Barriers to advancing the sexual and reproductive health agenda in Latin America: a qualitative study of key informants’ perspectives

Autores
Alonso, Juan Pedro; Cejas, Cintia; Berrueta, Mabel; Vazquez, Paula; Perrotta, Gabriela Viviana; Formia, Sandra Nora; Pirsch, Sofía; Ballivian, Jamile; Zavala, Denise; López, Analía; Belizán, María
Año de publicación
2024
Idioma
inglés
Tipo de recurso
artículo
Estado
versión publicada
Descripción
BackgroundThe effective attainment of sexual, reproductive, and maternal health and rights (SRMHR) requires a holistic life-course approach. This approach should address disparities in healthcare access and rights, guarantee the delivery of high-quality care devoid of discrimination, and underscore rigorous accountability mechanisms throughout the implementation process. Latin American and Caribbean (LAC) countries face significant disparities in SRMHR within and between nations. Vulnerable populations, such as indigenous communities, Afro-descendants, LGBTQI + population, persons with disabilities, older adults, and migrants, often endure discrimination and stigmatization, severely impacting their access to healthcare and health rights. This paper presents the findings from the qualitative component of a broader mixed-methods scoping study aimed at establishing a priority research agenda to address healthcare gaps affecting the SRMHR of vulnerable populations. The qualitative component focused on identifying key challenges hindering progress in SRMHR and access to health services for these populations in the LAC region, drawing on the perspectives of key informants at both regional and national levels.MethodsQualitative research approach employing semi-structured interviews with key informants. A purposive sample comprised of stakeholders from relevant regional organizations and local stakeholders in selected countries (Argentina, Colombia, Peru, Mexico, Guatemala, Jamaica, and Guyana), encompassing government representatives, civil organizations, and academia. A rapid content thematic analysis was conducted to analyze the data obtained from the interviews.ResultsWe interviewed 27 key informants in SRMHR, six at a regional level and 21 at a country level. The region faces barriers around establishing and sustaining agency agendas, such as a lack of political will, political instability, and opposition from civil society groups regarding SRMHR agendas. Policy implementation presents difficulties due to insufficient and unstable funding, weaknesses in sexual and reproductive health programs, unequal policy implementation in federal countries, and the absence of evidence-based policies. The lack of high-quality data and quality indicators poses obstacles, leading to limitations in evidence generation. Access to SRMHR services faces barriers such as the low-quality provision of services, discrepancies between legislation and effective access, insufficient healthcare resources, and resistance from certain healthcare providers.ConclusionAddressing these multifaceted challenges will be crucial in advancing the agenda of sexual, reproductive, and maternal health rights and ensuring effective access to health services for the most vulnerable populations in the LAC region.
Fil: Alonso, Juan Pedro. Consejo Nacional de Investigaciones Científicas y Técnicas; Argentina. Universidad de Buenos Aires. Facultad de Ciencias Sociales. Instituto de Investigaciones "Gino Germani"; Argentina
Fil: Cejas, Cintia. Instituto de Efectividad Clínica y Sanitaria; Argentina
Fil: Berrueta, Mabel. Instituto de Efectividad Clínica y Sanitaria; Argentina
Fil: Vazquez, Paula. Instituto de Efectividad Clínica y Sanitaria; Argentina
Fil: Perrotta, Gabriela Viviana. Instituto de Efectividad Clínica y Sanitaria; Argentina
Fil: Formia, Sandra Nora. Instituto de Efectividad Clínica y Sanitaria; Argentina
Fil: Pirsch, Sofía. Instituto de Efectividad Clínica y Sanitaria; Argentina
Fil: Ballivian, Jamile. Instituto de Efectividad Clínica y Sanitaria; Argentina
Fil: Zavala, Denise. Instituto de Efectividad Clínica y Sanitaria; Argentina
Fil: López, Analía. Instituto de Efectividad Clínica y Sanitaria; Argentina
Fil: Belizán, María. Instituto de Efectividad Clínica y Sanitaria; Argentina
Materia
Sexual and reproductive health
Key informants
