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Standards, Programs & Community Development Branch Ministry of Health Promotion May 2010

There are three problems with the above set of reasonings. First, conventional indices of the standard of living pertain to commodity production, not to the natural-resource base onwhich production depends. Statistics on pastmovements ofworld (or regional) income and agricultural production say nothing about this base. They don’t say if increases in GNP per head in a country aren’t being realized by means of a depletion of natural capital (e.g., ecosystem functioning). It could be, for example, that increases in agricultural production are in part accomplished by "mining" soil and water. In relying on GNP and other current-welfare measures, such as life expectancy at birth, infant survival, and. | Reproductive Health Guidance Document Standards Programs Community Development Branch Ministry of Health Promotion May 2010 Working Group Co-Chairs Liz Haugh Lorna Larsen Working Group Members Diane Shrott Nancy Summers Lia Swanson Connie Wowk Mental Health Consultant Cindy Rose Working Group Writer Elizabeth Berry Editor Diane Finkle Perazzo ISBN 978-1-4435-2908-2 Queen s Printer for Ontario 2010 Published for the Ministry of Health Promotion Reproductive Health Guidance Document 03 04 2010 Table of Contents List of Tables.4 Acknowledgements.5 Section 1. Introduction.6 a Development of MHP s Guidance Documents.6 b Content Overview.7 c Intended Audience and Purpose.7 d Goal of the Reproductive Health Program.7 Section 2. Background.8 a Why Is Reproductive Health a Significant Public Health Issue .8 b What Is the Public Health Burden Associated with Poor Reproductive Health Outcomes .18 c What Strategies Can Help Reduce the Burden of Poor Reproductive Health Outcomes .19 d What Are the Provincial Policy Direction Strategies and Mandates for Optimizing Preconception and Prenatal Health and Supporting the Preparation for Parenting .21 e What Is the Evidence and Rationale Supporting the Direction .21 Section 3. OPHS Reproductive Health Requirements.23 a Assessment and Surveillance.23 Requirement 1.23 1. National.23 2. Provincial.24 3. Local.24 b Health Promotion and Policy Development.25 Requirement 2.25 i Secondary Schools.28 ii Workplaces.28 iii Health Care Providers and or possibly Regulatory Bodies .29 iv Community Partners Working with Preconception Prenatal Target Population .29 1. National .29 2. Provincial .29 3. Local.30 Requirement 3.30 1. National .33 2. Provincial.33 3. Local.34 Reproductive Health Guidance Document