Abstract |
Reproductive health surveys cover such topics as reproductive morbidities, incidence of HIV/AIDS,maternal mortality, access to and utilization of reproductive health services, knowledge and use of contraception, the extent of sterility and abortion, the practice of female genital mutilation in some societies, and the sociocultural factors affecting all these variables. The traditional health surveys do not generally collect data on womenþs reproductive health status. We therefore need new approaches and new survey instruments for collecting, compiling and analyzing the data on reproductive health. Reproductive morbidity can be measured through interview based surveys, however this method is suitable only for morbidities which have very recognizable symptoms which are different from those of other morbidities. The incidence of STD and HIV/AIDS cannot be measured through interview-based surveys and would require objective data obtained through analysis of blood/urine samples. This is a very expensive affair. Estimation of another key indicator, the maternal mortality ratio would require large samples, moreover it is difficult to obtain reliable estimates of changes in this indicator in the short run. Presently, demographers are concentrating their efforts in developing process indicators in addition to the usual reproductive status indicators such as ratio of pregnant women in the reproductive age groups, pregnancy history, etc. Examples of process indicators are proportion immunized against tetanus, proportion receiving antenatal and post-natal care, proportion using contraception for limitation of childbearing and for spacing, etc. |