Need for Harmonization

Need for Harmonization

H. Satiroglu


Since the 1950s, reproductive behavior has become as a major

concern of governments. In the 1960s, governments were urged to strive for ‘zero

population growth’ but in 1968 the United Nations began viewing family planning

as a human rights issue rather than focusing only on population control and

demographics. By the late 1980s STI (sexually transmitted infections) emerged as

an equally important issue which was also inseparable from family planning

itself. Widespread use of contraceptives and abortion, and below-replacement

fertility rates are beginning to concern some governments, religious and

advocacy groups. Today we, as clinicians and policy makers do encounter STI

syndromes such as human immunodeficiency virus (HIV) ,pelvic inflammatory

disease (PID) as well as abortions and infertility as major reproductive health

problems. In order to improve this health problem which mainly effects the

reproductive age female population around the world, integration of family

planning with STI prevention programmes is a necessity and the harmonization of

the service which in turn will increase the availability and efficacy is a must.

If the movement and policies which began as contraception and family planning

integrates with the STI prevention and sexual health education programmes, a

“larger field of action” will be reached and not only the reproductive

age women but also the adolescents and vulnerable groups like sex workers,

immigrant etc. will benefit from the education and prevention programmes.

Harmonization of GOs and/or NGOs will enlarge the borders to act and integration

will empower the improvement of the overall reproductive health. Besides

integration, harmonization in services, (preventive, therapeutic, information

education) seems to be an opportunity to strengthen care services, and a way to

a holistic reproductive and sexual health approach.

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