Reproductive health and development
UNFPA works to ensure sexual and reproductive health and rights remain at the very centre of development. The International Conference on Population and Development draws a clear connection between reproductive health, human rights and sustainable development. When sexual and reproductive health needs are not met, individuals are deprived of the right to make crucial choices about their own bodies and futures, with a cascading impact on their families’ welfare and future generations. And because women bear children, and also often bear the responsibility for nurturing them, sexual and reproductive health and rights issues cannot be separated from gender equality. Cumulatively, the denial of these rights exacerbates poverty and gender inequality.
People queue outside a reproductive health clinic in Viet Nam. ©UNFPA/Doan Bau Chau
This is seen most acutely in developing countries, where reproductive health problems are a leading cause of ill health and death for women and girls of childbearing age. Impoverished women suffer disproportionately from unintended pregnancies, unsafe abortion, maternal death and disability, sexually transmitted infections (STIs), gender-based violence, and other related problems.
Young people are also extremely vulnerable, often facing barriers to sexual and reproductive health information and care. Young people are disproportionately affected by HIV, for example, and every year millions of girls face unintended pregnancies, exposing them to risks during childbirth or unsafe abortions. Adolescent reproductive health is therefore another important focus of UNFPA’s work.
UNFPA also works to prevent and address STIs, which take an enormous toll around the world. More than a million people acquire an STI every single day. Without diagnosis and treatment, some STIs, such as HIV, can be fatal. STIs can also cause pregnancy-related complications, including stillbirth, congenital infections, sepsis and neonatal death. They can also lead to pelvic inflammatory disease, cervical cancer and infertility.
A life cycle approach
Reproductive health is a lifetime concern for both women and men, from infancy to old age. Evidence shows that reproductive health in any of these life stages has a profound effect on one's health later in life. UNFPA supports programmes tailored to the different challenges people face at different times in their lives, including comprehensive sexuality education, family planning, antenatal and safe delivery care, services to prevent sexually transmitted infections (including HIV), and services facilitating early diagnosis and treatment of reproductive health illnesses (including breast and cervical cancer).
To support reproductive health throughout the life cycle, services across a variety of sectors must be strengthened, from health and education systems to even transport systems – which are required to ensure health care is accessible. And all efforts to support sexual and reproductive health rely on the availability of essential health supplies, such as contraceptives, life-saving medicines and basic medical equipment.
UNFPA works with governments, other UN agencies, civil society and donors to develop comprehensive efforts to ensure universal access to sexual and reproductive health care. UNFPA advocates for integrating the delivery of these services into primary health care, so it is as readily accessible as possible. This means, for instance, that a woman could address her family planning, antenatal care, HIV testing and general health needs all in one place.
UNFPA is a major provider of condoms, which offer one of the most effective forms of protection against STIs, including HIV.
UNFPA also works with governments and communities to strengthen health systems, from improving the financing of health systems to strengthening human resources. UNFPA also works to make sure reproductive health commodities are available where needed, and that a functioning logistics system is in place. The Maternal Health Thematic Fund and the Global Programme on Reproductive Health Commodity Security are just two examples of UNFPA’s work in strengthening health systems and quality services.
While strengthening national systems, UNFPA also puts special emphasis on increasing access for disadvantaged groups, including young people, the urban poor, rural communities, indigenous populations and women with disabilities.