ICPD AT 15

The Final Push: Accelerating Implementation of

the Cairo Consensus on Population and Development

10 March 2009Bern, Switzerland

Leyla AlyanakUNFPA GENEVA

A bit of history

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

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

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

ICPD and the MDGs

1. Social determinants

2. Equity

3. Human rights

4. Interrelationships

5. Demographic issues

A few examples…

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

Maternal mortality continues

Africa: government policieson contraceptive access

1976 2007

MDG 6Reversing HIV/AIDS

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

HIV prevalence among 15-24 year-olds

0 5 10 15 20 25% HIV prevalence

SwazilandSouth Africa

ZimbabweCentral African Republic

Côte d'IvoireSierra Leone

RwandaHaiti

GuineaEthiopia

Benin

DR CongoNiger

SenegalCambodia

India

UgandaChad

Dominican Republic

Mali

Female

Male

Source: 2008 Global report on the AIDS epidemic, UNAIDS

MDG 4Reducing child deaths

What kills mothers kills babies

10 million children die before the age of 54 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 dieYet, 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

ICPD at 15 anniversary:Key objectives

1. Raise visibility of ICPD-MDG linkages

2. Promote the use of the new target

3. Expanded action and increased funding

4. More effective implementation of PoA

5. Promote better monitoring

6. Advance knowledge on emerging issues

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

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

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 

Key Global Events 1

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.

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

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

ICPD at 15 Regional Processes

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

Summing it up

SRH is the ultimate linkage amongst the MDGs.

The MDGs and ICPD

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

Want to know more?

Please visit our special ICPD at 15 website:

www.unfpa.org/icpd/15/