Try This: How Does Health Care Look Through the Reproductive Health, Rights, & Justice Frameworks?
In March, I began consulting with the New York City Department of Health and Mental Hygiene’s Bureau of Maternal, Infant and Reproductive Health around engaging community stakeholders on health equity and reproductive justice. I was initially intrigued because this was the first time I’ve heard of a city health department being interested in incorporating the reproductive justice framework into their work. Last week, the DOHMH held a community gathering of 65 local organizations on how to engage the community in this work, and I assisted in introducing the reproductive justice framework to those in the room who were not familiar with it. It was a great opportunity to assist the DOHMH in utilizing the reproductive justice framework in their work as they connect with local providers, community groups and activists, and I look forward to working with the DOHMH as they become more engaged with the New York City community.
During my presentation, I broke down the differences between the reproductive health, rights, and justice frameworks into two using Forward Together’s groundbreaking report A New Vision for Advancing Our Movement for Reproductive Health, Reproductive Rights, and Reproductive Justice (2005):
Reproductive Health: A service delivery model that focuses on addressing the reproductive health needs of women. The people affected are patients in need of services and/or education, and the key players are people who work as, or are allied with, medical professionals, community and public health educators, health researchers, and health service providers.
Reproductive Rights: A legal/advocacy based model that focuses on the protection of an individual’s right to access to reproductive health services. The people affected are individuals who are encouraged to actively participate in the political process, and the key players are people who work as, or are allied with, advocates, legal experts, policymakers, and elected officials.
Reproductive Justice: A community organizing model that focuses on intersectionality as a way to organize communities to change structural inequalities. The people affected are community members who are organized to lead against reproductive oppression and other injustices, and the key players are people who work as, or are allied with reproductive rights, reproductive health, and social justice and other justice organizations.
To go further, I used a health topic to demonstrate how it could look under each of these frameworks. Let’s take a look at an example on minors consenting to HIV treatment in New York State: