Abstract
The sexual and reproductive health landscape in the Arab region is a manifestation of the success of the development discourse and the international consensus in impacting positive change. This chapter demonstrates how the strategy and performance of the health sector in the Arab region have positively changed and contributed to the improved reproductive health of women. The chapter also discusses a number of shortfalls in the progress achieved. In particular, we highlight the inequity shortfall and argue that addressing this shortfall requires departure from “business as usual” approach. Such a departure demands a significant paradigm shift as well as knowledge and action shifts. The nature of the departure needed was articulated by the Commission of Social Determinants of Health, but has not received the attention it deserves in the Arab region. The positive achievements on the reproductive health front provide an opportunity to address the reproductive health challenge to ensure leaving no one behind and can serve as a gateway of reform of health policies. The health sector particularly should spearhead a major policy reform movement.
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References
Al Hinai F (2018) Inequalities in sexual and reproductive health: the case of Oman. National study. http://schools.aucegypt.edu/research/src/Documents/SRH-Inequities/Oman-Report.pdf
Commission on Social Determinants of Health (2008) Closing the gap in a generation: health equity through action on the social determinants of health. Final report of the commission on social determinants of health. World Health Organization, Geneva
DeJong J, Bashour H (2016) Sexual and reproductive health laws and policies in selected Arab countries. http://arabstates.unfpa.org/sites/default/files/pub-pdf/Sexual.pdf. Accessed 5 Sept 2018
ESCWA, UNFPA/ASRO, LAS (forthcoming) Implementation review of the 2013 Cairo declaration. In: Arab regional conference on population and development: five years on the 2013 Cairo declaration. Beirot, Lebanon. 1 Nov 2018
Gamaoun R (2018) Knowledge, awareness and acceptability of anti-HPV vaccine in the Arab states of the Middle East and North Africa region: a systematic review. East Mediterr Health J 24(6):538–548
Inhorn M, Gurtin Z (2012) Infertility and assisted reproduction in the Muslim Middle East: Social, religious, and resource considerations. Facts, Views and Vision in ObGyn Monograph. Biomedical infertility care in poor resouces countries: Barriers, Aspects and Ethics. Universa Press, Belgium. pp 24–29
Khadr Z, Rashad H, Watts S et al (2012) Health inequities: social determinants and policy implications. In: Jobbour S, Giacaman R, Khawaja M et al (eds) Public health in the Arab world. Cambridge University Press, Cambridge, UK, pp 61–74
Khawaja M, Dawns J, Meyerson-Knox S et al (2008) Disparities in child health in the Arab region during the 1990s. Int J Equity Health 7:24. https://doi.org/10.1186/1475-9276-7-24
LAS, UNFPA, ESCWA, UNECA (2013) Development challenges and population dynamics in a changing Arab world. Cairo declaration. In: Regional conference on population and development in the Arab states (ICPD beyond 2014), Cairo, 24–26 June 2013
Lfarakh A (2018) Reproductive health inequities in Morocco: if they do not kill, they unfairly handicap (in French). National study. http://schools.aucegypt.edu/research/src/Documents/SRH-Inequities/Rapport_Maroc.pdf
Ministry of Development Planning and Statistics (2014) Multiple indicator cluster survey (MICS): 2012. Doha – Qatar
Ministry of Health [Morocco] (2012) National survey on population and family health 2011 (in French). PAPFAM project, League of Arab States
Ministry of Health and Population [Egypt], El-Zanaty and Associates [Egypt], ICF International (2015a) Egypt health issues survey 2015. Ministry of Health and Population and ICF International, Cairo/Rockville
Ministry of Health and Population [Egypt], El-Zanaty and Associates [Egypt], ICF International (2015b) Egypt demographic and health survey 2014. Ministry of Health and Population and ICF International, Cairo/Rockville
Mohamed EA (2018) Inequalities in sexual and reproductive health: the case of Sudan. National study. http://schools.aucegypt.edu/research/src/Documents/SRH-Inequities/Sudan-Report.docx.pdf
Rashad H (2018) Progress in implementing the 2013 Cairo declaration (Presentation in Arabic). Paper presented at the Arab regional conference on population and development five years after the 2013 Cairo declaration, Beirut, 30 Oct–1 Nov 2018. https://www.unescwa.org/sites/www.unescwa.org/files/events/files/arcpd-launching-swop2018-presentation-hoda-rashad-ar.pdf. Accessed 29 Nov 2018
Rashad H, Shawky S, Khadr Z (forthcoming) Reproductive health equity in the Arab region: evidence and policy implications. To be published by SRC and UNFPA. http://schools.aucegypt.edu/research/src/Documents/SRH-Inequities/Reproductive-Health-Equity-in-the-Arab-Region.pdf
