Failures in reproductive Health Policy: Overcoming the consequences and causes of inaction

Jonathan Sher, John Frank, Lawrence Doi, Linda de Caestecker

Research output: Contribution to journalArticlepeer-review

Abstract / Description of output

It is assumed that long-established research findings and internationally accepted evidence should, and will, be translated into policy and practice. Knowledge about what prevents harm and promotes health has, in fact, guided and resulted in numerous beneficial public health actions. However, such is not always the case. The authors examine three notable, and unwelcome, exceptions in the UK—all in the field of reproductive health and all focused on the period prior to pregnancy. The three examples of counterproductive inaction discussed are: fortifying flour with Vitamin B9 (folic acid); preventing foetal alcohol spectrum disorders; and reducing risks and better regulating a highly teratogenic medication (valproate). The adverse consequences, as well as the causes, of inaction are analysed for each example. Reasons for optimism, and recommendations for overcoming inaction, are also offered, in particular, greater priority should be accorded to preconception health, education and care.
Original languageEnglish
Article numberfdy131
Pages (from-to)1-7
JournalJournal of Public Health
Early online date18 Aug 2018
Publication statusE-pub ahead of print - 18 Aug 2018

Keywords / Materials (for Non-textual outputs)

  • health promotion
  • management and policy
  • pregnancy and childbirth disorders
  • Fetal Alcohol Spectrum Disorders (FASD)
  • pregnancy
  • (public) health policy
  • reproductive health
  • folic acid
  • valproate
  • prevention of birth defects
  • preconception health


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