tailieunhanh - Concepts and measures of reproductive morbidity*

These guidelines are primarily intended for programme managers, technical advisors and researchers from governments, nongovernmental organizations, development agencies and academia. They are also likely to be of interest to public health practitioners, professional associations and civil society groups. They have been developed through a systematic review of existing research and input from experts from countries around the world, in partnership with many key international organizations working to improve adolescents’ health. Similar partnerships have been forged to distribute them widely and support their use. The WHO Guidelines on preventing early pregnancy and poor. | 17 Concepts and measures of reproductive morbidity Huda Zurayk1 Hind Khattab2 Nabil Younis3 Mawaheb El-Mouelhy4 and Mohamed Fadle5 1The Population Council Regional Office . Box 115 Dokki Giza Egypt. 2Delta Consultants Cairo. Department of Obstetrics and Gynaecology Al-Azhar University Cairo. 4Cairo Family Planning Association Cairo. 5Department of Clinical Pathology Al-Azhar University Cairo. Abstract This paper presents a conceptual and methodological framework developed by an interdisciplinary group of researchers to diagnose reproductive morbidity at the community level. The paper also presents a determinants structure that delineates the health and social factors hypothesized to influence reproductive morbidity. The high prevalence of reproductive-morbidity conditions revealed by implementation of the study framework in two villages of Giza in Egypt is reported. Based on this research experience and the process of presenting its results to the larger professional community the paper discusses policy implications of the study in terms of reproductive-health services education and training programs and research efforts for measurement of reproductive ill-health at a community setting. Introduction The past decade has seen a growing concern with women s health in developing countries as evidenced by the safe-motherhood initiatives and by the adoption of women s health perspectives in strategies addressing child survival family planning and women-in-development issues. This concern has created a demand for information that can provide a diagnosis of women s health needs in developing countries. The available information base has been inadequate partly because of problems related to two main potential sources of information. First statistics from health institutions in developing countries generally suffer from problems of incomplete coverage. This problem is particularly severe where women s health is concerned because of the lack of support for women to visit .