Sexual and reproductive health

18 important questions on Sexual and reproductive health

What is the description of sexual health?

  • Counseling and care related to sexuality, sexual identity, and sexual relationships
  • Services for the prevention and management of STIs, including HIV/AIDS and other diseases of the genitourinary system
  • Psychosexual counseling and treatment for sexual dysfunction and disorders
  • Prevention and management of cancers of the reproductive system

What is the description of reproductive health?

  • Receive accurate information about the reproductive system and the services needed to maintain reproductive health
  • Manage menstruation in a hygienic way, in privacy, and with dignity
  • Access multisectoral services to prevent and respond to intimate partner violence and other forms of gender-based violence
  • Access safe, effective, affordable, and acceptable methods of contraception of their choice
  • Access appropriate health-care services to ensure safe and healthy pregnancy and childbirth, and healthy infants
  • Access safe abortion services, including post-abortion care
  • Access services for prevention, management, and treatment of infertility

What are the three groups (life cycle approach) that apply to sexual and reproductive health?

  • Childhood/adolescents/young adults
  • Reproductive age
  • Post reproductive age
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What are the challenges of childhood/adolescents/young adults regarding sexual and reproductive health?

  • Child marriage
  • Female genital mutilation (FGM)
  • Comprehensive sexual education
  • Contraceptive access
  • Abortions
  • STIs and HIV/AIDS

What are the challenges of the reproductive age regarding sexual and reproductive health?

  • Contraceptive access
  • Abortion
  • Healthcare access
  • Maternal mortality
  • Violence

What is female genital mutilation (FGM)? What are the four different types?

Female genital mutilation (FGM) is the partial or total removal of the external female genitalia.
  • Type 1 (clitorectomy): partial or total removal of the clitoris
  • Type 2 (excision): partial or total removal of the clitoris and the inner folds of the vulva, with or without excision of the outer folds of skin of the vulva
  • Type 3 (infibulation): narrowing of the vaginal opening through the creation of a covering seal (sometimes stitching) (MOST DANGEROUS)
  • Type 4: all other harmful procedures

What are the immediate risks of FGM?

  • Severe pain
  • Fever
  • Infections
  • Problems with wound healing
  • Genital tissue swelling
  • Urinary problems
  • Excessive bleeding
  • Injury to surrounding genital tissue
  • Shock
  • Death

What are the long term consequences of FGM?

  • Urinary problems
  • Menstrual problems
  • Sexual problems
  • Increased risk of childbirth complications
  • Later surgeries (type 3)
  • Psychological problems

What is the impact of child marriage?

Child marriage has a large impact on fertility and population growth. It also has an effect on intimate partner violence (low education, dominance, imbalance of power).

What is meant by maternal mortality?

Maternal mortality is when a women dies while pregnant, during child birth, or 42 days after pregnancy.

What are examples of direct and indirect maternal mortality?

Direct:
  • Postpartum bleeding
  • Complications from unsafe abortions
  • Hypertensive disorders or pregnancy
  • Postpartum infection
  • Obstructed labor

Indirect:
  • Malaria
  • Anaemia
  • HIV/AIDS
  • Cardiovascular diseases

Most maternal deaths are preventable and the health-care solutions are well-known. What are these solutions?

  • Antenatal care in pregnancy: disorders of mother can be detected, treatment is given and the women won't die because of complications
  • Skilled care during child birth
  • Care and support in the weeks after child birth (postnatal care)

How can pregnancies defined? Which pregnancies lead to an increased risk of maternal mortality and why does this happen?

  • Intended
  • Mistimed/unintended
  • Unwanted
Unintended and unwanted pregnancies can increase the risk of maternal mortality and this happens because of:
  • Unsafe abortion
  • Poor infant health
  • Poor infant/child care

Contraceptives are used in Europe, Latin America, the Caribbean, and Northern America by more than 70% of the women that do not want a child. In Middle and Western Africa this is below 25%. What are reasons that this rate is so low?

  • Not enough knowledge
  • Norms
  • No access
  • Decision making/power

What groups have a low rate of using contraceptives?

  • Adolescents
  • Migrants
  • Urban slum dwellers
  • Refugees
  • Women in the postpartum period

How are abortions classified? What are the determinations?

  • Safe abortion: health provider using recommended procedures
  • Less-safe abortion: health provider not using recommended procedures or recommended procedures but no health provider
  • Least-safe abortion: no health provider and not using recommended procedures

What factors do influence sexual and reproductive health outcomes?

  • Poverty
  • Distance
  • Lack of information
  • Inadequate services (human resources for health (enough health professionals), health infrastructure)
  • Cultural norms and practices

What is meant by the three delays?

  • The delay in deciding to seek care
  • The delay in identifying and reaching a medical facility
  • The delay in receiving appropriate care at health facilities

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