Reproductive Health in Health Polices of Punjab Province: Gaps and Challenges

M. Nadeem, Ra’ana Malik
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Abstract

Pakistan has to place a strong emphasis on reproduction as part of an inclusive healthcare strategy that would improve the general health of its population. The aim of this paper is to analyze the health policies of the Punjab Province post-18th Amendment by focusing on the area of reproductive health. For this purpose, health policies were analyzed thematically. After reviewing and analyzing policies, we identified areas of concern about reproductive health care, including the lack of infrastructure and human resources and the lack of evidence-based health-related data and research to respond to or design need-based initiatives. Additionally, reproductive health seems to revolve around special issues and target communities by taking international commitments to the Millennium Development Goals and Sustainable Development Goals as a guideline (maternal and child health and prevention of sexually transmitted diseases). It is also found that significant donor funds are only related to family planning and maternal and child care services. These findings indicate that reproductive health measures regulate the fertility and sexual behavior of the target community, along with focusing more on maternal health, which somehow reveals the prevailing gender norms regarding roles in society. Reproductive health issues among men, transgender people, and non-parents are ignored. It is hoped that the identified gaps might be helpful in planning and ensuring access, quality, and equity in reproductive health services.  
旁遮普省卫生政策中的生殖健康:差距和挑战
巴基斯坦必须高度重视生殖问题,将其作为改善其人口总体健康的包容性保健战略的一部分。本文的目的是分析旁遮普省第18次修正案后的卫生政策,重点关注生殖健康领域。为此目的,对卫生政策进行了专题分析。在审查和分析各项政策后,我们确定了生殖保健方面令人关切的领域,包括缺乏基础设施和人力资源,以及缺乏循证健康相关数据和研究,以应对或设计基于需求的举措。此外,生殖健康似乎以对千年发展目标和可持续发展目标的国际承诺(妇幼保健和预防性传播疾病)为指导方针,围绕特殊问题和目标社区开展工作。还发现,大量捐助资金只与计划生育和妇幼保健服务有关。这些调查结果表明,生殖健康措施调节目标社区的生育率和性行为,同时更多地关注孕产妇健康,这在某种程度上揭示了有关社会角色的普遍性别规范。男性、跨性别者和非父母的生殖健康问题被忽视。希望已查明的差距可能有助于规划和确保生殖健康服务的可及性、质量和公平性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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