You are on page 1of 7

&+$37(5

5(352'8&7,9(+($/7+

™ REPRODUCTIVE HEALTH
ͲΔΔΠΣΕΚΟΘ͑ΥΠ͑Έ͹΀͙͑ΈΠΣΝΕ͑͹ΖΒΝΥΙ͑΀ΣΘΒΟΚΤΒΥΚΠΟ͚͝ΣΖΡΣΠΕΦΔΥΚΧΖ͑ΙΖΒΝΥΙ͑ΞΖΒΟΤ͑Β͑ΥΠΥΒΝ͑
ΨΖΝΝ͞ΓΖΚΟΘ͑ΚΟ͑ΒΝΝ͑ΒΤΡΖΔΥΤ͑ΠΗ͑ΣΖΡΣΠΕΦΔΥΚΠΟ͑ΚΖ͟ΡΙΪΤΚΔΒΝ͝ΖΞΠΥΚΠΟΒΝ͝ΓΖΙΒΧΚΠΦΣΒΝ͗͑͝ΤΠΔΚΒΝ

352*5$00(6LQYROYHGLQPDLQWDLQLQJUHSURGXFWLYHKHDOWK

 )DPLO\SODQQLQJSURJUDPPH LQLWLDWHGLQ 
 5HSURGXFWLYHDQG&KLOG+HODWK&DUH 5&+ SURJUDPPH

0DMRUWDVNVXQGHUIDPLO\SODQQLQJSURJUDPPHDQG5&+

v FUHDWHDZDUHQHVVDPRQJSHRSOHDERXWYDULRXVUHSURGXFWLRQUHODWHG
DVSHFWV
v SURYLGHIDFLOLWLHVDQGVXSSRUWIRUEXLOGLQJXSDUHSURGXFWLYHO\KHDOWK\
VRFLHW\
6WUDWHJLHVIRUUHSURGXFWLYHKHDOWK

¾ creatHDZDUHQHVVDPRQJSHRSOHZLWKWKHKHOSRIDXGLRYLVXDOSULQWPHGLDDQGSULPDU\KHDOWK
FHQWUHV

¾ LQWURGXFWLRQRIVH[HGXFDWLRQLVVFKRROV

¾ SDUHQWVWHDFKHUVIULHQGVDQGFORVHUHODWLYHVSOD\DPDMRUUROHLQSURYLGLQJWKHVH[UHODWHG
LQIRUPDWLRQWRFKLOGUHQIRUWKHLUUHSURGXFWLYHO\KHDOWK\OLIH

¾ IHUWLOHFRXSOHVDQGDOORWKHUSHUVRQVRIPDUULDJHDEOHDJHJURXSPXVWEHHGXFDWHGDERXWDYDLODEOH
ELUWKFRQWURORSWLRQVFDUHRISUHJQDQWPRWKHUVLPSRUWDQFHRIEUHDVWIHHGLQJHWF

¾ DZDUHQHVVRISUREOHPVGXHWRXQFRQWUROOHGSRSXODWLRQJURZWKVRFLDOHYLOVOLNHVH[DEXVHDQGVH[
UHODWHGFULPHV

¾ PHGLFDODVVLVWDQFHDQGFDUHPXVWEHSURYLGHGWRSHRSOHLQUHSURGXFWLRQUHODWHGSUREOHPV

¾ $PQLRFHQWHVLV
SUHQDWDOGLDJQRVWLFWHFKQLTXHWRGHWHUPLQHWKH
VH[DQGJHQHWLFGLVRUGHUVRIWKHIRHWXVEDVHG
RQWKHFKURPRVRPDOSDWWHUQLQWKHDPQLRWLFIOXLG
VXUURXQGLQJWKHGHYHORSLQJHPEU\R
¾ PLVXVHGWRGHWHUPLQHWKHVH[RIWKHFKLOGDQGWR
NLOOQRUPDOIHPDOHIRHWXV IHPDOHIRHWLFLGH VRLW
LVOHJDOO\EDQQHG

