Global health. The current scenario and future perspectives

233 signed by the nation over national laws regarding human rights. All constitutions recognize and adopt those signed frameworks, although with varying levels of hierarchy. The Constitution of Mexico City (2017) exhibits a notable commitment to human rights, particularly in its comprehensive approach to SRR and addresses both types of rights in detail and separately. It provides a very comprehensive description of sexual rights and, in the case of reproductive rights, it mentions not only the right to decide whether to have children but also emphasizes the right not to have them: “The right to freely, voluntarily and informedly decide whether or not to have children, with whom, how many and when, without coercion or violence; as well as receiving comprehensive services for accessing the highest possible level of reproductive health and access to information on assisted reproduction” (p. 25). The Constitution of Buenos Aires (1996) also recognizes both types of rights, while Bolivia (2008), albeit briefly but clearly, states that it “guarantees women’s and men’s sexual rights and reproductive rights” (p. 16). In the rest of the constitutions, except Ecuador (2008), which mentions people’s right “to make free and responsible decisions about their sexual life” (Chapter 2, Article 23 No. 25), approaches are more limited. They generally focus on reproductive aspects from a family planning perspective by guaranteeing the right to decide freely and responsibly on the number and frequency of children. It should be noted that there are differences when this right is explicitly stated as individual (Ecuador and Paraguay) compared to other cases that refer to couple’s rights (Brazil, Colombia and Venezuela). It is also important that few constitutions explicitly recognize the interdependence, indivisibility and progressive nature of human rights (Bolivia, Mexico City). Family A significant portion of reviewed constitutions highlight family as a basic unit in society while explicitly declaring its formation based on a heteronormative marital regime. They recognize equality of rights between both spouses and members and, in all cases, explicit protection is granted to families where only one spouse is the head, especially in the case of female-headed households, which reveals recognition of gender inequities in society. Only Bolivia and Mexico City refer to “families” and acknowledge diversity explicitly. The Mexico City constitution states: “All structures, manifestations and forms of family community are recognized with equal rights; they are fully protected by law and supported in their care tasks.” (Mexico City 2017, p.25). Alongside this statement, said constitution