Sexual and reproductive health

Progress and outstanding needs

Dados Bibliográficos

ID15540990
AutoresRachel Snow (autor correspondente), Laura Laski (United Nations Population Fund), Massy Mutumba (0000-0002-0636-891X, University of Michigan)
Ano2015
Volume10
Fascículo2
Páginas149-173
Data de publicação2015-01-02
Peer ReviewedSim
Open AccessSim
TipoARTICLE
PeriódicoGlobal Public Health (JOURNAL)
Identificadores do periódicoISSN: 1744-1692 • E-ISSN: 1744-1706
EditoraTaylor & Francis (PUBLISHER • GB)
DOI10.1080/17441692.2014.986178
PMID25555027
PMCIDPMC4318113
OpenAlexW2072337805
IdiomaEN
Citações recebidas12
Referências citadas75

We examine progress towards the 1994 International Conference on Population and Development (ICPD) commitment to provide universal access to sexual and reproductive health (SRH) services by 2014, with an emphasis on changes for those living in poor and emerging economies. Accomplishments include a 45% decline in the maternal mortality ratio (MMR) between 1990 and 2013; 11.5% decline in global unmet need for modern contraception; ~21% increase in skilled birth attendance; and declines in both the case fatality rate and rate of abortion. Yet aggregate gains mask stark inequalities, with low coverage of services for the poorest women. Demographic and Health Surveys and Multiple Indicator Cluster Surveys from 80 developing countries highlight persistent disparities in skilled birth attendance by household wealth: in 70 of 80 countries (88%), ≥80% of women in the highest quintile were attended by a skilled provider at last birth; in only 23 of the same countries (29%) was this the case for women in the lowest wealth quintile. While there have been notable declines in HIV incidence and prevalence, women affected by HIV are too often bereft of other SRH services, including family planning. Achieving universal access to SRH will require substantially greater investment in comprehensive and integrated services that reach the poor

Abortion · Attendance · Birth rate · Developing country · Economic growth · Economics · Environmental health · Family planning · Fertility · Population · Pregnancy · Reproductive health · Sociology · Adolescent Sexual and Reproductive Health · Demographic Trends and Gender Preferences · Demography · Global Maternal and Child Health · Medicine