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Universal health coverage may not be enough to ensure universal access to sexual and reproductive health beyond 2014

机译:全民健康覆盖可能不足以确保2014年以后人人享有性健康和生殖健康

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With the expiration of the Millennium Development Goals looming at the end of 2015, governments have set themselves the task of defining a new set of sustainable development goals for the years beyond. This debate has major implications for how global public health will be addressed moving forward - particularly sexual and reproductive health and rights, which are the centrepiece of the International Conference on Population and Development agenda. One idea that has generated significant attention is universal health coverage. Universal health coverage is one, among many tools, that can help to address the sexual and reproductive health needs of women, adolescents and other marginalised groups such as migrants, people with disabilities, people of diverse sexual orientations and gender identities, sex workers and people who use drugs. However, a singular focus on universal health coverage is not likely to be sufficient to meet these needs; in fact, recent experiences have demonstrated that it often falls short. Without addressing the full range of factors that affect health, including social determinants of health, we will not be able to achieve the development goals of ensuring universal access to sexual and reproductive health or reducing preventable related mortalities and morbidities.
机译:随着2015年底即将到来的千年发展目标的到期,各国政府为自己设定了定义未来几年新的可持续发展目标的任务。这场辩论对于如何解决全球公共卫生问题将产生重大影响,特别是性和生殖健康与权利,这是国际人口与发展会议议程的核心。引起广泛关注的一个想法是全民健康覆盖。全民健康覆盖是众多工具中的一种,可以帮助满足妇女,青少年和其他边缘化群体(如移民,残疾人,具有不同性取向和性别认同的人,性工作者和人们)的性健康和生殖健康需求谁吸毒然而,仅关注全民健康覆盖可能不足以满足这些需求;实际上,最近的经验表明,它经常达不到要求。如果不解决影响健康的各种因素,包括健康的社会决定因素,我们将无法实现确保普遍获得性健康和生殖健康或减少可预防的相关死亡率和发病率的发展目标。

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