Mistress of Public Health
@robynas_
Followers
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Following
353
Media
487
Statuses
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public sector public health. shifting access to healthcare @margin2centre & co-creating lgbtq community @queertego . she/her 🇯🇲🏳️🌈
Montego Bay
Joined August 2015
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“What are the tyrannies you swallow day by day and attempt to make your own, until you will sicken and die of them, still in silence?”
—Audre Lorde, The Transformation of Silence into Language and Action
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The TL is reminding me why I steer clear of Jamaican twitter, y’all are bullies sometimes. Fine, you think she shouldn’t have said that, but the hundreds of tweets calling her horrible names is okay?
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Banning funerals but letting weddings go ahead with up to 25 people? I see the health risk of large gatherings but do you see the class/income/cultural inequity?
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I don't want to be pleased. I want evidence-informed decisions based on public health principles 😐
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Step one: get paid a liveable wage
One year into the COVID-19 global pandemic and Marcia Williams* has already seen positive changes in the amount she has been able to save from her pay cheque each month.
Read more:
#GLNRToday
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Fascinating how only one religion seems to have “rights and freedoms” in our schools (and workplaces)
Ministry of Education officials have been warned to tread carefully on religious rights and freedoms as it seeks to establish protocols to govern devotional exercises in the wake of bizarre scenes on Wednesday at Oberlin High School.
Read more:
#GLNRToday
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I feel like the entire premise of Caribbean tourism is rooted in colonialism and racist fantasy.
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Happy healthcare workers appreciation day! Remember to wear pink/purple and ask your MPs why there are no publicly available mammogram services outside of Kingston
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I also find it faintly disturbing that this person (hater or no) was in their lane tweeting an oblique reference to their <500 followers and a person with >10K followers decides to clapback at them? It’s giving “this is my internet, you’re just playing in it”.
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And I get it, the clapbacks are “funny” or “a joke” or “she deserves to be called out”. W/e. After a certain number of QT’s it starts to get nasty real quick. Adding fuel to that fire is being complicit in bullying imo (again, fight me 🤷🏽♀️)
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Borrowed a corporate-speak translation from
@MeanestTA
today for a meeting I *definitely did not need to attend* and my Work!Mom suggested I “soften my tone”
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I’m a public health and HIV physician. Do I go out of my way to see queer patients in clinic? YES. This is how I care for MY community.
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I’ll never forget the time I tweeted about carnival stealing dancehall aesthetic (which, fight me 🤷🏽♀️) and got piled on for being “stupid”. Why we can’t disagree without ad hominem attacks?
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1. Accountability isn’t shaming
2. We are mad at a system that exploits the majority to keep resources in the hands of the few
3. We are triggered because the ppl with resources keep pretending the system is equal because this lie maintains the status quo
Why do we want people to be ashamed of their privilege in this country? I don’t get it. Who are you really mad at? Why are you so triggered?
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Dear doctors, it is OUR responsibility as health providers to make sure our patients understand what is happening to them. Specialist doctors, PLEASE take the time to explain complex medical diagnoses.
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Breast cancer continues to be the # 1 cause of cancer mortality for women in Jamaica. Private citizens can only do so much, we need accessible screening for breast cancer NOW.
One hundred and twenty women recently benefited from free breast cancer screenings through the efforts of the western Jamaica-based Janet Richards Foundation.
Read more:
#GLNRToday
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Let me get on my diversity soapbox for a second. It’s 2022 and the Medical Council of Jamaica cannot find one woman doctor to add to this panel on social media when
@thelaymansdr
has been out here doing the Lorde’s work since she was in med school?
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I am wary of arguments that suggest abortion as a means to curb other social inequalities like crime and lack of access to education. That’s not what reproductive justice is for.
#RealityVSMorality
#AbortionJA
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It’s come to my attention that there’s a group of healthcare professionals calling themselves "Doctors for Life" who intend to use science to argue against abortion services. This is dangerous rhetoric for several reasons 🧵1/8
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“If you knew how much greatness there was in you, you’d be rioting in the streets to tear down these systems that try to keep you small.”
— Carla
@mooretalkja
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If you agree that accessible, safe, quality abortion services should be available for women of all backgrounds in Jamaica, please consider supporting
@margin2centre
.
Our medical advocacy focuses on vulnerable women, shifting services and conversation to centre their needs.
7/8
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Water shortages, plumbing issues, no toilet paper, no hand towels, clinic attendants hand washing soiled linen because no washing machines, no blood test tubes and the constant pressure to meet targets, do more, save lives.