ͲϭͲ
5HVHDUFKRQYDULRXVUHSURGXFWLRQUHODWHGDUHDVDUHKHOSHGDQGVXSSRUWHGE\WKHJRYHUQPHQWDQGQRQ
JRYHUQPHQWDJHQFLHV
6DKHOL
LVDQHwRUDOFRQWUDFHSWLYHSLOO RQFHD wHHN IRUIHPDOHVGHYHORSHGE\
VFLHQWLVWVDW&HQWUDO'UXJ5HVHDUFK,QVWLWXWH &'5, ,Q/XFNQRw,QGLD

™ 3RSXODWLRQVWDELOLVDWLRQDQGELUWKFRQWURO
7KHLQFUHDVHLQKXPDQSRSXODWLRQLVFDOOHGSRSXODWLRQJURwWK 
5HDVRQVIRUWKLV D UDSLGGHFOLQHLQGHDWKUDWH 
E GHFOLQHLQPDWHUQDOPRUWDOLW\UDWH 005 
F GHFOLQHLQLQIDQWPRUWDOLW\UDWH ,05 
G LQFUHDVHLQQXPEHURISHRSOHLQUHSURGXFLEOHDJH 

6WHSVWRRYHUFRPHSRSXODWLRQJURZWK

¾ PRWLYDWH VPDOOHUIDPLOLHVE\XVLQJYDULRXVFRQWUDFHSWLYHPHWKRGV
¾ )DPLO\SODQQLQJSURJUDPPH+XP'R+DPDUH'R wHWwRRXUWwR LVDFRPPRQVORJDQIRUWKH
FDPSDLJQRIIDPLO\SODQQLQJSURJUDPPH0DQ\FRXSOHVKDYHDGRSWHGRQHFKLOGQRUP
¾ UDLVLQJRIPDUULDJHDEOHDJHRIWKHIHPDOHWR\HDUVDQGPDOHVWR\HDUV

¾ LQFHQWLYHVJLYHQWRFRXSOHVZLWKVPDOOIDPLOLHV

%LUWKFRQWURO SUHYHQWLRQRIWKHELUWKRIDFKLOGE\XVLQJVRPHNLQGRIFRQWUDFHSWLYHV

&RQWUDFHSWLYHPHWKRGV KHOSWRSUHYHQWXQZDQWHGSUHJQDQFLHV

$QLGHDOFRQWUDFHSWLYHVKRXOGEH

¾ XVHUIULHQGO\
¾ HDVLO\DYDLODEOH
¾ HIIHFWLYH
¾ UHYHUVLEOH
¾ QRRUOHDVWVLGHHIIHFWV
¾ VKRXOGQRWLQWHUIHUHZLWKWKHVH[XDOGULYHGHVLUHRUVH[XDODFWRIWKHXVHU

™ FRQWUDFHSWLYHPHWKRGV
L QDWXUDORUWUDGLWLRQDOPHWKRGV
LL EDUULHUPHWKRGV
LLL ,QWUD8WHULQH'HYLFHV ,8'
V
LY RUDOFRQWUDFHSWLYHV SLOOV
Y LQMHFWDEOHVDQGLPSODQWV
YL VXUJLFDOPHWKRGVV

