International Planned Parenthood Federation
IPPF welcomes the draft; however, it fails to address the pre-existing gender inequalities which are exacerbated in situations of crises. The section on Health Consequence and Challenges must include a reference to gendered analysis of the health consequences and barriers facing women and girls, in particular access SRH services, as well as to the increased risks of unintended pregnancy and unsafe abortion, due to lack of or interrupted access to contraceptives and increased risks of SGBV and child, early, and forced marriage facing refugees and migrants.
SRH is a state of complete physical, mental and social well-being in all matters relating to the reproductive system and its functions and processes. As such, it's also an essential component of health care and services to refugees and migrants.
The intersections of gender, health and rights have significant effects on refugee and migrant women and girls. They face particular challenges and violations of their SRHR , including limited access to SRH services, higher rates of child, early and forced marriage, transmission of HIV infection or other sexually transmitted infections.
Providing comprehensive, high-quality SRH services in refugee settings requires a multi-sectoral, integrated approach. Protection, health, nutrition, education as well as water, sanitation, and hygiene and community service personnel all have a part to play in planning and delivering SRH services.
We welcome the reference to the Inter-Agency Field Manual on SRH in Humanitarian Settings which continues to be the authoritative source for SRH in crises, and the WHO’s contribution to it. We emphasize inclusion of the MISP for SRH as a minimum standard of care in particular to strengthening health systems to provide comprehensive services.
As we are moving towards the UHC High-level meeting and the goal to leave no one behind, refugees and migrants must be included in the outcome document. Similarly, the global action plan must include UHC.