Sam, I want to answer this from a narrower angle than the question deserves, since SRHR broadly is not my area of direct expertise, but there is a specific intersection I have witnessed firsthand that I believe belongs in this conversation.
Society's embrace of women's SRHR rights tends to be discussed as though the relevant population is uniform, but women navigating addiction face a compounded, often invisible exclusion from that embrace. At Purpose Rwanda, women in recovery frequently describe facing a double stigma: judged first for their addiction, and judged again, often more harshly than men in the same circumstance, for how that addiction is assumed to have affected their reproductive choices, their fitness as mothers, or their sexual conduct. Many SRHR services are simply not designed with this population in mind, and the shame attached to addiction often keeps women from seeking reproductive healthcare at all, out of fear of moral judgment rather than clinical concern.
If society is genuinely embracing SRHR as a right rather than a conditional privilege extended to women judged respectable enough to deserve it, that embrace has to extend to women whose lives do not fit a tidy narrative, including those in active addiction or early recovery. I suspect this is a blind spot in many SRHR frameworks, not from malice, but because the two fields, SRHR and addiction, rarely sit in the same room to compare notes.
Curious whether others here have encountered this intersection in their own work, and how it has been addressed, if at all.
Individually weaker, collectively stronger.
