This report demonstrates the relationship between sexual health, human rights and the law. Drawing from a review of public health evidence and extensive research into human rights law at international, regional and national levels, the report shows how states in different parts of the world can and do support sexual health through legal and other mechanisms that are consistent with human rights standards and their own human rights obligations.
The relevance of issues of gender and sexuality in relation to reproductive health in Thailand is discussed here. The topics of this monograph were categorized according to a list formulated by WHO. These categories are family planning, maternal/child health and safe motherhood, infertility, and abortion/complications of abortions. The document also provides information on sexually transmitted diseases/reproductive tract infections, sex education, reproductive tract malignancy, adolescent health, menopause, and the elderly. These categories fall naturally under three headings: family planning, maternal/child health, and the consequences of unwanted pregnancies. In the latter stage of the project, consultative meetings were held in Bangkok, Hat Yai, Khon Kaen and Chiang Mai to obtain valuable views from other experts. The results were discussed at a seminar held in Bangkok on November 21-22, 1998. This seminar saw the adoption of a life cycle perspective in which men and women act out their gender roles--including those associated with sexuality--during adolescence and the subsequent stages of their adult lives. Because reproductive health is a coherent entity, policy and programs for all aspects of reproductive health should be integrated. This project concludes that research, advocacy and training concerning the gender-related aspects of interactions between providers and clients in the delivery of reproductive health services is needed. Also, a comprehensive information, education and communication program is called for so that services can be extended to include men in supportive roles wherever possible.
These WHO guidelines provide recommendations for programmes as to how they can ensure that human rights are respected, protected and fulfilled, while services are scaled up to reduce unmet need for contraception. Both health data and international human rights laws and treaties were incorporated into the guidance. This guidance is complementary to existing WHO recommendations for sexual and reproductive health programmes, including guidance on family planning, maternal and newborn health, safe abortion, and core competencies for primary health care.
This book discusses abortion in a non-Western, non-Christian context - in Thailand, where over 300,000 illegal abortions are performed each year by a variety of methods. The book, based on extensive original research in the field, examines a wide range of issues, including stories of the real-life dilemmas facing women, popular representations of abortion in the media, the history of the debate in Thailand and its links to politics. Overall, the work highlights the voices of women and their subjective experiences and perceptions of abortion, and places these 'women's stories' in an analysis of broader socio-political gender and power relations that structure sexuality and women's reproductive health decisions.
This open access edited volume explores physical disability and sexuality in South Africa, drawing on past studies, new research conducted by the editors, and first-person narratives from people with physical disabilities in the country. Sexuality has long been a site of oppression and discrimination for people with disabilities based on myths and misconceptions, and this book explores how these play out for people with physical disabilities in the South African setting. One myth with which the book is centrally concerned, is that people with disabilities are unable to have sex, or are seen as lacking sexuality by society at large. Societal understandings of masculinity, femininity, bodies and attractiveness, often lead people with physical disabilities to be seen as being undesirable romantic or sexual partners. The contributions in this volume explore how these prevailing social conditions impact on the access to sexual and reproductive healthcare, involvement in romantic relationships, childbearing, and sexual citizenship as a whole, of people with physical disabilities in the Western Cape of the country. The authors' research, and first person contributions by people with physical disabilities themselves, suggest that education and public health policy must change, if the sexual and reproductive health rights and full inclusion of people with disabilities are to be achieved.
These essays examine the global impact of infertility as a major reproductive health issue, one that has profoundly affected the lives of countless women and men. The contributors address a range of topics including how the deeply gendered nature of infertility sets the blame on women's shoulders.
Following the detection of the first HIV infections in the early 1980s, by the 1990s Thailand was routinely depicted as having the world’s fastest moving HIV/AIDS epidemic. However, by the early 2000’s the bulk of scholarly and medical AIDS literature portrayed the epidemic as being largely under control, and claimed that Thai AIDS prevention efforts during the 1990s had been successful. Based on long-term ethnographic research conducted in Northern Thailand this book makes an in-depth study of the social construction of Thailand’s HIV/AIDS epidemic over this period. In addition to his own field research the author draws on an extensive corpus of English and Thai language social science and medical HIV/AIDS literature to examine the modeling of Thailand’s AIDS epidemic, and addresses concepts and issues such as risk groups, risk behaviour, alcohol use, gender and class, masculinity, the scapegoating of female prostitutes and men in the underclass, the reporting of the HIV/AIDS epidemic in Thailand’s indigenous Thai language media, and sexual activity amongst Thai youth. The analysis demonstrates the contribution of anthropology as an interpretative social science, and the use of anthropological theory and research methods, to finding alternative ways of framing the problems of Thai AIDS and of posing new questions that will lead to more effective points of intervention. It emphasises the necessity for critically reflexive approaches that question the ‘taken for granted’ and demonstrates how qualitative research techniques guided by social theory have the potential to take account of local meanings in complex social contexts where traditional values and cultural practices are rapidly transforming due to economic and social change. The book offers a sustained and powerful criticism of the limitations of the normative model of the Thai AIDS epidemic and, in its aim of promoting critically reflexive AIDS research techniques in order to produce a better understanding of issues ‘on the ground’ and hence better health policy and more effective AIDS interventions, speaks not only to the Thai AIDS epidemic but to AIDS epidemics throughout Southeast Asia and elsewhere. This is the only English language study of Thailand’s HIV/AIDS epidemic to draw on long-term qualitative research in Northern Thailand as well as on a broad range of Thai (and some Khmer language) materials. Its contextualised and subtly nuanced analysis of the AIDS epidemic and of the impact of AIDS control initiatives, in concert with the theoretical and methodological contributions it makes to AIDS research and policy and behavioural interventions, makes it a timely publication of vital interest to scholars in the social sciences, as well as to the members of non-governmental organisations and international organisations working in the HIV/AIDS, health and development fields.
