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Accelerate Progress-sexual and reproductive health and rights for all: report of the Guttmacher-Lancet Commission
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“Fertility decline initially results in more working-age adults relative to children, potentially leading to accelerated economic growth and a temporary ‘demographic dividend’ (Starrs et al., 2018).”
From Declining global fertility rates and the implications for family planning and family building: an IFFS consensus document based on a narrative review of the literature (2024) · cites this paper as Starrs et al., 2018
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“Although both male and female factors can be the cause of infertility, women bear the most severe consequences and burdens even if they are not the cause of infertility (Starrs et al., 2018; Vollset et al., 2020).”
From Declining global fertility rates and the implications for family planning and family building: an IFFS consensus document based on a narrative review of the literature (2024) · cites this paper as Starrs et al., 2018
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“…Development Goals (SDGs) 7 and the Global Strategy for Women’s, Children’s and Adolescent’s Health (2016–30), 8 the Guttmacher-Lancet Commission 9 has documented continued gaps in sexual and reproductive health and rights, including those related to access to contraception and safe quality…”
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“The Terminology Action Group (see author contributions), which includes members reflecting research, practice, advocacy and funding perspectives, developed an initial draft definition drawing on past applications of terms such as “menstrual health” and “menstrual hygiene” in research and practice documentation,(6,8,9)…”
BackgroundMethodAdding It Up: Investing in Sexual and Reproductive Health 2019
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“Key goals and targets for pleasure-integrated SDG—in addition to those already focused on sexual and reproductive health—are currently incompletely defined (Barot et al., 2015; Galati, 2015; Starrs et al., 2018).”
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“Some 70 million women terminate pregnancies each year (Starrs et al., 2018) and an estimated 38 million people continue to live with HIV (Joint United Nations Programme on HIV/AIDS [UNAIDS], 2020).”
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“Introduction Universal access to sexual and reproductive health (SRH) is a fundamental human right that is central to achieving the 2030 Agenda, as emphasised in the Sustainable Development Goals related to good health and wellbeing, and gender equality [1].”
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“(3) Third, it draws on a human rights-based, gender-transformative approach to recognise adolescents’ fundamental right to sexual and reproductive health information, services, participation and non-discrimination.(13,14,23) It recognises gender equality, and particularly equitable gender norms, as central to adolesce…”
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“This segment of the population is at high risk of sexually transmitted infections (STIs), including HIV/AIDS while female adolescents face the additional risk of early pregnancy, unsafe abortion and female genital mutilation [2].”
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“…education and messaging around relationship dynamics and gender, including exploration of the concepts of trust and construction of expectations within heterosexual relationships, socio-cultural norms around sexuality and pleasure (including female pleasure) and consent (Starrs et al, 2018).”
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“The consequences of environmental crises for our sexual and reproductive health and rights are coming under increasing scrutiny (Camey et al., 2020; Starrs et al., 2018; Women Deliver, 2021).”
BackgroundForbidden Conversations: A Comprehensive Exploration of Taboos in Sexual and Reproductive Health
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“Introduction The sexual and reproductive health and rights (SRHR) of migrants and refugees are important public health issues (1,2).”
BackgroundSawadogo, P. M., Sia, D., Onadja, Y., Beogo, I., Sangli, G., Sawadogo, N., Gnambani, A., Bassinga, G., Robins, S., & Nguemeleu, E. T. (2023) · PLoS ONE · doi:10.1371/journal.pone.0291486 · Cited by 82
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“A pleas-ure-based approach to SRHR was initially described by The Pleasure Project in 2004, and further defined in order to advocate for inclusion of pleasure within sexuality education, sexual health and safe sex programmes (The Pleasure Project, 2004).”
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“1) captured the commonly recognized components of sexual and reproductive health and rights such as pregnancy, contraceptive services, sexuality education, prevention of STIs, and reproductive cancers (Starrs et al., 2018), as well as the neglected areas of agency, parenthood, and pleasurable sexual experiences.”
