Reproductive Health Dr Babar T. Shaikh Aga Khan University

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) POPULATION LIVING BELOW POVERTY LINE 48 POPULATION WITH NO ACCESS TO SAFE 54 DRINKING WATER POPULATION WITH ONE ROOM HOUSES POPULATION IN KATCHI ABADIES IN 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; females · 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.