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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Cancer incidence and mortality worldwide: Sources, methods and major patterns in GLOBOCAN 2012
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Galati, 2015, Sexual and reproductive health and rights in the context of the Sustainable Development Goals, Guttmacher Policy Rev, 18, 77
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“Given the nature of the work, it is unsurprising that WSS have special reproductive health (RH) needs [2].”
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Ruschel, Â. E., Machado, F. V., Giugliani, C., & Knauth, D. R. (2022) · Cadernos de Saúde Pública · doi:10.1590/0102-311xen105022 · Cited by 5
“After reading the medical records, the results were divided into three analysis categories: (1) between the secrecy of violence and the silencing of right; (2) psychological illness and social disorganization; and (3) institutional flows: validation of the word and conscientious objection.”
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“Given the lack of available infertility treatment in Malawi and in similar low resource settings [32–34], it is likely that women who reported infertility and then conceived a pregnancy did so without biomedical treatment for infertility, although we cannot confirm this because use of treatment was…”
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Correlates of sexual and reproductive health service utilization among older adults in China: Findings from the sexual well-being (SWELL) study
Peng, X., Wang, B., Li, X., Li, Y., Lü, Y., Liu, J., Ouyang, L., Wu, G., Cai, Y., Yu, M., et al. (2024) · Maturitas · doi:10.1016/j.maturitas.2024.107965 · Cited by 5
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“In the context of education, sexual education plays a crucial role in helping individuals make wise decisions, understand reproductive health, and respect their sexual rights as well as the rights of others (Starrs et al., 2018; Vanwesenbeeck, Westeneng, De Boer, Reinders, & Van Zorge, 2016).”
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Implementation of the London Measure of Unplanned Pregnancy in routine antenatal care: A mixed-methods evaluation in three London NHS Trusts
Hall, J., Stewart, C., Stoneman, B., Bicknell, T., Lovell, H., Duncan, H., Stephenson, J., & Barrett, G. (2024) · European Journal of Midwifery · doi:10.18332/ejm/188118 · Cited by 5
“Unplanned pregnancy is a crucial indicator to assess the success of sexual and reproductive health (SRH) programs and the fulfilment of the population’s SRH and rights 1 .”
Background
Perceived barriers and opportunities of providing quality family planning services among Palestinian midwives, physicians and nurses in the West Bank: a qualitative study
Hassan, S., Ali-Masri, H., Sawalha, I., & Mortensen, B. M. (2024) · BMC Health Services Research · doi:10.1186/s12913-024-11216-4 · Cited by 11
“It also leads to fewer unsafe abortions, better educational opportunities, better quality of life and empowerment for women [2, 5, 6].”
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Maternal mortality
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“Attention to all these components forms part of what is considered a rights-based approach to SRH.(4) What this means for the research needed to put these policies and programmes into place is less clear.”
Background
Vulnerability Analysis in Sexual and Reproductive Health and Rights (SRHR) — Indications of Intersecting Vulnerable Positions in a National Survey Among Young People in Sweden
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BackgroundMethod
Actions, not words: progress since ICPD on disability and SRHR
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Background
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“The WHO International Technical Guidance on Sexuality Education (2018 Revision) recommends the inclusion of parental involvement (Starrs et al., 2018).”
Sexual and Reproductive Realities of Individuals With Mental Disorders
Kageyama, M., Takahashi, S., Ichihashi, K., Kusaka, M., Noma, S., Yogo, S., Murayama, M., Nemoto, T., Nishitani, M., & Yokoyama, K. (2024) · Journal of Japan Academy of Nursing Science · doi:10.5630/jans.44.763 · Cited by 4
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“Sexual and reproductive health (SRH) is a human right (Starrs et al. 2018).”
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“Understanding how men ’ s involvement influences women ’ s ability, choice, and autonomy to use ECPs provides evidence to inform global and national level ECP policy and provision and ultimately progress towards universal sexual and reproductive health and rights (SRHR) (Starrs et al., 2018).”
Influential
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“In accordance with sexual and reproductive health and rights (SRHR), individuals have the right to unrestrained access to the information, goods and services needed to freely make decisions concerning their bodies and their sexual and reproductive health [5].”
