Peters Anny J T P, Bijlmakers Leon
Researcher/freelance Consultant, Nijmegen, the Netherlands.
Radboud University Medical Centre, Nijmegen, the Netherlands.
Heliyon. 2024 Jul 30;10(16):e34965. doi: 10.1016/j.heliyon.2024.e34965. eCollection 2024 Aug 30.
Based on an adapted version of the conceptual framework used by the Guttmacher-Lancet Commission on Sexual and Reproductive Health and Rights (SRHR), this study sought to analyse to what extent seven global agencies, five of which belong to the UN family and the other two closely linked, incorporate women's autonomy and freedom of choice in accessing services into their SRHR policies, and how they operationalize these in their global SRHR programmes that target women and adolescent girls. Twenty-nine SRHR-related policy documents published in 2013-2020 and 17 independent evaluations of global SRHR programmes in the same period were analysed. They were found to fall short of considering women's individual autonomy and choice as the two core principles of SRHR. By ignoring autonomy and choice, global SRHR programmes missed the opportunity to incorporate activities that could enhance the emancipatory empowerment of women and girls to improve their sexual and reproductive wellbeing. The study identified concrete aspects on which global agencies, in view of their respective mandates, could have pronounced themselves more explicitly and might have been more effective in implementing SRHR programmes. In light of the international gender equality and women's empowerment discourse this suggests that donor countries could hold global agencies more accountable, bilaterally or jointly, for their SRHR performance, in particular their active endorsement and application of SRHR core principles.
基于古特马赫-柳叶刀性与生殖健康及权利委员会（SRHR）所使用概念框架的改编版本，本研究旨在分析七个全球机构（其中五个属于联合国系统，另外两个与之紧密相关）在多大程度上将妇女在获取服务方面的自主权和选择自由纳入其SRHR政策，以及它们如何在针对妇女和少女的全球SRHR项目中实施这些政策。对2013年至2020年期间发布的29份与SRHR相关的政策文件以及同期对全球SRHR项目的17份独立评估进行了分析。结果发现，这些文件和评估未能将妇女的个人自主权和选择视为SRHR的两项核心原则。由于忽视了自主权和选择，全球SRHR项目错失了纳入相关活动的机会，而这些活动本可增强妇女和女孩的解放性赋权，以改善她们的性与生殖健康福祉。该研究确定了一些具体方面，鉴于各自的任务规定，全球机构在这些方面本可更明确地表明立场，并且在实施SRHR项目时可能会更有效。鉴于国际上关于性别平等和妇女赋权的讨论，这表明捐助国可以在双边或联合层面上，要求全球机构对其SRHR绩效，特别是对SRHR核心原则的积极认可和应用，承担更多责任。
