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Adolescent Sexual and Reproductive Health (ASRH)Public Health

Intensify action to eliminate violence against women

by Public Health Update November 26, 2019
written by Public Health Update

Intensify action to eliminate violence against women

Statement  By Dr Poonam Khetrapal Singh, WHO Regional Director for South-East Asia
Violence against women is a serious threat to women’s health and well-being. Globally, an estimated 35.6% of all women experience physical and/or sexual intimate partner or non-partner violence in their lifetime. In the WHO South-East Asia Region, the figure is almost five percentage points higher, at 40.2% of all women. Violence against women can significantly impact mental health, leading to anxiety disorders, depression, substance abuse and suicide. All forms of violence against women, including rape, can cause adverse sexual and reproductive health outcomes such as sexually transmitted infections, unwanted pregnancy, low birth weight and prematurity.

#16DaysOfActivism against #GenderBasedViolence is an annual international campaign used by people around the world to call for the prevention and elimination of violence against women and girls.

The health sector has a key role in responding to violence against women and informing the quest to eliminate it. Health workers are likely to be the first professional contact of survivors of physical and/or sexual intimate partner or non-partner violence. Ensuring appropriate post-violence care is accessible to all women and girls, including adolescents, is an important part of achieving universal health coverage, which is one of the Region’s eight Flagship Priorities. WHO is working with Member States in the Region to fully implement WHO’s global plan on addressing interpersonal violence, in particular against women and girls. WHO is also supporting Member States to make full use of the WHO-co-developed RESPECT women framework for preventing violence against women, which several UN agencies and development partners launched earlier this year.

As a first step, health systems should adopt standard, gender-sensitive guidelines and protocols on the provision of post-violence care. All health facilities and health workers should have the capacity to implement them. Services for injuries and sexual and reproductive health are crucial, as is mental health support. WHO’s clinical guidelines on responding to intimate partner violence and sexual assault are an important resource for health workers at all levels. Region-wide, they should be fully leveraged, including as part of pre-service and in-service training.

It is imperative that health systems have clear procedures for identifying and documenting cases of violence against women. Surveillance of the problem is key to better understanding its prevalence, especially among different groups of women. That in turn informs cross-sector prevention efforts such as behavioral change campaigns, economic empowerment initiatives or legal and justice reforms. Research and evidence-building is crucial to designing locally appropriate, high-impact preventive interventions.

To advocate for intensified action at the highest levels, the health sector should join forces with other sectors that prevent or respond to violence against women. High-level political buy-in will help secure the resources needed to increase awareness and modify behaviors. It will also help empower women’s organizations working at the grassroots, in addition to building society-wide coalitions that can address the problem at its source.

In the wake of the Nairobi Summit earlier this month, which marked 25 years since the UN’s landmark International Conference on Population and Development, global momentum to empower women and advance gender equality is at a premium. The WHO South-East Asia Region is no exception. WHO reiterates its continued support to Member States to ensure health systems have the capacity to effectively respond to violence against women and can inform action to prevent it. Women’s rights are human rights. Together we must intensify action to eliminate violence against women and girls.

25 November 2019 

Statement

 India


World Antibiotic Awareness Week: Prescription for action from WHO

Antimicrobial stewardship programmes in health-care facilities in low- and middle-income countries. A WHO practical toolkit

New WHO report to bolster efforts to tackle leading causes of urban deaths


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National NCD Risk Factor Survey (WHO-STEP Survey) 2019,Nepal
Fact SheetHealth in DataNational Plan, Policy & GuidelinesNon- Communicable Diseases (NCDs)Public HealthPublic Health UpdateResearch & PublicationTobacco Control

NEPAL–NCDs risk factors STEPS Survey 2019 – Tobacco Factsheet

by Public Health Update November 25, 2019
written by Public Health Update

NEPAL–NCDs risk factors STEPS Survey 2019 – Tobacco Factsheet

NEPAL–NCDs risk factors STEPS Survey 2019 – Tobacco Factsheet

Nepal STEPS Survey 2019 Alcohol Consumption and Policy Fact Sheet

National NCD risk factor survey (WHO-STEP survey) 2019, Nepal

TOBACCO USE

  • 28.9% of adults 15-69 years of age (48.3% of men, 11.6% of women) were current users of tobacco, in any form. This is equal to 3.8 million adults.
  • 17.1% of adults (28.0% of men, 7.5% of women) equivalent to 2.8 million adults were current smokers of tobacco.
  • 18.3% of adults (33.3% of men, 4.9% of women) equivalent to 3 million adults were current users of smokeless tobacco.

CESSATION

  • 1 in 5 current smokers (19.4%) and 17.9% of current smokeless users tried to stop smoking and use of smokeless tobacco, respectively in the last 12 months.
  • 22.1% of smokers and 21% of smokeless tobacco users respectively reported being advised by a health care provider to stop smoking/use of smokeless tobacco in the last 12 months.

SECONDHAND SMOKE

  • 22.5% of adults (3.7 million) were exposed to second-hand smoke at work place.
  • 33.5% of adults (5.5 million) were exposed to second-hand smoke at home.

