French action for sexual, reproductive, maternal, child and adolescent health rights
France’s action on sexual and reproductive health and rights (SRHR)
Sexual and reproductive health and rights (SRHR) have gradually become part of debates within international forums since the 2000s. There are three goals to SRHR: human rights and individual freedoms, gender equality and sustainable development in societies, and finally public health.
In 2016, the Ministry for Europe and Foreign Affairs published, for the first time, France’s External action on issues of population and sexual and reproductive health and rights 2016-2020 strategy report, in support of the implementation of the Programme of Action adopted at the International Conference on Development and Population in Cairo, in 1994.
In 2021, France, as joint leader of the Generation Equality Forum Action Coalition on Bodily Autonomy and Sexual and Reproductive Health and Rights (SRHR), made several commitments in that area. France committed to allocating €400 million to SRHR over the five years of the Forum through a number of different programmes, including the UNFPA Supplies programme, and the ODAS Centre for safe abortion in West Africa.
In 2023, France launched its new international strategy for sexual and reproductive health and rights (SRHR) for the 2023-2027 period. There were three key changes from the previous strategy:
- The rights-based approach, placing individuals and their rights at the heart of the strategy.
- Six thematic priorities to guide France’s action.
- SRHR, the cornerstone of French feminist foreign policy.
Background and issues in terms of sexual and reproductive health and rights
Sexual and reproductive health and rights (SRHR) have gradually become part of debates within international forums since the 2000s. . There are three goals to SRHR: human rights and individual freedoms, gender equality and sustainable development in societies, and finally public health. The final stage in defining SRHR was to broaden these rights to include lesbian, gay, bisexual, transgender + persons (LGBT+) in the 1990s.
Through the support and expertise of civil society, the definition followed and adopted by France since 2018 has been that of the Guttmacher-Lancet Commission which characterizes it as “a state of physical, emotional, mental, and social well-being in relation to all aspects of sexuality and reproduction, not merely the absence of disease, dysfunction or infirmity.” This positive approach to sexuality and reproduction recognizes sexual relationships as sources of pleasure, based on trust and communication to promote self-esteem and overall wellbeing. All individuals have a right to make decisions about their bodies and to access services that support that right.
These changes are also taking place in international texts and state-recognized action programmes, particularly those backed by human rights and feminist movements.
But these changes are taking place in a delicate international context. SRHRs are facing many challenges:
- Recognition and political and financial monitoring which remain difficult despite real progress;
- The rise of conservatism and anti-choice movements which are jeopardizing hard-won progress;
- The increasing number of humanitarian, climate and health crises, which detract attention from SRHR issues.
France’s approach to sexual and reproductive health and rights
The strategy covers 6 thematic priorities: access to safe abortion; access to high-quality sexual and reproductive health services and products; the fight against sexual and gender-based violence; support for social and behavioural change through comprehensive sexuality education and actions fostering the transformation of masculine gender norms; equal rights and access to rights for LGBT+ people, and the protection of sexual and reproductive health and rights during crises.
Through this strategy, France is committed to honouring the financial commitments made during the Generation Equality Forum, amplifying its advocacy for SRHR around the world including during crisis and conflict situations, strengthening multi-stakeholder partnerships and sharing these goals with all actors of its foreign policy.
France will strive to promote its values through its feminist foreign policy and an integrated approach to the intersection of several priority sector-specific issues. France’s International Strategy on Gender Equality.
Through its feminist foreign policy, France aims to promote ambitious advocacy across all international, multilateral and bilateral arenas, in order to guarantee the right to control over one’s body and sexual and reproductive health as an essential prerequisite to gender equality;
→ France’s human rights and development strategy: France supports educational and awareness-raising projects regarding the correlation between human rights and SRHR aimed at all stakeholders in the French diplomatic network;
→ France’s global health strategy: sexual and reproductive health is part of this strategy. Several initiatives stem from this: the creation of the Muskoka Fund, the Global Fund to Fight AIDS, Tuberculosis and Malaria, and the Initiative;
→ France’s international strategy for food security, nutrition and sustainable agriculture: France is aiming to combat malnutrition in a comprehensive, multi-sector, multi-actor format by prioritizing action against undernutrition and the crucial period of the first 1,000 days (pregnant and nursing women and children under 2 years old);
→ France’s Humanitarian Strategy: in the process of renewal, several commitments will strengthen the inclusion of gender equality and SRHR, particularly access to the Minimum Initial Service Package.
