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CNA938 Rewind - The Wellness Hour - Dr Vikram series 2 of 3: the hidden causes of hormonal weight gain

CNA938 Rewind - The Wellness Hour - Dr Vikram series 2 of 3: the hidden causes of hormonal weight gain

CNA25-06-2025
CNA938 Rewind
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Struggling to lose weight despite dieting and exercise? Hormonal imbalances like PCOS, thyroid issues, or insulin resistance could be the hidden culprits. In part two of our series, Dr Vikram Sonawane, Senior Consultant Endocrinologist and Founder of Harmony Thyroid Endocrinology and Diabetes Centre, speaks with Cheryl Goh about how to reset your metabolism and take back control.
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CNA938 Rewind - The Wellness Hour - Dr Vikram series 2 of 3: the hidden causes of hormonal weight gain
Struggling to lose weight despite dieting and exercise? Hormonal imbalances like PCOS, thyroid issues, or insulin resistance could be the hidden culprits. In part two of our series, Dr Vikram Sonawane, Senior Consultant Endocrinologist and Founder of Harmony Thyroid Endocrinology and Diabetes Centre, speaks with Cheryl Goh about how to reset your metabolism and take back control.
20 mins
CNA938 Rewind - Eat, Drink, Singapore - From farm to table: The Masses farm-style brunch
The Masses has released their new farm-style Sunday brunch. Cheryl Goh finds out what went into conceptualising this menu and what diners can look forward to with Chef Dylan Ong, chef-owner, The Masses
17 mins
CNA938 Rewind - Mind Your Money - Running out of room
Singapore's self-storage industry is fast running out of room, as demand for space from e-commerce businesses and individuals continues to surge. Cheryl Goh finds out more about Singaporeans storage habits, and what goes on behind the scenes at a storage facility with Jes Johansen, CEO, Storefriendly.
18 mins
CNA938 Rewind - Excitement over Nintendo Switch 2: What it says of console gaming trends
Nintendo's popular Switch handheld gaming console was a force to be reckoned with. Eight years on, the Nintendo Switch 2 is expected to perform even better in sales, threatening the dominance of Sony's Playstation and Microsoft's Xbox. But was the long-awaited return a gamble that will pay off for the Japanese gaming company? Andrea Heng and Hairianto Diman chat with Soon Qishan, owner of qisahn.com to find out.
14 mins
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'Nowhere else to go': Inside the welfare homes where women seek shelter, find hope
'Nowhere else to go': Inside the welfare homes where women seek shelter, find hope

CNA

time8 hours ago

  • CNA

'Nowhere else to go': Inside the welfare homes where women seek shelter, find hope