Qualitative research
Latin America
Nivel de accesibilidad
acceso abierto
Condiciones de uso
https://creativecommons.org/licenses/by/2.5/ar/
Repositorio
CONICET Digital (CONICET)
Institución
Consejo Nacional de Investigaciones Científicas y Técnicas
OAI Identificador
oai:ri.conicet.gov.ar:11336/251863
Acceder
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oai_identifier_str oai:ri.conicet.gov.ar:11336/251863
network_acronym_str CONICETDig
repository_id_str 3498
network_name_str CONICET Digital (CONICET)
spelling Barriers to advancing the sexual and reproductive health agenda in Latin America: a qualitative study of key informants’ perspectivesAlonso, Juan PedroCejas, CintiaBerrueta, MabelVazquez, PaulaPerrotta, Gabriela VivianaFormia, Sandra NoraPirsch, SofíaBallivian, JamileZavala, DeniseLópez, AnalíaBelizán, MaríaSexual and reproductive healthKey informantsQualitative researchLatin Americahttps://purl.org/becyt/ford/5.4https://purl.org/becyt/ford/5BackgroundThe effective attainment of sexual, reproductive, and maternal health and rights (SRMHR) requires a holistic life-course approach. This approach should address disparities in healthcare access and rights, guarantee the delivery of high-quality care devoid of discrimination, and underscore rigorous accountability mechanisms throughout the implementation process. Latin American and Caribbean (LAC) countries face significant disparities in SRMHR within and between nations. Vulnerable populations, such as indigenous communities, Afro-descendants, LGBTQI + population, persons with disabilities, older adults, and migrants, often endure discrimination and stigmatization, severely impacting their access to healthcare and health rights. This paper presents the findings from the qualitative component of a broader mixed-methods scoping study aimed at establishing a priority research agenda to address healthcare gaps affecting the SRMHR of vulnerable populations. The qualitative component focused on identifying key challenges hindering progress in SRMHR and access to health services for these populations in the LAC region, drawing on the perspectives of key informants at both regional and national levels.MethodsQualitative research approach employing semi-structured interviews with key informants. A purposive sample comprised of stakeholders from relevant regional organizations and local stakeholders in selected countries (Argentina, Colombia, Peru, Mexico, Guatemala, Jamaica, and Guyana), encompassing government representatives, civil organizations, and academia. A rapid content thematic analysis was conducted to analyze the data obtained from the interviews.ResultsWe interviewed 27 key informants in SRMHR, six at a regional level and 21 at a country level. The region faces barriers around establishing and sustaining agency agendas, such as a lack of political will, political instability, and opposition from civil society groups regarding SRMHR agendas. Policy implementation presents difficulties due to insufficient and unstable funding, weaknesses in sexual and reproductive health programs, unequal policy implementation in federal countries, and the absence of evidence-based policies. The lack of high-quality data and quality indicators poses obstacles, leading to limitations in evidence generation. Access to SRMHR services faces barriers such as the low-quality provision of services, discrepancies between legislation and effective access, insufficient healthcare resources, and resistance from certain healthcare providers.ConclusionAddressing these multifaceted challenges will be crucial in advancing the agenda of sexual, reproductive, and maternal health rights and ensuring effective access to health services for the most vulnerable populations in the LAC region.Fil: Alonso, Juan Pedro. Consejo Nacional de Investigaciones Científicas y Técnicas; Argentina. Universidad de Buenos Aires. Facultad de Ciencias Sociales. Instituto de Investigaciones "Gino Germani"; ArgentinaFil: Cejas, Cintia. Instituto de Efectividad Clínica y Sanitaria; ArgentinaFil: Berrueta, Mabel. Instituto de Efectividad Clínica y Sanitaria; ArgentinaFil: Vazquez, Paula. Instituto de Efectividad Clínica y Sanitaria; ArgentinaFil: Perrotta, Gabriela Viviana. Instituto de Efectividad Clínica y Sanitaria; ArgentinaFil: