SAHAYOG, F 25 Hauz Khas Enclave, New Delhi, 110016, India.
Independent Consultant, 357 Sixth Ave, Brooklyn, NY, 11215, USA.
Int J Equity Health. 2020 Jul 31;19(1):130. doi: 10.1186/s12939-020-01245-w.
While economic inequalities have been a key focus of attention through the COVID 19 pandemic, gendered relations of power at every level have undermined health rights of women, girls and gender diverse individuals. Sexual and reproductive health rights (SRHR) have always been sites of power contestations within families, societies, cultures, and politics; these struggles are exacerbated by economic, racial, religious, caste, citizenship status, and other social inequities, especially in times of crisis such as these. Policy responses to the COVID pandemic such as lockdown, quarantine, contact tracing and similar measures are premised on the existence of a social contract between the government and the people and among people, with the health sector playing a key role in preventive and curative care.We propose the use of an intersectional lens to explore the impact of the COVID-19 pandemic on the social contract, drawing on our field experiences from different continents particularly as related to SRHR. Along with documenting the ways in which the pandemic hinders access to services, we note that it is essential to interrogate state-society relations in the context of vulnerable and marginalized groups, in order to understand implications for SRHR. Intersectional analysis takes on greater importance now than in non-pandemic times as the state exercises more police or other powers and deploys myriad ways of 'othering'.We conclude that an intersectional analysis should not limit itself to the cumulative disadvantages and injustices posed by the pandemic for specific social groups, but also examine the historical inequalities, structural drivers, and damaged social contract that underlie state-society relationships. At the same time, the pandemic has questioned the status quo and in doing so it has provided opportunities for disruption; for re-imagining a social contract that reaches across sectors, and builds community resilience and solidarities while upholding human rights and gender justice. This must find place in future organizing and advocacy around SRHR.
虽然经济不平等一直是 COVID-19 大流行期间的一个主要关注点，但各级权力的性别关系破坏了妇女、女孩和性别多样化个体的健康权利。性健康和生殖健康权利（SRHR）一直是家庭、社会、文化和政治内部权力斗争的场所；这些斗争在经济、种族、宗教、种姓、公民身份和其他社会不平等的情况下加剧，尤其是在这些危机时期。COVID 大流行期间的政策应对措施，如封锁、隔离、接触者追踪和类似措施，是以政府与人民之间以及人民之间存在社会契约为前提的，卫生部门在预防和治疗保健方面发挥着关键作用。我们建议使用交叉视角来探索 COVID-19 大流行对社会契约的影响，借鉴我们来自不同大洲的实地经验，特别是与 SRHR 相关的经验。我们在记录大流行如何阻碍服务获取的同时，还指出，在弱势群体和边缘群体的背景下，必须审查国家与社会的关系，以了解对 SRHR 的影响。交叉分析现在比非大流行时期更加重要，因为国家行使更多的警察或其他权力，并采用多种“他者化”的方式。我们的结论是，交叉分析不应仅限于分析大流行对特定社会群体造成的累积劣势和不公正，还应审视国家与社会关系的历史不平等、结构驱动因素和受损的社会契约。同时，大流行质疑了现状，因此为破坏提供了机会；重新构想一个跨越部门的社会契约，建立社区的弹性和团结，同时维护人权和性别正义。这必须在未来围绕 SRHR 的组织和宣传中找到位置。
