WHO/Charles Ndwiga
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Sexual and reproductive health

    Overview

    Sexual and reproductive health is a state of physical, emotional, mental, and social well-being in relation to all aspects of sexuality and reproduction, not merely the absence of disease, dysfunction, or infirmity. All individuals have a right to make decisions governing their bodies and to access services that support that right. 

    It is proven that access to high-quality, affordable sexual and reproductive health services and information saves lives, improves health and well-being, promotes gender equality, and increases productivity and household income. These services also improve children’s health and well-being, paying dividends for future generations.

    Impact

    Comprehensive sexuality education and family planning are at the heart of ensuring health and well-being for all.

    Comprehensive sexuality education enables children and young people to better understand their sexual and reproductive health and rights and improve decision-making and communication skills. Sexuality education helps them to reduce risk and develop positive and responsible attitudes toward sexuality and relationships. 

    And yet, comprehensive sexuality education is mandatory in less than half of the countries in the WHO European Region. 

    In addition, a range of critical high-quality contraceptive methods and supplies, family counselling, and information on contraception are not widely available throughout the Region. Meeting the demand for family planning and contraception is vital in allowing women to achieve their desired family size and birth spacing. Unintended pregnancy rates are highest in countries that restrict abortion access and lowest in countries where abortion is broadly legal. Strengthening access to comprehensive family planning services and abortion care within the health system is fundamental to meeting people’s needs.  

    WHO response

    WHO collaborates with UN agencies, civil society, and other key stakeholders to accelerate progress in adopting and advancing a comprehensive agenda that incorporates the full range of peoples’ needs and services. This universal framework guides countries in how to develop policies, services, and programs that address all aspects of sexual and reproductive health, fairly and effectively.

    WHO supports countries in:

    • ensuring political will and accountability through policy dialogues and advocacy activities that place sexual and reproductive health at the core of the national universal health coverage (UHC) agenda;
    • integrating sexual and reproductive health and rights (SRHR) into existing national regulatory documents and developing comprehensive evidence-based SRHR-related national policies, strategies, and guidelines;
    • strengthening policies for integrating comprehensive SRHR services into primary health care; 
    • ensuring the inclusion of comprehensive SRHR services in UHC health benefit packages;
    • documenting experiences in implementing an integrated sexual reproductive health and UHC agenda; and
    • designing and implementing accountability processes and measures to drive and monitor progress in the implementation of national SRHR policies, strategies and commitments in the context of UHC.

    Our work

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    Developing an evidence-based approach to family planning

    Developing an evidence-based approach to family planning

    WHO/Almaz Zhumaliev
    © Credits

    Overview

    Contraception and the right to choose when to have children are at the centre of reproductive health. Contraception use varies across the European Region. In some countries many women who need modern contraception do not get it. They may have to cope with poor services, difficult access, high cost, custom and other cultural factors and many countries have a high unmet need for contraception and this has a greater impact on women's health and well-being across the life-course.

    Unmet need is defined as the percentage of women who are fertile and sexually active but are not using any method of contraception and who report that they either do not want any more children or wish to delay the next child. Data shows that the contraceptive prevalence has increased from 2000 to 2015, going from 55.6% to 61.2% respectively. However, unmet family planning need differs widely across the Region from 5% to nearly 23%.

    What can we do?

    WHO/Europe has assisted countries in developing an evidence-based approach to family planning and the introduction and adaption of WHO guidelines. This was done in collaboration with the United Nations Population Fund (UNFPA), the International Planned Parenthood Federation (IPPF), European Network, European Society of Contraception and Reproductive Health (ESC), the United States Agency for International development (USAID) and other organizations. In recent years these activities have taken place regionally and in Armenia, Kyrgyzstan, Turkmenistan, Ukraine and Uzbekistan.

    Contraceptive prevalence and the unmet need for contraception are both used as indicators to measure progress towards the Millennium Development Goals. It is considered "unfinished agenda" in reaching universal access to sexual and reproductive health and right (SRHR) is included in the Sustainable Development Goals (SDG) 2015-2030.

    Publications

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    Meeting of WHO collaborating centres for child and adolescent health and sexual and reproductive health in the WHO European Region: Cologne, Germany, 16–17 May 2023

    A joint meeting of WHO collaborating centres (‎CCs)‎ for child and adolescent health and sexual and reproductive health in the European Region...

    Improving the Quality of Hospital Care: strengthening primary health care by avoiding unnecessary hospitalizations in Tajikistan: health systems evaluation report

    Observations from completed WHO assessment visits in countries in the WHO European Region show that children and pregnant women with common conditions...

    Related WHO collaborating centres

    WHO collaborating centres are institutions that form an international collaborative network carrying out activities to support WHO’s programmes at all levels. They provide an opportunity for WHO to utilize their inherent expertise for the benefit of all Member States.

    View the list of related collaborating centres