Whilst reproductive health targets and rights have been agreed in international negotiations and universal access to reproductive health services incorporated into the MDG5, many countries do not recognise sexual health as being distinct from reproductive health and the need for sexual health services and information as going beyond those concerning reproduction and HIV. Sexual health services have generally been neglected because providing them requires governments to acknowledge sexual rights including sexual pleasure and sexual orientation; and address issues such as gender roles and power imbalances within relationships. At national levels, there is a general lack.