ͲϮͲ
L QDWXUDOPHWKRGV
DYRLGFKDQFHVRIRYXPDQGVSHUPPHHWLQJ 

D SHULRGLFDEVWLQHQFHWKHFRXSOHVDYRLGFRLWXVIURPGD\ RYXODWLRQFRXOGEHH[SHFWHG RI


WKHPHQVWUXDOF\FOH7KLVSHULRGLVFDOOHGIHUWLOHSHULRGDVFKDQFHVRIIHUWLOLVDWLRQLVYHU\KLJK

E ZLWKGUDZDORUFRLWXVLQWHUUXSWXVPDOHSDUWQHUZLWKGUDZVKLVSHQLVIURPWKHYDJLQDMXVW
EHIRUHHMDFXODWLRQVRDVWRDYRLGLQVHPLQDWLRQ

F ODFWDWLRQDODPHQRUUKHD DEVHQFHRIPHQVWUXDWLRQ RYXODWLRQGRQRWRFFXUGXULQJWKHSHULRGRI


LQWHQVHODFWDWLRQ 

ƒ DGYDQWDJHVRIQDWXUDOPHWKRGV
QRPHGLFLQHVRUGHYLFHVDUHXVHGVLGHHIIHFWVDUHDOPRVWQLOO

ƒ GLVDGYDQWDJHRIQDWXUDOPHWKRGV

FKDQFHVRIIDLOXUHLVKLJK

LL EDUULHUPHWKRGV
RYXPDQGVSHUPVDUHSUHYHQWHGIURPSK\VLFDOO\PHHWLQJKHOSRIEDUULHUVXFKPHWKRGVDUHDYDLODEOH
IRUERWKPDOHVDQGIHPDOHV
D FRQGRPVEDUULHUVPDGHRIWKLQUXEEHURUODWH[VKHDWKFRYHUWKHSHQLVLQWKHPDOHRUYDJLQD
DQGFHUYL[LQIHPDOH,WLVXVHGMXVWEHIRUHFRLWXVVRWKDWVHPHQZRXOGQRWHQWHULQWRWKH
IHPDOHUHSURGXFWLYHWUDFW7KLVSUHYHQWFRQFHSWLRQ1LURGKLVDSRSXODUEUDQGRIFRQGRPIRU
WKHPDOH

DGYDQWDJHV
9 SURWHFWLQJWKHXVHUIURPFRQWUDFWLQJ67'
VDQG$,'6
9 PDOHDQGIHPDOHFRQGRPVDUHGLVSRVDEOH
9 FDQEHVHOILQVHUWHGDQGJLYHVSULYDF\WRWKHXVHU

E GLDSKUDJPVFHUYLFDOFDSVDQGYDXOWV 

EDUULHUVPDGHRIUXEEHUWKDWDUHLQVHUWHGLQWRWKHIHPDOH
UHSURGXFWLYHWUDFWWRFRYHUWKHFHUYL[GXULQJFRLWXV7KH\DUH
UHXVDEOH7KH\SUHYHQWFRQFHSWLRQE\EORFNLQJWKHHQWU\RI
VSHUPVWKURXJKWKHFHUYL[

VSHUPLFLGDOFUHDPVMHOOLHVDQGIRDPVDUHXVXDOO\XVHGDORQJZLWKWKHVHEDUULHUVWR
LQFUHDVHWKHLUFRQWUDFHSWLYHHIILFLHQF\

͞ϯ͞
LLL ,8'
V
7KHVHGHYLFHVDUHLQVHUWHGE\GRFWRUVRUH[SHUWQXUVHVLQWKHXWHUXVWKURXJKYDJLQD
WKH\DUHRIWKUHHW\SHVLQRQPHGLFDWHG,8'
V HJ/LSSHVORRS 
LLFRSSHUUHOHDVLQJ,8'
V HJ&X7&X0XOWLORDG
LLLKRUPRQHUHOHDVLQJ,8'
V HJ3URJHVWDVHUW/1*

9 ,8'
VLQFUHDVHSKDJRF\WRVLVRIVSHUPVZLWKLQWKHXWHUXVDQGWKH
FRSSHULRQVUHOHDVHGVXSSUHVVVSHUPPRWLOLW\DQGWKHIHUWLOLVLQJ
FDSDFLW\RIVSHUPVLQDGGLWLRQKRUPRQHUHOHDVLQJ,8'
VPDNHWKH
XWHUXVXQVXLWDEOHIRULPSODQWDWLRQDQGWKHFHUYL[KRVWLOHWRWKH
VSHUPV

