Journal Highlight: Reproductive Health and SDG3

We discuss the importance of Sustainable Development Goal 3: Good Health and Wellbeing and how Reproductive Health is contributing meaningfully to achieving this goal.
Journal Highlight: Reproductive Health and SDG3
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Reproductive Health, an international, open-access journal published by BioMed Central, focuses on advancing the understanding of family planning, maternal health, and sexual health, in alignment with Sustainable Development Goal 3 (SDG3) targets 3.1 and 3.7.

Reducing maternal mortality (3.1) and ensuring universal access to sexual and reproductive health (SRH) care services (3.7) are key targets set by the United Nations, with the aim of reducing the global maternal mortality ratio to less than 70 per 100,000 live births and increasing the proportion of women of reproductive age (aged 15-49 years) who have their need for family planning satisfied with modern methods.

Progress in these areas has been mixed. Whilst the global maternal mortality ratio marginally declined from 227 maternal deaths per 100,000 live births in 2015 to 223 in 2020, regions such as sub-Saharan Africa and Southern Asia continue to see high maternal death rates. Similarly, whilst we have seen an increase of more than 75 million women using modern methods of family planning since 2015, some 270 million women lack access to modern contraceptive methods, particularly those in low- and middle-income countries (LMICs). To meet these SDG3 targets by 2030, substantial investment is needed to address these challenges, with a particular focus on vulnerable groups and regions.
 
Reproductive Health provides a platform to address critical issues affecting SRH across diverse populations, with an emphasis on LMICs. Recognising the need for evidence-based approaches to improve health outcomes, the journal publishes an array of study designs from scoping reviews, to qualitative research, to implementation science, with a focus on globally relevant research. In a recent study, Logie et al. conducted a comprehensive review of literature published from 1998 to 2023, analysing 92 studies across 100 countries to assess the SRH needs of forcibly displaced persons living in urban LMICs. They focused on various dimensions of SRH, including comprehensive sexuality education and safe abortion care. The review highlights that significant barriers exist that hinder access to essential SRH services, necessitating innovative approaches to address these challenges and achieve target 3.7.
 
To further this, the journal publishes implementation science as researchers aim to integrate evidence-based practices into routine use in health care and public health settings. The Adequate Childbirth Program aims to address the high rates of unnecessary cesaerean sections in Brazilian private hospitals. Following its implementation, significant changes were observed in labour and childbirth care practices, including the adoption of skin-to-skin contact and improved prenatal education. In an analysis by de Oliveira et al., the impact of the program was evaluated and revealed positive shifts towards more supportive practices for women. The implications of this study are significant for improving maternal care and addressing target 3.1 in reducing maternal mortality and increasing the proportion of births attended by skilled health personnel.
 
Reproductive Health has experienced significant growth, establishing itself as a leading platform for research and discourse on reproductive health, rights, and technologies worldwide. "Through its commitment to rigorous scientific inquiry and inclusive, evidence-based practices, the journal plays a vital role in advancing the understanding of reproductive health issues that affect millions," Editors-in-Chief Dr Sanni Yaya and Dr Bright Ahinkorah explain. "Supporting SDG3 is crucial, as it encompasses universal access to sexual and reproductive health services, maternal health improvements, and the prevention of diseases, aligning directly with the journal’s mission," the Editors-in-Chief confirm. "By promoting research that addresses inequalities and improves health outcomes, Reproductive Health contributes meaningfully toward achieving SDG3 and fostering a healthier, more equitable future."

Reproductive Health is currently calling for research on enhancing gender equity in reproductive health service access to address target 3.7 and SDG5 and has recently launched a special issue on comprehensive sexuality education to address the needs of adolescents and young people. 

