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The fact that the gut microfl ora can be altered for the benefi t of human health has motivated the development of new functional food ingredients. A probiotic is a live microbial food supplement, which benefi cially affects the host by improving its intestinal microbial bal- ance (Fuller 1989). A prebiotic is defi ned as a nondigestible food ingredient that benefi cially affects the host by selectively stimulating the growth and/or activity of one or a limited number of bacteria in the colon, and thus improves host health (Gibson and Roberfroid 1995) | Pan American Health Organization World Health Organization Promotion no Sexual Health Recommendations for Action Proceedings of a Regional Consultation convened by Pan American Health Organization PAHO World Health Organization WHO In collaboration with the 0 i World Association lOl for Sexology World Association for Sexology WAS in Antigua Guatemala Guatemala May 19-22 2000 CONTENTS Background and Objectives. 1 Historical Background . 1 Rationale . 2 Consultation Objectives . 3 Conceptual Framework. 5 Basic Concepts. 6 Sex . 6 Sexuality. 8 Sexual Health . 9 Sexual Rights . 10 Sexual Health Concerns and Problems. 15 Sexual Health Concerns. 17 Sexual Health Problems . 18 Actions and Strategies to Promote Sexual Health . 23 Goal 1 Promote Sexual Health including the elimination of barriers to Sexual Health 25 Strategy 1.1 Integrate Sexual Health into public health programs . 25 Strategy 1.2 Promote gender equality and equity and eliminate gender-based discrimination . 26 Strategy 1.3 Promote responsible sexual behavior. 27 Strategy 1.4 Eliminate fear prejudice discrimination and hatred related to sexuality and sexual minorities minority groups . 27 Strategy 1.5 Eliminate sexual violence. 28 Antigua Guatemala Guatemala May 19-22 .