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[A point of departure for the program: the diagnostics on study, teaching and action programs in reproductive health].


 As a preparatory step in development of the Reproductive Health and Society Program of the Colegio de Mexico, existing social science research and teaching programs in reproductive health and related activities of nongovernmental organizations were studied. Responses to a questionnaire sent to 185 social science, medical, and public health institutions suggest that the social sciences operate in isolation from the biomedical sciences and epidemiology. Reproductive health research, teaching, and services have a biomedical and epidemiological orientation. Family planning activities have concentrated on fertility decline, with health and quality of care aspects relatively neglected. Some of the most committed researchers, especially in the health sciences, have developed networks extending beyond their institutions. Little time is typically available for research, and resources are scarce. A very wide variety of topics were studied. The 26 social science institutions with teaching programs related to reproductive health organized their instruction in a variety of modes, but none had a specific and structured course of study in reproductive health. The postgraduate social science courses stressed the theoretical and methodological orientation of sociodemography, while themes related to reproductive health were found in undergraduate education only in courses on the social problems of women. Medical school teaching programs in reproductive health adopted a medical, biomedical, or epidemiologic perspective. It may be concluded that none of the programs has achieved an integrated and interdisciplinary vision of reproductive health, but many respondents identified an unsatisfied demand in Mexico for human resources trained in reproductive health. The nongovernmental organizations have acquired considerable experience working in reproductive health with women and base groups, especially in low income and rural areas. Most use methodologies different from those of public sector agencies, and they frequently assume a gender perspective in their theoretical orientations. Most encourage participation by their clients.
