Re-worlding reproduction as a call to action

Area of Science:

• Decolonial theory
• Reproductive health
• Global health equity

Background:

• Current reproductive health strategies have not achieved universal wellbeing, particularly for marginalized populations.
• Western epistemologies and approaches to 'being in the world' have limitations in addressing global health disparities.
• Reproductive health settings are sites of systemic violence, including racism, poverty, and patriarchy.

Purpose of the Study:

• To advocate for 're-worlding reproduction' as a critical framework for future health systems and reproductive health research.
• To challenge the inadequacy of existing reproductive health paradigms for marginalized global majorities.
• To propose a decolonial approach for reimagining reproductive health and rights.

Main Methods:

• Drawing on decolonial theorist Sabelo Ndlovu-Gatsheni's concept of 'reworlding'.
• Critically examining Western epistemes and their impact on reproductive health.
• Advocating for inclusive knowledge-making and research methodologies.

Main Results:

• Re-worlding reproduction necessitates decolonizing and Indigenizing reproductive rights.
• It requires actively contesting coloniality and its persistent effects.
• Empowering communities to define their own realities and futures is essential.
• Addressing environmental pollution and climate change is integral to reproductive justice.

Conclusions:

• A decolonial 're-worlding' of reproduction is vital for achieving equitable health outcomes.
• Future research must embrace diverse epistemologies and inclusive methods to address systemic violence in reproductive healthcare.
• Creating a sustainable and just future for descendants requires integrating reproductive health with environmental and social justice concerns.