’s healthcare reflects broader social and cultural changes, from ancient practices rooted in traditional knowledge to modern, evidence-based medicine.

The healthcare needs of women are diverse and change across different stages of life:

REPRODUCTIVE HEALTH NEEDS

FAMILY PLANNING: Access to contraception, fertility treatments, and counselling on reproductive choices.

PRENATAL AND POSTNATAL CARE: Comprehensive care before, during, and after pregnancy, including monitoring foetal development, managing pregnancy-related conditions, and providing support after childbirth.

SAFE AND LEGAL ABORTION SERVICES: Access to safe abortion services and post-abortion care.

MENSTRUAL HEALTH

ACCESS TO MENSTRUAL PRODUCTS: Affordable and accessible menstrual hygiene products to maintain menstrual health.

EDUCATION ON MENSTRUAL HEALTH: Information about managing menstrual health, recognizing abnormalities, and addressing menstrual disorders.

SEXUAL HEALTH

STI PREVENTION AND TREATMENT: Education, testing, and treatment for sexually transmitted infections.

SEXUAL HEALTH EDUCATION: Comprehensive education about safe sex practices, contraception, and consent.

CHRONIC DISEASE MANAGEMENT

CARDIOVASCULAR HEALTH: Monitoring and management of heart disease, which is the leading cause of death among women.

DIABETES MANAGEMENT: Support for women with gestational diabetes during pregnancy and those with type 2 diabetes.

OSTEOPOROSIS PREVENTION: Bone health monitoring and treatments to prevent osteoporosis, particularly post-menopause.

MENTAL HEALTH

DEPRESSION AND ANXIETY MANAGEMENT: Access to mental health services for conditions like depression, anxiety, and postpartum depression.

STRESS MANAGEMENT: Support for managing stress, which can be higher due to caregiving responsibilities, workplace challenges, and societal pressures.

HORMONAL HEALTH

MENOPAUSE MANAGEMENT: Support for managing menopause symptoms such as hot flashes, mood changes, and sleep disturbances.

PCOS AND ENDOMETRIOSIS CARE: Treatment and management of conditions like Polycystic Ovary Syndrome (PCOS) and endometriosis.

BREAST HEALTH

BREAST CANCER SCREENING: Regular mammograms and self-exams to detect breast cancer early.

SUPPORT FOR BREASTFEEDING: Lactation support, access to breastfeeding-friendly environments, and education about the benefits of breastfeeding.

LIFESTYLE AND WELLNESS

NUTRITION AND EXERCISE: Guidance on maintaining a healthy diet and regular physical activity to prevent chronic diseases.

SMOKING AND SUBSTANCE ABUSE CESSATION: Support for quitting smoking and addressing substance abuse issues.

WEIGHT MANAGEMENT: Programs and support for achieving and maintaining a healthy weight. Access to quality healthcare, education, and support services is essential for meeting these needs throughout a woman’s life.

Traditional and modern healthcare for women differ significantly in approaches, practices, and the integration of cultural and scientific knowledge:

TRADITIONAL HEALTHCARE FOR WOMEN

Traditional healthcare practices for women are often rooted in cultural, spiritual, and herbal knowledge passed down through generations. These practices vary widely across different cultures but generally include the following:

HERBAL MEDICINE

USE OF PLANTS AND HERBS: Traditional medicine often relies on natural remedies, including herbs, roots, and plants, to treat various conditions like menstrual pain, fertility issues, and menopausal symptoms.

CULTURAL REMEDIES: Specific remedies are tied to cultural beliefs and are used to promote reproductive health, ease childbirth, and treat postpartum issues.

TRADITIONAL MIDWIVES: In many cultures, midwives assist women during childbirth, offering a more personalized and culturally sensitive approach to pregnancy and birth.

HOME BIRTHS: Births often take place at home with the support of family members and a midwife, focusing on natural childbirth without medical interventions. 

RITUALS AND CEREMONIES

FERTILITY AND MENSTRUAL RITUALS: Many cultures have rituals or ceremonies that celebrate or support fertility, pregnancy, and menstruation. These rituals are believed to enhance women’s health and well-being.

MIND-BODY PRACTICES

YOGA AND MEDITATION: In some cultures, practices like yoga, meditation, and breathing exercises are used to manage stress, promote hormonal balance, and enhance reproductive health.

TRADITIONAL MASSAGE: Massage techniques, sometimes combined with herbal oils, are used to alleviate menstrual pain, support pregnancy, and promote overall health.

DIET AND NUTRITION

CULTURAL DIETARY PRACTICES: Traditional diets, rich in locally available foods, are often tailored to support women’s health at different life stages, such as pregnancy or menopause.

USE OF SPECIFIC FOODS: Certain foods or drinks are consumed during menstruation, pregnancy, or postpartum periods to enhance health, such as ginger tea for nausea or iron-rich foods to support recovery after childbirth.

MODERN HEALTHCARE FOR WOMEN

Modern healthcare for women is based on scientific research and evidence-based practices. It involves a broad spectrum of medical, surgical, and preventive care services aimed at addressing women’s health issues with the latest medical advancements.

PREVENTIVE CARE

SCREENINGS AND VACCINATIONS: Regular screenings for breast and cervical cancer, as well as vaccinations like the HPV vaccine, are key components of preventive care in modern medicine.

BONE HEALTH: Bone density tests and treatments for osteoporosis are routinely offered to women, particularly post-menopause.

MENTAL HEALTH SERVICES

COUNSELLING AND THERAPY: Access to mental health professionals, including psychologists and psychiatrists, helps women manage conditions like depression, anxiety, and postpartum depression.