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ACCELERATING
THE
PROMISE
The Report on the
Nairobi Summit on
ICPD25
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Authors:
Jennifer Butler, Arthur Erken, Isaac Hurskin, Gretchen Luchsinger (editor), Douglas Passanisi, Ragaa Said and Pio Smith
With contributions from:
Soyol Bayaraa, Teresa Buerkle, Mariarosa Cutillo, Nafissatou Diop, Ann Erb Leoncavello, Usen Esiet,
De Jane Gibbons, Jennie Greaney, Benoit Kalasa, Richard Kolledge, Anneka Knutsson, Mona Moustafa, Mandira Paul,
Klaus Simoni Pederson, Rachel Snow, Lily Tong and Farah Usmani
Design:
Prographics, Inc.
Original artwork for the Nairobi Summit on ICPD25 poster:
© Erin K. Robinson
All photos © UNFPA
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ACCELERATING
THE
PROMISE
Foreword ......................................................................................................... 2
I
II
III
IV
V
The Road to Nairobi ..................................................................................... 4
Fulfilling Our Promises ...............................................................................12
Committed to Change, Accountable for Progress.............................36
A Voice for Everyone .................................................................................42
A Global Call to Action ............................................................................ 48
Annex 1: Nairobi Statement on ICPD25:
Accelerating the Promise .........................................................................54
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FOREWORD
In 2019, all roads led to Nairobi.
Thousands gathered at the Nairobi Summit
on ICPD25: Accelerating the Promise,
and what a celebration it was! Hundreds
of thousands more around the world
marched in solidarity, recommitting to the
extraordinary vision of the Programme
of Action set forth at the International
Conference on Population and Development
in Cairo in 1994 – a vision of full equality
for women and girls, and of sexual and
reproductive health and rights for all.
The world convened in Nairobi around a
central belief that good progress is not
good enough, and that we must accelerate
the promises made in Cairo to girls and
women, boys and men, to everyone.
Achieving the Sustainable Development
Goals depends on it.
Strengthening our societies, growing our
economies and combating climate change
all depend on women and girls taking
control over their bodies, their choices
and their futures. When every woman and
girl lives in full equality, with dignity and
respect, we can end poverty and hunger,
improve health and human well-being,
guarantee quality education, and achieve
peace and prosperity for all.
The urgent message from the Nairobi
Summit is that the world cannot – and must
not – wait another 25 years. UNFPA and
the Governments of Kenya and Denmark
co-convened the Summit with that sense of
urgency in mind. We were pleased to see
the leadership that exists at all levels – from
presidents to the grass roots, from refugees
to royalty, from youth activists to CEOs – to
ensure sexual and reproductive health and
rights for all.
Leaders of countries, communities and
organizations from 163 United Nations
Member States participated with a deep
sense of purpose and hope. Together,
we fashioned the Nairobi Statement and
accompanying Nairobi Commitments, not
to negotiate new documents or language,
but to uphold existing agreements, address
resource gaps, define actionable timelines,
and share and learn from each other.
Partners from the private sector, civil
society, academia and faith-based
organizations brought new ideas and new
resources to make rights and choices a
reality for all. People with disabilities,
indigenous people, people of African
descent, and of sexual diversities turned
out in their numbers, leading, challenging,
inspiring and pushing the agenda forward.
Feminists, who ignited a movement in
Cairo, brought their energy and passion to
Nairobi. Young people raised their collective
voice, declaring their intention to lead the
sexual and reproductive health movement
into a new era, where every girl can fulfil
her dreams.
In the end, the Nairobi Summit was about
action, not talk. We committed to making
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the next decade one of action and results for
women and girls. Sexual and reproductive
health and rights are human rights, and it is
up to all of us to protect and defend them.
Years from now, let it be said that the
Nairobi Summit on ICPD25 sparked the
accelerated action needed to achieve
sexual and reproductive rights and choices
for all. Let it be known that we did the
work, we delivered on our promises, and
we achieved the commitments of the ICPD
Programme of Action and the Sustainable
Development Goals.
The march continues. Our ultimate
destination: full rights and full choices
for all people, everywhere.
Natalia Kanem
United Nations Under-Secretary-General
and Executive Director of UNFPA,
the United Nations Population Fund
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I:
The Road to Nairobi
MANY VOICES, ONE STAND FOR RIGHTS AND CHOICES
There is no turning back on sexual and reproductive health and
rights and choices for all. The march forward must continue, and
it must accelerate, because choosing what happens with one’s
own body and fertility is a fundamental right.
Twenty-five years ago, at the landmark 1994
International Conference on Population
and Development (ICPD) in Cairo, Egypt,
the world promised that every woman and
girl would enjoy universal access to sexual
and reproductive health. More do so today
than ever before. Yet millions of women and
girls still die in pregnancy, still cannot get
contraceptives, still get married as children,
still are mutilated and violated – the list of
unfulfilled promises remains very long.
