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Reproductive Health and Population
         RALPH JULIUS BAWALAN
Everyone has the right to enjoy reproductive
   health, which is a basis for having healthy
   children, intimate relationships and happy
                    families.

UNFP Vision: that every child is wanted, every
 birth is safe, every young person is free of HIV
    and every girl and woman is treated with
                dignity and respect.
Reproductive Health

• a state of complete physical, mental & social well-
  being & not merely the
  absence of disease or infirmity, in all matters
  relating to the reproductive system &
  to its functions and processes.
• RH implies that:
   – People are able to have a satisfying and safe sex life; &
   – They have the capability to reproduce; &
   – The freedom to decide if, when & how often to do so
POPULATION DYNAMICS
• Population dynamics:
  growth rates, age structure, fertility and
  mortality, migration influence every aspect of
  human, social and economic development.
• Other core areas of population dynamics
  – reproductive health
  – women's empowerment
  BOTH are powerfully influential in
  population trends.
POPULATION AND POVERTY

Global population is expected to increase from 6.5
billion today to 9.1 billion by 2050, and the
population of the 50 poorest countries will more
than double to reach 1.7 billion. (UNFPA)
Ethical Principles

• Principle of Individual Liberty
• Utilitarian Principle
• Principle of Justice

• Rights of women and men to be informed and to
  have access to safe, effective, affordable &
  acceptable family planning methods of their
  choice, as well as other methods for regulation of
  fertility WHICH ARE NOT AGAINST THELAW.
REPRODUCTIVE HEALTH PROBLEMS

• Remain the leading cause of ill health and
  death for women of childbearing age
  worldwide.
  – unintended pregnancies
  – maternal death and disability
  – sexually transmitted infections (e.g.HIV)
  – gender-based violence
  – and other problems related to
    their reproductive system
   and sexual behaviour.
2015 GOAL

The critical importance of reproductive health to
  development has been acknowledged at
  the highest level.
TAGET FOR MDG FRAMEWORK:
Reproductive Health for all... A reality.
MDG

The core of all MDGs, from improving health
  and fighting disease to reducing poverty and
  mitigating hunger, expanding education and
  lowering child mortality, increasing access to
  safe water and ensuring environmental
  sustainability.
Millennium Development Goals (MDGs)



           • international community’s
             time-bound and quantified
             targets for addressing
             extreme poverty in its many
             forms.
PILLARS OF REPRODUCTIVE HEALTH



           •   Responsible Parenthood
           •   Respect for Life
           •   Birth Spacing
           •   Informed Choice
HB 4244 or RH Bill

Act providing for
  COMPREHENSIVE Policy
  on Responsible
  Parenthood, Reproducti
  ve Health, and
  Population
  Development
China ONE-CHILD Policy

• Birth control policy that was supposed to deal
  with the high population growth and its social
  and economical problems for the People's
  Republic of China.

(+) decelerated China’s rapid population
(+) create highly educated skilled and more
  productive workforce
Effects One Child Policy

• Abuses against women and girls
  – the abortion of baby girls, forced sterilizations and
    abortions, earlier ageing of the population, the
    effects on gender equalities, increasing effects on
    human trafficking, etc.

(-) abuse of human rights
(-) forced abortion and sterilization
(-) violence in women
(-) male- female birthrate ratio
Philippines in Focus
    • The Philippines recognizes health as
      a basic human right. It protects and
      promotes the right to health of the
      people and instils health
      consciousness among them.
    • Although this provision is guaranteed
      by the 1987 Constitution and the
      health care system in the Philippines
      is generally extensive, access to
      health services, especially by the
      poor, is still hampered by high
      cost, physical and social-cultural
PHILIPPINES IN FOCUS (NS0)

• The Philippine population would continue to
  grow, increasing from 76.5 million from
  2000, to 141.7 million in 2040
Philippines in Focus

• In comparison with other countries, the
  Philippine ranked twelfth among the countries
  of the world in terms of total population.
• The Philippines is ranked fifth among
  Southeast Asian countries in annual
  population growth rate.
CONSTITUTION’S PROVISIONS ON RH

