{"id":4785,"date":"2024-04-15T12:32:05","date_gmt":"2024-04-15T12:32:05","guid":{"rendered":"https:\/\/hera.vistagroup.ge\/%e1%83%a9%e1%83%95%e1%83%94%e1%83%9c-%e1%83%a8%e1%83%94%e1%83%a1%e1%83%90%e1%83%ae%e1%83%94%e1%83%91\/policy\/sexual-and-reproductive-health-and-rights-policy\/"},"modified":"2024-04-18T11:41:28","modified_gmt":"2024-04-18T11:41:28","slug":"sexual-and-reproductive-health-and-rights-policy","status":"publish","type":"page","link":"https:\/\/hera-youth.ge\/en\/about-us\/policy\/sexual-and-reproductive-health-and-rights-policy\/","title":{"rendered":"Sexual and Reproductive Health and Rights Policy"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"4785\" class=\"elementor elementor-4785 elementor-3580\" data-elementor-post-type=\"page\">\n\t\t\t\t<div class=\"elementor-element elementor-element-9ac96a2 e-flex e-con-boxed e-con e-parent\" data-id=\"9ac96a2\" data-element_type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-26b5d92 elementor-widget elementor-widget-text-editor\" data-id=\"26b5d92\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p><strong>THE HUMAN RIGHT TO FAMILY PLANNING<\/strong><\/p>\n<p>1. It has been internationally agreed that the right of all individuals and couples to<br \/>decide freely and responsibly the number and spacing of their children is a basic<br \/>human right. The right to decide freely and responsibly also includes the right of<br \/>individuals to have the necessary information, education and counselling on<br \/>family planning, and the means to practice it.<br \/>2. HERA-XXI has a responsibility to actively promote, by means of advocacy and<br \/>persuasion, that this freedom to choose is respected by the state and should do<br \/>their utmost to educate individuals exercising the right to take into account the<br \/>needs of their living and future children and their responsibilities to their<br \/>community and to society at large.<br \/>3. HERA-XXI ensures that the promotion of the right to and practice of family<br \/>planning continues to receive the highest priority in their programmes.<br \/>DELIVERY OF FAMILY PLANNING SERVICES<\/p>\n<p>4. HERA-XXI supports service delivery programmes which are directed towards<br \/>those segments of the community which are most likely to be passed by the<br \/>conventionalfacilities of governments.<br \/>5. As a fundamental principle in both the provision of and advocacy for family<br \/>planning services, HERA-XXI ensures the availability of all safe and effective<br \/>methods of fertility regulation; campaigns actively against any restrictions on any<br \/>of these methods, and maintainx a multi-faceted, accessible service delivery<br \/>programme.<\/p>\n<p>INFORMED CHOICE<\/p>\n<p>The right to ready access to family planning information, education and services<br \/>mustbe accompanied by the right to make voluntary and informed choices on the<br \/>methodsof contraception available, be they temporary or permanent, traditional<br \/>or modern. The right to accept or reject particular forms of contraception must<br \/>be fully protected.<br \/>7. The exercise of both the right of access to family planning and the right to make<br \/>informed and responsible decisions about childbearing requiresfull knowledge of<br \/>thebenefits, purposes and practice of family planning, and the personal, familial<br \/>and societal consequences of individual reproductive behaviour.<br \/>HERA-XXI PUBLICATIONS<\/p>\n<p>8. In furtherance of its aims and objectives, HERA-XXI undertakes the publication<br \/>of various documents and newsletters, brochures, etc., each of which adheresto<br \/>and supports HERA-XXI\u2019s policies and goals.<br \/>WOMEN AND FAMILY PLANNING<\/p>\n<p>9. HERA-XXI upholds the principle that the attainment of real equality between the<br \/>genders is based on the empowerment of women to regulate their own fertility.<br \/>Without the achievement of this basic freedom, within the sexual partnership,<br \/>women are disadvantaged in their attempt to benefit from other social reforms.<br \/>MEN AND SEXUAL AND REPRODUCTIVE HEALTH<br \/>10. HERA-XXI works with men and boys as clients, partners and agents of change in<br \/>our efforts to meet the goals and objectives of the organization\u2019s Strategic<br \/>Framework. This applies to males of all sexual orientations, including those who<br \/>have sex with other men (homosexual, bisexual and transgender) and regardless<br \/>of HIV status.