Better Reproductive Health for            Poor Women in South Asia

Chatterjee, Meera; Levine, Ruth; Rao-Seshadri, Shreelata; Murthy, Nirmala

Better Reproductive Health for Poor Women in South Asia

Autores

Chatterjee, Meera

Levine, Ruth

Rao-Seshadri, Shreelata

Murthy, Nirmala

Editor

World Bank

Descripción

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 report's specific objectives are: 1) to provide an accurate picture of the current status of women's reproductive health and describe the use of reproductive health services and barriers to use; 2) to identify individual and household characteristics that affect reproductive health status and use of services; 3) to develop a simple and effective approach to decentralized health planning that can be used widely in each of the five countries to improve health service delivery and outcomes locally; and 4) to strengthen the case for investing in poor women's reproductive health by demonstrating the links between poverty, inequality and reproductive health. The review puts forth the following recommendations for reforms for reproductive health: to increase the supply of reproductive health services to poor women and adolescents by specifically targeting the poorest areas and households; to enhance demand among the poor for key services using BCC and demand-side financing; to integrate reproductive health services through a client-centered approach and strengthen weak services using specific relevant approaches; and to improve the reach, quality and status of women providers by better training, deployment and support are the 'frontline' improvements required for better reproductive health among poor women in South Asia.

