tailieunhanh - Linking sexual, reproductive, maternal and newborn health – the circle of life

Adolescents who become pregnant prior to completion of their education typically face expulsion from school, and those who give birth often are not readmitted. In many African societies for example, once a young woman has given birth she is regarded as an adult, a role that is generally perceived as incompatible with continued formal educa- tion. In the event that a young woman is forced to abandon her education due to early pregnancy, she likely faces curtailment of her social, intellectual and economic develop- ment. Successful reproductive health programs consider the distinct characteristics and needs of the client population. Given both adolescent traits and the special reproductive health issues facing sexually active adolescents as described. | Linking sexual reproductive maternal and newborn health -the circle of life Asia and Pacific regional framework for integrating prevention and management of STIs and HIV infection with reproductive maternal and newborn health services World Health Organization unicef tS 1 â 4 s i ũ ũ Ũ UNAIDS The purpose of the Framework This Framework aims to help policy makers planners and managers to understand the rationale for integration and stronger links between sexual and reproductive health services maternal and newborn health services and HIV prevention and care. It presents a matrix showing the essential services that will ideally be available in different types of health care facilities. The document encourages discussion about the way that these health categories have been conceptualised and defined and the potential barriers to integration. It suggests the steps needed to working towards stronger integration and referral links and to making reproductive maternal and newborn health care more accessible to the poor and to marginalised and key populations likely to be especially vulnerable to HIV infection. The document provides a guide to integration in the diverse settings of the Asia and Pacific region. It presents examples of government and NGO experiences in Asia and the Pacific and draws on experiences and lessons from other countries including sub-Sarahan Africa which has suffered the greatest burden of the HIV epidemic. The Framework brings together guidance from several other relevant Frameworks and Guides which are available through hyperlinks on the accompanying DVD. Front cover illustration The daisy chain represents the circle of life and the health care linkages that can help to protect promote and support good health at each stage of the life-cycle. It can also be seen as the Zero that low prevalence countries have as their goal Low to Zero . Thanks to the artist Kirsty Lorenz for this use of her painting Wheel of life . mail@ 2 Contents .