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Sen G, Govender V. Sexual and reproductive health and rights in changing health systems. Glob Public Health 2014; 10:228-42. [PMID: 25536851 PMCID: PMC4318007 DOI: 10.1080/17441692.2014.986161] [Citation(s) in RCA: 29] [Impact Index Per Article: 2.9] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/13/2014] [Accepted: 11/06/2014] [Indexed: 11/17/2022]
Abstract
Sexual and reproductive health and rights (SRHR) are centrally important to health. However, there have been significant shortcomings in implementing SRHR to date. In the context of health systems reform and universal health coverage/care (UHC), this paper explores the following questions. What do these changes in health systems thinking mean for SRHR and gender equity in health in the context of renewed calls for increased investments in the health of women and girls? Can SRHR be integrated usefully into the call for UHC, and if so how? Can health systems reforms address the continuing sexual and reproductive ill health and violations of sexual and reproductive rights (SRR)? Conversely, can the attention to individual human rights that is intrinsic to the SRHR agenda and its continuing concerns about equality, quality and accountability provide impetus for strengthening the health system? The paper argues that achieving equity on the UHC path will require a combination of system improvements and services that benefit all, together with special attention to those whose needs are great and who are likely to fall behind in the politics of choice and voice (i.e., progressive universalism paying particular attention to gender inequalities).
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Affiliation(s)
- Gita Sen
- Ramalingaswami Centre on Equity and Social Determinants of Health, Public Health Foundation of India, Bangalore, India
| | - Veloshnee Govender
- Health Economics Unit, School of Public Health and Family Medicine, University of Cape Town, Cape Town, South Africa
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Ottersen OP, Dasgupta J, Blouin C, Buss P, Chongsuvivatwong V, Frenk J, Fukuda-Parr S, Gawanas BP, Giacaman R, Gyapong J, Leaning J, Marmot M, McNeill D, Mongella GI, Moyo N, Møgedal S, Ntsaluba A, Ooms G, Bjertness E, Lie AL, Moon S, Roalkvam S, Sandberg KI, Scheel IB. The political origins of health inequity: prospects for change. Lancet 2014; 383:630-67. [PMID: 24524782 DOI: 10.1016/s0140-6736(13)62407-1] [Citation(s) in RCA: 299] [Impact Index Per Article: 29.9] [Reference Citation Analysis] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Affiliation(s)
| | | | - Chantal Blouin
- Institut National de Santé Publique du Québec, QC, Canada
| | - Paulo Buss
- Centre for Global Health, Oswaldo Cruz Foundation, Rio de Janeiro, Brazil
| | | | - Julio Frenk
- Harvard School of Public Health, Harvard University, Boston, MA, USA
| | - Sakiko Fukuda-Parr
- Graduate Program in International Affairs, The New School, New York, NY, USA
| | | | - Rita Giacaman
- Institute of Community and Public Health, Birzeit University, West Bank, occupied Palestinian territory
| | | | - Jennifer Leaning
- FXB Center for Health and Human Rights, Harvard University, Boston, MA, USA
| | - Michael Marmot
- Department of Epidemiology and Public Health, University College London, London, UK
| | - Desmond McNeill
- Centre for Development and the Environment, University of Oslo, Oslo Norway
| | | | - Nkosana Moyo
- Mandela Institute for Development Studies, Johannesburg, South Africa
| | - Sigrun Møgedal
- Global Health Unit, Norwegian Knowledge Centre for the Health Services, Oslo, Norway
| | | | - Gorik Ooms
- Department of Public Health, Institute of Tropical Medicine, Antwerp, Belgium
| | - Espen Bjertness
- Institute of Health and Society, University of Oslo, Oslo Norway
| | - Ann Louise Lie
- Institute of Health and Society, University of Oslo, Oslo Norway
| | - Suerie Moon
- Harvard Global Health Institute, Harvard University, Cambridge, MA, USA
| | - Sidsel Roalkvam
- Centre for Development and the Environment, University of Oslo, Oslo Norway
| | - Kristin I Sandberg
- Centre for Development and the Environment, University of Oslo, Oslo Norway
| | - Inger B Scheel
- Institute of Health and Society, University of Oslo, Oslo Norway
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McGovern T. No risk, no gain: invest in women and girls by funding advocacy, organizing, litigation and work to shift culture. REPRODUCTIVE HEALTH MATTERS 2013; 21:86-102. [DOI: 10.1016/s0968-8080(13)42741-6] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022] Open
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