MEDIA

  • 70.2% of adults noticed anti-cigarette smoking information on the television or radio.
  • 44.8% of current smokers thought about quitting because of warning labels on cigarette packages.
  • 20.9% of adults were exposed to tobacco advertising and promotions on any while media, while 11.2% of adults noticed cigarette marketing in stores where cigarettes are sold.

E-CIGARETTES

  • 11.4% of adults had ever heard about e-cigarettes, though only 47.5% of them correctly identified them when shown different pictures.
  • 18.8% and 14.1% of adults who have ever heard about e-cigarette, respectively, reported ever and currently using them.

ECONOMICS

  • Average monthly expenditure on manufactured cigarettes was Rs.1049.

DOWNLOAD FACT SHEET (PDF FILE)


NEPAL–NCDs risk factors STEPS Survey 2019 – Tobacco Factsheet

Nepal STEPS Survey 2019 Alcohol Consumption and Policy Fact Sheet

National NCD risk factor survey (WHO-STEP survey) 2019, Nepal



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November 25, 2019 0 comments
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National NCD Risk Factor Survey (WHO-STEP Survey) 2019,Nepal
Fact SheetHealth in DataNational Plan, Policy & GuidelinesNon- Communicable Diseases (NCDs)Public HealthPublic Health UpdateResearch & Publication

Nepal STEPS Survey 2019 Alcohol Consumption and Policy Fact Sheet

by Public Health Update November 25, 2019
written by Public Health Update

Nepal STEPS Survey 2019 Alcohol Consumption and Policy Fact Sheet

NEPAL–NCDs risk factors STEPS Survey 2019 – Tobacco Factsheet

Nepal STEPS Survey 2019 Alcohol Consumption and Policy Fact Sheet

National NCD risk factor survey (WHO-STEP survey) 2019, Nepal

Alcohol consumption patterns among adults (15-69 years)

  • 72.2% of adults (56% men and 86.5% women) were lifetime abstainers, with significant differences between men and women Only 4% of the adults were former drinkers (drank in past but did not consume in past 12 months).
  • 23.9% of adults (38.6% of men, 10.8% of women) were current drinkers (consumed alcohol in the past 12 months). This was equivalent to 4.8 million adults (3.7 million men and 1.1 million women) in 2019.
  • Almost 1 in 8 men (11.7%) drink daily or almost daily. This was equivalent to 1.4 million adults (1.1 million men and 0.3 million women).

Heavy episodic drinking

  • 6.8% of adults (12.4% of men, 1.7% of women) engaged in heavy episodic drinking (consumed 6 standard drinks or 60g of pure alcohol or more drinks on any single occasion in the past 30 days). This was equivalent to 1.1 million adults in Nepal in 2019.
  • More than one-fourth (28.4%) of current drinkers (32.2% men, 16.2% women) engaged in heavy episodic drinking.

Consumption of unrecorded alcohol

  • Among current drinkers (past 30 days), 65.3% of men, 77.3% of women, and 68.5% overall reported consuming unrecorded alcohol in past 7 days.
  • Unrecorded alcohol constitutes almost 66.3% of total alcohol consumed in the past 7 days. Majority of the unrecorded alcohol comprises of homebrewed spirits (Aila/Raksi) (57.4%) or wines (Jaad) (36.7%). Alcohol smuggled over the border constitutes 5.7% of total unrecorded alcohol.

Most common types of alcohol consumed

  • Raksi-a traditional homebrewed spirit-was the most consumed alcoholic drink reported by 50.9% of people who consumed alcohol in past 30 days, followed by Jaad (home-brewed wine) (24.5%).

Access to alcohol

  • Only 1 in 10 (11.8%) people who ever consumed alcohol perceived obtaining alcohol for drinking difficult or very difficult.
  • Only 1 in 3 ever drinker (27.9%) perceived that alcohol has become less affordable than before.
  • None of the underage respondents (15-18 years of age) who tried to buy alcohol reported that they were refused alcoholic beverages due to their age. The legal minimum purchasing age for alcohol is 18 years in Nepal.

Exposure to advertising and marketing and anti-alcohol messages

  • Nearly 1 in 5 respondents (18.7%) noticed advertisements promoting alcohol on the television, print media, radio etc., though a decree issued in 1999 bans alcohol advertising in all electronic media (TV and radio)
  • More than 1 in 5 respondents (21.9%) who attended social events such as sports events, fairs, concerts, etc.) saw alcohol advertisements or got free beer/discounted alcohol sometimes/most of the times/always.
  • Nearly 1 in 2 (47.9%) reported seeing or hearing any messages that discourage drinking alcohol.

Drink-driving

  • Only 3.9% percent of who drove a vehicle in the past 12 months reported being checked by a traffic police for alcohol while driving.
  • Almost 17.2% of reported that they drove vehicle under the influence of alcohol in the past 30 days.

