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1.
J Law Med ; 27(4): 812-828, 2020 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-32880400

RESUMO

The coronavirus disease-19 (COVID-19) pandemic has exposed an underlying pandemic of neglect affecting women's reproductive rights, particularly in the provision of abortion services and maternity care. The systemic neglect in the Australian context has resulted in a rise in demand for the services provided by privately practising midwives (PPMs) that is not matched by systemic support for, nor recognition of, women choosing to birth at home. As a result, PPMs are unable to meet the rise in demand, which in itself reflects decades of limited State support for the choice to birth at home and opposition by incumbent stakeholders in the provision of maternity care to healthy women with low-risk pregnancies. We discuss the historical backdrop to these currently erupting issues, along with the real reasons for the opposition to PPMs in Australia. Finally, we offer solutions to this ongoing issue.


Assuntos
Infecções por Coronavirus , Coronavirus , Parto Domiciliar , Serviços de Saúde Materna , Tocologia , Pandemias , Pneumonia Viral , Austrália , Betacoronavirus , Feminino , Humanos , Gravidez , Direitos Sexuais e Reprodutivos , Direitos da Mulher
2.
Buenos Aires; s.n; ago. 2020. 75 p. graf, tab.
Não convencional em Espanhol | LILACS, InstitutionalDB, BINACIS, UNISALUD | ID: biblio-1119087

RESUMO

Actualización de los avances ocurridos durante el año 2019, relacionados con las acciones de la Coordinación Salud Sexual, Sida e ITS, del Ministerio de Salud del Gobierno de la Ciudad de Buenos Aires, destinada principalmente al equipo de salud involucrado en la política de salud sexual y reproductiva de la Ciudad. Continúa el modelo de análisis del informe 2016-2018, basado en las dimensiones: Determinantes (elementos que dan cuenta del contexto en el que se desarrolla la respuesta ), Población (indicadores que permiten caracterizar la población objetivo de la política pública), Acciones Programáticas (desarrollo institucional del Programa), y Utilización de los servicios (encuentro entre el sistema de salud y las personas usuarias). Incluye un documento anexo que presenta, a modo de Resumen Ejecutivo, una tabla que permite observar el comportamiento de algunos indicadores seleccionados para los años 2016-2019.


Assuntos
Humanos , Masculino , Feminino , Adolescente , Adulto , Pessoa de Meia-Idade , Comportamento Sexual/estatística & dados numéricos , Doenças Sexualmente Transmissíveis/prevenção & controle , Doenças Sexualmente Transmissíveis/epidemiologia , Coeficiente de Natalidade , Dispositivos Anticoncepcionais/provisão & distribução , Serviços de Saúde Reprodutiva/provisão & distribução , Serviços de Saúde Reprodutiva/estatística & dados numéricos , Direitos Sexuais e Reprodutivos , Saúde Sexual e Reprodutiva , Serviços Públicos de Saúde/estatística & dados numéricos , Acesso aos Serviços de Saúde/organização & administração , Acesso aos Serviços de Saúde/estatística & dados numéricos
3.
Int J Equity Health ; 19(1): 130, 2020 07 31.
Artigo em Inglês | MEDLINE | ID: mdl-32736634

RESUMO

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.


Assuntos
Infecções por Coronavirus/prevenção & controle , Pandemias/prevenção & controle , Pneumonia Viral/prevenção & controle , Política , Direitos Sexuais e Reprodutivos , Infecções por Coronavirus/epidemiologia , Feminino , Saúde Global , Acesso aos Serviços de Saúde , Humanos , Pneumonia Viral/epidemiologia , Saúde Reprodutiva , Serviços de Saúde Reprodutiva , Saúde Sexual
4.
Lancet ; 396(10246): 234, 2020 07 25.
Artigo em Inglês | MEDLINE | ID: mdl-32711790
8.
Lancet ; 396(10246): 234-235, 2020 07 25.
Artigo em Inglês | MEDLINE | ID: mdl-32711791
9.
RECIIS (Online) ; 14(2): 355-371, abr.-jun. 2020.
Artigo em Português | LILACS | ID: biblio-1102538

