Reproductive Health in Burundi Essay

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Global Health Module 10- Discussion Topic

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5 hours; Additional Time for Study, Research, and Reflection: 1 hour

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For your initial post in this discussion, please post your completed poster presentation.

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Review the poster presentations of your classmates. Reply to at least one person and suggest an alternate strategy for addressing the issue.

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Reproductive Health in Burundi Elizabeth Bain Rasmussen University Global Health Issue Education for adolescents about safe intercourse has led to decreasing unwanted pregnancies in many first-world countries. The education provided in first-world countries is not the same education offered to third-world countries. Burundi is one of these third-world countries that does not provide adolescents with accessible reproductive health information and services. The decrease in education and the increased rate of sexual violence have led to a significant number of unwanted pregnancies and adverse reproductive and psycho-social health complications. Sexually transmitted diseases also rampage through the country, with a prevalence of HIV/AIDS being around seven percent (WHO, 2021). Significance The decrease in reproductive health increases the likelihood of mothers being younger and the possibility of unsafe abortion attempts, sterility, sexually transmitted infections, and increased maternal mortality rates (Nkunzimana et al., 2021). The maternal mortality rate is estimated to be 855 of 100,000 live birth, with roughly 80% of all deliveries occurring out of a hospital without trained professionals. The rate of contraceptive use is only 5.4% which is critically low, but fertility rates are about 6%, which is high (Nkunzimana et al., 2021). The statistics are alarming that less than half of all women in Burundi can choose their reproductive health, sexual relationships, and contraceptive use. Also, roughly sixty percent of the births were from mothers between the ages of fifteen and nineteen (UNFPA, 2020). Addressing the Issue Incidence and Prevalence ➢ Burundi ranks 9 out of 10 for highest fertility rate as of 2017 (Nkunzimana et al., 2021). ➢ Every woman has an average of 5.5 children in the country (Nkunzimana et al., 2021). ➢ Maternal death rate is 500 per 100,00 live births (Nkunzimana et al., 2021). ➢ Unintended pregnancies is the leading contributor to high maternal mortality rates due to unsafe abortions, postpartum depression, and injuries that occur at birth (WHO, 2021). Progress is being made to improve sexual reproductive health through: The National Program for Reproductive Health, and this program has been able to organize facilitators that have received training from the UNFPA (United Nations Population Fund). The workers are trained to offer confidential, non-judgmental, and sensitive information to youth about services provided. Additionally, the Burundi government has aligned itself with the UNFPA to offer comprehensive sexual education programs in 2016 (UNFPA, 2021). Education awareness is being spread through: Implications Youth Peer Networks Youth Associations Schools Community Centers Religious centers Many women are unmarried and become pregnant through violent acts such as rape. Due to their status of being unmarried many of these women are encouraged to drop out of school, marry, or to have an unsafe and illegal abortion (UNFPA, 2021). All these options lead to more separation between gender equality and women unable to pursue careers and desires of their own in life. Also decreases their life expectancy related to untreated medical care and increased rate of STIs. Strengthening health care structures in the field of family planning and sexual and reproductive health and rights (SRHR) commissioned by the German Federal Ministry for Economic Cooperation and Development (BMZ). Is an organization that is a program that is helping structure the education(Hammer, 2022). Babies have low birth rates with little to no prenatal care, which increases the newborn’s risk to not thrive (Chi et al., 2015). They have increased modern contraceptive use from 59,738 to 64,991 from 2013 to 2017. Estimated to reach around 82,153 young individuals and increased open dialogue about reproductive and sexual health (Hammer, 2022). . Impact of Determinants of Health (Chi et al., 2015) ➢ ➢ ➢ ➢ ➢ ➢ ➢ ➢ Taboos and shame within the culture to discuses sexuality. Cultural and religious myths about modern contraceptives. Lack of sexual educational courses in schools. War that loots medical supplies, abducts & kills medical personnel. War also increases sexual assaults and rapes. War increases delivers at military checks points, in which women do not receive postnatal care. Lack of medical facilities, funds, and providers. Domestic abuse. References Chi, P., Bulage, P., Urdal, H., & Sundby, J. (2015, April 3). Perceptions of the effects of armed conflict on maternal and reproductive health services and outcomes in Burundi and Northern Uganda: A qualitative study - BMC International Health and Human Rights. BioMed Central. https://bmcinthealthhumrights.biomedcentral.com/articles/10.1186/s12914-015-0045-z Hammer, W. (2022, February 5). Strengthening Health Care Structures in Burundi. Startseite. https://www.giz.de/en/worldwide/20074.html Nkunzimana, E., Babale, M. S., Ndoreraho, A., & Nyandwi, J. (2021). Uptake of modern contraceptive methods among Burundian women and associated factors: Analysis of demographic and Health Survey Data, Burundi 2016-2017. The East African health research journal. