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

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 pregnancyrelated 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
=
Population Density (per sq. k.m.) =
TFR
=
PGR
=
CPR
=
Maternal Mortality Rate/100,000 =
142.5
166
4.8
2.1%
30%
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
• Population per Nurse
• Population Hospital Bed
• Deliveries at Home
(percentage)
- 1,552
- 3,788
- 1,518
76
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
l
POPULATION IN KATCHI ABADIES IN
l
URBAN AREAS
POPULATION WITH NO SANITATION
71
17
82
POPULATION WELFARE SERVICE OUTLETS
1991 - 2001
TYPE OF OUTLETS
FAMILY WELFARE CENTRES
REPRODUCTIVE HEALTH SERVICE CENTRES
MOBILE SERVICE UNITS
VILLAGE BASED FP WORKERS
REGISTERED MEDICAL PRACTITIONERS
1991
2001
1290
1688
79
106
130
131
----
13084
2500
21040
BIRTHS DURING 2000
• IN ONE YEAR
• PER MONTH
• PER DAY
• PER MINUTE
4,300,000
358,333
11,781
8
DEATHS DURING 2000
• IN ONE YEAR
• PER MONTH
• PER DAY
• PER MINUTE
1,200,000
100,000
3,288
2
NET ADDITION IN 2000
• IN ONE YEAR
• PER MONTH
• PER DAY
• PER MINUTE
3,100,000
2,58,333
8,493
6
Reproductive Health
Package
RH Package Offers-Following
Services

Comprehensive family planning for
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….
females
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.