Sparing Lives : Better Reproductive Health for Poor Women in South Asia, Summary for Policymakers
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New Delhi: Macmillan India, Ltd.
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In this context, the overall purpose of
this review is to bring attention to the opportunities that
five countries in the region - Bangladesh, India, Nepal,
Pakistan and Sri Lanka - have to strengthen and expand
interventions to improve the reproductive health of poor
women. The specific objectives are: i) to provide an
accurate picture of the current status of women's
reproductive health, describe the use of reproductive health
services and barriers to use, and identify the improvements
required to increase their effectiveness and improve health
outcomes; ii) to elucidate individual and household
characteristics that affect reproductive health status and
use of services so that the most important of these can be
used to identify women and households with the greatest need
for care to achieve better health; iii) to describe a simple
and effective approach - decentralized action planning -
that can be used widely in all five countries to improve
reproductive health service delivery and outcomes, and point
to a body of best practices in reproductive health that
provides models and lessons for improvements in South Asia;
and iv) to strengthen the case for investing in poor
women's reproductive health by demonstrating the links
between poverty, inequality, reproductive health care and expenditure.
Palabras clave
ABORTION, ABORTION CARE, ABORTION SERVICES, ACQUIRED IMMUNODEFICIENCY SYNDROME, ADOLESCENT GIRLS, ADOLESCENTS, AGE AT MARRIAGE, AGE OF MARRIAGE, AGED, ANTE-NATAL CARE, ANTENATAL CARE, BABIES, BEHAVIOR CHANGE, BETTER REPRODUCTIVE HEALTH, CHILD DEVELOPMENT, CHILD HEALTH, CHILD HEALTH CARE, CHILD HEALTH SERVICES, CHILD MORTALITY, CHILD NUTRITION, CHILD-BEARING, CHILDBEARING, CHILDBIRTH, CHILDREN PER WOMAN, CLINICS, COERCION, COMMUNICATION EFFORTS, COMMUNITY HEALTH, COMMUNITY PARTICIPATION, CONDOM, CONDOM USE, CONDOMS, CONTEXT OF MARRIAGE, CONTRACEPTIVE PREVALENCE, CONTRACEPTIVE USE, DECLINES IN FERTILITY, DELIVERY CARE, DISABILITIES, DISABILITY, DISSEMINATION, EARLY MARRIAGE, EARLY SEXUAL ACTIVITY, ECONOMIC OPPORTUNITIES, ECONOMIC STATUS, EMERGENCY CONTRACEPTION, EMERGENCY OBSTETRIC CARE, EQUAL ACCESS, ESSENTIAL OBSTETRIC CARE, EXCESS FERTILITY, EXPOSURE TO PREGNANCY, FAMILIES, FAMILY PLANNING, FAMILY WELFARE, FERTILITY, FERTILITY DECLINE, FERTILITY RATE, FERTILITY RATES, FOLIC ACID, FWA, GENDER DISCRIMINATION, GROSS DOMESTIC PRODUCT, HEALTH CARE, HEALTH EDUCATION, HEALTH INDICATORS, HEALTH