We know we need more action, more
commitment, more investment in a far faster
pace of change. But how? That’s what the
Nairobi Summit to mark the 25th anniversary
of the ICPD set out to answer. Under the
banner of “Accelerating the Promise”, it
took place in Nairobi, Kenya, from 12
to 14 November 2019, co-convened
by the Governments of Denmark
and Kenya, and UNFPA.
The culmination of a year-long process to
re-energize people everywhere, the Summit
brought together 8,300 people from 172
countries and territories. They made over 1,250
commitments to action. And with many voices
they spoke as one in standing against decades
of pushback on sexual and reproductive health
and rights, and the equality of women and girls.
The Summit was the first large global meeting
heralding the United Nations Decade of Action
to deliver on the Sustainable Development
Goals, and a lead into the 25th anniversary of
the 1995 Fourth World Conference on Women.
As such, the Summit set a high bar – and
pioneered a fresh approach to multilateral
action. Since it was an entirely voluntary
exercise, Governments and others came
because they genuinely wanted to express
their commitments to sexual and reproductive
health and rights. This approach proved highly
successful in persuading a wide variety of
institutions and people across the world to
stake a claim on a new, brighter future, where
promises are kept, not contested.
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In the lead-up to the Nairobi Summit, UNFPA
launched #IMarchFor, a social media
campaign that brought 30,000 people and 15
million followers into a global call for world
leaders to deliver on ICPD promises. In a
striking video at the Summit opening, girls with
artistically painted faces read the 12 global
commitments of the Nairobi Statement.
WHERE IT ALL BEGAN
The Governments of Denmark and Kenya
agreed to co-convene the Nairobi Summit
with UNFPA. They brought geopolitical
balance, tremendous experience in
negotiating the Sustainable Development
Goals (SDGs), and strong political will from
their respective Governments to their roles
as co-conveners. Denmark also became the
major donor to the Summit.
In April 2019, UN Member States at the UN
Commission on Population and Development
adopted a Political Declaration calling for the
“full, effective and accelerated implementation
of the ICPD Programme of Action and the
2030 Agenda for Sustainable Development”.
This provided a political impetus for
Governments and all other relevant partners
to come together to commemorate the
adoption of the ICPD Programme of Action,
and celebrate its successes in advancing
rights and choices for all.
The process would galvanize political
and financial momentum, and build and
strengthen partnerships to complete the
unfinished business of the ICPD Programme
of Action, including as an integral part of the
2030 Agenda and its 17 SDGs. Early on, five
themes with global relevance emerged as key
focus areas. They included universal access
to sexual and reproductive health and rights,
financing the sexual and reproductive health
and rights agenda, demographic diversity,
ending gender-based violence and harmful
practices, and sexual and reproductive
health and rights in humanitarian and fragile
contexts. The preparatory process also
pinpointed five other issues to accelerate
progress across all of the themes: gender
equality, youth leadership, political and
community leadership, innovation and data,
and partnerships.
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Three objectives
Three objectives shaped the
process around the Nairobi
Summit, aimed at renewing
momentum to fully achieve the
ICPD and the SDGs by 2030:
1. Obtain political reaffirmation of
the ICPD Programme of Action,
within the context of the
2030 Agenda for Sustainable
Development and the SDGs.
2. Build political and financial
momentum to fulfil the
unfinished business of the ICPD
Programme of Action.
3. Reinvigorate and expand the
community of people necessary
to push forward the ICPD
agenda on all fronts.
A COMMITMENT TO COMMITMENTS
The co-convenors were determined that the
Summit would galvanize new ways of thinking,
new players and new actions. Early on, they
defined it as a platform where Governments,
international and regional organizations and all
sectors of civil society would make concrete
public commitments with a focus on leaving no
one behind. Ambitious political, programmatic
and financial commitments would showcase
leadership, make the case for scaled-up
investment, and move the world towards
achieving sexual and reproductive health and
rights for all.
To keep commitments relevant and meaningful,
and aligned to the extent possible to shared
global aims, an International Steering
Committee guided the development of an
overarching framework. The process drew on
six months of consultations with UN Member
States, civil society organizations, youth
networks, people living with disabilities, the
faith-based community, the private sector,
foundations, academics and more. Together,
they defined the magnitude of the unfinished
business of the ICPD, and pinpointed areas
where progress is most urgent.
The result was the “Nairobi Statement on
ICPD25 – Accelerating the Promise”. Framed
around the five themes of the Summit, it
contains 12 global commitments that served as
a point of departure for all other commitments
made at the Summit.
