The UNFPA 2022 State of the World Population(SWOP)report recognises that certain populations of young women and girls are at a higher risk of unintended pregnancy,but did not adequately address the grave situation of ...The UNFPA 2022 State of the World Population(SWOP)report recognises that certain populations of young women and girls are at a higher risk of unintended pregnancy,but did not adequately address the grave situation of female sex workers(FSWs),who experience the worst sexual and reproductive health outcomes,especially during humanitarian crises.This study assesses the risks of unintended pregnancy among FSWs and sex worker organizations?response during the stringent COVID-19 containment measures in East and Southern Africa(ESA).A mixed-methods approach consisting of a desk review,key informant interviews and an online survey was used for data collection.Key informants and survey respondents included representatives of sex worker-led organisations and networks,organisations providing services to sex workers,development partners,advocacy organisations and donors,with priority given to key informants who had direct experience of providing services to sex workers during the COVID-19 pandemic.In total,21 key informants were interviewed and 69 respondents participated in the online survey,with representation from 14 out of 23 countries in the ESA region.The study findings show that the disruption to livelihoods and threats to human rights occasioned by the stringent COVID-19 containment measures intersected with sex workers’access to contraception and risk of unintended pregnancy.Looking to the uncertain future of humanitarian crises,the study concludes by outlining critical issues that need to be addressed to ensure resilience of SRHR services for populations in vulnerable positions,such as sex workers.展开更多
Every individual has the right to make their own choices about their sexual and reproductive health.Family planning,including contraceptive information and services,is fundamental to all individuals’health and human ...Every individual has the right to make their own choices about their sexual and reproductive health.Family planning,including contraceptive information and services,is fundamental to all individuals’health and human rights,including adolescents.Bangladesh made a commitment at the Nairobi summit(ICPD+25)in 2019 to address three zeros,including the unmet need for family planning by 2030-a big challenge where unmarried adolescents are excluded from most Sexual and Reproductive Health and Rights(SRHR)information and services.However,unmet need for family planning amongst adolescents in the country is high.A literature review of relevant research papers,survey reports,and policy documents has been conducted(i)to demonstrate the current situation of unmet need and SRHR-FP for adolescents in Bangladesh;(ii)to identify unique barriers and challenges faced by adolescents in accessing SRHR-FP information and using services in Bangladesh;(iii)to analyze and identify gaps in the current policies,strategies,and plans to address unmet need and SRHR in Bangladesh;and to provide recommendations for adapting policies and improving best practices.This paper demonstrates that although Bangladesh has policies designed to support youth rights and access to comprehensive sexuality education and relevant services,there are immense implementation gaps.Social stigma and taboos are overpowering the implementation of policies that need critical attention.Also,interventions are needed to address the significant gap in data on unmarried adolescents and their use of family planning services,which limits the analysis of the current situation of unmarried adolescents.展开更多
文摘The UNFPA 2022 State of the World Population(SWOP)report recognises that certain populations of young women and girls are at a higher risk of unintended pregnancy,but did not adequately address the grave situation of female sex workers(FSWs),who experience the worst sexual and reproductive health outcomes,especially during humanitarian crises.This study assesses the risks of unintended pregnancy among FSWs and sex worker organizations?response during the stringent COVID-19 containment measures in East and Southern Africa(ESA).A mixed-methods approach consisting of a desk review,key informant interviews and an online survey was used for data collection.Key informants and survey respondents included representatives of sex worker-led organisations and networks,organisations providing services to sex workers,development partners,advocacy organisations and donors,with priority given to key informants who had direct experience of providing services to sex workers during the COVID-19 pandemic.In total,21 key informants were interviewed and 69 respondents participated in the online survey,with representation from 14 out of 23 countries in the ESA region.The study findings show that the disruption to livelihoods and threats to human rights occasioned by the stringent COVID-19 containment measures intersected with sex workers’access to contraception and risk of unintended pregnancy.Looking to the uncertain future of humanitarian crises,the study concludes by outlining critical issues that need to be addressed to ensure resilience of SRHR services for populations in vulnerable positions,such as sex workers.
文摘Every individual has the right to make their own choices about their sexual and reproductive health.Family planning,including contraceptive information and services,is fundamental to all individuals’health and human rights,including adolescents.Bangladesh made a commitment at the Nairobi summit(ICPD+25)in 2019 to address three zeros,including the unmet need for family planning by 2030-a big challenge where unmarried adolescents are excluded from most Sexual and Reproductive Health and Rights(SRHR)information and services.However,unmet need for family planning amongst adolescents in the country is high.A literature review of relevant research papers,survey reports,and policy documents has been conducted(i)to demonstrate the current situation of unmet need and SRHR-FP for adolescents in Bangladesh;(ii)to identify unique barriers and challenges faced by adolescents in accessing SRHR-FP information and using services in Bangladesh;(iii)to analyze and identify gaps in the current policies,strategies,and plans to address unmet need and SRHR in Bangladesh;and to provide recommendations for adapting policies and improving best practices.This paper demonstrates that although Bangladesh has policies designed to support youth rights and access to comprehensive sexuality education and relevant services,there are immense implementation gaps.Social stigma and taboos are overpowering the implementation of policies that need critical attention.Also,interventions are needed to address the significant gap in data on unmarried adolescents and their use of family planning services,which limits the analysis of the current situation of unmarried adolescents.