• Alaka BasuAlaka Basu
      Alaka M. Basu is Professor, Development Sociology, Cornell University, and a member of the Guttmacher-Lancet Commission on Sexual and Reproductive Rights and Health
      Alessandro RosinaAlessandro Rosina
      Professor of Demography and Director, Center for Applied Statistics in Business and Economics, Università Cattolica del Sacro Cuore
      Andrea BrandoliniAndrea Brandolini
      Head of Statistical Analysis Directorate, Bank of Italy
      Bruno MasquelierBruno Masquelier
      Professor of Demography, University of Louvain, Belgium
      Cheikh MbackéCheikh Mbacké
      Associate Professor, Sociology department, Laval University
      Cinzia ContiCinzia Conti
      Researcher at Istat, Head of Unit on Foreign Presence and Social Dynamics
      Corrado BonifaziCorrado Bonifazi
      Director of the Institute for Research on Population and Social Policies, National Research Council, Rome Italy
      Ernestina CoastErnestina Coast
      Associate Professor of Population Studies, London School of Economics
      Wang FengFeng Wang
      Professor of Sociology at the University of California, Irvine, USA, and Professor at Fudan University, Shanghai, China fwang(at)
      Francesco BillariFrancesco Billari
      Professor of Sociology and Demography, Department of Social and Political Sciences, Bocconi University. • Personal webpage • francesco.billari(at)
      Gilles PisonGilles Pison
      Professor at Museum National d'Histoire Naturelle and Director of Research at the French National Institute for Demographic Studies (INED) (Paris)
      Gustavo De SantisGustavo De Santis
      Professor of Demography, University of Florence, Italy
      Jacques VallinJacques Vallin
      Emeritus Research Director at INED, Paris; Honorary President of IUSSP
      John KnodelJohn Knodel
      Research Professor Emeritus, Population Studies Center, Institute for Social Research, University of Michigan (USA) and International staff, College of Populations Studies, Chulalongkorn University (Thailand)
      Letizia MencariniLetizia Mencarini
      Associate professor of Demography, Bocconi University - Dondena Centre for Research on Social Dynamics and Public Policy & Collegio Carlo Alberto; P.I. ERC P.I. ERC project n. 313617 (2013-2018) SWELLFER
      Letizia TanturriLetizia Tanturri
      Associate Professor of Demography - Department of Statistical Sciences - University of Padova • Personal webpage ml.tanturri(at)
      Massimo livi BacciMassimo livi Bacci
      Emeritus Professor of Demography, University of Florence, Italy
      Monica Das GuptaMonica Das Gupta
      Research Professor of Sociology, University of Maryland, USA
      Paula Miranda-RibeiroPaula Miranda-Ribeiro
      Professor, Demography Department and Cedeplar, Universidade Federal de Minas Gerais, Brazil.
      Peter McDonaldPeter McDonald
      Professor of Demography in the Australian National University. Honorary President of IUSSP and winner of the Irene B. Taeuber Award
      Roberto ImpicciatoreRoberto Impicciatore
      Università di Bologna.
      Salvatore StrozzaSalvatore Strozza
      Professor of Demography, University Federico II, Naples (Italy)
      Stefano MolinaStefano Molina
      Senior Program Officer, Giovanni Agnelli Foundation, Italy
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The political responsibility for sexual and reproductive health and rights
La classe politique doit mieux défendre les droits sexuels et reproductifs

Alaka Basu

Political representatives are routinely accused of not following up on promises. They get less criticism for not speaking on citizen rights. In the case of sexual and reproductive health and rights (SRHRs), words are as consequential as actions. Low vocal political support for SRHR, according to Alaka Malwade Basu, risks compromising policy and encouraging penalties for breaking sexual and reproductive norms.

People fall in love. People fall out of love. And they express these desires (or changing or conflicted desires) by entering into or retreating from sexual relationships before, within and outside a formal marriage. They also often express them by attempts to prevent or achieve pregnancies and live births.

Sexual and reproductive behaviors are thus as much a matter of the heart as of the head, and all societies and countries have formal and informal rules about the experience and expression of such emotion – rules about whom, when and how to love and when, how and how much to reproduce or control reproduction. These rules may have their origins in religious or cultural histories but they then often also get incorporated into formal legal systems that in turn implement them, sometimes loosely and sometimes harshly.

Progress on the front of sexual and reproductive rights and health

When these religious, social or legal rules are transgressed, the consequences for sexual and reproductive health can be severe (Basu, 2006). This is partly why the recent report of the Guttmacher-Lancet Commission on Sexual and Reproductive Rights and Health (2018) emphasizes that progress on sexual and reproductive health is predicated on a commitment to sexual and reproductive rights. It is the state’s and civil society’s allegiance to the right of individuals to make their own sexual and reproductive decisions that in turn fosters the demand for and the supply of the laws, policies and services that protect and promote sexual and reproductive health.