DOWNLOAD PDF FILE


NEPAL–NCDs risk factors STEPS Survey 2019 – Tobacco Factsheet

Nepal STEPS Survey 2019 Alcohol Consumption and Policy Fact Sheet

National NCD risk factor survey (WHO-STEP survey) 2019, Nepal



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If you have any complaints, information, or suggestions about the content published on Public Health Update, please feel free to contact us at blog.publichealthupdate@gmail.com.
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November 25, 2019 0 comments
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National NCD Risk Factor Survey (WHO-STEP Survey) 2019,Nepal
Fact SheetHealth in DataNational Plan, Policy & GuidelinesNon- Communicable Diseases (NCDs)Public HealthPublic Health UpdateReportsResearch & Publication

National NCD Risk Factor Survey (WHO-STEP Survey) 2019,Nepal

by Public Health Update November 25, 2019
written by Public Health Update

National NCD Risk Factor Survey (WHO-STEP Survey) 2019,Nepal

The national noncommunicable disease (NCD) risk factor survey (WHO-STEP survey) in Nepal was carried out from February to May 2019. It was a population-based household survey of adults aged 15-69 years. A multistage cluster sample design was used to produce representative data for that age range in Nepal. A total of 5593 adults participated in the survey. The overall response rate was 86.4%. A repeat survey is planned for 2024.

The survey collected data on socio-demographic characteristics and on four major behavioral risk factors (tobacco, alcohol, diet, physical activity) and four physiological risk factors (overweight/obesity, raised blood pressure, raised blood sugar and cholesterol levels). This fact sheet summarizes the main tobacco indicators related to consumption patterns and tobacco policy. Data from periodic STEPS surveys can facilitate evaluation of existing tobacco-control policies and programs and track change over time.

DOWNLOAD
NEPALI (PDF)
ENGLISH (PDF)


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  • Community Based Disease Surveillance Guideline, 2082
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Disclaimer: The resources, documents, guidelines, and information on this blog have been collected from various sources and are intended for informational purposes only. Information published on or through this website and affiliated social media channels does not represent the intention, plan, or strategies of an organization that the initiator is associated with in a professional or personal capacity, unless explicitly indicated.
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November 25, 2019 0 comments
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Antimicrobial Resistance (AMR)PH Important DayPublic Health

World Antibiotic Awareness Week: Prescription for action from WHO

by Public Health Update November 25, 2019
written by Public Health Update

World Antibiotic Awareness Week: Prescription for action from WHO

Every year, World Antibiotic Awareness Week (WAAW) is celebrated by governments, health facilities, schools and communities across the globe. Antibiotic Awareness Week was celebrated on 18 – 24 November 2019 . WAAW aims to increase awareness of global antibiotic resistance and to encourage best practices among the general public, health workers and policy makers to avoid the further emergence and spread of antibiotic resistance.

Objectives of WAAW

  • To make antibiotic resistance a globally recognized health issue.
  • To raise awareness of the need to preserve the power of antibiotics through appropriate use.
  • To increase the recognition that individuals, health and agriculture professionals, and governments must all play a role in tackling antibiotic resistance.
  • To encourage behaviour change and convey the message that simple actions can make a difference.

$100 trillion USD of economic output is at risk due to the rise of drug resistant infections.

Message on WAAW from Government of Nepal

Message on WAAW from Government of Nepal


Prescription for action from WHO

Doctors, nurses, veterinarians and other health workers

  • Don’t prescribe or dispense antibiotics unless they are truly necessary and you have made all efforts to test and confirm which antibiotic your human patient or the animal you are treating should have. It is estimated that in half of all cases, antibiotics are prescribed for conditions caused by viruses, where they do no good. You can also do more to prevent infections in the first place by ensuring your hands, instruments and environment are clean, and employing vaccines where appropriate.

People using healthcare

  • Take antibiotics only when prescribed by a certified health professional, but also don’t be timid about asking if you feel you really need them. If you take an antibiotic, always complete the full prescription, even if you feel better, because stopping treatment early promotes the growth of drug-resistant bacteria.

Farmers and others in the agriculture sector

  • Ensure that antibiotics given to animals are used only to control or treat infectious diseases and under veterinary supervision. Misuse of antibiotics in livestock, aquaculture and crops is a key factor contributing to antibiotic resistance and its spread into the environment, food chain and humans. Clean and uncrowded conditions and vaccination of animals can reduce the need to use antibiotics.

Governments

  • We need robust national action plans to tackle antibiotic resistance. Critical steps are improved surveillance of antibiotic-resistant infections, regulation of the appropriate use of quality medicines, and education about the dangers of overuse.

Development organisations

  • Compared with populations in industrialised nations, people in low-income countries are not getting fair access to antibiotics. Countries seeking donor help to strengthen their health systems need guidance to ensure essential antibiotics are affordable, reach the people who really need them, and are used responsibly.

Industry

  • Industry needs to move faster and more aggressively to research and develop new antibiotics, but we also have to implement new ways of stimulating research and development. Many talk of an antibiotic “discovery void” since the late 1980s. We are currently in a race between drug development and bacterial evolution.

 

Read more: WHO

GLOBAL ACTION PLAN ON ANTIMICROBIAL RESISTANCE


Adopt and implement high-impact interventions to secure the future of antibiotics and rollback the global AMR crisis

Change Can’t Wait. Our Time with Antibiotics is Running Out! 

