I.4
Existence of intercultural sexual and reproductive health services, including preventive measures and culturally and linguistically relevant information.

Definition:

Existence of intercultural sexual and reproductive health services that include culturally and linguistically relevant prevention and information actions.

Disaggregation:

National and subnational (major and/or minor administrative areas and areas with a large proportion of Afrodescendent population.

Notes:

The definition of the indicator should be revised, to make it meaningful and sensitive to the changes, which would not be the case if it merely said “exist - do not exist” (at least one in the whole country?). A simple alternative would be to specify “geographic areas” (such as municipalities, boroughs) that have Afrodescendent populations and define the indicator as the percentage of geographic areas with indigenous population that have intercultural SRH services and culturally and linguistically relevant prevention and information measures (numerator: total number of geographic areas with Afrodescendent populations that have at least one intercultural SRH service, denominator: total number of geographic areas with Afrodescendent populations).

Related Instruments

Type
Qualitative
Priority Measures

B.7 - Boys, girls, adolescents and young people

7
Guarantee for all boys, girls, adolescents and young people, without any form of discrimination, the chance to live a life free from poverty and violence, and to enjoy protection and exercise of their human rights, a range of opportunities and access to health, education and social protection.

B.12 - Sexual health and reproductive health

12
Implement comprehensive, timely, good-quality sexual health and reproductive health programmes for adolescents and young people, including youth-friendly sexual health and reproductive health services with a gender, human rights, intergenerational and intercultural perspective, which guarantee access to safe and effective modern contraceptive methods, respecting the principles of confidentiality and privacy, to enable adolescents and young people to exercise their sexual rights and reproductive rights, to have a responsible, pleasurable and healthy sex life, avoid early and unwanted pregnancies, the transmission of HIV and other sexually transmitted infections, and to take free, informed and responsible decisions regarding their sexual and reproductive life and the exercise of their sexual orientation.

C.26 - Adequate health policies

26
Bring health policies into line with the challenges of the varied and changing epidemiological profile arising from ageing and the epidemiological transition, reinforcing the fight to eradicate communicable diseases and implementing actions for the prevention and treatment of chronic diseases traditionally referred to as non-communicable, but now known to be strongly influenced by conditions of social and economic vulnerability in the early years of life, and ensure that these policies take into account gender, age, regional, ethnic and socioeconomic specificities.

D.37 - Universal access to quality sexual and reproductive health services

37
Guarantee universal access to good-quality sexual health and reproductive health services, bearing in mind the specific needs of men and women, adolescents and young people, lesbian, gay, bisexual and transgender persons, older persons and persons with disabilities, with special attention to vulnerable persons, persons living in rural and remote areas and to the promotion of citizen participation in the follow-up to commitments.

D.40 - Eliminate causes of maternal morbidity and mortality

40
Eliminate preventable cases of maternal morbidity and mortality, including, within the set of integrated benefits of sexual health and reproductive health services, measures for preventing and avoiding unsafe abortion, including sexual health and reproductive health education, access to modern and effective contraceptive methods, counselling and comprehensive care in cases of unwanted and unaccepted pregnancy, as well as comprehensive post-abortion care, where necessary, on the basis of a risk- and harm-reduction strategy.

D.43 - Comprehensive health care in the reproductive process for all women

43
Ensure that all women have effective access to comprehensive health care during the reproductive process and specifically to skilled, institutional, compassionate obstetric care and to the best possible maternal health services during pregnancy, childbirth and the puerperium, as well as to services that include the termination of pregnancy in those cases where the law provides for such services, and guarantee universal access to assisted fertility treatments.

G.78 - Decentralization, deconcentration and participatory planning

78
Expand and improve the processes of decentralization, deconcentration and participatory planning at the subnational and local levels, with emphasis on availability, accessibility and the quality of basic services, education and health, including sexual health and reproductive health and the prevention of violence against girls, adolescents and women.

I.95 - Right to health in Afro-descendant people

95
Ensure that Afro-descendent persons, in particular Afro-descendent girls, adolescents and women, can exercise the right to health, especially the right to sexual health and reproductive health, taking into account the specific socioterritorial and cultural features and the structural factors, such as racism, that hinder the exercise of their rights.
Related indicators
SDG
Topic
 I. Afro-Descendants