TY - BOOK AU - Bernstein, S. AU - Hansen, C. J. ED - The United Nations Development Programme. TI - Public choices, private decisions: sexual and reproductive health and the millennium development goals U1 - e-book (MDP) PY - 2006/// CY - USA PB - the United Nations Development Programme, N1 - Includes bibliographical appendices and notes N2 - Contents Foreword vii Preface ix Acknowledgements xi Acronyms xiii Executive Summary 1 Section 1: Introduction 21 ICPD and the MDGs – moving forward together 23 What is sexual and reproductive health? 24 Reproductive rights 26 Section 2: The current situation 31 The global burden of SRH-related diseases and risks 31 Measuring progress in key areas of SRH 34 Why hasn’t SRH been given higher priority? 47 Section 3: The impact of ensuring universal access to SRH and rights on achieving each of the MDGs 57 A contextual issue: population dynamics and progress on the MDGs 58 Goal 1: Eradicating extreme poverty and hunger 59 Goal 2: Achieve universal primary education 63 Goal 3: Promote gender equality and empower women 68 Goal 4: Reduce child mortality 74 Goal 5: Improve maternal health 78 Goal 6: Combat HIV/AIDS, malaria and other diseases 86 Goal 7: Ensure environmental sustainability 92 Goal 8: Global Partnerships 97 Boxes 1.1 Millennium Development Goals 22 1.2 ICPD definition of reproductive health 25 1.3 Reproductive rights as human rights 28 3.1 Reducing teen pregnancies can complement efforts to address barriers to gender equity in schooling 67 3.2 Access to family planning changes women’s lives 72 3.3 Improving family economies with microcredit and access to family planning 73 3.4 The three ‘stages of delay’ to seeking obstetric care 82 3.5 Obstetric fistula – a devastating condition caused by obstructed labor 83 3.6 Emergency contraception and the reduction of recourse to abortion 86 3.7 Population growth stresses natural resources 94 4.1 World Health Assembly resolution 58.31 107 4.2 Lessons from past experiences of integration 111 4.3 Special considerations for SRH 113 4.4 Integrating SRH services with those for HIV/AIDS 117 4.5 Mass media outreach in SRH 121 4.6 Quality of care increases contraceptive use 123 4.7 Missed opportunities to expand family planning services 126 4.8 ICPD recognizes adolescents’ rights to reproductive health 130 4.9 Factors that make health services youth-friendly 131 iv Contents Section 4: What needs to be done 103 Task 1: Integrating SRH analyses and investments into national poverty reduction strategies 104 Task 2: Integrating SRH services into strengthened health systems 108 Task 3: Systematically collecting data 118 Task 4: Acting on the Reproductive Health Quick Impact Initiative 119 Task 5: Meeting the needs of special populations 129 Requirements for effective action 137 Appendices 147 Appendix 1: Messages from the UN Millennium Project Reports 147 Appendix 2: MDG interventions by area as recommended by the UN Millennium Project 153 Notes 159 ER -