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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Self-citation

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Buser, J. M., Auma, A. G., August, E. T., Rana, G., Gray, R., Jacobson‐Davies, F. E., Tufa, T. H., Endale, T., Mukeshimana, M., & Smith, Y. R. (2024) · PLOS Global Public Health · doi:10.1371/journal.pgph.0003789 · Cited by 2
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Background
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“However, things are changing, as pleasure as linked to sexual rights has become more visible, 14–16 and now we know that pleasure-inclus-ive sexual health programmes and sexuality education increase positive sexual health outcomes.”
Background
Advancing sexual health and well-being for all
Singh, S., Tandon, S., Esiet, U. U., Kågesten, A., Gruskin, S., Shaikat, S. M., Bain, L. E., Kak, F. E., Logie, C. H., RamPrakash, R., et al. (2024) · Bulletin of the World Health Organization · doi:10.2471/blt.24.292859 · Cited by 2
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THE DETERMINANTS OF REPRODUCTIVE HEALTH CARE BEHAVIOR IN ADOLESCENT: A CROSS-SECTIONAL STUDY
Manurung, I. F. E., Takaeb, A. E. L., & da Cruz, J. (2024) · Jurnal Berkala Epidemiologi · doi:10.20473/jbe.v12i12024.9-17 · Cited by 1
Assessing knowledge of migrant sexual reproductive health and rights: a national cross-sectional survey among health professionals in Sweden
Essén, B., Wickramasinghe, A., Eriksson, L., Vartanova, I., Tibajev, A., & Strimling, P. (2024) · Frontiers in Sociology · doi:10.3389/fsoc.2024.1356418 · Cited by 1
Determinants of Reproductive Health Services Utilization Among Female Adolescents in Sangotedo, Eti-Osa East LGA, Lagos State, Nigeria
Maku, N. O., & Olaoye, T. (2024) · International Journal of Public Health and Pharmacology · doi:10.52589/ijphp-lclciijf · Cited by 1
Environmental and climate risks
OECD, & Bank, T. W. (2023) · OECD eBooks · doi:10.1787/773fb7f3-en · Cited by 1
Sex or Smartphone? – Analysis of the Relationship between Problematic Smartphone Usage and Sexual Activity Based on Homogeneous and Heterogeneous IDs and Machine Learning Algorithms
Gosztonyi, M. (2024) · Social Psychology and Society · doi:10.17759/sps.2024150208 · Cited by 1
“The generated K (or P) should be seen as the upper limit of active clusters, ensuring a reliable and stable cluster structure [80].”
BackgroundMethod
Bayesian Multivariate Spatial Modelling of Risky Sexual Behaviour Among Young People in Nigeria
Seidu, A., Alele, F. O., Akeboi, O., Malau‐Aduli, B. S., & Adegboye, O. A. (2024) · Spatial Demography · doi:10.1007/s40980-024-00125-z · Cited by 1
“Additionally, efforts to empower young people with accurate information and tools to protect themselves are essential in combating the high prevalence and incidence of STIs among individuals aged 15–24, both globally and especially in developing countries (Starrs et al., 2018).”
A protocol for a cluster randomized controlled trial to assess the impact of Balika Bodhu: A combined empowerment and social norm based sexual and reproductive health and rights intervention for married adolescent girls in rural Bangladesh
Mamun, M. A., Mahmud, S. A. S., Antu, J. F., Talukder, A., & Naved, R. T. (2024) · PLoS ONE · doi:10.1371/journal.pone.0304988 · Cited by 2
“Achieving sexual and reproductive health rests on realizing related rights, including the right to control one’s own body, define one’s sexuality, choose one’s partner, and receive confidential, respectful, and high-quality health services [2].”
Knowledge gaps related to HIV and condom use for preventing pregnancy: a cross-sectional study among migrants in Sweden
Tirado, V., Orsini, N., Strömdahl, S. K., Hanson, C., & Ekström, A. M. (2024) · BMC Public Health · doi:10.1186/s12889-024-19839-2 · Cited by 1
“We also included one question related to condoms, which was formulated in line with the SRHR definition provided by the Guttmacher-Lancet Commission [17].”
BackgroundMethod
Psychosis and Gender: A Focus on Women in the Global South
Barber, S., Mulushoa, A., Hanlon, C., & MALLA, A. K. (2024) · The Canadian Journal of Psychiatry · doi:10.1177/07067437241295301 · Cited by 1
“14 Women with schizophrenia in Turkey are disadvantaged, for example, they have higher rates of unplanned pregnancy and receive less antenatal care than women without schizophrenia.”