RESUMO

O objetivo deste artigo é problematizar a relação entre eugenia e racismo associada às doenças genéticas, especificamente à doença falciforme, tendo como referência o caso do Programa de Triagem Populacional (PTP), cuja implantação em Salvador, Bahia, não se concretizou devido às mobilizações sociais. Realizou-se uma pesquisa qualitativa, ancorada na perspectiva feminista e antirracista, que aliou a análise documental da proposta do programa e entrevistas em profundidade com mulheres negras com doença falciforme acerca da percepção sobre o conteúdo do programa. A análise do documento evidenciou conteúdos racistas e eugenistas, relacionados com um discurso de cerceamento do direito reprodutivo de mulheres com este agravo. Entre as mulheres negras entrevistadas, prevaleceu o sentimento de indignação frente à interdição de seu direito reprodutivo. Há necessidade de destituir práticas institucionais que se forjam sob o crivo do racismo institucional e produzem violências sobre os corpos negros.


This article seeks to discuss the relationship between racism and eugenics associated with genetic diseases, specifically with the sickle cell disease, having as reference the case of the Population Screening Program (PTP ­ Programa de Triagem Populacional), which was planned to be implemented in Salvador, Bahia, Brazil, and was unsuccessful, since it was inhibited by social movements. A qualitative research was conducted, based on the feminist and anti-racist perspective, which combined document analysis of the program proposal and in-depth interviews with black women with sickle cell disease in order to understand their perception of the program. The results indicate that the PTP proposal had explicit references to restrictions of the reproductive right of women with sickle cell disease, as well as revealed eugenics besides racist premises. Regarding the perception of the participants of the study, the feeling of indignation prevailed, especially towards the restriction of their reproductive rights. There is a need to eradicate institutional practices that are forged under a cloak of institutional racism producing violence against black bodies.


El objetivo de este artículo es problematizar la relación entre eugenesia y racismo, asociada a las enfermedades genéticas, en particular a la anemia de células falciformes, teniendo como referencia el PTP Programa de Triagem Populacional (Programa de Selección Poblacional), cuya implementación en Salvador, Bahía, no se ha concretado debido a las movilizaciones sociales. Se realizó una investigación cualitativa, fundamentada en la perspectiva feminista e antirracista, aliada al análisis documental de la propuesta del programa y entrevistas en profundidad con mujeres negras con anemia de células falciformes acerca de la percepción sobre el contenido del programa. El análisis del documento evidenció referencias explícitas a restricciones del derecho reproductivo de mujeres con anemia de células falciformes, presentando en muchas partes contenidos claramente sintonizados con principios eugenésicos y racistas. Entre las mujeres negras entrevistadas, prevaleció el sentimiento de indignación frente a la interdicción de su derecho reproductivo. Hay necesidad de suspender practicas institucionales que se forjan bajo el tamiz del racismo institucional y producen violencias sobre los cuerpos negros.


Assuntos
Humanos , Participação da Comunidade , Direitos Sexuais e Reprodutivos , Racismo , Saúde das Minorias Étnicas , Anemia Falciforme , Preconceito , Feminismo , Pesquisa Qualitativa , Equidade de Gênero
10.
Hastings Cent Rep ; 50(3): 40-43, 2020 May.
Artigo em Inglês | MEDLINE | ID: mdl-32596901

RESUMO

Common hospital and surgical center responses to the Covid-19 pandemic included curtailing "elective" procedures, which are typically determined based on implications for physical health and survival. However, in the focus solely on physical health and survival, procedures whose main benefits advance components of well-being beyond health, including self-determination, personal security, economic stability, equal respect, and creation of meaningful social relationships, have been disproportionately deprioritized. We describe how female reproduction-related procedures, including abortion, surgical sterilization, reversible contraception devices and in vitro fertilization, have been broadly categorized as "elective," a designation that fails to capture the value of these procedures or their impact on women's overall well-being. We argue that corresponding restrictions and delays of these procedures are problematically reflective of underlying structural views that marginalize women's rights and interests and therefore threaten to propagate gender injustice during the pandemic and beyond. Finally, we propose a framework for triaging reproduction-related procedures during Covid-19 that is more individualized, accounts for their significance for comprehensive well-being, and can be used to inform resumption of operations as well as subsequent restriction phases.


