Master of Public Health, Department of Clinical Sciences, Lund University, Malmö, Sweden.
Master of Public Health, Department of Clinical Sciences, Lund University, Malmö, Sweden and Research Coordinator, Swedish Institute for Global Health Transformation, Stockholm, Sweden.
Sex Reprod Health Matters. 2021 Dec;29(1):1985826. doi: 10.1080/26410397.2021.1985826.
Sexual and reproductive health and rights (SRHR) and universal health coverage (UHC) are fundamental to health as a human right. One way that countries operationalise UHC is through the development of an essential package of health services (EPHS), which describes a list of clinical and public health services that a government aspires to provide for their population. This study reviews the contents of 46 countries' EPHS against the standard of the Guttmacher- Report's (GLR) nine essential SRHR interventions. The analysis is conducted in two steps; EPHS are first categorised according to the level of specificity of their contents using a case classification scheme, then the most detailed EPHS are mapped onto the GLR's nine essential SRHR interventions. The results highlight the variations of EPHS and provide information on the inclusion of the GLR nine essential SRHR interventions in low- and lower-middle income countries' EPHS. This study also proposes a case classification scheme as an analytical tool to conceptualise how EPHS fall along a spectrum of specificity and defines a set of keywords for evaluating the contents of policies against the standard of the GLR. These analytical tools and findings can be relevant for policymakers, researchers, and organisations involved in SRHR advocacy to better understand the variations in detail among countries' EPHS and compare governments' commitment to SRHR as a human right.
性与生殖健康及权利（SRHR）和全民健康覆盖（UHC）是健康作为一项人权的基础。各国实施 UHC 的一种方式是制定基本医疗服务包（EPHS），其中描述了政府希望为其民众提供的一系列临床和公共卫生服务。本研究根据格特马赫报告（GLR）的九项基本 SRHR 干预措施，对 46 个国家的 EPHS 内容进行了审查。分析分两步进行；首先使用案例分类方案根据 EPHS 内容的具体程度对其进行分类，然后将最详细的 EPHS 映射到 GLR 的九项基本 SRHR 干预措施上。结果突出了 EPHS 的差异，并提供了关于低收入和中低收入国家 EPHS 纳入 GLR 九项基本 SRHR 干预措施的信息。本研究还提出了一种案例分类方案作为分析工具，用于概念化 EPHS 如何沿着具体程度的光谱排列，并定义了一组关键词，用于根据 GLR 的标准评估政策的内容。这些分析工具和发现可能与参与 SRHR 宣传的政策制定者、研究人员和组织有关，有助于更好地了解各国 EPHS 之间的差异，并比较各国政府对 SRHR 作为一项人权的承诺。