The world is running out of antibiotics, WHO report confirms

Antibiotics: Handle with care – World Antibiotic Awareness Week 2016 (14-20 November 2016)

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Life Style & Public Health NutritionNon- Communicable Diseases (NCDs)Public Health

Majority of adolescents worldwide don’t do enough physical activity

by Public Health Update November 24, 2019
written by Public Health Update

Majority of adolescents worldwide don’t do enough physical activity

The first ever global trends for adolescent insufficient physical activity show that urgent action is needed to increase physical activity levels in girls and boys aged 11 to 17 years. The study, published in The Lancet Child & Adolescent Health journal and produced by researchers from the World Health Organization (WHO), finds that more than 80% of school-going adolescents globally did not meet current recommendations of at least one hour of physical activity per day – including 85% of girls and 78% of boys.

The study – which is based on data reported by 1.6 million 11 to 17-year-old students – finds that across all 146 countries studied between 2001-2016 girls were less active than boys in all but four (Tonga, Samoa, Afghanistan and Zambia).

The difference in the proportion of boys and girls meeting the recommendations was greater than 10 percentage points in almost one in three countries in 2016 (29%, 43 of 146 countries), with the biggest gaps seen in the United States of America and Ireland (more than 15 percentage points). Most countries in the study (73%, 107 of 146) saw this gender gap widen between 2001-2016.

he health benefits of a physically active lifestyle during adolescence include improved cardiorespiratory and muscular fitness, bone and cardiometabolic health, and positive effects on weight. There is also growing evidence that physical activity has a positive impact on cognitive development and socializing. Current evidence suggests that many of these benefits continue into adulthood.

To achieve these benefits, the WHO recommends for adolescents to do moderate or vigorous physical activity for an hour or more each day.

The authors estimated how many 11- to 17-year-olds do not meet this recommendation by analysing data collected through school-based surveys on physical activity levels. The assessment included all types of physical activity, such as time spent in active play, recreation and sports, active domestic chores, walking and cycling or other types of active transportation, physical education and planned exercise.

To improve levels of physical activity among adolescents, the study recommends that:

  • Urgent scaling up is needed of known effective policies and programmes to increase physical activity in adolescents;
  • Multisectoral action is needed to offer opportunities for young people to be active, involving education, urban planning, road safety and others;

The highest levels of society, including national, city and local leaders, should promote the importance of physical activity for the health and well-being of all people, including adolescents.

PHYSICAL ACTIVITIES

Photo: WHO SEARO/ Owens


Children and adolescents need to play, exercise and be active in order to be healthy ?⚽️?‍♂️⛹️‍♂️?‍♀️

To improve cardiorespiratory and muscular fitness, bone health, and cardiovascular and metabolic health biomarkers:

  • Children and youth aged 5–17 should accumulate at least 60 minutes of moderate- to vigorous-intensity physical activity daily.
  • Amounts of physical activity greater than 60 minutes provide additional health benefits.
  • Most of the daily physical activity should be aerobic. Vigorous-intensity activities should be incorporated, including those that strengthen muscle and bone*, at least 3 times per week.

READ MORE: WHO


Antimicrobial stewardship programmes in health-care facilities in low- and middle-income countries. A WHO practical toolkit

New WHO report to bolster efforts to tackle leading causes of urban deaths

WHO mhGAP toolkit for community providers launched

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Non- Communicable Diseases (NCDs)PH Important DayPublic Health

World COPD Day “All Together to End COPD”

by Public Health Update November 20, 2019
written by Public Health Update

World COPD Day “All Together to End COPD”

November 20, 2019: World COPD Day is a global event celebrated to raise awareness and present new knowledge and novel therapeutic strategies for COPD worldwide. The Global Initiative for Chronic Obstructive Lung Disease (GOLD) in collaboration with the World Health Organization has been organized World COPD Day each year in November since 2002.

Theme for The 18th annual World COPD Day

This year’s theme, “All Together to End COPD” emphasizes the fact that many people are involved in the fight to end COPD. At every stage and at any age, there is an opportunity to prevent or treat COPD. From care providers, families and patients, to policy makers and employers – everyone can make an impact.

World COPD Day

World COPD Day

Chronic obstructive pulmonary disease (COPD) is a preventable and treatable disease that causes breathlessness, chronic sputum production and cough, there are 300 million current cases of COPD in the world. COPD is currently the 3rd leading cause of death globally and is highly prevalent in low resource countries. Exposure to tobacco smoke and other inhaled toxic particles and gases are the main risk factors for COPD, although recent research has identified that suboptimal lung growth before and after birth can also increase the risk of COPD later in life.