Palabras clave

ABORTION, ABORTION CARE, ACCESS TO CONTRACEPTION, ADOLESCENT GIRLS, ADOLESCENT POPULATION, ADOLESCENT REPRODUCTIVE HEALTH, ADOLESCENTS, AGE OF MARRIAGE, AGED, ANTENATAL CARE, BABIES, BEHAVIOR CHANGE, BETTER REPRODUCTIVE HEALTH, BIRTH ATTENDANT, BREASTFEEDING, CERVICAL CANCER, CHILD DEVELOPMENT, CHILD HEALTH, CHILD HEALTH CARE, CHILD MORTALITY, CHILD MORTALITY RATE, CHILD NUTRITION, CHILD SURVIVAL, CHILDBEARING, CHILDBIRTH, CHRONIC CONDITIONS, CIRCUMCISION, CITIZENS, CLINICS, COMMERCIAL SEX, COMMUNICABLE DISEASES, COMMUNITY HEALTH, CONDOMS, CONTRACEPTIVE PREVALENCE, CONTRACEPTIVE USE, DEMAND FOR SERVICES, DIABETES, DIETS, DISABILITY, DISCRIMINATION, DRUG USERS, ELDERLY, EMERGENCY OBSTETRIC CARE, ESSENTIAL OBSTETRIC CARE, FAMILIES, FAMILY CARE, FAMILY HEALTH, FAMILY HEALTH DIVISION, FAMILY LIFE EDUCATION, FAMILY PLANNING, FAMILY PLANNING ASSOCIATION, FAMILY PLANNING ASSOCIATIONS, FAMILY PLANNING SERVICES, FAMILY WELFARE, FERTILITY RATE, FERTILITY RATES, FOLIC ACID, FWA, GENDER INEQUALITIES, GOITER, HEALTH CARE, HEALTH CENTERS, HEALTH EDUCATION, HEALTH FACILITIES, HEALTH INDICATORS, HEALTH OUTCOMES, HEALTH PLANNING, HEALTH SECTOR, HEALTH SECTOR REFORM, HEALTH SERVICES, HEALTH SYSTEM, HEALTH SYSTEMS, HEALTH TARGETS, HEALTH WORKERS, HIGH CHILD MORTALITY, HIGH POPULATION GROWTH, HOMEOPATHY, HOSPITALIZATION, HOSPITALS, HUMAN RESOURCE DEVELOPMENT, HYPERTENSION, ILL-HEALTH, ILLNESS, IMMUNIZATION, INFANT, INFANT HEALTH, INFANT MORTALITY, INFANT MORTALITY RATE, INFERTILITY, INTERNATIONAL CONFERENCE ON POPULATION, INTERVENTION, IRON, IUD, LACK OF AWARENESS, LIFE EXPECTANCY, LOCAL AUTHORITIES, LOW BIRTH WEIGHT, MASS MEDIA, MATERNAL DEATHS, MATERNAL HEALTH, MATERNAL HEALTH SERVICES, MATERNAL MORTALITY, MATERNAL MORTALITY RATIO, MEDICAL ATTENTION, MEDICAL SERVICES, MEDICINES, MIDWIFE, MIGRANTS, MIGRATION, MILLENNIUM DEVELOPMENT GOAL, MILLENNIUM DEVELOPMENT GOALS, MINISTRY OF HEALTH, MINISTRY OF POPULATION, MORBIDITY, MORTALITY, MOTHER, NATIONAL AIDS, NEEDS ASSESSMENT, NEONATAL MORTALITY, NOURISHMENT, NURSE, NURSING, NUTRITION, NUTRITIONAL DEFICIENCY, NUTRITIONAL STATUS, OBSTETRIC FACILITIES, OLD-AGE, OLDER WOMEN, ORAL CONTRACEPTIVES, PARADIGM SHIFT, PARAMEDICS, PATIENT, PELVIC INFLAMMATORY DISEASE, PHYSICAL DEVELOPMENT, POOR PEOPLE, POOR WOMEN, POPULATION ACTIVITIES, POPULATION AND DEVELOPMENT, POPULATION COUNCIL, POPULATION FUND, POPULATION RESEARCH, POPULATION SECTOR, POPULATION STUDIES, POST ABORTION, POST ABORTION CARE, POSTNATAL CARE, POVERTY REDUCTION, POVERTY REDUCTION STRATEGY, PRACTITIONERS, PREGNANCY, PREGNANT WOMEN, PRIMARY HEALTH FACILITIES, PROGRESS, PROPHYLAXIS, PROVISION OF INFORMATION, PUBERTY, PUBLIC HEALTH, PUBLIC HEALTH EXPENDITURE, PUBLIC HEALTH SERVICES, PUBLIC INFORMATION, PUBLIC SERVICES, QUALITY OF SERVICES, QUALITY SERVICES, REPRODUCTIVE HEALTH CARE, REPRODUCTIVE HEALTH GOALS, REPRODUCTIVE HEALTH SERVICE, REPRODUCTIVE HEALTH SERVICE DELIVERY, REPRODUCTIVE HEALTH SERVICES, REPRODUCTIVE RIGHTS, REPRODUCTIVE TRACT, REPRODUCTIVE TRACT INFECTION, REPRODUCTIVE TRACT INFECTIONS, RESOURCE ALLOCATIONS, RESOURCE MOBILIZATION, RISK GROUPS, RURAL GIRLS, SAFE ABORTION, SAFE ABORTION SERVICES, SAFE MOTHERHOOD, SAFE MOTHERHOOD INITIATIVE, SERVICE PROVIDERS, SERVICE PROVISION, SERVICE UTILIZATION, SEX EDUCATION, SEX RATIOS, SEX WITH MEN, SEX WORKER, SEX WORKERS, SEXUAL ABUSE, SEXUAL HEALTH, SEXUALITY, SIBLINGS, SKILLED BIRTH ATTENDANCE, SOCIAL MARKETING, SOCIAL POLICIES, SOCIAL SCIENCES, SOCIAL SECURITY, SOCIALIZATION, SON PREFERENCE, STATUS OF WOMEN, STIS, SYPHILIS, TERMINATION OF PREGNANCY, TETANUS, TRADITIONAL BIRTH ATTENDANT, TUBERCULOSIS, UNFPA, UNMET DEMAND, UNSAFE ABORTIONS, UNWANTED CHILDREN, UNWANTED PREGNANCY, URBAN AREAS, USER FEES, VASCULAR DISEASES, VASECTOMY, VIOLENCE, VITAMINS, WOMAN, WORKERS, WORLD HEALTH ORGANIZATION