All countries should take steps to meet the family-planning needs <strong>of</strong> their populations as soon as possible and should, in all cases by the year 2015, seek to provide universal access to a full range <strong>of</strong> safe and reliable family-planning methods and to related reproductive health services which are not against the law. The aim should be to assist couples and individuals to achieve their reproductive goals and give them the full opportunity to exercise the right to have children by choice. —Programme <strong>of</strong> Action <strong>of</strong> the International Conference on <strong>Population</strong> and Development, paragraph 7.16 The <strong>State</strong> <strong>of</strong> <strong>World</strong> <strong>Population</strong> <strong>2012</strong> This report was produced by the Information and External Relations Division <strong>of</strong> <strong>UNFPA</strong>, the United Nations <strong>Population</strong> Fund Editorial team Editor: Richard Kollodge Editorial associate: Robert Puchalik Editorial and administrative associate: Mirey Chaljub Distribution manager: Jayesh Gulrajani Acknowledgements The editorial team is grateful to the report's advisory group at <strong>UNFPA</strong> for guiding the conceptualization, direction and development <strong>of</strong> the report and for providing invaluable feedback on drafts. The group included: Alfonso Barragues, Beatriz de la Mora, Abubakar Dungus, Werner Haug, Michael Herrmann, Mona Kaidbey, Laura Laski, Edilberto Loaiza, Kechi Ogbuagu, Niyi Ojuolape, Nuriye Ortayli and Jagdish Upadhyay. Drafts were also reviewed by Anne-Birgitte Albrectsen, Klaus Beck, Ysabel Blanco, Delia Barcelona, Saturnin Epie, François Farah, Kate Gilmore, Elena Pirondini and Ziad Rifai. Hafedh Chekir, Thea Fierens, Nobuko Horibe, Bunmi Makinwa, Marcela Suazo also contributed to the substantive development <strong>of</strong> the report. Additional advisory support was provided by Mohamed Afifi, Monique Clesca, Jorge Cordoba, Adebayo Fayoyin, Sonia Heckadon, Gabriela Iancu, Yanmin Lin, Suzanne Mandong, William Ryan and Sherin Saadallah. The editorial team is also grateful to Marisabel Agosto for her sustained involvement with the report through development, writing and editing. Many thanks also to Karin Ringheim and David Levinger for their contributions to the report. Cover photo: Mother and child, Pakistan. ©Panos/Peter Barker About the authors Margaret Greene Margaret Greene (lead writer-researcher) has worked for nearly 20 years on the social and cultural determinants <strong>of</strong> health, adolescent reproductive health, development policy and gender. She is widely known for her research and advocacy on the conditions faced by girls and women in poor countries and on engaging men and boys for gender equality. She currently directs GreeneWorks, a consulting group working to promote social change for health and development. She is Chair <strong>of</strong> the Board <strong>of</strong> Promundo-USA and <strong>of</strong> the Willows Foundation, which provides reproductive health services in Turkey. Dr. Greene received her doctorate and master <strong>of</strong> philosophy degrees in demography from the University <strong>of</strong> Pennsylvania, and a bachelor <strong>of</strong> arts in linguistics from Yale University. Shareen Joshi Shareen Joshi (researcher-writer for Chapter 4) is a visiting pr<strong>of</strong>essor <strong>of</strong> international development at Georgetown University’s School <strong>of</strong> Foreign Service in Washington, DC and teaches courses in economics and political development; poverty, gender and politics; and integrated approaches to sustainable development. At Yale University, she received her doctorate in economics, a master <strong>of</strong> philosophy in economics, and a master <strong>of</strong> arts in economics. She holds a bachelor’s degree in mathematics from Reed College in Portland, Oregon. Omar Robles Omar Robles works as a consultant on health, gender and development. He has led training in gender-sensitive programming for <strong>UNFPA</strong> in Indonesia and is currently a gender advisor on CARE International’s emergency deployment roster. Prior to consulting, Omar was a gender and health policy advisor on the global USAID Health Policy Initiative, implemented by Futures Group. He holds a master <strong>of</strong> science degree in public health, health policy and management from the University <strong>of</strong> North Carolina’s Gillings School <strong>of</strong> Global Public Health and a bachelor’s degree in journalism and mass communication, also from the University <strong>of</strong> North Carolina.
