Reproductive Health Waits for No One: The Women Forgotten During Times of National Crises, and How the UN is Helping

Reproductive Health Waits for No One: The Women Forgotten During Times of National Crises, and How the UN is Helping

This past year, the sexual and reproductive health agency of the UN, known as the United Nations Population Fund (UNFPA), has devoted particular attention to providing accessible family planning and preventing maternal deaths and gender-based violence on a global scale. The UNFPA will now be opening an office in Geneva to further strengthen its global humanitarianism protocol during times of natural disaster and armed conflict, as many reproductive health issues are exacerbated amidst these crises (see link regarding gender disaster data). A hallmark of the UNFPA response to such adverse events are “female dignity kits,” devised to address the multitude of barriers to care faced by women in developing countries which are not immediately apparent to the homogeneous body of male humanitarian responders. These dignity kits include sanitary napkins, soap, underwear, and other toiletries. The new Geneva office will coordinate the efficient delivery of these kits and streamline all facets of the UNFPA’s humanitarian operations. For more information regarding the relationship...
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Multi-Lateral Call to Action to Attain Universal Health Coverage through Sexual and Reproductive Health and Rights that include HIV linkages

Multi-Lateral Call to Action to Attain Universal Health Coverage through Sexual and Reproductive Health and Rights that include HIV linkages

Despite the many interconnected risk factors and affected populations, the integration of HIV prevention and treatment services and sexual and reproductive health and rights has not been straightforward. Recently, there has been an increase in the calls for integration from some important global health group. A recent Comment in the Lancet responded to the Guttmacher-Lancet Commission on Sexual and Reproductive Health and Rights (SRHR) report, which highlighted the need for universal access to integrated SRHR packages, including HIV prevention and treatment. The authors set out three main strategies to improve this: 1) Empower women at the individual and community level, 2) Secure accountable leadership, governance and financing from government and international agencies and 3) Improve the coordination and cooperation across various sectors. This was followed by a more specific call to action launched at AIDS 2018. More than 35 international agencies signed on to these 10 key actions necessary to advance both SRHR and HIV treatment, prevention and care. The...
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Advocacy for Reproductive Justice

Advocacy for Reproductive Justice

Earlier this week, Willie Parker challenged members of the Duke Ob/Gyn Department to remember their role as patient advocates in an inspiring grand rounds lecture, “Advocacy for Reproductive Justice: How Much Fight is there in the Dog?” Dr. Parker, author of Life’s Work: A Moral Argument for Choice, a memoir of how his evangelical upbringing influenced his decision to become an abortion provider, talked about racial and ethnic disparities in unwanted pregnancies, and how the Reproductive Justice movement evolved to address these and broader inequities in sexual and reproductive health. He described how limitations in Medicaid coverage for pregnancy and childcare services disproportionately impact the same groups of women at highest risk for unplanned pregnancy. When access to abortion services is limited, as has been steadily happening for the past 15 years, it is these women who are most vulnerable to not be able to exercise their own choice in determining when and how they want to raise their family. Dr....
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