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Aimed at delivering benefits to women and
girls, their families and societies at large, the
Statement as a whole reflects the inextricable
links between women’s and girls’ empowerment,
sexual and reproductive health and rights, and
sustainable development.
The 12 global commitments highlight three
zeros – the end to preventable maternal
mortality, unmet need for contraceptives,
and gender-based violence and harmful
practices. They spotlight urgent issues such as
greater domestic and international financing,
bringing young people into all decision-
making that affects them, developing quality
and disaggregated data, and ensuring that
sexual and reproductive health information
and services reach people in crisis. As a
non-binding instrument, the Statement as a
whole allows different countries and other
actors to pursue concerns most important to
them, including new imperatives arising since
the ICPD, such as the global goal to achieve
universal health coverage.
RADICAL INCLUSION
No one has paid as great a price for unfulfilled
promises as women and young people. Their
voices too often go unheard. Their issues are
ignored, and their rights and choices denied.
Summit organizers decided that it was time to
overturn this discrimination and exclusion, and
aim for radical inclusion. That meant explicitly
ensuring that the Summit and the entire
process leading up to it would aim for human
diversity in every respect.
At the Summit, community leaders sat
side by side with national ministers. Youth
activists dialogued with CEOs of multinational
corporations. Indigenous women interacted
with academics. Debates were not constrained
by the politics of position or gender or age,
but embraced the power of open exchanges
of wide-ranging experiences and ideas.
Consequently, discussions were much richer,
and commitments deeper. A highly interactive
format, developed by an International
Programme Committee, provided ample space
for diverse participants to reflect together
on opportunities, challenges and collective
actions.
As a result, a new, broad coalition was
formed. It is a coalition of the informed and
committed, the bold and the brave. Everyone
in it knows the stakes are high, but also that
the solutions are at hand.
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A GLOBAL ROAD TO NAIROBI
To guide an extensive year-long build-up to the
Summit, a global road map identified major
events in every part of the world that could
propel political momentum behind Summit
objectives and reinvigorate the movement
to finish the ICPD’s unfinished business. A
global reflection took off, unprecedented in its
scope and scale, on where progress had been
made, who was being left behind, which key
issues and commitments to bring to Nairobi,
and how to sustain energy, partnerships and
commitments right through to 2030 and the
Decade of Action, for everyone, whether they
came to Nairobi or not.
Talks about the Summit featured at the
Commission on Population and Development,
the United Nations High-level Political Forum
on Sustainable Development and the United
Nations General Assembly, as well as in the
Group of Seven (G7) and Group of 20 (G20)
summits, and at major international gatherings
on humanitarian action, South-South
cooperation and more. Regional road maps
played major roles in propelling interest. And
in practically every country, multistakeholder
processes and consultations were initiated to
identify the unfinished agenda and formulate
concrete national commitments.
THE ROAD TO NAIROBI
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THE ROAD TO NAIROBI FOR YOUNG
PEOPLE AND CIVIL SOCIETY
Young people and civil society mobilized
around the Nairobi Summit throughout
2019, from the local to the global level. They
discussed progress since the ICPD, and
the challenges and possibilities ahead, and
provided direct inputs into Summit planning
and outcomes. The road to Nairobi became
a chance for many to prepare themselves to
assume the mantle of new leadership from
Nairobi to 2030 and beyond.
More than 80 youth-led and youth-
serving partner organizations contributed
to developing the Summit programme
and global, regional, national and local
commitments. Civil society more broadly saw
the Summit as a chance to re-energize the
ICPD movement, strengthen commitments
to rights and choices for all, and broaden
coalitions with other partners and
constituencies. Understanding the power
and importance of Cairo, they wanted to
be a part of Nairobi.
The Summit process provided an opportunity
for meaningful participation between activists
of different generations working on a variety
of issues. It catalysed collaboration and
action, and articulated the ICPD agenda’s
relevance today. Crucially, young people and
non-governmental organizations played a
pivotal role in both the International Steering
Committee and the International Programme
Committee.
A UNFPA scholarship allowed
Emy Hetari, 29, to come to
the Summit from Yemen,
accompanied by her mother.
She performed a song about
adolescent girls caught in a
humanitarian nightmare.
SCHOLARSHIPS BRING LOCAL
COMMUNITIES ON BOARD
From the outset, every effort was made to
ensure that people from smaller communities
were present in large numbers, bringing to
the discussions their diverse perspectives
and lived experiences. UNFPA and its
partners provided scholarships for more
than 2,000 young people, women from
grass-roots organizations, traditional leaders,
LGBTQI populations, people living with
HIV, people living with disabilities, people
of African descent, indigenous people and
community-led organizations. Their road to
Nairobi included training, toolkits, workshops
and consultations, which assisted them in
developing their own commitments and
making the most of their
participation at the Summit.
