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Identifying the needs and problems of those left behind, and working with them to address inequities in sexual and reproductive health: a key focus of Reproductive Health for 2020.
Reproductive Health ( IF 3.6 ) Pub Date : 2020-01-21 , DOI: 10.1186/s12978-020-0856-9
José M Belizán 1 , Suellen Miller 2 , Venkatraman Chandra-Mouli 3 , Verónica Pingray 1
Affiliation  

One of the key messages of the Sustainable Development Goals is to ensure that no one is left behind in development efforts, and to focus these efforts on those who are most likely to be left behind [1]. We are well aware that there are enormous inequalities and inequities in sexual and reproductive health [2]. The huge differences in the rates of maternal mortality between and within countries, speak to this [3]. What this means is that some individuals, families, groups, communities, and countries are much more likely than others to experience sexual and reproductive health problems, and when they do are less likely to be able to obtain the health and social services they need to overcome these problems and to get back to good health. These inequalities and inequities exist in situations of peace and security, even in high-income countries [4,5,6,7]. However, in situations of conflict and natural disasters, they are greatly exacerbated [8,9,10,11,12,13,14].

The editorial team of the Reproductive Health Journal wants to contribute to efforts to shed light on the sexual and reproductive health needs and problems of the most vulnerable, those most likely to be left behind, and on efforts being made to address inequalities and inequities. Given this, the Journal will prioritize articles that describe efforts addressing such population groups.

We are convinced that solutions must come from the most affected populations and from those who work with and for them. That is why we will welcome articles that articulate the needs and problem, hopes and expectations, fears and concerns, by members of these populations themselves, and the solutions that they propose. We also welcome articles from individuals who work directly with these populations.

Two other areas will be prioritized in the Reproductive Health journal. One is Adolescent Sexual and Reproductive Health and Rights (ASRHR). Adolescents were largely neglected in the context of the Millennium Development Goals [15]. In the context of the Sustainable Development Goals, they are receiving the attention they deserve [16, 17]. Our journal wants to contribute to sharing and learning between adolescents and with researchers, programmers, policy makers, and funders together, and thereby help ensure that focus is put to the best possible use. The second area is the delivery of interventions in the pre-conception period. In an Editorial published in Reproductive Health introducing a Supplement on Preconception Care we stated: "The preconception window has been recognized as one of the earliest sensitive windows of human development, and interventions that focus on this period have the potential to affect not only pregnancy but long term outcomes as well" [18]. Given that the preconceptual period has been identified as a critically important stage that influences maternal and perinatal health, interventions that are being developed to improve the coverage of preconceptual care, such as family planning, contraception, nutrition, lifestyle factors (e.g. smoking, alcohol, caffeine, weight) vaccinations, reduction of harmful exposures, prevention and treatment of chronic and infectious diseases, and environmental exposures are of interest [18,19,20].

We will continue with the two special sections on Female Genital Mutilation/Cutting and on Respectful Care during Childbirth at Health Facilities, as we believe that these issues reflect great inequality and inequity, with powerful implications for reproductive health. Health providers must have an active role to end female genital mutilation/cutting and achieving a respectful care, by adapting or creating behavioral change strategies including their own evaluation of their behavior and its change [21, 22]. As previously stated, these two sections will prioritize the needs, problems, and the solutions developed and implemented to improve them.

In summary, as we move towards the start of the third decade of the twenty-first century, the priority of the Reproductive Health journal is to publish contributions highlighting the plight of those who are worst affected by sexual and reproductive health problems, and showcasing actions taken by those affected and those who work with them to overcome this unacceptable situation of inequality and inequity.

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Affiliations

  1. Department of Mother and Child Health Research, Institute for Clinical Effectiveness and Health Policy (IECS-CONICET), Buenos Aires, Argentina
    • José M. Belizán
    •  & Verónica Pingray
  2. Safe Motherhood Program, University of California, San Francisco, USA
    • Suellen Miller
  3. Department for Reproductive Health Research, World Health Organization, Geneva, Switzerland
    • Venkatraman Chandra-Mouli
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All authors read and approved the final manuscript.

Corresponding author

Correspondence to José M. Belizán.

Competing interests

The authors declare that they have no competing interests.

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Belizán, J.M., Miller, S., Chandra-Mouli, V. et al. Identifying the needs and problems of those left behind, and working with them to address inequities in sexual and reproductive health: a key focus of Reproductive Health for 2020. Reprod Health 17, 6 (2020) doi:10.1186/s12978-020-0856-9

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  • DOI: https://doi.org/10.1186/s12978-020-0856-9

中文翻译：
确定遗留者的需求和问题，并与他们合作解决性健康和生殖健康方面的不平等问题：2020年生殖健康的重点。

可持续发展目标的关键信息之一是确保在发展工作中不遗留任何人，并将这些努力集中在最有可能被遗忘的人身上[1]。我们深知，性健康和生殖健康存在巨大的不平等和不平等现象[2]。各国之间和国家内部孕产妇死亡率的巨大差异可以证明这一点[3]。这意味着某些个人，家庭，群体，社区和国家比其他人更有可能遇到性健康和生殖健康问题，而当他们这样做时，他们不太可能获得所需的健康和社会服务。克服这些问题并恢复健康。这些不平等和不平等现象在和平与安全的情况下也存在，即使在高收入国家也是如此[4,5，6,7]。但是，在冲突和自然灾害的情况下，它们会大大加剧[8,9,10,11,12,13,14]。

