What are Sexual and Reproductive Health and Rights?

Good sexual and reproductive health is a state of complete physical, mental and social wellbeing in all matters relating to the reproductive system. 

It implies that people are able to have a satisfying and safe sex life, the capability to reproduce and the freedom to decide if, when, and how often to do so. 

To maintain one’s Sexual and Reproductive Health, people need access to accurate information and the safe, effective, affordable and acceptable contraception method of their choice. They must be informed and empowered to protect themselves from sexually transmitted infections. And when they decide to have children, women must have access to skilled healthcare providers and services that can help them have a fit pregnancy, safe birth and healthy baby.

Every individual has the right to make their own choices about their sexual and reproductive health. 

Source: UNFPA

Lhuhalha RCRA Uganda Backpack Nurse speaks with couple about family planning in Kasese District

Ihuhalha, a Backpack Nurse for our local partner, RCRA Uganda, speaks with a couple about family planning.

What prevents women from realising their Sexual and Reproductive Health and Rights?

Everyone deserves the right to decide if and when to have children. But around the world, too many women still can’t access reproductive healthcare. 

In East Africa, and in low- and middle-income countries globally, there is a high unmet need for family planning, especially among adolescents. Women and adolescents with unmet need are those who want to space or delay childbearing but are not using any method of contraception.

In the under-resourced and rural areas where we work in East Africa, women face many barriers to realising their Sexual and Reproductive Health and Rights.

These include:

  • Lack of effective policies, inadequate resources and funding hinders access to quality SRHR information and services.
  • Lack of accessible and appropriate information and services, particularly for youth, those with disabilities, language and literacy barriers as well as cultural differences.
  • Discrimination against women and girls affecting ability to make decisions around their bodies and health, through limited access to SRHR information and services.
  • Negative attitudes and norms as well as misconceptions and stigma surrounding SRHR.
  • Poverty, driving school drop out, child marriages and transactional sex for sanitary pads, food and/or money. 
Mount Kenya Trust leads an information session in a local school

Staff from Mount Kenya Trust lead an information session in a local school.

How does CHASE Africa improve knowledge and access to Sexual and Reproductive Health and Rights?

CHASE Africa supports our local partners to enable communities to sustainably realise their Sexual and Reproductive Health and Rights through:

  1. Improved knowledge and attitudes towards Sexual and Reproductive Health and Rights 
  2. Partnering with Ministry of Health to improve and increase access and quality of Sexual and Reproductive Health services
  3. Influencing and advocacy 
  4. Supporting an active partner network 

Our community health programmes integrate the delivery of Sexual and Reproductive Health services into primary healthcare, to make healthcare as accessible as possible to all. 

When girls and women can determine whether, with whom, when, and how they have sex they are more able to make informed decisions around contraception, and therefore more likely to finish their education, find time for employment, help keep their family out of poverty and create a more sustainable world. Through safe access to modern contraceptives, we can prevent unintended pregnancies, unsafe abortions and maternal deaths.

Ishmel Mid2

A men's dialogue run by our local partner, The Maa Trust.

Alarming rates of teenage pregancy in Kenya

In Kenya, we have focused our adolescent work in counties such as Meru and Narok County, who have the highest rates of teenage pregnancies in Kenya where 26% and 28% of 15–19-year-olds respectively experience pregnancy, compared to a national average of 15.

1,340,000 unintended pregancies

In Tanzania from 2015–2019, of the 2,930,000 annual pregnancies, 46% (1,340,000) were unintended and 16% (482,000) ended in illegal/unsafe abortions (Guttmacher).

Gender-based violence and STIs

The high rates of teen pregnancies often coincide with high rates of gender-based violence and high rates of new HIV infections which the Government of Kenya is tackling as a Triple Threat.