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Integrating rights and evidence: a technical advance in abortion guideline development
  1. Fiona de Londras1,2,
  2. Amanda Cleeve3,4,
  3. Maria Isabel Rodriguez5,
  4. Antonella Lavelanet6
  1. 1Birmingham Law School, University of Birmingham, Birmingham, UK
  2. 2College of Law, Australian National University, Canberra, Australian Capital Territory, Australia
  3. 3Womens and Childrens Health, Karolinska Institute, Stockholm, Sweden
  4. 4Consultant, UNDP-UNFPA-UNICEF-WHO-World Bank Special Programme of Research, Development and Research Training in Human Reproduction (HRP), Department of Sexual and Reproductive Health and Research, World Health Organization, Geneva, GE, Switzerland
  5. 5Department of Obstetrics and Gynecology, Oregon Health and Science University, Portland, Oregon, USA
  6. 6UNDP-UNFPA-UNICEF-WHO-World Bank Special Programme of Research, Development and Research Training in Human Reproduction (HRP), Department of Sexual and Reproductive Health and Research, World Health Organization, Geneva, Switzerland
  1. Correspondence to Fiona de Londras; f.delondras{at}bham.ac.uk

Abstract

As part of its core work, the WHO generates, translates and disseminates knowledge, including through guideline development. In recent years, substantial work has been undertaken to revise the Evidence to Decision framework in order to fully integrate inter alia human rights. This paper describes an innovative methodological approach taken by the authors to inform law and policy recommendations for the forthcoming third edition of the Safe Abortion: Technical and Policy Guidance for Health Systems. The methodology described here effectively integrates human rights protection and enjoyment as part of health outcomes and analysis, ensuring that subsequent recommendations are consistent with international human rights standards. This will allow guideline users to make informed decisions on interventions, including legal and policy reform, to fulfil relevant human rights including the right to health.

  • maternal health
  • other study design
http://creativecommons.org/licenses/by-nc/4.0/

This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/.

https://doi.org/10.1136/bmjgh-2020-004141

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    Footnotes

    • Handling editor Seye Abimbola

    • Twitter @fdelond

    • Contributors All authors made substantial contributions to the conception or design of the work, or the acquisition, analysis or interpretation of data and to drafting and revising the the work. All authors approved the final version. All authors agreed to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.

    • Funding This work was supported by the UNDP/UNFPA/UNICEF/WHO/World Bank Special Programme of Research, Development and Research Training in Human Reproduction (HRP). Professor de Londras acknowledges also the support provided by the Philip Leverhulme Prize (PLP-2017-181).

    • Disclaimer The views expressed in this article are those of the authors and do not necessarily represent the views of, and should not be attributed to, the World Health Organization.

    • Competing interests None declared.

    • Patient consent for publication Not required.

    • Provenance and peer review Not commissioned; externally peer reviewed.

    • Data availability statement There are no data in this work