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POLICY

Underfunded and fragmented — a storm is brewing for sexual and reproductive health services

The Guttmacher–Lancet Commission’s report on Sexual and Reproductive Health and Rights for All coincides with raised awareness of this topic as a result of global movements such as #metoo. However, weak political leadership, increasing fragmentation of services, and sustained underfunding pose a threat to sexual and reproductive health globally.

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Fig. 1: Fragmentation of SRH funding in England mapped to the seven domains of sexual and reproductive health care outlined by the Guttmacher–Lancet commission.

References

  1. Starrs, A. M. et al. Accelerate progress — sexual and reproductive health and rights for all: report of the Guttmacher–Lancet Commission. Lancet https://doi.org/10.1016/S0140-6736(18)30293-9 (2018).

    Article  Google Scholar 

  2. Festin, M. P. et al. Moving towards the goals of FP2020 — classifying contraceptives. Contraception 94, 289–294 (2016).

    Article  PubMed  PubMed Central  Google Scholar 

  3. Antiretroviral Therapy Cohort Collaboration. Survival of HIV-positive patients starting antiretroviral therapy between 1996 and 2013: a collaborative analysis of cohort studies. Lancet HIV 4, e349–e356 (2017).

    Article  Google Scholar 

  4. Prevention Access Campaign. Risk of sexual transmission of HIV from a person living with HIV who has an undetectable viral load: message primer and consensus statement. Prevention Access Campaign https://www.preventionaccess.org/consensus (2018).

  5. Canning, D. & Schultz, T. P. The economic consequences of reproductive health and family planning. Lancet. 380, 165–171 (2012).

    Article  PubMed  Google Scholar 

  6. Stenberg, K. et al. Advancing social and economic development by investing in women’s and children’s health: a new Global Investment Framework. Lancet. 383, 1333–1354 (2014).

    Article  PubMed  Google Scholar 

  7. World Association for Sexual Health. Declaration of sexual rights. WAS http://www.worldsexology.org/wp-content/uploads/2013/08/declaration_of_sexual_rights_sep03_2014.pdf (2014).

  8. British Medical Association. Feeling the squeeze: the local impact of cuts to public health budgets. BMA https://www.bma.org.uk/collective-voice/policy-and-research/public-and-population-health/public-health-budgets (2018).

  9. Family Planning Association. Unprotected Nation 2015. FPA https://www.fpa.org.uk/influencing-sexual-health-policy/unprotected-nation-2015 (2015).

  10. Public Health England. Multi-drug resistant gonorrhoea in England: 2018. GOV.UK https://www.gov.uk/government/publications/multi-drug-resistant-gonorrhoea-in-england-2018 (2018).

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Correspondence to Shema Tariq.

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S.T. has previously received a travel bursary funded by Janssen-Cilag through the British HIV Association, speaker honoraria and funding for preparation of educational materials from Gilead Sciences, and is a member of the steering group of SWIFT, a networking group for people involved in research in HIV and women, funded by Bristol Myers Squibb. N.P. has previously received WHO funding to attend and present at WHO training on gender-based violence and family planning.

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Pathak, N., Tariq, S. Underfunded and fragmented — a storm is brewing for sexual and reproductive health services. Nat Rev Urol 15, 472–473 (2018). https://doi.org/10.1038/s41585-018-0038-5

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