Assuntos
Aborto Induzido/ética , Anticoncepção/ética , Infecções por Coronavirus/epidemiologia , Procedimentos Cirúrgicos Eletivos/ética , Pneumonia Viral/epidemiologia , Direitos Sexuais e Reprodutivos/ética , Betacoronavirus , Países em Desenvolvimento , Feminino , Humanos , Pandemias , Fatores de Tempo , Saúde da Mulher
11.
Sex Reprod Health Matters ; 28(2): 1781583, 2020 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-32543338

RESUMO

The COVID-19 pandemic is not just a health crisis - it is a full-blown economic and social crisis that is impacting the lives and livelihoods of billions of people. This commentary examines the mutually dependent relationship between health security and universal health coverage (UHC), and how the longstanding underinvestment in both renders us all vulnerable. It also discusses the vulnerability of services for sexual and reproductive health and rights (SRHR) in times of crisis, which is compounded when these services are not included and well integrated into national UHC packages. It concludes with a call for stronger political leadership for UHC and SRHR as the global community strives to "build back better" after COVID-19.


Assuntos
Infecções por Coronavirus/epidemiologia , Nível de Saúde , Pneumonia Viral/epidemiologia , Cobertura Universal do Seguro de Saúde/organização & administração , Betacoronavirus , Acesso aos Serviços de Saúde/normas , Humanos , Pandemias , Política , Saúde Reprodutiva/normas , Direitos Sexuais e Reprodutivos/normas , Saúde Sexual/normas
13.
Reprod Biomed Online ; 41(2): 151-153, 2020 08.
Artigo em Inglês | MEDLINE | ID: mdl-32553464

RESUMO

Coronavirus disease 2019 (COVID-19) was declared a pandemic on 11 March 2020 by the World Health Organization, halting the principal income activities worldwide. The International Monetary Fund predicts that the imminent economic recession will be worse than the global financial crisis of 2008, which severely affected the economy of Southern European countries such as Greece, Italy and Spain. There was then an abysmal drop in the Spanish yearly population growth curve as families could not afford to have children in that economic context; this only worsened the already existing demographic problems in that Spain has a constantly ageing population and one of the lowest fertility indicators in Europe. Taking into consideration that female age is the most important independent variable of success at the time of conception, probably thousands of potentially fertile couples were lost while waiting for more promising circumstances. With the COVID-19 pandemic a similar situation is being faced, where reproductive rights are imperiled by not being able to choose when to have children due to economic coercion. Therefore, governments worldwide should take measures to palliate the possible sociodemographic crisis that will follow the economic recession and try to ease the burden that many families might face during the following years.


Assuntos
Betacoronavirus , Infecções por Coronavirus/epidemiologia , Infertilidade/epidemiologia , Pandemias , Pneumonia Viral/epidemiologia , Direitos Sexuais e Reprodutivos , Adulto , Fatores Etários , Infecções por Coronavirus/economia , Recessão Econômica , Europa (Continente)/epidemiologia , Feminino , Grécia/epidemiologia , Humanos , Infertilidade/economia , Infertilidade/terapia , Itália/epidemiologia , Masculino , Pandemias/economia , Pneumonia Viral/economia , Direitos Sexuais e Reprodutivos/economia , Espanha/epidemiologia , Organização Mundial da Saúde
14.
Reprod Health ; 17(1): 59, 2020 Apr 23.
Artigo em Inglês | MEDLINE | ID: covidwho-108966

