Enabling positive change

Learning from progress and setback in HIV and sexual and reproductive health

Authored by: Purnima Mane , Peter Aggleton

Routledge Handbook on the Politics of Global Health

Print publication date:  December  2018
Online publication date:  December  2018

Print ISBN: 9781138238596
eBook ISBN: 9781315297255
Adobe ISBN:


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Despite significant progress throughout the 1990s and early 2000s, the field of sexual and reproductive health and rights (SRHR) has currently reached a challenging stage. The adverse political climate in many countries, funding cutbacks, and a backtracking in progressive policies make it difficult to advance the momentum made earlier in areas such as maternal mortality (WHO, UNICEF, UNFPA and the World Bank, 2010), HIV infection rates (UNAIDS, 2017), and contraceptive access (Department of Economic and Social Affairs, UN Population Division 2015). Admittedly making headway against conservative forces has always been difficult, but it will help boost confidence if those in the field feel that change is possible, even in the most adverse of conditions, and that many of the challenges that confront us now are those that have been dealt with successfully, in the past.

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