BackgroundInfluentialAmouzou, A., Barros, A. J. D., Requejo, J. H., Fayé, C., Akseer, N., Bendavid, E., Blumenberg, C., Borghi, J., Baz, S. E., Federspiel, F., et al. (2025) · The Lancet · doi:10.1016/s0140-6736(25)00151-5 · Cited by 66
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“In addition, approximately 33,000 child marriages still occur daily, 25 million unsafe abortions occur annually, and a host of other unresolved Sexual and Reproductive Health and Rights (SRHR) agenda gaps remain unaddressed [1, 2].”
BackgroundInfluentialThe Lancet Commission on peaceful societies through health equity and gender equality
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“The 2018 Guttmacher-Lancet Commission report states that infertility affects between 49 and 180 million couples worldwide, and many lack access or availability to sexual and reproductive health services [6].”
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“Sexual and reproductive health (SRH) is an essential component of health and a pillar for sustainable development [16] that deserve important focus in many resource-limited countries as unsafe sex, abortions, HIV (human immunodeficiency virus) and other sexual transmitted infections, sexual and gender-based violence a…”
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“Concern for Sexual and Reproductive Health and Rights (SRHR) is essential for sustainable health development because of their links to gender equality and well-being, their impact on health through the lifespan, and for their role in shaping future economic development and environmental sustainability (Ghebreyesus and…”
BackgroundAlfvén, T., Dahlstrand, J., Humphreys, D., Helldén, D., Hammarstrand, S., Hollander, A., Målqvist, M., Nejat, S., Jørgensen, P. S., Friberg, P., et al. (2019) · Global Health Action · doi:10.1080/16549716.2019.1670015 · Cited by 51
“priorities in jeopardy [13,14], it is more important than ever to articulate the interlinked nature of child health.”
BackgroundSingh, A., Both, R., & Philpott, A. (2020) · Global Public Health · doi:10.1080/17441692.2020.1809691 · Cited by 49
“(2018), as has the Guttmacher-Lancet Commission’s integrated definition on sexual and reproductive health and rights (Starrs et al., 2018).”
BackgroundDelivery of sexual and reproductive health interventions in conflict settings: a systematic review
Munyuzangabo, M., Khalifa, D. S., Gaffey, M. F., Kamali, M., Siddiqui, F. J., Meteke, S., Shah, S., Jain, R., Als, D., Radhakrishnan, A., et al. (2020) · BMJ Global Health · doi:10.1136/bmjgh-2019-002206 · Cited by 49
Wilson, L. C., Rademacher, K. H., Rosenbaum, J., Callahan, R. L., Nanda, G., Fry, S., & Mackenzie, A. C. L. (2021) · Sexual and Reproductive Health Matters · doi:10.1080/26410397.2021.1882791 · Cited by 51
“According to the Guttmacher-Lancet commission, sexual and reproductive health is a “state of physical, emotional, mental, and social well-being in relation to all aspects of sexuality and reproduction, not merely the absence of disease, dysfunction, or infirmity”.(1) The commission goes on to state: “Achievement of se…”
BackgroundMethodInfluentialClimate Solutions Double as Health Interventions
Mailloux, N. A., Henegan, C. P., Lsoto, D., Patterson, K. P., West, P. C., Foley, J. A., & Patz, J. A. (2021) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph182413339 · Cited by 52
“Rights-based family planning decisions are founded upon full, free, and informed choice, through health care services that are available, accessible, acceptable, and of the highest possible quality [89].”
