Reproductive Health

This supplement to “Sexual and Reproductive Health: Core Competencies in Primary Care” presents the development, pilot study and sample of results from a survey to identify what sexual and reproductive health provision is offered in primary health care and which health workers are providing this in developing and a few developed countries. [adapted from introduction]

The core sexual and reproductive health (SRH) competencies that are desirable for use in primary health care (PHC) are collected together in this document. They reflect the attitudes, tasks, knowledge and skills that health personnel in PHC may need, to protect, promote and provide SRH in the community. [from publisher]

This resource package provides an overall approach to programming for training health care providers in reproductive health and family planning as well as information, methods, and tools for designing, developing, planning, implementing, and evaluating training. It also provides tools and information for strengthening training systems. [from introduction]

This summary of the lengthy “So What?” review is intended to present policymakers and program managers with a clear and accessible picture of what happens when gender concerns are integrated into reproductive health programs. [from introduction]

Providers should routinely integrate counseling into all aspects of postabortion care, but providers often believe that counseling is not one of their job responsibilities and that they lack the training and facilities to do it. [adapted from author]

This article examines the context of intimate partner violence in Sub-Saharan Africa, outlines the intersections between partner violence and reproductive health, and considers the opportunities for linkage at the program and service levels. [adapted from author]

This document describes the key effective interventions organized in packages across the continuum of care through pre-pregnancy, pregnancy, childbirth, postpartum, newborn care and care of the child. The packages are defined for community and/or facility levels in developing countries and provide guidance on the essential components needed to assure adequacy and quality of care. [from publisher]

In direct response to the country’s human resources for health needs, the Capacity Project helped to develop the capacity of the district hospital clinical workforce to expand access to a full range of quality family planning methods through a pilot vasectomy in-service training program for physicians and nurses at two district hospitals. [adapted from introduction]

This technical brief describes several approaches used to achieve needed changes in reproductive health service delivery practice, and provides recommendations for actions at the local level. [from introduction]

This paper supports the promotion of appropriate standards and practices to ensure quality in FP/RH services at the local level. It argues that investments in written updates of FP/RH norms and standards and their dissemination must be complemented with innovative organizational and management systems strengthening to ensure their use in low-resource settings. [adapted from introduction]

This study evaluates the impact and sustainability of a competitive voucher program on the quality of reproductive health care for poor and underserved female adolescents and the usefulness of the simulated patient method for such evaluation. [from abstract]

This manual is designed to enable community health educators to incorporate activities related to constructive men’s engagement in reproductive health in their daily work. This includes promoting dialogue among men and women to increase couple communication and shared decisionmaking related to family planning and reproductive health. [from introduction]

The objective of this article was to determine the current practices of private practitioners for the management of STIs in Pulau Pinang, Malaysia, evaluation of pharmacotherapy for STIs in private clinics and to ascertain the management of STIs compared to standard guidelines. [from author]

Obstetricians, gynaecologists, family physicians, midwives, nurses, and other reproductive health care providers, along with their professional associations, are on the front lines to promote and to protect women’s reproductive health and rights through the clinical services they already provide. Health professionals are also well positioned to address the root causes of many of these problems: inequality, discrimination, and a lack of respect for sexual and reproductive rights. [from introduction]

A postabortion care program was implemented in 11 primary and secondary health facilities in rural Tanzania in order to decentralize comprehensive postabortion care to community level by upgrading midlevel providers to perform manual vacuum aspiration. [from abstract]

This document details the results of a study to determine whether a quality improvement package designed to enable small-scale commercial reproductive health service providers to improve the quality of services provided through self-assessment, action-planning, and supervisors’ support is effective in improving service quality. [adapted from sbatract]

The GO Tool is a comprehensive resource connecting health professions students to domestic and international reproductive health training opportunities. [from author]

CORE is an open access, cutting edge tool for building presentations on the full spectrum of reproductive health topics. It has sample slides for easy insertion into a presentation that users can download as well as fact sheets, activities, studies and other resources. [adapted from publisher]

This brief discusses the important role of reproductive health providers in reducing the incidence of new HIV infections over the coming years through an increased focus on outreach to young people and men. [adapted from introduction]

An estimated four million deaths occur annually among children in the neonatal period. Current evidence-based interventions could prevent a large proportion of these deaths; however, neonatal health care workers need to have knowledge regarding such practices before being able to put them into action. This survey assesses the knowledge of primary health care practitioners regarding basic, evidence-based procedures in neonatal care in a Vietnamese province and investigates whether differences in level of knowledge were linked to certain characteristics of community health centers.

This video resource shows that despite the awareness advancement regarding reproductive health, women in Jordan still bear the burden of their health alone. This is especially true in rural areas; however, despite social criticism, men have decided to stand by their wives. [adapted from synopsis]

This video resource chronicles how after a truce in Nepal's civil war, a mobile reproductive health team is reaching isolated communities that have had no health services for years. [adapted from synopsis]

The objective of this adaptable tool is to assess HIV and sexual and reproductive health (SRH) bi-directional linkages at the policy, systems and service-delivery levels. It is intended also to identify gaps, and ultimately contribute to the development of country-specific action plans to forge and strengthen these linkages. It includes assement tools for evaluating staffing, human resources and capacity development (p.32) as well as a checklist for evaluating health workers’ capacity to perform SRH and HIV functions (p.82). [adapted from author]

Governments in developing countries are challenged to meet the health needs of their populations because of financial constraints, limited human resources, and weak health infrastructure. The private sector can help expand access to and quality of reproductive health services through its resources, expertise, and infrastructure.

Increasing access to safe delivery and family planning services within rural communities increases the opportunities for women to have positive outcomes for their pregnancies as well as to plan and achieve their desired family size. This paper examines the scaling up of a community-based model in Kenya that enabled women to give birth safely at home or to be referred to a hospital when attended by a self-employed skilled midwife living in the community. [adapted from summary]

This brief synthesizes best practices in achieving reproductive health and family planning (RH/FP) goals for the Europe and Eurasia region, and highlights the role of the private sector in meeting these goals. [from author]

This report concludes that assigning nurses to community locations where they provide basic curative and preventive care substantially reduces childhood mortality and accelerates progress towards attainment of the child survival MDG. The research in Navrongo demonstrates that affordable and sustainable means of combining nurse services with volunteer action can accelerate attainment of both the International Conference on Population and Development agenda and the MDGs. [from summary]

JHPIEGO has been focused on improving the quality and availability of reproductive health and family planning services for slum residents, both by targeting the facility-based health care providers and the community members who access these services. This document outlines several lessons that have been learned from this experience. [adapted from author]

This three-part curriculum is designed to provide a broad range of health care workers with the skills and sensitivity needed to work with male clients and provide men’s reproductive health services. [from author]

This guide is a resource for trainers in developing in-service training for facility-based healthcare providers and community health workers (CHWs) who already have some basic experience with and understanding of RH/FP. This is not a training manual, but a reference guide which can be used and adapted by trainers based on whether or not trainees are facility-based or community-based. [from author]