a Indian Institute of Management Bangalore , Bangalore , India.
Glob Public Health. 2014;9(6):599-606. doi: 10.1080/17441692.2014.917197.
Women's health is currently shaped by the confluence of two important policy trends - the evolution of health system reform policies and from the early 1990s onwards, a strong articulation of a human rights-based approach to health that has emphasised laws and policies to advance gender equality and sexual and reproductive health and rights (SRHR). The drive for sexual and reproductive rights represents an inclusive trend towards human rights to health that goes beyond the right to health services, directing attention to girls' and women's rights to bodily autonomy, integrity and choice in relation to sexuality and reproduction. Such an expanded concept of the right to health is essential if laws, policies and programmes are to respect, protect and fulfil the health of girls and women. However, this expanded understanding has been ghettoised from the more mainstream debates on the right to health and was only partially included in the Millennium Development Goals. The paper argues in favour of a twofold approach in placing SRHR effectively in the context of the post-2015 development agenda: first, firmly ground it in an inclusive approach to the right to health; and second, drawing on two decades of national-level implementation, propose a forward-looking agenda focusing on quality, equality and accountability in policies and in programmes. This can build on good practice while addressing critical challenges central to the development framework itself.
妇女健康目前受到两种重要政策趋势的共同影响——医疗体系改革政策的演变，以及自 20 世纪 90 年代初以来，对基于人权的健康方法的大力倡导，该方法强调法律和政策来促进性别平等以及性健康和生殖健康及权利（SRHR）。对性权利的推动代表了一种包容性的健康人权趋势，超越了健康服务权利，将注意力转向女孩和妇女在性和生殖方面的身体自主权、完整性和选择权利。如果法律、政策和方案要尊重、保护和实现女孩和妇女的健康，就必须扩大健康权的概念。然而，这种扩大的理解已从更主流的健康权辩论中被边缘化，并且仅部分纳入千年发展目标。本文主张采取双重方法，有效地将 SRHR 置于 2015 年后发展议程的背景下：首先，将其牢固地置于包容性的健康权方法中；其次，借鉴二十年的国家级实施经验，提出一个前瞻性的议程，重点关注政策和方案中的质量、平等和问责制。这可以在解决发展框架本身核心的关键挑战的同时，借鉴良好做法。