v ,8'
VDUHLGHDOFRQWUDFHSWLYHVIRUWKHIHPDOHVZKRZDQWWRGHOD\
SUHJQDQF\DQGRUVSDFHFKLOGUHQ

FRSSHU7
LY RUDOFRQWUDFHSWLYHV SLOOV
RUDODGPLQLVWUDWLRQRIVPDOOGRVHVRIHLWKHUSURJHVWRJHQVRUSURJHVWRJHQHVWURJHQFRPELQDWLRQ
XVHGLQWKHIRUPRIWDEOHWVKHQFHSRSXODUO\FDOOHGSLOOVSLOOVKDYHWREHWDNHQGDLO\IRUDSHULRGRI
GD\VVWDUWLQJSUHIHUDEO\ZLWKLQWKHILUVWILYHGD\VRIPHQVWUXDOF\FOH

9 7KH\LQKLELWRYXODWLRQDQGLPSODQWDWLRQDVZHOODVDOWHUWKHTXDOLW\RIFHUYLFDOPXFXVWRSUHYHQW
UHWDUGHQWU\RIVSHUPV

v SLOOOVDUHYHU\HIIHFWLYHZLWKOHVVHUVLGHHIIHFWVDQGDUHZHOODFFHSWHGE\IHPDOHV

Y LQMHFWDEOHVDQGLPSODQWV
SURJHVWRJHQVDORQHRULQFRPELQDWLRQZLWKHVWURJHQFDQEHXVHGE\
IHPDOHVDVLQMHFWLRQVRULPSODQWVXQGHUWKHVNLQ7KHLUPRGHRIDFWLRQ
LVVLPLODUWRWKDWRISLOOVDQGWKHLUHIIHFWLYHSHULRGVDUHPXFKORQJHU

LPSODQWV
DGPLQLVWUDWLRQRISURJHVWRJHQVRUSURJHVWRJHQHVWURJHQFRPELQDWLRQVRU,8'
VZLWKLQKRXUV
RIFRLWXVKDYHEHHQIRXQGWREHYHU\HIIHFWLYHDVHPHUJHQF\FRQWUDFHSWLYHV

YL VXUJLFDOPHWKRGV VWHUOLVDWLRQ


DGYLVHGIRUPDOHIHPDOHSDUWQHUDVDWHUPLQDOPHWKRGWRSUHYHQWDQ\PRUHSUHJQDQFLHVVXUJLFDO
LQWHUYHQWLRQEORFNVJDPHWHWUDQVSRUWDQGWKHUHE\SUHYHQWFRQFHSWLRQ

ͲϰͲ
9DVHFWRP\
9 VWHUOLVDWLRQSURFHGXUHLQPDOHLVFDOOHGYDVHFWRP\DQGWKDWLQIHPDOHLVWXEHFWRP\,Q
YDVHFWRP\DVPDOOSDUWRIYDVGHIHUHQVLVUHPRYHGRUWLHGXSWKURXJKDVPDOOLQFLVLRQRQWKH
VFURWXPZKHUHDVLQWXEHFWRP\DVPDOOSDUWRIIDOORSLDQWXEHLVUHPRYHGRUWLHGXSWKURXJKD
VPDOOLQFLVLRQLQWKHDEGRPHQRUWKURXJKYDJLQD

v 7KHVHWHFKQLTXHVDUHKLJKO\HIIHFWLYHEXWWKHLUUHYHUVLELOLW\LVYHU\SRRU

0(',&$/7(50,1$7,212)35(*1$1&< 073

,QWHQWLRQDORUYROXQWDU\WHUPLQDWLRQRISUHJQDQF\EHIRUHIXOOWHUPLVFDOOHGPHGLFDOWHUPLQDWLRQ
RISUHJQDQF\RULQGXFHGDERUWLRQ
*RYHUQPHQWRI,QGLDOHJDOLVHG073LQZLWKVRPHVWULFWFRQGLWLRQVWRDYRLGLWVPLVXVHLWFKHFN
LQGLVFULPLQDWHDQGLOOHJDOIHPDOHIRHWLFLGHV