BackgroundSohal, A. H., Feder, G. S., Boomla, K., Dowrick, A., Hooper, R., Howell, A. H., Johnson, M., Lewis, N. V., Robinson, C., Eldridge, S. M., et al. (2020) · BMC Medicine · doi:10.1186/s12916-020-1506-3 · Cited by 53
Darroch, J. E. (2018) · doi:10.1363/2018.29523 · Cited by 46
Åkerman, E., Larsson, E. C., Essén, B., & Westerling, R. (2018) · Sexual & Reproductive Healthcare · doi:10.1016/j.srhc.2018.12.005 · Cited by 46
Atenção ao parto por enfermeira obstétrica em maternidades vinculadas à Rede Cegonha, Brasil – 2017
da Gama, S. G. N., Viellas, E. F., Medina, E. T., Angulo-Tuesta, A., da Silva, C. K. R. T., da Silva, S. D., Santos, Y. R. P., & Pereira, A. P. E. (2021) · Ciência & Saúde Coletiva · doi:10.1590/1413-81232021263.28482020 · Cited by 46
Sell, K., Oliver, K. A., & Meiksin, R. (2021) · Sexuality Research and Social Policy · doi:10.1007/s13178-021-00674-8 · Cited by 56
What is the impact of forced displacement on health? A scoping review
Cuadrado, C., Libuy, M., & Moreno‐Serra, R. (2023) · Health Policy and Planning · doi:10.1093/heapol/czad002 · Cited by 51
“We focus on the latter set of outcomes as a case study due to the heightened sexual and reproductive health risks typically faced by women in situations of forced displacement (including the risks of sexually transmitted diseases, maternal/child morbidity and mortality) and the resulting acute need for evidence that c…”
Khalil, M., Carasso, K. B., & Kabakian‐Khasholian, T. (2022) · Frontiers in Global Women s Health · doi:10.3389/fgwh.2022.850796 · Cited by 55
“In countries fragile and conflict-affected settings such as Afghanistan, Iraq, and Yemen, insecurity, displacement of persons, high workload and shortages of health providers, lack of infrastructure, and limited supplies affect quality and women’s experience of care (46, 70, 71).”
BackgroundColeman, E., Corona, E., & Ford, J. V. (2021) · International Journal of Sexual Health · doi:10.1080/19317611.2021.2015507 · Cited by 45
“With continued threats to sexual health and rights, there is a serious need to address the importance of pleasure as a key component of sexual health and rights (Ford et al., 2019; Gruskin et al., 2019; Logie et al., 2021; Starrs et al., 2018).”
BackgroundHealth at a Glance: Latin America and the Caribbean 2023
OECD, & Bank, T. W. (2023) · OECD eBooks · doi:10.1787/532b0e2d-en · Cited by 86
Chipako, I., Singhal, S., & Hollingsworth, B. P. (2024) · Frontiers in Global Women s Health · doi:10.3389/fgwh.2024.1344135 · Cited by 42
Female genital mutilation/cutting in Africa: A complex legal and ethical landscape
Nabaneh, S., & Muula, A. S. (2019) · International Journal of Gynecology & Obstetrics · doi:10.1002/ijgo.12792 · Cited by 42
Gerrits, T., Kroes, H., Russell, S., & van Rooij, F. (2023) · Sexual and Reproductive Health Matters · doi:10.1080/26410397.2022.2134629 · Cited by 44
“5 million to 186 million couples are affected by primary or secondary infertility.(2,6,7) Primary infertility is defined as the inability to become pregnant or initiate a pregnancy.”
