Browsing by Author "Boydell, Victoria"
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Item Accountability for SRHR in the context of the COVID-19 pandemic(Taylor & Francis, 2020) George, Asha S.; Schaaf, Marta; Boydell, VictoriaGovernments and international organisations are focused on COVID-19 crisis decision-making. As a result, global and national health governance contexts are changing dramatically, as are the social and political determinants of sexual and reproductive health and rights (SRHR). Various gender dimensions of the pandemic are clear. While initial data suggest that men are more vulnerable to COVID-19 related mortality, in many high, middle, and low-income countries, the “essential workers” and informal workers who are disproportionately exposed are disproportionately lower social status women. (Boniol et al., 2019; Wenham et al., 2020) Intersecting injustices mean that certain disadvantaged groups are particularly hard hit. (Morgan & Davies, 2020) They are left to reconcile the often-incompatible demands of precarious jobs, potential exposure to COVID-19, the stress of caring responsibilities under lockdown and, particularly for women, increased isolation exacerbating Gender-Based Violence (GBV).Item Building a transformative agenda for accountability in SRHR: Lessons learned from SRHR and accountability literatures(Sexual and Reproductive Health Matters, 2019) Boydell, Victoria; Schaaf, Marta; George, Asha; Brinkerhoff, Derick W; Belle, Sara Van; Khosla, RajatGlobal strategies and commitments for sexual and reproductive health and rights (SRHR) underscore the need to strengthen rights-based accountability processes. Yet there are gaps between these ambitious SRHR rights frameworks and the constrained socio-political lived realities within which these frameworks are implemented. This paper addresses these gaps by reviewing the evidence on the dynamics and concerns related to operationalising accountability in the context of SRHR. It is based on a secondary analysis of a systematic review that examined the published evidence on SRHR and accountability and also draws on the broader literature on accountability for health. Key themes include the political and ideological context, enhancing community voice and health system responsiveness, and recognising the complexity of health systems. While there is a range of accountability relationships that can be leveraged in the health system, the characteristics specific to SRHR need to be considered as they colour the capabilities and conditions in which accountability efforts occur.