tailieunhanh - Reproductive health in nomadic communities: Challenges of culture and choice

For the purposes of excluding pregnancy, the CEU would advise that hormonal, intrauterine and barrier methods can be considered reliable providing they have been used consistently and correctly on every incidence of intercourse. This should be assessed on an individual basis. Quick starting may also mean starting a method immediately after the administration of emergency contraception (EC). In this situation there is a possibility of EC failure and pregnancy, therefore such practice would always be outside the licence of hormonal contraceptives. Faculty guidance on emergency contraception has advised that the decision to start a contraceptive method immediately after progestogen-only emergency contraception (POEC) should be considered on an individual basis | ONE 2011 Reproductive health in nomadic communities Challenges of culture and choice By John Nduba Morris G. Kamenderi and Anke van der Kwaak1 Since the late 1980s improving maternal health and reducing maternal mortality have been key concerns of several international meetings including the Millennium Summit in One of the eight Millennium Development Goals MDGs adopted after the summit involves improving maternal health MDG5 . Although reproductive health is not specifically named it is widely recognised that ensuring universal access to reproductive health care including family planning and sexual health is essential for achieving all the MDGs and vice Young Maasai women in Kenya participating in a health education session. Photo by Jeroen van Loon AMREF . Youth sexuality is a critical determinant of reproductive health particularly in developing countries. Access to family planning services safe motherhood prevention and treatment of sexually-transmitted infections STIs including HIV and AIDS and the elimination of gender violence would improve the lives of the poor and spur economic and social development. Nomadic communities reproductive health is a critical issue. The lifestyle of moving from place to place for subsistence seems to deprive these communities of basic services. This trend has been complicated by remoteness physical 1. 5. 9. 12. 14. 16. Overview Insight Findings Informing practice Country focus Links and resources Editorial Eliezer F. Wangulu Managing Editor Anke van der Kwaak Guest Editor Gerard Baltissen Guest Editor Preventing needless deaths among hard-to-reach mothers Thousands of women die in pregnancy or childbirth yearly. Ninety per cent of them the UN Population Fund UNFPA says are in Africa and Asia. Most victims die from severe bleeding infections eclampsia obstructed labour and the effects of unsafe abortions for which effective interventions exist. The International Conference on Population and Development and the .