Objective: Describing the contextual elements involved in the development of sexual and reproductive health public policies of the municipalities of the metropolitan area. Methodology: We performed a systematic review of the public policies, scientific journals, and interviews to experts on sexual and reproductive health topics. The analysis of the information was performed through a codification and categorization process. Results: The findings show that srh is a topic being discussed in different social groups and brings about public opinion. It has undergone social and cultural changes in approach, there is recognition of the actors and the relationship between public policies and the media as elements of transformation of citizens. The national policies of srh are a pattern to follow for municipal entities, but their guidelines must adapt to the particular necessities of each municipality as to improve the rendering of the services according to the context of the inhabitants.