The recent Seventh International Conference of Parliamentarians in Population and Development in Ottawa (IPCI/ICPD, 2018), which reviewed progress on the ICPD Program of Action, was organized to reiterate the responsibility of political actors to demonstrate their commitment to sexual and reproductive health and rights (SRHR) which now, close to a quarter century after ICPD, also need to go beyond the services and rights elaborated in that document. For example, the rights of sexual minorities are more widely, although still not universally, acknowledged today; access to abortion is now less contentious (but not everywhere) than it was in 1994 – witness for example the recent referendum to liberalize abortion laws in Ireland – and it is therefore time for an updated ICPD agenda.

The proverbial understanding is that actions speak louder than words on all these matters. That is, it is not enough for political leaders to talk big, we need to see more changes on the ground in laws, policies and services and it is incumbent on political leaders to make these changes.

Sexual and reproductive rights and health under attack globally

However, on the matter of sexual and reproductive rights, where so much of the penalty for breaking the rules is social, a case can be made that words are very important in their own right. Politicians and other influential public figures need to stand up much more visibly for the rights of individuals to determine their own sexual and reproductive trajectories (Basu, 2018). Such standing up is unfortunately rarer than it should be in most parts of the world. If anything, political pronouncements on matters to do with sexual and reproductive health and rights seem to be regressing in many places.

In the US, one reason that President Trump could make the reinstatement of the Global Gag rule  his very first policy action, was the confidence that his political opponents would not make an issue of it; they thought they had bigger and more winnable battles to fight. But it is hardly surprising that, after the reproductive rights of women in distant lands were thus curtailed, the political conservatives feel more emboldened to turn their attention to the rights of Americans, so much so that there is now a genuine anxiety that Roe-vs Wade could get overturned. The Supreme Court’s recent upholding of President Trump’s decision to ban transgenders from serving in the US military is a more definitive example of domestic curbs on SRHR.

Similarly, in India in recent years, there have been a number of elected representatives seeking legal and civic action against ‘love jihad’ (the accusation that one way in which the Muslim community in the country is trying to increase its numbers is by getting its young men to seduce and marry non-Muslim women who will then produce more Muslim babies!) – this kind of rabble rousing is not harmless babble, as several instances of the public hounding of inter-religious couples demonstrates. As a footnote, it would make much more sense to use the accusation of love jihad to encourage non-Muslim men to brush up their romantic skills! Other members of Parliament and Legislative Assemblies, as well as some non-elected public figures have been regularly asking for new rules to punish high fertility couples, for example by denying them the right to stand for elections or even denying them voting rights.

Political leaders making such provocative statements is bad enough; what is more worrying is how rarely political representatives from either their own side or the opposition step up to openly condemn these remarks or even to disown them as belonging to a fringe.

Similarly, the verbal criticizing of sexual minorities by politicians in many countries rarely gets challenged by other otherwise moderate or liberal politicians; it is never clear if this silence is a result of fear of their intemperate colleagues or a judgement (or misjudgment) of the popular mood. If it is the latter, then one expects such moderate or liberal politicians, especially after they have attended these regular lush gatherings of Parliamentarians in Population and Development  (see, for example) to even more strongly speak up to change the public discourse.

There is a large literature in demography on the ‘diffusion’ of new ideas and ideologies that might account at least partly for the demographic transition, through changes in attitudes to contraception, fertility, women, and so on. Very often, such changes are inspired by the sayings and doings of role models. It is debatable whether political leaders are really role models for anyone, but they do come with an association of status and power that makes their verdicts sound authoritative. They can use this authority to spread the idea of sexual and reproductive rights or they can use it to reaffirm unjust norms and laws that damage the sexual and reproductive health of individuals who dare to disobey these rules. Unfortunately, as of now, there seem more political representatives in the latter group than in the former. Even more unfortunately, the vast majority of persons in political positions are completely silent on the subject of the right of all individuals to make their own decisions on such intimate matters as love and reproduction.


Basu, A. M. (2006), ‘The emotions and reproductive health’, Population and Development Review, vol. 32, no. 1, pp. 107-121.

Basu, A.M. (2018), ‘It’s high times MPs around the world stand up for the rights of women and minorities’, The Wire, 14 Nov.

Guttmacher-Lancet Commission on Sexual and Reproductive Health and Rights (2018), Accelerate Progress—Sexual and Reproductive Health and Rights for All, Report of the Guttmacher-Lancet Commission, The Lancet, 19 May.

IPCI/ICPD (2018), The Seventh International Parliamentarians’ Conference on the Implementation of the ICPD Programme of Action (IPCI), Ottawa, 22-23 October.


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