Sexual and Reproductive Justice Now!
An Action Agenda to Realize Sexual and Reproductive Justice for All
This agenda for action calls for the realization of sexual and reproductive justice for women, adolescents, girls, trans and non-binary people, as well as the leadership of young, global South feminists in shaping population and sustainable development policies and programs that affect our lives.
Our intersectional analysis examines how sexual and reproductive justice crosscuts social, economic, and ecological justice. We interrogate how sexual and reproductive health laws, policies, and programs interact with structures of power related to gender, class, race, ethnicity, sexuality, and disability, which impact the sexual and reproductive health decisions, choices, and rights of all peoples.
Therefore, as a fundamental element of a sexual and reproductive justice agenda, we call on decision makers to redress the structural and systemic inequalities that perpetuate violence, increase poverty, exacerbate inequalities, and negatively impact women, adolescents, girls, trans and non-binary people, and other marginalized groups.
Implementing the following action agenda requires both the political will and the financing to uphold existing commitments.
1. Uphold the sexual and reproductive justice of women, adolescents, girls, and trans and non-binary people, in all our diversity throughout our lives, to ensure bodily autonomy and integrity, human rights, and fundamental freedoms.
2. Ensure the leadership and meaningful participation of young South-based feminists at all levels in shaping transparent, just, accountable, and sustainable development policies and programs that enable the realization of sexual and reproductive justice.
3. Prioritize policies and programs that guarantee universal access to the full spectrum of sexual and reproductive health services, which are integrated, of high quality, and available, accessible, and acceptable to all women, adolescents, girls, and trans and non-binary people, in all our diversity and throughout our lives. Provision of health services should be free of stigma, discrimination, coercion and violence, with full respect for bodily autonomy, privacy, confidentiality, and full and informed consent.
4. Ensure and promote a positive approach to young people’s and adolescents’ sexuality that enables, recognizes, and respects their agency to make informed and independent decisions on matters concerning their bodily autonomy, pleasure, and fundamental freedoms.
5. Deliver comprehensive sexuality education within and beyond schools, grounded in human rights, gender equality, and bodily integrity. Such education and information should be evidence based, accessible to all, responsive to children’s and adolescent’s evolving capacities, and enable greater autonomy over our decision making and lives.
6. Support and uphold unrestricted access to information and communications and other technologies, which are crucial for access to sexual and reproductive health information and for the sexual expression and pleasure of women, adolescents, girls, and trans and non-binary people in all our diversity.
7. Adopt a systemic and sustained human rights and justice approach that addresses the root causes of sexual and reproductive right violations and challenges the efficacy of punitive policies that further disenfranchise and criminalize marginalized peoples.
8. Mitigate and reverse the adverse impact of the extractivist, neoliberal development model on ecosystems and local communities, particularly indigenous and rural-based women and girls. Regulate and hold accountable multinational and national corporations in collusion with state actors that are engaged in large scale agriculture, mining, mega projects, and commercial logging in order to uphold human rights principles, eliminate labor exploitation, land and resource grabbing.
9. Establish effective mechanisms to hold multinational and national corporate sectors accountable to principles of transparency, human rights, and ecological justice. These mechanisms must halt illicit financial flows and prevent tax evasion and avoidance to protect states’ tax base, and in turn increase domestic revenue for social and gender responsive interventions.
10. Resist unfair and preferential trade and intellectual property agreements, and dispute settlement mechanisms that erode the policy space for sexual and reproductive rights, and economic and ecological justice. Guiding principles and international legal standards on business and human rights, trade, corporate accountability, and extraterritorial obligations must be fully utilized to challenge corporate capture of states and to ensure that trade agreements and the private sector do not violate, restrict, or weaken human rights and fundamental freedoms for all.
11. Invest in strengthening a pluralistic ecosystem of data, which collects, systematizes, analyzes and disseminates quantitative and qualitative data in order to effectively monitor and evaluate potential disparities in access to social services, with full respect to confidentiality and privacy. Data should be disaggregated by sex, gender, age, race, ethnicity, geographic location, migration, and other status.
12. Guarantee and allocate public financing and resources for social protection systems and public social infrastructure, including sexual and reproductive services. Allocate gender responsive and progressive budgets for gender equality, health, and education programs. States must regulate and/or reverse privatization of social protection systems to ensure public services remain a public good and refuse trade and investment agreements that restrict states from delivering social protection for all.
13. Provide financial support for a wide range of sexual and reproductive rights and health programs, including linkages with economic and ecological issues. Support movement-building by funding various forms of organizing in a responsive, non-conditional, long-term, and sustained manner.
These services and supplies must be integrated within health services and include:
- comprehensive information on sexuality and psychosocial support;
- modern contraceptives including emergency contraception, post-exposure prophylaxis, male and female condoms, microbicides, and women-controlled prevention technologies and vaccines;
- safe abortion information, supplies, services, and post-abortion care;
- assisted reproductive technologies, hormonal therapies, and gender-transition medical interventions;
- prevention, counseling, confidential and voluntary testing, treatment, care and support of HIV, as well as other sexually transmitted infections
- pregnancy care, including antenatal and postnatal care, skilled birth attendance, referral systems, and emergency obstetric care; and
- prevention, treatment, and care of reproductive cancers.