RESUMO

The novel coronavirus disease (COVID-19) outbreak was first declared in China in December 2019, and WHO declared the pandemic on 11 March 2020. A fast-rising number of confirmed cases has been observed in all continents, with Europe at the epicentre of the outbreak at this moment.Sexual and reproductive health (SRH) and rights is a significant public health issue during the epidemics. The novel coronavirus (SARS-CoV-2) is new to humans, and only limited scientific evidence is available to identify the impact of the disease COVID-19 on SRH, including clinical presentation and outcomes of the infection during pregnancy, or for persons with STI/HIV-related immunosuppression. Beyond the clinical scope of SRH, we should not neglect the impacts at the health system level and disruptions or interruptions in regular provision of SRH services, such as pre- and postnatal checks, safe abortion, contraception, HIV/AIDS and sexually transmitted infections. Furthermore, other aspects merit attention such as the potential increase of gender-based violence and domestic abuse, and effects of stigma and discrimination associated with COVID-19 and their effects on SRH clients and health care providers. Therefore, there is an urgent need for the scientific community to generate sound clinical, epidemiological, and psycho-social behavioral links between COVID-19 and SRH and rights outcomes.


Assuntos
Infecções por Coronavirus/prevenção & controle , Surtos de Doenças/prevenção & controle , Pandemias/prevenção & controle , Pneumonia Viral/prevenção & controle , Saúde Reprodutiva , Saúde Sexual , Infecções por Coronavirus/epidemiologia , Humanos , Pneumonia Viral/epidemiologia , Direitos Sexuais e Reprodutivos
15.
Reprod Health ; 17(1): 43, 2020 Apr 01.
Artigo em Inglês | MEDLINE | ID: covidwho-23942

RESUMO

This century is witnessing dramatic changes in the health needs of the world's populations. The double burden of infectious and chronic diseases constitutes major causes of morbidity and mortality. Over the last two decades, there has been a rise in infectious diseases, including the severe acute respiratory syndrome virus (SARS), the H1N1 pandemic influenza, the Ebolavirus and the Covid-19 virus. These diseases have rapidly spread across the world and have reminded us of the unprecedented connectivity that defines our modern civilization. Though some countries have made substantial progress toward improving global surveillance for emerging infectious diseases (EIDs), the vast majority of Low-and Middle-income Countries (LMICs) with fragile health systems and various system-related bottlenecks remain vulnerable to outbreaks and, as such, experience dramatic social and economic consequences when they are reported. Lessons learned from past outbreaks suggest that gender inequalities are common across a range of health issues relating to Sexual and Reproductive Health and Rights (SRHR), with women being particularly disadvantaged, partially due to the burden placed on them. Though these countries are striving to improve their health systems and be more inclusive to this vulnerable group, the national/ global outbreaks have burdened the overall system and thus paralyzed normal services dedicated to the delivery of Sexual and Reproductive Health (SRH) services. In this paper, we discuss the global commitments to SRH, the impact of the EIDs on the LMICs, the failure in the delivery of SRH services, and the strategies for successful implementation of recovery plans that must address the specific and differentiated needs of women and girls in resource-poor settings.


Assuntos
Doenças Transmissíveis Emergentes , Infecções por Coronavirus , Pandemias , Pneumonia Viral , Saúde Reprodutiva , Direitos Sexuais e Reprodutivos , Direitos da Mulher , Betacoronavirus , Países em Desenvolvimento , Surtos de Doenças , Saúde Global , Recursos em Saúde , Humanos , Serviços de Saúde Reprodutiva , Desenvolvimento Sustentável , Saúde da Mulher
16.
Sex Reprod Health Matters ; 28(1): 1-14, 2020 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-32237980