COPD

COPD

More Information: GOLD


Never Too Early, Never Too Late! #WorldCOPDDay

Burden of Disease in Nepal (Findings based on Global Burden of Disease 2017)

The 50th Union World Conference on Lung Health 

Package of Essential Noncommunicable (PEN) disease interventions in Nepal

November 20, 2019 0 comments
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Antimicrobial Resistance (AMR)PH Important DayPublic Health

Adopt and implement high-impact interventions to secure the future of antibiotics and rollback the global AMR crisis

by Public Health Update November 18, 2019
written by Public Health Update

Adopt and implement high-impact interventions to secure the future of antibiotics and rollback the global AMR crisis

Antimicrobial resistance (AMR) is a global crisis that threatens the future of our most precious drugs: antibiotics. Across the world, AMR kills an estimated 700 000 people annually, including 230 000 from multi-drug resistant tuberculosis. By 2050, unless urgent action is taken, AMR is expected to kill 10 million annually. Antibiotic-resistant bacteria are responsible for a substantial proportion of the AMR burden. The emergence and spread of resistant bacteria is accelerated by the overuse and misuse of antibiotics in human and animal health.
Recommended: Antimicrobial stewardship programmes in health-care facilities in low- and middle-income countries. A WHO practical toolkit
The WHO South-East Asia Region is taking decisive action to combat AMR, which since 2014 has been a Flagship Priority. All Member States have developed a national multisectoral action plan to address AMR. They are now implementing them. Each Member State has signed on to the Global Antimicrobial Resistance Surveillance System, a key initiative that will advance AMR-related research. Region-wide, the Tripartite Collaboration on AMR, which comprises WHO, the Food and Agriculture Organization (FAO) and the World Organization for Animal Health (OIE), is addressing vulnerabilities in the human and animal health sectors, as well as in agriculture. Ensuring antibiotics are used rationally continues to be a core priority.

Recommended: National Antibiotic Treatment Guideline-2014, Nepal

The Region’s progress must be sustained. It must also be accelerated – an outcome the new WHO-convened Regional Taskforce for AMR will help achieve. In pursuit of the Region’s Flagship Priority on AMR, as well as its quest to achieve universal health coverage, health authorities Region-wide should adopt and implement several high-impact interventions.

First, WHO’s AWaRe classification tool should be fully harnessed. The AWaRe tool groups antibiotics into three main categories – ‘Access’, ‘Watch’ and ‘Reserve’ – based on their strength and potential impact on AMR. By adopting the tool’s classification scheme, health authorities can more effectively monitor antibiotic consumption, align their essential medicines list (EML) with WHO’s Model EML, and update or establish treatment guidelines that increase the appropriate use of antibiotics. Each outcome will fast-track preventive efforts.

Second, increased focus should be given to strengthening infection prevention and control (IPC) in health care facilities. Clean water, adequate sanitation and essential equipment are all crucial to providing health care that is of adequate quality and which minimizes health care-associated infections. So too are health workers and facility staff that are trained in and implement IPC. All efforts should be made to ensure that health facilities from the primary level up are fit for purpose, and do not serve as AMR incubators.

Third, political leadership, advocacy and coordination on AMR should be scaled up. This is especially so when it comes to empowering all people to take responsibility for the future of antibiotics – the theme of this year’s World Antibiotic Awareness Week. From promoting the appropriate prescribing of antibiotics to emphasizing the need to reduce antibiotic usage in the animal sector, leaders from all sectors should drive home an important point: The future of antibiotics is in our hands.

WHO is committed to supporting Member States as they continue to go from strength to strength in the battle against AMR. Together we can improve antibiotic treatment, increase access to antibiotics and reduce antimicrobial resistance. Together we can secure the future of our most precious drugs and rollback the global AMR crisis. We must act decisively. We must act now.

18 November 2019, Statement by Dr Poonam Khetrapal Singh, WHO Regional Director for South-East Asia

Related

Antimicrobial resistance (AMR) Education Challenge

Antimicrobial stewardship programmes in health-care facilities in low- and middle-income countries. A WHO practical toolkit

Change Can’t Wait. Our Time with Antibiotics is Running Out! 

The world is running out of antibiotics, WHO report confirms

WHO priority pathogens list for research and development (R&D) of new antibiotics

Antibiotics: Handle with care – World Antibiotic Awareness Week 2016 (14-20 November 2016)


November 18, 2019 0 comments
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Adolescent Sexual and Reproductive Health (ASRH)ConferenceGlobal Health NewsMaternal, Newborn and Child HealthPublic HealthPublic Health EventsPublic Health NewsPublic Health Update

Nairobi Statement on ICPD25: Accelerating the Promise

by Public Health Update November 17, 2019
written by Public Health Update

Nairobi Statement on ICPD25: Accelerating the Promise

The final version of the Nairobi Statement was formulated after six months of global consultations led by the International Steering Committee on ICPD25, with hundreds of organizations and thousands of people involved.

The Nairobi Statement provides a global framework for the formulation of government and partner commitments. Since it is non-binding, countries and other stakeholders may choose to support the Nairobi Statement in its entirety, in part, or not at all. In no way does supporting the Nairobi Statement infringe upon national sovereignty.

Introduction 

Twenty-five years ago, in 1994, 179 countries adopted a landmark Programme of Action during the International Conference on Population and Development (ICPD), held in Cairo, Egypt. The ICPD Programme of Action transformed the way in which the linkages between population, poverty reduction and sustainable development were addressed – by putting the rights, needs and aspirations of individual human beings at the centre of sustainable development.

The 179 countries promised to strive for achieving universal access to sexual and reproductive health, for all, by no later than 2015; to achieve infant mortality rates below 35 per 1,000 live births and under-5 mortality rates below 45 per 1,000 live births by 2015; and a 75 per cent reduction of the maternal mortality rate by 2015 (1).

