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Review of the inclusion of SRHR interventions in essential packages of health services in low- and lower-middle income countries

Sexual and reproductive health and rights (SRHR) and universal health coverage (UHC) are fundamental to health as a human right. One way that countries operationalise UHC is through the development of an essential package of health services (EPHS), which describes a list of clinical and public healt...

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Autores principales: Hepburn, Jasmine Sprague, Mohamed, Idil Shekh, Ekman, Björn, Sundewall, Jesper
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Taylor & Francis 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8604543/
https://www.ncbi.nlm.nih.gov/pubmed/34779749
http://dx.doi.org/10.1080/26410397.2021.1985826
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author Hepburn, Jasmine Sprague
Mohamed, Idil Shekh
Ekman, Björn
Sundewall, Jesper
author_facet Hepburn, Jasmine Sprague
Mohamed, Idil Shekh
Ekman, Björn
Sundewall, Jesper
author_sort Hepburn, Jasmine Sprague
collection PubMed
description Sexual and reproductive health and rights (SRHR) and universal health coverage (UHC) are fundamental to health as a human right. One way that countries operationalise UHC is through the development of an essential package of health services (EPHS), which describes a list of clinical and public health services that a government aspires to provide for their population. This study reviews the contents of 46 countries’ EPHS against the standard of the Guttmacher-Lancet Report’s (GLR) nine essential SRHR interventions. The analysis is conducted in two steps; EPHS are first categorised according to the level of specificity of their contents using a case classification scheme, then the most detailed EPHS are mapped onto the GLR’s nine essential SRHR interventions. The results highlight the variations of EPHS and provide information on the inclusion of the GLR nine essential SRHR interventions in low- and lower-middle income countries’ EPHS. This study also proposes a case classification scheme as an analytical tool to conceptualise how EPHS fall along a spectrum of specificity and defines a set of keywords for evaluating the contents of policies against the standard of the GLR. These analytical tools and findings can be relevant for policymakers, researchers, and organisations involved in SRHR advocacy to better understand the variations in detail among countries’ EPHS and compare governments’ commitment to SRHR as a human right.
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spelling pubmed-86045432021-11-20 Review of the inclusion of SRHR interventions in essential packages of health services in low- and lower-middle income countries Hepburn, Jasmine Sprague Mohamed, Idil Shekh Ekman, Björn Sundewall, Jesper Sex Reprod Health Matters Research Article Sexual and reproductive health and rights (SRHR) and universal health coverage (UHC) are fundamental to health as a human right. One way that countries operationalise UHC is through the development of an essential package of health services (EPHS), which describes a list of clinical and public health services that a government aspires to provide for their population. This study reviews the contents of 46 countries’ EPHS against the standard of the Guttmacher-Lancet Report’s (GLR) nine essential SRHR interventions. The analysis is conducted in two steps; EPHS are first categorised according to the level of specificity of their contents using a case classification scheme, then the most detailed EPHS are mapped onto the GLR’s nine essential SRHR interventions. The results highlight the variations of EPHS and provide information on the inclusion of the GLR nine essential SRHR interventions in low- and lower-middle income countries’ EPHS. This study also proposes a case classification scheme as an analytical tool to conceptualise how EPHS fall along a spectrum of specificity and defines a set of keywords for evaluating the contents of policies against the standard of the GLR. These analytical tools and findings can be relevant for policymakers, researchers, and organisations involved in SRHR advocacy to better understand the variations in detail among countries’ EPHS and compare governments’ commitment to SRHR as a human right. Taylor & Francis 2021-11-15 /pmc/articles/PMC8604543/ /pubmed/34779749 http://dx.doi.org/10.1080/26410397.2021.1985826 Text en © 2021 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group https://creativecommons.org/licenses/by-nc/4.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution-NonCommercial License (http://creativecommons.org/licenses/by-nc/4.0/ (https://creativecommons.org/licenses/by-nc/4.0/) ), which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Research Article
Hepburn, Jasmine Sprague
Mohamed, Idil Shekh
Ekman, Björn
Sundewall, Jesper
Review of the inclusion of SRHR interventions in essential packages of health services in low- and lower-middle income countries
title Review of the inclusion of SRHR interventions in essential packages of health services in low- and lower-middle income countries
title_full Review of the inclusion of SRHR interventions in essential packages of health services in low- and lower-middle income countries
title_fullStr Review of the inclusion of SRHR interventions in essential packages of health services in low- and lower-middle income countries
title_full_unstemmed Review of the inclusion of SRHR interventions in essential packages of health services in low- and lower-middle income countries
title_short Review of the inclusion of SRHR interventions in essential packages of health services in low- and lower-middle income countries
title_sort review of the inclusion of srhr interventions in essential packages of health services in low- and lower-middle income countries
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8604543/
https://www.ncbi.nlm.nih.gov/pubmed/34779749
http://dx.doi.org/10.1080/26410397.2021.1985826
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