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)

15. Reproductive Health Package

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.