Moving Past a Legacy of Controlling Women: Key Frameworks to Center Women and Girls' Choice and Agency in Sexual and Reproductive Health Measurement
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View abstract on PubMed
Summary
This summary is machine-generated.Moving beyond 2030, this commentary refines sexual and reproductive health and rights (SRHR) indicators. It proposes four frameworks—EMERGE, Patient-Centered Care, Human Rights, and Reproductive Justice—to measure reproductive choice and agency.
Area Of Science
- Public Health
- Sociology
- Human Rights
Background
- Current Sustainable Development Goals agenda requires refinement for sexual and reproductive health and rights (SRHR) indicators.
- Existing SRHR targets often focus on fertility and contraception, neglecting broader concepts of choice and agency.
- There is a need to shift towards more comprehensive and rights-based approaches in measuring SRHR.
Purpose Of The Study
- To present four key frameworks for understanding and measuring reproductive choice and agency.
- To offer distinct yet complementary lenses for SRHR measurement beyond traditional targets.
- To advocate for a multilevel, intersectional approach to SRHR indicators.
Main Methods
- Analysis of frameworks presented at an International Union for the Scientific Study of Population (IUSSP) meeting.
- Discussion of the EMERGE Empowerment Framework, Patient-Centered Care, Human Rights Framework, and Reproductive Justice.
- Synthesis of disciplinary perspectives on reproductive health indicators.
Main Results
- Identified four frameworks: EMERGE (measurement/evaluation), Patient-Centered Care (clinical practice), Human Rights (policy), and Reproductive Justice (social change).
- These frameworks emphasize individual decision-making, collective action, health system support, and policy implications.
- Reproductive Justice highlights the impact of structural inequalities on SRHR outcomes.
Conclusions
- A diversity of disciplinary perspectives is crucial for SRHR measurement.
- Indicators must be grounded in concepts of choice and agency.
- Multilevel, intersectional indicators are needed to guide and evaluate SRHR programs and policies effectively.
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