LET’S TALK ABOUT SEX(UAL AND REPRODUCTIVE HEALTH)!

In Indonesia, topics regarding sexual and reproductive health are often misinterpreted and considered taboo. Even so, sexual and reproductive health is in its core, a basic human right of each individual.

Investing in sexual and reproductive health proves to be one of the most effective ways in promoting United Nations’ SDGs (Sustainable Development Goals), which they published in 2015. Here are a few ways that advancements in sexual and reproductive health may contribute to the development of SDGs!

  1. Reduces poverty

By promoting planned parenthood, families may invest more in each child’s health, nutrition, and education. Other than that, empowerment of women and children about their rights will also encourage them to continue to aim for higher education, which will eventually lead to increase in their standard of living, and provide better outcomes for their future generations.

  1. Advocates primary education, especially for girls

As stated in the previous point, by having fewer children, families will be able to spend more in their child’s education. Spreading information regarding sexual and reproductive health will also prevent child marriages and protect women and children from sexual harassments and gender based violence, which is a common cause for women and children to sacrifice their education.

  1. Promotes women’s rights and gender equality

Knowledge regarding sexual and reproductive health promotes the emancipation of women. This can be seen clearly, as these days, women are not just expected to sit around at home and tend to their husband and children, but are also seen as respective figures able to lead others and themselves. It is no longer a strange sight to see women in climbing the business ladder or taking positions in politics and science. However, in less developed countries, and even in less developed regions in Indonesia, women are often still considered as the ‘weaker’ sex, often leading them to become victims of sexual assault and abuse. By assuring women of their rights, a step is taken closer to the overall goal of reaching gender equality.

  1. Strengthens the health system, improves public health, and saves lives

By approaching sexual and reproductive health on the basis of individual rights, advancements to health in general are also made. By investing in basic and emergency obstetrics care in health, drastic improvements in overall quality of care by health providers. Other than that, promotion of voluntary counselling and testing or VCT for HIV to its key population and vulnerable targets also contributes in the decline in HIV transmission, especially in mother-to-child transmission. Detection of sexually transmitted diseases also plays a vital role in public health. The emphasis on antenatal care has also saved lives of many children and pregnant mothers.

And the list goes on!

Even with progress in the field in the past couple of years, societal stigma remains strong within the community regarding the spread of information for sexual and reproductive health. And so, let’s start giving our voice to the importance of sexual and reproductive health to those around us.

Read upcoming articles from SCORA CIMSA to know more about different aspects of sexual and reproductive health.

 

 

by SCORA CIMSA

Reference:

  1. Sexual and Reproductive Health for All by UNFPA

Di Indonesia, kanker serviks menjadi penyakit kanker pada wanita dengan jumlah penderita terbesar setelah kanker payudara. Pada tahun 2018, diperkirakan 570.000 wanita didiagnosis menderita kanker serviks di seluruh dunia dan sekitar 311.000 wanita meninggal karena penyakit tersebut. Berdasarkan data Kemkes tahun 2019, di Indonesia kanker serviks didapatkan pada 23,4 per 100.000 penduduk, dengan rata-rata kematian 13,9 per 100.000 penduduk. Kanker serviks adalah kanker yang ditemukan di mulut rahim, yaitu bagian antara vagina dan rahim. Hampir semua kasus kanker serviks (99%) terkait dengan infeksi human papillomavirus (HPV) risiko tinggi, virus yang sangat umum ditularkan melalui kontak seksual. Saat terpapar HPV, sistem kekebalan tubuh biasanya mencegah virus melakukan kerusakan. Namun, pada sebagian kecil orang, virus bertahan selama bertahun-tahun, berkontribusi pada proses yang menyebabkan beberapa sel serviks menjadi sel kanker.  

Penyakit ini bisa dicegah dengan melakukan tes skrining yaitu dengan pemeriksaan serviks, yang bertujuan untuk menemukan dan mengobati perubahan pada sel sebelum berubah menjadi kanker. Kanker serviks biasanya tumbuh sangat lambat, sehingga bila dilakukan skrining yang teratur penyakit ini bisa dicegah. Diawali dengan perubahan serviks normal menjadi lesi prakanker, Lesi prakanker pada serviks adalah perubahan pada sel serviks yang membuatnya lebih mungkin berkembang menjadi kanker.

 Pendekatan pencegahan primer (dengan vaksinasi HPV) dan pencegahan sekunder yang efektif (penyaringan/tes skrining dan pengobatan lesi prakanker) adalah bagian dari upada pencegahan kanker serviks. Di Indonesia, prevalensi dan determinan dari lesi prakanker serviks di kalangan wanita membantu untuk mengambil tindakan seperti program vaksinasi pada anak usia 12-13 tahun, meningkatkan cakupan skrining bagi semua wanita antara usia 25 dan 65 tahun, dan manajemen yang ketat dan tindak lanjut yang dapat menurunkan morbiditas dan mortalitas yang disebabkan oleh kanker serviksIni membantu melindungi terhadap semua kanker yang disebabkan oleh HPV, serta kutil kelamin. Skrining serviks secara teratur adalah perlindungan terbaik terhadap kanker serviks. Wanita berusia 25-65 tahun dan memiliki serviks serta pernah aktif secara seksual memerlukan tes skrining serviks. Skrining kanker serviks dengan tes HPV saja atau tes HPV sekaligus Pap smear dapat dilakukan setiap 5 tahun sekali, atau tes Pap smear (sitologi) setiap 3 tahun sekali. Pada usia di atas 65 tahun dengan hasil skrining sebelumnya normal tidak perlu lagi melakukan tes skrining.

Referensi:

– The American College of Obstetrician ang Gynecologist Update Cervical Cancer Screening Guideline 2021
– WHO Guideline for screening and treatment of cervical pre cancer lesions for cervical cancer prevention 2021

Artikel dibuat oleh: dr. Hartatiek Nila Karmila, Sp.OG

SHARE

Share on facebook
Share on twitter
Share on whatsapp
Share on email

READ ALSO