The convergence of higher education and digital technologies for the sexual and reproductive health of women refugees: A narrative review
Sicka, B., & Ray, L. (2024) · Crossings Journal of Migration and Culture · doi:10.1386/cjmc_00090_1 · Cited by 1
Pregnancy and Pregnancy Outcomes in a National Population Cohort of Patients Treated for Substance Use Disorders
Bretteville‐Jensen, A. L., & Williams, J. (2024) · Journal of Addiction Medicine · doi:10.1097/adm.0000000000001404 · Cited by 1
Contraceptive Care Visit Objectives and Outcomes: Evidence From Burkina Faso, Pakistan, and Tanzania
Moucheraud, C., Wollum, A., Brooks, M. I., Shah, M., Gipson, J. D., & Wagner, Z. (2024) · Studies in Family Planning · doi:10.1111/sifp.12279 · Cited by 1
“This is a major gap in our understanding of how to deliver person-centered, effective, equitable family planning services (Jacinto et al. 2022; Starrs et al. 2018).”
Sexual Health, Pleasure, Justice, and Well‐Being in People With Rheumatic and Musculoskeletal Diseases: A Scoping Review Protocol
Giardulli, B., Prior, Y., Bumın, G., Kınıklı, G. İ., Prior, J. A., Stones, S. R., Flurey, C., Testa, M., Lavender, A., & Battista, S. (2025) · Musculoskeletal Care · doi:10.1002/msc.70040 · Cited by 2
“Sexual justice emphasises equitable, person‐centred sexual experiences and access to restorative justice (Starrs et al. 2018).”
Effect of Menstrual Hygiene Module on awareness, perception, and practice of menstrual hygiene among visually challenged females in selected residential schools of Uttarakhand: A quasi-experimental study
Yadav, M., Kuppuswamy, R., & Malar Kodi, S. (2025) · British Journal of Visual Impairment · doi:10.1177/02646196251315085 · Cited by 1
“This is essential not only for personal health and survival but also for economic development and the well-being of humanity (Starrs et al., 2018).”
Gaps in Integration of Sexual and Reproductive Health and Rights into Climate Change Research in Sub-Saharan Africa: A Scoping Review
Amadi, J. A., Odwe, G., Onyango, F. O., & Kangwana, B. P. (2026) · doi:10.46889/jwhr.2026.1104 · Cited by 1
Stigma from above: A new theoretical perspective to understand the sexual and reproductive health of women experiencing homelessness
Turrell, M. (2025) · Feminist Theory · doi:10.1177/14647001251326437 · Cited by 1
“In what follows, I employ the World Health Organization ’ s de ﬁ nition of SRH as ‘ a state of physical, emotional, mental and social wellbeing in relation to all aspects of sexuality and reproduction, not merely the absence of disease, dysfunction or in ﬁ rmity ’ (Starrs et al., 2018: 2644).”
Correlates of the sexual and reproductive health service utilization among older people living with HIV in China: Findings from the sexual well-being (SWELL) Study
Peng, X., Li, X., Wang, B., Wang, Y., Xu, P., Lü, Y., Liang, B., Ouyang, L., Wu, G., Yu, M., et al. (2025) · Public Health · doi:10.1016/j.puhe.2025.105729 · Cited by 1
Hegemonic masculinities, reproductive justice, and data: the missing link for gender transformational change in sexual and reproductive health and rights
Strong, J. (2025) · Journal of Gender Studies · doi:10.1080/09589236.2025.2495661 · Cited by 2
‘There’s a lot that could have been done’: Primary healthcare professionals’ considerations on providing sexual healthcare to transgender and gender diverse people
Johnsén, M., & Lindroth, M. (2025) · Sexualities · doi:10.1177/13634607251352929 · Cited by 1
“Sexual health, in this paper, is seen as a vital part of health and as a bio-psycho-social well-being in relation to sexuality, not merely as the absence of ill-health, and access to sexual healthcare is seen as a human right pertaining to sexuality (Starrs et al., 2018; WHO, 2015).”
