
COUNTRY: South Africa
May 2026
South Africa’s New Reproductive Justice Framework Gains Recognition at UN Dialogue
SRHR Africa Trust (SAT) reinforced its commitment to advancing sexual and reproductive justice (SRJ) during a high-level engagement at the United Nations, where South Africa’s evolving approach to sexual and reproductive health and rights (SRHR) was recognised as a model grounded in justice, equity, and inclusion.
Sexual and reproductive justice goes beyond access to services or legal rights. It focuses on whether individuals, particularly those most marginalised, have the social, economic, and political power to make informed decisions about their bodies, lives, and futures. It addresses systemic inequalities that shape health outcomes, including poverty, discrimination, and unequal access to services.
SAT’s Regional Policy Officer, Levi Singh, played a strategic moderating role in a dialogue that brought together global and regional leaders. The panel featured South Africa’s Deputy Minister in the Presidency, Mmapaseka Steve Letsike, United Nations Population Fund (UNFPA) Regional Director for East and Southern Africa, Lydia Zigomo, Dr. Noor Mohammad, Executive Director of the Population Services and Training Centre (PSTC) in Bangladesh, and Karin Nilsson, Executive Director at SheDecides, alongside parliamentary representatives from Ghana.
Kicking off the session, Deputy Minister Letsike drew a picture of tackling SRHR-related issues, saying reproductive justice required the inclusion of all people in their diversity from race, class, geography, disability and sexuality.
South Africa has adopted a pioneering Sexual and Reproductive Justice Strategy Framework which was approved in February 2026, becoming the first African nation to adopt a national-level strategy focused specifically on reproductive justice rather than just rights.
Letsike listed young women who have to navigate inequality, people with disabilities who are excluded from services and LGBT persons who are fighting for bodily autonomy.
“South Africa’s constitution promises equality, and inequality is often layered with compounding barriers. A one-size-fits-all approach to dealing with SRHR matters is limiting, we must have a response that is inclusive and transformative,” she said.
Letsike highlighted the importance of the use of technology for data gathering and research, saying innovation should be used to serve vulnerable communities.
“South Africa is using technology to improve accountability and service delivery, evidence-based decision-making is needed when developing policies so that it translates to change on the ground,” she added.
UNFPA Regional Director, Lydia Zigomo, highlighted the importance of collaboration in achieving sexual reproductive justice, and commended South Africa for President Cyril Ramaphosa’s declaration of gender-based violence and femicide (GBVF) as a national disaster, in a decision that was driven by data and research, highlighting the severity of the crisis.
“It is now important for South Africa to move from paper to operation; collective responsibility is making sure that the country is given the resources to ensure that all its strategies are put into place.”
Dr Noor Mohammad, Executive Director of the Population Services and Training Centre in Bangladesh, gave an example of his country’s approach to bridging the gap between policy and implementation through a bottom-up approach and emphasised the importance of keeping community members engaged at every level of decision-making, without masking the truth.
“We started with consultations at community level, we took into consideration that one community can have a population of 50 000 people, and another only 5000, all with different ethnicities. We then moved to district level before going national. Once we set up our policy, it then became a matter of service delivery,” he said. “We involved citizens in strategy, intervention, planning and evaluation, and we were honest when we lost funding, which later attracted funding from the private sector and donors.”
Karin Nilsson, Executive Director at SheDecides, affirmed that government programmes that aim to tackle issues around SRHR need to be rooted in service delivery, citing inequality and marginalisation as an act of control and abuse of power so that governments are not held accountable.
“When young people are deprived of support and equal access to health care, and educational information, and are not allowed to decide for their own body, their own agency and power to decide on their own life, it makes it difficult for society to effect change. It’s difficult to be included in decision-making policies when you are excluded,” she said.
Nilsson reflected on the aims of the Sustainable Development Goals (SDG 2030) – to end poverty, combat inequalities, protect human rights, and empower women and girls – and asked how any of this can be achieved in unequal societies and without collaboration by governments and consensus on all these issues.
“When the SDGs were drafted in 2015, they stated that we should not leave anyone behind. How do we do that if we are not inclusive of all marginalised people? If people are still being discriminated against, and financial and structural barriers are in place, they will not be able to participate in an equal society, which will have an impact on economic growth.”
The engagement underscored that advancing sexual and reproductive justice requires more than policy commitments, it demands intentional action to address the structural inequalities that continue to limit access, agency, and opportunity.
South Africa’s move towards a justice-based framework marks a significant shift from focusing solely on rights to addressing the lived realities of those most affected.
For SAT and its partners, the priority now lies in ensuring that these commitments are translated into meaningful, on-the-ground impact, where inclusive policies, adequate resources, and community-driven approaches enable young people to fully realise their rights and make informed decisions about their bodies and futures.



























































































