Reproductive health in the context of "World Association for Sexual Health"

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⭐ Core Definition: Reproductive health

Sexual and reproductive health (SRH) is a field of research, health care, and social activism that explores the health of an individual's reproductive system and sexual well-being during all stages of their life. Sexual and reproductive health is more commonly defined as sexual and reproductive health and rights, to encompass individual agency to make choices about their sexual and reproductive lives.

The term can also be further defined more broadly within the framework of the World Health Organization's (WHO) definition of health―as "a state of complete physical, mental and social well-being, and not merely the absence of disease or infirmity"―. WHO has a working definition of sexual health (2006) as '"…a state of physical, emotional, mental and social well-being in relation to sexuality; it is not merely the absence of disease, dysfunction or infirmity. Sexual health requires a positive and respectful approach to sexuality and sexual relationships, as well as the possibility of having pleasurable and safe sexual experiences, free of coercion, discrimination and violence. For sexual health to be attained and maintained, the sexual rights of all persons must be respected, protected and fulfilled." This includes sexual wellbeing, encompassing the ability of an individual to have responsible, satisfying and safe sex and the freedom to decide if, when and how often to do so. UN agencies in particular define sexual and reproductive health as including both physical and psychological well-being vis-à-vis sexuality. Furthermore, the importance of ensuring sexual lives are pleasurable and satisfying, and not only focused on negative consequences of sex has been emphasized by many agencies such as the World Association of Sexual Health as well as considering the positive impacts on health and well-being of safe and satisfying relationships. A further interpretation includes access to sex education, access to safe, effective, affordable and acceptable methods of birth control, as well as access to appropriate health care services, as the ability of women to go safely through pregnancy and childbirth could provide couples with the best chance of having a healthy infant.

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In this Dossier

Reproductive health in the context of Health education

Health education is a profession of educating people about health. Areas within this profession encompass environmental health, physical health, social health, emotional health, intellectual health, and spiritual health, as well as sexual and reproductive health education. It can also be defined as any combination of learning activities that aim to assist individuals and communities improve their health by expanding knowledge or altering attitudes.

Health education has been defined differently by various sources. The National Conference on Preventive Medicine in 1975 defined it as "a process that informs, motivates, and helps people to adopt and maintain healthy practices and lifestyles, advocates environmental changes as needed to facilitate this goal, and conducts professional training and research to the same end." The Joint Committee on Health Education and Promotion Terminology of 2001 defined Health Education as "any combination of planned learning experiences based on sound theories that provide individuals, groups, and communities the opportunity to acquire information and the skills needed to make quality health decisions." The World Health Organization (WHO) defined Health Education as consisting of "consciously constructed opportunities for learning involving some form of communication designed to improve health literacy, including improving knowledge, and developing life skills which are conducive to individual and community health."

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Reproductive health in the context of Reproductive rights

Reproductive rights are legal rights and freedoms relating to reproduction and reproductive health that vary amongst countries around the world. The World Health Organization defines reproductive rights:

Reproductive rights may include some or all of: right to abortion; birth control; freedom from coerced sterilization and contraception; the right to reproduce and start a family, the right to access good-quality reproductive healthcare; and the right to family planning in order to make free and informed reproductive choices. Reproductive rights may also include the right to receive education about sexually transmitted infections and other aspects of sexuality, right to menstrual health and protection from practices such as female genital mutilation (FGM). Protections from mistreatment during pregnancy, labor, delivery, and postpartum are also part of the reproductive rights framework, which calls into questions practices like shackling pregnant people in correctional facilities. Reproductive Rights are connected to broader social conditions and determinants, reproductive freedom requires not only legal rights but affordable healthcare, safe living environments, as well, as economic stability.

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Reproductive health in the context of Sex education

Sex education, also known as sexual education, sexuality education or sex ed, is the instruction of issues relating to human sexuality, including human sexual anatomy, sexual activity, sexual reproduction, safe sex, birth control, sexual health, reproductive health, emotional relations, emotional responsibilities, age of consent, and reproductive rights.

