reproduction and child health lecture note 9361.ppt

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

2. Reproductive Health
Learning Objectives
• Learn to define Reproductive health
• Understand the concept and
importance of RH
• Describe the components of RH
package

3. 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.

4. 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

5. Every minute in the world
380 women become pregnant
190 of these did not plan or do not
wish the pregnancy

6. 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

7. 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.

8. Infant mortality rate/1000 Births = 85
Female adult literacy rate = 33%
Adults living with HIV/AIDS = 74000

9. Position in 2000
• Population per Doctor - 1,552
• Population per Nurse - 3,788
• Population Hospital Bed - 1,518
• Deliveries at Home - 76
(percentage)

10. OTHER HARD FACTS
 POPULATION LIVING BELOW POVERTY LINE 48
 POPULATION WITH NO ACCESS TO SAFE 54
DRINKING WATER
 POPULATION WITH ONE ROOM HOUSES 71
 POPULATION IN KATCHI ABADIES IN
URBAN AREAS 17
 POPULATION WITH NO SANITATION 82
(MILLION)

11. 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

12. BIRTHS DURING 2000
• IN ONE YEAR 4,300,000
• PER MONTH 358,333
• PER DAY 11,781
• PER MINUTE 8

13. DEATHS DURING 2000
• IN ONE YEAR 1,200,000
• PER MONTH 100,000
• PER DAY 3,288
• PER MINUTE 2

14. NET ADDITION IN 2000
• IN ONE YEAR 3,100,000
• PER MONTH 2,58,333
• PER DAY 8,493
• PER MINUTE 6

15. Reproductive Health
Package

16. 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….

17. 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.

18. MoPW outlets
• Family Welfare Centers.
• Reproductive Health Centers
• Mobile Service Units.
• Provincial Health Departments

19. •MoPW and MOH are adopting holistic approach.
.
•Raising awareness about STIs and HIV/AIDS
•Addressing Adolescent issue.
•Women Empowerment with income generating
skills.