Shawky S (2018) Measuring geographic and wealth inequalities in health distribution as tools for identifying priority health inequalities and the underprivileged populations. Global Adv Health Med 7:1–10. http://journals.sagepub.com/doi/pdf/10.1177/2164956118791955. Accessed 9 Oct 2018
Shawky S, Rashad H, Khadr Z (2018) Reproductive health inequalities in Egypt: evidence for guiding policies. National study. http://schools.aucegypt.edu/research/src/Documents/SRH-Inequities/Egypt-Report.pdf
UN (2003) Indicators for monitoring the millennium development goals. http://mdgs.un.org/unsd/mdg/Resources/Attach/Indicators/HandbookEnglish.pdf. Accessed 5 Sept 2018
UN (2014) Framework of actions for the follow-up to the programme of action of the international conference on population and development beyond 2014. Report of the secretary-general. https://www.unfpa.org/sites/default/files/pub-pdf/ICPD_beyond2014_EN.pdf. Accessed 19 Sept 2018
UN (2015) Transforming our world: the 2030 agenda for sustainable development. A/RES/70/1. https://sustainabledevelopment.un.org/post2015/transformingourworld/publication. Accessed 5 Sept 2018
UN (2017) Reproductive health policies 2017. Data booklet. http://www.un.org/en/development/desa/population/publications/pdf/policy/reproductive_health_policies_2017_data_booklet.pdf. Accessed 27 Sept 2018
UNDP (2018) Human development indices and indicators 2018: statistical update. http://hdr.undp.org/sites/default/files/2018_human_development_statistical_update.pdf. Accessed 12 Sept 2018
UNFPA (2004) Programme of action adopted at the international conference on population and development, Cairo, 5–13 Sept 1994. United Nations Population Fund, New York. https://www.unfpa.org/sites/default/files/event-pdf/PoA_en.pdf. Accessed 5 Sept 2018
UNFPA (2016) Universal access to reproductive health: progress and challenges. https://www.unfpa.org/sites/default/files/pub-pdf/UNFPA_Reproductive_Paper_20160120_online.pdf. Accessed 12 Sept 2018
UNFPA (2017) The state of world population 2017: WORLDWS APART: reproductive health and rights in an age of inequality. https://reliefweb.int/sites/reliefweb.int/files/resources/UNFPA_PUB_2017_EN_SWOP.pdf. Accessed 19 Sept 2018
UNFPA, MENA Health Policy Forum (2018) Integration of sexual and reproductive health services in the Arab states region: six-country assessment. Policy Brief. http://menahpf.org/wp-content/uploads/2018/06/MENA-Integration-Policy-Brief-final-for-Print-30-4-2018.pdf. Accessed 17 Sept 2018
UN, LAS (2013) The Arab millennium development goals report: facing challenges and looking beyond 2015. http://www.undp.org/content/dam/rbas/doc/MDGS%20publications/Arab_MDGR_2013_English.pdf. Accessed 5 Sept 2018
United Nations Population Fund (UNFPA) Arab States Regional Office (ASRO) and Middle East and North Africa Health Policy Forum (MENA HPF) (2017) Assessment of sexual and reproductive health integration in selected Arab countries: regional report
Warren CE, Mayhew SH, Hopkins J (2017) The current status of research on the integration of sexual and reproductive health and HIV services. Stud Fam Plan 48(2):91–105
WHO (1978) Declaration of Alma-Ata. In: International conference on primary health care, Alma-Ata, USSR, 6–12 Sept 1978. http://www.who.int/publications/almaata_declaration_en.pdf. Accessed 12 Sept 2018
WHO (2009) Monitoring and evaluation of health systems strengthening an operational framework. Paper prepared by WHO (Ties Boerma and Carla Abou-Zahr), World Bank (Ed Bos), GAVI (Peter Hansen) and Global Fund (Eddie Addai and Daniel Low-Beer) as part of the joint work on health systems strengthening and IHP+ common evaluation framework
WHO (2010) The sexual and reproductive health of young adolescents in developing countries: reviewing the evidence, identifying research gaps, and moving the agenda. Report of a WHO technical consultation, Geneva, 4–5 Nov 2010. http://www.who.int/immunization/hpv/target/the_sexual_and_reproductive_health_of_young_adolescents_who_2011.pdf. Accessed 19 Sept 2018
Zoubi A, Elmoneer R (2018) Inequalities in sexual and reproductive health: the case of Jordan. National study. http://schools.aucegypt.edu/research/src/Documents/SRH-Inequities/JORDAN-Report.pdf
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Rashad, H., Shawky, S., Khadr, Z., Sahbani, S., Afifi, M. (2019). Achieving Sexual and Reproductive Health Equity in the Arab Region: A New Role for the Health Sector. In: Laher, I. (eds) Handbook of Healthcare in the Arab World. Springer, Cham. https://doi.org/10.1007/978-3-319-74365-3_156-1
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DOI: https://doi.org/10.1007/978-3-319-74365-3_156-1
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