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8291214/ UNFPA. (2020). Burundi. United Nations Population Fund. https://www.unfpa.org/data/demographic-dividend/BI UNFPA. (2021). In Burundi, Sexual Health Education Helps Youth Protect Themselves, Their Futures. United Nations Population Fund. https://www.unfpa.org/news/burundi-sexual-health-education-helps-youth-protect-themselves-their-futures WHO. (2021). BURUNDI. https://www.who.int/. https://www.who.int/hac/about/donorinfo/burundi.pdf Reproductive Health in Burundi Elizabeth Bain Rasmussen University Global Health Issue Education for adolescents about safe intercourse has led to decreasing unwanted pregnancies in many first-world countries. The education provided in first-world countries is not the same education offered to third-world countries. Burundi is one of these third-world countries that does not provide adolescents with accessible reproductive health information and services. The decrease in education and the increased rate of sexual violence have led to a significant number of unwanted pregnancies and adverse reproductive and psycho-social health complications. Sexually transmitted diseases also rampage through the country, with a prevalence of HIV/AIDS being around seven percent (WHO, 2021). Significance The decrease in reproductive health increases the likelihood of mothers being younger and the possibility of unsafe abortion attempts, sterility, sexually transmitted infections, and increased maternal mortality rates (Nkunzimana et al., 2021). The maternal mortality rate is estimated to be 855 of 100,000 live birth, with roughly 80% of all deliveries occurring out of a hospital without trained professionals. The rate of contraceptive use is only 5.4% which is critically low, but fertility rates are about 6%, which is high (Nkunzimana et al., 2021). The statistics are alarming that less than half of all women in Burundi can choose their reproductive health, sexual relationships, and contraceptive use. Also, roughly sixty percent of the births were from mothers between the ages of fifteen and nineteen (UNFPA, 2020). Addressing the Issue Incidence and Prevalence ➢ Burundi ranks 9 out of 10 for highest fertility rate as of 2017 (Nkunzimana et al., 2021). ➢ Every woman has an average of 5.5 children in the country (Nkunzimana et al., 2021). ➢ Maternal death rate is 500 per 100,00 live births (Nkunzimana et al., 2021). ➢ Unintended pregnancies is the leading contributor to high maternal mortality rates due to unsafe abortions, postpartum depression, and injuries that occur at birth (WHO, 2021). Progress is being made to improve sexual reproductive health through: The National Program for Reproductive Health, and this program has been able to organize facilitators that have received training from the UNFPA (United Nations Population Fund). The workers are trained to offer confidential, non-judgmental, and sensitive information to youth about services provided. Additionally, the Burundi government has aligned itself with the UNFPA to offer comprehensive sexual education programs in 2016 (UNFPA, 2021). Education awareness is being spread through: Implications Youth Peer Networks Youth Associations Schools Community Centers Religious centers Many women are unmarried and become pregnant through violent acts such as rape. Due to their status of being unmarried many of these women are encouraged to drop out of school, marry, or to have an unsafe and illegal abortion (UNFPA, 2021). All these options lead to more separation between gender equality and women unable to pursue careers and desires of their own in life. Also decreases their life expectancy related to untreated medical care and increased rate of STIs. Strengthening health care structures in the field of family planning and sexual and reproductive health and rights (SRHR) commissioned by the German Federal Ministry for Economic Cooperation and Development (BMZ). Is an organization that is a program that is helping structure the education(Hammer, 2022). Babies have low birth rates with little to no prenatal care, which increases the newborn’s risk to not thrive (Chi et al., 2015). They have increased modern contraceptive use from 59,738 to 64,991 from 2013 to 2017. Estimated to reach around 82,153 young individuals and increased open dialogue about reproductive and sexual health (Hammer, 2022). . Impact of Determinants of Health (Chi et al., 2015) ➢ ➢ ➢ ➢ ➢ ➢ ➢ ➢ Taboos and shame within the culture to discuses sexuality. Cultural and religious myths about modern contraceptives. Lack of sexual educational courses in schools. War that loots medical supplies, abducts & kills medical personnel. War also increases sexual assaults and rapes. War increases delivers at military checks points, in which women do not receive postnatal care. Lack of medical facilities, funds, and providers. Domestic abuse. References Chi, P., Bulage, P., Urdal, H., & Sundby, J. (2015, April 3). Perceptions of the effects of armed conflict on maternal and reproductive health services and outcomes in Burundi and Northern Uganda: A qualitative study - BMC International Health and Human Rights. BioMed Central. https://bmcinthealthhumrights.biomedcentral.com/articles/10.1186/s12914-015-0045-z Hammer, W. (2022, February 5). Strengthening Health Care Structures in Burundi. Startseite. https://www.giz.de/en/worldwide/20074.html Nkunzimana, E., Babale, M. S., Ndoreraho, A., & Nyandwi, J. (2021). Uptake of modern contraceptive methods among Burundian women and associated factors: Analysis of demographic and Health Survey Data, Burundi 2016-2017. The East African health research journal. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8291214/ UNFPA. (2020). Burundi. United Nations Population Fund. https://www.unfpa.org/data/demographic-dividend/BI UNFPA. (2021). In Burundi, Sexual Health Education Helps Youth Protect Themselves, Their Futures. United Nations Population Fund. https://www.unfpa.org/news/burundi-sexual-health-education-helps-youth-protect-themselves-their-futures WHO. (2021). BURUNDI. https://www.who.int/. https://www.who.int/hac/about/donorinfo/burundi.pdf Plagiarism Report by Muhammad Yasir Submission date: 02-Mar-2022 11:59PM (UTC-0600) Submission ID: 1775343253 File name: reproductive_health.edited.docx (17.09K) Word count: 537 Character count: 3447 6 3 3 2 4 1 5 Plagiarism Report ORIGINALITY REPORT 57 22% % SIMILARITY INDEX INTERNET SOURCES 0% PUBLICATIONS 50% STUDENT PAPERS PRIMARY SOURCES 1 2 Submitted to Fiji National University 15% Submitted to University of Maryland, University College 12% Student Paper Student Paper Submitted to The University of the South Pacific 9% 4 www.familyplanning.org.nz 7% 5 Submitted to University of Ghana 7% 6 byjus.com 6% 3 Student Paper Internet Source Student Paper Internet Source Exclude quotes On Exclude bibliography On Exclude matches Off
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TITLE