Check on your primary care friends, we are not okay.
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Happy birthday Audre ✨
What have Toni & Audre taught you?
Share with us a quote, a book and/or a poem of Toni & Audre’s that resonates with you! 🎈
#blackwomenradicals
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Couldn't have foreseen the level of controversy this tweet generated. The social media echo chamber prevents any real discussion but I'll scream into the void about social injustices, health policy decisions and impact vs intent.
A thread. 1/?
Banning funerals but letting weddings go ahead with up to 25 people? I see the health risk of large gatherings but do you see the class/income/cultural inequity?
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Happy healthcare workers appreciation day! Remember to wear pink/purple and ask your MPs why the NHF is always short on vital/essential/necessary drugs
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I wanted to study for a Master of Public Health long before coronavirus came on the scene. So grateful to
@cheveningfco
&
@UKinCaribbean
for supporting my dream of pursuing an MPH
@imperialcollege
@ImperialSPH
#ChosenForChevening
#PublicHealth
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As medical professionals, we have a responsibility to separate personal values from our professional duty. We are human, so we don’t always get it right. But to organise a medical fraternity around the denial of necessary medical services is unconscionable and unethical.
6/8
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My first time being a co-author
@themohwgovjm
National Health Research Conference. Grateful for mentors who open doors and (gently) push you through them 🙏🏽
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Woke up panicking that I missed my Monday 9am meeting. Then remembered it was Sunday. Then realised it was Saturday.
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$45M from the social investment fund. SOCIAL investment. The community needs better infrastructure, education and job opportunities. Instead they get a prettier police station
The community of Mount Salem in St James, a section of which has been under a zone of special operations for the past three years, is to get a state-of-the-art police station as the security initiative winds down. Read more:
#GLNRToday
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People living with HIV aren’t avoiding treatment because they don’t know where the clinics are. They’re struggling to cope with stigma & discrimination at home, at work, in their communities and at HEALTH FACILITIES. We have to dismantle those barriers before they can trust us.
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And they’ll continue driving up costs until the public has access to affordable healthy food, safe spaces for physical activity, and psychosocial support for understanding their illness and risks.
Chronic diseases driving up NHF expenditure
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The evidence has been clear for many years that providing safe, supportive and high quality abortion services leads to improved health outcomes for women. This is a fact.
To suggest otherwise is to yield to religious fundamentalism at the expense of actual scientific progress.
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This sounds absolutely terrifying tbh. I understand parents get worried but doctors shouldn't have to deal with this kind of behavior at work. I wonder why she didn't act like that at Kidz Klinic...
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Every career choice I’ve made since graduating med school has been with the intent to serve the queer community in the best way I can. I bring my LGBT lens to every healthcare talk/ discussion/ seminar
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And it’s so normalised in our culture that most people can’t/won’t see the inherent harm. I remember having friends who “had a taxi man” and thinking it was weird but not knowing how or who to articulate that to.
This is what child grooming can look like in Jamaica.
Think about why grown men would treat little girls like this and why so many girls “had a taxi man”.
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A discussion around the need for inclusive cancer screening activities esp helping transgender patients feel comfortable accessing these services in this
@themohwgovjm
workshop. There is hope 🙌🏽
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New email signature:
Dr Robyn, MBBS DHIV OMGWTF FFS KMT FML
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I am so ecstatically happy to watch my friends and colleagues working on the frontlines of Jamaican health care get vaccinated after such a harrowing year for HCWs. Stay safe my loves 💕
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My time in primary care health centres widened my passion to serve ALL vulnerable groups. Public clinics are often all they can afford and I am determined to make their only option the best it can be.
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Who am I to be brilliant, gorgeous, talented, fabulous?
Who am I not to be?
My playing small does not serve the world.
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So I will keep seeking out the queer patients, the “difficult” patients, the “stubborn” ones and I will give them the best of everything I have to offer as a healthcare provider. Because they are the reason I am here 🤎🩺
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Best team ever
@Margin2Centre
(Are you following us yet? We help healthcare workers meet the needs of vulnerable women!)
#womeninmedicine
#womeninpublichealth
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The professional IS personal for me, and it lets me keep doing the work even when I’m tired, even when all the odds are stacked against us.
