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Strategy for Sexual and Reproductive Health and Rights in the Sadc Region

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Strategy for Sexual and Reproductive Health and Rights in the Sadc Region STRATEGY FOR SEXUAL AND REPRODUCTIVE HEALTH AND RIGHTS IN THE SADC REGION Not an ofcial SADC publication STRATEGY FOR SEXUAL AND REPRODUCTIVE HEALTH AND RIGHTS IN THE SADC REGION 2019 - 2013 S T R AT E G Y F O R S E X U A L A N D R E P R O D U C T I V E H E A LT H A N D R I G H T S IN THE SADC REGION AN INTERIM PUBLICATION OF THE SADC STRATEGY The strategy remains a work-in-progress as the SADC Technical Working Group begins work early in 2019 on a monitoring and evaluation framework and strategy BROUGHT TO YOU BY: The Civil Society Organisations supporting the SADC SRHR Strategy PAGE 2 SADC SRHR STRATEGY 2019 - 2013 STRATEGY FOR SEXUAL AND REPRODUCTIVE HEALTH AND RIGHTS IN THE SADC REGION 2019 - 2013 ACKNOWLEDGEMENTS The SRHR Strategy for the SADC Region (2019 – 2030) was made possible through the collaboration of the Southern African Development Community (SADC) Secretariat with Member States and various stakeholders. The Secretariat acknowledges all contributions in particular the leadership by the Ministries of Health for Eswatini, Namibia and South Africa, who provided strategic direction and support to the work of the Technical Committee comprising of representatives from UN agencies, SheDecides, civil society and youth led organisations who led the development of the strategy. We acknowledge the contribution by representatives from the Ministries of Health, Education, Gender, and Youth from the 15 SADC Member States, Southern African civil society partners , youth led organisations who participate in the Technical Consultation and worked collaboratively to build consensus and provide inputs that has resulted in the development of this draft. We also acknowledge with appreciation the inputs by the Directors of the National AIDS Councils of the SADC Member States. We appreciate the leadership provided by the global SheDecides movement in the development of this Strategy and Scorecard. SheDecides is a global political movement driving change, fueled by actions in communities and with young people at its heart. The vision of SheDecides is guided by the SheDecides Manifesto that seeks to promote and enhance the fundamental right of every girl and woman to have agency, and to access the information, education and services that she needs and deserves to fulfil her potential in life. We also acknowledge with appreciation the leadership of the SheDecides Champions in the region in particular the Hon. Minister of Health for South Africa, Hon. Minister Motsoaledi and Hon. Minister of Health and Social Services for Namibia, Hon, Minster Haufiku, as well as the Chairperson of the SheDecides movement, Tikhala Itaye from Malawi. The Secretariat acknowledges the technical support provided by the East African Community Secretariat and its strategic partner the Health Information Systems Programme (HISP), University of Oslo, Norway. We extend our sincere appreciation to the 2gether 4 SRHR Programme, a joint United Nations efort that brings together the combined eforts of UNAIDS, UNFPA, UNICEF and WHO and the UNESCO Our Rights, Our Lives, Our Future Programme for their technical support in the development of this SRHR Strategy for the SADC Region and corresponding score card. We also extend our gratitude to the governments and people of Sweden and Denmark for their continued support in strengthening the sexual and reproductive health and rights of all people in the SADC region. SADC SRHR STRATEGY 2019 - 2013 PAGE 3 STRATEGY FOR SEXUAL AND REPRODUCTIVE HEALTH AND RIGHTS IN THE SADC REGION 2019 - 2013 TABLE OF CONTENTS ACKNOWLEDGEMENTS 2 ACRONYMS 5 GLOSSARY OF TERMS 6 EXECUTIVE SUMMARY 10 1. INTRODUCTION 15 2. SRHR CONTEXT IN SADC 16 2.1. SRHR CONTEXT IN THE SADC REGION 16 2.2. MATERNAL MORTALITY CONTINUES TO BE UNACCEPTABLY HIGH 17 2.3. ANTENATAL, INTRAPARTUM AND POSTNATAL CARE 18 2.4. LEVELS OF HIV AND AIDS IN THE REGION CONTINUE TO HAVE A SIGNIFICANT IMPACT 19 ON ALL SRH OUTCOMES 2.5. GENDER-BASED VIOLENCE IS A SIGNIFICANT CHALLENGE DESPITE POLICY ADMINISTRATION 19 2.6. THE POLICY AND SOCIAL ENVIRONMENT HAS A PARTICULARLY NEGATIVE IMPACT ON AYSRHR 20 2.7. POOR RESOURCING AND HEALTH SYSTEM CAPACITY CHALLENGES ARE A SIGNIFICANT BARRIER TO THE REALIZATION OF SRHR IN SADC 21 3. THE SADC SRHR STRATEGY 2019-2030 23 PROCESS OF DEVELOPING STRATEGY AND SCORE CARD 23 PURPOSE 24 SCOPE AND COVERAGE OF THE SADC SRHR STRATEGY 24 4. STRATEGIC APPROACH 26 VISION 26 BENEFICIARIES 26 PRINCIPLES 26 SRHR OUTCOMES FOR THE REGION 27 5. FRAMEWORK TO FAST TRACK THE SRHR OUTCOMES 28 A. INNOVATIVE LEADERSHIP THAT BOLDLY ACCELERATES THE SRHR REGIONAL AGENDA 28 B. ALIGNMENT OF MEMBER STATES POLICY AND LEGAL FRAMEWORKS WITH GLOBAL AND REGIONAL COMMITMENTS AND INTERNATIONAL HUMAN RIGHTS STANDARDS 29 C. UNIVERSAL HEALTH COVERAGE AND STRENGTHENED HEALTH SYSTEMS IN MEMBER STATES INCORPORATE THE ESSENTIAL SRHR PACKAGE 30 D. MONITORING AND EVALUATION FOR STRENGTHENED IMPACT AND EVIDENCE-BASED POLICY, PROGRAMMING AND SERVICE DELIVERY. 