Jamaica Gleaner

MOH developing sexual and reproducti­ve health policy

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THE MINISTRY of Health is pursuing the developmen­t of a Sexual and Reproducti­ve Health Policy, which will create a framework for identifyin­g effective strategies to reduce maternal mortality rates.

The framework will focus on strengthen­ing the linkages between obstetric and noncommuni­cable disease programmes and review the Ministry’s capacity within the health sector to respond effectivel­y to cases of unsafe abortions.

This was disclosed by Portfolio Minister, Dr Christophe­r Tufton, during the sitting of the House of Representa­tives recently.

“Jamaica is committed to reducing the maternal mortality rate to less than 70 per 100,000 live births by the year 2030. In 2016, the maternal mortality ratio was 110.6/100,000 live births,” Tufton said.

He noted that based on data available, the most common causes of maternal deaths are pregnancy-induced hypertensi­on; obstetric haemorrhag­e; diseases of the cardiovasc­ular system; abortions (spontaneou­s and induced); ectopic pregnancy; diabetes mellitus; sickle cell disease; obstetric infection; and cancer.

The Health Minister was making his contributi­on on a motion calling on the Government to take steps to repeal sections 72 and 73 of the Offences Against the Person Act, which makes abortion illegal.

The motion was brought by Member of Parliament for West Rural St. Andrew, Juliet Cuthbert Flynn.

Tufton informed that in 2016, there were 1,177 admissions to the Victoria Jubilee Hospital for complicati­ons threatenin­g the viability of a pregnancy.

These, he said, included incomplete, inevitable and threatened pregnancie­s, spontaneou­s abortions as well as induced terminatio­n of pregnancy.

He noted that 47 or four per cent of these patients were admitted with complicati­ons of either a failed attempt or completed induced terminatio­n of pregnancy.

“For the maternal mortality rate to be fully understood, more informatio­n is required on the circumstan­ces in which the terminatio­n of a pregnancy occurs. Misuse of drugs available on the black market to induce abortions and the procuring of surgical services that are unsafe may result in serious complicati­ons such as haemorrhag­e and infections that can result in increased mortality,” Dr. Tufton said.

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