Reproductive health is an encompassing term which ultimately affects the overall health and well-being of all.

The Mission/Mandate

Mandate
To advocate for accessible and equitable reproductive health services and supports across Ontario to better meet the physical, emotional and psychosocial needs of all individuals, regardless of gender identity, gender expression or sexual orientation, in their reproductive years.

Vision
The Ontario Public Health Association Reproductive Health Workgroup is a dynamic and innovative force, enhancing and reshaping systems that support the public’s reproductive health, inclusive of all gender identities, gender expressions or sexual orientations.  Reproductive health includes preconception health from puberty, prenatal health, labour and birth, healthy birth outcomes, postpartum health and transition to parenthood.

Mission
The mission of the Ontario Public Health Association Reproductive Health Workgroup is to provide leadership and advocacy for issues affecting the public’s reproductive health, inclusive of all gender identities, gender expressions or sexual orientations and to strengthen the impact of people who are active in public and community health throughout Ontario.

Membership

Our membership includes over 30 members primarily from the Public Health and Maternal Child health sectors.

Work Plan

2018-2020 Reproductive Health Workgroup Work Plan

Involvement in External Committees

Our members have worked with a number of interdisciplinary external committees including:

• Best Start Resource Centre Prenatal Education Key Messages Advisory Committee
• Central South West Reproductive Health Working Group
• CSEP Physical Activity Guidelines for Pregnant Women – Guidelines Development Steering Committee
• Ontario Preconception Health Research Project
• Public Health Ontario – Healthy Human Development Table

Advocacy Efforts

The RHWG has focused advocacy work in the area of preconception health (PCH) and the importance of physiological labour and birth (L&B) and informed decision making. The WG advocates on reproductive health issues at the provincial level with:

1. Association of Public Health Epidemiologists of Ontario (APHEO)
2. Better Outcomes Registry and Network (BORN Ontario)
3. Ministry of Health and Long Term Care (MOHLTC)
4. Ontario College of Family Physicians (OCFP)
5. Ontario Family Health Network
6. Provincial Council for Maternal and Child Health (PCMCH)
7. Public Health Ontario (PHO)