32 6. IMPLEMENTATION MODALITIES TO ACCELERATE, ADVANCE AND REALIZE SRHR COMMITMENTS 34 6.1. SADC MEMBER STATES, CIVIL SOCIETY, NON-GOVERNMENTAL ORGANIZATIONS, ADOLESCENTS, YOUTH AND KEY POPULATIONS ARE MUTUALLY ACCOUNTABLE TO ACHIEVE THIS STRATEGY. 34 6.2. SADC SECRETARIAT AND ITS STRATEGIC PARTNERS SUPPORT THE DOMESTICATION OF THE S ADC SRHR STRATEGY 2019–2030 35 6.3. THE SECRETARIAT AND ITS STRATEGIC PARTNERS MONITOR AND SUPPORT MEMBER STATES TO COLLECT DATA AND REPORT ON PROGRESS USING THE SCORECARD 36 7. IMPLEMENTATION 37 8. REFERENCES 38 9. ANNEXURES 41 PAGE 4 SADC SRHR STRATEGY 2019 - 2013 STRATEGY FOR SEXUAL AND REPRODUCTIVE HEALTH AND RIGHTS IN THE SADC REGION 2019 - 2013 ACRONYMS AIDS Acquired Immune Deficiency Syndrome ANC Antenatal Care ASRHR Adolescent Sexual and Reproductive Health and Rights AYSRHR Adolescent and Youth Sexual and Reproductive Health and Rights CMR Child Mortality Rate CPR Contraceptive Prevalence Rate CSE Comprehensive Sexuality Education DRC Democratic Republic of Congo GBV Gender-Based Violence GNP Gross National Product FP Family Planning FWCW Fourth World Conference on Women HFA Health for All HIV Human Immune Deficiency Virus ICM Integrated Committee for Ministers ICP International Cooperating Partners ICPD/PoA International Conference on Population and Development/ Plan of Action IMR Infant Mortality Rate MMR Maternal Mortality Ratio MDGs Millennium Development Goals MS Member State NGO Non-Governmental Organization PAC Post-Abortion Care PEP Post-Exposure Prophylaxis PHC Primary Health Care PMTCT Prevention of Mother to Child Transmission of HIV PNC Postnatal Care RIDSP Regional Indicative Strategic Development Plan RH Reproductive Health SADC Southern African Development Community SDGS Sustainable Development Goals SHDSP Social and Human Development and Special Programmes SRH Sexual and Reproductive Health SRHR Sexual and Reproductive Health and Rights STI Sexually Transmitted Infections TB Tuberculosis UN United Nations UNAIDS Joint United Nations Programme on HIV/AIDS UNDP United Nations Development Programme UNESCO United Nations Educational, Scientific and Cultural Organization UNGASS United Nations General Assembly Special Session UNFPA United National Population Fund UNICEF United Nations Children’s Fund WHA World Health Assembly WHO World Health Organization WHO/AFRO World Health Organization/ Africa Regional Ofce SADC SRHR STRATEGY 2019 - 2013 PAGE 5 STRATEGY FOR SEXUAL AND REPRODUCTIVE HEALTH AND RIGHTS IN THE SADC REGION 2019 - 2013 GLOSSARY OF TERMS1 ADOLESCENT: Persons aged 10-19 years ADOLESCENT AND Health services that are both responsive and acceptable to the needs of YOUTH-FRIENDLY HEALTH adolescents and youth and are provided in a non-judgmental, confidential and SERVICES: private environment, in times and locations that are convenient for adolescents and youth. COMPREHENSIVE Refers to the provision of age-appropriate, culturally relevant, scientifically SEXUALITY EDUCATION: accurate, realistic, non-judgmental information about sex and relationships. Sexuality education provides opportunities to explore one’s own values and attitudes and to build decision-making, communication and risk-reduction skills about many aspects of sexuality. GENDER-BASED VIOLENCE Refers to all acts perpetrated against women, men, girls, and boys on the basis (GBV): of their sex that cause or could cause them physical, sexual, psychological, emotional or economic harm, including the threat to carry out such acts. GBV includes the imposition of arbitrary restrictions on or deprivation of fundamental freedoms in private or public life in peacetime and during situations of armed or other forms of conflict GENDER MAINSTREAMING2: Defined by the United Nations as the process of assessing the implications for women and men of any planned action, including legislation, policies and programmes, in any area and at diferent levels. It is a strategy for making women’s and men’s concerns and experiences an integral dimension in the design, implementation, monitoring and evaluation of policies and programmes in all political, and societal spheres so that women and men benefit equally , and inequality is not perpetuated. The ultimate goal is to achieve gender equality. HEALTH CARE: Services provided to individuals or communities by health service providers for the purpose of promoting, maintaining, monitoring and restoring health and preventing illness. Health is defined by the World Health Organization (WHO) as the state of complete physical, mental, and social well-being and not merely the absence of disease or infirmity. Health
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