A Time to Lead: A Roadmap for Progress on Sexual and Reproductive Health and Rights Worldwide

[摘要] In 1994, at the convening of the International Conference on Population and Development (ICPD), 179 countries coalesced around a global consensus and program of action that shifted away from emphasizing numeric population targets and instead focused on dignity and human rights—including the right to plan one’s family—as fundamental to development. As we approach the 25th anniversary of ICPD in 2019, attainment of such needs and rights remains elusive for far too many people. Around the world, more than 200 million women who want to avoid pregnancy face an unmet need for modern contraception. 1 Each year, approximately 1.8 million people acquire new HIV infections, more than 350 million people need treatment for curable STIs, and approximately 266,000 women die from cervical cancer. 2,3 And it is those who are oppressed, discriminated against or otherwise marginalized in society whose needs are too often ignored. Addressing these and other sexual and reproductive health and rights gaps and needs is fundamental to people’s health and survival, to advancing economic development, and ultimately to the well-being of humanity. Although ICPD broke new ground, subsequent United Nations (UN) agreements—including the UN’s current development agenda, the Sustainable Development Goals—have fallen short and do not reflect a comprehensive commitment to ensuring health or individual and community rights. Moreover, in the United States, the Trump administration is pushing an agenda domestically and abroad that threatens these health and rights advancements and adds additional barriers to those already present in laws, policies and social norms. It is within this context that the Guttmacher- Lancet Commission on Sexual and Reproductive Health and Rights released its report in May 2018. 4 This assembly of global health, development and human rights experts calls on national governments, international agencies, donors, civil society groups and other key stakeholders to commit to a bold agenda to achieve universal access to sexual and reproductive health and rights. The Commission is an international collaboration that brought together 16 experts from all regions of the world to put forth an evidence-based, forward-looking vision that is affordable, attainable and essential to the achievement of health, equitable development and human rights for all.

[学科分类] 卫生学

[关键词] birth control;domestic violence;Global Gag Rule;maternal health;public health;Reproductive Health in Crisis;U.S. International Family Planning Assistance;unmet need;women of color;youth;SRHR Commission