A/CONF.171/13
English
Page 44
full attention should be given to the promotion of mutually respectful and
equitable gender relations and particularly to meeting the educational and
service needs of adolescents to enable them to deal in a positive and
responsible way with their sexuality. Reproductive health eludes many of the
world’s people because of such factors as: inadequate levels of knowledge about
human sexuality and inappropriate or poor-quality reproductive health
information and services; the prevalence of high-risk sexual behaviour;
discriminatory social practices; negative attitudes towards women and girls; and
the limited power many women and girls have over their sexual and reproductive
lives. Adolescents are particularly vulnerable because of their lack of
information and access to relevant services in most countries. Older women and
men have distinct reproductive and sexual health issues which are often
inadequately addressed.
7.4. The implementation of the present Programme of Action is to be guided by
the above comprehensive definition of reproductive health, which includes sexual
health.
Objectives
7.5.
The objectives are:
(a) To ensure that comprehensive and factual information and a full range
of reproductive health-care services, including family planning, are accessible,
affordable, acceptable and convenient to all users;
(b) To enable and support responsible voluntary decisions about
child-bearing and methods of family planning of their choice, as well as other
methods of their choice for regulation of fertility which are not against the
law and to have the information, education and means to do so;
(c) To meet changing reproductive health needs over the life cycle and to
do so in ways sensitive to the diversity of circumstances of local communities.
Actions
7.6. All countries should strive to make accessible through the primary
health-care system, reproductive health to all individuals of appropriate ages
as soon as possible and no later than the year 2015. Reproductive health care
in the context of primary health care should, inter alia, include:
family-planning counselling, information, education, communication and services;
education and services for prenatal care, safe delivery and post-natal care,
especially breast-feeding and infant and women’s health care; prevention and
appropriate treatment of infertility; abortion as specified in paragraph 8.25,
including prevention of abortion and the management of the consequences of
abortion; treatment of reproductive tract infections; sexually transmitted
diseases and other reproductive health conditions; and information, education
and counselling, as appropriate, on human sexuality, reproductive health and
responsible parenthood. Referral for family-planning services and further
diagnosis and treatment for complications of pregnancy, delivery and abortion,
infertility, reproductive tract infections, breast cancer and cancers of the
reproductive system, sexually transmitted diseases, including HIV/AIDS should
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