Department of Health Policy, London School of Economics and Political Science, Houghton Street, London, WC2A 2AE, UK.
Instituto de Medicina Social-Universidade do Estado do Rio de Janeiro, Rua São Francisco Xavier 524, Maracanã, Bloco D, 7° andar, UERJ, Rio de Janeiro, RJ, 20550-013, Brazil.
Global Health. 2019 Jul 24;15(1):49. doi: 10.1186/s12992-019-0489-3.
The Zika outbreak provides pertinent case study for considering the impact of health emergencies on abortion decision-making and/or for positioning abortion in global health security debates.
This paper provides a baseline of contemporary debates taking place in the intersection of two key health policy areas, and seeks to understand how health emergency preparedness frameworks and the broader global health security infrastructure is prepared to respond to future crises which implicate sexual and reproductive rights. Our paper suggests there are three key themes that emerge from the literature; 1) the lack of consideration of sexual and reproductive health (SRH) services in outbreak response 2) structural inequalities permeate the landscape of health emergencies, epitomised by Zika, and 3) the need for rights based approaches to health.
Global health security planning and response should specifically include programmatic activity for SRH provision during health emergencies.
寨卡疫情为我们提供了一个恰当的案例,可借此研究卫生紧急情况对堕胎决策的影响,或在全球卫生安全辩论中为堕胎定位。
本文提供了在两个关键卫生政策领域交叉点上正在进行的当代辩论的基础,并试图了解卫生应急准备框架和更广泛的全球卫生安全基础设施如何准备应对未来涉及性权利和生殖权利的危机。我们的论文认为,文献中有三个关键主题:1)在疫情应对中缺乏对性健康和生殖健康(SRH)服务的考虑;2)结构不平等充斥着卫生紧急情况的背景,寨卡疫情就是一个缩影;3)需要采取基于权利的卫生方法。
全球卫生安全规划和应对应特别包括在卫生紧急情况下提供 SRH 服务的规划活动。