Accomplishments and Ongoing Work

1. Exploring opportunity for a provincial PCH campaign (2019).
2. Exploring collaborations with OPHA Alcohol and Cannabis Workgroups (2019).
3. Advocacy letter to the Alcohol and Gaming Commission of Ontario to explore updating signage for Bill 43 Sandy’s Law (February 2019).
4. Exploring advocacy for OHIP PCH billing code (2018-2019).
5. Input provided to the Centre for Effective Practice on the Preconception Health Care Tool (December 2018).
6. Input provided to OPHA letter to the Ministry of Education on the Health & Physical Education Curriculum.  (December 2018).
7. Co-presented position paper Informed Decision-Making for Labour and Birth (2nd ed.) with Dr. Sarah Buckley at the 31st Annual Southwestern Ontario Maternal, Newborn, Child and Youth Network Perinatal Outreach Conference (September 2018).
8. Updated the Informed Decision-Making for Labour and Birth (2nd ed.) position paper (September 2018).
9. Endorsed the 2019 Canadian guideline for physical activity throughout pregnancy (July 2018).
10. Presented position paper Informed Decision-Making for Labour and Birth at 2018 BSRC Conference (February 2018).
11. Presented position paper Informed Decision-Making for Labour and Birth at Simcoe-Muskoka Perinatal Health Trends  and Issues Workshop (October 2017).
12. Input provided to the Best Start Resource Centre Risks of Cannabis on Fertility, Pregnancy, Breastfeeding and Parenting (July 2017).
13. Advocacy letter to Health Canada to raise awareness of commercialization of placental encapsulation (June 2017).
14. Input provided to the Best Start Resource Centre Health Before Pregnancy website (June 2017).
15. Presented position paper Informed Decision-Making for Labour and Birth at Niagara Region Public Health (June 2017)
16. Launched Labour and Birth position paper Informed Decision-Making for Labour and Birth (May 2017)
17. Input provided to Best Start Resource Centre 2017 Preconception Health Pre-Conference Workshop (2016).
18. Input provided to the Best Start Resource Centre Labour & Birth Prenatal Education Modules updates (2016).
19. Developed a Labour and Birth position paper Informed Decision-Making for Labour and Birth (November 2016).
20. Input provided to Best Start Resource Centre Health Before Pregnancy website (November 2016).
21. Co-facilitated an OPHA webinar with the Breastfeeding Promotion Network in partnership with the Public Health Agency of Canada, the Provincial Council for Maternal and Child Health, the Association of Ontario Midwives and the BFI Strategy for Ontario: Impact of Labour and Birth on Lifelong Health and Wellbeing (September 2016).
22. Provided feedback to BORN Public Health working group on wish list of reproductive health indicators related to preconception health to be added to the BORN data cube (May 2016).
23. Input provided to the Best Start Resource Centre My Reproductive Life Plan (Adults) (March 2016)
24. Input provided to the Best Start Resource Centre Healthy Beginnings: Your handbook for pregnancy and birth (February 2016).
25. Letter of support for Bill 141 “Pregnancy and Infant Loss Awareness, Research and Care Act” and considerations for financial and other supports needed for its effective implementation (February 2016).
26. Presented to the Healthy Human Development Table “Perinatal Health in Ontario: A broad perspective from the OPHA reproductive health workgroup.” Link between poor mental health before pregnancy and pregnancy complications and poor birth outcomes (January 2016).
27. Input provided to the Modernization of the Ontario Public Health Standards (OPHS), Reproductive Health Standard.
28. Member of the Best Start Resource Centre Adult Reproductive Life Plan Advisory (2015 – 2016).
29. Input provided to the Provincial Council for Maternal & Child Health Low Risk Maternal Newborn Strategy (December 2015).
30. Input provided to Best Start Resource Centre “A Healthy Start for Baby and Me” prenatal manual revision (December 2015).
31. Co-facilitated workshop at Family Medicine Forum (November 2015).
32. Letter of support to innovators of the SmartMoms app (October 2015).
33. Reviewed content of the OMama App by BORN (Better Outcomes Registry & Network in Ontario) (July 2015).
34. Facilitated an OPHA webinar to promote the preconception health position paper  To view the webinar, Let’s SHIFT our focus – Preconception Health (May 2015).
35. Presented at The Ontario Public Health Convention Changing the landscape for reproductive health in Ontario:  A panel discussion on preconception health promotion and care (March 2015).
36. Developed a preconception health position paper, Shift – Enhancing the health of Ontarians:  A call to action for preconception health promotion and care (February 2015).
37. Launched the preconception health position paper at the 2015 BSRC Conference (February 2015). View video here.
38. Participated in the review of the Preconception Health Care Tool developed by the Centre for Effective Practice (Fall 2014).
39. Collaborated with University of Ottawa on CHNET webinar #384 Caesarean Section After the Hospital: Public Health Perspectives on the CARE Strategy (April 2014).
40. Supported the development of the Best Start Resource Centre My Life My Plan (Teens) (March 2014).
41. Feedback for Public Consultation on Caesarean Section Rate Review: An Evidence-Based Analysis (October 2013).
42. Advocacy efforts with PCMCH for prioritization of the development of best practice for birth in Ontario (December 2012 & February 2013).

Members

Cynthia Montanaro (RHWG Chair)
Michelle McDonald (RHWG Vice-Chair)
Deanna Stirling (L&B Taskgroup Lead)
Cynthia Montanaro (PCH Taskgroup Lead)

Amoy Jacques
Caroline Shaw
Catriona Mill
Cynthia Montanaro
Darlene Johnson
Deanna Stirling
Donna Caputo
Elizabeth Snider
Graciela Vecchia
Jennifer Eastman
Jennifer Kurpjuweit
Jennifer Matos
Joanne Enders
Josee Dion St Pierre
Judy Stanley
Karen Hay
Kathy Chan
Katy Peacock
Lia Swanson
Louise Choquette
Marie Verbickas
Mary Ann Gatbonton
Melissa Stewart
Michelle McDonald
Nicole Ethier
Nilusha Jiwani-Ebrahim
Rachel McDougall
Rosemary Scofich
Sandy Zidner
Sharlene Sedgwick Walsh
Wendy Davis
Wia Baker