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Reproductive efficiency as a social indicator

C Muller, F S Jaffe, M G Kovar

    International Journal of Health Services : Planning, Administration, Evaluation
    |January 1, 1976
    PubMed
    Summary
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    A new reproductive efficiency (RE) index is proposed to assess pregnancy outcomes and guide health policy. This social indicator helps compare costs of pregnancy wastage and improve reproductive health strategies.

    Area of Science:

    • Reproductive Health
    • Social Indicators
    • Public Health Policy

    Background:

    • Existing measures do not fully capture the complexities of pregnancy outcomes and wastage.
    • There is a need for a comprehensive social indicator to guide reproductive health policy.
    • Understanding pregnancy wastage is crucial for public health initiatives.

    Purpose of the Study:

    • To propose and discuss the conceptual and measurement aspects of a Reproductive Efficiency (RE) index.
    • To provide a framework for comparing the costs of various pregnancy outcomes.
    • To guide the development of effective reproductive health policies.

    Main Methods:

    • Conceptual analysis of reproductive efficiency, including defining endpoints and significant outcomes.
    • Exploration of measurement challenges such as aggregation, tracking, and data limitations.

    Related Experiment Videos

  • Calculation of RE using the 1964-1966 National Natality Survey data for the United States.

    • Main Results:

    • A measurement of Reproductive Efficiency (RE) for the U.S. (1964-1966) indicated 74.5% of pregnancies resulted in healthy liveborn infants.
    • Abortion data was not included in the 1964-1966 analysis.
    • Economic weights, based on medical costs, highlighted the significance of congenital abnormalities and low-birth-weight infants among pregnancy losses.

    Conclusions:

    • The proposed Reproductive Efficiency (RE) index offers a valuable tool for assessing reproductive health outcomes.
    • Social factors like birth timing, prenatal care, and family planning influence RE, particularly for at-risk populations.
    • Future efforts should focus on cost-effectiveness analyses for improving reproductive efficiency.