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REPRODUCTIVE HEALTH TRENDS AND ISSUES CFH-PHC 6590-001. G. LOPEZ M.D. A JOINT ENTERPRISE. Student ceases to be a data bank in which deposits of knowledge are made by the teacher to become a participatory actor who responds to the challenges of each problematic situation. DEFINITION*.

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a joint enterprise

A JOINT ENTERPRISE

Student ceases to be a data bank in which deposits of knowledge are made by the teacher to become a participatory actor who responds to the challenges of each problematic situation

definition
DEFINITION*
  • Reproductive Health is 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 health system and to its functions and processes
  • *adopted by ICDP - Cairo 1994
reproductive health
REPRODUCTIVE HEALTH
  • Implies: Ability to reproduce,to regulate their fertility,and to practice and enjoy sexual relationships
  • That reproduction is carried to a successful outcome through infant and child survival,growth,and healthy development.
  • That women can go safely through pregnancy and childbirth,that regulation of fertility can be achieved without health hazards and that people feel and are safe in having sex
reproductive health goals who program

REPRODUCTIVE HEALTH GOALS (WHO Program)

*Experience healthy sexual development and maturation and have the capacity for equitable responsible relationships and sexual fulfillment

*Achieve their desired number of children safely and healthily,when and if they decide to have them

reproductive health goals who program6

REPRODUCTIVE HEALTH GOALS (WHO program)

*Avoid illness, disease and disability related to sexuality and reproduction and receive appropriate care when needed

* Be free from violence and other harmful practices related to sexuality and reproduction

reproductive health life stages
BIRTH

INFANCY AND CHILDHOOD

ADOLESCENCE

ADULTHOOD

MATURE AGE (Post Menopause- Geriatrics)

REPRODUCTIVE HEALTH LIFE STAGES
reproductive health life risks
INFECTIONS

RAPE AND ABUSE

STDs/HIV/AIDS

LEUKORRHEA

MENSTRUAL DYSFUCTIONS

ABORTION

PREGNANCY

BIRTH TRAUMA

PELVIC FLOOR LESIONS(Prolapse-Incontinence)

TUMORS (Breast-Cervix-Endometrium-Ovaries-Vagina)

OSTEOPOROSIS-FRACTURES

REPRODUCTIVE HEALTH LIFE RISKS
reproductive health interventions and programs
POPULATION IDENTIFICATION

DETECTION OF RISK GROUPS

PREVENTION Motivation,Promotion Education

SEX EDUCATION

EPIDEMIOLOGIC

PSYCHOPROPHILACTIC (Lamaze)

ONCOLOGIC CARE AND TREATMENT

FOLLOW-UP ACCORDING TO LEVELS AND RISKS

REPRODUCTIVE HEALTH INTERVENTIONS AND PROGRAMS
slide11

MATERNAL PRACTICES INFLUENCING CHILD SURVIVAL IN REPRODUCTIVE LIFE STAGESPRECONCEPTION: 1)Conception delaying actions: postponement of marriage-birth spacing-contraception-abstinence-breast-feedingPREGNANCY: 2)Specific preventive practices to “protect” pregnancy,e.g.: dietary restrictions; traditional practices; modern practices; rituals; prenatal care.3)Treatments for sickness/complications-traditional-modern4) Dietary practice an care- Food taboos5) Work activities: physical demands of work (energy)6) Other behaviors: smoking-use of drugs-etc

slide12

MATERNAL PRACTICES INFLUENCING CHILD SURVIVAL IN REPRODUCTIVE LIFE CYCLECHILDBIRTH 7) Place selected for birth- Hygiene-:Home-Health Facility8) Attendant: self/family-tba-qualifiedPOST-NATAL :9) Breast-feeding practices-use of colostrum-duration-partial breast-feeding- pattern(demand,schedule,nighttime)10) Supplementary feeding: type/timing/amount of foods offered;special foods;use of bottle feeding11)Dietary practices of mother:food taboos/restrictions/supplements.

slide13

MATERNAL PRACTICES (cont)12) Household hygienic practices: cleaning;bedding;diapers;food preparation; storage;latrine/toilet;water/soap; general environment.13) Specific prevention practices traditional (taboos;rituals;circumcision)-modern postpartum childcare: (immunizations; vitamins;contraception)14) Sickness care practices: traditional ( food restrictions; medicines;rituals) modern.15) Activities ( work) of the mother: time resuming household work-Outside work care - Care of infant during work (place of care home or work) Delegation of care ( sibling/relative) unqualified or qualified caretaker.

slide14

SOME GLOBAL OVERVIEW DATABirth rate per 1000 population(1999):World: 23-More developed countries: 11- Less developed countries: 26-Less developed countries excluding China:292) Infant Mortality rate (Infant deaths per 1000 live births) (1999): World: 57- More developed countries: 8- Less developed countries: 62- Less developed countries excluding China:683) Contraceptive use women in union (1999):Prevalence % rate all methods- World: 58- More developed countries: 72- Less developed countries:55- Less developed countries excluding China:44

slide15

GLOBAL OVERVIEW DATA (Cont)Contraceptive use modern methods(1999):World: 51- More developed Countries: 59- Less developed countries 49- Less developed countries excluding China: 37Maternal Mortality Ratio ( Per 1000 live births) (1992) World: 320 -More developed countries: 9- Less developed countries: 350- Less developed countries excluding China: 410)Life time chance of Maternal death according to region ( 1987): Africa 1 in 21- Asia 1 in 54 - South America 1 in 73- Caribbean 1 in140- North America 1 in 6366- Northern Europe 1 in 9850

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