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Unfortunately, lack of public awareness, lack of training among health workers, and long-standing, widespread stigma around STIs remain barriers to greater and more effective use of these interventions. WHO regularly reports on the UN System-wide Action Plan for Mainstreaming Gender Equality and the Empowerment of Women (UN-SWAP) to foster accountability and monitor progress towards gender equality. WHO is committed to increasing diversity and women’s meaningful participation within the Organization at all levels. Institutional policies to promote women’s career development, best free porn videos increase gender parity, end all-male panels, address work−life balance and prevent harassment in the workplace are being implemented in the Organization.
The WHO Director General is a Gender Champion for the International Gender Champion (IGC) Parity Panel Pledge. Gender diverse people are more likely to experience violence and coercion, stigma and discrimination, including from health workers. Data suggests that transgender individuals experience high levels of mental health illness – linked to the discrimination and stigma they face from societies and in healthcare settings[1]. WHO is committed to identifying and promoting sexual health itself, so that everyone, everywhere is able to fulfil their human rights related to their sexuality and sexual well-being. Good sexual health is fundamental to the overall health and well-being of individuals, couples and families, and to the social and economic development of communities and countries. Many women, girls and gender-diverse persons experience non-consensual and violent sexual activity.

Gender equality (SDG 5) is a development goal in its own right and there are 45 targets and 54 gender-specific indicators addressing gender equality across all of the SDGs. Achieving these targets and closing gender inequalities will therefore create a multiplier effect across all of the SDGs and accelerate their achievement. Adolescents deserve the knowledge and resources to make informed decisions about their sexual health. We have the evidence, the tools and the strategies to improve adolescent sexual health outcomes. What we need, though, is the political will and the resources to make it happen," said Dr Margreet de Looze of Utrecht University, one of the report’s co-authors. The UN global guidance on sexuality education outlines a set of learning objectives beginning at the age of 5.

Health services for screening and treatment of STIs remain weak

Another recommendation is for policy-makers to integrate brief sexuality-related communication when possible, a clinical tool for behaviour change which takes a holistic and positive understanding of sexual health and sexuality. Accurate diagnostic tests for STIs (using molecular technology) are widely used in high-income countries. However, they are largely unavailable in low- and middle-income countries (LMICs) for chlamydia and gonorrhoea. Even in countries where testing is available, it is often expensive and not widely accessible. Sex is often categorized as females and males, but there are variations of sex characteristics called intersex.

They are often upheld and reproduced in the values, legislation, education systems, religion, media and other institutions of the society in which they exist. When individuals or groups do not "fit" established gender norms they often face stigma, discriminatory practices or social exclusion – all of which adversely affect health. Gender is also hierarchical and often reflects unequal relations of power, producing inequalities that intersect with other social and economic inequalities. Looking at outcomes from various initiatives, the research recommends redesigning sexual education and health interventions to incorporate sexual pleasure considerations, including when promoting safer sex.
For example, indigenous women have worse maternal health outcomes than non-indigenous women and are less likely to benefit from health care services in Latin America and the Caribbean. Therefore, inequities in maternal health between different ethnic groups should be monitored to identify critical, modifiable, health system and community factors that could limit health care coverage, including language, religion, territory and place of residence. Monitoring health inequities is essential for designing more effective programmes and policies to reduce health risks among indigenous women[2]. LMICs rely on identifying consistent, easily recognizable signs and symptoms to guide treatment, without the use of laboratory tests. This approach – syndromic management – often relies on clinical algorithms and allows health workers to diagnose a specific infection based on observed syndromes (e.g., vaginal/urethral discharge, anogenital ulcers, etc). Syndromic management is simple, assures rapid, same-day treatment, and avoids expensive or unavailable diagnostic tests for patients with symptoms.
Evidence- and rights-based national policies, guidelines and legislation play a key role in improving sexual, reproductive, maternal, newborn, child and... Despite considerable efforts to identify simple interventions that can reduce risky sexual behaviour, behaviour change remains a complex challenge. When used correctly and consistently, condoms offer one of the most effective methods of protection against STIs, including HIV. Although highly effective, condoms do not offer protection for STIs that cause extra-genital ulcers (i.e., syphilis or genital herpes). Lubricants (also called personal lubricants) are usually liquid gels that can be used by individuals during sexual activity.
Societal expectations and norms around "manhood" lead men to engage in risk-taking behaviors; for example, being encouraged to have multiple sexual partners. In addition to affecting men’s health, this also leads to negative outcomes for women and children due to increased interpersonal violence, the transmission of sexually transmitted infections (STIs) and unintended pregnancy. Men’s lack of participation in domestic and care work adds to the high burden of unpaid care work often performed by women[1]. "Intersectionality" builds on, and extends, the understanding of how gender power dynamics interact with other power hierarchies of privilege or disadvantage, resulting in inequality and differential health outcomes for different people[1]. These factors include sex, gender, race, ethnicity, age, class, socioeconomic status, religion, language, geographical location, disability status, migration status, gender identity and sexual orientation. Gender refers to socially constructed characteristics of women and men – such as norms, roles and relations of and between groups of women and men[1].

Pleasure as a consideration for the success of sexual health interventions

Harmful gender norms – including those related to rigid notions of masculinity – affect the health and well-being of boys and men. For example, notions of masculinity encourage boys and men to smoke, take sexual and other health risks, misuse alcohol and not seek help or health care. Such gender norms also contribute to boys and men perpetrating violence against women and girls.
In addition, emerging outbreaks of new infections that can be acquired by sexual contact such as mpox, Shigella sonnei, Neisseria meningitidis, Ebola and Zika, as well as re-emergence of neglected STIs such as lymphogranuloma venereum. These herald increasing challenges in the provision of adequate services for STIs prevention and control. Sexual health is relevant throughout a person’s life, through to adolescence and into  older age – not only during their reproductive years.