• Dr. Md. Nasir Uddin Bhuiyan, PhD
• NurjahanBegum, PhD

Topic: Assessment of Sexual and Reproductive Health Status of Women referred to a Selected Rural Health Center of Sunamganj District, Bangladesh. According to article 25 of the Universal Declaration of Human Rights (1948), health is considered a right of humans (1). All people have the right to have access to adequate information and services regarding sexual and reproductive health (SRH) care (2). The provision of SRH care for all has been repeatedly identified as a requirement to achieve the Millennium Development Goals (3). Improving SRH in society contributes to a reduction in poverty and the achievement of other development goals (4). Sexual and reproductive health comprises a wide variety of dimensions such as safe motherhood, family planning, HIV/AIDS and other sexually transmitted infections (STIs) as well as domestic violence (5). If there is any problem in providing or receiving health care services in each of the above-mentioned dimensions, women’s SRH needs will be endangered (6). Access to reproductive health care services influences global welfare and security through the acceleration of demographic transition and the shift from short life expectancy and large families to long life expectancy and small families. According to international law, SRH is a human right and plays an important role in morbidity, mortality and life expectancy, however, reproductive health problems are a leading cause of women’s ill health and mortality worldwide, therefore, it is necessary to meet women’s SRH care needs. Research Objective: To determine the Sexual and Reproductive Health Status of Woman referred to a Selected Rural Health Center of Sunamganj District, Bangladesh. Research Question is to find out the level of Sexual and Reproductive Health Status of Woman referred to a Selected Rural Health Center of Sunamganj District, Bangladesh. This was a cross-sectional study conducted on rural women of reproductive age referred to selected rural healthcare centers of Sunamganj District. During 2019-2020, in total subject was selected through randomized sampling. The data collection tool was standardized questionnaire evaluating sexual and reproductive health needs. This instrument consists of seven sections, including background information, safe motherhood, family planning, sexual behaviors, sexually transmitted infections, HV/AIDS, and physical and sexual violence. Results and Finding: During the study period 1000 women of reproductive age (15-49 Years) those who seek health related service in both outdoor & indoor department of the rural health Center, descriptive cross sectional study was carried out using questionnaire to assess the Sexual and Reproductive Health Status. A verbal Permission was taken from the respective authority to carry out the collection of data. I did not use any specific technique of sampling instead I provided attention to ensure participation as many respondents as possible those who seek health care service. Data was based on Sexual and Reproductive Health Status. Among the respondents age group 15-20 years 19%, 21-25 Years 35%, 26-30 Years 25%, 31-38 years 9% and 39-49 years 12%. Religion muslim 81% and Hindu 19%. Residence- rural 100% and urban 0%. Age of Marriage- Before 18 23% and After 18- (77%). Parity – Para- (25.47%, Para-2 (30.4%), Para-3 (37%) and para 4 and above (07%). Occupation – Housewife (76.3%), job (12.7%) and student (11%). Socio Economic Status- lower (57%), Middle (38.3%) and higher (4.7%). Educational Status – Illiterate (5.3%), Primary education (45.7%), secondary educational (3%) and higher secondary above (19.9%). Sexual Reproductive health related variables. Marital status – Married (77.3%) and Unmarried (22.7%). Pregnancy status – Yes (77.3%) and No (22.7%). Knowledge on STD/HIV-AIV – Yes (32.5%) and No (77.5%). Knowledge on Reproductive rights –yes (33%) and No (67%). Knowledge on Dangerous sings of pregnancy – Yes (65.8%) and No (34.2%). Knowledge on high Risks Pregnancy – Yes (37%) and No (63%). TT5 – Yes (37%) and No (63%). ANC – Yes (76.4%), No (23.5%). PNC – Yes (25%), No (75%). Abortion – Yes (7.1%), No (92.9%). NVD – Yes (65%) and No (35%). Malpresentation – Yes (27.74%) and No (72.25%). PPH – Yes (6.1%) and No (93.9%). APH – Yes (1.47%) and No (93.9%). Hospital delivery – Yes (63%) and No (37%). Home delivery – yes (37%) and (63%). Family Planning – Yes (61.9%) and No (38.1%). Domestic Violence – Yes (45.1%) and No (54.9%). Infertility – Yes (3.61%) and No (96.3%). Prolapse – Yes (21%) and No (79%). PID – Yes (5.3%) and No (94.7%). decision making – Yes (7.7%) and No (92.3%). Discussion: All are rural people, maximum are of age group 21-30 years. Most of them are of lower and middle class. Educational status within primary and secondary level in majority of the attendants. Numbers of married women are 773 out of which pregnant women 746. In Comparison to ANC, PNC is very minimum. Domestic Violence, Parity, LUCS, APH, PPH, Abortion, Prolepses, PID and less facilitated Delivery assume increased morbidity status of women specially maternal morbidity. Results of the study shows a relatively low level knowledge on STD/HIV-AIV, Health Care service, Reproductive Rights, Dangerous signs of Pregnancy & High Risks Pregnancy. There is less facility in health care service. Maternal health data shows high morbidity status and also shows low level of Sexual and Reproductive Health Status. Conclusion: The Finding the study revealed the urgent need of for planning programme to improve the Sexual and Reproductive Health Status of the rural women. Educational program for females as well as males essential.

Sexual and Reproductive Health Status, Rural Health Centre, Women’s of reproductive age

"Assessment of Sexual and Reproductive Health Status of Women Referred to a Selected Rural Health Center of Sunamganj District, Bangladesh", International Journal of Emerging Technologies and Innovative Research (www.jetir.org), ISSN:2349-5162, Vol.8, Issue 9, page no.b539-b553, September-2021, Available :http://www.jetir.org/papers/JETIR2109164.pdf

"Assessment of Sexual and Reproductive Health Status of Women Referred to a Selected Rural Health Center of Sunamganj District, Bangladesh", International Journal of Emerging Technologies and Innovative Research (www.jetir.org | UGC and issn Approved), ISSN:2349-5162, Vol.8, Issue 9, page no. ppb539-b553, September-2021, Available at : http://www.jetir.org/papers/JETIR2109164.pdf