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Twenty-five years ago, a promise made to advance women’s health and rights. Have we delivered?

30 July 2019
n Yemen, the maternal mortality rate declined from 365 maternal deaths for 100,000 live births in 2003 to 148 in 2013 but according to UN reports this is estimated to have increased to 385 in 2015 or even higher in recent years.

Twenty-five years ago, a promise made to advance women’s health and rights. Have we delivered?

 

Twenty-five years ago, at the International Conference on Population and Development in Cairo, 179 governments, including Yemen adopted a visionary Programme of Action that aimed to safeguard the health and rights of women and girls and to promote their empowerment.

Although important gains have been made, many of the goals laid out in that document have not been met.  (Read three reasons why the ICPD matters to you here.)

 

Below is a status report on five ways the Programme of Action set out to change the world for women and girls.

1. Reducing maternal deaths

In 1994, the Programme of Action called for countries to effect “a reduction in maternal mortality by one half of the 1990 levels by the year 2000 and a further one half by 2015.” Taken together, this would be a 75 per cent reduction in maternal mortality.

 

Instead, between 1990 and 2015, global maternal mortality fell by roughly 40 per cent. Nine countries did, in fact, reduce maternal deaths by at least 75 per cent, a sign that it is possible – with the right efforts, resources and political will.

The great majority of maternal deaths are preventable with proper antenatal care, skilled delivery at birth, post-partum care, and access to emergency obstetric care if complications arise. Yet these interventions remain out of reach for too many.

 

In Yemen, the maternal mortality ratio declined from 365 maternal deaths for 100,000 live births in 2003 to 148 in 2013 but according to UN reports this is estimated to have increased to 385 in 2015 and possibly higher in recent years.

 

Today, UNFPA is urging all countries to aim even further, calling for an end to all preventable maternal deaths, everywhere in the world.

2. Eliminating violence against women and girls

The ICPD Programme of Action called for countries to “take full measures to eliminate all forms of exploitation, abuse, harassment and violence against women, adolescents and children.”

Data on violence against women and girls are notoriously difficult to obtain. Survivors of violence are often discouraged from reporting abuse because of stigma and fear. Yet according to the best data currently available, violence against women and girls remains a global epidemic.

A woman, anywhere in the world, has a 1 in 3 chances of experiencing physical or sexual violence in her lifetime.

 

Globally, an estimated 18 per cent of women have experienced physical, sexual or psychological violence at the hands of a partner in the past year alone.

 

These numbers offer a stark appraisal of the world’s commitment to the welfare of half the human population.

3. Ending harmful practices against women and girls

In 1994, leaders called for urgent action to end child marriage and female genital mutilation (FGM).

Since then, there have been global efforts to raise awareness of the consequences these practices have for girls’ bodies, lives and futures. As a result, the rates of both child marriage and female genital mutilation have fallen in the past 25 years.

In countries with a high prevalence of FGM, the proportion of girls cut has fallen from 49 per cent to 31 per cent.

In the Arab states region, 55% of girls between 15 and 19 years of age have suffered from FGM. In Yemen, according to the 2013 Demographic Health Survey, 19 per cent of women and girls, aged 15-49, have undergone some form of FGM.

Child marriage has long been a scourge in Yemen, one of the few countries in the region without a legal minimum age of marriage. The 2013 Demographic Health Survey showed that nearly 32 per cent of women, aged 20 to 24, said they were married before reaching 18, and more than 9 per cent were married younger than 15.

Attempts to set 18 as the minimum marrying age collapsed with the outbreak of the conflict and today, child marriage rates could be much higher.

 

4. Ending unmet need for family planning

Family planning empowers women and girls to become educated and employed; it is essential for reducing poverty, advancing gender equality and lowering the incidence of pregnancy-related deaths.

Leaders at the ICPD recognized this. They called for countries to “seek to provide universal access to a full range of safe and reliable family-planning methods”.

Access to voluntary family planning has indeed grown since 1994. In the least developed countries, modern contraceptive prevalence has more than doubled among women who are in a relationship and want to avoid pregnancy – from 15 per cent to 37 per cent.

But globally access to reliable, modern family planning is still far from universal.

Today in developing regions, more than 200 million women who want to avoid pregnancy are not using safe and effective family planning methods. In the Arab states region, there is a 15 per cent gap of unmet need for family planning. The reasons range from lack of access to information or services to lack of support from their partners or communities.

This continued unmet need undermines women’s ability to build a better future for themselves, their families and their communities.

The contraceptive prevalence rate in Yemen increased from 13 percent in 2003 to 29 percent in 2013 while the demand for family planning was at 62.2 percent in 2013.

5. Advancing gender equality

Twenty-five years ago, the Programme of Action urged governments to “accelerate women’s equal participation and equitable representation at all levels of the political process and public life”.

Here, women and girls have seen some strides – but not enough.

The world has embraced a growing number of female heads of state. Still, leadership roles are overwhelmingly held by men. Today, less than a quarter of parliamentarians around the world are women. Yemen or any other country in the region has not had a woman leader in its history.

 

“Women and girls have waited long enough,” UNFPA Executive Director Dr. Natalia Kanem said during a review of progress made since the ICPD. “It is time for all of us to pick up the pace.”

Today, ICPD is relevant to Yemen than ever before. It is likely that the gains made in achieving ICPD goals are being reversed as the humanitarian crisis escalates into its fifth year. This makes it imperative to focus on taking forward the ICPD agenda, by ensuring that women and girls have access to the reproductive health and protections services they need during these challenging times.

This November, the governments of Kenya and Denmark, together with UNFPA, will convene The Nairobi Summit on ICPD25 to mobilize the political will and financial commitments to fully implement the Programme of Action.

 

The high-level summit will bring together a broad coalition – from heads of state and ministers to technical experts, grassroots organizations, activists and others – to accelerate efforts to finally deliver on the promise of the ICPD, and to draw renewed inspiration from its core principles