Advancing sexual and reproductive health and rights in low- and middle-income countries: Implications for the post-2015 global development agenda. DOI:10.1080/17441692.2014.986177 pages 137-148 Adrienne Germaina, Gita Senb, Claudia Garcia-Morenoc & Mridula Shankard http://www.tandfonline.com/doi/full/10.1080/17441692.2014.986177#abstract Global Public Health: An International Journal for Research, Policy and Practice
Abstract / Summary:
ABSTRACT: The papers and commentaries in this special issue illuminate progress made by low- and middle-income countries towards implementation of the Programme of Action (PoA) agreed by 179 countries during the International Conference on Population and Development in Cairo in 1994. The PoA presents a path-breaking sexual and reproductive health and rights (SRHR) framework for global and national population and health policies. While progress towards implementation has been made at global, regional and national levels, continuing and new challenges require that high priority be given to SRHR for all, particularly women and girls, during the remaining months of the millennium development goals and in the United Nations post-2015 development agenda. This paper highlights three critical gaps, raised in other papers: inequalities in access to sexual and reproductive health (SRH) information and services; the widespread need to improve SRH services to meet public health, human rights and medical ethics standards for quality of care; and the absence or inadequate use of accountability mechanisms to track and remedy the other two. We discuss priority actions to achieve equality, quality and accountability in SRHR policies, programmes and services, especially those that should be included in the post-2015 development agenda.
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'Inequalities in access to SRH services, education and information have left women and adolescents in the lowest two wealth quintiles, living in rural and other hard-to-reach areas, far behind.'
'providers must be held accountable for enabling clients to make informed and free choices based on provision of full and accurate information about side effects, and risks and benefits of each method'
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