:+<073"WRJHWULGRIXQZDQWHGSUHJQDQFLHVHLWKHUGXHWRFDVXDOXQSURWHFWHGLQWHUFRXUVHRU
IDLOXUHRIWKHFRQWUDFHSWLYHXVHGGXULQJFRLWXVRUUDSHV
,WLVDOVRHVVHQWLDOLQFHUWDLQFDVHVZKHUHFRQWLQXDWLRQRIWKHSUHJQDQF\FRXOGEHKDUPIXOWRWKH
PRWKHURUWKHIRHWXV
073
VDUHFRQVLGHUHGUHODWLYHO\VDIHGXULQJWKHILUVWWULPHVWHULHXSWRZHHNVRISUHJDQDF\

6(;8$//<75$160,77(',1)(&7,216 67,
V
,QIHFWLRQVRUGLVHDVHVZKLFKDUHWUDQVPLWWHGWKURXJKVH[XDOLQWHUFRXUVHDUHFROOHFWLYHO\FDOOHG
VH[XDOO\WUDQVPLWWHGLQIHFWLRQV 67,
V RUYHQHUHDOGLVHDVHV 9' RUUHSURGXFWLYHWUDFWLQIHFWLRQV 57, 

v 67,
V*RQRUUKRHDV\SKLOLVJHQLWDOKHUSHVFKODP\GLDVLVJHQLWDOZDUWV
WULFKRPRQLDVLVKHSDWLWLV%$,'6
KHSDWLWLV%DQG+,9LQIHFWLRQ $,'6 FDQDOVREHWUDQVPLWWHGE\VKDULQJRI
LQMHFWLRQQHHGOHVVXUJLFDOLQVWUXPHQWVHWFZLWKLQIHFWHGSHUVRQVWUDQVIXVLRQRI
EORRGRUIURPDQLQIHFWHGPRWKHUWRWKHIRHWXV


KHSDWLWLV%JHQLWDOKHUSHVDQG+,9LQIHFWLRQVDUHQRWFRPSOHWHO\FXUDEOH
V\PSWRPVRI67,
VLWFKLQJIOXLGGLVFKDUJHVOLJKWSDLQVZHOOLQJVHWFLQWKHJHQLWDOUHJLRQ
FRPSOLFDWLRQVRI67,
VSHOYLFLQIODPPDWRU\GLVHDVHV 3,' DERUWLRQVVWLOOELUWKVHFWRSLF
SUHJQDQFLHVLQIHUWLOLW\RUHYHQFDQFHURIWKHUHSURGXFWLYHWUDFW

SUHYHQWLRQRI67,
V

L DYRLGVH[ZLWKXQNQRZQSDUWQHUVPXOWLSOHSDUWQHUV

LL DOZD\VWU\WRXVHFRQGRPVGXULQJFRLWXV

LLL LQFDVHRIGRXEWRQHVKRXOGJRWRDTXDOLILHGGRFWRUIRUHDUO\GHWHFWLRQDQG
JHWFRPSOHWHWUHDWPHQWLIGLDJQRVHGZLWKLQIHFWLRQ

,1)(57,/,7<
,QDELOLW\WRSURGXFH\RXQJRQHVHYHQDIWHU\HDUVRIXQSURWHFWHGVH[XDOFRKDELWDWLRQ
¾ LQIHUWLOLW\FOLQLFVVSHFLDOLVHGKHDOWKFDUHXQLWVZKLFKFRXOGKHOSLQGLDJQRVLVDQG
FRUUHFWLYHWUHDWPHQWRIVRPHRIWKHLQIHUWLOW\UHODWHGGLVRUGHUV
¾ $57DVVLVWHGUHSURGXFWLYHWHFKQRORJLHVWKHFKLOGOHVVFRXSOHVFRXOGEHDVVLVWHGWRKDYH
FKLOGUHQWKURXJKFHUWDLQVSHFLDOWHFKQLTXHVFRPPRQO\NQRZQDV$57

