tailieunhanh - MOVING TOWARDS REPRODUCTIVE HEALTH: ISSUES AND EVIDENCE

In addition to reducing the risks and costs associated with multiple births, insurance coverage for infertility would provide oversight and quality controls. Payers, both public and private, generally set eligibility criteria for who may receive or perform certain procedures. Such criteria could recommend a limit on the number of embryos transferred in ART. The most efficient method to accomplish this would be to require adherence to ASRM guidelines, which are updated periodically. Another requirement could be to require that ART procedures be performed only at clinics that are subject to SART standards. SART has voluntarily assumed an advocacy role in terms of reducing high risk pregnancies achieved through. | Implementing a Reproductive Health Agenda in India The Beginning Saroj Pachauri Editor Population Council South East Asia Regional Office New Delhi India 1999 Implementing a Reproductive Health Agenda in India The Beginning Introductory Essay MOVING TOWARDS reproductive HEALTH ISSUES AND EVIDENCE Saroj Pachauri Introduction At the International Conference on Population and Development ICPD at Cairo in 1994 consensus was reached on a new agenda for population and development. The ICPD was a triumph for those seeking an end to the great debate that had plagued the population field since the first World Population Conference at Bucharest in 1974 a debate between advocates of development who believed that development is the best contraceptive and therefore a necessary precondition to sustained fertility decline and those who asserted that family planning services must be implemented to meet the high demand for fertility control which they believed existed. A notably wide gulf remained between these two essentially academic positions. The practical result was ambivalence and ambiguity in many countries about which approach to take. The ICPD took giant strides toward resolving this conflict by placing the population problem squarely in the development context and focussing attention on individual needs instead of demographic targets. At the ICPD the nations of the world agreed that governments should give special attention to the education of girls the health of women the survival of infants and young children and in general the empowerment of women. At the same time comprehensive reproductive health services should be provided to enable couples to achieve their reproductive goals and determine freely and responsibly the number and spacing of their children United Nations 1994 . The ICPD consensus implied that if governments ensure that this basic package of social policies and reproductive health services is in place they will simultaneously make strides toward greater