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    REPRODUCTIVE HEALTHDr. Ernawaty Tamba, MPH

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    Reproductive Health!s a state o" com#lete $ #%ysical, mental, social well

    bein& and not merely t%e absence o" disease orin"irmity, in all matters relatin& to t%e re#roducti'esystem and to its "unctions and #rocesses.

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    Reproductive HealthPeo#le %a'e t%e ability $

    To re#roduceTo re&ulate t%eir "ertility

    T%e women are able to &o sa"ely t%rou&%

    #re&nancy and c%ildbirt%(e#roduction is carried to a success"ul outcomet%rou&% in"ant and c%ild sur'i'al and well bein&

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    Reproductive HealthDe"inition o" se)ual %ealt% s%ould include $

    *bility to en+oy mutually "ul"illin& se)ualrelations%i#

    reedom "rom se)ual abuse

    Coercion/%arassment-a"ety "rom se)ually transmitted diseases

    -uccess in ac%ie'in& or in #re'entin& #re&nancy

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    Reproductive HealthHealt% issue

    De'elo#ment issueHuman ri&%ts issue

    (easons o" im#act, ur&ency, ine uity re#roducti'e

    %ealt% is a &lobal concern

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    Impact of Reproductive Health: !s not limited to t%e indi'idual, "amily,society

    at lar&e

    q !t e)tend across national boundaries to t%e

    world as a w%ole

    q 2 areas suc% a mayor im#act $

    1. T%e ability to re&ulate and control "ertility

    2. -a"ety "rom se)ually transmitted diseases

    -TDs0

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    Reproductive Health : A Woma !" Co cer(e#roducti'e %ealt% is an im#ortant com#onent o"%ealt% "or bot% women and men.

    !s more critical "or women

    * mayor burden o" disease in "emales is related tot%eir re#roducti'e "unction, re#roducti'e #otential

    omen o"ten su""er because o" t%eir natural#%ysiolo&ical role in t%e sur'i'al o" t%e s#ecies

    task s related to it

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    #a$or di"ea"eemale Males

    1.Maternity 1. H! !n"ection

    2.-TD 2. Tuberculosis

    3.Tuberculosis 3. Motor 'e%icle

    4.H! !n"ection in+uries

    5.De#ressi'e disorders 4. Homicide and

    'iolence

    5. ar

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    Determi a t" of ReproductiveHealth1.Pro'idence &enetic, &ender0

    2.Peo#le li"estyle be%a'iour, undermine t%eir own%ealt%0

    3.-ocio economic conditions,Politicians

    4.Pro'iders o" %ealt% care

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    %OAL&1. (educed unintended #re&nancies

    2. (educed maternal mortality 3. (educed in"ant and c%ild mortality

    4. (educed se)ually transmitted disease

    -TD0transmission wit% a "ocus on H!

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    I'DICATOR!ndicator "or e'aluatin& re#roducti'e %ealt% inter'ention in 5 areas$

    1.-a"e #re&nancy includin& t%e treatment and #re'ention o" unsa"eabortion0

    2.-TD/H!

    3. omens 6utrition

    4.

    7reast"eedin&5. *dolescent re#roducti'e %ealt% ser'ices

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    &afe Pre( a c$1.Maternal and neonatal %ealt%$

    Met need "or emer&ency obstetric care

    Perinatal mortality rate

    Case "atality rate

    Percenta&e o" all adults knowled&eable about maternal com#lication o"

    #re&nancy and c%ildbirt%Percenta&e o" #re&nant women wit% at least 2 doses o" tetanus to)oidimmuni8ation

    Maternal mortality ratio and rate

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    2. Post abortion care

    E)istence o" ser'ice and administrati'e #olicy ont%e elements o" #ost abortion care

    Percenta&e o" #ost abortion care clients w%orecei'e counselin& and re"erral or acce#t a "amily#lannin& met%od at time o" ser'ice

    acility case "atality rate 9 #ost abortioncom#lication

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    &TD)HIVPercenta&e o" clients correctly mana&ed "or -TD

    6umber o" condoms distributed

    Percenta&e o" "amily #lannin& clients w%o acce#t condoms

    Percenta&e o" adults #racticin& low risk be%a'ior "or -TD/H!

    -TD #re'alence in de"ined tar&et #o#ulation

    H! #re'alence in #re&nant women

    (e#orted incidence o" uret%ritis in men

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    Woma 'utritioE)istence o" women:s nutrition as a #olicy #riority

    Percenta&e o" %ouse%olds usin& iodi8ed saltPercenta&e o" women wi% anemia

    Percenta&e o" women wit% low milk breast 'itamin

    * le'elPercenta&e o" women o" low wei&%t

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    *rea"tfeedi (6ational breast"eedin& #olicy and #lan

    Community base counselin&Continued breast"eedin& at 24 mont%s

    Contrace#tion amon& nursin& mot%ers

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    Adole"ce t Reproductive Health&ervice"E)istence o" &o'ernment #olicies, #ro&rams or laws "a'orable toadolescent re#roducti'e %ealt%

    Total number o" contact wit% adolescents

    *dolescent0 contrace#ti'e user and/or non user c%aracteristics

    *dolescents:s knowled&e o" re#roducti'e %elat%

    Percenta&e o" #artici#ants #eers, #arents, teac%ers0 com#etent incommunication wit% adolescents in re#roducti'e %ealt% issues