• Art. II. Sec. 12. - … The State shall equally protect the life of the
  mother & the life of the unborn from conception…
• Art. II. Sec. 15.–The State shall protect & promote the right to
  health of the people and instill health consciousness among them.
• Art. XIII. Sec. 11.–The State shall adopt an integrated &
  comprehensive approach to health development which shall
  endeavor to make essential goods, health & other social services
  available to all the people at affordable cost. There shall be priority
  for the needs of the underprivileged, sick, elderly, disabled, women
  & children.
• Art. XV. Sec. 3. [1]–The State shall defend the right of spouses to
  found a family in accordance with their religious convictions and the
  demands of responsible parenthood.
RH Realities in
        Philippines
• Mean age at marriage for males is 20 & 19 for
  females.
• Mean age at having 1st child is 19.
• Almost 10% of young Filipino women aged 15-19
  has already given birth.
• Adolescent pregnancy is 30% of all annual births
• Poor and uneducated women marry and give
  birth earlier in life, than women with higher
  education.
RH Realities in
        Philippines
• More than 10 Filipino women die daily due to
  pregnancy & childbirth- related complications
  (UNFPA, 2007) & over half (56%) of yearly
  maternal deaths are unreported.
• Poor women have 3 times more children than
  the rich.
• Population growth rate (PGR) is pegged at
  2.04% which translates to about 2 million new
  Filipinos yearly.
RH Realities in
                                   Philippines
        • Mean age at first sex for males is 17 & 18 for
          females. 16% of youth had first sex before age
          15.
        • 31.2% of males & 15.9% of females had
          premarital sex.
        • 50.6% of the youth wants to have only 2
          children.


http://www.census.gov.ph/data/pressrelease/2007/pr0730tx.html
Pulse Asia Survey
• 92% of Filipinos considers FP important.
• 89% of Filipinos thinks that government should
  provide budgetary support
  for modern methods of FP including modern
  contraceptives.
• Ultimately, the majority of Filipino women across
  all socioeconomic classes have spoken: they want
  fewer children. And Filipinos in general have
  affirmed the importance of addressing the
  population issue. Good governance requires that
  the government listen to the people’s voice.
“Seventy percent of unwanted pregnancies in the
   Philippines end in abortion”
          – Jean-Marc Olivé, Representative of the PHL to the WHO

The big majority of women having induced abortion are
  poor (68%),married (91%), with more than 3 children
  (57%), and Catholic (87%).(UPPU-AGI, 2006)
Why RH Bill is PROlife?

1. RH will: Protect the health & lives of mothers
2. Save babies
3. Respond to the majority who want smaller
  families
4. Promote equity for poor families
5. Prevent induced abortions
6. Support and deploy more public
  midwives, nurses and doctors
Why RH Bill is PROlife?

7. Guarantee funding for & equal access to
  health facilities
8. Give accurate & positive sexuality education
  to young people
9. Reduce cancer deaths
10. Save money that can be used for even more
  social spending
Humanitarian Ethics

• Every mother on Php100 per day knows that
  the family will be better fed if there are three
  children round the table rather than ten.
• Family planning could bring more benefits to
  more people at less cost than any other
  known technology. It should be a HIGH
  priority.
Humanitarian Ethics
• Promoting reproductive health and improving
  conditions for its attainment are an ethical
  obligation. People should "have the ability to
  reproduce, to regulate their fertility, and to
  practice and enjoy sexual relationships"; they
  should be "the subjects rather than the objects"
  of reproductive health programmes.
• Benefits and responsibilities related to
  reproductive decisions must be allocated
  equitably. No group should be denied services.
Humanitarian Ethics

• Persons must be treated with respect, and
  individuals’ autonomy respected. Women
  should not be treated as a means for reaching
  a goal of optimal population.
• Individuals should be given a range of
  alternatives and the right to refuse unwanted
  family planning methods or medical
  procedures.
CONCLUSION