The Muskoka Fund (FFM) has been operating since 2011 in West and Central Africa, to accelerate the reduction of maternal and infant mortality and improve reproductive, sexual, maternal, newborn, child and adolescent health (SRMNCAH), as well as nutrition.
Through France’s financing, this innovant mechanism for coordination, technical support and implementation, at regional and national levels, combines the complementary mandates and distinct comparative advantages of WHO, UN Women, UNFPA and UNICEF. The Muskoka Fund’s operating model enables better coordination of regional and national strategies, harmonization of technical support in the countries it works in and mobilization of partners and funds for SRMNCAH and nutrition in nine countries (Benin, Burkina Faso, Chad, Côte d’Ivoire, Guinea, Mali, Niger, Senegal and Togo).
Since 2011, France has invested more than €160 million through the Muskoka Fund for field operations, in liaison with local government bodies, which are conducted under four main themes: (i) maternal, newborn and child health and family planning, (ii) sexual and reproductive health of young people and adolescents, (iii) health system strengthening and (iv) nutrition. Denmark also contributed €3 million euros in 2019 and 2020.
Between 2010 and 2017, all the Muskoka countries saw a significant reduction in their maternal mortality rate, with a large reduction for Guinea (44%), Senegal (43%) and Burkina Faso (38%). All the activities that were developed under the Muskoka Fund, in accordance with the countries’ national healthcare development plans, are included in the Global Strategy for Women’s, Children’s and Adolescents’ Health (2016-2030).
In July 2021, at the Generation Equality Forum, France reiterated its political, technical and financial support for the Muskoka Fund up to and including 2026, for €10 million euros per year.
The NGO RAES (African network for education and health) initiated the creation of a pan-African sitcom in 2011, called " C’est la vie ! ", (“that’s life!”), telling the story of a fictional health centre in a city of West Africa. By addressing political, socio-economic and health issues one by one, the sitcom deals with themes ranging from sexual and reproductive health to questions of sexuality at school and violence against women.
The aim is to provide the target audience with the tools to make their choices, promote responsible practices and thereby pave the way to personal reflection, community dialogue and social behaviour changes through entertainment.
Supported in particular through French financing and the Gates Foundation, “C’est la vie” has since become a more general programme of education through entertainment, with a TV series, podcast and web series, together with community-based campaigns that support changing behaviours.
The production of seasons 1 and 2 was 75% financed by the Muskoka Fund and 25% by the channels A+, Canal France International and TV5Monde Afrique.
The Muskoka Fund provided its technical support for season 3, and its technical and financial support for the creation, production and dissemination of the Educational Kit in eight countries. Since 2017, the Agence Française de Développement (AFD) and the Bill and Melinda Gates Foundation have financed seasons 3 and 4, each investing €3 million, as well as activities that reach the most vulnerable populations or those outside the reach of mainstream media.
This funding made possible:
- the creation of realistic stories based on daily life with the right balance of healthcare messaging and entertainment: a TV series “C’est la vie” (3 seasons, 92 26-minute episodes) and a radio drama (1 season, 31 20-minute episodes) broadcast on the continent (TV5 Monde, A+, RFI, national channels and community radio stations).
- Dubbing of the TV series and translation of the radio drama into five languages (English, Wolof, Bambara, Fula and Hausa).
- Production of innovative digital content.
- The creation of an unprecedented, innovative educational kit, which supports community leaders who conduct fun, inclusive and high-impact activities at local level.
In 2022, the AFD financed a new phase of the “C’est la vie” project for the production of season 4 and the continuation of community activities in four countries (Burkina Faso, Côte d’Ivoire, Niger and Senegal), for €5 million. The Gates Foundation also provided €4.5 million in funding, to be used for improving digital access to sexual and reproductive health.
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Updated: January 2026