Sexuality, Health and Human Rights surveys the rapid changes taking place at the start of the twenty-first century in the social, cultural, political and economic domains and their impact on sexuality, health and human rights.

This report demonstrates the relationship between sexual health, human rights and the law. Drawing from a review of public health evidence and extensive research into human rights law at international, regional and national levels, the report shows how states in different parts of the world can and do support sexual health through legal and other mechanisms that are consistent with human rights standards and their own human rights obligations.

The concept of reproductive health promises to play a crucial role in improving women's health and rights around the world. It was internationally endorsed by a United Nations conference in 1994, but remains controversial because of the challenge it presents to conservative agencies: it challenges policies of suppressing public discussion on human sexuality and regulating its private expressions. Reproductive Health and Human Rights is designed to equip healthcare providers and administrators to integrate ethical, legal, and human rights principles in protection and promotion of reproductive health, and to inform lawyers and women's health advocates about aspects of medicine and healthcare systems that affect reproduction. Rebecca Cook, Bernard Dickens, and Mahmoud Fathalla, leading international authorities on reproductive medicine, human rights, medical law, and bioethics, integrate their disciplines to provide an accessible but comprehensive introduction to reproductive and sexual health. They analyse fifteen case-studies of recurrent problems, focusing particularly on resource-poor settings. Approaches to resolution are considered at clinical and health system levels. They also consider kinds of social change that would relieve the underlying conditions of reproductive health dilemmas. Supporting the explanatory chapters and case-studies are extensive resources of epidemiological data, human rights documents, and research materials and websites on reproductive and sexual health. In explaining ethics, law, and human rights to healthcare providers and administrators, and reproductive health to lawyers and women's health advocates, the authors explore and illustrate limitations and dysfunctions of prevailing health systems and their legal regulation, but also propose opportunities for reform. They draw on the values and principles of ethics and human rights recognized in national and international legal systems, to guide healthcare providers and administrators, lawyers, governments, and national and international agencies and legal tribunals. Reproductive Health and Human Rights will be an invaluable resource for all those working to improve services and legal protection for women around the world. Updates to this book, and information on translations to French, Spanish, Portuguese, Chinese and Arabic are now available at www.law.utoronto.ca/faculty/cook/ReproductiveHealth.html

The last two decades have witnessed an explosion of research on sexuality as the social sciences have worked to find new ways of understanding a rapidly changing world. Growing concern for issues such as population, women's and men's reproductive health, and the HIV and AIDS pandemic, has since provided new legitimacy for work on sexuality, health and rights. A detailed and up-to-date reference work, The Handbook of Sexuality, Health and Rights provides an authoritative overview of the main issues in the field today. Leading academics and practitioners are brought together to reflect on past, present and future approaches to understanding and promoting sexual health and rights. Divided into nine parts, it covers: Pioneering beginnings Language, discourse and sexual categories From sexuality to health The reproductive imperative How to have sex in an epidemic The choreography of sex The darker side of sex From sexual health to sexual rights Struggles for erotic justice This handbook surveys the state of the discipline and offers an examination and discussion of emerging, controversial and cutting edge areas. It is an essential reference for academics and researchers in the fields of sexuality studies, sexual health and human rights, and offers key reading for more advanced students.

'We used to talk about development with a human face. We should be talking about development with a body' Arit Oku-Egbas, African Regional Sexuality Resource Centre, Nigeria Sex and sexuality have always had a place at the heart of the development agenda - from concerns regarding population and environment, to practices in education and efforts for protecting reproductive health and rights. Yet this agenda has largely focused on negative dimensions of sexuality - disease, risk, violation - rather than positive aspects, including rights to sexual fulfillment, wellbeing and pleasure. The shift towards a rights-based approach to development has brought the human rights dimensions of sexuality into clearer view, and consequently the need to address discriminatory laws and violations of the human rights of those whose sexual identity and practices diverge from dominant sexual orders/norms. This book offers compelling insights into contemporary challenges and transformative possibilities of the struggle for sexual rights. It combines the conceptual with the political, and offering inspiring examples of practical interventions and campaigns that emphasize the positive dimensions of sexuality. It brings together reflections and experiences of researchers, activists and practitioners from Brazil, India, Nigeria, Peru, Serbia, South Africa, Turkey, the UK and Zambia. From political discourse on sex and masculinity to sex work and trafficking, from HIV and sexuality to struggles for legal reform and citizenship, the authors explore the gains of creating stronger linkages between sexuality, human rights and development.

4 Reply to Thomas: Michael E. Levin

Both research and consultations over the last decades have identified sexuality-related communication as an issue that requires urgent attention. While clients would like their health-care providers to discuss sexual health concerns, health workers lack the necessary training and knowledge to feel comfortable addressing such issues. This guideline provides health policy-makers and decision-makers in health professional training institutions with advice on the rationale for health-care providers' use of counselling skills to address sexual health concerns in a primary health care setting.