Sex education that includes all of these issues is known as comprehensive sexuality education. In contrast, abstinence-only sex education, which focuses solely on promoting sexual abstinence, is often favored in more socially conservative regions, including some parts of the United States.

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Reproductive health in the context of Royal College of Obstetricians and Gynaecologists

The Royal College of Obstetricians and Gynaecologists (RCOG) is a professional association based in London, United Kingdom. Its members, including people with and without medical degrees, work in the field of obstetrics and gynaecology, that is, pregnancy, childbirth, and female sexual and reproductive health. The college has over 16,000 members in over 100 countries with nearly 50% of those residing outside the British Isles. Catherine, Princess of Wales became the RCOG's patron in 2018.

The college's primary object is given as "The encouragement of the study and the advancement of the science and practice of obstetrics and gynaecology", although its governing documents impose no specific restrictions on its operation. Its present offices are based in London Bridge. Previously, the offices were located near Regent's Park in Central London.

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Reproductive health in the context of Reproductive coercion

Reproductive coercion (also called coerced reproduction, reproductive control or reproductive abuse) is a collection of behaviors that interfere with decision-making related to reproductive health. These behaviors are often perpetrated by a current, former, or hopeful intimate or romantic partner, but they can also be perpetrated by parents or in-laws, or by policies of institutions or government. Coercive behaviors infringe on individuals' reproductive rights and reduce their reproductive autonomy.

Reproductive coercion can include pregnancy coercion, birth control sabotage, and controlling the outcome of a pregnancy.

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Reproductive health in the context of United Nations Population Fund

The United Nations Population Fund (UNFPA) is a UN agency aimed at improving reproductive and maternal health worldwide. Its work includes developing national healthcare strategies and protocols, increasing access to birth control, and leading campaigns against child marriage, gender-based violence, obstetric fistula, and female genital mutilation.

The UNFPA supports programs in more than 144 countries across four geographic regions: Arab States and Europe, Asia and the Pacific, Latin America, the Caribbean and Africa. Around three-quarters of the staff work in the field. It is a founding member of the United Nations Development Group, a collection of UN agencies and programmes focused on fulfilling the Sustainable Development Goals.

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Reproductive health in the context of Women's health

Women's health is an example of population health, where health is defined by the World Health Organization (WHO) as "a state of complete physical, mental and social well-being and not merely the absence of disease or infirmity". Often treated as simply women's reproductive health, many groups argue for a broader definition pertaining to the overall health of women, better expressed as "The health of women". These differences are further exacerbated in developing countries where women, whose health includes both their risks and experiences, are further disadvantaged.

While the rates of the leading causes of death, cardiovascular disease, cancer and lung disease, are similar in women and men, women have different experiences. Lung cancer has overtaken all other types of cancer as the leading cause of cancer related death in women, followed by breast cancer, colorectal, ovarian, uterine and cervical cancers. While smoking is the major cause of lung cancer, amongst nonsmoking women the risk of developing cancer is three times greater than among nonsmoking men. Despite this, breast cancer remains the most common cancer in women in developed countries, and is one of the major chronic diseases of women, while cervical cancer remains one of the most common cancers in developing countries, associated with human papilloma virus (HPV), a sexually transmitted infection. HPV vaccine together with screening offers the promise of controlling these diseases. Other important health issues for women include cardiovascular disease, depression, dementia, osteoporosis and anemia.

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Reproductive health in the context of Sarah Weddington

Sarah Catherine Ragle Weddington (February 5, 1945 – December 26, 2021) was an American attorney, law professor, advocate for women's rights and reproductive health, and member of the Texas House of Representatives. She was best known for representing "Jane Roe" (real name Norma McCorvey) in the landmark Roe v. Wade case before the United States Supreme Court. She also was the first female General Counsel for the US Department of Agriculture.

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