Reproductive Health for the Marginalized Community

A growing number of non-governmental organizations are beginning to address the specific sexual and reproductive health needs of urban slum dwellers. Family Planning Associations belonging to the International Planned Parenthood Federation, for instance, are using a variety of innovative approaches to widen the scope of client groups served, ranging from Brazilian street children to Bombay factory workers.

In Thailand, peer education programmes are training young women to negotiate for safer sex. In Indonesia street outreach is bringing information about sexual health and AIDS to socially marginalized groups. A clinic in densely populated northern Santo Domingo offers maternal and child health care, including family planning and gynaecological services to 300 people each day. A High Risk Project in Nairobi addresses unintended adolescent pregnancies.

In Addis Ababa a youth centre provides reproductive health counselling and clinical services to school drop-outs and other adolescents; another project there has involved 20,000 teenagers in family life education discussions, and broadcasts a weekly radio drama dealing with adolescent sexuality and reproductive health.