A/CONF.171/13
English
Page 89
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12.12. Governments, assisted by the international community and donor agencies,
the private sector, non-governmental organizations and the academic community,
should increase support for basic and applied biomedical, technological,
clinical, epidemiological and social science research to strengthen reproductive
health services, including the improvement of existing and the development of
new methods for regulation of fertility that meet users’ needs and are
acceptable, easy to use, safe, free of long- and short-term side-effects and
second-generation effects, effective, affordable and suitable for different age
and cultural groups and for different phases of the reproductive cycle. Testing
and introduction of all new technologies should be continually monitored to
avoid potential abuse. Specifically, areas that need increased attention should
include barrier methods, both male and female, for fertility control and the
prevention of sexually transmitted diseases, including HIV/AIDS, as well as
microbicides and virucides, which may or may not prevent pregnancy.
12.13. Research on sexuality and gender roles and relationships in different
cultural settings is urgently needed, with emphasis on such areas as abuse,
discrimination and violence against women; genital mutilation, where practised;
sexual behaviour and mores; male attitudes towards sexuality and procreation,
fertility, family and gender roles; risk-taking behaviour regarding sexually
transmitted diseases and unplanned pregnancies; women’s and men’s perceived
needs for methods for regulation of fertility and sexual health services; and
reasons for non-use or ineffective use of existing services and technologies.
12.14. High priority should also be given to the development of new methods for
regulation of fertility for men. Special research should be undertaken on
factors inhibiting male participation in order to enhance male involvement and
responsibility in family planning. In conducting sexual and reproductive health
research, special attention should be given to the needs of adolescents in order
to develop suitable policies and programmes and appropriate technologies to meet
their health needs. Special priority should be given to research on sexually
transmitted diseases, including HIV/AIDS, and research on infertility.
12.15. To expedite the availability of improved and new methods for regulation
of fertility, efforts must be made to increase the involvement of industry,
including industry in developing countries and countries with economies in
transition. A new type of partnership between the public and private sectors,
including women and consumer groups, is needed to mobilize the experience and
resources of industry while protecting the public interest. National drug and
device regulatory agencies should be actively involved in all stages of the
development process to ensure that all legal and ethical standards are met.
Developed countries should assist research programmes in developing countries
and countries with economies in transition with their knowledge, experience and
technical expertise and promote the transfer of appropriate technologies to
them. The international community should facilitate the establishment of
manufacturing capacities for contraceptive commodities in developing countries,
particularly the least developed among them, and countries with economies in
transition.
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