Lecture 1

Question 1

What are sexual and reproductive health & rights ?

Answer 1

state of physical , emotional , mental, and social well being

Question 2

What are global issues regarding sexual and reproductive health/ rights ?

Answer 2

Inequality due to poverty, health system, political/laws , educations and social norms

Gender violence

Access to SRHR

Maternal and infant mortality

Question 3

Which part of the world has more unsafe abortions ?

Answer 3

South America and Africa

Question 4

What are the common and preventable complications of pregnancy?

Answer 4

severe bleeding , infection and preeclampsia

Question 5

What are the barriers to SRH ?

Answer 5

not inclusive and limited to cis gender women

Question 6

What are the 5 pillars of Global Strategy WHO ?

Answer 6

improve antenatal , perinatal, postpartum and newborn care
family planning services
eliminate unsafe abortios
combatting STI
promoting sexual health

Question 7

What is the leading cause of death among girls (15-19 years old)

Answer 7

pregnancy and childbirth complications

Question 8

What are SHR gaps in Canada ?

Answer 8

Social determinants of health :
poverty, gender bias in healthcare, access, cultural beliefs, lack of information and low incomes

Question 9

What are the impact of unintended pregnancy ?

Answer 9

Educations, career, finances, anxiety, fear, depression, negative effects on the child, cost to health care

Question 10

What is the range of contraceptive options in Canada ?

Answer 10

permanent/surgical
fertility awareness methods
Barriers methods
IUD
Hormonal contraceptives

Question 11

What are we looking for in an optimal features for contraceptive ?

Answer 11

effective, safe, convenient, forgettable, reversible, inexpensive and acceptable

Question 12

What are SARC ? provide examples ?

Answer 12

short-acting reversible contraceptives
Combined hormonal contraceptives ( contain both estrogen and progestin )

Question 13

What are LARC ? provide examples ?

Answer 13

Intrauterine Contraceptions
Implants
Injectable progestin - DMPA

Question 14

What is the best and effective contraceptive methods ?

Answer 14

LARC ( IUD, injectables and implants )

Question 15

What are various methods to measure the rate of effectiveness?

Answer 15

expected rate ( perfect and consistent use) vs typical use rate

Question 16

What is one method to measure expected rate of contraceptives ? explain

Answer 16

Pearl Index : # of unintended pregnancy / 100 women years of exposure

Question 17

Facts regarding unintended pregnancy ?

Answer 17

50% of all pregnancies are unplanned and mostly used by contraceptive users

Question 18

Describe the adherence to contraceptives ?

Answer 18

overall it is poor , around 40% have inconsistent use

Question 19

What is the role of pharmacist in the access of birth control ?

Answer 19

Increase uptake of effective contraceptive
improve continuation and adherence ( monitoring )
improve access

72% of canadian women support contraceptive prescribing by the pharmacist

Question 20

What are the contraindications of combined hormonal contraceptives ?

Answer 20

VTE, stroke , ischemic heart disease, severe HTN, breast cancer, breastfeeding < 6 months , severe cirrhosis

Question 21

Name progestin only contraceptives ?

Answer 21

Progestin-only pill
Injectable progestin - DMPA –> could also be LARC