Formia, Sandra Nora. Instituto de Efectividad Clínica y Sanitaria; ArgentinaFil: Pirsch, Sofía. Instituto de Efectividad Clínica y Sanitaria; ArgentinaFil: Ballivian, Jamile. Instituto de Efectividad Clínica y Sanitaria; ArgentinaFil: Zavala, Denise. Instituto de Efectividad Clínica y Sanitaria; ArgentinaFil: López, Analía. Instituto de Efectividad Clínica y Sanitaria; ArgentinaFil: Belizán, María. Instituto de Efectividad Clínica y Sanitaria; ArgentinaSpringer2024-12info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionhttp://purl.org/coar/resource_type/c_6501info:ar-repo/semantics/articuloapplication/pdfapplication/pdfhttp://hdl.handle.net/11336/251863Alonso, Juan Pedro; Cejas, Cintia; Berrueta, Mabel; Vazquez, Paula; Perrotta, Gabriela Viviana; et al.; Barriers to advancing the sexual and reproductive health agenda in Latin America: a qualitative study of key informants’ perspectives; Springer; Reproductive Health; 21; 1; 12-2024; 1-111742-4755CONICET DigitalCONICETenginfo:eu-repo/semantics/altIdentifier/url/https://reproductive-health-journal.biomedcentral.com/articles/10.1186/s12978-024-01927-6info:eu-repo/semantics/altIdentifier/doi/10.1186/s12978-024-01927-6info:eu-repo/semantics/openAccesshttps://creativecommons.org/licenses/by/2.5/ar/reponame:CONICET Digital (CONICET)instname:Consejo Nacional de Investigaciones Científicas y Técnicas2025-09-29T09:33:45Zoai:ri.conicet.gov.ar:11336/251863instacron:CONICETInstitucionalhttp://ri.conicet.gov.ar/Organismo científico-tecnológicoNo correspondehttp://ri.conicet.gov.ar/oai/requestdasensio@conicet.gov.ar; lcarlino@conicet.gov.arArgentinaNo correspondeNo correspondeNo correspondeopendoar:34982025-09-29 09:33:45.601CONICET Digital (CONICET) - Consejo Nacional de Investigaciones Científicas y Técnicasfalse
dc.title.none.fl_str_mv Barriers to advancing the sexual and reproductive health agenda in Latin America: a qualitative study of key informants’ perspectives
title Barriers to advancing the sexual and reproductive health agenda in Latin America: a qualitative study of key informants’ perspectives
spellingShingle Barriers to advancing the sexual and reproductive health agenda in Latin America: a qualitative study of key informants’ perspectives
Alonso, Juan Pedro
Sexual and reproductive health
Key informants
Qualitative research
Latin America
title_short Barriers to advancing the sexual and reproductive health agenda in Latin America: a qualitative study of key informants’ perspectives
title_full Barriers to advancing the sexual and reproductive health agenda in Latin America: a qualitative study of key informants’ perspectives
title_fullStr Barriers to advancing the sexual and reproductive health agenda in Latin America: a qualitative study of key informants’ perspectives
title_full_unstemmed Barriers to advancing the sexual and reproductive health agenda in Latin America: a qualitative study of key informants’ perspectives
title_sort Barriers to advancing the sexual and reproductive health agenda in Latin America: a qualitative study of key informants’ perspectives
dc.creator.none.fl_str_mv Alonso, Juan Pedro
Cejas, Cintia
Berrueta, Mabel
Vazquez, Paula
Perrotta, Gabriela Viviana
Formia, Sandra Nora
Pirsch, Sofía
Ballivian, Jamile
Zavala, Denise
López, Analía
Belizán, María
author Alonso, Juan Pedro
author_facet Alonso, Juan Pedro
Cejas, Cintia
Berrueta, Mabel
Vazquez, Paula
Perrotta, Gabriela Viviana
Formia, Sandra Nora
Pirsch, Sofía
Ballivian, Jamile
Zavala, Denise
López, Analía
Belizán, María
author_role author
author2 Cejas, Cintia
Berrueta, Mabel
Vazquez, Paula
Perrotta, Gabriela Viviana
Formia, Sandra Nora
Pirsch, Sofía
Ballivian, Jamile
Zavala, Denise
López, Analía
Belizán, María
author2_role author
author
author
author
author
author
author
author
author
author
dc.subject.none.fl_str_mv Sexual and reproductive health
Key informants
Qualitative research
Latin America
topic Sexual and reproductive health
Key informants
Qualitative research
Latin America
purl_subject.fl_str_mv https://purl.org/becyt/ford/5.4
https://purl.org/becyt/ford/5
