IV 
118TH CONGRESS 
2D SESSION 
H. RES. 1299 
Reaffirming the goals and ideals of the 1994 International Conference on 
Population and Development Programme of Action in Cairo, Egypt, 
including comprehensive sexual and reproductive health and rights. 
IN THE HOUSE OF REPRESENTATIVES 
JUNE 13, 2024 
Ms. LEE of California (for herself, Ms. LOIS FRANKEL of Florida, and Ms. 
MENG) submitted the following resolution; which was referred to the 
Committee on Foreign Affairs 
RESOLUTION 
Reaffirming the goals and ideals of the 1994 International 
Conference on Population and Development Programme 
of Action in Cairo, Egypt, including comprehensive sex-
ual and reproductive health and rights. 
Whereas the United States played a central role in the cre-
ation of the United Nations in 1945 following World War 
II to promote international cooperation; 
Whereas the United States encouraged the establishment of 
the United Nations Population Fund (in this resolution 
referred to as ‘‘UNFPA’’) in 1969 and continues to serve 
on the Executive Board of the UNFPA; 
Whereas the International Conference on Population and De-
velopment (in this resolution referred to as ‘‘ICPD’’), 
VerDate Sep 11 2014 
00:13 Jun 14, 2024
Jkt 049200
PO 00000
Frm 00001
Fmt 6652
Sfmt 6300
E:\BILLS\HR1299.IH
HR1299
ssavage on LAPJG3WLY3PROD with BILLS
•HRES 1299 IH 
which was attended by officials from the Executive Office 
of the President, Congress, and United States civil soci-
ety and private sector organizations, was convened by the 
UNFPA and the Population Division of the United Na-
tions Department for Economic and Social Information 
and Policy Analysis in Cairo from September 5 to Sep-
tember 13, 1994, for the purpose of addressing critical 
issues regarding population, development, and human 
rights; 
Whereas the resulting ICPD Programme of Action, to which 
the United States is a signatory, asserts that the focus 
of development policy must be the human rights and dig-
nity of individuals and the improvement of individual 
lives, measured by progress in addressing inequalities; 
Whereas civil society played an indispensable role in shaping 
and executing the ICPD Programme of Action and con-
tinues to do so today; 
Whereas, since the adoption of the ICPD Programme of Ac-
tion in 1994, significant progress has been made towards 
universal access to sexual and reproductive health and 
rights, including— 
(1) a global increase in voluntary access to modern 
contraception by 25 percent; 
(2) a decline in the number of deaths due to unsafe 
abortion from 69,000 in 1990 to 22,800 in 2014, due to 
liberalization of abortion laws and increased access to 
safe, and effective methods of abortion across the globe; 
(3) a decrease in maternal deaths by 34 percent 
globally; and 
(4) enhanced access to medical advances such as the 
development of antiretroviral therapies, which 29,800,000 
people living with HIV accessed in 2022, contributing to 
VerDate Sep 11 2014 
00:13 Jun 14, 2024
Jkt 049200
PO 00000
Frm 00002
Fmt 6652
Sfmt 6300
E:\BILLS\HR1299.IH
HR1299
ssavage on LAPJG3WLY3PROD with BILLS
•HRES 1299 IH 
significant decreases in HIV acquisition and trans-
mission; 
Whereas gaps and challenges in achieving the goals of the 
ICPD Programme of Action remain as progress has been 
unequal and fragmented and new challenges have 
emerged, such as— 
(1) 218,000,000 women worldwide who still have 
unmet contraceptive needs; 
(2) 287,000 women who still die annually from com-
plications during pregnancy and childbirth globally, near-
ly all of which are preventable and 1 out of 4 of which 
could be prevented by access to contraception. The reduc-
tion in maternal mortality has stalled in 133 countries 
and there was an increase in maternal mortality in 17 
countries from 2016-2020; 
(3) up to 11 percent of maternal deaths that can be 
attributed to unsafe abortion; 
(4) more than 1,000,000 STIs that are— 
(A) acquired worldwide every day because ac-
cess to education about STIs and STI testing is not 
universally available due to a lack of trained per-
sonnel, comprehensive sexual education, laboratory 
capacity, and medicines; 
(B) too often untreated, as an estimated 
133,000,000 women of reproductive age in low-mid-
dle income countries need but do not receive treat-
ment for 1 of the 4 major curable STIs, chlamydia, 
gonorrhea, syphilis, or trichomoniasis; and 
(C) exacerbated by the separation of STI serv-
ices from other services, such as primary health care 
or family planning; 
(5) People living with HIV or at risk of HIV trans-
mission, including the— 
VerDate Sep 11 2014 
00:13 Jun 14, 2024
Jkt 049200
PO 00000
Frm 00003
Fmt 6652
Sfmt 6300
E:\BILLS\HR1299.IH
HR1299
ssavage on LAPJG3WLY3PROD with BILLS
•HRES 1299 IH 
(A) 1,700,000 people who became newly in-
fected with HIV in 2022, 54 percent of which are 
among key populations and their sexual partners 
where the risk of acquiring HIV is 22 times higher 
among men who have sex with men, 22 times higher 
among people who inject drugs, 21 times higher for 
sex workers, and 12 times higher for transgender 
people; and 
(B) adolescent girls and young women (ages 
15–24) who are at a higher risk of becoming in-
fected with HIV and who account for 4 out of 5 new 
infections among adolescents (aged 15–19) in sub- 
Saharan Africa; 
(6) 35 percent of women worldwide who have experi-
enced physical or sexual intimate partner violence or sex-
ual violence, or sexual violence by a non-partner at some 
point in their lives, a vulnerability that may increase as 
a result of characteristics such as sexual orientation, dis-
ability status, HIV status, and pregnancy, or contextual 
factors, such as humanitarian crises and conflict; and 
(7) 48,000,000 women and girls of reproductive age 
who are in need of humanitarian assistance; 
Whereas the ICPD Programme of Action and other inter-
national human rights standards recognize that access to 
evidence-based, comprehensive sexual and reproductive 
health care, including abortion, is an essential human 
right, and that ending gender-based violence and the pre-
vention and treatment of HIV are key priorities to ad-
vancing sexual and reproductive health and rights for all 
people, and attaining the ICPD Programme of Action 
milestones and the Sustainable Development Goals; 
VerDate Sep 11 2014 
00:13 Jun 14, 2024
Jkt 049200
PO 00000
Frm 00004
Fmt 6652
Sfmt 6300
E:\BILLS\HR1299.IH
HR1299
ssavage on LAPJG3WLY3PROD with BILLS