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State of World Population 2012 - Country Page List - UNFPA

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information and services, including comprehensive<br />

and objective sexuality education.<br />

Marginalizing the rights <strong>of</strong> a number <strong>of</strong> populations<br />

undermines national development goals.<br />

These population groups are <strong>of</strong>ten the most<br />

vulnerable to neglect and discrimination, and in<br />

many countries, are those with greatest unmet<br />

need. Those whose sexual activity may challenge<br />

prevailing social norms and whose access to reliable,<br />

quality family planning may be impeded<br />

include 1) young people, 2) unmarried people<br />

<strong>of</strong> all ages, 3) males and 4) other marginalized<br />

or discriminated against groups.<br />

Without integrating family planning policies<br />

that promote social inclusion and applying a<br />

rights-based framework, institutions responsible<br />

for equitable delivery <strong>of</strong> information and services<br />

may systematically neglect the needs <strong>of</strong> entire<br />

segments <strong>of</strong> their population.<br />

1 Young people<br />

Despite the international commitments to<br />

remove barriers to family planning for all population<br />

groups, research finds that young people’s<br />

needs remain largely neglected. The consequence<br />

is that the largest generation <strong>of</strong> young people in<br />

history is unable to fully exercise their reproductive<br />

rights and prevent unintended pregnancies,<br />

mitigate the risks <strong>of</strong> school dropout, or protect<br />

themselves from sexually transmitted infections,<br />

including HIV. This reality and its harmful consequences<br />

are largely preventable.<br />

People younger than 25 years now account<br />

for 44 per cent <strong>of</strong> the world’s total population,<br />

and in developing countries, the numbers <strong>of</strong><br />

children and youth are at all-time highs—<br />

1.6 billion and 1 billion, respectively. Girls<br />

aged 10 to 19 alone account for nearly<br />

one-fifth <strong>of</strong> all women <strong>of</strong> reproductive age<br />

(Guttmacher Institute and International<br />

Planned Parenthood Federation, 2010;<br />

Guttmacher Institute and International<br />

Planned Parenthood Federation, 2010a).<br />

As these young people mature into<br />

adulthood, their political, economic, and<br />

sociocultural realities will shape the opportunities<br />

and risks they face in planning their<br />

childbearing. In many societies, these factors<br />

continue to reinforce attitudes and practices<br />

that restrict or deter young people from accessing<br />

education and services, resources that<br />

would empower them with information to<br />

choose when they want to become parents.<br />

Unmet need is highest among the 300 million<br />

adolescent women between the ages <strong>of</strong> 15 and<br />

19. The risks <strong>of</strong> childbearing for both mother<br />

and infant are highest for adolescent mothers,<br />

and intensive efforts are needed to ensure that<br />

adolescent rights to sexual and reproductive<br />

health information and services, including for<br />

protection against sexually transmitted infections<br />

and HIV, are respected (UNICEF et al., 2011a).<br />

Each day, 2,500 youth, the majority <strong>of</strong> them<br />

female, become newly infected with HIV. Young<br />

women, whether married or unmarried, <strong>of</strong>ten<br />

need the dual protection <strong>of</strong> a condom plus a<br />

modern contraceptive to protect them from both<br />

pregnancy and disease.<br />

In sub-Saharan Africa and South Central and<br />

Southeast Asia, more than 60 per cent <strong>of</strong> adolescents<br />

who wish to avoid a pregnancy have an<br />

unmet need for modern contraception. These<br />

adolescents who do not use modern contraception<br />

or rely on a traditional method account for<br />

more than 80 per cent <strong>of</strong> unintended pregnancies<br />

in this age group.<br />

A comparative analysis <strong>of</strong> Demographic and<br />

Health Survey data from 40 countries by the<br />

Guttmacher Institute found that the proportion<br />

<strong>of</strong> adolescent women who reported discontinuing<br />

their method while still in need <strong>of</strong> contraception<br />

ranged from 4 per cent in Morocco to 28<br />

THE STATE OF WORLD POPULATION <strong>2012</strong><br />

47

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