Reproductive Health as a Human Right

Lance Gable
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引用次数: 13

Abstract

The human rights paradigm provides an important perspective on the relationship between reproduction and health as well as an essential tool for ensuring that reproductive health is achieved and reproductive rights are protected. Indeed, this relationship can be characterized as creating a discrete human right to reproductive health. International human rights law does not carve out an explicit right to reproductive health, but different aspects of this right can be assembled from the foundation of numerous human rights principles as applied to reproductive health. This article explores the many ways that reproductive health can be perceived as a human right. The human right to reproductive health arises in part from the complex, interwoven relationship between reproductive rights and the right to health. Reproductive health can be framed as a human right based upon its centrality to human functioning, its contribution to overall human health, its interconnectedness with numerous human rights, or its relationship with social factors involving sexuality, gender, and power. The right to reproductive health should be recognized as a distinct human right and not merely as a subcomponent of the right to health or as one of several rights included within a generalized collection of reproductive rights. While reproductive health rights do indeed exist at the intersection of discourses about reproductive rights, the right to health, and other human rights, conceptualizing reproductive health as a human right acknowledges the fundamental importance of reproductive health in achieving overall health. Likewise, reproductive health rights interact with and influence the attainment of many other human rights. Framed as a distinct human right, the right to reproductive health grants individuals a specific claim to all of the aspects of this right and obligates states to respect, protect, and fulfill this right. Recognition of a broad and nuanced understanding of the right to reproductive health within human rights frameworks would significantly bolster reproductive health outcomes and the rights of women and men to make reproductive decisions. The approach adopted in this article diverges in focus to some extent from much of the existing commentary on reproductive rights, which often centers on rights protecting reproductive decisional autonomy and gives less consideration to issues of reproductive health. By presenting a contrasting model that primarily focuses on reproductive health, this article highlights the specific human rights aspects of reproductive health, assesses the effect of reproductive health on human rights as well as the effect of human rights on reproductive health, and substantiates the claim that reproductive health is a human right.
生殖健康作为一项人权
人权范式为生殖与健康之间的关系提供了一个重要视角,也是确保实现生殖健康和保护生殖权利的重要工具。事实上,这种关系的特点是创造了一项独立的生殖健康人权。国际人权法没有明确规定生殖健康的权利,但根据适用于生殖健康的许多人权原则,可以归纳出这一权利的不同方面。本文探讨了生殖健康可被视为一项人权的许多方式。生殖健康人权部分源于生殖权利与健康权之间复杂的相互交织的关系。根据生殖健康对人类功能的中心地位、对人类整体健康的贡献、与众多人权的相互联系或与性、性别和权力等社会因素的关系,可以将其界定为一项人权。生殖健康权应被视为一项独特的人权,而不仅仅是健康权的一个组成部分,也不应被视为广义的生殖权利集合中的若干权利之一。虽然生殖健康权利确实存在于关于生殖权利、健康权和其他人权的论述的交叉点,但将生殖健康概念化为一项人权承认生殖健康对实现全面健康的根本重要性。同样,生殖健康权利与许多其他人权的实现相互作用并产生影响。作为一项独特的人权,生殖健康权赋予个人对这一权利的所有方面的具体要求,并要求国家尊重、保护和实现这一权利。承认在人权框架内对生殖健康权利有广泛而细致的理解,将大大促进生殖健康成果和妇女和男子作出生殖决定的权利。这条所采取的办法在某种程度上有别于现有的许多关于生殖权利的评注,这些评注往往侧重于保护生殖决定自主权的权利,而较少考虑生殖健康问题。通过提出一个主要侧重于生殖健康的对比模型,本文突出了生殖健康的具体人权方面,评估了生殖健康对人权的影响以及人权对生殖健康的影响,并证实了生殖健康是一项人权的主张。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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