Health policy challenges in Lebanon’s healthcare system: on sexual and reproductive health and rights
Kak, F. E., Fakahany, S. E., Kabakian‐Khasholian, T., McCall, S. J., & Saad, G. E. (2025) · Sexual and Reproductive Health Matters · doi:10.1080/26410397.2025.2525600 · Cited by 1
The influence of the expanded Global Gag Rule on Malawi’s sexual and reproductive health and rights landscape: a qualitative study
Iyer, A., Luffy, S. M., Newton-Levinson, A., Rochat, R. W., & Cooper, B. (2025) · BMJ Global Health · doi:10.1136/bmjgh-2023-013639 · Cited by 1
Experiences and Perspectives of Sexual and Reproductive Health Among Women in Recovery From Opioid Use Disorder
Mattson, N. M., Barry, A., & Zemlak, J. L. (2025) · Women s Health Issues · doi:10.1016/j.whi.2025.07.003 · Cited by 1
No climate justice without sexual and reproductive health, rights and justice (SRHRJ): past, present, and future challenges faced by the Sexual and Reproductive Health and Rights and Climate Justice Coalition
Dijkerman, S., McMullen, H., Hammond, N., & Coalition, S. A. R. H. A. R. (. A. C. J. (2025) · Frontiers in Reproductive Health · doi:10.3389/frph.2025.1569484 · Cited by 1
Unmet needs and new challenges in young women’s sexual and reproductive health and rights: a qualitative study in Chile’s Metropolitan Region
Alexandra Obach, K., Sadler, M., Robledo, C., Wright, C., & Cabieses, B. (2025) · Sexual and Reproductive Health Matters · doi:10.1080/26410397.2025.2558272 · Cited by 1
“52 This positive approach is precisely what young women are seeking outside the of ﬁ cial healthcare system.”
Sexual and Reproductive Health in Ghana
Biney, A. A. E., Atiglo, D. Y., & Iddrisu, M. R. (2025) · Springer eBooks · doi:10.1007/978-3-032-00582-3_10 · Cited by 1
Women’s Awareness in ReproDuctive ‘Aafiya (WARDA): a community-based participatory research protocol for co-designing and evaluating reproductive health resources for Muslim women in Australia
Hossain, S., MacMillan, F., Lewis, S., Dahoud, S., & Elmir, R. (2025) · BMJ Open · doi:10.1136/bmjopen-2025-105993 · Cited by 1
Call to action: Bringing sexual and reproductive health equity into how we quantify the impact of contraceptive access
Kavanaugh, M. L., Desai, S., Borrero, S. B., Gómez, A. M., Higgins, J. A., Holt, K., Malcolm, N. M., O’Donnell, J., VandeVusse, A., Wade, J., et al. (2025) · Contraception · doi:10.1016/j.contraception.2025.111234 · Cited by 1
Erectile dysfunction among diabetic patients in Western Uganda: prevalence and associated factors in a multicentre study across three selected clinics
Mswelo, V. E., Kibuuka, A., Shinkafi, T. S., Ali, W. R., Xwatsal, E. J., Hersi, A. G., Hussein, Z. A., Saria, D. E., Njumwa, W., Hassan, H., et al. (2025) · BMC Endocrine Disorders · doi:10.1186/s12902-025-02048-2 · Cited by 1
“The WHO statement in 2017 recognises that normal erectile function stands to be an essential part of the sexual and reproductive health of men, and therefore, addressing any form of sexual dysfunction is part of improving health [27].”
Understanding patient perspectives on the quality of family planning care: a qualitative study
VandeVusse, A., Mueller, J. L., Douglas‐Hall, A., Sackietey, S., & Kavanaugh, M. L. (2025) · BMC Women s Health · doi:10.1186/s12905-025-04088-1 · Cited by 1
“Person-centered SRH care includes elements such as respect for personal autonomy, bodily integrity, and childbearing decision-making [12].”
Sexual and Reproductive Health of Internal Female Migrant Workers in Asia: A Scoping Review
Skaria, S. M., & Anish, K. R. (2025) · Journal of Evidence-Based Social Work · doi:10.1080/26408066.2025.2583929 · Cited by 1
Reproductive health characteristics among women living in severe poverty in urban Haiti
Alexandre, W., Ogyu, A., Sufra, R., Yan, L. D., Deschamps, M., Bennett, C., Pape, J. W., Alonso, L. C., Rouzier, V., & McNairy, M. L. (2025) · Reproductive Health · doi:10.1186/s12978-025-02219-3 · Cited by 1
“…sexually transmitted infections [3, 4], and more recently broadened to include age at menarche, infertility and related disorders, contraception, parity, adverse pregnancy outcomes (APO), and menopause, due to their association with maternal mortality, chronic diseases, and cancer risks [5, 6].”
