tailieunhanh - ADVANCING RESEARCH TO INFORM REPRODUCTIVE HEALTH POLICIES

Because CHWs hold the esteem of their peers, they are effective in promoting change and challenging stigma surrounding HIV/AIDS, harmful traditional practices, and prejudices against family planning. They are motivated by a sense of duty to care for others around them and many were caring for others long before they received Pathfinder’s training. The training enables them to offer a wider range of services, gives them confidence that they are giving correct advice, and teaches them how to safely care for people living with HIV/AIDS. Over the past 25 years, Pathfinder has learned many lessons about what makes community-based programs thrive. Outlined in this report are. | ADVANCING RESEARCH TO INFORM REPRODUCTIVE HEALTH POLICIES The Middle East and North Africa by Farzaneh Roudi-Fahimi Lori Ashford and Karima Khalil Sexuality and reproduction are among the most fundamental aspects of life. Yet they often receive little attention in public policy discussions because of cultural and political sensitivities particularly in the Middle East and North Africa MENA Unlike most other illnesses and disabilities sexual and reproductive health problems tend to be cloaked in embarrassment secrecy and shame. Many of these problems can be addressed however through sound evidence and open dialogue. As the capacity to conduct research on the social and medical aspects of sexual and reproductive health expands in the region researchers have a greater opportunity to address current policy questions. Decisionmakers in the MENA region need accurate and comprehensive information on who suffers from sexual and reproductive health problems the nature and extent of these problems and what works best to address them. When researchers present their findings in a timely and accessible manner decisionmakers can better use the information for policy change and program improvements. This policy brief discusses current research needs in the MENA region drawing in part from a 2007 report produced by the Global Forum for Health Research and the World Health Organization WHO Research Issues in Sexual and Reproductive Health for Low- and MiddleIncome It also presents a framework that illustrates how scientific evidence can be used in the policymaking process to change policies and improve programs that will ultimately improve people s sexual and reproductive health. Making the Invisible Visible Conditions such as irregular or missed menstrual periods abnormal discharge sores in the genital area from sexually transmitted infections infections arising from clandestine abortions the inability to perform sexually and infertility all involve private .

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