dc.description.none.fl_txt_mv BackgroundThe effective attainment of sexual, reproductive, and maternal health and rights (SRMHR) requires a holistic life-course approach. This approach should address disparities in healthcare access and rights, guarantee the delivery of high-quality care devoid of discrimination, and underscore rigorous accountability mechanisms throughout the implementation process. Latin American and Caribbean (LAC) countries face significant disparities in SRMHR within and between nations. Vulnerable populations, such as indigenous communities, Afro-descendants, LGBTQI + population, persons with disabilities, older adults, and migrants, often endure discrimination and stigmatization, severely impacting their access to healthcare and health rights. This paper presents the findings from the qualitative component of a broader mixed-methods scoping study aimed at establishing a priority research agenda to address healthcare gaps affecting the SRMHR of vulnerable populations. The qualitative component focused on identifying key challenges hindering progress in SRMHR and access to health services for these populations in the LAC region, drawing on the perspectives of key informants at both regional and national levels.MethodsQualitative research approach employing semi-structured interviews with key informants. A purposive sample comprised of stakeholders from relevant regional organizations and local stakeholders in selected countries (Argentina, Colombia, Peru, Mexico, Guatemala, Jamaica, and Guyana), encompassing government representatives, civil organizations, and academia. A rapid content thematic analysis was conducted to analyze the data obtained from the interviews.ResultsWe interviewed 27 key informants in SRMHR, six at a regional level and 21 at a country level. The region faces barriers around establishing and sustaining agency agendas, such as a lack of political will, political instability, and opposition from civil society groups regarding SRMHR agendas. Policy implementation presents difficulties due to insufficient and unstable funding, weaknesses in sexual and reproductive health programs, unequal policy implementation in federal countries, and the absence of evidence-based policies. The lack of high-quality data and quality indicators poses obstacles, leading to limitations in evidence generation. Access to SRMHR services faces barriers such as the low-quality provision of services, discrepancies between legislation and effective access, insufficient healthcare resources, and resistance from certain healthcare providers.ConclusionAddressing these multifaceted challenges will be crucial in advancing the agenda of sexual, reproductive, and maternal health rights and ensuring effective access to health services for the most vulnerable populations in the LAC region.
Fil: Alonso, Juan Pedro. Consejo Nacional de Investigaciones Científicas y Técnicas; Argentina. Universidad de Buenos Aires. Facultad de Ciencias Sociales. Instituto de Investigaciones "Gino Germani"; Argentina
Fil: Cejas, Cintia. Instituto de Efectividad Clínica y Sanitaria; Argentina
Fil: Berrueta, Mabel. Instituto de Efectividad Clínica y Sanitaria; Argentina
Fil: Vazquez, Paula. Instituto de Efectividad Clínica y Sanitaria; Argentina
Fil: Perrotta, Gabriela Viviana. Instituto de Efectividad Clínica y Sanitaria; Argentina
Fil: Formia, Sandra Nora. Instituto de Efectividad Clínica y Sanitaria; Argentina
Fil: Pirsch, Sofía. Instituto de Efectividad Clínica y Sanitaria; Argentina
Fil: Ballivian, Jamile. Instituto de Efectividad Clínica y Sanitaria; Argentina
Fil: Zavala, Denise. Instituto de Efectividad Clínica y Sanitaria; Argentina
Fil: López, Analía. Instituto de Efectividad Clínica y Sanitaria; Argentina
Fil: Belizán, María. Instituto de Efectividad Clínica y Sanitaria; Argentina
description BackgroundThe effective attainment of sexual, reproductive, and maternal health and rights (SRMHR) requires a holistic life-course approach. This approach should address disparities in healthcare access and rights, guarantee the delivery of high-quality care devoid of discrimination, and underscore rigorous accountability mechanisms throughout the implementation process. Latin American and Caribbean (LAC) countries face significant disparities in SRMHR within and between nations. Vulnerable populations, such as indigenous communities, Afro-descendants, LGBTQI + population, persons with disabilities, older adults, and migrants, often endure discrimination and