Empowering women: intimate partner violence and its association with unintended pregnancies, contraceptive use, and HIV infection among Ugandan women: a cross-sectional population-based study in Wakiso and Hoima districts
Valero, E. B., Kyasanku, E., Bulamba, R., Kato, P., Nabunya, E., Nalugoda, F. K., Ekström, A. M., & Arunda, M. O. (2025) · Global Health Action · doi:10.1080/16549716.2025.2585674 · Cited by 1
“SRHR includes the right to make personal choices regarding one’s body and access services that support these rights, as they are part of human rights [3].”
Wealth-based inequalities in family planning and perinatal coverage among adolescent and young women: analyses of national surveys from Latin America and the Caribbean
Sanhueza, A., Caffe, S., González-Bautista, E., Carvajal-Vélez, L., Mújica, Ó. J., Vidaletti, L. P., Victora, C. G., & Barros, A. J. D. (2025) · The Lancet Regional Health - Americas · doi:10.1016/j.lana.2025.101318 · Cited by 1
“39”
Setting research priorities for sexual and reproductive health in humanitarian settings: a global, stakeholder-informed agenda
Nam, S. L., Abril, A., McKay, G., Casey, S. E., Bossard, C., Moore, A. M., Seyoum, T., Christou, A., Paracchini, S., Weber, P. L., et al. (2025) · Conflict and Health · doi:10.1186/s13031-025-00734-5 · Cited by 1
“However, future prioritisation efforts could consider research that evaluates interventions to improve legal literacy, social accountability or responsiveness to discrimination, issues that remain underrepresented despite their relevance to realising SRHR in practice [19, 34].”
‘The benefits do not reach us’: analyzing the discrepancies between the state recognition of hijra and their reality in Dhaka, Bangladesh
Irfan, S. D., Reza, M., Khan, M. N. M., Hassan, R., & Khan, S. I. (2025) · Critical Public Health · doi:10.1080/09581596.2025.2598985 · Cited by 1
Factors associated with unintended pregnancies among unmarried adolescents in Eastern Uganda: a cross-sectional study
Komasawa, M., Sato, M., Saito, K., Honda, S., Ssekitoleko, R., Waiswa, P., Muluya, K. M., Gitta, S. N., & Aung, M. N. (2025) · Reproductive Health · doi:10.1186/s12978-025-02235-3 · Cited by 2
“Since the International Conference on Population and Development in 1994, numerous interventions have been undertaken to improve adolescent SRHR [15].”
Gender norms in sexual and reproductive health and rights: insights from young Angolan women and the development of a context-specific questionnaire (2021–2022)
Priebe, G. E., Macama, A., dos Reis, F. V. D., Malomalo, M., Melin, J., & Kessel, B. (2025) · Archives of Public Health · doi:10.1186/s13690-025-01820-z · Cited by 1
“This perspective underscores that barriers to SRHR are not only material or institutional, but also deeply embedded within the normative frameworks that structure everyday life and institutional practice [1–8, 23, 60–62].”
Influential
The emergence of the adolescent subject in global health: Prioritizing epistemic justice in research and practice
Brisson, J. (2026) · Global Public Health · doi:10.1080/17441692.2025.2611183 · Cited by 1
Health system responsiveness and its associated factors for delivery care in public health facilities of West Arsi Zone, Oromia, Ethiopia
Gejo, N. G., Bedecha, D. Y., Alemu, S. S., Haymete, M. A., Regasa, M. R., Geleta, A. E., & Adnani, Q. E. S. (2026) · PLoS ONE · doi:10.1371/journal.pone.0340691 · Cited by 1
Western Sydney Migrant and Refugee Youths’ Perspectives about Access and Use of Contraception in Australia: A Qualitative Study
Lam, Y. K. A., Fleming, L., Nelson, J., Pithavadian, R., Mpofu, E., Hossain, Z. S., Liamputtong, P., Aibangbee, M., & Dune, T. M. (2026) · Sexuality Research and Social Policy · doi:10.1007/s13178-025-01271-9 · Cited by 1
What counts as need? A qualitative study exploring perceptions of sexual and reproductive health in humanitarian settings
Voir, R. L. (2026) · Social Science & Medicine · doi:10.1016/j.socscimed.2026.118926 · Cited by 1

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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