OVERVIEW OF HE REPRODUCTIVE ALTH

Question 1

Health of mother and child intertwined
Coverage -Mainly women of ___________ age group and children less than______ years

Answer 1

reproductive

5 years

Question 2

Scope of MCH

______/_______/_______

Focus - Demographic targets/child health Little emphasis on ________ dimension
Paradigm shift from MCH to ______ post ICPD

Answer 2

MCH

Family Planning

child health

human rights; Reproductive health

Question 3

International Conference on Population and Development-ICPD

Conference held in _________ in _________
Follow up of progress made in MCH/FP
Outcome – programme of action on population and development for ____ years
Programme of action adopted by _______ countries including Nigeria

Answer 3

Cairo Egypt

1994

20 years

178

Question 4

ICPD means??

Answer 4

International Conference on Population and Development

Question 5

PARADIGM SHIFT FROM MCH/FP TO RH

MCH/FP RH APPROACH
 Coverage -
Scope -
Focus -

Answer 5

Mainly women of reproductive age group; All ages and sexes

MCH/FP; Sexual and RH needs throughout the lifecycle

Demographic targets; RH needs of people

Question 6

REPRODUCTIVE HEALTH (RH)
State of _______________________________ and not ___________________________ in all matters related to the ______________ and its functions and processes.

Answer 6

complete physical, mental and social well-being

merely the absence of disease or infirmity

reproductive system

Question 7

Reproductive health

Centered on human needs and development throughout life – “_______ to _______ ” “ _______ to _____”

Answer 7

womb; tomb

cradle; grave

Question 8

Reproductive Health

•Conditions exacerbated by ________________
•Conditions associated
with ___________________
•_________ aspects of sex & reproduction
•Maternal mortality, Obs/gyn morbidity, Contraceptive morbidity, Infertility, STDs/AIDS

Answer 8

sex & pregnancy

reproductive organs and system

Social

Question 9

RH APPROACH
_____ ages and sexes covered
Lifecycle approach –newborn, childhood, adolescent, young people, adult, old age
___________ rights emphasized
Involves integration of ___________ components

Answer 9

All

Reproductive

inter-related

Question 10

COMPONENTS OF RH
_______ motherhood
______________ information and services
Prevention and management of ______________ and ______________ in men and women
Prevention and management of complications of ______________

Answer 10

Safe

Family planning

infertility ; sexual dysfunction

unsafe abortion

Question 11

COMPONENTS OF RH

5.Prevention and management of reproductive tract __________
6.Promotion of healthy sexual maturation- ________ __________ health
7.Elimination of ________ ________ practices
8.Management of non infectious conditions of reproductive tract e.g ________
9. ________ equity ,equality and reproductive rights issues

Answer 11

infections

Adolescent reproductive health

harmful traditional

cancers ; Gender

Question 12

ENABLING CONDITIONS FOR RH
Women ________ and gender ________ and ________
Elimination of ________ against the girl child
________ involvement and participation Improved ________ opportunities

Answer 12

empowerment ; equity ; equality

discrimination ; Male

educational

Question 13

Sexual Health means that people should be able to have ______________ sex lives. Gender relations should be equal, responsible and mutually respectful.
Sexual health encompasses behaviours essential to countering STIs, including HIV/AIDS.

Answer 13

safe & satisfying

Question 14

Build on the achievement of MCH/FP and other vertical programmes through an integrated approach for effective coordination of RH services.

Answer 14

Difference between vertical programmes and integrated approach

Question 15

INTEGRATED SERVICES
With the structure of vertical programmes it would be difficult to meet the full range of client ________________ and improve the ________________ and ________________ of service delivery

Integrated service lead to better fufilment of clients needs by providing an integrated package of _____,_______,________ services through one service provider at one service delivery point

Answer 15

health needs ; efficiency

effectiveness

FP,RH, MCH

Question 16

Advantages of integrated versus vertical FP/RH and MCH services
Broader ______________________ of family planning when presented as MCH component
Greater access to medical personel _______ in delivering comprehensive MCH services
Improved service delivery __________
Decreased ______ for clients and service delivery system
Increased ability of health care provider to make a more __________ ___________ of womens reproductive health needs
Improved health outcome for clients

Answer 16

cultural acceptability

trained ; efficiency

cost ; comprehensive assessment

Question 17

RH encompasses Reproductive Rights. (RR)
RR includes “the basic right of all couples and individuals to decide freely and responsibly the number, spacing and timing of their children and to have the information and means to do so. It also includes their right to make decisions concerning reproduction free of discrimination, coercion and violence, as expressed in human rights documents”