Background
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“10 Despite the principle of universality of SRHR, contextual factors do matter for individuals’ ability to fulfil their SRHR. 8,10,11”
Influential
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“Universal access to SRH services, captured in Target 3.7 of the SDGs, has experienced mixed progress to date—largely due to setbacks for women based in low-and middle-income countries (LMICs), including those in humanitarian settings [1, 5, 6].”
Influential
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Background
Changes in sexual frequency among 51 150 infertile Chinese couples over the past 10 years
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“…treatment, family planning or contraception (vasectomies and condoms), treatment of sexual anomalies and male cancers, the prevention and treatment of mental disorders, male medical circumcision (MMC), and psychosocial interventions such as sexual health education and counselling [1,2,4,6–11].”
BackgroundInfluential
Sexual and reproductive health and rights content in higher education in Norway – a quantitative document analysis
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“SRHR is also key to sustainable development, for example in relation to women’s health, children’s and young people’s health, equality between the sexes, and opportunities for different groups to contribute to the sustainable development of the economy and the environment (Starrs et al. 2018).”
Autonomy and freedom of choice: A mixed methods analysis of the endorsement of SRHR and its core principles by global agencies
Peters, A. J., & Bijlmakers, L. A. (2024) · Heliyon · doi:10.1016/j.heliyon.2024.e34965 · Cited by 4
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BackgroundMethodInfluential
Impact of digital exposure on premarital sex and contraception use among unmarried Indian youth
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“…phones, the internet, and other digital media in the context of healthcare is commonly referred to as mHealth, which stands for mobile health [16]; mHealth has gained significant attention in recent years due to the ubiquitous availability of mobile devices and accessibility to the internet…”
Influential
Reproductive health equity: demystifying unmet need for family planning among young women in Uttar Pradesh
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Reproductive agency and the acceptability of divorce, abortion, and homosexuality among migrants from the Middle East and Africa living in Sweden–a cross-sectional analysis
van der Kop, M. L., Båge, K., Tirado, V., Kågesten, A., Puranen, B., Sorcher, R., Ekström, A. M., & Larsson, E. C. (2025) · International Journal for Equity in Health · doi:10.1186/s12939-025-02400-x · Cited by 4
“These barriers often impact those already marginalized, such as migrants, who are least likely to benefit from SRHR policies and programs [7, 10].”
Sexual and reproductive health of in-transit migrant women en route to the United States: a mixed-methods study in Ciudad Juárez, Mexico
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“Perceived SRH needs, our secondary outcome , is based on a recognized global definition of SRH needs [13, 14].”
Ebelik Öğrencileri için Cinsel Sağlık ve Üreme Sağlığı
Yücetürk, S., Çuvadar, A., ÖZÇALKAP, N., & Baş, Y. Ç. (2025) · Akademisyen Kitabevi eBooks · doi:10.37609/akya.3757 · Cited by 4
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Pang, J. S., & Baumann, N. (2020) · Cambridge University Press eBooks · doi:10.1017/9781108561716.015 · Cited by 4
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“이는 ‘신체에 대한 완전함, 개인의 프라이버시, 개인의 자율성이 보장될 권리; 성적 취향과 성 정체성 및 성적 표현을 포함한 자신의 성(sexuality)을 자 유롭게 정의할 수 있는 권리; 성생활에 관한 시기를 결정할 권리; 성적인 파트너를 선택할 수 있는 권리; 안전하고 만족 할 수 있는 성적인 경험을 누릴 권리; 혼인 여부, 혼인의 시 Key Words: High-risk pregnancy indicators, Reproductive health, Reproductive health rights https://doi.org/10.21896/jksmch.2021…”
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Carter, A., Gormley, B., Muchenje, M., Zhu, D., Patterson, S., Kestler, M., Hankins, C. A., Logie, C. H., Brotto, L. A., Tharao, W. E., et al. (2022) · Women s Health · doi:10.1177/17455065221074877 · Cited by 4
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“2016) and to poor mental health, shortened education, early marriage and/or early childbearing, and vulnerability to sexual violence and coercion in girls (Ram, Strohschein, and Gaur 2014; Singh and Mukherjee 2017; Starrs et al. 2018).”
