In Search of the Third Eye, When the Two Others Are Shamefacedly Shut?; Comment on “Are Sexual and Reproductive Health Policies Designed for All? Vulnerable Groups in Policy Documents of Four European Countries and Their Involvement in Policy Development”

Document Type : Commentary

Author

ICRH, Faculty of Medicine & Health Sciences, Ghent University, Ghent, Belgium

Abstract

Ivanova et al explored how vulnerable groups and principles of human rights are incorporated into national sexual and reproductive health (SRH) policies in 4 countries. They adapted the EquiFrame of Amin and colleagues of 2011, to SRH vulnerable groups which we believe could now be used for analysis of national SRH polices beyond those 4 countries. Although we fully agree with the authors’ two main findings that vulnerable groups and human rights’ principles are not sufficiently integrated in SRH policies nor granted the possibility to participate in the process of development in those four countries, we do believe that these shortcomings are not limited to those countries only nor to the identified vulnerable groups either. We are convinced that the issue of SRH as such is still framed within a very limited logic for all with vulnerable groups being perceived as an extra threat or an extra burden.

Keywords

Main Subjects


  1. Ivanova O, Draebel T, Tellier S. Are sexual and reproductive health policies designed for all? Vulnerable groups in policy documents of four European countries and their involvement in policy development. Int J Health Policy Manag. 2015;4(10):663-671. doi:10.15171/ijhpm.2015.148
  2. Amin M, MacLachlan M, Mannan H, et al. Equiframe: a framework for analysis of the inclusion of human rights and vulnerable groups in health policies. Health Hum Rights. 2011;13(2):82-101.  doi:10.1371/journal.pone.0035864
  3. Keygnaert I. Sexual Violence and Sexual Health in Refugees, Asylum Seekers and Undocumented Migrants in Europe and the European Neighborhood: Determinants and Desirable Prevention. 1-253. Ghent: ICRH-Ghent University; 2014:1-253.
  4. Keygnaert I, Guieu A, Ooms G, Vettenburg N, Temmerman M, Roelens K. Sexual and reproductive health of migrants: does the EU care? Health Policy. 2014;114(2-3):215-225. doi:10.1016/j.healthpol.2013.10.007
  5. World Health Organization (WHO). Measuring Sexual Health: Conceptual and Practical Considerations and Related Indicators. Geneva: WHO; 2010.
  6. Grove NJ, Zwi AB. Our health and theirs: forced migration, othering, and public health. Soc Sci Med. 2006;62(8):1931-1942. doi:10.1016/j.socscimed.2005.08.061
  7. Keygnaert I, Vettenburg N, Temmerman M. Hidden violence is silent rape: sexual and gender-based violence in refugees, asylum seekers and undocumented migrants in Belgium and the Netherlands. Cult Health Sex. 2012;14(5):505-520. doi:10.1080/13691058.2012.671961
  8. Keygnaert I, Dias SF, Degomme O, et al. Sexual and gender-based violence in the European asylum and reception sector: a perpetuum mobile? Eur J Public Health. 2015;25(1):90-96. doi:10.1093/eurpub/cku066
  9. UN Committee on Economic, Social and Cultural Rights (CESCR). General Comment No. 14: The Right to the Highest Attainable Standard of Health (Art. 12 of the Covenant). CESCR; 2000. 
  10. World Health Organization (WHO). Milestones in Health Promotion. Statements from Global Conferences. Geneva: WHO; 2009.
  11. Maclachlan M, Mannan H, Huss T, Munthali A, Amin M. Policies and processes for social inclusion: using EquiFrame and EquIPP for policy dialogue; Comment on "Are sexual and reproductive health policies designed for all? vulnerable groups in policy documents of four european countries and their involvement in policy development." Int J Health Policy Manag. 2016;5(3):193-196. doi:10.15171/ijhpm.2015.200
  12. Viswanathan M, Ammerman A, Eng E, et al. Community-based participatory research: assessing the evidence. Evid Rep Technol Assess (Summ). 2004;(99):1-8,
  13. EN-HERA! Sexual and Reproductive Health and Rights of Refugees, Asylum Seekers and Undocumented Migrants: A Framework for the Identification of Good Practices. Ghent: Academic Press; 2009.