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Country in Focus: Ecuador

Photos and Reportage by Alvaro Serrano

 

The reproductive behaviour of young
people will be a major force shaping the future of Iran.

 

 

National indicators mask wide
disparities in fertility and
contraceptive use.

 

 

Reproductive health care is widely accessible and has been free of charge
in Iran.

 

Development Challenges

The population of the Islamic Republic of Iran has nearly doubled in the last three decades, from about 36 million in 1976 to close to 70 million in 2004. Half of its population is under 20, and the economic, political and reproductive behaviour of young people will be a powerful force shaping the country's future. The country also has one of the largest refugee populations in the world, including significant numbers of person displaced by the political situations in Afghanistan and Iraq.

The quality of life for the Iranian people is 'average' by United Nations standards: The country was ranked 99th out of 177 on the Human Development Index 2005. The UN Development Programme's ranking of countries' development, which factors in achievements in education, living standards and life expectancy, as well as economic growth, places Iran between Georgia and Jamaica.

The country is OPEC's second largest oil producer, and it has one of the largest gas reserves in the world. The per capita GDP is close to $2,000 and growing at 2 to 3 per cent per year. However, that is not fast enough to keep up with inflation or to create enough jobs for the growing labour force. Eighteen per cent of the population lives below the poverty line.

The Islamic Republic of Iran faces the challenge of addressing a number of regional disparities in health that are particularly evident in estimates of life expectancy and child deaths. A complete assessment of the development situation is hampered by limited coverage of official data for some sectors, according to the 2003 Common Country Assessment prepared by the UN Country Team and its national partners. Improving the country's ability to collect, analyse and use disaggregated data is a development priority. Other development challenges include strengthening the economy overall, reducing unemployment, especially among young people, and alleviating disparities in social and economic well-being are the major development challenges facing the Islamic Republic of Iran.

Job creation is crucial. Already unemployment is high (over 20 per cent in the 15-29 age group and even higher for women). Some 600,000 new job seekers will enter the labour market each year (the entire workforce is about 20 million). The country is also losing some of its most highly trained young people to emigration.

Although fertility reduction has been a notable success, the country needs to maintain its achievements in this area. Priorities are to address regional disparities in fertility and contraceptive use, address adolescent reproductive health and promote male involvement in reproductive health. Another issue is finding ways to cover reproductive health care costs as the large baby boom generation begins to use services that have been free of charge.

Gender disparities persist. Women's participation in development is hindered by societal expectations regarding gender roles and laws that discriminate against women. Ratification of the Convention on the Elimination of All Forms of Discrimination against Women (CEDAW) was rejected by the Guardian Council in 2003 but is being considered by the national legislature. Discussion about a number of gender issues – including gender-based violence, women’s legal and labour rights, and reducing the social vulnerability of women, especially those who are heads of households -- is ongoing, driven by the 4th National Development Plan of Iran. As chair of the UN gender theme group, UNFPA will play a pivotal role in providing technical assistance to implement the women’s empowerment components of the plan.

According to official Government statistics, some 700,000 cases of sexually transmitted infections were reported in 2003. This does not include the number of cases managed by the private sector, so the true number is likely to be much higher. The prevalence of HIV in the general population, which is driven by injecting drug use, is less than 0.1 per cent, although it is much higher in groups with high-risk behaviour. Despite this relatively low prevalence rate, the Government is stepping up efforts to keep HIV from spreading to the general population. Information, education and communication materials on HIV prevention and transmission are integral components of reproductive health education offered to key groups including adolescents, Afghan refugees, factory workers and students. Iran provides reproductive health services to and protects the reproductive rights of over 2 million vulnerable and underserved Afghan refugees residing in Iran.

In 2003, more than 50 participants from the Government, national NGOs, and resident and non-resident UN organizations attended an UN Development Assistance Framework retreat to identify key priority areas for UN collaborative support to the country over the next four years. The priorities of greatest relevance to the work of UNFPA, the United Nations Population Fund, are achieving the Millennium Development Goals, improving governance and strengthening emergency preparedness.

The country has been successful in achieving or surpassing several targets of the ICPD Programme of Action and is on track to meet many of the Millennium Development Goals.

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Page last updated: 9 February 2006

 
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