Salud y Derechos Sexuales y Reproductivos (SDSR) en los procesos del Plan Nacional de Adaptación (PNAD)

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The report analyzes 19 general NAP documents, five health-sector NAPs, and five Green Climate Fund proposals to assess the integration of sexual and reproductive health and rights (SRHR) in climate adaptation planning. It finds that while health is universally prioritized, specific SRHR issues are rarely addressed in general NAPs and often disconnected from sector-specific health plans. The document argues that SRHR is a fundamental basis for climate resilience, as its denial limits women's agency and participation in climate action. It provides eight recommendations to better integrate SRHR through gender-responsive vulnerability assessments, inter-agency collaboration, and systemic health sector adaptation.

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  • Governments consistently prioritize the health sector in their NAP processes, with all reviewed documents identifying health as a priority and specifying adaptation actions, though most focus on vector-borne diseases, water-borne diseases, and malnutrition.
  • There is limited attention to SRHR in general NAP documents; only 10 of the 19 reviewed documents contained specific references to SRHR components, with pregnancy and maternal/child health being the most common topics.
  • A disconnect exists between sector-specific health NAPs and general NAP documents, where detailed SRHR commitments in health plans often fail to translate into concrete actions in the overarching national documents.
  • Climate change negatively impacts SRHR both directly, by disrupting health infrastructure and medical supply chains, and indirectly, by increasing gender-based violence and reducing household resources for healthcare.
  • The denial of SRHR acts as a barrier to climate action by limiting education, livelihood opportunities, and the ability of women and girls to participate in political and community decision-making.
  • Gender-responsive approaches, particularly intersectional gender analysis, provide a critical entry point for integrating SRHR into NAPs, as demonstrated by Kiribati's use of gender analysis to identify high fertility rates as a climate vulnerability factor.
  • Investments in general health sector adaptation, such as resilient hospitals and strengthened health workforces, can provide indirect benefits to SRHR if implemented with a gender-inclusive perspective.
  • Funding for health sector adaptation is critically insufficient, estimated at less than 1% of global adaptation finance, despite the urgent need for resilient health systems following the COVID-19 pandemic.

Cite the original document

APA
A., D. (2021). Salud y Derechos Sexuales y Reproductivos (SDSR) en los procesos del Plan Nacional de Adaptación (PNAD). NAP Global Network. https://napglobalnetwork.org/wp-content/uploads/2021/02/napgn-es-2021-srhr-in-nap-processes.pdf
Chicago
A., Dazé,. Salud y Derechos Sexuales y Reproductivos (SDSR) en los procesos del Plan Nacional de Adaptación (PNAD). NAP Global Network, 2021. https://napglobalnetwork.org/wp-content/uploads/2021/02/napgn-es-2021-srhr-in-nap-processes.pdf.
Wikipedia
{{cite report |last1=A. |first1=Dazé, |title=Salud y Derechos Sexuales y Reproductivos (SDSR) en los procesos del Plan Nacional de Adaptación (PNAD) |publisher=NAP Global Network |date=February 2021 |url=https://napglobalnetwork.org/wp-content/uploads/2021/02/napgn-es-2021-srhr-in-nap-processes.pdf |access-date=23 October 2026 |via=Climate Insights Directory}}
BibTeX
@techreport{a2021salud, author = {A., Dazé,}, title = {{Salud y Derechos Sexuales y Reproductivos (SDSR) en los procesos del Plan Nacional de Adaptación (PNAD)}}, institution = {NAP Global Network}, year = {2021}, month = feb, url = {https://napglobalnetwork.org/wp-content/uploads/2021/02/napgn-es-2021-srhr-in-nap-processes.pdf}, urldate = {2026-10-23}, note = {Indexed by Climate Insights Directory} }

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