Cited by 1,598Reproductive Health and ContraceptionInternational Human Rights and Reproductive LawAdolescent Sexual and Reproductive Health

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Accelerate Progress-sexual and reproductive health and rights for all: report of the Guttmacher-Lancet Commission

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Starrs, Ann M, Ezeh, Alex C, Barker, Gary, Basu, Alaka, Bertrand, Jane T, Blum, Robert, Coll-Seck, Awa M, Grover, Anand, Laski, Laura, Roa, Monica, Sathar, Zeba A, Say, Lale, Serour, Gamal I, Singh, Susheela, Stenberg, Karin, Temmerman, Marleen, Biddlecom, Ann, Popinchalk, Anna, Summers, Cynthia, Ashford, Lori S·2018·The Lancet

DOI 10.1016/s0140-6736(18)30293-9

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“It must be achieved through using a combination of services, counselling and information that respond to their needs in a friendly way, and these should be implemented in a way that recognizes the immediate, distal, social and cultural factors that shape adolescents’ values and behaviour [2, 7].”
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Drawdown’s “System of Solutions” Helps to Achieve the SDGs
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Background
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“[3] Starrs AM, Ezeh AC, Barker G, Basu A, Bertrand JT, Blum R, et al.”
Background
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Background
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Mozafari, A. R., & Xu, X. (2020) · Cambridge University Press eBooks · doi:10.1017/9781108561716.029 · Cited by 7
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Sisodia, S., Hammond, Z., Leonardi‐Bee, J., Hanlon, C., & Asher, L. (2025) · PLoS ONE · doi:10.1371/journal.pone.0311554 · Cited by 6
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Interventions addressing impacts of climate change on sexual and reproductive health and rights in sub-Saharan Africa: A scoping review
Amadi, J. A., Odwe, G., Obare, F., Sambai, B., & Kangwana, B. P. (2025) · PLoS ONE · doi:10.1371/journal.pone.0329201 · Cited by 6
“…in UHC, advancing this target, including access to SRHR during post COVID-19 era has been challenging, especially Lower and Middle Income Countries (LMICs) [7] where progress has been hindered by scarce resources, lack of political goodwill and wide-spread gender inequality and rights issues [8].”
The sex effect: the prevalence of sex life reasons for contraceptive discontinuation. A systematic review and meta-analysis
Zaneva, M., Thatte, N., Philpott, A., Maliwa, C., Mills, R., & Gonsalves, L. (2025) · Sexual and Reproductive Health Matters · doi:10.1080/26410397.2025.2552589 · Cited by 6
“22 Similarly, a previous systematic review has supported the importance of pleasure-inclusive sexual health and rights programming but found a lack of studies from the contraception/family planning field.”
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Deogan, C. L., Abrahamsson, K., Mannheimer, L. N., & Björkenstam, C. (2020) · Scandinavian Journal of Public Health · doi:10.1177/1403494820965762 · Cited by 6
Leaving no One Behind: Displaced Persons and Sustainable Development Goal Indicators on Sexual and Reproductive Health
Voir, R. L. (2023) · Population Research and Policy Review · doi:10.1007/s11113-023-09820-z · Cited by 6
“Universal access to SRH services and rights is a core component of the 2030 Agenda (Starrs et al., 2018).”
BackgroundInfluential
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Abhari, M. B., Sabetrohani, H., Larijani, S. S., Ghafori, R., & Nafei, A. (2024) · Health Scope · doi:10.5812/healthscope-140449 · Cited by 6
The effects of COVID-19 pandemic on women’s access to maternal health and family planning services in Egypt: an exploratory study in two governorates
Tawab, N. A., Tayel, S. A., Radwan, S. M., & Ramy, M. A. (2024) · BMC Health Services Research · doi:10.1186/s12913-023-10531-6 · Cited by 6
“This starts with deeming SRMNH services as essential and by recognizing the fundamental role that SRMNH plays in the wellbeing of humanity [38].”
Background
Social Workers as Allies? Gender Confirming Practices and Institutional Limitations in Youth Residential Homes
Lindroth, M., Carlström, C., Andersson, C., & Husén, E. (2024) · Clinical Social Work Journal · doi:10.1007/s10615-024-00940-3 · Cited by 10
“Grounded in the definition of sexual and reproductive health and rights (SRHR), proposed by the Guttmacher-Lancet Commission (Starrs et al., 2018), Sweden has a national strategy for SRHR that asserts that care givers (public or private) hold a particular responsibility in working towards…”
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Background
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“Regional drivers of these challenges include extreme poverty and inequality, overburdened and under-resourced health and education systems and deeply engrained harmful gender and socio-cultural norms (Melesse et al., 2020; Starrs et al., 2018).”
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“Whilst there has been global progress in outcomes for SRH (Starrs et al., 2018), adolescents remain a particular group at risk.”
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Sexual and reproductive health correlates of polysubstance use among female adolescents who sell sex in the southwest of China
Zhang, X.-D., Zhang, J., Ren-sheng, X., & Zhang, W. (2020) · Substance Abuse Treatment Prevention and Policy · doi:10.1186/s13011-020-00302-5 · Cited by 6
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“In recent times, national public health policies on sexual and reproductive health and rights (SRHR) and aligned to the recommendations of the Guttmacher Lancet Commission (Starrs et al. 2018) have been launched in Denmark, Norway, Finland and Sweden (Danish Health Authority 2018; Ministry of Health and Care Services…”
Background
