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A bit of history

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. 1994 ICPD 1999 ICPD + 5: Governments reaffirm support 2000 Millennium Summit Declaration and MDGs 2004 ICPD + 10

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A bit of history

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  1. ICPD AT 15The Final Push: Accelerating Implementation of the Cairo Consensus on Population and Development10 March 2009Bern, SwitzerlandLeyla AlyanakUNFPA GENEVA

  2. 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 A bit of history

  3. 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: a unique event

  4. 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

  5. ICPD and the MDGs • Social determinants • Equity • Human rights • Interrelationships • Demographic issues A few examples…

  6. MDG 5Improving 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

  7. Maternal mortality continues

  8. Africa: government policieson contraceptive access 1976 2007

  9. 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 MDG 6Reversing HIV/AIDS

  10. Swaziland South Africa Zimbabwe Central African Republic Uganda Female Chad Côte d'Ivoire Male Sierra Leone Rwanda Haiti Guinea Ethiopia Benin Mali DR Congo Niger Dominican Republic Senegal Cambodia India 0 5 10 15 20 25 % HIV prevalence HIV prevalence among 15-24 year-olds Source: 2008 Global report on the AIDS epidemic, UNAIDS

  11. 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 MDG 4Reducing child deaths

  12. ICPD at 15 anniversary:Key objectives • Raise visibility of ICPD-MDG linkages • Promote the use of the new target • Expanded action and increased funding • More effective implementation of PoA • Promote better monitoring • Advance knowledge on emerging issues

  13. 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

  14. 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

  15. 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

  16. 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.

  17. 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

  18. 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

  19. 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 ICPD at 15 Regional Processes

  20. Summing it up • SRH is the ultimate linkage amongst the MDGs.

  21. The MDGs and ICPD • SRH is of essential importance in reaching all MDGs, especially for women, and in particular young women

  22. Want to know more? Please visit our special ICPD at 15 website: www.unfpa.org/icpd/15/

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