REPRODUCTIVE HEALTH

Dr. Click Ernawaty to edit Master Tamba, subtitle MPH style

4/13/14

4/13/14

Reproductive Health
!s a state o" com#lete $ #%ysical, mental, social well bein& and not merely t%e absence o" disease or in"irmity, in all matters relatin& to t%e re#roducti'e system and to its "unctions and #rocesses.

4/13/14

Reproductive Health
Peo#le %a'e t%e ability $ To re#roduce To re&ulate t%eir "ertility T%e women are able to &o sa"ely t%rou&% #re&nancy and c%ildbirt% (e#roduction is carried to a success"ul outcome t%rou&% in"ant and c%ild sur'i'al and well bein&

4/13/14

Reproductive Health
De"inition o" se)ual %ealt% s%ould include $ *bility to en+oy mutually "ul"illin& se)ual relations%i# ,reedom "rom se)ual abuse Coercion/%arassment -a"ety "rom se)ually transmitted diseases -uccess in ac%ie'in& or in #re'entin& #re&nancy

4/13/14

Reproductive Health
Healt% issue De'elo#ment issue Human ri&%ts issue (easons o" im#act, ur&ency, ine.uity re#roducti'e %ealt% is a &lobal concern

4/13/14

Impact of Reproductive Health:

q

!s not limited to t%e indi'idual, "amily,society at lar&e !t e)tend across national boundaries to t%e world as a w%ole / areas suc% a mayor im#act $ 1. T%e ability to re&ulate and control "ertility /. -a"ety "rom se)ually transmitted diseases 0 -TDs1

4/13/14

Reproductive Health : A Woma !" Co cer

!s more critical "or women

(e#roducti'e %ealt% is an im#ortant com#onent o" %ealt% "or bot% women and men. * mayor burden o" disease in "emales is related to t%eir re#roducti'e "unction, re#roducti'e #otential 2omen o"ten su""er because o" t%eir natural #%ysiolo&ical role in t%e sur'i'al o" t%e s#ecies task s related to it

4/13/14

#a$or di"ea"e
,emale
1.

Males 1. H!3 !n"ection /. Tuberculosis 3. Motor 'e%icle in+uries 4. Homicide and 'iolence 4. 2ar

Maternity -TD H!3 !n"ection Tuberculosis

/.

3.

4.

4.

De#ressi'e disorders

4/13/14

Determi a t" of Reproductive Health

1.

Pro'idence 0 &enetic, &ender1

Peo#le 0 li"estyle be%a'iour, undermine t%eir own %ealt%1

/. 3.

-ocio5economic conditions,Politicians Pro'iders o" %ealt% care

4.

4/13/14

%OAL&
1. (educed unintended #re&nancies /. (educed maternal mortality 3. (educed in"ant and c%ild mortality 4. (educed se)ually5transmitted disease 0 -TD1transmission wit% a "ocus on H!3

4/13/14

I'DICATOR
!ndicator "or e'aluatin& re#roducti'e %ealt% inter'ention in 4 areas$ -a"e #re&nancy 0 includin& t%e treatment and #re'ention o" unsa"e abortion1
1. /.

-TD/H!3 7reast"eedin&

3.

2omens 6utrition

4.

4.

*dolescent re#roducti'e %ealt% ser'ices

4/13/14

&afe Pre( a c$
1.

Maternal and neonatal %ealt%$

Met need "or emer&ency obstetric care Perinatal mortality rate Case "atality rate Percenta&e o" all adults knowled&eable about maternal com#lication o" #re&nancy and c%ildbirt% Percenta&e o" #re&nant women wit% at least / doses o" tetanus to)oid immuni8ation Maternal mortality ratio and rate

4/13/14

/. Post abortion care E)istence o" ser'ice and administrati'e #olicy on t%e elements o" #ost abortion care Percenta&e o" #ost abortion care clients w%o recei'e counselin& and re"erral or acce#t a "amily #lannin& met%od at time o" ser'ice ,acility case "atality rate 9 #ost abortion com#lication

4/13/14

&TD)HIV
Percenta&e o" clients correctly mana&ed "or -TD 6umber o" condoms distributed Percenta&e o" "amily #lannin& clients w%o acce#t condoms Percenta&e o" adults #racticin& low risk be%a'ior "or -TD/H!3 -TD #re'alence in de"ined tar&et #o#ulation H!3 #re'alence in #re&nant women (e#orted incidence o" uret%ritis in men

4/13/14

Woma 'utritio
E)istence o" women:s nutrition as a #olicy #riority Percenta&e o" %ouse%olds usin& iodi8ed salt Percenta&e o" women wi% anemia Percenta&e o" women wit% low milk breast 'itamin * le'el Percenta&e o" women o" low wei&%t

4/13/14

*rea"tfeedi (
6ational breast"eedin& #olicy and #lan Community base counselin& Continued breast"eedin& at /4 mont%s Contrace#tion amon& nursin& mot%ers

4/13/14

Adole"ce t Reproductive Health &ervice"

Total number o" contact wit% adolescents 0*dolescent1 contrace#ti'e user and/or non user c%aracteristics *dolescents:s knowled&e o" re#roducti'e %elat%

E)istence o" &o'ernment #olicies, #ro&rams or laws "a'orable to adolescent re#roducti'e %ealt%

Percenta&e o" #artici#ants 0 #eers, #arents, teac%ers1 com#etent in communication wit% adolescents in re#roducti'e %ealt% issues