stigmatization, severely impacting their access to healthcare and health rights. This paper presents the findings from the qualitative component of a broader mixed-methods scoping study aimed at establishing a priority research agenda to address healthcare gaps affecting the SRMHR of vulnerable populations. The qualitative component focused on identifying key challenges hindering progress in SRMHR and access to health services for these populations in the LAC region, drawing on the perspectives of key informants at both regional and national levels.MethodsQualitative research approach employing semi-structured interviews with key informants. A purposive sample comprised of stakeholders from relevant regional organizations and local stakeholders in selected countries (Argentina, Colombia, Peru, Mexico, Guatemala, Jamaica, and Guyana), encompassing government representatives, civil organizations, and academia. A rapid content thematic analysis was conducted to analyze the data obtained from the interviews.ResultsWe interviewed 27 key informants in SRMHR, six at a regional level and 21 at a country level. The region faces barriers around establishing and sustaining agency agendas, such as a lack of political will, political instability, and opposition from civil society groups regarding SRMHR agendas. Policy implementation presents difficulties due to insufficient and unstable funding, weaknesses in sexual and reproductive health programs, unequal policy implementation in federal countries, and the absence of evidence-based policies. The lack of high-quality data and quality indicators poses obstacles, leading to limitations in evidence generation. Access to SRMHR services faces barriers such as the low-quality provision of services, discrepancies between legislation and effective access, insufficient healthcare resources, and resistance from certain healthcare providers.ConclusionAddressing these multifaceted challenges will be crucial in advancing the agenda of sexual, reproductive, and maternal health rights and ensuring effective access to health services for the most vulnerable populations in the LAC region.
publishDate 2024
dc.date.none.fl_str_mv 2024-12
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
http://purl.org/coar/resource_type/c_6501
info:ar-repo/semantics/articulo
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv http://hdl.handle.net/11336/251863
Alonso, Juan Pedro; Cejas, Cintia; Berrueta, Mabel; Vazquez, Paula; Perrotta, Gabriela Viviana; et al.; Barriers to advancing the sexual and reproductive health agenda in Latin America: a qualitative study of key informants’ perspectives; Springer; Reproductive Health; 21; 1; 12-2024; 1-11
1742-4755
CONICET Digital
CONICET
url http://hdl.handle.net/11336/251863
identifier_str_mv Alonso, Juan Pedro; Cejas, Cintia; Berrueta, Mabel; Vazquez, Paula; Perrotta, Gabriela Viviana; et al.; Barriers to advancing the sexual and reproductive health agenda in Latin America: a qualitative study of key informants’ perspectives; Springer; Reproductive Health; 21; 1; 12-2024; 1-11
1742-4755
CONICET Digital
CONICET
dc.language.none.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv info:eu-repo/semantics/altIdentifier/url/https://reproductive-health-journal.biomedcentral.com/articles/10.1186/s12978-024-01927-6
info:eu-repo/semantics/altIdentifier/doi/10.1186/s12978-024-01927-6
dc.rights.none.fl_str_mv info:eu-repo/semantics/openAccess
https://creativecommons.org/licenses/by/2.5/ar/
eu_rights_str_mv openAccess
rights_invalid_str_mv https://creativecommons.org/licenses/by/2.5/ar/
dc.format.none.fl_str_mv application/pdf
application/pdf
dc.publisher.none.fl_str_mv Springer
publisher.none.fl_str_mv Springer
dc.source.none.fl_str_mv reponame:CONICET Digital (CONICET)
instname:Consejo Nacional de Investigaciones Científicas y Técnicas
reponame_str CONICET Digital (CONICET)
collection CONICET Digital (CONICET)
instname_str Consejo Nacional de Investigaciones Científicas y Técnicas
repository.name.fl_str_mv CONICET Digital (CONICET) - Consejo Nacional de Investigaciones Científicas y Técnicas
repository.mail.fl_str_mv dasensio@conicet.gov.ar; lcarlino@conicet.gov.ar
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score 13.070432

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