In 2010, the UN General Assembly extended this promise beyond the 20-year timeframe given in the ICPD Programme of Action in order to “fully meet its goals and objectives”(2) . In 2014, the UN Commission on Population and Development (CPD) took note of the outcome documents of the regional conferences on population and development, stating that each outcome provided region-specific guidance on population and development beyond 2014 for each region that adopted the particular outcome document(3).

In 2015, the international community also reaffirmed the commitment of putting “people, planet and prosperity” at the centre of sustainable development and leaving no one behind, when it adopted the 2030 Agenda for Sustainable Development and the Sustainable Development Goals (SDGs).

And, on 1 April 2019, the UN member states adopted a Declaration during the 52nd session of the UN Commission on Population and Development that reaffirmed the importance of the ICPD Programme of Action for guiding population and development policies and programmes, within the context of the 2030 Agenda for Sustainable Development, and pledged to undertake further actions to ensure its “full, effective and accelerated implementation”(4).

The future of sustainable development is directly linked to fulfilling the aspirations of adolescents and youth. Empowering the world’s 1.8 billion young people and unleashing their full potential to contribute to economic and social progress will be instrumental for bringing the vision and the promise the ICPD Programme of Action and of the 2030 Agenda for Sustainable Development to life.

Moreover, the achievement of sustainable, just and inclusive development must be based on actions that meet the needs and aspirations of all. Consequently, governments, that embraced the ICPD Programme of Action 25 years ago, and reaffirmed it in subsequent intergovernmental fora and reviews, should continue to invest in its full and accelerated implementation, and support concrete actions to that effect, within the overall context of the 2030 Agenda for Sustainable Development.  

Furthermore, to fulfil the unfinished business of the ICPD Programme of Action and enable the guarantee and respect for human rights everywhere around the world, strengthening civil society organizations and movements who have defended it and worked for its implementation is necessary and crucial. This means that those organizations, movements, institutions and individuals must be able to work freely in a safe environment, including through the active protection of sexual and reproductive health and rights (SRHR) and human rights defenders(5). 

The way forward 

We, representing all nations and peoples, and all segments of our societies(6), meet at the Nairobi Summit on ICPD25, from 12 to 14 November 2019, in Kenya, to present our own ambitious commitments with concrete and innovative actions that will accelerate the implementation of the ICPD Programme of Action, leaving no one behind, ensuring rights and choices for all.  

Despite remarkable progress over the past 25 years, the promise of the ICPD Programme of Action remains a distant reality for millions of people across the world. Universal access to the full range of sexual and reproductive health information, education and services, as defined in the ICPD Programme of Action and the Key Actions for the Further Implementation of the Programme of Action of the ICPD(7) , has not been achieved. We acknowledge that unless we complete the unfinished business of the ICPD Programme of Action and realize the strong and evidence-based investment case for ensuring sexual and reproductive health and rights for all, and for girls’ and women’s empowerment and gender equality, reaching the ambitious SDGs by 2030 will be difficult, if not impossible.  

Our world has, in many ways, profoundly changed over the last 25 years, and many new issues are influencing the field of population and development, including climate change, growing inequalities and exclusion within and between countries, migration, the youth bulge and the prospects of demographic dividends, and increasing demographic diversity. 

Advancing the ICPD Programme of Action’s promise of universal access to sexual and reproductive health, of girls’ and women’s empowerment and gender equality, while leaving no one behind, in particular youth as agents of positive change and the leaders of the generation to carry forward the ICPD Programme of Action and the 2030 Agenda for Sustainable Development, requires new, innovative and strategic partnerships, including with and between youth, civil society organizations, local communities, the private sector, and through south-south and triangular cooperation among countries.

Therefore, recognizing our different capacities and responsibilities, our way forward is to focus in particular on those actions, expressed in specific commitments and collaborative actions, that will deliver on the promise of the ICPD Programme of Action, the Key Actions for the Further Implementation of the Programme of Action of the ICPD, and the outcomes of its reviews, and the 2030 Agenda for Sustainable Development.

In that context, we will:

  1. Intensify our efforts for the full, effective and accelerated implementation and funding of the ICPD Programme of Action, Key Actions for the Further Implementation of the Programme of Action of the ICPD, the outcomes of its reviews, and Agenda 2030 for Sustainable Development.

    Achieve universal access to sexual and reproductive health and rights as a part of universal health coverage(8) , by committing to strive for:

  2. Zero unmet need for family planning information and services(9) , and universal availability of quality, accessible, affordable and safe modern contraceptives(10) . 
  3. Zero preventable maternal deaths(11) and maternal morbidities, such as obstetric fistulas, by, inter alia, integrating a comprehensive package of sexual and reproductive health interventions(12), including access to safe abortion to the full extent of the law, measures for preventing and avoiding unsafe abortions, and for the provision of post-abortion care(13) , into national UHC strategies, policies and programmes, and to protect and ensure all individuals’ right to bodily integrity, autonomy and reproductive rights, and to provide access to essential services in support of these rights.
  4. Access for all adolescents and youth, especially girls, to comprehensive and age-responsive information, education and adolescent-friendly comprehensive, quality and timely services(14)  to be able to make free and informed decisions and choices about their sexuality and reproductive lives, to adequately protect themselves from unintended pregnancies, all forms of sexual and  gender-based violence and harmful practices, sexually transmitted infections, including HIV/AIDS, to facilitate a safe transition into adulthood.

