Reproductive Health

Dr Babar T. Shaikh
Aga Khan University
Karachi, Pakistan
 Reproductive Health

Learning Objectives
• Learn to define Reproductive health
• Understand the concept and
importance of RH
• Describe the components of RH
package
 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.
 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
 Every minute in the world

380 women become pregnant

190 of these did not plan or do not

wish the pregnancy
 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
 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.
Infant mortality rate/1000 Births = 85

Female adult literacy rate = 33%

Adults living with HIV/AIDS = 74000

 Position in 2000
• Population per Doctor - 1,552
• Population per Nurse - 3,788
• Population Hospital Bed - 1,518
• Deliveries at Home - 76
(percentage)
 OTHER HARD FACTS

(MILLION)
l POPULATION LIVING BELOW POVERTY LINE 48
l POPULATION WITH NO ACCESS TO SAFE 54
DRINKING WATER

l POPULATION WITH ONE ROOM HOUSES 71

l POPULATION IN KATCHI ABADIES IN
URBAN AREAS 17
l POPULATION WITH NO SANITATION 82
 POPULATION WELFARE SERVICE OUTLETS
1991 - 2001

TYPE OF OUTLETS 1991 2001

FAMILY WELFARE CENTRES 1290 1688

REPRODUCTIVE HEALTH SERVICE CENTRES 79 106

MOBILE SERVICE UNITS 130 131

VILLAGE BASED FP WORKERS ---- 13084

REGISTERED MEDICAL PRACTITIONERS 2500 21040

 BIRTHS DURING 2000

• IN ONE YEAR 4,300,000

• PER MONTH 358,333

• PER DAY 11,781

• PER MINUTE 8
 DEATHS DURING 2000

• IN ONE YEAR 1,200,000

• PER MONTH 100,000

• PER DAY 3,288

• PER MINUTE 2
 NET ADDITION IN 2000

• IN ONE YEAR 3,100,000

• PER MONTH 2,58,333

• PER DAY 8,493

• PER MINUTE 6
Reproductive Health
Package
RH Package Offers-Following
Services
 Comprehensive family planning for females
and males;

· Maternal health care including safe motherhood,

and pre and post abortion care for
complications;

· Infant Health Care;

· Management of reproductive health related

problems of adolescents;
Continued….
 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.
 MoPW outlets

• Family Welfare Centers.

• Reproductive Health Centers

• Mobile Service Units.

• Provincial Health Departments

•MoPW and MOH are adopting holistic approach.

•Raising awareness about STIs and HIV/AIDS

•Addressing Adolescent issue.

•Women Empowerment with income generating

skills.