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“The right to marry and found a family, as expressed in the sexual and reproductive rights canon as the right to freely and consensually choose one’s sexual and marital partners [14], requires a complementary and converse right: to choose when and how to end a partnership.”
Background
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Darebo, T. D., Birhanu, Z., Alemayehu, M. A., Balcha, B., Shitu, A. W., Assele, D. D., & Spigt, M. (2024) · BMC Women s Health · doi:10.1186/s12905-024-03042-x · Cited by 6
“The burden is disproportionately high in low-and middle-income countries [4]; a staggering 214 million women of reproductive age lack access to modern contraception [5].”
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Self-citation
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Svallfors, S., Båge, K., Ekström, A. M., Dessie, Y., Wado, Y. D., Fagbemi, M., Larsson, E. C., Litorp, H., Puranen, B., Sundewall, J., et al. (2024) · Reproductive Health · doi:10.1186/s12978-024-01820-2 · Cited by 6
“…of SRHR as defined by the Guttmacher-Lancet framework, such as non-discrimination related to sexuality, sexual orientation and gender identity, reproductive empowerment, consensual and non-violent relationships, satisfying sexual life, gender-equitable relationships, and SRHR information [2].”
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Panovska‐Griffiths, J., Sohal, A. H., Martin, P., Barbosa, E. C., Johnson, M., Howell, A., Lewis, N. V., Feder, G. S., Griffiths, C., & Eldridge, S. M. (2020) · BMC Health Services Research · doi:10.1186/s12913-020-05397-x · Cited by 6
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Gonsalves, L., Hunter, E. C., Brizuela, V., Tucker, J. D., Srinivas, M. L., Gitau, E., Mercer, C. H., Bajos, N., & Collins, D. (2021) · Reproductive Health · doi:10.1186/s12978-021-01301-w · Cited by 6
“Governments, private companies, and donors have invested billions of US dollars to strengthen sexual and reproductive health and rights (SRHR), including HIV, services [2, 3], and an SDG target commits to ensuring universal access to sexual and reproductive health services by 2030 (SDG3.”
Background
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Prevalence of insufficient physical activity among school going adolescents, 2016
(2020) · Health at a Glance: Latin America and the Caribbean 2020 · doi:10.1787/f1255980-en · Cited by 6
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García-Vázquez, J., Ruiz-Azcona, L., Pellico‐López, A., & Paz‐Zulueta, M. (2024) · Heliyon · doi:10.1016/j.heliyon.2024.e39368 · Cited by 5
“Furthermore, the international community has ratified CSE as a right [10], and a human right according to the United Nations [1,2,8,11,12], whose International Commission on Population and Development, in its Resolution 2012/1, on adolescents and youth, urged governments to provide comprehensive…”
Background
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Remmerie, L., Annageldiyeva, G., Grossman, K., Kogoziga, C. K., Leonetti, N. M., Mosiashvili, A., Shrestha, S., Sitima, T., Stuckens, E., Doku, M. T., et al. (2024) · Sexual and Reproductive Health Matters · doi:10.1080/26410397.2025.2474337 · Cited by 5
“7,8 Therefore, it seems relevant, and fundamental to a rights-based approach, to include specifically these voices to guide decision-making and priority-set-ting.”
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Chen, S., Guo, C., Ou, C., Zheng, Y., Liu, Y., Ma, J., Lu, X., Huang, B., & Chan, T. (2025) · International Journal of Hygiene and Environmental Health · doi:10.1016/j.ijheh.2025.114562 · Cited by 5
What About Well‐Being? Measuring What We Really Care About in Sexual and Reproductive Health
Dehlendorf, C. E., Sarnaik, S., Bell, A. J., Lindsey, A., Hart, J., Desai, S., Balde, B., Galavotti, C., Gebrehanna, E., Hall, J., et al. (2025) · Studies in Family Planning · doi:10.1111/sifp.70022 · Cited by 5
Self-citation
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“According to Philpott et al. 65 , sexual pleasure is a blind spot in research on sexuality, in the SDGs and in The Guttmacher-Lancet Commission on SRHR.”
Influential
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Wu, T., Su, Y., Shi, X., & Zheng, Y. (2023) · Sexuality Research and Social Policy · doi:10.1007/s13178-023-00823-1 · Cited by 5
“In sum, individuals and societies must overcome the barriers rooted in social norms and values, especially gender inequality, to promote people’s sexual and reproductive health (Starrs et al., 2018).”
BackgroundInfluential
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Pathak, N., Zhang, C. X., Boukari, Y., Burns, R., Menezes, D., Hugenholtz, G. C. G., French, R., González-Izquierdo, A., Mathur, R., Denaxas, S., et al. (2024) · Journal of Migration and Health · doi:10.1016/j.jmh.2024.100214 · Cited by 5
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“…gender norms, limited female agency, poverty, early sexual unions, gender-based violence, social exclusion, low school attendance and quality, and limited access to sexual and reproductive health (SRH) services (Azevedo et al. 2012; Caffe et al. 2017; Naswa and Marfatia 2010; Starrs et al. 2018).”
Study protocol for a type-II hybrid effectiveness-implementation trial to reach teenagers using mobile money shops to reduce unintended pregnancies in Uganda
Komasawa, M., Sato, M., Ssekitoleko, R., Waiswa, P., Gitta, S. N., Nabugoomu, J., Honda, S., Saito, K., & Aung, M. N. (2024) · BMJ Open · doi:10.1136/bmjopen-2024-084539 · Cited by 5

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
ORCID: Ezeh, Alex C
Biddlecom, Ann
Popinchalk, Anna
Venue: The Lancet
Publisher: Elsevier BV
Published: 2018-06
Volume: 391
Issue: 10140
Pages: 2642-2692
ISSN: 0099-5355 (ISSN-L)
0140-6736
DOI: 10.1016/s0140-6736(18)30293-9
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
Licence: www.elsevier.com/tdm/userlicense/1.0/ (tdm)
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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