Social determinants of sexual and reproductive health:
informing future research and programme implementation
Edited by Shawn Malarcher.
World Health Organization. ISBN 978 92 4 159952 8 - 2010
Available online PDF [166p.] at: http://bit.ly/90KM6w
“…….While the last two decades have seen improvements in access to and utilization of sexual and reproductive health (SRH) services, progress in many countries has been slow and – after decades of investments – disappointing. Social activists and health analysts have highlighted the potential role that persistent inequities in health play in hindering progress towards achieving international and national development goals.
Health inequity is defined as "inequalities in health deemed to be unfair or to stem from some form of injustice. The dimensions of being avoidable or unnecessary have often been added to this concept."
“….A primary concern of public health programmes is the existence of disparities in access to and utilization of health services and information. Data from population-based surveys document that women from the poorest households are less likely to use preventive and curative sexual and reproductive health services and products than women from the wealthiest households including use of modern contraceptives, antenatal care, skilled attendance at birth, and seek treatment for self-reported symptoms of sexually transmitted infection…………..”
Contents
1. A view of sexual and reproductive health through the equity lens - Shawn Malarcher
Section 1. Within the health system
2. Promote or discourage: how providers can influence service use - Paula Tavrow
3. Financing mechanisms to improve equity in service delivery - Dominic Montagu, Maura Graff
4. Scaling up health system innovations at the community level: a case-study of the
John Koku Awoonor-Williams, Maya N. Vaughan-Smith, James F. Phillips
Section 2. Beyond the clinic walls
5. Sexual and reproductive health and poverty - Andrew Amos Channon, Jane Falkingham, Zoë Matthews
6. Migration and women’s reproductive health -Helen Smith, Xu Qian
7. The role of schools in promoting sexual and reproductive health among adolescents in developing countries - Cynthia B. Lloyd
8. Sexual violence and coercion: implications for sexual and reproductive health - Sarah Bott
http://whqlibdoc.who.int/publications/2010/9789241599528_eng.pdf
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