BackgroundInfluentialGhaznavi, C., Sakamoto, H., Yoneoka, D., Nomura, S., Shibuya, K., & Ueda, P. (2019) · BMC Public Health · doi:10.1186/s12889-019-6677-5 · Cited by 45
Mare, K. U., Aychiluhm, S. B., Tadesse, A. W., & Abdu, M. (2022) · SAGE Open Medicine · doi:10.1177/20503121211068719 · Cited by 41
Investing in the health of girls and women: a best buy for sustainable development
Remme, M., Vassall, A., Fernando, G., & Bloom, D. E. (2020) · BMJ · doi:10.1136/bmj.m1175 · Cited by 41
Towards a Feminist Global Health Policy: Power, intersectionality, and transformation
Eger, H., Chacko, S., El-Gamal, S., Gerlinger, T., Kaasch, A., Meudec, M., Munshi, S., Naghipour, A., Rhule, E., Yatirajula, S. K., et al. (2024) · PLOS Global Public Health · doi:10.1371/journal.pgph.0002959 · Cited by 47
Björkenstam, C., Mannheimer, L. N., Löfström, M., & Deogan, C. L. (2020) · The Journal of Sexual Medicine · doi:10.1016/j.jsxm.2020.07.084 · Cited by 40
Competing health risks associated with the COVID-19 pandemic and early response: A scoping review
Baral, S., Rao, A., Rwema, J. O. T., Lyons, C. E., Çevik, M., Kågesten, A., Diouf, D., Sohn, A. H., Phaswana-Mafuya, N., Kamarulzaman, A., et al. (2022) · PLoS ONE · doi:10.1371/journal.pone.0273389 · Cited by 40
“In terms of the impact on SRH, we focused on disruptions in selected essential services including contraceptives, abortion, pregnancy-related and newborn care.[87] Other SRH”
Garcia, P. J., Miranda, A. E., Gupta, S., Garland, S. M., Escobar, M. E., & Fortenberry, J. D. (2021) · EClinicalMedicine · doi:10.1016/j.eclinm.2021.100764 · Cited by 39
Bagade, T., Thapaliya, K., Breuer, E., Kamath, R., Li, Z., Sullivan, E., & Majeed, T. (2022) · Scientific Reports · doi:10.1038/s41598-022-15064-2 · Cited by 39
Leekuan, P., Kane, R., Sukwong, P., & Kulnitichai, W. (2022) · Reproductive Health · doi:10.1186/s12978-022-01528-1 · Cited by 39
“This underscores the critical role of educational access for the realisation of SRH and rights for young people, especially girls [75].”
BackgroundAventin, Á., Robinson, M., Hanratty, J., Keenan, C., Hamilton, J., Ruane‐McAteer, E., Tomlinson, M., Clarke, M. J., Okonofua, F. E., Bonell, C. P., et al. (2023) · Campbell Systematic Reviews · doi:10.1002/cl2.1296 · Cited by 47
“…importance of sexual and reproductive health and rights (SRHR) as the bedrock to maternal and child health, economic growth, and the wellbeing of humanity was recognised 25 years ago in the international agreement of the International Conference on Population and Development (Starrs et al., 2018).”
Defining sexual and reproductive health and rights for all
Ghebreyesus, T. A., & Kanem, N. (2018) · The Lancet · doi:10.1016/s0140-6736(18)30901-2 · Cited by 39
Royer, P. A., Olson, L. M., Jackson, B., Weber, L., Gawron, L. M., Sanders, J. N., & Turok, D. K. (2019) · Qualitative Health Research · doi:10.1177/1049732319861381 · Cited by 42
“The term sexual and reproductive health (SRH) is broad and encompasses many domains including physical, emotional, mental, and social wellbeing in relation to all aspects of sexuality (Starrs et al., 2018).”
BackgroundMcGranahan, M., Bruno‐McClung, E., Nakyeyune, J., Nsibirwa, D. A., Baguma, C., Ogwang, C., Serunjogi, F., Nakalembe, J., Kayaga, M., Sekalala, S. R., et al. (2021) · Reproductive Health · doi:10.1186/s12978-021-01174-z · Cited by 39
“Since the International Conference on Population and Development (1994) and the Beijing Platform for Action (1995), national SRHR policies have been demonstrated to support societies and contribute to a country’s wealth [2, 3, 5, 6].”
