Abstract

Sexual and reproductive rights have been on the international health-policy agenda since the International Conference on Population and Development in 1994.1,2 International laws on human rights provide well-established conceptual frameworks for sexual and reproductive health rights,3,4 but how far are they relevant to the policy debate in eastern and southern Africa? The gulf between legal human rights and the reality in a region is huge, particularly for poor women, men, girls, and boys.5 The obstacles to making sexual and reproductive health rights a reality are multiple and mutually reinforcing, encompassing sociocultural norms, gender inequalities, resource and capacity constraints, and unfavourable legal environments.

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