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REPRODUCTIVE HEALTH
Genevieve C. Serilo BSEd 2D
• Discussions of the people’s
   sexual and reproductive
   health needs have been
 largely sidetracked because
   of the too much attention
    given on the population
              itself.
According to

        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 relating to the
reproductive system and its
functions and processes.
Reproductive health therefore
 implies that people are able to
have a satisfying and safe sex
   life and that they have the
capability to reproduce and the
freedom to decide if, when and
        how often to do so.
Implicit in this last condition
   are the right of men and
women to be informed [about]
    and to have access to
safe, effective, affordable and
acceptable methods of family
   planning of their choice,
as well as other methods of
   birth control which are not
against the law, and the right of
 access to appropriate health-
 care services that will enable
  women to go safely through
 pregnancy and childbirth and
 provide couples with the best
  chance of having a healthy
             infant.”
Male Reproductive Health
• Prostate and testicular
  cancers are among the
  leading causes for males.
• Other serious concerns for
  males include erectile
  dysfunction, impotence, and
  premature ejaculation.
• Erectile dysfunction (ED) is
    when a man has trouble
     getting or keeping an
  erection. ED becomes more
   common as you get older.
  But male sexual dysfunction
 is not a natural part of aging.
• Impotence is a common
     problem among men
     characterized by the
consistent inability to sustain
   an erection sufficient for
  sexual intercourse or the
      inability to achieve
     ejaculation, or both.
• It’s almost impossible to get
     an accurate definition of
  premature ejaculation: what
     some couples consider a
       satisfactory length of
    intercourse would be very
      inadequate for others.
• At the 2006 Congress of the
  European Society for Sexual
     Medicine, an American
  research paper reported: the
   average lasting time of men
    with PE was 1.8 minutes
'normal' men lasted an average
         of 7.3 minutes.
• But there were males who
 claimed to have premature
   ejaculation, yet who could
  last up to 25 minutes. This
  clearly shows people have
  wildly differing ideas about
        what is normal!
Female Reproductive Health
• Common causes of mortality rate
  among females includes postpartum
  hemorrhage, eclampsia, and sepsis.
• Breast cancer remains to be the
  leading cause of cancer deaths in
  the country for Filipino
  women, followed by cervical cancer
  and ovarian cancer.
• Postpartum hemorrhage is
 excessive bleeding following
  the birth of a baby. About 4
    percent of women have
postpartum hemorrhage and it
is more likely with a cesarean
birth. Hemorrhage may occur
before or after the placenta is
• The average amount of blood
  loss after the birth of a single
    baby in vaginal delivery is
 about 500 ml (or about a half of
  a quart). The average amount
   of blood loss for a cesarean
 birth is approximately 1,000 ml
           (or one quart).
Eclampsia
 • Eclampsia, a life-threatening
 complication of pregnancy, is a
condition that causes a pregnant
    woman, usually previously
   diagnosed with preeclampsia
(high blood pressure and protein
in the urine), to develop seizures
             or coma.
• Sepsis is an illness in which
  the body has a severe
  response to bacteria or other
  germs.
• This response may be called
  systemic inflammatory
  response syndrome (SIRS).
• Reproductive health problems
  remain the leading cause of ill
  health and death for women of
   childbearing age worldwide.
According to the WHO:

  • Each year, 358, 000 women die
    due to complications related to
  pregnancy and childbirth; 99% of
 these deaths occur within the most
  disadvantaged population groups
living in the poorest countries of the
                world.
National Health Situation of
      Filipino Women
Philippine Maternal Mortality Rate
(MMR) remains high at 162 deaths for
every 100,000 live births. The National
Statistics Office fears that the slow
decline in MMR may cause the
Philippines to miss its MDG target of
bringing down the MMR to 53 by the
year 2015. (Family Planning Survey
2006).
Maternal deaths account for 14% of
deaths among women. According to
the Commission on Population, ten
   (10) women die every 24 hours
from pregnancy or childbirth-related
    complications (Popcom 2000).
29 infants of every 1,000
    live births die before
 reaching one year of age;
   40 young children die
before reaching five years
of age. (NSO, NDHS 2003)
Close birth spacing and
high-risk pregnancies have
 been shown to be closely
    related to childhood
  mortality. (NSO, NDHS
           2003)
The Filipino woman's desired
    number of children is 2.5.
However, the actual fertility rate is
3.5 children or a difference of one
   child. This difference is due
 mainly to the lack of information
on and access to family planning
  services. (NSO, NDHS 2003)
Infertility
• A 1986 WHO study found out
  that 10 to 15 percent of couples
  were unable to produce a child.
• In the Philippines, the 1998
  National Demographic Health
  Survey showed that two
  percent of women were
  infertile.
Abortion and Post-abortion
         Complications
• Of the 3.1 million
  pregnancies in the country
  every year, 15 percent end
  in induced abortions and
  another 15 percent result in
  spontaneous abortion.
• In a study conducted by the
  Guttmacher Institute and the
   UP Population Institute, 72
percent of Filipino women who
   have had an abortion cited
 financial difficulty as the main
   reason for terminating their
           pregnancy.
Sexually Transmitted Infections

• HIV prevalence in the
  country remains low, with
  a cumulative case of
  3, 061 as of the end of
  2007.
• However, for the last two years, new
 cases have breached the 300-mark. At
the National Dissemination Forum 2008
Philippine Country Progress Report, Dr.
 Eric Tayag presented the first HIV and
    AIDS Registry Annual Report and
   based on the data generated by the
Registry, 342 new cases were recorded
  in 2007, 28 of which are AIDS cases.
• Other common STIs
 include non-gonoccocal
type, trichomoniasis, and
gonorrhea (10.1 percent)
Reproductive health
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Reproductive health