To address issues of population and reproductive
   health ethically, Governments must devise
   strategies that are broadly integrated with social
   and economic development, improved education
   and political and legal reform.
Like other important social goods, reproductive
   health can only flourish in a climate of respect for
   human dignity and protection of fundamental
   human rights.
END OF REPORT

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Reproductive Health and Population

  • 1. Reproductive Health and Population RALPH JULIUS BAWALAN
  • 2. Everyone has the right to enjoy reproductive health, which is a basis for having healthy children, intimate relationships and happy families. UNFP Vision: that every child is wanted, every birth is safe, every young person is free of HIV and every girl and woman is treated with dignity and respect.
  • 3. Reproductive Health • a state of complete physical, mental & social well- being & not merely the absence of disease or infirmity, in all matters relating to the reproductive system & to its functions and processes. • RH implies that: – People are able to have a satisfying and safe sex life; & – They have the capability to reproduce; & – The freedom to decide if, when & how often to do so
  • 4.
  • 5. POPULATION DYNAMICS • Population dynamics: growth rates, age structure, fertility and mortality, migration influence every aspect of human, social and economic development. • Other core areas of population dynamics – reproductive health – women's empowerment BOTH are powerfully influential in population trends.
  • 6. POPULATION AND POVERTY Global population is expected to increase from 6.5 billion today to 9.1 billion by 2050, and the population of the 50 poorest countries will more than double to reach 1.7 billion. (UNFPA)
  • 7. Ethical Principles • Principle of Individual Liberty • Utilitarian Principle • Principle of Justice • Rights of women and men to be informed and to have access to safe, effective, affordable & acceptable family planning methods of their choice, as well as other methods for regulation of fertility WHICH ARE NOT AGAINST THELAW.
  • 8. REPRODUCTIVE HEALTH PROBLEMS • Remain the leading cause of ill health and death for women of childbearing age worldwide. – unintended pregnancies – maternal death and disability – sexually transmitted infections (e.g.HIV) – gender-based violence – and other problems related to their reproductive system and sexual behaviour.
  • 9. 2015 GOAL The critical importance of reproductive health to development has been acknowledged at the highest level. TAGET FOR MDG FRAMEWORK: Reproductive Health for all... A reality.
  • 10. MDG The core of all MDGs, from improving health and fighting disease to reducing poverty and mitigating hunger, expanding education and lowering child mortality, increasing access to safe water and ensuring environmental sustainability.
  • 11. Millennium Development Goals (MDGs) • international community’s time-bound and quantified targets for addressing extreme poverty in its many forms.
  • 12. PILLARS OF REPRODUCTIVE HEALTH • Responsible Parenthood • Respect for Life • Birth Spacing • Informed Choice
  • 13. HB 4244 or RH Bill Act providing for COMPREHENSIVE Policy on Responsible Parenthood, Reproducti ve Health, and Population Development
  • 14. China ONE-CHILD Policy • Birth control policy that was supposed to deal with the high population growth and its social and economical problems for the People's Republic of China. (+) decelerated China’s rapid population (+) create highly educated skilled and more productive workforce
  • 15. Effects One Child Policy • Abuses against women and girls – the abortion of baby girls, forced sterilizations and abortions, earlier ageing of the population, the effects on gender equalities, increasing effects on human trafficking, etc. (-) abuse of human rights (-) forced abortion and sterilization (-) violence in women (-) male- female birthrate ratio
  • 16. Philippines in Focus • The Philippines recognizes health as a basic human right. It protects and promotes the right to health of the people and instils health consciousness among them. • Although this provision is guaranteed by the 1987 Constitution and the health care system in the Philippines is generally extensive, access to health services, especially by the poor, is still hampered by high cost, physical and social-cultural
  • 17. PHILIPPINES IN FOCUS (NS0) • The Philippine population would continue to grow, increasing from 76.5 million from 2000, to 141.7 million in 2040
  • 18. Philippines in Focus • In comparison with other countries, the Philippine ranked twelfth among the countries of the world in terms of total population. • The Philippines is ranked fifth among Southeast Asian countries in annual population growth rate.
