Obstacles confronting reproductive health programs

Faculty Medicine Year: 2008
Type of Publication: Theses Pages: 101
Authors:
BibID 11023853
Keywords : Public Health    
Abstract:
Introduction: 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 related to the reproductive system and to its functions and processes. It is a human right and life long process. A global reproductive health strategy was adopted by the World Health Assembly in May 2004, targets five core elements; improving ante-natal, natal, postnatal and newborn care; providing high quality services for family planning including fertility services; eliminating unsafe abortion; Combating sexually transmitted infections (STIs), including HIV, reproductive tract infections (RTIs), cancer cervix and gynecological morbidities; and promoting sexual health. Governments agreed to provide “universal access” to reproductive health by 2015 as part of a package for improvement of people’s health and well being but there are many obstacles faced in getting care from reproductive health programs.Aim of the work: Study factors contributing to poor reproductive health as lack of access to SRH is still a major public health concern especially in develop¬ing countries.The first baby was the most susceptible one to low birth weight among other siblings. The maternal gravidity was ranged between (1 – 6) siblings. As well as the maternal parity (1 – 6), all women in this study were of low socio-economic standard. The multiple birth (twins or triplets) showed the highest incidence of LBW incidence (46.7%).There was no relation between LBW and consanguinity. The maternal education has a very important role in reducing the incidence of low birth weight as the highest value is present among babies of low educated mothers (58.7%). The maternal work has no harmful effect on the baby weight as the working mother relieves by her work from her exhausting daily duty at home & also the mother work relieves the mother from the emotional stress, because many of mothers in this study were living with the husband families at the same house with poor nutrition and lack of proper antenatal care.The incidence of LBW babies was the highest among mothers who have no systemic disease (86.4%) which mean that most of the mothers didn’t obey to proper antenatal care to detect the main cause of LBW. The incidence LBW babies of hypertensive mothers was the highest among other maternal systemic diseases. Also babies of preclamptic mothers showed the highest incidence of LBW among other obstetric complications. 
   
     
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