Comparative analysis of 2 approaches to monitor countries’ progress towards full and equal access to sexual and reproductive health care, information, and education in 75 countries: An observational validation study
2024

Revising the Measurement of Sexual and Reproductive Health Rights

Sample size: 75 publication Evidence: moderate

Author Information

Author(s): Jewel Gausman, Richard Adanu, Delia A. Bandoh, Neena R. Kapoor, Ernest Kenu, Ana Langer, Magdalene A. Odikro, Thomas Pullum, R. Rima Jolivet

Primary Institution: Harvard University T.H. Chan School of Public Health

Hypothesis

Can a revised calculation method improve the validity of the SDG Indicator 5.6.2 for measuring access to sexual and reproductive health care?

Conclusion

The proposed changes to the SDG Indicator 5.6.2 could significantly alter the understanding of legal access to sexual and reproductive health care across countries.

Supporting Evidence

  • The study found that the alternative calculation method produced systematically different results compared to the current method.
  • 47 countries showed an increase in total indicator score with the alternative formula.
  • Only 1 country, Sweden, had no change in score under both methods.
  • The proposed changes could lead to different programmatic and policy priorities for sexual and reproductive health.

Takeaway

This study looks at how to better measure if countries are providing equal access to sexual and reproductive health care for everyone. They found that changing the way we calculate this can show different results.

Methodology

The study used secondary data from the 2022 UNFPA's Sexual and Reproductive Health and Rights Country Profiles and compared two calculation methods for the SDG Indicator 5.6.2.

Potential Biases

The current method of calculation may mask important differences in legal barriers and enablers.

Limitations

There is no gold standard for measuring the phenomenon under study, making it difficult to determine which indicator performs better.

Participant Demographics

Data from 75 countries were analyzed.

Digital Object Identifier (DOI)

10.1371/journal.pmed.1004476

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