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Last night I opted to spend 3hrs crafting a thread critiquing the health policy on burials instead of prepping for my class on health policy & systems research and I’m satisfied with my priorities 😅
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Always so fascinating the way strategies for addressing burnout never focus on fixing the systemic/ cultural issues of overwork that cause burnout. Just window dressing. And yoga.
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I *personally* think people with large platforms have a responsibility to avoid being harmful online, because it can do so much more damage than we think. But maybe that’s just my problematic take
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Nope. Encouraging you to alert the Medical Council who’s responsible for regulating doctors. They don’t get nearly enough complaints.
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Happy healthcare workers appreciation day! Remember to wear pink/purple and ask your MPs if the hospitals & clinics in their constituencies have adequate infrastructure for the size of the current population
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Today is the
#InternationalDayForEliminationOfViolenceAgainstWomen
, which kickstarts
#16DaysOfActivism
to
#endGBV
. As a healthcare worker, I have a key role to play in ending gender-based violence, so let’s raise awareness and start the conversation.
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Breaking my live tweet transmission to announce (in case anyone missed it) that I despise the politicisation of health and healthcare. I loathe it with the intensity of a thousand burning suns
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Digging through Google Scholar for peer-reviewed publications and getting blocked at every turn with "purchase this article for 24hrs for USD$43"
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But I’m here to tell you what Toni Morrison told Akwaeke who told me: claim that margin as your centre, and let the rest of the world move over. Out on the fringes we’ll be
#visibleandvalidated
together, let the rest of them catch up 🏳️🌈
#mobay
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Tragic to watch administrators at the CRH hem and haw in response to
@djmillerJA
questions. Where is the accountability?
#TVJAllAngles
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The worst part of this Busta article was the casual mention of several other instances when parents have gotten aggressive/violent. Had no idea. Being a pediatrician is hard but it shouldn't mean compromising your personal safety.
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An early alarm bell. Poorer countries will be hardest hit if this comes to pass, but let’s hope decisive action is taken in time to mitigate the impact. Resource management is 🔑
There could be a shortage of 1-2 billion syringes needed to administer COVID-19 vaccinations in 2022, the WHO warned.
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That's on the *system*. Plenty of us out here using baskets to carry water despite poor working conditions, lack of guidance, mismanagement of resources etc. Frontline healthcare workers get all the blame while admin + supervisor sit pretty. Sis, no.
Public Healthcare isn’t synonymous to poor treatment.
Unfortunately for a lot of people it is and that’s on us as healthcare workers.
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The group also points to the “infirm, disabled and elderly” as at risk groups who will be threatened if abortions continue, a logical fallacy called the slippery slope (which is, of course, false).
4/8
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Had a patient once who came to the dentist. Had a bad reaction to the anesthetic and when we resuscitated him wanted to try to get his tooth pulled again the same day because if he took another sick day off work he might lose his job. Terrifying and traumatic indeed.
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Just did an insta live w/
@QueerlyStatedJA
and
@uneedlex
talking about queer community in Mobay, my 3rd public discussion on queerness/ queer issues in less than a year. I used to dream about doing this work 🧵 1/
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Stop dragging me
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In
#Bookish
news
@UWIPRESS
is having a 50% off sale on all their titles and I highly recommend the collection Beyond Homophobia, feat writing from the awesome Coach Carla
@mooretalkja
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I respect the right of citizens to peacefully organise according to their beliefs but arguments like this need to be critiqued. Especially when they arise from doctors, traditionally considered trusted and credible sources of health information.
2/8
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@emilymshields
Absolutely disagree. Lack of access to health care, (justifiable) fear/distrust of our leaders & medical professionals and
#VaccineInequity
killed many in 2021. Misinformation is a scapegoat & distraction from deeper and long term issues with our attitude to the most vulnerable
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Captivated silence as Safiya Elhillo reads at Calabash. "Our bodies in the ground means this land belongs to us". Breathtaking.
#calabashLitUp
#calabash2018
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Every time I find another bisexual femme in a het presenting relationship my heart does a little happy dance
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Every Black woman in her 40s who complains about “bad feelings” in my clinic gets a cardiac work up. Especially if she has diabetes. Cardiac chest pain in women is often subtle!
Black folks please note:
If your mom doesn’t feel good and she thinks she has “food poisoning or something”, PLEASE TAKE HER TO THE ER. The symptoms are extremely similar to a cardiac event. No, she won’t want to go. MAKE HER.
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Using language like “inconvenient”, “defending” and “babies” is another logical fallacy called appeal to emotion (again, patently false).
