Accountability for SRHR Under Universal Health Coverage

R. Murthy
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Abstract

Accountability for SRHR in the context of UHC is important if Sustainable Development Goal (SDG) target 3.8 and 5.6 are to be achieved. SDG target 3.8 states “Achieve universal health coverage, including financial risk protection, access to quality essential healthcare services and access to safe, effective, quality and affordable essential medicines and vaccines for all”. SDG 5.6 specifically refers to SRHR. It emphasizes “Ensure universal access to sexual and reproductive health and reproductive rights as agreed in accordance with the Programme of Action of the International Conference on Population and Development and the Beijing Platform for Action and the outcome documents of their review conferences”. In the context of these international commitment, this paper fleshes out concepts in accountability, and show cases accountability strategies, interventions, tools, systems and mechanisms from different countries. It then pulls out lessons on making accountability for SRHR work in the context of UHC.
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全民健康保险下的性健康和生殖健康问责制
如果要实现可持续发展目标(SDG)具体目标3.8和5.6,在全民健康覆盖的背景下,对性生殖资源的问责制非常重要。可持续发展目标具体目标3.8指出,"实现全民健康覆盖,包括财务风险保护,人人获得优质的基本卫生保健服务,并获得安全、有效、优质和负担得起的基本药物和疫苗"。可持续发展目标5.6特别提到了SRHR。它强调"确保按照《国际人口与发展会议行动纲领》和《北京行动纲要》及其审查会议的成果文件商定的普遍享有性健康和生殖健康及生殖权利"。在这些国际承诺的背景下,本文充实了问责制的概念,并展示了来自不同国家的问责制战略、干预措施、工具、系统和机制。然后,它总结了在全民健康覆盖背景下对性健康和生殖资源管理工作进行问责的经验教训。
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