World Health Organization Regional Office for the Western Pacific

Reproductive health

Reproductive health is a state of complete physical, mental and social well-being and not merely the absence of disease or infirmity, in all matters relating to the reproductive system and to its functions and processes. Reproductive health therefore implies that people are able to have a satisfying and safe sex life and that they have the capability to reproduce and the freedom to decide if, when and how often to do so. Implicit in this last condition are the rights of men and women to be informed and to have access to safe, effective, affordable and acceptable methods of family planning of their choice, as well as other methods of their choice for regulation of fertility which are not against the law, and the right of access to appropriate health care services that will enable women to go safely through pregnancy and childbirth and provide couples with the best chance of having a healthy infant. In line with the above definition of reproductive health, reproductive health care is defined as the constellation of methods, techniques and services that contribute to reproductive health and well-being by preventing and solving reproductive health problems. It also includes sexual health, the purpose of which is the enhancement of life and personal relations, and not merely counselling and care related to reproduction and sexually transmitted diseases.

Regional situation

Every year, 30 000-50 000 women in the Region die from complications related to pregnancy and childbirth. More than one million infants die before their first birthday and more than 30 000 babies die during the first week of their birth. More than 35 000 new cases of sexually transmitted infections occur yearly in the Region.

In order to address the complex and inter-related problems in reproductive health, the Regional Office has embarked on a strategy for the reduction of maternal mortality through several interventions that will improve access of women to safe and quality health care services for reproductive health and safe motherhood. The countries with high maternal mortality ratios were identified as priority countries.

Regional goal

To reduce, by 2015, the maternal mortality ratio by 75% of its 1990 level, and to contribute to the reduction of infant mortality by reducing the number of neonatal deaths. (Millennium Development Goal: Reduce by three quarters, between 1990 and 2015, the maternal mortality ratio.)

Regional objectives

To support countries and areas to develop evidence-based strategies and policies on maternal and newborn mortality reduction, particularly in the priority countries of Cambodia, the Lao People's Democratic Republic, Mongolia, Papua New Guinea, the Philippines and Viet Nam.

To support the efforts of countries and areas to reduce unwanted pregnancies, increase contraceptive use rates, and provide accessible, equitable, gender-sensitive and high-quality reproductive health.

To support countries and areas to improve the health and nutritional status of women of all ages, especially pregnant and nursing women.

Regional strategies

(1) Promote government commitment to the Millennium Development Goals, reduce maternal and newborn mortality, and increase the coverage of skilled attendants.

(2) Provide technical and policy support to the priority countries and areas to build sustainable national capacity on safe motherhood.

(3) Provide technical support and information to countries and areas on promoting cost-effective, gender-sensitive and high-quality reproductive health and family planning services.

(4) Provide technical support to governments to strengthen their capacity to use and interpret existing information on reproductive health for decision-making, supervision and monitoring.

(5) Work with Member States to empower women with knowledge and self-confidence, through training and provision of information, to enable them to control their own fertility and seek health care when needed.

(6) Support countries and areas to mobilize individuals, families and communities to meet special needs of vulnerable populations for reproducive health services, especially for adolescent and pregnant women.

(7) Strengthen coordination and cooperation with other international agencies, bilateral agencies and nongovernmental organizations on safe motherhood and reproductive health.



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