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Public Health
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Related Collections

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Gender Equity in Reproductive Health Service Access

Healthcare access is important in ensuring the attainment of the Third Sustainable Goal (SDG3) by 2030. Access to reproductive healthcare services, which enables persons to live their lives to the fullest and enjoy safe and satisfying sex lives is a vital component of total health. However, access to these services differs by gender, with men and women across the globe having unequal access to the necessary information and services they require to enjoy total wellbeing, satisfactory sex lives, protection from sexually transmitted infections, prevention of unwanted pregnancies, and the treatment of infertility. The known reasons behind this unequal access range from social and cultural to economic reasons. For instance, lessened decision-making and financial autonomy for women may restrict their access to timely and effective reproductive healthcare services necessary for treatment and prevention of adverse health outcomes. On the other hand, even men may have restricted access to services due to cultural and time constraints. This collection will provide an avenue to researchers with interest in the intersection between gender and reproductive health access, as well as reproductive health and rights to present their research for maximum visibility. The collection is welcoming contributions such as original research articles using quantitative, qualitative and mixed-method designs, scoping and systematic reviews, policy analyses, case studies, meta-analyses, and commentaries. Contributors are encouraged to present policy-relevant recommendations and points of action for program implementers. Articles and other contributions to the collection should focus on, but are not restricted to the following areas: Socioeconomic and cultural barriers to reproductive healthcare service access in low-, middle-, and high-income settings: this is to examine the barriers to reproductive healthcare access in a wide variety of contexts. Gender-specific barriers to reproductive healthcare access: this is to examine the factors that restrict persons, irrespective of gender to reproductive healthcare access. Reproductive health policy in all contexts: this is to examine policies on reproductive health access from low-, middle-, or high-income countries, investigating how they encourage healthcare access for all population groups, and suggesting changes where necessary for effective service delivery and access. Reproductive healthcare service delivery models: this is to investigate the workings of current models of reproductive healthcare service delivery, evaluate them, and make recommendations for improvement where necessary. Intervention programmes on improving service delivery and access for underserved population subgroups: this will be to examine intervention programmes designed to improve service access for previously underserved populations, and to examine their effect, if any, on making reproductive healthcare services more accessible.

Publishing Model: Open Access

Deadline: Ongoing

Comprehensive Sexuality Education

Comprehensive sexuality education (CSE) is defined by the WHO as giving ‘young people accurate, age-appropriate information about sexuality and their sexual and reproductive health, which is critical for their health and survival’. CSE is a crucial component of public health programs and aims to equip individuals with the knowledge needed to make informed decisions on their sexual health. Numerous studies have demonstrated that CSE programs reduce the rates of sexual activity, sexual risk behaviours such as number of partners and unprotected intercourse, sexually transmitted infections (STIs), and adolescent pregnancy. Current programs across the world vary in their content, effectiveness, and emphasis and despite significant progress in recent years, challenges remain, including high rates of STIs and adolescent pregnancy. Collection objectives: - Assess the current landscape of CSE programs, including effectiveness and impact. - Examine patterns of risky sexual behaviours amongst populations and identify contributing factors. - Explore potential interventions and strategies to enhance the delivery and effectiveness of sexuality education programs to mitigate negative outcomes. Topics of interest include: - The effectiveness of CSE programs. - Harm reduction approaches to sex and sexuality education, and risky sexual behaviours, including chemsex. - The role of healthcare providers, schools, parents, community organisations, social media and influencers in promoting good sexual health. - Innovative interventions, such as telemedicine, mobile health apps, and community-based programs, to promote sexual health. - How economic disparities impact individuals' access to quality sexual health information and resources, leading to inequities in health outcomes. - Disparities in education based on location, gender, race, ethnicity, and sexual orientation. - The consequences of cultural differences within countries and globally on the approach to CSE and the associated health outcomes. - The impact on CSE delivery of biological changes, such as the shift in age of puberty, and technical evolutions, such as chemical prevention (PreP) in relation to HIV and sex behaviour. - Explore the level and appropriateness of research into CSE, and the barriers to ensuring that policy and practice in this area is driven by the research.

Publishing Model: Open Access

Deadline: Ongoing