    Address sexual and gender-based violence(15)  and harmful practices, in particular child, early and forced marriages and female genital mutilation, by committing to strive for

  5. (a) Zero sexual and gender-based violence and harmful practices, including zero child, early and forced marriage16,17, as well as zero female genital mutilation(18) .
    (b) Elimination of all forms of discrimination against all women and girls(19), in order to realize all individuals’ full socio-economic potential.  Mobilize the required financing to finish the ICPD Programme of Action and sustain the gains already made, by
  6. Using national budget processes, including gender budgeting and auditing, increasing domestic financing and exploring new, participatory and innovative financing instruments and structures to ensure full, effective and accelerated implementation of the ICPD Programme of Action. 
  7. Increasing international financing for the full, effective and accelerated implementation of the ICPD Programme of Action, to complement and catalyze domestic financing, in particular of sexual and reproductive health programmes, and other supportive measures and interventions that promote gender equality and girls’ and women’s empowerment.
    Draw on demographic diversity to drive economic growth and achieve sustainable development, by
  8. Investing in the education, employment opportunities, health, including family planning and sexual and reproductive health services, of adolescents and youth, especially girls, so as to fully harness the promises of the demographic dividend(20).
  9. Building peaceful, just and inclusive societies, where no one is left behind, where all, irrespective of race, colour, religion, sex, age, disability, language, ethnic origin(21) , sexual orientation and gender identity or expression, feel valued and are able to shape their own destiny and contribute to the prosperity of their societies. 
  10. Providing quality, timely and disaggregated data, that ensures privacy of citizens and is also inclusive of younger adolescents(22) , investing in digital health innovations, including in big data systems, and improvement of data systems to inform policies aimed at achieving sustainable development.
  11. Committing to the notion that nothing about young people’s health and well-being can be discussed and decided upon without their meaningful involvement and participation (“nothing about us, without us”).

    Uphold the right to sexual and reproductive health services in humanitarian and fragile contexts, by

  12. Ensuring that the basic humanitarian needs and rights of affected populations, especially that of girls and women, are addressed as critical components of responses to humanitarian and environmental crises, as well as fragile and post-crisis reconstruction contexts, through the provision of access to comprehensive sexual and reproductive health information, education and services, including access to safe abortion services to the full extent of the law, and post-abortion care, to significantly reduce maternal mortality and morbidity, sexual and gender-based violence and unplanned pregnancies under these conditions.

 

Follow-up

All stakeholders, present and not present at the Nairobi Summit on ICPD25, who have made concrete commitments to ensure the full, effective and accelerated implementation of the ICPD Programme of Action and the 2030 Agenda for Sustainable Development are strongly encouraged to report periodically on the progress towards fulfilling these commitments through transparent means and/or in appropriate public fora.

UN member states are strongly encouraged to use the reporting ecosystem for the ICPD Programme of Action and the 2030 Agenda for Sustainable Development, i.e., the UN Commission on Population and Development (CPD), the periodic regional review mechanisms, and the High-Level Political Forum (HLPF), for stock-taking on and follow-up to the national commitments announced at the Nairobi Summit. Commitments that are specific to UN entities should be taken up in the context of their respective governing bodies. We recommend that UNFPA, the United Nations Population Fund, periodically report on the progress made towards achieving the global commitments outlined above.

 

  1.  Paras. 7.6, 8.16 and 8.21 of the ICPD Programme of Action.
  2. UN Resolution 65/234, para. 2, of 22 December 2010.
  3. Para. 17 of Resolution 2014/1 – Assessment of the status of implementation of the Programme of Action of the International Conference on Population and Development.
  4. Political Declaration, adopted at the 52nd session of the UN Commission on Population and Development (1-4 April 2019).
  5. The term “sexual and reproductive health and rights” is used in the UNFPA Strategic Plan (2018-2021), paragraphs 23 and 31, approved by the UNDP/UNFPA/UNOPS Executive Board in Decision 2017/23 on 11 September 2017.
  6. In line with para. 4 of UNGA Resolution 70/1 on the 2030 Agenda for Sustainable Development, adopted on 25 September 2015.
  7. As defined by paragraphs 7.2, 7.3, 7.6 and 8.25 of the ICPD Programme of Action (September 19994), and paragraph 63 of the Key Actions for the Further Implementation of the Programme of Action of the ICPD (July 1999).
  8. Including in reference to paras. 68 and 69 of the Political Declaration of the High-level Meeting on Universal Health Coverage, adopted by the United Nations member states on 23 September 2019.
  9. This commitment is different from the concept of ‘unmet need for family planning’, which points to the gap between women’s reproductive intentions and their contraceptive behaviour”.
  10. Achieving zero unmet need for family planning information and services is an important indicator of having achieved universal access to sexual and reproductive health, as contained in SDG target 3.7 and SDG target 5.6.
  11. Achieving zero maternal deaths is an important indicator of having achieved universal access to sexual and reproductive health and reproductive rights, as contained in SDG target 3.7 and SDG target 5.6.
  12. At a minimum, as defined in paragraphs 7.2, 7.3 and 7.6 of the ICPD Programme of Action, and paragraph 53 of the Key Action for the Further Implementation of the Programme of Action of the ICPD. This could be further guided by the expanded definition of SRHR interventions, as proposed in the Report of the Guttmacher/Lancet Commission on sexual and reproductive health and rights (May 2018).
  13. In accordance with paragraph 8.25 of the ICPD Programme of Action and paragraph 63 of the Key Actions for the Further Implementation of the Programme of Action of the ICPD.
  14. In line with international technical guidance; ref  https://unesdoc.unesco.org/ark:/48223/pf0000260770
  15. SDG target 5.2.
  16. SDG target 5.3.
  17. This should also include ‘de facto’ child (marital) unions.
  18. SDG target 5.3.
  19. SDG target 5.1.
  20. For the definition of ‘demographic dividend’, see www.unfpa.org/demographic-dividend
  21. Including indigenous peoples and Afro-descendants.
  22. 10-14 years of age.

