MDG 5 and Sexual and Reproductive
HealthDr Gill Greer, Director-General of IPPF
28 November 2006

From choice, a world of possibilities

Japan and sexual and reproductive healthfunding

The IPPF Japan Trust Fund

 A major donor to overseas development

 Entirely funded byprogrammes
 A world leader in sexual and reproductive healthfunding
 Historical supporter of IPPF
 One of IPPF’s three top donors

Japan Trust Fund – Rural Migrant Girls Project

Government of Japan
 Started as HIV

prevention in Asia andAfrica
 Began in 2000
 94 projects in 37
countries

IPPF and ICPD
 4th International Conference on Population andDevelopment, Cairo 1994
 179 governments adopted a forward-looking, 20-year Programme of Action (PoA) Cairo Consensus: reproductive health and rights,

women's empowerment and gender equality, arecornerstones of population and development
programmes

1

IPPF’s Five A’s

IPPF and Maternal Health Adolescents

 Family planning information and services

 HIV and AIDS Ante-natal care

 Access Eliminate unsafeabortion Advocacy

 Trained birth attendants Local birthing centres
 Referral to hospital Post natal care Infant health care

Global Maternal Health

Major Maternal Health Risks

 In Africa, 1 in 20 women dies from complications

 Lack of access to contraceptionof pregnancy or childbirth In Sweden, only 1 in 29,800 dies

 Early, late or frequent pregnancies
 Unsafe abortion
 Unskilled care in pregnancy and childbirth An estimated 99% of pregnancy-related deaths

are in the developing world

 Women’s lack of empowerment

Unmet Need for Services
 200 million women have an unmet need for

effective modern contraception
 87 million women have unintended pregnancies
 45 million end in abortion2

Poverty and the Millennium Development Goals

The MDGs and sexual and reproductive health MDG 1: eradicate extreme poverty and hunger

 MDG 3: promote gender equality and empower

 Target 1 - halve, between 1990 and 2015, the proportion MDG 4: reduce child mortalityof people whose income is less than one dollar a day Target 2 - halve, between 1990 and 2015, the proportionof people who suffer from hunger

women MDG 5: improve maternal health MDG 6: combat HIV and AIDS (plus malaria andother diseases)

Millennium Development Goal 5

Reproductive health and poverty

 MDG 5: improve Lack of access tomaternal health Target 6 - reduce by

three quarters thematernal mortality ratio The main goal of ICPD

 In turn, poverty

sexual andreproductive healthservices contributes
to poverty

contributes to poor
sexual andreproductive healthcould now become atarget

Current Challenges: an overview

Donor population assistance by category:
1995 - 200470

 Changes in funding modalities60 Lack of sustainable supplies

50

 Record numbers of adolescents Opposition

PERCENT TOTAL EXPENDITURE

 Changes in overall funding

4030

20

100
1995

1996

1997

1998

1999

2000

2001

2002

2003

2004

YEAR

Family Planning

Reproductive Health

HIV/AIDS

Basic Research3

Opposition

How can we improve global SRH?

 Often a small, but powerful minority

 Access to services and information for all ‘Evidence’ may be unscientific Encourage openness and debate

 Example: the ‘Global Gag Rule’ Implement funding commitments
 Ensure continuity of supplies and services
 Integrated HIV and SRH programmes
 Rely on genuine facts, not ideology
 Ensure women’s empowerment
 Work in partnership4