0HWKRGVRILQIHUWLOLW\WUHDWPHQW
VRPHLPSRUWDQW$57
VDUH,9)*,)7,&6,$,HWF

L ,9),QYLWURIHUWLOLVDWLRQWKHWHFKQLTXHRIIHUWOLVDWLRQFDUULHGRXWVLGHWKHERG\RI
WKHPRWKHULQDOPRVWVLPLODUFRQGLWLRQVDVWKRVHZLWKLQWKHERG\7KLVLVIROORZHG
E\=,)7 ]\JRWHLQWUDIDOORSLDQWUDQVIHU RU,87 LQWUDXWHULQHWUDQVIHU ,9)LV
SRSXODUO\NQRZQDVWHVWWXEHEDE\SURJUDPPH
,QWKLVWHFKQLTXHRYDIURPWKHZLIHRUGRQRUIHPDOHDQGVSHUPVIURPWKHKXVEDQGRU
GRQRUPDOHDUHFROOHFWHGDQGDUHLQGXFHGWRIXVHDQGIRUP]\JRWHXQGHUVLPXODWHG
FRQGLWLRQVLQWKHODERUDWRU\7KH]\JRWHRUHDUO\HPEU\RV XSWREODVWRPHUHV FRXOG
WKHQEHWUDQVIHUHGLQWRWKHIDOORSLDQWXEH =,)7 DQGHPEU\RVZLWKPRUHWKDQ
EODVWRPHUHVLQWRWKHXWHUXV ,87 WRFRPSOHWHLWVIXUWKHUGHYHORSPHQW
LL *,)7*DPHWHLQWUDIDOORSLDQWUDQVIHU
,QWKLVWHFKQLTXHWKHRYXPLVFROOHFWHGIURPDGRQDUIHPDOHDQGLVWUDQVIHUUHG
LQWRWKHIDOORSLDQWXEHRIDQRWKHUIHPDOHZKRFDQQRWSURGXFHWKHRYXPEXWFDQ
SURYLGHVXLWDEOHHQYLURQPHQWIRUIHUWLOLVDWLRQDQGIXUWKHUGHYHORSPHQWRIHPEU\R

LLL ,&6,,QWUDF\WRSODVPLFVSHUPLQMHFWLRQ
,QWKLVWHFKQLTXHVSHUPLVGLUHFWO\LQMHFWHGLQWRWKHRYXPLQWKHODERUDWRU\DQG
WKHQWKH]\JRWHRUHPEU\RLVWUDQVIHUHGLQWRWKHIDOORSLDQWXEHRUXWHUXVRIWKH
UHPEU\RLVWUDQVIHUHGLQWRWKHIDO
IHPDOH


LY $,$UWLILFLDOLQVHPLQDWLRQ
,QWKLVWHFKQLTXHWKHVHPHQFROOHFWHGIURPWKHKXVEDQGRUDKHDOWK\GRQRULV
DUWLILFLDOO\LQWURGXFHGHLWKHULQWRWKHYDJLQDRULQWRWKHXWHUXV ,8,,QWUD8WHULQH
,QVHPLQDWLRQ RIWKHIHPDOH
$,LVGRQHZKHQWKHPDOHSDUWQHUHLWKHUIDLOVWRLQVHPLQDWHWKHIHPDOHRUVXIIHUV
GXHWRYHU\ORZVSHUPFRXQWVLQWKHHMDFXODWHV

8OWLPDWHDLPRI$57LVWRKDYHFKLOGUHQ

,QIHUWLOLW\WUHDWPHQWUHTXLUHVVSHFLDOLVHGSURIHVLRQDOVH[SHQVLYH
LQVWUXPHQWVDQGFKHPLFDOV+HQFHWKHLUEHQHILWVDUHDIIRUGDEOHWRRQO\
DOLPLWHGQXPEHURISHRSOH

,QGLDQODZSHUPLWVOHJDODGRSWLRQ,WLVWKHEHVWPHWKRGIRUFRXSOHVZKR
ZDQWWRHQMR\SDUHQWKRRG



You might also like