Reproductive rights,family planning: a cornerstone of control

The main objective of the action plan for the International Conference on Population and Development is to assure access to high quality information and reproductive health care services in a manner that is affordable, acceptable, and convenient. Informed choice should be voluntary for childbearing and fertility control decisions. Services must be sensitive to the cultural, economic, and demographic diversity of local communities. The target date for countries to implement family planning (FP) and reproductive health programs that are available to all is 2015. Programs must involve women in all phases of planning, management, and delivery of services; outreach programs must be developed to involve men. Public and private FP programs should be directed to removing all obstacles to method use by the year 2005 by redesigning and expanding information and services. IEC (information, education, and communication) should also focus on sexually transmitted diseases, including AIDS. Programs should provide high quality condoms from stock on hand. About 55% of couples in developing countries use some form of contraception. The increase in contraceptive use has contributed to the decline in total fertility from 6.1 children per woman in the 1950s to 3.7 in the 1990s. At least 350 million couples still lack access to modern FP methods. The draft plan emphasizes that couples must be given the freedom and responsibility to decide on the number and spacing of their children.