Abortions are a major life decision, hardly taken lightly; neither are ‘babies’ aborted except in rare & extreme circumstances.
5/8
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Imposter syndrome kicking in hard this morning. Despite being requested *by name* I am convincing myself I do not belong in this meeting.
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I need to update my bio to include Event Planner and NGO Co-Founder
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Every time I write another cover letter or tweak my resume I am reminded that I am actually bomb af and if companies choose to miss out on all of this ✨ awesome ✨ that is their loss
(even tho I still be low-key crying in a corner because we wants external validation)
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A pharmacy technician recognised me from the Twitter space I did with
@EqualityJa
on
#Mpox
and let me tell you, that’s my whole year made.
#FromTheCommunity
#ForTheCommunity
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The language around "controlled, orderly, organised" weddings and disorganised, uncontrollable funerals is loaded with bias and respectability politics. Please. Unlearn.
3/?
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If I started a petition to the 🇯🇲 PM demanding he call for an immediate ceasefire in Gaza and safe access for humanitarian aid, would anyone sign it?
#FreePalestine
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Weekly reminder that 🇯🇲 is having a dengue outbreak so search and destroy mosquito breeding sites at home + work/ school; covid is still a thing and also flu season so 😷, vaxx and distance; and gastro/ GE is kicking up so 🧼 those hands. Thank me later xx
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Why is no one tweeting about the food?? Boil corn, veggie stew, coconut caan done (well, almost done). This menu is lit!
#Calabash2018
#calabashLitUp
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@yogawithadriene
makes us believe in ourselves
How am I able to hold a plank longer in yoga than other bouts of working out?
Like... this sesh I had to do all sorts of stuff with my legs while grounding hands to the earth and I’m ...in awe!
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The hosts of
@fishteapodcast
were kind enough to let me ramble for an hour about some of my favourite topics
#lgbthealthcare
and
#publichealth
Non-communicable diseases like hypertension, diabetes and cancer affect ALL of us including people who identify as LGBTQ+. So why does their health care only focus on HIV?
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Thanks for reading and please remember to call out and question harmful ideology in health when you see or hear it. ✌🏽
8/🧵
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Psst calling all my LBT women: while we’re enjoying Valentine’s night remember to clean your toys, wash your hands and keep *those* nails short. STIs aren’t just for the straights. Thank me later babies 😘
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Still so mad at the delayed notice of the constitutional reform town hall meeting in Montego Bay. Received an email *this morning* inviting attendance as a “valued stakeholder”. Where is the courtesy?
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Happy healthcare workers appreciation day! Remember to wear pink/purple and ask your MPs why our primary care clinics are chronically understaffed
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In addition to expressing empathy and letting them talk about it (very helpful), there are a few additional steps you can take when patients come with social concerns
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Non-communicable diseases like hypertension, diabetes and cancer affect ALL of us including people who identify as LGBTQ+. So why does their health care only focus on HIV?
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Sarcasm aside, please encourage parents of Grade Seven girls to opt in to the HPV vaccine which is offered to them for FREE by the Ministry of Health.
#VaccinesWork
and cervical cancer is no joke.
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People cannot afford to store the bodies of their relatives and the response is “we talked about this for an hour and we’re going to ask the morgue owners to be nice”
Banning funerals but letting weddings go ahead with up to 25 people? I see the health risk of large gatherings but do you see the class/income/cultural inequity?
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The intent behind banning burials may ostensibly have been to reduce the public health risk of mass gatherings, but the impact is unevenly felt (and unevenly applied) and that deserves to be questioned.
5/?
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Short read but so illuminating.
#genderbias
For a satirical take on the issue check out
@manwhohasitall
Men Designed a Sexist World, and Women Are Tired of It
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Accessing paywalled journal articles with my university login
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Terrifying. And they’re very organised and well-funded
The religious agenda in Jamaica is…scary tbh.
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This morning I submitted my application for the Chevening scholarship. I was terrified. My fear of failure almost stopped me from trying.
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We need to link post-abortion care with family planning services:
-Counselling
-Information
-Reassurance
-Access
-STI prevention
#reproductivehealthmatters
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The healthcare system is not patient centred. The patient’s voice, their preferences, their wishes are not routinely asked for, valued or central in the process. And as long as it runs on the spirit of paternalism, things will never change.
the legal system is not victim centred. the victim's voice, their stories, wishes are not routinely asked for, valued and central in the process. and as long as it runs on the binary of victim and perpetrator it will never change.
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