A reproductive health needs assessment in Myanmar

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ANNEX III Summary Reproductive Health Related Projects - National NGOs Agency Programme Townships Major Interventions Myanmar Medical Association Community health and 64 Conducting workshops and seminars on birth spacing. Role of GP’s in Reproductive primary health care health, Safe Motherhood Initiative, Child’s Right to Health, Maternal Morbidity, Baby Friendly hospital Initiative and HIV/AIDS Health Education talks for public MMA collaborates with UNICEF, WHO, UNDP, UNFPA in the implementation of some reproductive health projects Myanmar Maternal and Child Welfare Association (MMCWA) Myanmar Red Cross society (MRCS) HIV/AIDS Birth Spacing Health Services 311 Maternal Child Health activities and services at MCWA maternity homes. Health education for prevention of HIV/AIDS Birth Spacing activities; health education, service delivery at maternity homes Promotion of birth spacing activities Support to Baby Friendly Health Initiative activities Training of trainers with the development of HIV/AIDS education and prevention programme Blood donation programme
Annex IV Estimating the Extent of Abortions Induced abortion is illegal in Myanmar. However, considerable anecdotal evidence suggests that abortion-related complications account for a significant proportion of all gynaecological admissions in the hospitals. Unfortunately, reliable estimate of the extent of abortions is not available as the procedure is illicit. Indirect methods of estimation of the extent of abortions rely on either relating fertility to contraceptive usage or on hospital admissions for abortion-related complications. As recent data on hospital admissions for abortion-related complications are incomplete, we rely on the former procedure of using Bongaart’s proximate determinants of fertility. ESTIMATING IMPACT OF ABORTIONS ON FERTILITY The Bongaart’s model stipulates that TFR = Where: TFR = TF = Cm = Cc = Cu = Ci = TFxCmxCcxCuxCi total fertility rate a constant index of marriage (equals 1 if all women of reproductive age are married and 0 in the absence of marriage). index of contraception (equals 1 in the absence of contraception and 0 if all fecund women use 100 per cent effective contraception. index of induced abortion (equals 1 in the absence of induced abortion and 0 if all pregnancies are aborted). index of post-partum infecundity (equals 1 in the absence of lactation and post-partum abstinence and 0 if the duration of infecundity is infinite). The following estimates for the parameters in the above model are derived from the provisional data available through the FRHS (MOIP 1998a) Cm = 0.45, Cc = 0.68, and Ci = 0.62. Applying the model, we estimate that the abortions may be reducing the total fertility rate by 0.33. CHANGES IN THE EXTENT OF ABORTIONS DURING THE PERIOD 1990-96 Using Bongaarts’ proximate determinants model, we can also analyse whether the extent of abortions has changed between 1990 (based on the PCFS) and 1996 (based on the FRHS) TFR96 = Cm96 x Cc96 x Cu96 x Ci96 TFR90 Cm90 Cc90 Cu90 Ci90
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A reproductive health needs assessment in Myanmar

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