RESUMO
The largest absolute numbers of maternal deaths occur among the 40-50 million women who deliver annually without a skilled birth attendant. Most of these deaths occur in countries with a total fertility rate of greater than 4. The combination of global warming and rapid population growth in the Sahel and parts of the Middle East poses a serious threat to reproductive health and to food security. Poverty, lack of resources, and rapid population growth make it unlikely that most women in these countries will have access to skilled birth attendants or emergency obstetric care in the foreseeable future. Three strategies can be implemented to improve women's health and reproductive rights in high-fertility, low-resource settings: (1) make family planning accessible and remove non-evidenced-based barriers to contraception; (2) scale up community distribution of misoprostol for prevention of postpartum hemorrhage and, where it is legal, for medical abortion; and (3) eliminate child marriage and invest in girls and young women, thereby reducing early childbearing.
Assuntos
Aquecimento Global , Serviços de Saúde Materna/organização & administração , Mortalidade Materna , Saúde Reprodutiva/tendências , Adolescente , África , Coeficiente de Natalidade , Criança , Prática Clínica Baseada em Evidências , Feminino , Acessibilidade aos Serviços de Saúde , Humanos , Serviços de Saúde Materna/normas , Serviços de Saúde Materna/provisão & distribuição , Bem-Estar Materno , Oriente Médio , Pobreza , Gravidez , Direitos Sexuais e Reprodutivos , Adulto JovemRESUMO
The juvenile justice setting provides a unique opportunity to administer the human papillomavirus (HPV) vaccine to a high-risk, medically underserved population. We examined current HPV vaccination practices in the United States. Most states (39) offer the HPV vaccine to females committed to juvenile justice facilities.