Question 17

RH encompasses Reproductive Rights. (RR)

T/F

Answer 17

T

Question 18

It also includes their right to make decisions concerning reproduction free of discrimination, coercion and violence, as expressed in human rights documents”

Question 19

Reproductive health embraces sexual rights

T/F

Answer 19

T

Question 20

Sexual rights include “the human rights of men and women to have control over and decide freely and responsibly on matters related to their __________ , including sexual and reproductive health, free of __________, __________ and __________”

Answer 20

sexuality

coercion ; discrimination

violence

Question 21

Sexual rights are universal human rights based on the inherent freedom, dignity, and equality of all human beings.

T/F

Answer 21

T

Question 22

Since health is a fundamental human right, so sexual health must be a basic human right

T/F

Answer 22

T

Question 23

THE CONVENTION ON RIGHTS OF CHILD
The United Nations General assembly adopted the Convention and opened it for signature on _____ ____________ _____

It came into force on _____ ____________ _____, after it was ratified by the required number of nations.

Over ______ countries have ratified it, including Nigeria

Answer 23

20th November 1989

2 September 1990

193

Question 24

The Convention on rights of child generally defines a child as any human being under the age of ______ , unless an earlier age of majority is recognized by a country's law.

Answer 24

18

Question 25

Convention on the rights of a child The Convention protects children's rights by setting standards in health care; education; and legal, civil and social services. It requires that states act in the best interests of the child. This approach is different from the common law approach found in many countries that had previously treated children as _____________

Answer 25

possessions

Question 26

RIGHTS It spells out the basic human rights that children everywhere have: the right to __________ to __________ to the fullest to __________ from harmful influences, abuse and exploitation to __________ fully in family, cultural and social life.

Answer 26

to survival to develop to protection to participate

Question 27

“Her rights” Give adolescent girls everywhere an equal chance – and the choice – To lead ________ , ________ lives. To choose ________ and ________ to marry. To pursue an ________. To ________ motherhood until they are adults

Answer 27

healthy, productive lives. whom ; when education. postpone

Question 28

RH status Globally – About ________ of burden of diseases for women of reproductive age is from reproductive health problems Africa – 60%related to RH (maternal causes, HIV/STI)

Answer 28

a third

Question 29

Summary- women's RH status Nigeria – (Low or High?) female literacy level Majority of births occur at ________ (Low or High?) Infant mortality (Low or High?) Under –five mortality (Low or High?) fertility Household decision making is highly dominated by ____________

Answer 29

Low ; home High ; High High ; husbands

Question 30

Nigeria - Status __________ of teenage women given birth or pregnant (Low or High?) CPR – (Small or Large?) unmet need Very (low or high?) maternal mortality ~ High morbidity .I maternal death = 25 to 50 injuries (Early or Late?) presentation /mortality of cervical cancer (Low or High?) STI prevalence rates ~760,000 pregnancy terminations annually

Answer 30

One quarter ; Low Large ; high High ; Late ; High

Question 31

Maternal mortality – global Asia 42% Africa 53% More developed countries <1% A woman's lifetime risk of maternal death in sub-Saharan Africa ~ 1 in 39 In developed countries it is ~1 in 3,800 Implies that maternal deaths are ____________

Answer 31

preventable

Question 32

No woman should die in process of bringing forth another life T/F

Answer 32

T

Question 33

Maternal mortality –global status Globally ,maternal mortality concentrated only in few countries _________ _________ ______________

Answer 33

India Nigeria Democratic republic of Congo

Question 34

Maternal mortality Death of a woman during ________ , ________ and the first ________ after childbirth from causes directly due to pregnancy but not from ________ or ________ causes.

Answer 34

pregnancy ; labour six weeks incidental ; accidental

Question 35

Maternal mortality Measured by estimating ____________ and ____________

Answer 35

maternal mortality ratio (MMR) and maternal mortality rate.

Question 36

Maternal Mortality Ratio The ratio of the number of _________ during a given period per ____________ during the same period Figure of total number of pregnancies is ________ available

Answer 36

maternal deaths 1000 live births seldom

Question 37

Maternal mortality rate Total number of __________ in a given period (usually a calendar year) per ___________________________ during the same period. Reflects the ______ of ______ Usually based on community based statistics

Answer 37

maternal deaths 100,000 women of reproductive age risk of death