SA HEALTHCARE OP-ED: Improving access to sexual and reproductive health — a constitutional right in South Africa

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The urgency for universal health care (UHC) has never been greater. However, progress towards UHC is conditional upon addressing inequities in health access, prioritising the health needs of women, adolescents, vulnerable and marginalised populations ...

”. This document is intended for use by civil society organisations, researchers and policymakers. The key concepts are defined.

While the primary health care approach is not explicitly defined in the document, it is defined by WHO as having three components: “meeting people’s health needs throughout their lives; addressing the broader determinants of health through multisectoral policy and action; and empowering individuals, families and communities to take charge of their own health”.

Encouragingly, the WHO handbook is well-aligned with South Africa’s national strategies and polices on SRHR and NHI and provides specific guidance on the following: the key policy actions to ensure SRH services are part of health benefit packages; on how health systems can deliver integrated SRH services; and how to ensure accountability in the design and delivery of SRH services.

At the same time, paying attention to practices of good governance and especially in the priority-setting process for identifying and including services in health benefits packages is as important — but often neglected. Here, the handbook calls for transparent and inclusive engagement and participation ofLinked to this, there are growing and strong calls for the involvement of young people in adolescent SRH and UHC policy design, legislation, programming and monitoring.

 

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