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Life-sustaining technologies in resource-limited settings – Authors' reply

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1 Jha V, Martin DE, Bargman JM, et al. Ethical issues in dialysis therapy. Lancet 2017; 389: 1851–56. 2 Liyanage T, Ninomiya T, Jha V, et al. Worldwide access to… Click to show full abstract

1 Jha V, Martin DE, Bargman JM, et al. Ethical issues in dialysis therapy. Lancet 2017; 389: 1851–56. 2 Liyanage T, Ninomiya T, Jha V, et al. Worldwide access to treatment for end-stage kidney disease: a systematic review. Lancet 2015; 385: 1975–82. 3 Mills KT, Xu Y, Zhang W, et al. A systematic analysis of worldwide population-based data on the global burden of chronic kidney disease in 2010. Kidney Int 2015; 88: 950–57. 4 Lameire NH, Bagga A, Cruz D, et al. Acute kidney injury: an increasing global concern. Lancet 2013; 382: 170–79. 5 Stanifer JW, Muiru A, Jafar TH, Patel UD. Chronic kidney disease in lowand middle-income countries. Nephrol Dial Transplant 2016; 31: 868–74. which requires access to modern contraception and safe abortion services, is fundamental for gender equality, economic development, and progress for all. Without family planning, the opportunity for girls to obtain a rounded education is restricted. Women’s economic empowerment and equality relies on the bodily autonomy that access to family planning provides, and with that comes economic prosperity, security, and prosperity for all. The absence of comprehensive sexual and reproductive health services, such as family planning, will place women’s health and lives at risk. The Global Gag Rule will considerably increase both the number of unplanned pregnancies and, inevitably and ironically, the number of abortions it aims to prevent. Delegates at the global Family Planning Summit held in London on July 11, 2017, spoke loudly and strongly to remind the world of what is at stake and what is right. Gender equality and access to family planning is not just a women’s issue, it is a health issue, economic issue, and prerequisite for development, and it is everybody’s business. When girls and women are able to make choices about their own lives, including reproduction, they are empowered to create a better economic future for themselves, their families, their communities and their societies, which is something we can all benefit from and celebrate.

Keywords: kidney disease; family planning; access; life sustaining; kidney

Journal Title: The Lancet
Year Published: 2017

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