Limits...
Sexual and reproductive health and rights in changing health systems.

Sen G, Govender V - Glob Public Health (2014)

Bottom Line: However, there have been significant shortcomings in implementing SRHR to date.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).

View Article: PubMed Central - PubMed

Affiliation: a Ramalingaswami Centre on Equity and Social Determinants of Health , Public Health Foundation of India , Bangalore , India.

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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UHC cube WHO (2010b).
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f0001: UHC cube WHO (2010b).

Mentions: However, the criterion of equity in the WHO definition is unnecessarily limited to only the ability to pay, ignoring other bases of inequality, especially age and gender. So its criterion of quality also appears rather narrow, as there are many instances where very poor quality of care coexists with some health improvement. Nonetheless, having criteria of equity and quality as part of the WHO definition above, even in a limited form, means that a country cannot claim it is progressing towards UHC simply by moving along on one or other dimension of the UHC cube (see Figure 1 below), if at the same time inequality increases or the essential needs of key groups are excluded or unmet.


Sexual and reproductive health and rights in changing health systems.

Sen G, Govender V - Glob Public Health (2014)

UHC cube WHO (2010b).
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4318007&req=5

f0001: UHC cube WHO (2010b).
Mentions: However, the criterion of equity in the WHO definition is unnecessarily limited to only the ability to pay, ignoring other bases of inequality, especially age and gender. So its criterion of quality also appears rather narrow, as there are many instances where very poor quality of care coexists with some health improvement. Nonetheless, having criteria of equity and quality as part of the WHO definition above, even in a limited form, means that a country cannot claim it is progressing towards UHC simply by moving along on one or other dimension of the UHC cube (see Figure 1 below), if at the same time inequality increases or the essential needs of key groups are excluded or unmet.

Bottom Line: However, there have been significant shortcomings in implementing SRHR to date.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).

View Article: PubMed Central - PubMed

Affiliation: a Ramalingaswami Centre on Equity and Social Determinants of Health , Public Health Foundation of India , Bangalore , India.

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).

Show MeSH
Related in: MedlinePlus