a International Women's Health Coalition , New York , NY , USA.
Glob Public Health. 2014;9(6):661-8. doi: 10.1080/17441692.2014.920892. Epub 2014 Jun 18.
With the expiration of the Millennium Development Goals looming at the end of 2015, governments have set themselves the task of defining a new set of sustainable development goals for the years beyond. This debate has major implications for how global public health will be addressed moving forward - particularly sexual and reproductive health and rights, which are the centrepiece of the International Conference on Population and Development agenda. One idea that has generated significant attention is universal health coverage. Universal health coverage is one, among many tools, that can help to address the sexual and reproductive health needs of women, adolescents and other marginalised groups such as migrants, people with disabilities, people of diverse sexual orientations and gender identities, sex workers and people who use drugs. However, a singular focus on universal health coverage is not likely to be sufficient to meet these needs; in fact, recent experiences have demonstrated that it often falls short. Without addressing the full range of factors that affect health, including social determinants of health, we will not be able to achieve the development goals of ensuring universal access to sexual and reproductive health or reducing preventable related mortalities and morbidities.
随着 2015 年底千年发展目标的到期，各国政府已着手为今后几年制定一套新的可持续发展目标。这场辩论对未来全球公共卫生的发展方向具有重大影响，特别是性健康和生殖健康及权利，这是国际人口与发展会议议程的核心。其中一个备受关注的理念是全民健康覆盖。全民健康覆盖是解决妇女、青少年和其他边缘群体（如移民、残疾人士、不同性取向和性别认同者、性工作者和吸毒者）性健康和生殖健康需求的众多工具之一。然而，单纯关注全民健康覆盖可能不足以满足这些需求；事实上，最近的经验表明，它往往力不从心。如果不解决影响健康的各种因素，包括健康的社会决定因素，我们将无法实现确保普遍获得性健康和生殖健康以及减少可预防的相关死亡和发病的发展目标。