  • 2. • Discussions of the people’s sexual and reproductive health needs have been largely sidetracked because of the too much attention given on the population itself.
  • 3. According to 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 relating to the reproductive system and its functions and processes.
  • 4. Reproductive health therefore implies that people are able to have a satisfying and safe sex life and that they have the capability to reproduce and the freedom to decide if, when and how often to do so.
  • 5. Implicit in this last condition are the right of men and women to be informed [about] and to have access to safe, effective, affordable and acceptable methods of family planning of their choice,
  • 6. as well as other methods of birth control which are not against the law, and the right of access to appropriate health- care services that will enable women to go safely through pregnancy and childbirth and provide couples with the best chance of having a healthy infant.”
  • 7. Male Reproductive Health • Prostate and testicular cancers are among the leading causes for males. • Other serious concerns for males include erectile dysfunction, impotence, and premature ejaculation.
  • 8. • Erectile dysfunction (ED) is when a man has trouble getting or keeping an erection. ED becomes more common as you get older. But male sexual dysfunction is not a natural part of aging.
  • 9. • Impotence is a common problem among men characterized by the consistent inability to sustain an erection sufficient for sexual intercourse or the inability to achieve ejaculation, or both.
  • 10. • It’s almost impossible to get an accurate definition of premature ejaculation: what some couples consider a satisfactory length of intercourse would be very inadequate for others.
  • 11. • At the 2006 Congress of the European Society for Sexual Medicine, an American research paper reported: the average lasting time of men with PE was 1.8 minutes 'normal' men lasted an average of 7.3 minutes.
  • 12. • But there were males who claimed to have premature ejaculation, yet who could last up to 25 minutes. This clearly shows people have wildly differing ideas about what is normal!
  • 13. Female Reproductive Health • Common causes of mortality rate among females includes postpartum hemorrhage, eclampsia, and sepsis. • Breast cancer remains to be the leading cause of cancer deaths in the country for Filipino women, followed by cervical cancer and ovarian cancer.
  • 14. • Postpartum hemorrhage is excessive bleeding following the birth of a baby. About 4 percent of women have postpartum hemorrhage and it is more likely with a cesarean birth. Hemorrhage may occur before or after the placenta is
  • 15. • The average amount of blood loss after the birth of a single baby in vaginal delivery is about 500 ml (or about a half of a quart). The average amount of blood loss for a cesarean birth is approximately 1,000 ml (or one quart).
  • 16. Eclampsia • Eclampsia, a life-threatening complication of pregnancy, is a condition that causes a pregnant woman, usually previously diagnosed with preeclampsia (high blood pressure and protein in the urine), to develop seizures or coma.
  • 17. • Sepsis is an illness in which the body has a severe response to bacteria or other germs. • This response may be called systemic inflammatory response syndrome (SIRS).
  • 18. • Reproductive health problems remain the leading cause of ill health and death for women of childbearing age worldwide.
  • 19. According to the WHO: • Each year, 358, 000 women die due to complications related to pregnancy and childbirth; 99% of these deaths occur within the most disadvantaged population groups living in the poorest countries of the world.
  • 20. National Health Situation of Filipino Women Philippine Maternal Mortality Rate (MMR) remains high at 162 deaths for every 100,000 live births. The National Statistics Office fears that the slow decline in MMR may cause the Philippines to miss its MDG target of bringing down the MMR to 53 by the year 2015. (Family Planning Survey 2006).
  • 21. Maternal deaths account for 14% of deaths among women. According to the Commission on Population, ten (10) women die every 24 hours from pregnancy or childbirth-related complications (Popcom 2000).
  • 22. 29 infants of every 1,000 live births die before reaching one year of age; 40 young children die before reaching five years of age. (NSO, NDHS 2003)
  • 23. Close birth spacing and high-risk pregnancies have been shown to be closely related to childhood mortality. (NSO, NDHS 2003)
  • 24. The Filipino woman's desired number of children is 2.5. However, the actual fertility rate is 3.5 children or a difference of one child. This difference is due mainly to the lack of information on and access to family planning services. (NSO, NDHS 2003)
  • 25. Infertility • A 1986 WHO study found out that 10 to 15 percent of couples were unable to produce a child. • In the Philippines, the 1998 National Demographic Health Survey showed that two percent of women were infertile.
  • 26. Abortion and Post-abortion Complications • Of the 3.1 million pregnancies in the country every year, 15 percent end in induced abortions and another 15 percent result in spontaneous abortion.
  • 27. • In a study conducted by the Guttmacher Institute and the UP Population Institute, 72 percent of Filipino women who have had an abortion cited financial difficulty as the main reason for terminating their pregnancy.
  • 28. Sexually Transmitted Infections • HIV prevalence in the country remains low, with a cumulative case of 3, 061 as of the end of 2007.
  • 29. • However, for the last two years, new cases have breached the 300-mark. At the National Dissemination Forum 2008 Philippine Country Progress Report, Dr. Eric Tayag presented the first HIV and AIDS Registry Annual Report and based on the data generated by the Registry, 342 new cases were recorded in 2007, 28 of which are AIDS cases.
  • 30. • Other common STIs include non-gonoccocal type, trichomoniasis, and gonorrhea (10.1 percent)