<br \/>Men\u2019s role in Promoting Gender Equity in Health<\/p>\n<p>11. HERA-XXI believes that in order to address underlying power and gender<br \/>imbalances, andtheir effects on health, it is essential to work with men in<br \/>promoting gender equity. Strategies and programmes seeking to challenge the<br \/>practices and structures creating gender inequalities should, therefore, explicitly<\/p>\n<p>engage men and highlight their positive and influential role. Such engagement<br \/>should, at all times, enhance rather than diminish women\u2019s autonomy.<br \/>Men as Partners in preventing HIV and other Sexually Transmitted Infections<\/p>\n<p>12. HERA-XXI recognises the critical role that men and boys play as partners in<br \/>addressing the HIV epidemic and preventing other Sexually Transmitted<br \/>Infections (STIs) and seek to facilitate their involvement.<br \/>Men as Partners in the provision of safe abortion services<\/p>\n<p>13. HERA-XXI acknowledges that men and boys have a role to play in increasing their<br \/>partners\u2019 access to safe abortion services, thus contributing to a decline in<br \/>maternal morbidityand mortality related to unsafe abortion. This approach to<br \/>working with men and boys should, at all times, be underpinned by support for<br \/>a woman\u2019s right to choose.<br \/>Men as Partners in improving access to services<\/p>\n<p>14. HERA-XXI recognises the importance of working with men to reduce barriers and<br \/>increase access to sexual and reproductive health information, sexuality<br \/>education and high quality family planning services. Thisincludessensitisingmen<br \/>to their responsibilities in promoting women and adolescents\u2019 sexual and<br \/>reproductive health,well-being andrights.<br \/>Men as Partners in eliminating Gender Based Violence<br \/>15. HERA-XXI believes that policies, programmes, services and campaignsshould<br \/>explicitly highlight the role of men as part of the solution to addressing and<br \/>preventing of Gender Based Violence. Such an approach should remain<br \/>accountable to women and promote their empowerment.<br \/>Men\u2019s Sexual and Reproductive Health Needs and Rights<\/p>\n<p>16. HERA-XXI believes that this is necessary both to improve the health of men and<br \/>boys themselves, and as an important way of encouraging men to enhance the<br \/>sexual andreproductive health of others, in particular women and young people.<\/p>\n<p>MEETING THE SEXUAL AND REPRODUCTIVE HEALTH RIGHTS OF YOUNG PEOPLE<\/p>\n<p>Introduction<\/p>\n<p>17. HERA-XXI is committed to working for and with young people to ensure that they<br \/>are supported and empowered in their decisions relating to sex and sexuality.<br \/>HERA-XXI believes young people who are fully informed about their sexual and<br \/>reproductive health (SRH) choices grow into healthy individuals and have healthy<br \/>fulfilling relationships. HERA-XXI advocates for the eradication of barriers that<br \/>inhibit access to comprehensive sexuality education (CSE), information and SRH<br \/>servicesthat respond to all young people\u2019s needs and realities.<br \/>Guiding principles<\/p>\n<p>18. HERA-XXI:<br \/>i. Believes that young people with knowledge, confidence and comfort with<br \/>their own bodies are better equipped to negotiate relationships, including<br \/>any sexual relationships they may have. The policy also acknowledges the<br \/>right of all young people to enjoy sex and express their sexuality in the way<br \/>that they choose.<br \/>ii. Acknowledges that, a positive approach to sexuality is necessary in order<br \/>to ensure young people\u2019s sexual and reproductive health and well-being.<br \/>iii. Recognizes the role of organization in investing in young people\u2018s<br \/>engagement, to become advocates and proactive members within their<br \/>communities concerning SRHR issues;<br \/>Rights Based, Gender Sensitive Information and Comprehensive Sexuality Education<\/p>\n<p>19. HERA-XXI advocates for and provides both SRHinformation and comprehensive<br \/>sexuality education (CSE) that enhances the independence and self-esteem of<br \/>young people and provides them with the knowledge,skills and confidence to<br \/>make informed choices.<br \/>20. HERA-XXI believes that:<br \/>\u2022 Information and CSE should be accessible to young people of all ages<br \/>in accordance with their evolving capacities.<br \/>\u2022 Information and CSE should be provided which enables young people<br \/>to feel comfortable and confident about their bodies and their sexuality<br \/>regardless of whether they are sexually active or not.<br \/>\u2022 CSE strategies that are gender equitable and inclusive, accessible and<\/p>\n<p>non- discriminatory are needed to address young people both in and<br \/>out of school. Special attention should be paid to the most poor and<br \/>vulnerable young people.