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Behavioural intervention to reduce sexually transmitted infections in people aged 16–24 years in the UK: the safetxt RCT
Free, C., Palmer, M. J., Potter, K., McCarthy, O., Jerome, L., Berendes, S., Gubijev, A., Knight, M., Jamal, Z., Dhaliwal, F., et al. (2023) · Public Health Research · doi:10.3310/dane8826 · Cited by 4
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Brault, M. A., Linnander, E. L., Ginindza, T. M., Mabuza, K., Christie, S., Canavan, M., Jones, A., & Desai, M. M. (2023) · Global Health Action · doi:10.1080/16549716.2023.2243760 · Cited by 4
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“Together with other factors, such as the availability and accessibility to high-quality RHCS, agency could determine a woman’s capacity to use these services (Bhan & Raj, 2021).”
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Woodson, L. L., Saldivar, A. G., Brown, H. E., Magrath, P. A., de Mayolo, N. A., Pettygrove, S. D., Farland, L. V., Madhivanan, P., & Blas, M. M. (2024) · BMJ Global Health · doi:10.1136/bmjgh-2023-012391 · Cited by 5
“It is crucial to ensure that SRH services and education are culturally appropriate and readily accessible for indigenous populations, particularly during future pandemics, to effectively address their unique needs and geographical isolation.”
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Eliot, L. (2020) · Cambridge University Press eBooks · doi:10.1017/9781108561716.007 · Cited by 4
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Macleod, C. I., & Morison, T. (2020) · Cambridge University Press eBooks · doi:10.1017/9781108561716.011 · Cited by 5
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“It is dismaying that so many women are denied their fundamental human right to access the FP services and methods they desire [4].”
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“Recently, the Guttmacher-Lancet Commission on sexual and reproductive health (SRH) defined that managing menstruation in a hygienic way is an essential part of SRH.(1) In public health, menstrual hygiene management (MHM) education has been regarded as a necessary aspect of reproductive health for women and adolescent…”
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“The release of the Guttmacher–Lancet Commission’s report this year provides a reference point for a comprehensive definition of SRHR, set within the context of the United Nation’s Sustainable Development Goals.(8) These developments are testimony to the solid gains made over the last 25 years, the legacy of a water-sh…”
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“All individuals have a right to make decisions governing their bodies and to access services that support that right [2,3]”.”
Background
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Khan, K., & Sathar, Z. A. (2020) · doi:10.31899/rh14.1045 · Cited by 4
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Relational, Ableist and Gendered Sites of Violence: Perspectives of Tanzanian Girls With Disabilities on Access to Sexual and Reproductive Health Services
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“It draws on the understanding that ensuring access to safe, accessible, and good quality adolescent sexual and reproductive health services is critical for sustainable development (Starrs et al., 2018).”
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“It is essential to respectfully plan for, acknowledge and address these possible concerns during contraceptive care programming (Starrs et al. 2018).”
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“Dimensions of well-being depend on individuals having agency and decision-making capability related to their own sexual and reproductive lives (Starrs et al., 2018).”
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“Since the International Conference on Population and Development in Cairo (1994), SRHR have guided family planning policy stakeholders and international agreements, emphasizing freedom of reproductive choice more explicitly than during the era of population control (Starrs et al., 2018).”
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“Background Comprehensive abortion care, including postabortion contraception, reduces recurring unintended pregnancies, increases birth spacing and improves maternal health [1].”
Background
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“Sundewall & Jesper (2019).”
Background
Family and Relationship Quality among Young Adults with Different Sexual Orientations in Urban China: The Mediating Effects of Life Satisfaction and Self-Esteem
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The Assessment of Natural Vaginal Delivery in Relation to Pregnancy-Related Anxiety—A Single-Center Pilot Study
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“It has also been demonstrated that PrA, depression, and stress are directly linked to microbiota disturbances in pregnant women and newborns [11].”
Background
Improving Research, and Practice to Reproductive Health Understanding: An Indonesian Perspective for Sexual Education
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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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