When Ms Sarah (not her real name) first arrived at a welfare home in Buangkok, she was 35 years old and had been admitted to the Institute for Mental Health (IMH) 48 times since her 20s. Struggling to manage her health, and with her sister lacking the means to care for her, Ms Sarah ended up sleeping rough, such as outdoors, where safety and hygiene were a constant worry. 'I was scared (I would get) molested, scared (I would get) raped,' she recalled. 'It was difficult to manage my personal hygiene. That time, in my desperate moment, I would bathe at a coffee shop, shoplift from a pharmacy – but that's not me.' Her first days in the welfare home, despite its promise of shelter and medical help, were marked by sadness and isolation. 'When I was admitted, at that moment, I felt like nobody (would) take care of me,' said Ms Sarah, in a choked voice. Now 42, Ms Sarah has lived in Thuja Home at Pelangi Village, an all-female welfare home run by social service agency 4S, for about seven years. There are 11 welfare homes across Singapore, managed by social service agencies under the supervision of the Ministry of Social and Family Development (MSF), and admission is subject to a 'social investigation' by MSF under the Destitute Persons Act. Thuja Home at Pelangi Village is the only women-only welfare home in Singapore, currently housing around 190 residents. Women are also the minority in mixed homes. At MWS Christalite Methodist Home, for instance, only about 15 per cent of residents are women. At Bukit Batok Home for the Aged, around 33 per cent – or 38 out of 115 residents – are female. Though small in number, women in these settings often face complex challenges, with many having endured years of neglect, trauma or illness. Seven women staying in welfare homes told CNA TODAY of how adjustment to a round-the-clock residential environment, living apart from their former communities, can be jarring. Residents at these homes cannot be named due to the sensitive circumstances of their admission and stay. Single mother Karen (not her real name), 60, never imagined that she would live in a welfare home after growing up in a 'very comfortable home'. 'When I entered here, I had no idea what a destitute home was,' said Ms Karen, who has lived in the MWS Christalite Methodist Home for around a year and remains in limited contact with her adult son. Yet, despite initial struggles, many of the women in welfare homes told CNA TODAY of the improvements in their health, the friendships they had built, and a sense of stability they had not known in years. Contrary to the common perception that residents have been abandoned in a place of last resort, Ms Sarah said: 'If I didn't stay here the last seven years, I would be a lot worse than I am now. 'People have that stigma that a welfare home is a very nasty place, or that you are alone. It's actually a very nice, cosy place for us to think better. Here, there's a lot of people who care for us.' WHY THEY GO IN A Methodist Welfare Services (MWS) spokesperson said that admission into welfare homes, for both men and women, is often driven by difficult circumstances 'beyond an individual's control'. Neglect and cruelty are common experiences among the elderly women they see, and many residents have been abandoned by family members due to age, disability and illness. More male residents tend to have estranged family relationships, arising from factors such as absentee parenting, repeated incarcerations, substance abuse, domestic violence or extramarital affairs. Female residents, on the other hand, need full-time residential care because of 'poorer support systems', said the spokesperson. 'In some cases, individuals have fallen into debt or been financially exploited by relatives or partners. Others are survivors of domestic violence or abuse – both physical and emotional – or have gone through divorce or separation without financial support.' Ms Kelly (not her real name), 61, has resided in Thuja Home at Pelangi Village for over two years, after a long period of housing instability, including rough sleeping in a staircase in Bedok and a stay in IMH. Twice divorced and estranged from her children and family, she has made peace with her solitude. 'I try not to think that (my family) will come to see me. I just have this dream that they are healthy, and that they are living in a good way,' she said. While she kept to herself in her first year at the home, she has since made a good friend who taught her how to appreciate new hobbies. 'I was so happy to have a place where I would have a cupboard and small table. I never thought there would be room for people like us, I thought everyone had a family only,' said Ms Kelly. For Madam Mary (not her real name), a single woman in her mid-70s, the path to staying in MWS Christalite Methodist Home followed years of collecting and selling cardboard from coffee shops and stores. Her only sibling living in Singapore, a younger brother, now resides in another welfare home. 'Sleeping outside is very dangerous, some people sleep outside and get cheated and end up pregnant. But living here is very good. Here, there's food, there's a place to stay,' she said in Mandarin. Ms Michelle Koh, assistant superintendent of Bukit Batok Home for the Aged, said female residents are typically admitted due to psychiatric conditions coupled with a lack of family support, or situations where family members are unable to cope with caregiving responsibilities. She noted that another key factor determining the admission of both male and female residents to the welfare home is their age profile, combined with the lack of alternative accommodation and the absence of family support. At Thuja Home at Pelangi Village, however, superintendent Melissa Maniam is seeing an uptick in younger women, in their 30s and 40s, entering the welfare home. 'This means that they are often more lucid, they know of their rights and freedoms. So they are unable to really understand why they are placed in a home,' said Ms Maniam. Dr Kelvin Tan Cheng Kian from the Singapore University of Social Sciences (SUSS) said this trend may continue as more Singaporeans remain single. Without alternative housing options, institutional care could become the fallback for those with no safety net. Despite the uptick, the female population in welfare homes remains significantly smaller than that of men, a trend that experts say reflects broader gender norms. Dr Tan, head of SUSS' Minor in Applied Ageing Studies, explained that women bearing the brunt of domestic responsibilities often foster closer family ties. 'Due to this disparity of family roles during their active lives, men are more distant from their children in the post-retirement or latter years, resulting in them ending up in institutional care,' said Dr Tan. Dr Tan Ern Ser, an adjunct principal research fellow and academic adviser at the social lab at the Institute of Policy Studies, also suggested that some women who may have 'good reasons' to leave for welfare homes resist doing so, as their identity and sense of security and dependency is centred on being part of a family unit, even a dysfunctional one. LIFE IN A WELFARE HOME Beyond essential services like meals and medical care, many welfare homes aim to provide meaningful engagement, from creative activities like karaoke to work schemes and outings. Contrary to some residents' fears that living in a welfare home might be like a 'jail', Mr Adrian Ng, a social worker at Bukit Batok Home for the Aged, said the welfare home makes an effort to ensure residents exercise independence. For example, residents can take part in a home earning scheme – light duties within the home that come with a small allowance. Some residents are also nominated for community outings under a buddy system, providing some freedom to travel and purchase things with the allowance they have earned. 'It gives residents a sense of purpose, and they get to contribute to the home. They gain some allowance and benefits like outings, so it keeps them going,' said Mr Ng. One such resident is Madam Liza (not her real name), 69, who has lived in Bukit Batok Home for the Aged for a decade. 'The first time I came here, I felt sad, because I didn't know the place, and my family also didn't know I stayed here. But now it's different.' Mdm Liza finds joy in her role as a receptionist at the front counter for four hours every day – a job that reminds her of her former occupation as a security officer. 