Abstract

Ivanova et al explored how vulnerable groups and principles of human rights are incorporated into national sexual and reproductive health (SRH) policies in 4 countries. They adapted the EquiFrame of Amin and colleagues of 2011, to SRH vulnerable groups which we believe could now be used for analysis of national SRH polices beyond those 4 countries. Although we fully agree with the authors' two main findings that vulnerable groups and human rights' principles are not sufficiently integrated in SRH policies nor granted the possibility to participate in the process of development in those four countries, we do believe that these shortcomings are not limited to those countries only nor to the identified vulnerable groups either. We are convinced that the issue of SRH as such is still framed within a very limited logic for all with vulnerable groups being perceived as an extra threat or an extra burden.

Highlights

  • The aim of the paper of Ivanova et al[1] was to explore how vulnerable groups and principles of human rights are incorporated into national sexual and reproductive health (SRH) policies of 2 European Member States (Spain and Scotland) and 2 non-European Member States but within the broad European region (Republic of Moldova and Ukraine)

  • The authors analysed SRH policies by applying a very interesting framework. They adapted the EquiFrame framework of Amin and colleagues of 2011,2 downsizing the 21 core concepts of human rights to and changing the vulnerable groups in order to apply better to the context of sexual and reproductive public health, namely: people living in poverty, in rural areas, the young and elderly, ethnic minorities, asylum seekers, refugees and migrants, people with disabilities, with HIV, with experience of sexual and gender-based violence (SGBV), and lesbian, gay, bisexual, transgender (LGBT) and sex workers

  • We do support the authors in their choice of altering the vulnerable groups that were initially identified in the EquiFrame as it is widely evidenced by World Health Organization (WHO)[3] and others that victims of SGBV, LGBT, people with HIV and sex workers are at enhanced risk of ill SRH and regularly mental and physical ill-health as well.[4]

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Summary

Introduction

The aim of the paper of Ivanova et al[1] was to explore how vulnerable groups and principles of human rights are incorporated into national sexual and reproductive health (SRH) policies of 2 European Member States (Spain and Scotland) and 2 non-European Member States but within the broad European region (Republic of Moldova and Ukraine).

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