Reproductive freedom and women's freedom: surrogacy and autonomy.
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This paper reviews the ways in which social science research findings can influence action in the areas of reproductive health and rights. Essentially, social science research: (a) establishes the levels and patterns of behaviours, attitudes or perceptions; (b) explores factors underlying these behaviours, attitudes and perceptions; (c) explains programme and organisational impediments constraining, in practice, the exercise of informed choices or the acquisition of preventive and curative services; (d) monitors the extent to which interventions have been successful in modifying behaviours, attitudes or perceptions, and (e) facilitates an understanding of the policy, social and legal arenas that impinge on the determinants and consequences of reproductive choice. Findings highlight possible courses for legal, policy or programmatic interventions. Such research has enormous relevance for our understanding of reproductive and sexual health, and the health-seeking choices that women and men--from adolescent to adult--make in various settings, the constraints they face in making these choices, and the kinds of interventions that might enhance choices given the prevailing sociocultural context. Focusing on adolescent sexual and reproductive health and choice, the paper concludes that social science research findings are fundamental for informing efforts to protect reproductive rights.
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The law legalizing abortion and implementing family planning, passed in former Yugoslavia in 1952, is still in effect in the newly created state of Bosnia-Herzegovina. This law has helped eliminate illegal, i.e. criminal, abortions, but existing arrangements providing family planning and promoting reproductive and sexual health are not effective enough, because too few people know enough about the rights to individual choice in family planning. The primary objective for the next twenty years is to educate the people--women, men and the young--about their rights to reproductive choice and sexual health, and about how to exercise those rights as fully and effectively as possible. Legal and financial assistance from WHO will be welcome, because the post-war Bosnian society and state lack funds for such initiatives.
This article draws on data from ethnographic fieldwork in an urban housing project to examine the social context and meanings of surgical sterilization for low-income women in Brazil. Low-income women resort to sterilization because they distrust or are unsatisfied with alternative methods and because it helps them to fulfill the requirements of modern, responsible motherhood. Although sterilization is an option among few alternatives, and one that has subjected women to greater medical management and intervention, I argue that sterilization also represents poor women's active struggle to improve their lives and to resist the burdens placed on them by unequal gender relations. This article contributes to a growing anthropological literature that demonstrates how reproduction has become a central site where social values are constituted and contested, and it details women's diverse responses to the process of medicalization.
HIV and AIDS have a myriad of effects on sexual and reproductive health and rights, and sexual and reproductive health services are critical for women and men with HIV and AIDS. Yet there has been a dearth of visible, in-depth mainstream attention to the links between sexual and reproductive health and prevention and treatment of HIV/AIDS since the early 1990s among major stakeholders internationally. This paper argues that access to essential sexual and reproductive health care should be provided in HIV/AIDS prevention, care and treatment programmes, and appropriate forms of prevention and treatment of HIV/AIDS should be included in all sexual and reproductive health services as a public health priority, particularly in sex education, family planning and abortion services, pregnancy-related care, sexually transmitted infection (STI) services and services addressing sexual violence. The paper analyzes existing barriers to linking and integrating these services, e.g. at country level due to the traditional training of health workers to implement vertical programmes, separate sources of funding for National AIDS Control Programmes and sexual and reproductive health services, and in international donor programme and UN agency structures. This paper calls for leadership to be exercised by donors, all the UN agencies working together, governments, health service managers and providers, NGOs and advocates in both fields to develop and implement these linkages at country level. Finally, it is crucial that UNAIDS, WHO, UNFPA, UNICEF, the Global Fund to Fight AIDS, TB and Malaria and those working to reach the targets set by the Millennium Development Goals come on board in these efforts.
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The feminist literature against the commodification of embryos in human embryo research includes an argument to the effect that embryos are "intimately connected" to persons, or morally inalienable from them. We explore why embryos might be inalienable to persons and why feminists might find this view appealing. But, ultimately, as feminists, we reject this view because it is inconsistent with full respect for women's reproductive autonomy and with a feminist conception of persons as relational, embodied beings. Overall, feminists should avoid claims about embryos' being inalienable to persons in arguments for or against the commodification of human embryos.