'I stay here, I feel happy, because a lot of people can take care of me. I have a lot of friends, I can join the activities,' she said. Mr Alvin Chua, lecturer in the department of social work at National University of Singapore, said that the key challenge in institutional care is the loss of autonomy and the need to comply with rules. The nature of institutional care operations and the responsibility of the management to ensure safety among residents often leaves little to no room for individualisation, he said. Over at MWS Christalite Methodist Home, the welfare home has observed that many of its female residents grapple with loneliness, depression and a sense of hopelessness in coping with the past trauma, mental health conditions or familial estrangement that led to their admission. 'Structured routines and restricted movement outside the facility, though necessary for ensuring safety and optimising care plans, can further impact their mental well-being by limiting autonomy,' said the MWS spokesperson. To address this, the welfare home has designed programmes such as Colour Me Beautiful, which aims to increase female residents' social engagement and provide a safe space for them to reflect on their personal identity. In the six-week pilot programme, female residents participated in 'self-expression activities' like fashion styling, floral arrangement and skincare application paired with group discussions. 'Post-programme surveys reported improved mood, energy, and self-esteem among the participants,' said the spokesperson. One initially introverted resident, Madam Lucy (not her real name), frequently told staff she felt lonely after being admitted in late 2024. In one Colour Me Beautiful session about fashion styling, Mdm Lucy selected a green scarf and paired it with a pink necklace, then modelled her selections for the group. 'It's very enlightening, I like almost everything about the course. It makes me feel more normal,' she said. In CNA TODAY's conversations with women in welfare homes, many also spoke about friendships and fallouts – a reflection, social workers say, of how female residents often place great weight on emotional connection in the welfare home environment. Ms Maniam, the superintendent from all-female welfare home Thuja Home at Pelangi Village, said its residents value interpersonal relationships strongly. 'There'll be a constant theme between a few residents, where one will say, 'They don't like me', and because of that, she can't function and cannot even work,' said Ms Maniam. Agreeing, Mr Ng said: 'Female residents tend to want to get along well with their counterparts. They may have verbal quarrels, complaining, 'Oh this person says this', but they will try and get along.'. Many residents often require ongoing emotional support, particularly in managing interpersonal relationships – be it from their past or with peers in the home. 'Sometimes when we come to the office, (residents) are crying, sitting outside of the office and saying, 'Nobody wants me anymore'. My colleagues and I spend a lot of time talking to them, trying to calm them down. 'It's something we cannot brush away, because all these emotional (moments) are leading to a bigger picture, like their relationship with other people, social communication, behaviour and intervention plan,' said Ms Maniam. Ms Sherry Soon, executive director of Be Kind SG, a social service agency that aims to foster an inclusive society for persons with disabilities, including those with intellectual disabilities and autism spectrum disorder, has observed female residents exhibiting a 'greater need for an affectionate type of relationship' with volunteers. The charity conducts monthly visits to a welfare home, during which it engages residents with a programme that includes dance exercises, guest segments, colouring, singing and music. While she has witnessed friendships bloom in the welfare home environment, she has also seen interpersonal conflict between residents. However, she said that is to be expected, since life in a residential home is a 'microcosm of society'. 'There's a misconception that welfare homes are sad and depressing. Not to say there aren't challenges, but it is like a community, a place where people can find friendship,' said Ms Soon. HIDDEN, NOT HELPLESS While life inside a home may be full of activity, the women who stay in such environments – and welfare homes themselves – often remain outside of the public eye. Ms Soon from Be Kind SG said some volunteers were initially unaware such homes even existed. 'They are really a hidden community. We have had volunteers that live near the welfare home, who didn't know what the home was about,' said Ms Soon. While donations are important, Ms Soon said what makes a difference is companionship, for example through volunteering for events, to create 'beautiful memories' for individuals in welfare homes. Ms Koh from the Bukit Batok Home for the Aged said the public may not fully understand the complex circumstances that lead women to reside in welfare homes, and their enduring desire for dignity and connection. 'They are not simply recipients of care – they are individuals with histories, preferences, and the capacity to heal and grow when given the right support.' Similarly, the MWS spokesperson said the 'immense strength' of the residents in surviving abandonment, abuse, poverty or social stigma is often overlooked. 'These women are not helpless – they are often resourceful but worn down by systemic barriers and a lack of support. With trust, dignity, and opportunity, many can rebuild their lives,' said the MWS spokesperson. For some women in welfare homes, what rebuilding looks like is clear: to return to the community and regain independence. Ms Sarah, the resident of Thuja Home at Pelangi Village, is working towards living in a rental flat under the Joint Singles Scheme. 'I feel thankful, staying here, because I can learn how to be independent. A few years back, I didn't know anything about self-regulation. But I went to a course, and one of the officers taught me to (manage my emotions), how to float, not drown,' said Ms Sarah. Under a scheme at the home, she has found part-time employment as a cafe retail assistant, which suits her schedule of frequent medical appointments. 'I left (secondary school) because of medical reasons. I still wanted to study. But then, I had no choice. Now, staying here, I work hard and get some savings, and can continue from then,' said Ms Sarah. Though giving residents employment skills is important in helping residents execute plans for a new life, Mr Chua from NUS cautioned that many residents carry emotional burdens that are not easily resolved. 'They may seem better and be ready for discharge after the interventions. Yet, it is not uncommon to have these residents coming back into the system shortly after,' Mr Chua said. He pointed to the need for therapeutic support – such as counselling, art or play therapy – and structured aftercare to support a smooth transition. Ms Maniam from Thuja Home at Pelangi Village acknowledged that reintegration with one's family is 'very rare'. She has encountered only one or two successful such cases over the years. Reintegration can be 'especially complex' for female residents, said the MWS spokesperson, given the social, economic and cultural disadvantages and limited family support many residents have. Each year, the home has reintegrated around 5 per cent of residents into the community – only one-fifth of whom are female. 'Our aim is to improve their overall quality of life throughout their stay. However, for many residents, reintegration into the community is not a likely outcome – not due to a lack of will, but because of complex life circumstances and practical constraints,' said the spokesperson. Still, for some other female residents, fulfilment is not found in leaving, but in enjoying life within the four walls of the welfare home, where they have forged healthy routines, friendships, and a sense of security that may have eluded them elsewhere. One of them is Ms Sandy (not her real name), 57, who has stayed at Thuja Home at Pelangi Village for over nine years. Diagnosed with bipolar disorder, she said that staying at the welfare home has helped her feel 'very stable'. Adjusting to living with strangers was initially a struggle, she admitted, and even now and then there are quarrels in her dormitory, which sleeps eight residents. 'Sometimes we quarrel then patch back. We automatically patch back,' said Ms Sandy. But she is buoyed also by her friendships, including with Ms Kelly, whom she introduced to her favourite hobby, colouring.