<br \/>Access to Youth Friendly Sexual and Reproductive Health Services<\/p>\n<p>21.HERA-XXI advocates for and supports establishment of youth friendly SRHR services.<br \/>The criteria for Youth friendliness includes:<br \/>i. SRH services for young people that are accessible, stigma free and which<br \/>assure privacy and confidentiality.<br \/>ii. Trained staff members who treat young clients with respect, in a<br \/>supportive and non-judgmental manner.<br \/>iii. Special attention and specific approaches that meet the different needs<br \/>of vulnerable young people such as the very young and those who identify<br \/>aslesbian,gay, bisexual, transsexual and intersex.<br \/>iv. Access to a full range of SRH services<br \/>v. Access to comprehensive safe abortion services, including counselling<br \/>which is non-directive, non-judgmental and that are responsive to<br \/>personal circumstancesand cultural background.<br \/>vi. Sensitive and supportive post abortion counselling and follow-up for<br \/>youngwomen. Contraceptive counselling and services should be made<br \/>available to reduce the risk of further unwanted pregnancies.<br \/>COMPREHENSIVE SEXUALITY EDUCATION<\/p>\n<p>22. HERA-XXI acknowledges the importance of young people\u2019s access to<br \/>Comprehensive Sexuality Education (CSE), both within formal and informal<br \/>settings. HERA-XXI promotes amodel of sexuality education that is rights-based<br \/>and gender-sensitive and that considersthe varioussocio-cultural, economic and<br \/>power dynamicsthat influence sexualchoices as well as the resulting emotional,<br \/>mental, physical and social impacts on each young person\u2019s development.<br \/>23. CSE should equip people with the information and life skills they need to make<br \/>informed decisions and enjoy a healthy, pleasurable sexual life free from<br \/>unwanted pregnancy, STIs, HIV and AIDS and sexual violence.<\/p>\n<p>24. Comprehensive sexuality education programmes should be closely linked to<br \/>and mutually reinforced by youth-friendly sexual and reproductive health service<br \/>provision.<br \/>CONTRACEPTIVE SERVICES<\/p>\n<p>25. It is HERA-XXI\u2019s policy to offer only contraceptives which have been approved as<br \/>safe and effective and which meet national and\/or international standards of<br \/>quality.<br \/>26. HERA-XXI believes that as broad a choice of methods as possible should be made<br \/>availableto contraceptive users. Clients should be provided with their chosen<br \/>method on condition that they have been given counselling and adequate<br \/>information to enablethem to make such a decision and that they have no<br \/>medical contra-indications to its use.<br \/>27. The introduction of new methods should be preceded by the training of health<br \/>workers, infrastructure support, and, where needed, the provision of back-up<br \/>and referral facilities.<br \/>28. HERA-XXI priorities exploring and advocating different approaches for service<br \/>delivery (e.g. clinical and community-based services) and all possible means of<br \/>maximizing the potential of all health personnel, including community health<br \/>workersand traditional health workers.<br \/>REPRODUCTIVE HEALTH<\/p>\n<p>29. HERA-XXI believes that the concepts of reproductive health and reproductive<br \/>rights include concern for individuals and couples who are unable to have<br \/>children when they so wish.<br \/>30. HERA-XXI priorities theeducation in theprevention ofinfertilityand for promoting<br \/>programmes which prevent infertility including: the control of STDs, better<br \/>obstetric care and the prevention of unsafe abortion.<br \/>Linking HIV and SRHR<br \/>31. HIV is the pre-eminent health, social and human rights issue of our time, which<br \/>threatens the survival of individuals, communities and nations. Addressing HIV is<\/p>\n<p>clearly part of a comprehensive response to the sexual and reproductive health<br \/>and rights challenges of the day.<br \/>32. Overwhelmingly, the main transmission route of HIV is sexual. As such, the links<br \/>to broader sexual and reproductive health and rights issues and the inherent<br \/>value of linking HIV responses to a comprehensive sexual and reproductive<br \/>health (SRH) response cannot be underestimated.<br \/>33. The success of HIV prevention, treatment, care and<br \/>support programmes (\u2018prevention to care continuum\u2019) depends, in large part, on<br \/>the creation of an enabling environment where individuals live free from stigma<br \/>and discrimination; and have the capacity, skills, and opportunities to<br \/>meaningfully make the decisions that affect their sexual and reproductive lives<br \/>and wellbeing.