State of World Population 2012 - Country Page List - UNFPA

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all barriers to individuals’ access to family planning. However, in the sexual and reproductive health arena, gender inequality, gender-based discrimination and women’s disempowerment stand out as posing obstacles to women in particular as they pursue and claim their health and rights. Achieving States’ family planning obligations requires a focus on gender equality In many settings, gender norms condone specific beliefs, behaviours, and expectations of adult women and men, contributing to the health risks and vulnerabilities that affect women and men throughout their lives. Relative to men, women and girls are often socialized to be As part of the effort to meet unmet needs, all countries should seek to identify and remove all the major remaining barriers to the utilization of family planning services. — Programme of Action of the International Conference on Population and Development, ICPD passive and under-educated about their sexual and reproductive health. Sexuality—a topic that encompasses a diverse set of desires, experiences, and needs—is typically confined to notions of purity and virginity for women and girls. Women live with pressures to conform to social norms that uniformly restrict their sexual activity within the context of marriage. They are often discouraged from taking the initiative to bring up topics related to sexual relations, to refuse to have sex or to communicate about family planning. A dominant masculinity teaches boys and men that sexuality and sexual performance are key to masculinity. The enjoyment of sexual relations is viewed as their prerogative and they are taught to take the lead in their sexual relationships, creating significant pressure (and insecurity). Traditional views of what it means to be a man can encourage men to seek out multiple sexual partnerships and to take sexual risks. Around the world, men are taught that they are not primarily responsible for family planning and are often not held responsible for pregnancies outside of marriage. The differing treatment of boys and girls as they grow up begins early, and it continues throughout their lives. The result is that everyone—children, young people, adults—generally absorb messages about how they ought or ought not to behave or think, and early on, begin to establish divergent expectations of themselves and others as females and males. Often, these expectations unfortunately translate into practices that can harm sexual and reproductive health. Although women more consistently suffer the negative effects of harmful gender norms across their lifetimes, societies also socialize their men, male adolescents, and boys in ways that drive poor sexual and reproductive health outcomes. In many societies, men are encouraged to assert their manhood by taking risks, asserting their toughness, enduring pain, being independent providers, and having multiple sex partners. The roles and responsibilities of breadwinner and head of the household are inculcated into boys and men; fulfilling these behaviours and roles are dominant ways to affirm one’s manhood. If gender norms simply dictated difference and not hierarchy, we might not be talking about them here. But gender norms as a rule establish and reinforce women’s subordination to men and drive poor sexual and reproductive health outcomes for both men and women. Women are often prevented from learning about their rights and from obtaining the resources that could help them plan their lives and families, sustain their advancement in school, and support their participation in the formal economy (Greene and Levack, 2010). Men are often not offered most 40 CHAPTER 3: CHALLENGES IN EXTENDING ACCESS TO EVERYONE
sources of sexual and reproductive health information and services and develop the sense that planning their childbearing is not their domain: it is women’s responsibility. Gender inequality in family planning programmes Gender inequality is a profound obstacle to women’s—and men’s—ability to realize their right to family planning. It is also an impediment to sustainable development. While gender equality refers to the overarching goal of equal rights, access, opportunities and lack of gender discrimination, gender equity refers to fairness in the distribution of resources and services (UNFPA, 2012b; Caro, 2009). To ensure fairness and justice, governments must pursue gender equality, adopting strategies and measures to compensate for historical and social disadvantages that prevent women and men from enjoying equal opportunities (UNICEF, 2010). The legal, economic, social and cultural barriers to health and access to health services are reinforced by the physiological realities of reproduction: women bear the consequences of poor sexual and reproductive health choices and pay for these consequences with their health and sometimes their lives. Empowered with appropriate information, methods, and services, vulnerable populations are in a better position to avoid many of the harmful sexual and reproductive health outcomes affecting them. A focus on gender equality can make it easier for both women and men of all ages across diverse social settings to plan the timing and spacing of their children. The rigid ideals about appropriate attitudes and behaviours for men and women are learned, socially constructed norms that vary across local contexts and interact with sociocultural factors such as class or caste (Barker, 2005; Barker, Ricardo and Nascimento, 2007). These social and gender norms are carried out and reinforced on multiple levels, among individuals in peer groups and families, through community-wide attitudes and practices, and within institutions. CASE STUDY Addressing gender-based violence in Tanzania The Jijenge! programme in Tanzania recognized the harm gender inequality was causing to women, including to their sexual and reproductive health (Michau, Naker and Swalehe, 2002). Going beyond a typically biomedical approach to sexual and reproductive health, the t Couple at antenatal care service for couples in Venezuela. ©UNFPA/Raúl Corredor THE STATE OF WORLD POPULATION 2012 41
Page 1 and 2: 14 November 2012 BY CHOICE, NOT BY
Page 3 and 4: state of world population 2012 BY C
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: CHAPTER THREE Challenges in extendi
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
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Extending access to meet the unmet
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“family planning” services ofte
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therapy as an inexpensive preventiv
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CHAPTER SIX Making the right to fam
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1 Expand the reach of family planni
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ange of rights. Meeting those oblig
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including indigenous and ethnic min
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4 Increase funding for family plann
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Monitoring Monitoring ICPD ICPD Goa
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Monitoring ICPD Goals Demographic -
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Monitoring ICPD Goals - Selected In
Page 127 and 128:
Bibliography Abbasi-Shavazi, Mohamm
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Page 133 and 134:
Page 135 and 136:
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Delivering a world where every preg
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