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Reproductive Health

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					Reproductive Health


   Dr Babar T. Shaikh
   Aga Khan University
    Karachi, Pakistan
      Reproductive Health

Learning Objectives
• Learn to define Reproductive health
• Understand the concept and
  importance of RH
• Describe the components of RH
  package
       Reproductive Health
It is a state of complete physical, mental and
social well-being and not merely absence of
disease or infirmity, in all matters relating to
reproductive system and to its functions and
processes.
Reproductive health care is defined as the
constellation of methods, techniques and
services that contribute to reproductive health
and well-being through preventing and solving
reproductive health problems.
    Concept of Reproductive Health
It implies that
• couples have the ability to reproduce and regulate
their fertility
• women are able to go through pregnancy and
child birth safely
• outcome of the pregnancy is successful in terms of
maternal and infant survival and well-being and
• couples are able to have sexual relations free of
the fear of pregnancy and of contracting any
disease
  Every minute in the world


  380 women become pregnant


190 of these did not plan or do not
        wish the pregnancy
  Every minute in the world


110 women experience a pregnancy-
      related complication


40 women have an unsafe abortion


  1 woman dies from a pregnancy
          related issue
    Reproductive Health Situation In
               Pakistan
Socio-Demographic Profile (Current)
Total Population in millions      =   142.5
Population Density (per sq. k.m.) =   166
TFR                               =     4.8
PGR                               =   2.1%
CPR                               =   30%
Maternal Mortality Rate/100,000 =     350
( births)
                                      contd.
Infant mortality rate/1000 Births =   85


Female adult literacy rate       = 33%


Adults living with HIV/AIDS      = 74000
         Position in 2000
• Population per Doctor     - 1,552
• Population per Nurse      - 3,788
• Population Hospital Bed   - 1,518
• Deliveries at Home         -  76
(percentage)
                OTHER HARD FACTS



                                        (MILLION)
l   POPULATION LIVING BELOW POVERTY LINE     48
l   POPULATION WITH NO ACCESS TO SAFE        54
    DRINKING WATER

l   POPULATION WITH ONE ROOM HOUSES          71
l   POPULATION IN KATCHI ABADIES IN
    URBAN AREAS                              17
l   POPULATION WITH NO SANITATION            82
    POPULATION WELFARE SERVICE OUTLETS
                1991 - 2001




TYPE OF OUTLETS                       1991    2001

FAMILY WELFARE CENTRES                1290    1688

REPRODUCTIVE HEALTH SERVICE CENTRES    79      106

MOBILE SERVICE UNITS                  130      131

VILLAGE BASED FP WORKERS               ----   13084

REGISTERED MEDICAL PRACTITIONERS      2500    21040
              BIRTHS DURING 2000




• IN ONE YEAR                 4,300,000

• PER MONTH                        358,333

• PER DAY                           11,781

• PER MINUTE                            8
            DEATHS DURING 2000




• IN ONE YEAR               1,200,000

• PER MONTH                      100,000

• PER DAY                          3,288

• PER MINUTE                          2
            NET ADDITION IN 2000




• IN ONE YEAR                3,100,000

• PER MONTH                    2,58,333

• PER DAY                          8,493

• PER MINUTE                          6
Reproductive Health
     Package
RH Package Offers-Following
         Services
     Comprehensive family planning for   females
      and males;

 ·   Maternal health care including safe motherhood,
      and pre and post abortion care for
      complications;

 ·   Infant Health Care;

 ·   Management of reproductive health related
      problems of adolescents;
                                   Continued….
        Reproductive Health
         Package     contd…

 Management of other reproductive health related
    problems of women;

       Prevention and management of RTIs/STIs and
    HIV/AIDS;

      Management of infertility;

      Detection of breast and cervical cancers;

       Management of reproductive health related
    issues of men.
         MoPW outlets

•   Family Welfare Centers.

•   Reproductive Health Centers

•   Mobile Service Units.

•   Provincial Health Departments
•MoPW and MOH are adopting holistic approach.


•Raising awareness about STIs and HIV/AIDS


•Addressing Adolescent issue.


•Women Empowerment with income generating
skills.

				
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posted:4/10/2008
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