NAME

PROFESSOR

INSTITUTION

DATE

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GLOBAL HEALTH ISSUE

INTRODUCTION

In many first-world nations, educating adolescents about safe intercourse has resulted in fewer
unplanned pregnancies. Education in first-world countries differs from that delivered in thirdworld countries. Burundi is one of the countries where teenage reproductive health information
and services are not readily available. Unwanted pregnancies and poor reproductive and
psychosocial health problems have increased as a result of a drop in education and an increase in
sexual violence. Sexually transmitted diseases are also on the rise in the country, with HIV/AIDS
prevalence hovering around 7%. (WHO, 2021).

RELEVANCE

Because of the decline in reproductive health, mothers are more likely to be younger, which
raises the risk of unsafe abortion attempts, sterility, sexually transmitted infections, and higher
maternal mortality rates (Nkunzimana et al., 2021). The maternal death rate is estimated to be
855 per 100,000 live births, with nearly 80% of all deliveries taking place outside of a hospital
by untrained personnel. Contraception use is only 5.4 percent, which is extremely low, yet
fertility rates are over 6%, which is quite high (Nkunzimana et al., 2021). Less than half of all
Burundi women have control over their reproductive health, sexual relationships, and
contraceptive use, according to statistics. In addition, sixty percent of the births were from
mothers aged fifteen to nineteen (UNFPA).

IMPLICATIONS

Many unmarried women become pregnant as a result of violent actions such as rape. Many of
these women are pressured to drop out of school, marry, or have a dangerous and illegal abortion
because they are unmarried (UNFPA, 2021). All of these alternatives result in a greater divide
between men and women, with women unable to pursue their own vocations and aspirations in
life. Their life expectancy is further reduced as a result of untreated medical care and an
increased risk of STIs.

Low birth rates and little or no prenatal care increase the likelihood of the newborn not thriving
(Chi et al., 2015).

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CAUSES OF THE ISSUE









Within the culture, there are taboos and guilt associated with discussing sexuality.
Modern contraceptives are shrouded in cultural and religious beliefs.
There aren't enough sexual education classes in schools.
Medical supplies are looted, medical workers are kidnapped, and medical personnel are
killed in this war.
Sexual assaults and rapes are also on the rise.
War increases the number of births at military checkpoints, when women are not
provided with postnatal care.
There aren't enough medical facilities, finances, or providers.
Abuse in the home.

STRATEGY FOR ADDRESSING THE ISSUE

Together, through partnership, we can improve the quality and availability of ca...


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