Sexual and Reproductive Health and Rights and the Post-2015 Agenda: What’s Next?

Guest post by Françoise Girard, President of the International Women’s Health Coalition (IWHC)

Women's rights advocates at the 58th session of the Commission on the Status of Women on March 21, 2014. Photo credit: UN Women/Jeca Taudte

Women’s rights advocates at the 58th session of the Commission on the Status of Women on March 21, 2014. Photo credit: UN Women/Jeca Taudte

“You’ve done remarkably well!” Those were the admiring words of an incredulous high-level United Nations (UN) official, when a colleague and I met him a few weeks ago to discuss the outcome of the Open Working Group (OWG) of the General Assembly on the Sustainable Development Goals (SDGs). “We,” of course, are the women’s groups (organized as the Women’s Major Group) who’ve fought long and hard to ensure that a standalone goal on gender equality would feature in the SDGs proposed by the OWG. The inclusion of gender equity was not a given, but it was achieved.

We had also pressed governments to ensure that sexual and reproductive health and rights (SRHR) would be included as targets under both the gender goal (SDG 5) and the goal on health (SDG 3). We came away with a significant, if partial result: Under SDG 3, governments agreed, by 2030, to “ensure universal access to sexual and reproductive health care services, including for family planning, information and education, and the integration of reproductive health into national strategies and programmes” (target 3.7). Under SDG 5, they also agreed to “ensure universal access to sexual and reproductive health and reproductive rights as agreed in accordance with the Programme of Action of the ICPD and the Beijing Platform for Action and the outcome documents of their review conferences” (target 5.6).

Governments also agreed to “eliminate all harmful practices, such as child, early and forced marriage and female genital mutilations” (target 5.3). Other important targets included to eliminate all forms of violence against all women and girls (target 5.2), reduce the global maternal mortality ratio to less than 70 per 100,000 live births (3.1), end the epidemics of AIDS, tuberculosis, and malaria (3.3) and achieve universal health coverage, including financial risk protection, access to quality essential health care services, and access to safe, effective, quality, and affordable essential medicines and vaccines (3.8). Compared to the Millennium Development Goals, the proposed SDGs represent significant progress, addressing critical areas for action that, if implemented, will transform the lives of women and girls globally. They also put the lie to claims that “we could never get today the agreements we obtained in the 1990s.” We have in fact gone beyond them.

What now? The General Assembly will begin its final negotiations on the final post-2015 development agenda early next year, for adoption in September 2015. Governments from the global South have clearly indicated that they expect the outcome of the OWG to be the basis for negotiation, and would not tolerate attempts by the Secretary General’s staff to “streamline” its 17 goals and 169 targets. That is good news for SRHR, because these targets were the most thoroughly debated and negotiated in the OWG. What emerged on SRHR from the OWG certainly represents global consensus, despite objections from a handful of opponents led by the Holy See and Saudi Arabia.

The OWG document can and should be improved upon. Human rights, the rule of law, and access to justice were not sufficiently established as key aspects of development. As noted by several governments last month at the UN General Assembly’s first ever panel discussion on child marriage, preventing child, early, and forced marriage should be its own target since it has multiple, far-reaching causes and consequences. “Sexual rights” (i.e., the right of everyone to have control over matters related to their sexuality, free of coercion, discrimination, and violence) were omitted from the SDGs, despite having been agreed to by governments at Rio+20 and recent ICPD Beyond 2014 reviews in Africa, Asia-Pacific, and Latin America and the Caribbean. Non-discrimination on the basis of sexual orientation and gender identity, which the UN Human Rights Council has just again denounced, should be included. Finally, adolescents and their right to sexual and reproductive health services and information, including comprehensive sexuality education, must be addressed if the post-2015 agenda is to be relevant for the 2.4 billion children under the age of 19 alive today.

The freedom to determine what happens to our own bodies and to make decisions about sexuality, relationships, and childbearing are fundamental facets of our lives. By investing in and promoting these rights, governments can unleash the power of women and girls and transform societies.

Adolescent Sexual and Reproductive Health Key to Achieving Sustainable Development

By Suzanne Petroni, Senior Director for Gender, Population, and Development at the International Center for Research on Women (ICRW)

Last month, the global community celebrated the 20th anniversary of the International Conference on Population and Development (ICPD). The ICPD, which took place in Cairo in 1994, led to an historic agreement by 179 governments to place women—and importantly, their reproductive health—at the center of the sustainable development agenda. Five years later, while at the State Department, I served as the U.S. government’s “officer in charge” for the five-year review of the ICPD, where we exulted when the global community agreed to advance the ICPD agenda through promoting access to safe abortion, comprehensive sexuality education, and youth-friendly reproductive health services, among other critical areas.

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Meeting the Family Planning Needs of Women and Couples Affected by HIV

Guest post by Tricia Petruney, Technical Advisor, FHI360

Like all women and men, people living with or at risk of acquiring HIV have the right to determine the number and timing of their children and to safely achieve their reproductive intentions. Yet many women and couples affected by HIV lack access to family planning (FP) services and experience disproportionately high rates of unintended pregnancy and abortion. Why is this so? One major challenge is that myths, misinformation, and stigma with regard to the sexual and reproductive health (SRH) rights of people affected by HIV continue to persist among healthcare workers.

Photo credit: FHI360
Photo credit: FHI360

Research has shown that healthcare providers often have poor knowledge, attitudes, and behavior with regard to providing contraception to clients affected by HIV. For example, they often (incorrectly) emphasize condoms as the sole FP option appropriate for these women and couples. Moreover, most do not routinely discuss the importance of dual method use, offer other more reliable contraceptive method options, or provide emergency contraception.

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