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SEXUAL HEALTH AND HUMAN RIGHTS A legal and ... - The ICHRP

SEXUAL HEALTH AND HUMAN RIGHTS A legal and ... - The ICHRP

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A. BACKGROUND<br />

This report has been written as part of the World Health Organisation’s (WHO) project on<br />

<strong>legal</strong> <strong>and</strong> jurisprudential research on “Sexual Health & Human Rights.” <strong>The</strong> Project involved<br />

researchers <strong>and</strong> experts from the different WHO regions who were tasked with reviewing<br />

<strong>legal</strong> <strong>and</strong> jurisprudential [progress/changes/good practices] from their respective regions<br />

related to Sexual Health <strong>and</strong> Human Rights. This report presents the review of select<br />

countries in WHO’s South East Asia Regional Office region.<br />

WHO’s Project on Sexual Health <strong>and</strong> Human Rights<br />

In 2008 the Gender, Reproductive Rights, Sexual Health <strong>and</strong> Adolescence unit of the<br />

Department of Reproductive Health <strong>and</strong> Research in WHO established the project on Sexual<br />

Health <strong>and</strong> Human Rights. <strong>The</strong> aim of the project was to develop a publication/series of<br />

publications that can contribute to the recognition, underst<strong>and</strong>ing <strong>and</strong> application of human<br />

rights st<strong>and</strong>ards related to sexuality <strong>and</strong> sexual health. <strong>The</strong> main assumption is that<br />

canvassing the authoritative st<strong>and</strong>ards articulated under international, regional <strong>and</strong> national<br />

laws <strong>and</strong> jurisprudence related to sexual health issues, can clarify normative guidance for<br />

states, <strong>and</strong> thus facilitates state efforts to improve protection of rights relating to sexual<br />

health. <strong>The</strong> project, thus, seeks to document <strong>and</strong> analyze how human rights st<strong>and</strong>ards have<br />

been specifically applied to sexual health issues in international, regional <strong>and</strong> national laws<br />

<strong>and</strong> jurisprudence. <strong>The</strong> project complements other WHO initiatives related to sexual health,<br />

particularly through defining state obligations related to sex, sexuality <strong>and</strong> sexual health.<br />

<strong>The</strong> WHO experts, commissioned for the Project, organized their reviews of the national<br />

<strong>legal</strong> st<strong>and</strong>ards related to sexual health <strong>and</strong> human rights around eight topics. 1 <strong>The</strong>se topics<br />

were chosen, refined <strong>and</strong> elaborated through extensive discussions during three successive<br />

WHO technical consultations with experts who were undertaking research for other regions<br />

of the world. While these eight common topics appear in each regional report, the experts<br />

were given discretion to develop sub-topics as relevant to their regional <strong>and</strong> national contexts.<br />

<strong>The</strong> topics were chosen with regard to three criteria: demonstrated causal importance to<br />

sexual health <strong>and</strong> well-being; relevance to core WHO goals of promoting sexual health for all<br />

persons, with particular consideration to promote gender equality; to give priority to poor <strong>and</strong><br />

underserved populations <strong>and</strong> groups, especially adolescents; <strong>and</strong> to examine laws <strong>and</strong> policies<br />

that intersect with fundamental questions of human rights.<br />

In choosing these eight topics, <strong>and</strong> in their ensuing research, the WHO experts identified<br />

themes of global significance to rights <strong>and</strong> health in relation to sexuality, while attending<br />

carefully to regional diversity, as well as national <strong>and</strong> local specificity (including <strong>legal</strong>,<br />

cultural, political, social, economic <strong>and</strong> historical concerns). In addition, the eight topics are<br />

further contextualized within empirical literature on sexuality <strong>and</strong> sexual health. Moreover, as<br />

research into the eight topics progressed in each region, experts were given flexibility in their<br />

treatment of each of the topics <strong>and</strong> sub-topics.<br />

Thus, while there is consistency in the overall framework of the eight topics, readers will<br />

notice variation in how laws <strong>and</strong> authoritative st<strong>and</strong>ards relevant to sexual health are treated<br />

1 <strong>The</strong> eight topics are (1) Non-discrimination as relevant to sexual health; (2) Penalization of sexual activities;<br />

(3) State regulation of marriage <strong>and</strong> family as relevant for sexual health; (4) Gender identity; (5) Violence as<br />

relevant for sexual health; (6) Access to health services in relation to sex <strong>and</strong> sexuality; (7) Education,<br />

information <strong>and</strong> expression related to sex <strong>and</strong> sexuality <strong>and</strong> (8) Sex work.<br />

6

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