“All human beings are born free and equal in dignityand rights… Everyone is entitled to all the rights andfreedoms set forth in this declaration, without distinction<strong>of</strong> any kind, such as race, colour, sex, language, religion,political or other opinion, national or social origin,property, birth or other status… Everyone has theright to life, liberty and security <strong>of</strong> person.”— Universal Declaration <strong>of</strong> Human Rightsgroups can also weaken a broader commitmentto family planning.Many groups, including young people andunmarried people, have been excluded orhave not benefited from family planning programmes.Other groups, including persons withdisabilities or older people, have been deniedaccess to family planning programmes based onprevailing misconceptions that they do not havesexual needs.This report makes the case that the inabilityto determine when to have children and howlarge a family to have results from and furtherreinforces social injustice and a lack <strong>of</strong> freedom.This report promotes the right to family planningas an essential and sometimes neglectedfocus <strong>of</strong> the range <strong>of</strong> services required to supportsexual and reproductive health morebroadly. It also underscores that family planningis one <strong>of</strong> the most cost-effective public healthand sustainable development interventions everdeveloped (Levine, What Works Group andKinder, 2004).Family planning reinforces otherhuman rightsThe world has evolved a globally shared understandingabout sexual and reproductive healthand the institutional, social, political and economicfactors needed to support it. This sharedunderstanding was documented most fully atthe ICPD, which marked a pr<strong>of</strong>ound changein the international community’s approach tosexual and reproductive health and shaped manypolicies in place today. The ICPD Programme<strong>of</strong> Action formally recognized the rights <strong>of</strong>individuals to have children by choice, notby chance.Individuals have the right to determine theirfamily size, and the right to choose when tohave their children. Several features <strong>of</strong> theICPD Programme <strong>of</strong> Action have contributedto making it possible for more people to exercisetheir reproductive rights. First, the ICPDProgramme <strong>of</strong> Action contributed to advancingreproductive rights by defining the broadconcept <strong>of</strong> “sexual and reproductive health,”and by giving attention to the social conditionsthat shape it. It explicitly acknowledged theimportance <strong>of</strong> sexual and reproductive health inthe lives <strong>of</strong> women as well as the specific needs<strong>of</strong> adolescents and the roles <strong>of</strong> men and boys.It laid out a mandate for development programmesto take into account—and respondThe ICPD defines sexual andreproductive health as “a state <strong>of</strong>complete physical, mental and socialwell-being…in all matters relating tothe reproductive system and to itsfunctions and processes. Reproductivehealth therefore implies that peopleare able to have a satisfying andsafe sex life and that they have thecapability to reproduce and thefreedom to decide if, when and how<strong>of</strong>ten to do so.”— ICPD Programme <strong>of</strong> Action, paragraph 7.22 CHAPTER 1: THE RIGHT TO FAMILY PLANNING
to—the social, political and economic factorsthat affect people differently because <strong>of</strong> whothey are, where they live and what they do.One additional contribution <strong>of</strong> the ICPD:Whereas earlier programmes had treatedfamily planning as a standalone activity, theProgramme <strong>of</strong> Action situated family planningin the context <strong>of</strong> broader sexual and reproductivehealth programmes. Reproductive rightsrest not only on the recognition <strong>of</strong> the right<strong>of</strong> couples and individuals to plan their family,but on “the right to attain the higheststandard <strong>of</strong> sexual and reproductive health. Italso includes their right to make decisions concerningreproduction free <strong>of</strong> discrimination,coercion and violence, as expressed in humanrights documents” (<strong>UNFPA</strong>, 1994).By reducing worry about unintendedpregnancy, family planning can contributeto building relationships between partnersand ensuring a satisfying and safe sex life.Respecting, protecting and fulfilling people’shuman rights make it easier for people toachieve the full benefit <strong>of</strong> investments infamily planning (Cottingham, Germainand Hunt <strong>2012</strong>).International commitmentsSexual and reproductive health and reproductiverights do not represent a new set <strong>of</strong> rights butare rights already recognized implicitly or explicitlyin national laws, international human rightsdocuments and other relevant United Nationsconsensus documents. Some <strong>of</strong> these internationalnorms rest on broader human rights thatalso underpin the right to sexual and reproductivehealth, including family planning.Reproductive rights encompass both freedomsand entitlements involving civil, political, economic,social and cultural rights. The right todecide the number and spacing <strong>of</strong> children isintegral to the reproductive rights frameworkand is therefore directly related to other basichuman rights, including:• The right to life;• The right to liberty and security <strong>of</strong> person;• The right to health, including sexual and reproductive health;• The right to consent to marriage and to equality in marriage;• The right to privacy;• The right to equality and non-discrimination;• The right not to be subjected to torture or other cruel, inhuman, ordegrading treatment or punishment;• The right to education, including access to sexuality education;• The right to participate in the conduct <strong>of</strong> public affairs and the right t<strong>of</strong>ree, active and meaningful participation;• The right to seek, impart and receive information and to have freedom<strong>of</strong> expression;• The right to benefit from scientific progress.(Center for Reproductive Rights, 2009; InternationalPlanned Parenthood Federation, 1996).These rights are derived from numerousinternational and regional treaties andconventions. As such they reflect a commonunderstanding <strong>of</strong> fundamental human rights.These and other human rights related to reproductiverights and their sources are laid outin Reproductive Rights are Human Rights, by theCenter for Reproductive Rights (2009).Responding to the realities <strong>of</strong> gender inequalitiesand the nature <strong>of</strong> reproductive physiology,a number <strong>of</strong> human rights documents referencethe special challenges and discriminationwomen and girls face. The human rights <strong>of</strong>most direct relevance to gender inequalityinclude the right to be free from discriminatorypractices that especially harm women and girls,and the right to be free from sexual coercionand gender-based violence.THE STATE OF WORLD POPULATION <strong>2012</strong>3
- Page 6 and 7: OverviewOne hundred seventy-nine go
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Consensual unions account for an in
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when. The proportion of never-marri
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63 per cent to 93 per cent of young
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Family planning in humanitariansett
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Studies suggest that HIV may have a
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with a public health challenge (Wor
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State-run family planning programme
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people in mobile, temporary, and re
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systems and civic participation to
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CHAPTERFOURThe social and economici
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tCommunityeducation inCaracas, Vene
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Estimates of Total Fertility2010-20
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children, and healthier women also
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empirical evidence supporting this
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tRicardo and Sarain Mexico City say
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to secure the future population’s
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86 CHAPTER 5: THE COSTS AND SAVINGS
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Unintended Pregnancies and outcomes
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tDonor Commitmentspanel at the Lond
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UNFPA supports the Health for All c
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tDr. BabatundeOsotimehin, Executive
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96 CHAPTER 6: MAKING THE RIGHT TO F
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When individuals are able to exerci
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Family planning programmes must ref
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Family planning programmes reinforc
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tPresident of NigeriaGoodluck Jonat
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Monitoring Monitoring ICPD ICPD Goa
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Monitoring Monitoring ICPD ICPD Goa
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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
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BibliographyAbbasi-Shavazi, Mohamma
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Delivering a world where every preg