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Reproductive & sexual health

SAMRAKSHA has now merged Women's Reproductive Health and Male Sexual Health into one comprehensive Reproductive and Sexual Health programme. This programme seeks demonstrate sensitive and holistic reproductive and sexual health service models in Bangalore City and Raichur and Koppal districts to advocate for such services in the mainstream, through training, field support and supervision of those services.

In collaboration with the University of California, San Francisco (USA), the programme is starting to examine links between reproductive health and economics, gender, decision-making capacity and mobility.

Highlights 2002

One-month Training programme :

The project team participated in an intensive one-month training programme covering sex and sexuality; reproductive and sexual health; gender and sexual power; HIV/AIDS; the role of counseling, community and ethical issues related to the collaborative research project; and research methodology.

Male Reproductive and Sexual Health Clinics :

These have been started in response to requests from women to offer something for their partners and from young men for such a service. In addition, the idea is to increase involvement of men in reproductive and sexual health.

Phase 1 of Research Begins :

Phase I of the collaborative research with UCSF began this year with community mapping exercises and mini Socio-Economic Status Surveys in selected areas of Bangalore and Koppal Districts.

Group Education programmes :

New group education programme for married and adolescent males backed by STI (Sexually Transmitted Infection) clinics in the community have been initiated.

 

KEY LEARNINGS:

Men have expressed that they are uncomfortable seeking help for RTI/STI problems within their own community. They prefer to access services outside the immediate area where they live.

Women are much more comfortable and relaxed during pelvic examinations if they have gone through a pre-examination counseling and information session.

 

IN THE PIPELINE...

... a team of lay counselors and a network of community volunteers

... capacity building of local medical practitioners for follow up

... capacity building of government lab technicians in RTI/STI diagnosis.

... rural Well-Woman Clinic services

... a Positive Women's Clinic

 

 

An 18-year-old youth came to an STI clinic after attending an RSH education programme. It was found that the young man had multiple painful genital ulcerations. He was sent for laboratory tests and counseling. During counseling, the young man said his friends had told him that controlling sexual urges would lead to serious medical problems. So he and his friends had all sought sexual exposure. When the young man developed ulcers in his genital area, his friends suggested he should wash the ulcers with soda and lime. This led to acute inflammation and the pain was so severe that he had to seek help. The young man was treated, educated and his misconceptions about sexual health dispelled. Today, he supports the programme as a volunteer by talking to individuals in the community about reproductive and sexual health.

"What if someone from the same place sees us? It causes embarrassment. If you have a clinic elsewhere, we will come freely.” ~ men from Bagalur during group education for the 20-45 age group

 

IMPORTANT STATISTICS:

Total Community Reach
Women: 6936
Men: 2290
URBAN - STI cases: 259
RTI cases: 233
Other problems: 1085
RURAL - STI cases: 22
RTI cases (rural): 17
Other problems: 125

Reproductive & Sexual Health Clinics
Total men seen: 101
STI's treated: 10

MATERIALS PRODUCED:

Materials have been translated/ developed in Kannada on reproductive and sexual health for adolescent and young people. A number of teaching materials for group education have been acquired and modified to suit local requirements.

 

 

SAMUHA, #12/3, “Raghava Krupa”, Bull Temple “A” Cross Road, 6th Main, Chamarajpet, Bangalore-560 018.
Tel: 91-80-2660 6532,3. Fax: 91-80-2660 6528. E-mail: editor@samuha.org