Sexual and Reproductive Health Framework - UNFPA

coordination, harmonization, country ownershipand national capacity. This has clear implicationsfor the manner in which UNFPA will contributeto SRH programmes. Crafted to increase UNFPAeffectiveness at the country level, the plan requiresspecialized and high-quality technical skills tosucceed at including SRH in public policies and atdeveloping the sustainable capacity of democraticinstitutions in countries. Moreover, at regionallevels, technical expertise in SRH and specialists inresults-based management and evaluation will beneeded to support programme specialists who, inthe past, were involved in overseeing the daily tasksof monitoring programme expenditures.27. The perception that SRH and family planningprogrammes have lost ground to other priorityareas presents serious challenges but also immenseopportunities to innovate and to use the power ofpartnerships to move SRH outside the confines ofvertical programmes.2. priority thematic areas28. To implement the strategic plan’s goals inreproductive rights and SRH and to contribute toachievement of the related outcomes, UNFPA willinvest in four priority areas:(a) SRH services in the basic health-care servicesdelivered at district and local levels, particularlyprimary health care, through functioninghealth systems that prioritize quality, equityand integration and are equipped withaccountability mechanisms for users andproviders. The SRH package should universallyinclude: family planning services; pregnancyrelatedservices, including skilled attendanceat delivery, emergency obstetric care and postabortioncare; STI and HIV prevention anddiagnosis and treatment of STIs; prevention andearly diagnosis of breast and cervical cancers;prevention of gender-based violence and care ofsurvivors; ASRH; and RHCS for each componentof the package. UNFPA will emphasize the keycomponents of the package as relates to theoutcomes of the Strategic Plan while at thesame time promoting progressive realization ofcomprehensive SRH care;(b) The integration of HIV prevention, managementand care in SRH services. The integration ofHIV and SRH services matters enormously froma user’s perspective, providing users in dealingDiego Goldberg/Pixel Press/UNFPAwith the health-care system as one, in testingits quality and in feeling supported. This willdetermine the extent to which users trust thesystem and its value in resolving their problems,which, in turn, will determine continuity of use;(c) Gender sensitive life-skills based SRHeducation and a package of social protectionservices for adolescents and youth, includingSRH. At a minimum, these will include lifeskillseducation, psychosocial counselling,contraception, HIV-prevention, STI- prevention/treatment and maternal health services; 13(d) SRH in emergencies and humanitarian crises,which will include the same services definedabove in the SRH package to safeguard theSRH and reproductive rights of women andadolescents affected by conflict and disasters. 18MAKING REPRODUCTIVE RIGHTS AND SEXUAL AND REPRODUCTIVE HEALTH A REALITY FOR ALL11