A/RES/S-21/2
Page 17
63. (i)
In no case should abortion be promoted as a method of family planning. All Governments and relevant
intergovernmental and non-governmental organizations are urged to strengthen their commitment to
women's health, to deal with the health impact of unsafe abortion as a major public-health concern and
to reduce the recourse to abortion through expanded and improved family planning services. Prevention
of unwanted pregnancies must always be given the highest priority and every attempt should be made
to eliminate the need for abortion. Women who have unwanted pregnancies should have ready access
to reliable information and compassionate counselling. Any measures or changes related to abortion
within the health system can be determined only at the national or local level according to the national
legislative process. In circumstances where abortion is not against the law, such abortion should be safe.
In all cases, women should have access to quality services for the management of complications arising
from abortion. Post-abortion counselling, education and family planning services should be offered
promptly, which will also help to avoid repeat abortions;
(ii) Governments should take appropriate steps to help women to avoid abortion, which in no case should
be promoted as a method of family planning, and in all cases provide for the humane treatment and
counselling of women who have had recourse to abortion;
(iii) In recognizing and implementing the above, and in circumstances where abortion is not against the law,
health systems should train and equip health-service providers and should take other measures to ensure
that such abortion is safe and accessible. Additional measures should be taken to safeguard women's
health.
64. In order to monitor progress towards the achievement of the goals of the International Conference on
Population and Development for maternal mortality, countries should use the proportion of births assisted by
skilled attendants as a benchmark indicator. By 2005, where the maternal mortality rate is very high, at least 40
per cent of all births should be assisted by skilled attendants; by 2010 this figure should be at least 50 per cent
and by 2015, at least 60 per cent. All countries should continue their efforts so that globally, by 2005, 80 per cent
of all births should be assisted by skilled attendants, by 2010, 85 per cent, and by 2015, 90 per cent.
65. In order to have a basis for cost-benefit analysis for interventions aimed at reducing maternal mortality, the
societal costs of maternal deaths should be calculated. This should be done in cooperation with Governments,
United Nations agencies and development banks, and the research community.
66. The World Health Organization, in cooperation with other relevant United Nations bodies, is urged to fulfil
its leadership role within the United Nations system in assisting countries, in particular developing countries, to
put in place standards for the care and treatment for women and girls that incorporate gender-sensitive approaches
and promote gender equality and equity in health-care delivery and to advise on functions that health facilities
should perform to help guide the development of health systems to reduce the risks associated with pregnancy,
taking into consideration the level of development and the economic and social conditions of countries. At the
same time, United Nations agencies, including the United Nations Population Fund and the United Nations
Children's Fund, and multilateral development banks, such as the World Bank, should intensify their role in
promoting, supporting, advocating for and investing in action to improve maternal health.
/...