Over 350 million women do not have a choice of safe and effective contraceptive methods. Gender-based violence exacts a heavy toll on mental and physical health. More than half of all women will suffer some form of gender-based violence at some time in their lives. More than 2 million girls and women per year become involved in the sex industry, often from coercion or desperation. Adolescent reproductive health .
Young girls are at particular risk of reproductive ill-health.
More than 14 million adolescent girls give birth each year. Harmful practices such as FGM and child marriage followed by expectations of early childbearing further increase the risk of reproductive ill-health. In most countries, family planning is still the central component of reproductive health services. Five years after the ICPD, however, all countries have taken some steps to ensure access to comprehensive sexual and reproductive health information and services. Many countries have adopted the ICPD definition of reproductive health and are moving towards a client-centred approach to meeting reproductive health needs.