Sexual and Reproductive Health

Access to quality sexual and reproductive health information and services is core towards ensuring every individual’s right to make informed choice and decision regarding their sexual and reproductive health.   

Access to quality sexual and reproductive health information and services is core towards ensuring every individual’s right to make informed choice and decision regarding their sexual and reproductive health.   

Bhutan has made remarkable progress in reducing the maternal mortality from pregnancy related causes,  but maternal mortality ratio of 255 is still high and the causes of maternal mortality is preventable. Skilled birth attendant at delivery is 74.6% but there is regional disparity of as high as 96% to as low as 49.5%. Despite the availability of family planning services at free of cost in all the health facilities, contraceptive prevalence rate is only 66%. Adolescent fertility of 59% remains high.  Cervical cancer is the one of the common cause of cancer among Bhutanese women. Despite the availability free Cytology based screening (Pap test) services at health facilities; only 45% of women between 20 to 59 years have undergone a pap-test atleast once in their lifetime. Early sexual debut, multiple sex partners and low condom use during the high risk sexual intercourse puts young people at high risk of HIV and other STIs. 1/3 of HIV infection among 15-24 years. 22% of boys and 9.7% of girls between 10-19 years have already engaged in sexual intercourse and only 76% of youths had comprehensive knowledge on HIV/AIDs. 

What UNFPA is doing?

UNFPA is strategically collaborating with the Government, non-governmental organizations, youth groups and other United Nations organizations through technical support, capacity-building and advocacy. 

  • Implement the reproductive health commodity security strategy including the strengthening of LMIS for reproductive health commodities.
  • Supports to promote rights based and integrated family planning services with other maternal and child health services including the institutionalization of skills and knowledge updates of the service providers at local level.
  • Support to improve the quality of midwifery training curriculum and promote evidence based research on maternal health services through South South Collaboration.
  • Improved access to sexual and reproductive health information and services to adolescents and youths through Adolescent friendly health services, Life skills based sexuality education and YPEER networks.
  • Strengthen the quality of screening services through enhanced knowledge and skills of service providers and standard screening and treatment guidelines.
  • Strengthen the quality of screening services through enhanced knowledge and skills of service providers and standard screening and treatment guidelines. Education to increase the awareness and promotion of early diagnosis are other components of support.
  • Strengthen sexual and reproductive health response during emergencies.