BackgroundRubini, E., Valente, M., Trentin, M., Facci, G., Ragazzoni, L., & Gino, S. (2023) · International Journal for Equity in Health · doi:10.1186/s12939-023-02038-7 · Cited by 53
“…be enabled [88], targeting individuals, communities [66], and providers [89], and encompassing neglected areas such as gender equality and GBV [66], in order to promote social change and avoid stigmatization of SRH and of CRSV [66], in line with the United Nations’ 2030 Sustainable…”
BackgroundMethodResultInfluentialFactors influencing sexual and reproductive health among adolescents in Lao PDR
Phongluxa, K., Langeslag, G. L., Jat, T. R., Kounnavong, S., Khan, M., & Essink, D. R. (2020) · Global Health Action · doi:10.1080/16549716.2020.1791426 · Cited by 46
Lohan, M., Brennan‐Wilson, A., Hunter, R. M., Gabrio, A., McDaid, L. M., Young, H., French, R., Aventin, Á., Clarke, M. J., McDowell, C., et al. (2022) · The Lancet Public Health · doi:10.1016/s2468-2667(22)00117-7 · Cited by 38
Arunda, M. O., Sorcher, R., Canabarro, A. P. F., Svallfors, S., Endler, M., Gemzell‐Danielsson, K., Kågesten, A., Ali, M., Bahamondes, L. G., Barreix, M., et al. (2024) · BMJ Public Health · doi:10.1136/bmjph-2024-001090 · Cited by 37
Self-citationRecent advances in improving the effectiveness and reducing the complications of abortion
Cameron, S. T. (2018) · F1000Research · doi:10.12688/f1000research.15441.1 · Cited by 37
Dewinter, J., van der Miesen, A. V. D., & Holmes, L. G. (2020) · Autism Research · doi:10.1002/aur.2340 · Cited by 31
“Sexuality, an expansive concept that includes a person’s behaviors, thoughts, attitudes, attractions, beliefs, identities, and relationships [World Health Organization (WHO), 2006], brings opportunities for interpersonal connection, enhanced well-being [Diamond & Huebner, 2012], and preventable or reducible emotional,…”
Background
Metadata
- Authors
- Starrs, A. M., Ezeh, A. C., Barker, G., Basu, A., Bertrand, J. T., Blum, R., Coll-Seck, A. M., Grover, A., Laski, L., Roa, M., Sathar, Z. A., Say, L., Serour, G. I., Singh, S., Stenberg, K., Temmerman, M., Biddlecom, A., Popinchalk, A., Summers, C., & Ashford, L. S.
- Affiliations
- Guttmacher Institute (US)
- Center for Global Development (US)
- Promundo (US)
- Cornell University (US)
- Tulane University (US)
- Johns Hopkins University (US)
- Lawyers Collective (IN)
- World Health Organization (CH)
- Al-Azhar University (EG)
- Aga Khan University Hospital Nairobi (KE)
- Corresponding author
- Singh, Susheela
- Venue
- The Lancet
- Publisher
- Elsevier BV
- Published
- 2018-06
- Volume
- 391
- Issue
- 10140
- Pages
- 2642-2692
- ISSN
- 0099-5355 (ISSN-L)
- 0140-6736
- OpenAlex
- W2800541910
- Cited by
- 1,598
- References
- 187
- Citations by year
- 2026: 163 · 2025: 190 · 2024: 223 · 2023: 323 · 2022: 147 · 2021: 118 · 2020: 356 · 2019: 52 · 2018: 26
- FWCI
- 24.75
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- The Lancet (publishedVersion)
- PubMed (publishedVersion)
- eCommons - AKU (Aga Khan University) (submittedVersion)
- Ghent University Academic Bibliography (Ghent University) (submittedVersion)
- Funders
- World Health Organization
- William and Flora Hewlett Foundation
- Government of the United Kingdom
- Ministerie van Buitenlandse Zaken
- Direktoratet for Utviklingssamarbeid
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Reproductive Health and Contraception
- Social Sciences › Political Science and International Relations › International Human Rights and Reproductive Law
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Adolescent Sexual and Reproductive Health
- Keywords
- sexual and reproductive health and rights, universal health coverage, low- and middle-income countries, health care delivery, human rights, civil society advocacy, government accountability, evidence-based interventions
- MeSH terms
- Sexual Health, Female, Health Services Accessibility, Humans, International Cooperation, Male, Global Health, Consensus, Reproductive Rights, Health Status Disparities, Reproductive Health
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