Reproductive Health Kuliah Blok 26
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Transcript of Reproductive Health Kuliah Blok 26
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8/9/2019 Reproductive Health Kuliah Blok 26
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Click to edit Master subtitle style2/5/15
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