  • 19. CONSTITUTION’S PROVISIONS ON RH • Art. II. Sec. 12. - … The State shall equally protect the life of the mother & the life of the unborn from conception… • Art. II. Sec. 15.–The State shall protect & promote the right to health of the people and instill health consciousness among them. • Art. XIII. Sec. 11.–The State shall adopt an integrated & comprehensive approach to health development which shall endeavor to make essential goods, health & other social services available to all the people at affordable cost. There shall be priority for the needs of the underprivileged, sick, elderly, disabled, women & children. • Art. XV. Sec. 3. [1]–The State shall defend the right of spouses to found a family in accordance with their religious convictions and the demands of responsible parenthood.
  • 20. RH Realities in Philippines • Mean age at marriage for males is 20 & 19 for females. • Mean age at having 1st child is 19. • Almost 10% of young Filipino women aged 15-19 has already given birth. • Adolescent pregnancy is 30% of all annual births • Poor and uneducated women marry and give birth earlier in life, than women with higher education.
  • 21. RH Realities in Philippines • More than 10 Filipino women die daily due to pregnancy & childbirth- related complications (UNFPA, 2007) & over half (56%) of yearly maternal deaths are unreported. • Poor women have 3 times more children than the rich. • Population growth rate (PGR) is pegged at 2.04% which translates to about 2 million new Filipinos yearly.
  • 22. RH Realities in Philippines • Mean age at first sex for males is 17 & 18 for females. 16% of youth had first sex before age 15. • 31.2% of males & 15.9% of females had premarital sex. • 50.6% of the youth wants to have only 2 children. http://www.census.gov.ph/data/pressrelease/2007/pr0730tx.html
  • 23. Pulse Asia Survey • 92% of Filipinos considers FP important. • 89% of Filipinos thinks that government should provide budgetary support for modern methods of FP including modern contraceptives. • Ultimately, the majority of Filipino women across all socioeconomic classes have spoken: they want fewer children. And Filipinos in general have affirmed the importance of addressing the population issue. Good governance requires that the government listen to the people’s voice.
  • 24. “Seventy percent of unwanted pregnancies in the Philippines end in abortion” – Jean-Marc Olivé, Representative of the PHL to the WHO The big majority of women having induced abortion are poor (68%),married (91%), with more than 3 children (57%), and Catholic (87%).(UPPU-AGI, 2006)
  • 25. Why RH Bill is PROlife? 1. RH will: Protect the health & lives of mothers 2. Save babies 3. Respond to the majority who want smaller families 4. Promote equity for poor families 5. Prevent induced abortions 6. Support and deploy more public midwives, nurses and doctors
  • 26. Why RH Bill is PROlife? 7. Guarantee funding for & equal access to health facilities 8. Give accurate & positive sexuality education to young people 9. Reduce cancer deaths 10. Save money that can be used for even more social spending
  • 27. Humanitarian Ethics • Every mother on Php100 per day knows that the family will be better fed if there are three children round the table rather than ten. • Family planning could bring more benefits to more people at less cost than any other known technology. It should be a HIGH priority.
  • 28. Humanitarian Ethics • Promoting reproductive health and improving conditions for its attainment are an ethical obligation. People should "have the ability to reproduce, to regulate their fertility, and to practice and enjoy sexual relationships"; they should be "the subjects rather than the objects" of reproductive health programmes. • Benefits and responsibilities related to reproductive decisions must be allocated equitably. No group should be denied services.
  • 29. Humanitarian Ethics • Persons must be treated with respect, and individuals’ autonomy respected. Women should not be treated as a means for reaching a goal of optimal population. • Individuals should be given a range of alternatives and the right to refuse unwanted family planning methods or medical procedures.
  • 30. CONCLUSION To address issues of population and reproductive health ethically, Governments must devise strategies that are broadly integrated with social and economic development, improved education and political and legal reform. Like other important social goods, reproductive health can only flourish in a climate of respect for human dignity and protection of fundamental human rights.