state <strong>of</strong> world population <strong>2012</strong> BY CHOICE, NOT BY CHANCE FAMILY PLANNING, HUMAN RIGHTS AND DEVELOPMENT Foreword page ii Overview page iv 1 The right to family planning page 1 2 3 4 Analysing data and trends to understand the needs Challenges in extending access to everyone The social and economic impact <strong>of</strong> family planning page 17 page 39 page 71 The costs and savings <strong>of</strong> upholding 5 the right to family planning page 87 6 Making the right to family planning universal page 97 Indicators page 106 Bibliography page 117 t Teenage girl attends informational meeting about family planning in Dominica. ©Panos/Philip Wolmuth
- Page 1: 14 November 2012 BY CHOICE, NOT BY
- Page 5 and 6: ut many others have to do with econ
- Page 7 and 8: t Women who are able to plan their
- Page 9 and 10: What are the social and economic be
- Page 11 and 12: CHAPTER ONE The right to family pla
- Page 13 and 14: to—the social, political and econ
- Page 15 and 16: 1994 At the International Conferenc
- Page 17 and 18: Rights, 2012). The charges had been
- Page 19 and 20: health care, which includes family
- Page 21 and 22: designing and delivering accessible
- Page 23 and 24: use, and reduces unintended pregnan
- Page 25 and 26: For UNFPA, the key benefits to impl
- Page 27 and 28: CHAPTER TWO Analysing data and tren
- Page 29 and 30: through the wealthiest 20 per cent.
- Page 31 and 32: pers, advertisements and by word of
- Page 33 and 34: cohabitating partner (UNICEF, Offic
- Page 35 and 36: methods are several times more effe
- Page 37 and 38: Despite the tendency to consolidate
- Page 39 and 40: CASE STUDY No-scalpel vasectomy in
- Page 41 and 42: contribute to high unmet need (Sing
- Page 43 and 44: abortions in the region lead to mor
- Page 45 and 46: (as stated in the Convention on the
- Page 47 and 48: arriers prevent individuals from ac
- Page 49 and 50: CHAPTER THREE Challenges in extendi
- Page 51 and 52: sources of sexual and reproductive
- Page 53 and 54:
messages were delivered via a numbe
- Page 55 and 56:
Ricardo, 2005). Moreover, young and
- Page 57 and 58:
information and services, including
- Page 59 and 60:
instances of early sexual initiatio
- Page 61 and 62:
ut conventional family planning mes
- Page 63 and 64:
Social Affairs, 2009). Data from 15
- Page 65 and 66:
Many institutions, providers, and c
- Page 67 and 68:
groups (Maya, Xinka, and Garifuna)
- Page 69 and 70:
who are living with HIV and are con
- Page 71 and 72:
Studies suggest that HIV may have a
- Page 73 and 74:
with a public health challenge (Wor
- Page 75 and 76:
State-run family planning programme
- Page 77 and 78:
people in mobile, temporary, and re
- Page 79 and 80:
systems and civic participation to
- Page 81 and 82:
CHAPTER FOUR The social and economi
- Page 83 and 84:
t Community education in Caracas, V
- Page 85 and 86:
Estimates of Total Fertility 2010-2
- Page 87 and 88:
children, and healthier women also
- Page 89 and 90:
empirical evidence supporting this
- Page 91 and 92:
y the 1990s was accompanied by incr
- Page 93 and 94:
gender equality is much stronger an
- Page 95 and 96:
substantially, created new opportun
- Page 97 and 98:
CHAPTER FIVE The costs and savings
- Page 99 and 100:
Europe; the highest is 64 per cent
- Page 101 and 102:
Extending access to meet the unmet
- Page 103 and 104:
“family planning” services ofte
- Page 105 and 106:
therapy as an inexpensive preventiv
- Page 107 and 108:
CHAPTER SIX Making the right to fam
- Page 109 and 110:
1 Expand the reach of family planni
- Page 111 and 112:
ange of rights. Meeting those oblig
- Page 113 and 114:
including indigenous and ethnic min
- Page 115 and 116:
4 Increase funding for family plann
- Page 117 and 118:
Monitoring Monitoring ICPD ICPD Goa
- Page 119 and 120:
Monitoring Monitoring ICPD ICPD Goa
- Page 121 and 122:
Monitoring Monitoring ICPD ICPD Goa
- Page 123 and 124:
Monitoring ICPD Goals Demographic -
- Page 125 and 126:
Monitoring ICPD Goals - Selected In
- Page 127 and 128:
Bibliography Abbasi-Shavazi, Mohamm
- Page 129 and 130:
Monitoring ICPD Goals - Selected In
- Page 131 and 132:
Monitoring ICPD Goals - Selected In
- Page 133 and 134:
Monitoring ICPD Goals - Selected In
- Page 135 and 136:
Monitoring ICPD Goals - Selected In
- Page 137 and 138:
Monitoring ICPD Goals - Selected In
- Page 140:
Delivering a world where every preg