Transcript No Slide Title

ICPD AT 15
The Final Push:
Accelerating Implementation of
the Cairo Consensus
on Population and Development
10 March 2009
Bern, Switzerland
Leyla Alyanak
UNFPA GENEVA
A bit of history
 1994
ICPD
 1999
ICPD + 5: Governments reaffirm support
 2000
Millennium Summit Declaration and MDGs
 2004
ICPD + 10
 2005
World Summit
 2007
New MDG framework and new RH target 5B
 2009
ICPD + 15
ICPD: a unique event












Broad view of population
Human rights approach
“Reproductive health and rights”
Life cycle approach
Development dimension
Objective rights
Integrated into MDGs
New issues
Principle of equity, especially for vulnerable groups
Multisectoral involvement: CS/PS/Govts
Recognition of longer timescales (demographic processes take time)
Governments could at last measure progress
ICPD: the new target
Target 5A: reduce by three-quarters, between 1990 and
2015, the maternal mortality rate
Target 5B: achieve, by 2015, universal access to
reproductive health
Indicators for monitoring progress:
• 5.3 Contraceptive prevalence rate
• 5.4 Adolescent birth rate
• 5.5 Ante-natal care coverage
• 5.6 Unmet need for FP
ICPD and the MDGs
1.
2.
3.
4.
5.
Social determinants
Equity
Human rights
Interrelationships
Demographic issues
A few examples…
MDG 5
Improving Maternal Health
No woman should die giving life




536 000 maternal deaths per year
Little progress
Disparity: among countries, within countries
Youth at risk: 5 times higher for girls under 15
Yet we know what works:
 Family planning saves lives
 Skilled attendance at birth
 Emergency obstetrical care
Maternal mortality
continues
Africa: government policies
on contraceptive access
1976
2007
MDG 6
Reversing HIV/AIDS
Universal access to RH is critical in fighting HIV/AIDS
 Prevention is key to reversing the epidemic and
huge progress in treatment
 Epidemic is increasingly young, increasingly female
 Half new transmission in young under 25
HIV prevalence
among 15-24 year-olds
Swaziland
South Africa
Zimbabwe
Central African Republic
Uganda
Chad
Côte d'Ivoire
Sierra Leone
Rwanda
Haiti
Guinea
Ethiopia
Benin
Mali
DR Congo
Niger
Dominican Republic
Senegal
Cambodia
India
Female
Male
0
Source: 2008 Global report on the AIDS epidemic, UNAIDS
5
10
15
% HIV prevalence
20
25
MDG 4
Reducing child deaths
What kills mothers kills babies
 10 million children die before the age of 5
4 million die in the first 28 days. 3 million stillbirths. Linked EmOC
 Up to a third of child deaths preventable by spacing min 2
years
Yet 50% of children less than 2 years spacing
 Adolescent mothers 30% more likely to have infant die
Yet, up to 30% married by age 15, 60% by age 18
 Children of mothers who die 3-10 higher risk of dying by age
2
ICPD at 15 anniversary:
Key objectives
1. Raise visibility of ICPD-MDG linkages
2. Promote the use of the new target
3. Expanded action and increased funding
4. More effective implementation of PoA
5. Promote better monitoring
6. Advance knowledge on emerging issues
ICPD at 15:
The challenges
 MDG 5 shows the least progress – wealth
differential in RH largest among MDGs
 Full integration of RH into national health plans
 Integration of 5B into policy and country-level
monitoring
 How to link with 5A: consolidation of gains
 Reinforce linkages to emerging global concerns
ICPD at 15:
The challenges






Not enough attention to FP
Active opposition
Women’s movements
Attention to equity
Demographic issues
Reinforce participatory development and
increased accountability
Key Global Events 1
 Commission on Population and Development (on
the contribution of the ICPD PoA to the internationally
agreed development goals, including the MDGs) –
30 March- 3 April 2009, New York
 International Parliamentarians’ Conference on the
Implementation of the ICPD – “15th Anniversary of the
PoA” – 26-28 October 2009, Cairo
 Commemoration during the 64th session of the United
Nations General Assembly, Fall 2009, New York
Key Global Events 2
 An ICPD at 15 Global NGO Forum for NGOs to assess
progress, identify opportunities and constraints and devise
strategies for more effective support for ICPD implementation –
2 - 4 September, Berlin
 The XXVI Conference of the International Union for the
Scientific Study on Population: ICPD at 15 panel and side
events - 27 September- 2 October 2009, Marrakech
Possibly some additional side events, for example
during the CPD, the Executive Board Session in
September, etc.
Key Global Events 3
Technical Meetings Under Consideration
 Family Planning – the way forward
 HIV prevention
 Increasing the impact of education in shaping
adolescent’s health, social and economic assets
 “Emerging” issues and the ICPD: climate change
and food crisis
Other important events
in 2009
World Health Assembly review of progress on
health-related MDGs (for the 1st time to include
UARH target)
 ECOSOC Thematic Session of the Annual
Ministerial Review on Implementing the
internationally agreed goals and commitments in
regard to global public health
 Other MDG related events
ICPD at 15
Regional Processes
 ECA: Regional survey; Ministerial meeting under
discussion
 ESCAP: Expert Group Meeting early 2009, possibly a
high level meeting in fall 2009
 ECLAC: Regional survey; Regional meeting under
discussion
 ECE: a work in progress
 ESCWA: Expert meeting and high level meeting – in
collaboration with LAS
 EECA: Conference on Population and Development
More details will soon be available
Summing it up
 SRH is the ultimate linkage
amongst the MDGs.
The MDGs and ICPD
• SRH is of essential importance
in reaching all MDGs,
especially for women, and in
particular young women
Want to know more?
Please visit our special ICPD at 15 website:
www.unfpa.org/icpd/15/