OUTCOMES, HEALTH SECTOR, HEALTH SECTOR REFORM, HEALTH SERVICES, HEALTH SYSTEM, HEALTH SYSTEMS, HEALTH WORKERS, HIV, HOMEOPATHY, HOSPITALIZATION, HOSPITALS, HUMAN DEVELOPMENT, HUMAN IMMUNODEFICIENCY VIRUS, HUMAN RESOURCE DEVELOPMENT, HUSBANDS, HYGIENE, ILL HEALTH, ILL-HEALTH, ILLITERATE WOMEN, ILLNESS, ILLNESSES, IMMUNIZATION, IMMUNODEFICIENCY, INFANT, INTERNATIONAL CONFERENCE ON POPULATION, INTERVENTION, INTRAUTERINE DEVICES, IRON, IUD, IUDS, LACK OF KNOWLEDGE, LAWS, LOCAL AUTHORITIES, LOW BIRTH WEIGHT, MALE SUPPORT, MARRIED WOMEN, MASS MEDIA, MATERNAL DEATHS, MATERNAL HEALTH, MATERNAL HEALTH SERVICES, MATERNAL MORTALITY, MATERNAL MORTALITY RATIOS, MEDICAL ATTENTION, MEDICAL SERVICES, MEDICINES, MENTAL HEALTH, MIDWIFE, MILLENNIUM DEVELOPMENT GOAL, MILLENNIUM DEVELOPMENT GOALS, MINISTRY OF HEALTH, MINISTRY OF POPULATION, MODERN CONTRACEPTIVES, MORBIDITY, MORTALITY, MORTALITY RATIO, MOTHER, NATIONAL GOVERNMENTS, NATIONAL LEADERS, NEED FOR FAMILY PLANNING, NEEDS ASSESSMENT, NEONATAL MORTALITY, NUMBER OF CHILDREN, NURSE, NURSES, NURSING, NURSING HOMES, NUTRITION, NUTRITIONAL DEFICIENCIES, NUTRITIONAL STATUS, OBSTETRIC FACILITIES, OPPORTUNITIES FOR WOMEN, ORAL CONTRACEPTIVES, PARAMEDICS, PATIENT, PATIENTS, PHYSICIANS, PILL, POLIO, POOR FAMILIES, POOR HOUSEHOLDS, POOR WOMEN, POPULATION AND DEVELOPMENT, POPULATION COUNCIL, POPULATION INCREASE, POPULATION RESEARCH, POPULATION SECTOR, POST-ABORTION, POST-ABORTION CARE, POSTNATAL CARE, POVERTY REDUCTION, POVERTY REDUCTION STRATEGY, PREGNANCIES, PREGNANCY, PREGNANCY COMPLICATIONS, PREGNANT WOMEN, PREMARITAL SEX, PRIMARY HEALTH CARE, PRIMARY HEALTH FACILITIES, PROGRESS, PROPHYLAXIS, PROTECTION AGAINST PREGNANCY, PUBERTY, PUBLIC HEALTH, PUBLIC SECTOR EXPENDITURES, QUALITY OF CARE, QUALITY OF SERVICES, RAPE, REPLACEMENT LEVEL, REPRODUCTIVE AGE, REPRODUCTIVE HEALTH CARE, REPRODUCTIVE HEALTH COMPONENTS, REPRODUCTIVE HEALTH GOALS, REPRODUCTIVE HEALTH INFORMATION, REPRODUCTIVE HEALTH PROBLEMS, REPRODUCTIVE HEALTH PROGRAMS, REPRODUCTIVE HEALTH SERVICE, REPRODUCTIVE HEALTH SERVICE DELIVERY, REPRODUCTIVE HEALTH SERVICES, REPRODUCTIVE LIFE, REPRODUCTIVE TRACT, REPRODUCTIVE TRACT INFECTION, RESOURCE ALLOCATIONS, RESPECT, RISK FACTORS, RURAL AREAS, SAFE ABORTION, SERVICE PROVIDERS, SERVICE PROVISION, SERVICE UTILIZATION, SEX, SEXUAL ABUSE, SEXUAL ACTIVITY, SOCIAL MARKETING, SOCIAL NORMS, SOCIAL WELFARE, STERILIZATION, STIS, SURGERY, TETANUS, TUBERCULOSIS, UNMET DEMAND, UNSAFE ABORTION, URBAN AREAS, USE OF CONTRACEPTIVES, USER FEES, VACCINATION, VASECTOMY, VICIOUS CYCLE, VICTIMS, VIOLENCE, VITAMINS, VULNERABILITY, WORK BURDENS, WORKERS, WORLD HEALTH ORGANIZATION, YOUNG AGES, YOUNG MOTHERS, YOUNG WOMEN