《生殖健康杂志》的编辑团队希望为阐明最弱势群体，最有可能被抛在后面的人们的性健康和生殖健康需求与问题，以及为解决不平等和不平等现象而做出的努力做出贡献。鉴于此，《华尔街日报》将优先考虑描述针对此类人群的工作的文章。

我们相信，解决方案必须都从受影响最大的群体，并从有和他们那些谁的工作。这就是为什么我们将欢迎这些人口成员自己阐述其需求和问题，希望与期望，恐惧与关切的文章，以及他们提出的解决方案。我们也欢迎直接与这些人群合作的个人发表的文章。

生殖健康杂志将优先考虑其他两个领域。一种是青少年的性与生殖健康与权利（ASRHR）。在千年发展目标[15]中，青少年基本上被忽略了。在可持续发展目标的背景下，他们正在受到应有的重视[16，17]。我们的期刊希望为青少年之间以及与研究人员，程序员，政策制定者和资助者的共享和学习做出贡献，从而帮助确保重点放在最佳利用上。第二个领域是孕前阶段的干预措施。在《生殖健康》发表的社论中我们在介绍《孕前保健补编》时说：“孕前窗口已被认为是人类发展的最早敏感窗口之一，关注这一时期的干预措施不仅可能影响怀孕，而且还会影响长期结果。” [ 18]。鉴于先孕期已被确定为影响孕产妇和围产期健康的至关重要的阶段，因此正在开发干预措施以扩大先孕期护理的覆盖面，例如计划生育，避孕，营养，生活方式因素（例如吸烟，饮酒， （咖啡因，体重）疫苗接种，减少有害暴露，预防和治疗慢性和传染性疾病以及环境暴露[18,19,20]。

我们将继续讨论关于女性外阴残割/切割和在卫生机构分娩时的适当护理的两个特别部分，因为我们相信这些问题反映出巨大的不平等和不平等现象，对生殖健康产生了重大影响。卫生服务提供者必须发挥积极作用，通过适应或制定行为改变策略，包括对其行为及其改变的评估，来制止女性生殖器的切割/切割并获得尊重的护理[21，22]。如前所述，这两部分将优先考虑需求，问题以及为改善需求而开发和实施的解决方案。

总而言之，随着我们迈向二十一世纪第三个世纪初，《生殖健康》杂志的重点是发表论文，着重强调受性健康和生殖健康问题影响最严重者的困境，并展示各种行动受灾者和与之合作的人们采取的行动，以克服这种不可接受的不平等和不平等状况。

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    孕前干预。生殖健康补充剂。2014年。可从以下网站获得：https：//reproductive-health-journal.biomedcentral.com/articles/supplements/volume-11-supplement-3

    • 谷歌学术
  21. 21

    Doucet M，Pallitto C和GroleauD。了解卫生保健提供者进行女性生殖器切割的动机：对文献的综合回顾。生殖健康。2017; 14：46可从以下网站获得：https：//www.ncbi.nlm.nih.gov/pmc/articles/PMC5364567/。

    • 文章
    • 谷歌学术
  22. 22

    Bohren MA，Mehrtash H，Fawole B等。四个国家在以设施为基础的分娩过程中如何对待妇女：一项横断面研究，其中包括劳动观察和社区调查。柳叶刀。2019; （10月8日在线发布）。可从以下网站获得：https：//www.thelancet.com/action/showPdf？pii = S0140-6736％2819％2931992-0。

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隶属关系

  1. 阿根廷布宜诺斯艾利斯临床有效性和健康政策研究所（IECS-CONICET）母子健康研究系
    • 何塞·贝利赞（JoséM.
    •  ＆VerónicaPingray
  2. 美国旧金山大学的安全孕产计划
    • 苏伦·米勒
  3. 世界卫生组织生殖健康研究部，瑞士日内瓦
    • 文卡特拉曼·钱德拉·穆利（Venkatraman Chandra-Mouli）
作者
  1. 在以下位置搜索JoséM.Belizán：
    • 考研•
    • 谷歌学术
  2. 在以下位置搜索Suellen Miller：
    • 考研•
    • 谷歌学术
  3. 在以下位置搜索Venkatraman Chandra-Mouli：
    • 考研•
    • 谷歌学术
  4. 在以下位置搜索VerónicaPingray：
    • 考研•
    • 谷歌学术

会费

所有作者阅读并认可的终稿。

通讯作者

对应于JoséM.Belizán。

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对于出版的地图和机构隶属关系中的管辖权主张，Springer Nature保持中立。

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引用本文

Belizán，JM，Miller，S.，Chandra-Mouli，V。等。确定留守者的需求和问题，并与他们合作，在性和生殖健康解决不平等问题：一个重点生殖健康为2020年生殖健康 17， 6（2020）DOI：10.1186 / s12978-020-0856- 9

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  • 发表时间：

  • DOI ：https ：//doi.org/10.1186/s12978-020-0856-9
更新日期：2020-04-22
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