Amroussia Nada, Goicolea Isabel, Hernandez Alison
Department of Epidemiology and Public Health Sciences, Umea University, Sweden.
Associate Professor at the Department of Epidemiology and Public Health Sciences, Umea University, Sweden.
Health Hum Rights. 2016 Dec;18(2):183-194.
Although Tunisia is regarded as a pioneer in the Middle East and North Africa in terms of women's status and rights, including sexual and reproductive health and rights, evidence points to a number of persisting challenges. This article uses the Health Rights of Women Assessment Instrument (HeRWAI) to analyze Tunisia's reproductive health policy between 1994 and 2014. It explores the extent to which reproductive rights have been incorporated into the country's reproductive health policy, the gaps in the implementation of this policy, and the influence of this policy on gender empowerment. Our results reveal that progress has been slow in terms of incorporating reproductive rights into the national reproductive health policy. Furthermore, the implementation of this policy has fallen short, as demonstrated by regional inequities in the accessibility and availability of reproductive health services, the low quality of maternal health care services, and discriminatory practices. Finally, the government's lack of meaningful engagement in advancing gender empowerment stands in the way as the main challenge to gender equality in Tunisia.
尽管突尼斯在中东和北非地区被视为妇女地位和权利（包括性健康和生殖健康及权利）方面的先驱，但有证据表明仍存在一些持续的挑战。本文使用妇女健康权利评估工具（HeRWAI）来分析1994年至2014年期间突尼斯的生殖健康政策。它探讨了生殖权利在多大程度上被纳入该国的生殖健康政策、该政策实施中的差距以及该政策对性别赋权的影响。我们的结果表明，在将生殖权利纳入国家生殖健康政策方面进展缓慢。此外，该政策的实施存在不足，这体现在生殖健康服务的可及性和可得性方面的地区不平等、孕产妇保健服务质量低下以及歧视性做法上。最后，政府在推进性别赋权方面缺乏有意义的参与，这是突尼斯性别平等面临的主要挑战。
