REPRODUCTIVE HEALTH

and
RESPONSIBLE SEXUALITY

Mindanao Young Women Leaders

Congress
October 20-22, 2011
 H.G.,13 years old,
a second year high school student was brought
by her aunt for prenatal care.
She was 4 months pregnant.
She had a 16 year old boyfriend.
She eventually delivered by cesarean section
after a prolonged and difficult labor,
and is now breastfeeding
her two month old baby.
 A.T.,19 years old,
a graduating nursing student was admitted to
the hospital because of profuse vaginal bleeding
following an abortion.
She underwent surgery and had massive blood
transfusions.
She died after five days in the ICU.
 Objectives

• Present RH issues faced by young people

• Understand Reproductive Health and its elements
• Approaches to Reproductive Health and
Responsible Sexuality
Mabilis ang pagdami ng ating populasyon:
(Annual growth rate of 2% /1.7M people added)

Population in millions

100 88.6 92.2

84.2
76.5
80 68.6
60.7
60 48
42
36.7
40 27
19.2
20 7.6
0
75
03

48

60

70

80

90

95

00

05

07

09
19

19

19

19

19

19

19

20

20

20
19

20
 YOung PeOPle

20% (17M) ang kabataang

may edad 15-24
 RH Concerns of Young People
• RH Threats
– Early and unprotected sex
– Early pregnancy, childbirth and their
complications
– Abortion
– Reproductive Tract Infections/ HIV-AIDS
– Rape/violence/sexual harassment
– Sexual Identity/ orientation

ALL RH THREATS LIMIT THEIR OPTIONS IN LIFE

 RH situation in the Philippines

 YAFSS II says:
– coital debut at 18 years for girls,
17 years for boys

 YAFSS III says:

– 11.6% of single adolescents 15-19
are sexually active
– 23% of 15-24 years old are
sexually active
Tumataas ng bilang ng may Premarital Sex

Premarital Sex among the Youth:1982-2002

35
30 30 Males
25 26.4 25 25
20
%

15 14 15
Females
10 10.8 11 11
5
0
1982 1994 1997 2000 2001 2002
Year
 Pregnancy in the Young

26 % of women age 15-24 have begun childbearing

(NDHS 2008)

early childbearing is highest in Mimaropa 37%

and SOCCSKSARGEN (35%)
Davao 28.7 (NDHS 2008)

SPMC, 2010 - 12.9% pregnancies , under 19.

SEQUELAE OF RELATED EVENTS LEADING TO CONTINUED
LOW LEVEL OF MATERNAL & REPRODUCTIVE HEALTH

• High fertility + low level of FP practice – high

unwanted births & high level of abortion +
inadequate services – maternal morbidity &
mortality
• High levels of requirements for children,
women & young people + inadequate services
for health, FP services & supplies – continued
low levels of maternal & reproductive health
RePROductive tRact infectiOns
Major Health Problem
Serious Facilitate transmission Social Consequences
Complications of HIV
HIV rate in the Philippines
Regional Presentation of Cases Handled
by ALAGAD-Mindanao and Other Partners
(As of September 30, 2011)
 Davao City AIDS Registry
(as of September 30, 2011)

- 189 PLHIV (173 males and 16 females)

- 166 still living (154 males and 12 females)
- 23 deaths (19 males and 4 females)

ALAGAD, Mindanao
A state of complete physical,
mental and social well-being
and not merely the absence of
disease or infirmity,
in all matters related to the
reproductive system and to its
functions and processes.
ICPD, 1994
Philippine Reproductive Health Program
(DOH Admin. Order 1-A s, 1998)
10 Elements of RH
 REPRODUCTIVE HEALTH FRAMEWORK

Integrates/ Deals
From To Address
with

Maternal Mortality
VAWC
Gender Power
RTIs
Sexuality
Prevention of
Quality of Life
Reproduction Abortions/Complications
Life Cycle Approach
Population Infertility
Male Responsibility
Family Planning Cancers and other
Women Centered
Diseases
Socio-economic
Maternal and Child
Cultural
Health
Values and Ethics
Adolescent RH
Rights
(10 Elements)
The missing link in women’s
health…

Gender- men’s power over women

Sexuality-brought into the public
sphere
Rights –call for respect and promotion

A. Germaine, IWHC, 2003

Basic rights

Right to make decisions

Right to accurate information

Right to make informed choices

Respect for decisions and choices

 Reproductive choice

being able to make your

own decisions about
abstinence,
contraception, and
Childbearing
according to your
own conscience.
 Responsible Sexuality

• Accurate information/awareness
-Know your self and your body
- what’s important to you ?
-high risk behaviors
-know your rights
-responsibilities

UNICEF
 Responsible Sexuality

• Life skills
– Setting goals
– Interpersonal relationships
– Communication
– Managing emotions and stress
– Making responsible decisions
– Taking control of your own life

UNICEF
Responsible Sexuality

Study/Learn
Think
Organize
Participate