Institute for Population and Social Research (IPSR), Mahidol University, Salaya, Thailand.
SEA Junction, Foundation for Southeast Asia Studies, Bangkok, Thailand.
Cult Health Sex. 2020 Jul;22(7):744-761. doi: 10.1080/13691058.2020.1718213. Epub 2020 Mar 5.
The Sustainable Development Goals (SDGs) and the proclaimed vision of leaving no one behind are lauded for their transformative potential in redressing inequalities. Yet, too few are interrogations of the root causes and underpinning structures that keep uneven development in place. This paper reflects on this omission in relation to sexual and reproductive health and rights (SRHR) drawing on over three decades of professional experience in advancing SRHR enriched by literature sources. Engaging with the theme of the 9th Asia-Pacific Sexual and Reproductive Health and Rights Conference - , it asks what it would take to realise the pledge of universal access to SRH services and rights. With a focus on Southeast Asia, the paper offers an account of context-specific drivers of disparity and exclusion that preclude the attainment of comprehensive SRHR for all, and especially for stigmatised and marginalised groups. It then discusses the paradigm shift that needs to occur if the ideals of inclusiveness and equity as promised by the SDGs are to be attained in and through SRHR.
可持续发展目标(SDGs)和“不让任何人掉队”的宣言,因其在纠正不平等方面具有变革潜力而受到称赞。然而,几乎没有人对导致发展不平衡的根源和基础结构提出质疑。本文借鉴了三十多年来在促进性与生殖健康和权利(SRHR)方面的专业经验,并参考了相关文献,反思了这一在性与生殖健康和权利方面的缺失。本文与第 9 届亚太性与生殖健康和权利会议的主题 相契合,它提出了一个问题,即需要采取什么措施才能实现普及性与生殖健康服务和权利的承诺。本文重点关注东南亚,阐述了导致差异和排斥的具体背景驱动因素,这些因素使所有人,特别是被污名化和边缘化的群体无法实现全面的性与生殖健康。然后,本文讨论了如果要在性与生殖健康中实现包容性和平等性这一 SDGs 所承诺的理想,就需要进行范式转变。