UNDERSTANDING SEXUAL AND REPRODUCTIVE HEALTH
Reproductive healthcare is defined as the
constellation of methods, techniques, services, goods and facilities that contribute
to reproductive health and well-being by
preventing and solving reproductive health
problems. It also includes sexual health, the
purpose of which is the enhancement of life
and personal relations, and not merely counselling and care related to reproduction and
sexually transmitted diseases.7
Sexual health and reproductive health overlap and, in addition to supporting physiological functions such as pregnancy and
childbirth, aim to reduce adverse outcomes
of sexual activity and reproduction. They
are also about enabling people of all ages,
including adolescents and those older than
the reproductive years, to have safe and
satisfying sexual relationships by tackling
obstacles such as gender discrimination,
inequalities in access to health services,
7 International Conference on Population and Development, 1994 Program of Action (United Nations,
1995).
restrictive laws, sexual coercion, exploitation, and gender-based violence.
According to the World Health Organization (WHO), sexual and reproductive health
involves five key components, namely:
• Ensuring contraceptive choice and safety
and infertility services;
• Improving maternal and new born
health;
• Reducing sexually transmitted infections,
including HIV, and other reproductive
morbidities;
• Eliminating unsafe abortion and providing post-abortion care; and
• Promoting healthy sexuality, including
adolescent health, and reducing harmful
practices.8
8 UNFPA. Sexual and Reproductive Health for All.
2010.
INTERNATIONAL COMMITMENTS
– A HISTORICAL OVERVIEW
Before the 1990’s, issues related to reproductive health focused on controlling women’s fertility in order to diminish population
growth and not much more than that.
Health was the key entry point and rather
than reproductive wellbeing more broadly.
This is no longer the case. Several consensus documents explaining the relationship
between human rights and sexual and
24
reproductive health have been developed;
some examples are as follows:
The first document to formally embed
reproductive rights within human rights
was the 1968 Final Act of the Tehran Conference on Human Rights,9 which states in
9
UN Doc. A/CONF. 32/41.
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