Whats the implications of SDGs for sexual reproductive rights globally? Panelist at the University of Utrecht during a recent symposium talk about the just adopted SDGs for health

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Moving from MDGs to the new order(SDGs)
Unmet SRHR dimensions in SSA
Ayanore Martin
Department of Health Services Research
Maastricht University

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Demographics across populations!! Should we be bothered?
MDGs & SDGs consensus/aberrations for SRHR
Unmet maternity and reproductive health In SSA!!
SDGs Gaps !! Where must national policies focus?
Where do we invest?
Presentation Synopsis

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Demographics
Con’td Two key drivers to look at SSA
• Dividends
• Gender inequality
 Population data
(Mobility, patterns,
drivers, migration,
immigration,
emigration)
 Gender equality and
women empowerment
(economic game
changer)
 Social, cultural and
historical precedents
amidst globalisation
 Changing trends of
disease burden within
and across populations

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Unmet Need

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Comprehensive education (inclu. sexuality) for life and livelihoods
Indicators on disrespect and abuse are fundamental for sexual rights
Integrated context sexual services delivered in efficient health
systems
UHC (Service, Provider, Society) is a catalyst
How can SDGs address unmet needs in SSA

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MDGS/SDGS: Consensus and aberrations on
Reproductive and maternity health
Consensus
• Targeted Outcomes yields
faster results (utilization,
satisfaction, cost, quality of
services)
• Poor people benefit less
from public spending
• Integrated services are
possible and cost effective
• Collective commitment
begins at home
Aberrations
• SDGs are ambitious,
witnessed greater
stakeholder inputs ever seen
• SDGs will require more than
just people, resources and
power
• How can globalisation break
social/cultural/economic/
inequity barriers for health
outcomes?

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• Growth that is not inclusive:
cannot be sustained
• How do we guarantee
sexual/reproductive health and
rights in emergencies? And such
situations who takes the greater
responsibility?
• What accountability issues
can we hold all actors to? UN
agencies, civil society, NGOs,
etc
Can we do more on SDGs?

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Gender empowerment + compulsory basic to secondary education for all
girls and women
Building reliable vital health systems (data and profiles of needs, LSS,
push/pull factors)
Breaking the vicious cycle of child abuse and early child marriages in low
income countries
Investing more in ending unintended pregnancies with social inclusion
Clear indicators, measures for implementation and progress markers as
benchmark to progress
SDGs gaps !! Where should national policies focus

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• Gender empowerment
• Legislative acts on sexual and
reproductive violence
• Strengthening health systems
at all levels of the health
delivery
• Strong fiscal institutions/
financial sectors that target
specific growth driven areas
• Broad national and
community level context
stakeholder engagements for
greater ownership of local
targets and drivers for
change
‘We are not
promising, we are
delivering’-
Christine Lagarde
Where do we invest?

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CONCLUSIONS
Context specific outcomes and measures counts
Strong public health systems are the bedrock sustaining
SRHR beyond 2030
Top-down approaches towards meeting SDGs will not WORK
in SSA

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THE SUSTAINABALE DEVELOPMENT GOALS WILL REMAIN
UNSUSTAINABLE IF NATIONS ABANDON THEIR QUEST TO
REMAIN SUSTAINABLE