<br \/>34. HERA-XXI actively collaborates with governmental, non-governmental, United<br \/>Nations organizations,and other groups such as the private sector, professional<br \/>groups and community based organizations, in order to facilitate a coordinated<br \/>response to HIV.<br \/>HIV in the workplace<br \/>35. HERA-XXI practice regarding opportunities for employment, training, or the<br \/>promotion of an employee should not be conditional on the HIV status of a<br \/>person.<br \/>36. HERA-XXI will undertake universal precaution measures and also offerall their<br \/>healthcare providers post exposure prophylaxis following needle stick or other<br \/>penetrative workplace injury.<br \/>37. Disclosure of HIV status in the workplace should be a matter of individual choice<br \/>andshould be voluntary at all times.<br \/>Female Genital Mutilation<br \/>38. HERA-XXIopposesthe practice of female genitalmutilation and joins government,<br \/>and inter-governmental and non-governmental organizations in advocating that it be eradicated.<br \/>ABORTION<br \/>Introduction<br \/>39. HERA-XXI recognizes the huge public health burden posed by unsafe abortion<br \/>and is committed to the reduction of this entirely preventable cause of maternal<br \/>morbidityand mortality.<br \/>40. Beyond the public health concerns that necessitate availability of safe abortion<br \/>services, HERA-XXI believesthat women and couples have the right to decide the<br \/>numberand spacing of their children, including the right to access contraceptive<br \/>services and,when an unwanted pregnancy has occurred, safe abortion services.<br \/>HERA-XXI believes that all decisions regarding pregnancy must be voluntary and<br \/>not coerced: no womanshould be forced to carry a pregnancy to term or to<br \/>undergo an abortion.<br \/>41. While taking steps to prevent unwanted pregnancy through modern<br \/>contraceptive services, promotion of comprehensive sexuality education and<br \/>work to eliminate sexual violence and coercion, HERA-XXI understands that there<br \/>will always be a need for safe abortion services.<br \/>42. HERA-XXI understandsthatlegalrestrictions on abortion services do not decrease<br \/>abortion rates; rather, they only increase the proportion of abortions done in<br \/>unsafe conditions. In addition, HERA-XXI advocates and works that national<br \/>legal restrictions on abortion services be in line with international and regional<br \/>human rights instruments and agreements.<br \/>43. HERA-XXI recognizes that, where clinics have clinical facilities providing sexual<br \/>and reproductive health services, they have a duty to ensure that women can<br \/>access abortion-related care, regardless of age, geographic location, religious<br \/>beliefs, socio-economic, marital and HIV status.<br \/>44. Post-abortion care, including treatment for incomplete abortion, counselling and<br \/>provision of post-abortion contraception, is a service that must be offered in<br \/>every clinical sexual and reproductive health services.<br \/>45. Where clinics do not have clinical facilities, they should provide appropriate pre-<\/p>\n<p>abortion counselling and referrals with follow-up and post-abortion<br \/>contraception counselling and\/or services.<br \/>46. HERA-XXI undertakes to:<br \/>i. Promote modern contraception to prevent unwanted pregnancy, to<br \/>ensure access to compassionate and non-judgemental safe abortion<br \/>services and to ensure access to timely post-abortion care.<br \/>ii. Analyse the legal status of abortion within the country in which it works<br \/>andpromote the most liberal interpretation of abortion laws (e.g. in line<br \/>with WHO<br \/>standard) in order to maximize access to safe abortion services within<br \/>existing abortion law.<br \/>47. HERA-XXI understands that the stigma around abortion keeps the issue hidden<br \/>and posesa significant barrier to women and girls being able to exercise their<br \/>rights to safe abortion and post-abortion care. HERA-XXI therefore undertakesto<br \/>work actively to combat the stigma surrounding abortion arising from allsources:<br \/>the community, healthcare providers, staff and volunteers, public officials,<br \/>religious leaders, media and law makers.