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Nairobi Summit on ICPD25 ends with a clear path forward to transform the world for women and girls

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Nairobi Summit on ICPD25 ends with a clear path forward to transform the world for women and girls

by Public Health Update November 17, 2019
written by Public Health Update

Nairobi Summit on ICPD25 ends with a clear path forward to transform the world for women and girls

The Nairobi Summit on ICPD25 : Accelerating the promise concluded in the Kenyan capital, with partners making bold commitments to transform the world by ending all maternal deaths, unmet need for family planning and gender-based violence and harmful practices against women and girls by 2030.

Nairobi Statement on ICPD25: Accelerating the Promise

“The Nairobi Summit represents a renewed, re-energized vision and community working together to act and deliver. Together, we will make the next ten years a decade of action and results for women and girls, keeping their rights and choices at the centre of everything we do,” said UNFPA Executive Director Dr. Natalia Kanem.

The Summit, co-convened by the governments of Kenya and Denmark with UNFPA, the United Nations sexual and reproductive health agency, unveiled critical new data about the cost of achieving these goals. It mobilized more than 1,200 commitments from around the world, including billions of dollars in pledges from public and private sector partners. It also raised the voices of marginalized communities, youth and grassroots advocates, who were able to directly engage heads of state and policymakers about how to realize the rights and health of all people.

“The Nairobi Summit on ICPD25 was a massive success,” said Director-General of the Kenya National Council for Population and Development Dr. Josephine Kibaru-Mbae. “But it was only a start. We leave Nairobi with a clear roadmap of actions we must all take to advance the ICPD agenda and transform the world for women and girls.”

The Summit opened with the release of new research showing the price tag to achieve “three transformative results” — zero maternal deaths, zero unmet need for family planning, and zero gender-based violence and harmful practices — within the next decade. The total cost to the world would be $264 billion, according to the analysis by UNFPA and the Johns Hopkins University, in collaboration with Victoria University, the University of Washington and Avenir Health.

Summit attendees then stepped up with specific and concrete commitments to help the world reach these ambitious, but achievable, goals. Pledges were made by governments, civil society, youth groups, faith-based organizations, academia and many more.

Governments including Austria, Canada, Denmark, Finland, France, Germany, Iceland, Italy, Netherlands, Norway, Sweden and the United Kingdom, together with the European Commission, committed around $1 billion in support. The private sector also stepped in: Children’s Investment Fund (CIF), The Ford Foundation, Johnson & Johnson, Philips, World Vision and many other organizations announced that they will mobilize some $8 billion in combined new pledges.

“There will be no ICPD50. Women and girls around the world have waited long enough to have rights and choices,” said Ambassador Ib Petersen, Denmark’s Special Envoy for ICPD25. “Looking towards 2030, we now enter a decade of delivery during which we will walk the talk and hold all of us to account for the commitments we made in Nairobi.”

Over 9,500 delegates from more than 170 countries took part in this radically inclusive conference, uniting behind the Nairobi Statement, which establishes a shared agenda to complete the ICPD Programme of Action.

The same way the original 1994 International Conference on Population and Development in Cairo was a turning point for the future of women and girls, the Nairobi Summit will be remembered as a watershed moment that set in motion actions that saved lives, lifted millions of women and girls, their families and communities from exclusion and marginalization, and enabled nations to harness the demographic dividend to grow their economies.

News Release NAIROBI, Kenya, 14 November 2019


The Nairobi Summit on ICPD25 : Accelerating the promise

Related Declaration

Political Declaration of the High-level Meeting on Universal Health Coverage

Kathmandu Declaration on: National Conference on Family Planning 2075

The Kathmandu Declaration Scaling Up Nutrition (SUN) Movement Global Gathering 2019

Declaration of The Alliance of Public Health Associations of The Americas

Bogor Declaration on Tobacco Control and NCDs Prevention #APCAT2019

WHO welcomes landmark UN declaration on universal health coverage

November 17, 2019 0 comments
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