AI Summary

The piece argues that global sexual‑health initiatives have long been driven by the Global North, with researchers, donors and international bodies exporting programs and setting priorities around contraception, abortion, maternal care, HIV prevention, comprehensive sexuality education, gender equity and protection from sexual violence. It notes that these efforts have largely ignored community‑defined concepts of pleasure, desire and broader sexual well‑being. The article calls for greater attention to the questions that communities themselves consider central to sexual health.

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