Abstract
ternally displaced persons today remain without effective protection and assistance with respect to their sexual and reproductive health. UN agencies and nongovernmental organizations (NGOs) alike have been hampered by extreme insecurity and inadequate funding, a lack of expertise in service delivery, insufficient political will and understanding, and problems of jurisdiction and coordination. Moreover, many of the most needed and simplest reproductive health interventions for refugees, such as emergency contraception or condom distribution to adolescents, remain mired in ideological controversies. Access to safe abortion services, which is crucial to reducing maternal mortality, is similarly hobbled. A number of other issues, such as conscientious objection and the use of cultural or religious arguments against human rights standards, also present particular challenges for the health practitioner in emergency settings. In this article, we examine the international legal framework for the reproductive rights of refugees and internally displaced persons, as well as some aspects of UN and NGO policies relevant to refugee reproductive health. We also note areas needing further development and support.
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