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BTR 07-08.Indb Department of Reproductive Health and Research including UNDP/UNFPA/WHO/World Bank Special Programme of Research, Development and Research Training in Human Reproduction Biennial Technical Report 2007–2008 WHO Library Cataloguing-in-Publication Data Biennial technical report 2007–2008 / Department of Reproductive Health and Research, including UNDP/UNFPA/ WHO/World Bank Special Programme of Research, Development and Research Training in Human Reproduction. 1.Reproductive medicine. 2.Reproduction. 3.Family planning services. 4.Contraception. 5.Research. I.UNDP/UNFPA/ WHO/World Bank Special Programme of Research, Development and Research Training in Human Reproduction. II.World Health Organization. Dept. of Reproductive Health and Research. ISBN 978 92 4 159830 9 (NLM classifi cation: WP 630) © World Health Organization 2009 All rights reserved. Publications of the World Health Organization can be obtained from WHO Press, World Health Organization, 20 Avenue Appia, 1211 Geneva 27, Switzerland (tel.: +41 22 791 3264; fax: +41 22 791 4857; e-mail: [email protected]). Requests for permission to reproduce or translate WHO publications – whether for sale or for noncommercial distribution – should be addressed to WHO Press, at the above address (fax: +41 22 791 4806; e-mail: [email protected]). The designations employed and the presentation of the material in this publication do not imply the expression of any opinion whatsoever on the part of the World Health Organization concerning the legal status of any country, territory, city or area or of its authorities, or concerning the delimitation of its frontiers or boundaries. Dotted lines on maps represent approximate border lines for which there may not yet be full agreement. The mention of specifi c companies or of certain manufacturers’ products does not imply that they are endorsed or recommended by the World Health Organization in preference to others of a similar nature that are not mentioned. Errors and omissions excepted, the names of proprietary products are distinguished by initial capital letters. All reasonable precautions have been taken by the World Health Organization to verify the information contained in this publication. However, the published material is being distributed without warranty of any kind, either expressed or implied. The responsibility for the interpretation and use of the material lies with the reader. In no event shall the World Health Organization be liable for damages arising from its use. Printed by the WHO Document Production Services, Geneva, Switzerland. Contents Preface..................................................................................................................................................................... 3 Highlights of 2007 and 2008.................................................................................................................................. 5 Chapter 1—Promoting family planning............................................................................................................... 23 Chapter 2—Improving maternal and perinatal health........................................................................................ 55 Chapter 3—Controlling sexually transmitted and reproductive tract infections............................................. 79 Chapter 4—Preventing unsafe abortion............................................................................................................... 93 Chapter 5—Gender, reproductive rights, sexual health, and adolescence........................................................ 109 Chapter 6—Research-capacity strengthening and programme development: interregional activities......... 135 Chapter 7—Research-capacity strengthening and programme development: African and Eastern Mediterranean Regions ....................................................................................................... 141 Chapter 8—Research-capacity strengthening and programme development: Americas Region.................. 151 Chapter 9—Research-capacity strengthening and programme development: South-East Asia and the Western Pacifi c Regions ....................................................................................................... 161 Chapter 10—Research-capacity strengthening and programme development: Eastern Europe and Central Asian Republics ........................................................................................................... 179 Chapter 11—Technical cooperation with countries: policy and programmatic issues..................................... 183 Chapter 12—Mapping best reproductive health practices ................................................................................ 197 Chapter 13—Implementing Best Practices Initiative........................................................................................... 207 Chapter 14—Monitoring and evaluation ............................................................................................................. 213 Chapter 15—Communication, advocacy, and information ................................................................................ 219 Chapter 16—Statistics and informatics services ................................................................................................. 223 Appendix 1—Staff of the Department of Reproductive Health and Research, December 2007...................... 226 Appendix 2— Staff of the Department of Reproductive Health and Research, December 2008..................... 228 Acronyms and Abbreviations ................................................................................................................................ 230 Biennial Technical Report 2007–2008 Technical Biennial 1 Biennial Technical Report 2007–2008 Technical Biennial 2 Preface This second biennial technical report of the WHO Department of Reproductive Health and Research covers the activities of both the UNDP/UNFPA/WHO/World Bank Special Programme of Research, Development and Research Training in Human Reproduction (HRP), and the Pro- gramme Development in Reproductive Health (PDRH) component of the Department. The work detailed within this report was carried out under the leadership of Dr Paul Van Look who retired from his post as Director of the Department in January 2009. We thank him for his hard work and sustained efforts to ensure the Department’s success in working towards its mission to help people lead healthy sexual and reproductive lives. The Department has continued to address the various areas of sexual and reproductive health as elaborated within the WHO Global Reproductive Health Strategy. It is taking into account the contribution of sexual and reproductive health to the achievement of the Millennium Develop- ment Goals (MDGs). An external evaluation of HRP for the period 2003–2007 concluded that HRP remains a global leader in sexual and reproductive health research and research capacity strengthening, with particular relevance to the needs of populations in resource-poor settings. It is with pleasure that I introduce this second Biennial Technical Report, 2007–2008, which pro- vides scientifi c and technical details on the full range of activities undertaken by the Department in 2007 and 2008. This report is intended to be a key tool for disseminating information on the work of the Department to scientists, researchers, programme managers and other partners. Additional information is available on the Department’s web site: http://www.who.int/reproductivehealth/ Dr Mike Mbizvo Director a.i. Department of Reproductive Health and Research June 2009 Biennial Technical Report 2007–2008 Technical Biennial 3 Biennial Technical Report 2007–2008 Technical Biennial 4 Department of Reproductive Health and Research Highlights ABOUT THE DEPARTMENT Programme’s work is provided by the Scientifi c and Tech- nical Advisory Group (STAG). In 1999, STAG assumed the The mission of the WHO Department of Reproductive Health responsibility for reviewing, and advising on, the work of the and Research (RHR) is to help people to lead healthy sexual whole Department. The Scientifi c and Ethical Review Group and reproductive lives. In pursuit of this mission the Depart- (SERG) Panel reviews all HRP projects involving human ment endeavours to strengthen the capacity of countries to subjects and research in animals and contributes to ethical enable people to promote and protect their own sexual and debate on matters relating to sexual and reproductive health. reproductive health and that of their partners, and to have The Toxicology Panel is a complementary review body to access to, and receive, high-quality sexual and reproduc- the SERG Panel. It provides expertise in the evaluation of tive health services when needed. RHR was established pharmacokinetic, metabolic, endocrinological, toxicological, in November 1998 by bringing together the UNDP/UNFPA/ teratogenicity, carcinogenicity and mutagenicity studies of WHO/World Bank Special Programme of Research, Devel- drugs or devices developed or studied by HRP or referred opment and Research Training in Human Reproduction to it for advice. In addition, the Programme has several spe- (HRP) and the former WHO Division of Reproductive Health cialist and regional advisory panels that provide guidance on (Technical Support) (RHT). The purpose of joining these two detailed research and research capacity building strategies. entities was to facilitate integration of research and policy and programme development in sexual and reproductive
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