A/CONF.171/13
English
Page 97
adequate measures to address the basic needs of the most vulnerable groups of
the population, particularly in the rural areas, and to ensure their access to
social services.
13.13. Based on the current large unmet demands for reproductive health
services, including family planning, and the expected growth in numbers of women
and men of reproductive age, demand for services will continue to grow very
rapidly over the next two decades. This demand will be accelerated by growing
interest in delayed child-bearing, better spacing of births and earlier
completion of desired family size, and by easier access to services. Efforts to
generate and make available higher levels of domestic resources, and to ensure
their effective utilization, in support of service-delivery programmes and of
associated information, education and communication activities, thus, need to be
intensified.
13.14. Basic reproductive health, including family-planning services, involving
support for necessary training, supplies, infrastructure and management systems,
especially at the primary health-care level, would include the following major
components, which should be integrated into basic national programmes for
population and reproductive health:
(a) In the family-planning services component - contraceptive commodities
and service delivery; capacity-building for information, education and
communication regarding family planning and population and development issues;
national capacity-building through support for training; infrastructure
development and upgrading of facilities; policy development and programme
evaluation; management information systems; basic service statistics; and
focused efforts to ensure good quality care;
(b) In the basic reproductive health services component - information and
routine services for prenatal, normal and safe delivery and post-natal care;
abortion (as specified in paragraph 8.25); information, education and
communication about reproductive health, including sexually transmitted
diseases, human sexuality and responsible parenthood, and against harmful
practices; adequate counselling; diagnosis and treatment for sexually
transmitted diseases and other reproductive tract infections, as feasible;
prevention of infertility and appropriate treatment, where feasible; and
referrals, education and counselling services for sexually transmitted diseases,
including HIV/AIDS, and for pregnancy and delivery complications;
(c) In the sexually transmitted diseases/HIV/AIDS prevention programme
component - mass media and in-school education programmes, promotion of
voluntary abstinence and responsible sexual behaviour and expanded distribution
of condoms;
(d) In the basic research, data and population and development policy
analysis component - national capacity-building through support for demographic
as well as programme-related data collection and analysis, research, policy
development and training.
13.15. It has been estimated that, in the developing countries and countries
with economies in transition, the implementation of programmes in the area of
reproductive health, including those related to family planning, maternal health
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