A Madagascar selon vous quel est le domaine qui concerne le plus les jeunes ?

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  Riambatosoa RAKOTONDRAZAFY ANDRIAMAMPANDRY - 2 years ago

  The majority of Malagasy people are young. More than 50% of them are from rural areas where reproductive health and right is not advanced. Just 14 % of women of childbearing age in Madagascar currently use modern methods of contraception. Making a note of the definition of Reproductive health which is the complete physical, mental and social well-being in all matters related to the reproductive system including a satisfying and safe sex life, capacity to have children and, freedom to decide if, when and how often to do so. Many reasons and other social, cultural and economic barriers contribute to adolescents and young women often being ill-equipped to make informed decisions and take actions related to contraception, conception, pregnancy, safe abortion, child-birth and other aspects of their sexual and reproductive health. In the international level, more than 500,000 women in low-income countries die every year during childbirth and pregnancy. Adolescents age 15 through 19 are twice as likely to die during pregnancy or child birth as those over age 20; girls under age 15 are five times more likely to die. At least 2.5 million adolescent pregnancies lead to unsafe abortions every year. Therefore, it is essential to look at young people’s sexual and reproductive rights, needs and realities when addressing maternal health
  Young people, particularly girls, face social taboos related to their sexuality that hinder their ability to exercise basic human rights including access reproductive health information, education and services. Unmarried young women and girls are often stigmatized when they seek reproductive health services. Although, the reproductive health issues of women find mention within MDGs Framework, the critical aspect of young women’s reproductive health is largely ignored. Further, early and forced marriage of girls results in a lack of power to negotiate condom use with their husbands as well as lack of access to contraception, greater risk of sexually transmitted infection including HIV, and early child-bearing. Pregnancy is a leading cause of death for young women aged 15 to 19, with complications of childbirth and unsafe abortion being the major factors. Young women often resort to seeking unsafe abortions because of the many social, legal and procedural barriers to access safe abortion. Such barriers include, but are not limited to, parental or spousal consent requirements; discriminatory attitudes of healthcare providers; lack of confidentiality, punitive laws, social support, and access to information. Young women aged 15 to 19 accounts for at least one-fourth of the estimated 20 million unsafe abortions and nearly 70,000 abortion-related deaths each year.

  The obstacles to making reproductive health a reality in Madagascar are multiple and mutually reinforcing, encompassing socio-cultural norms, gender inequalities, resource and capacity constraints, and unfavorable legal environments. About the contraceptive prevalence, Malagasy women commonly face obstacles to accessing contraceptives, such as insufficient knowledge about modern methods, limited access to services, health-care providers who discourage use of contraception among unmarried young people and weak health care systems unable to ensure consistent disbursements of contraceptives that are affordable to young women. Relating to adolescent birth rate, a number of physiological, social, cultural, and economic factors interact to create a higher risk of morbidity, mortality and negative social consequences on adolescent parents and their children as compared to older parents. For example, young mothers are often required to discontinue their studies and have difficulties finding employment. Unmarried young parents also face considerable stigma in many contexts. With regard to antenatal care, adolescents have a much higher risk of pregnancy-related complications than women in their twenties and thirties. In low-income countries, the risk of dying

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