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首页> 外文期刊>Maternal and child health journal >Bringing sexual and reproductive health in the urban contexts to the forefront of the development agenda: the case for prioritizing the urban poor.
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Bringing sexual and reproductive health in the urban contexts to the forefront of the development agenda: the case for prioritizing the urban poor.

机译:将城市环境中的性健康和生殖健康置于发展议程的最前沿:优先考虑城市贫困人口的情况。

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Estimates suggest that over 90?% of population increase in the least developed countries over the next four decades will occur in urban areas. These increases will be driven both by natural population growth and rural-urban migration. Moreover, despite its status as the world's least urbanized region, the urban population in the sub-Saharan Africa region is projected to increase from under 40?% currently to over 60?% by 2050. Currently, approximately 70?% of all urban residents in the region live in slums or slum-like conditions. Sexual and reproductive health (SRH) risks for the urban poor are severe and include high rates of unwanted pregnancies, sexually transmitted infections, and poor maternal and child health outcomes. However, the links between poverty, urbanization, and reproductive health priorities are still not a major focus in the broader development agenda. Building on theoretical and empirical data, we show that SRH in urban contexts is critical to the development of healthy productive urban populations and, ultimately, the improvement of quality of life. We posit that a strategic focus on the sexual and reproductive health of urban residents will enable developing country governments achieve international goals and national targets by reducing health risks among a large and rapidly growing segment of the population. To that end, we identify key research, policy and program recommendations and strategies required for bringing sexual and reproductive health in urban contexts to the forefront of the development agenda.
机译:据估计,在未来的四十年中,最不发达国家人口增长的90%以上将发生在城市地区。这些增长将受到自然人口增长和城乡迁移的驱动。此外,尽管撒哈拉以南非洲地区是世界上城市化程度最低的地区,但预计到2050年,其城市人口将从目前的不到40%增长到60%以上。目前,约70%的城市居民在该地区生活在贫民窟或类似贫民窟的条件中。城市贫民的性健康和生殖健康(SRH)风险非常严重,包括高比例的意外怀孕,性传播感染以及不良的母婴健康结果。但是,贫穷,城市化与生殖健康优先事项之间的联系仍然不是更广泛的发展议程中的主要重点。基于理论和经验数据,我们表明,在城市环境中,性健康和生殖健康对于健康的城市生产人口的发展以及最终改善生活质量至关重要。我们认为,将战略重点放在城市居民的性健康和生殖健康上将使发展中国家政府能够通过减少人口的巨大和快速增长的一部分人群的健康风险来实现国际目标和国家指标。为此,我们确定了将城市环境中的性健康和生殖健康置于发展议程的最前线所需的关键研究,政策和方案建议和策略。

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