A/CONF.171/13
English
Page 45
always be available, as required. Active discouragement of harmful practices,
such as female genital mutilation, should also be an integral component of
primary health care, including reproductive health-care programmes.
7.7. Reproductive health-care programmes should be designed to serve the needs
of women, including adolescents, and must involve women in the leadership,
planning, decision-making, management, implementation, organization and
evaluation of services. Governments and other organizations should take
positive steps to include women at all levels of the health-care system.
7.8. Innovative programmes must be developed to make information, counselling
and services for reproductive health accessible to adolescents and adult men.
Such programmes must both educate and enable men to share more equally in family
planning and in domestic and child-rearing responsibilities and to accept the
major responsibility for the prevention of sexually transmitted diseases.
Programmes must reach men in their workplaces, at home and where they gather for
recreation. Boys and adolescents, with the support and guidance of their
parents, and in line with the Convention on the Rights of the Child, should also
be reached through schools, youth organizations and wherever they congregate.
Voluntary and appropriate male methods for contraception, as well as for the
prevention of sexually transmitted diseases, including AIDS, should be promoted
and made accessible with adequate information and counselling.
7.9. Governments should promote much greater community participation in
reproductive health-care services by decentralizing the management of public
health programmes and by forming partnerships in cooperation with local
non-governmental organizations and private health-care providers. All types of
non-governmental organizations, including local women’s groups, trade unions,
cooperatives, youth programmes and religious groups, should be encouraged to
become involved in the promotion of better reproductive health.
7.10. Without jeopardizing international support for programmes in developing
countries, the international community should, upon request, give consideration
to the training, technical assistance, short-term contraceptive supply needs and
the needs of the countries in transition from centrally managed to market
economies, where reproductive health is poor and in some cases deteriorating.
Those countries, at the same time, must themselves give higher priority to
reproductive health services, including a comprehensive range of contraceptive
means, and must address their current reliance on abortion for fertility
regulation by meeting the need of women in those countries for better
information and more choices on an urgent basis.
7.11. Migrants and displaced persons in many parts of the world have limited
access to reproductive health care and may face specific serious threats to
their reproductive health and rights. Services must be particularly sensitive
to the needs of individual women and adolescents and responsive to their often
powerless situation, with particular attention to those who are victims of
sexual violence.
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