RESUMO

Married women of reproductive age can experience violations of their sexual and reproductive rights (SRRs). Adequate knowledge and understanding of SRRs are critical to their ability to protect themselves. This mixed methods study assessed the knowledge and perception of SRRs among ever-married women in Ibadan Metropolis, Nigeria. Quantitative data (N = 423) were obtained using an interviewer-administered questionnaire and summarised by computing scores for knowledge and perception. Qualitative data were obtained from five focus groups. Findings showed that 45.2% of the respondents said that they were aware of SRRs, yet 81.8% had poor knowledge scores. Regarding perceptions about SRRs, 73% of respondents obtained scores over the mean. In focus group discussions, participants generally could not explain the meaning of SRRs. However, they had positive perception of some SRRs, such as rights to family planning and freedom from violence/abuse. Overall, this study revealed that respondents had poor knowledge of SRRs but positive perceptions about them. A concerted effort is needed to raise public awareness and achieve basic education for women of reproductive age.


Assuntos
Conhecimentos, Atitudes e Prática em Saúde , Casamento , Saúde Reprodutiva , Direitos Sexuais e Reprodutivos , Direitos da Mulher , Adolescente , Adulto , Feminino , Grupos Focais , Humanos , Pessoa de Meia-Idade , Nigéria , Pesquisa Qualitativa , Fatores Socioeconômicos , Inquéritos e Questionários , População Urbana , Adulto Jovem
17.
Sex Reprod Health Matters ; 28(1): 1741496, 2020 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-32254002

RESUMO

As right-wing populist movements make electoral gains around the world, one might expect that resultant policy and legislative reversals against sexual and reproductive health and rights (SRHR) would be mirrored by a similar backlash in United Nations (UN) human rights negotiations. Yet the past five years have seen unprecedented advances for SRHR within the UN Human Rights Council (HRC), treaty bodies, and special procedures. In this article, we provide an overview of SRHR gains and setbacks within the HRC and analyse their broader significance, particularly as socially conservative nation states and non-governmental organisations seek to challenge them. We analyse how states have advanced SRHR in the HRC and examine efforts that states which oppose SRHR have undertaken to limit these advances. In an increasingly hostile political climate, the inter-related legal, technical, and political mechanisms through which human rights are advanced within the UN has helped to mitigate the effects of rapid political reversals. Additionally, the HRC's emphasis on previously agreed language helps dampen significant changes in resolutions on SRHR.


Assuntos
Direitos Humanos , Cooperação Internacional , Saúde Reprodutiva , Direitos Sexuais e Reprodutivos , Direito à Saúde , Mudança Climática , Humanos , Política , Comportamento Sexual , Saúde Sexual , Nações Unidas
18.
Reprod Health ; 17(1): 43, 2020 Apr 01.
Artigo em Inglês | MEDLINE | ID: mdl-32238177

RESUMO

This century is witnessing dramatic changes in the health needs of the world's populations. The double burden of infectious and chronic diseases constitutes major causes of morbidity and mortality. Over the last two decades, there has been a rise in infectious diseases, including the severe acute respiratory syndrome virus (SARS), the H1N1 pandemic influenza, the Ebolavirus and the Covid-19 virus. These diseases have rapidly spread across the world and have reminded us of the unprecedented connectivity that defines our modern civilization. Though some countries have made substantial progress toward improving global surveillance for emerging infectious diseases (EIDs), the vast majority of Low-and Middle-income Countries (LMICs) with fragile health systems and various system-related bottlenecks remain vulnerable to outbreaks and, as such, experience dramatic social and economic consequences when they are reported. Lessons learned from past outbreaks suggest that gender inequalities are common across a range of health issues relating to Sexual and Reproductive Health and Rights (SRHR), with women being particularly disadvantaged, partially due to the burden placed on them. Though these countries are striving to improve their health systems and be more inclusive to this vulnerable group, the national/ global outbreaks have burdened the overall system and thus paralyzed normal services dedicated to the delivery of Sexual and Reproductive Health (SRH) services. In this paper, we discuss the global commitments to SRH, the impact of the EIDs on the LMICs, the failure in the delivery of SRH services, and the strategies for successful implementation of recovery plans that must address the specific and differentiated needs of women and girls in resource-poor settings.