Certis says the way its sick leave policy was ‘perceived' has caused ‘concern and discomfort'
Certis says the way its sick leave policy was ‘perceived' has caused ‘concern and discomfort'

CNA

timea day ago

  • CNA

Certis says the way its sick leave policy was ‘perceived' has caused ‘concern and discomfort'

SINGAPORE: Certis, in an internal memo sent to staff members on Wednesday (Jul 2), said it recognised that the way its 'care visit' policy was perceived had caused concern and discomfort. The memo, seen by CNA on Thursday, was in response to backlash from its medical leave policy. The policy requires officers to remain at home if on sick leave. Managers may also check in on them, particularly those on extended medical leave, including visiting the employee's home with "small care gestures", Certis previously said in response to CNA queries. Certis also previously required employees on medical leave to share their "live" location if they were not at home. The security firm, following consultation with the Union of Security Employees (USE), has since agreed to stop location tracking of officers on medical leave. In the memo, Chief Human Resources Officer Jaclyn Lee said the care visit policy was meant to be a way to check in on employees when they are unwell. 'It was to ensure our officers are safe and to offer support, especially during extended periods of medical leave,' Dr Lee said. 'But we now recognise that the way it was rolled out, communicated, and perceived caused concern and discomfort.' Dr Lee also reiterated that termination would only be considered in serious cases, such as proven dishonesty, and will always follow a 'thorough and fair' process. Referencing the decision to stop location tracking of officers on sick leave, Dr Lee noted it was a key area of concern. 'This step reflects our commitment to protecting your privacy while keeping lines of care open,' she said. Certis is also working closely with USE to review its approach to care visits, and to improve how it supports its employees going forward, Dr Lee said. USE previously said it is discussing with the Certis management on ways to strengthen their internal communications with their officers, so that policies and practices are clearly explained and their officers' concerns can be addressed early. 'USE and Certis has agreed to co-organise regular monthly engagement sessions with Certis officers, providing a platform for ongoing dialogue and feedback," USE executive secretary Shirley Loo had said. Acknowledging that frontline roles are demanding "in every sense", Dr Lee thanked employees for their hard work, resilience and service. 'We're committed to learning from this, and to building a workplace where trust, support, and respect are not just values, but lived experiences," she said.

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