<br \/>SEXUAL AND REPRODUCTIVE HEALTH AND RIGHTS AND THE CLIMATE CRISIS<\/p>\n<p>Introduction<\/p>\n<p>48. HERA-XXI affirms that the climate crisis is one of the greatest challenges of this<br \/>time and that its impacts undermine the achievement of sustainable<br \/>development and the enjoyment of human rights;<br \/>49. HERA-XXI underlines that due to deeply ingrained, systemic discrimination,<br \/>women and girls are at a higher risk of experiencing harmful effects of the<br \/>climate crisis and that where women and girls are exposed to multiple and<br \/>intersecting forms of discrimination, such as on account of their ethnicity,<br \/>disability or migrant status, their vulnerability is heightened even more;<br \/>50. HERA-XXI highlights that sexual and reproductive health and rights should be an<br \/>important consideration in measures aimed at enhancing resilience to both the<br \/>slow onset impactsof the climate crisis and its more immediate effects;<\/p>\n<p>51. HERA-XXI will strengthen its own capacities to work on the climate crisis,<br \/>including through learning from others engaged in the climate space.<br \/>52. HERA-XXI will consider working on these issues as required.<br \/>MEETING THE SEXUAL AND REPRODUCTIVE HEALTH AND RIGHTS OF THE AGEING POPULATION<\/p>\n<p>Introduction<\/p>\n<p>53. Ageing Population: For the purposes of this policy, the terms ageing population<br \/>or older people will refer to people over the age of 60 unless otherwise stated.8<br \/>Guiding Principles<\/p>\n<p>54. HERA-XXI believes in promoting the inclusion of SRH information and services for<br \/>the ageing population using the Life Cycle Approach to encompass the changing<br \/>needs of older people.<br \/>55. The sexual health needs and sexual rights of the ageing population should be<br \/>recognizedat local, national and international policy level as an integral element<br \/>to the full achievement of sexual health and sexual rights.<br \/>Implementation<br \/>56. HERA-XXI will undertake actions that are inclusive of the ageing population, for<br \/>instance in adapting or using language and policy that is age friendly, focuses on<br \/>the positive aspects of sexuality amongst the ageing population and that includes<br \/>older people when referring to vulnerable groups.<br \/>57. Where possible and appropriate, HERA-XXI will integrate services for the ageing<br \/>population into pre-existing programmes using the Life Cycle Approach. This<br \/>integration should take into consideration the varying needs of older people across<br \/>the ageing spectrum and in particular the complex needs of vulnerable older<br \/>people living in a residential care setting; living with HIV; the older LGBTI<br \/>communities; olderpeople from underserved ethnic groups and older migrants.<br \/>58. HERA-XXI will integrate SRHR issues faced by the ageing population into the<br \/>advocacy work.<br \/>FORCED LABOUR AND HUMAN TRAFFICKING<br \/>59. Forced labour and human trafficking are a global crime resulting in an abhorrent<br \/>abuse of dignity and human rights which disproportionately affect women and children.<br \/>60. HERA-XXI finds the practice of forced labour and human trafficking unacceptable<br \/>and takes a position of zero tolerance towards trafficking in human beings for<br \/>sexual and labour exploitation.<br \/>Reviewed&amp; Approved Date: 2021<\/p>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>THE HUMAN RIGHT TO FAMILY PLANNING 1. It has been internationally agreed that the right of all individuals and couples todecide freely and responsibly the number and spacing of their children is a basichuman right. The right to decide freely and responsibly also includes the right ofindividuals to have the necessary information, education and counselling [&hellip;]<\/p>\n","protected":false},"author":2,"featured_media":4255,"parent":4738,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-4785","page","type-page","status-publish","has-post-thumbnail","hentry"],"_links":{"self":[{"href":"https:\/\/hera-youth.ge\/en\/wp-json\/wp\/v2\/pages\/4785","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/hera-youth.ge\/en\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/hera-youth.ge\/en\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/hera-youth.ge\/en\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/hera-youth.ge\/en\/wp-json\/wp\/v2\/comments?post=4785"}],"version-history":[{"count":1,"href":"https:\/\/hera-youth.ge\/en\/wp-json\/wp\/v2\/pages\/4785\/revisions"}],"predecessor-version":[{"id":4786,"href":"https:\/\/hera-youth.ge\/en\/wp-json\/wp\/v2\/pages\/4785\/revisions\/4786"}],"up":[{"embeddable":true,"href":"https:\/\/hera-youth.ge\/en\/wp-json\/wp\/v2\/pages\/4738"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/hera-youth.ge\/en\/wp-json\/wp\/v2\/media\/4255"}],"wp:attachment":[{"href":"https:\/\/hera-youth.ge\/en\/wp-json\/wp\/v2\/media?parent=4785"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}