Assuntos
Doenças Transmissíveis Emergentes , Infecções por Coronavirus , Pandemias , Pneumonia Viral , Saúde Reprodutiva , Direitos Sexuais e Reprodutivos , Direitos da Mulher , Betacoronavirus , Países em Desenvolvimento , Surtos de Doenças , Saúde Global , Recursos em Saúde , Humanos , Serviços de Saúde Reprodutiva , Desenvolvimento Sustentável , Saúde da Mulher
19.
Reprod Health ; 17(1): 59, 2020 Apr 23.
Artigo em Inglês | MEDLINE | ID: mdl-32326943

RESUMO

The novel coronavirus disease (COVID-19) outbreak was first declared in China in December 2019, and WHO declared the pandemic on 11 March 2020. A fast-rising number of confirmed cases has been observed in all continents, with Europe at the epicentre of the outbreak at this moment.Sexual and reproductive health (SRH) and rights is a significant public health issue during the epidemics. The novel coronavirus (SARS-CoV-2) is new to humans, and only limited scientific evidence is available to identify the impact of the disease COVID-19 on SRH, including clinical presentation and outcomes of the infection during pregnancy, or for persons with STI/HIV-related immunosuppression. Beyond the clinical scope of SRH, we should not neglect the impacts at the health system level and disruptions or interruptions in regular provision of SRH services, such as pre- and postnatal checks, safe abortion, contraception, HIV/AIDS and sexually transmitted infections. Furthermore, other aspects merit attention such as the potential increase of gender-based violence and domestic abuse, and effects of stigma and discrimination associated with COVID-19 and their effects on SRH clients and health care providers. Therefore, there is an urgent need for the scientific community to generate sound clinical, epidemiological, and psycho-social behavioral links between COVID-19 and SRH and rights outcomes.


Assuntos
Infecções por Coronavirus/prevenção & controle , Surtos de Doenças/prevenção & controle , Pandemias/prevenção & controle , Pneumonia Viral/prevenção & controle , Saúde Reprodutiva , Saúde Sexual , Infecções por Coronavirus/epidemiologia , Humanos , Pneumonia Viral/epidemiologia , Direitos Sexuais e Reprodutivos
20.
Sex Reprod Health Matters ; 28(1): 1741495, 2020 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-32254004

RESUMO

This commentary is in response to a paper published in the Lancet entitled: "Progress in adolescent health and well-being: tracking 12 headline indicators for 195 countries and territories, 1990-2016" (Peter Azzopardi et al, 2019). We agree with the authors' overall conclusions that although there has been progress in some health outcomes, health risks and social determinants, the situation has worsened in other areas. Other important messages emerge from studying the data with an adolescent sexual and reproductive health and rights (ASRHR) lens. First, notable - albeit uneven - progress in all the ASRHR indicators has occurred in multi-burden countries. Second, while we cannot assign a cause-effect relationship, it is reasonable to suggest that in addition to secular trends, deliberate global and national investment and action have contributed to and/or accelerated these changes. Third, progress in ASRHR in the multi-burden countries contrasts sharply with increases in rates of tobacco use, binge drinking and overweight and obesity, in all categories of countries. Based on these observations, we submit five implications for action: the adolescent health community must recognize the progress made in ASRHR; acknowledge that increasing investment and action in ASRHR has contributed to these tangible results, which has the potential to grow; build on the gains in ASRHR through concerted action and a focus on implementation science; expand the adolescent health agenda in a progressive and strategic manner; and contribute to wider efforts to respond to adolescents' health needs within the rapidly changing context of the worlds they live in.


Assuntos
Saúde do Adolescente , Saúde Reprodutiva , Direitos Sexuais e Reprodutivos , Saúde Sexual , Adolescente , Saúde do Adolescente/tendências , Feminino , Humanos , Masculino , Comportamento Sexual , Determinantes Sociais da Saúde
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