sexual and reproductive health Flashcards
what are some recent UK developments in SRH
rising gap between sexual debut, cohabitation and childbearing
fall in teen pregnancy
older age childbearing
reduction in prejudice of sexual orientation
increased fertility treatment
affects of STI’s
- Consequences include infertility, mother-to-child transmission and chronic diseases.
- Some STI’s increase risk of HIV infection.
- Drug resistance
maternal mortality and morbidity
- Lifetime risk of dying as a result of pregnancy or childbirth 1 in 6 in the poorest parts of the world vs 1 in 30,000 in N. Europe.
- Inequalities in maternal health in UK: 5x higher risk of maternal death in black African compared to white women, poorer birth outcomes and lower satisfaction among minority ethnic groups.
female genital mutilation
- Procedures that intentionally alter or cause injury to the female genital organs for non-medical reasons. Illegal in the UK
- Belief of benefit for girl – reduce libido and discourages sex before marriage
- Africa, middle east, asia
long term effects of FGM
cysts and formation of scar tissue, complications in pregnancy and new-born deaths, pain during sex and lack of pleasurable sensation, psychological damage, need for corrective surgery to lower vagina for sexual intercourse and childbirth
5 domains for intervention
laws, policies and human rights, education, society and culture, economics, health
what are narrow approaches
provision of information or distribution of condoms fail to address embedded obstacles.
what are combined approaches
a range of coordinated actions e.g. behavioural, biomedical
what is primary prevention
protect against disease and disability e.g. immunisations
what is secondary prevention
identify and treat disease
what is tertiary prevention
improve quality of life e.g. treatment and disease management.
