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