The Youth Engagement
Toolkit helped youth
prepare to make their
voices heard.
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THE #IMARCHFOR CAMPAIGN...
TELL US WHY YOU MARCH!
Not everyone physically came to Nairobi, but
they all marched to Nairobi. The #IMarchFor
campaign brought together champions of
sexual and reproductive rights, gender equality
and women’s empowerment from all over the
world. They shared personal messages on why
the Nairobi Summit mattered to them and
turned the Summit into a movement.
Tens of thousands of individuals and
institutions participated, with the #IMarchFor
hashtag generating around 30,000 posts
reaching over 15 million followers. They
marched for their personal commitment to
rights and choices for all. They marched for
survivors of female genital mutilation, and for
women and girls affected by humanitarian
crisis. They marched for access to menstrual
hygiene products, mental health, quality
education, dignity, freedom from violence and
discrimination, and achieving the three zeros.
WHAT’S CHANGED? THOUGHT
LEADERSHIP CONVERSATIONS ON ICPD
A highly popular series of global, regional
and national conversations, online and in
person, posed the provocative question:
What’s Changed? They brought together
thought leaders, experts and community
voices to reflect upon progress since Cairo and
stimulate new thinking, ideas and solutions to
complete the unfinished business of the ICPD
Programme of Action. The conversations took
up the rights of young people and adolescents,
advances in reproductive technology, family
planning, low fertility, demographic shifts such
as ageing societies, sexual and reproductive
health and rights of people living with
disabilities, and many other critical concerns.
The first What’s Changed? conversation
brought together thought leaders to debate
what’s next in achieving the ICPD agenda.
to be
loved,
to be
wanted
and to be
respected
In Afghanistan, a young woman affirmed her
priorities as part of the #IMarchFor campaign.
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Summit co-convenors, the Governments of Denmark and Kenya
as well as UNFPA, and partners celebrated the close of an early round
of vibrant exchanges at “Join us on the Road to Nairobi”, a high-level
side event at the 74th General Assembly of the United Nations.
PUBLIC AND PRIVATE, PARTNERS
REACH THE WORLD
An unusually broad spectrum of public and
private partners had visible roles all along the
road to the Summit, joining cross-regional
alliances and partnerships to gain traction on
the three zeros and put forward innovative
solutions to bottlenecks. A UNFPA-led costing
exercise provided technical and financial tools
to take the sexual and reproductive health and
rights agenda to scale.
The Government of Denmark provided
the bulk of the financial resources needed.
Additional financial support also came from
the Governments of Australia, Canada,
Finland, Germany, Iceland, Ireland, Italy,
Luxembourg, the Netherlands, Norway, the
Republic of Korea, Sweden and Switzerland.
Kenya provided significant in-kind support.
Support also came from private sector
partners. They included, Bayer, the Ford
Foundation, Global Citizen, Kenya Airways,
Special Olympics, the UN Office for
Partnerships and YMCA Africa. They made
financial commitments and/or in-kind
contributions.
When it was finally time for the Summit
to begin, the Burundian delegation
impressed other participants by
arriving in ICPD-branded attire.
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II:
Fulfilling Our Promises
READY FOR THE FUTURE, STARTING NOW
The Nairobi Summit began with a welcoming ceremony where
more than 8,300 participants took a journey from Cairo to Nairobi
to the world of 2030 and the achievement of the Sustainable
Development Goals. The ceremony set forth a forward-looking
vision to guide commitments for finally achieving all parts of the
ICPD Programme of Action.
Guests took their seats in the main hall
of the Kenyatta International Convention
Centre to the inspiring sounds of performers
from around the world, including traditional
dancers from Kiribati, the African regional
youth network and renowned singer Kaliya
from Kazakhstan. The percussive beats of
the Kibera Slum Drummers marked the
formal start of the ceremony, followed by
a compilation of #IMarchFor campaign
videos to showcase the journey to Nairobi.
A highlight was the flash mob performance
of adolescent girls presenting the 12 global
commitments of the Nairobi Statement, and
urging the audience to fulfil ICPD promises
because their future depends on it.
The Summit was officially opened by the three
co-convenors, the Governments of Denmark
and Kenya as well as UNFPA. Opening
remarks were delivered by His Excellency
President Uhuru Kenyatta of Kenya, Minister
for Development Cooperation of Denmark
Rasmus Prehn, Her Royal Highness Crown
Princess Mary of Denmark, Deputy Secretary-
General of the United Nations Amina
Mohammed and UNFPA Executive Director
Dr. Natalia Kanem.
The Kibera Slum
Drummers set the
beat for co-
conveners to open
the Summit.
At the opening ceremony, adolescent
girl champions of Nairobi Statement
commitments performed Katy Perry’s
“Roar”, a rallying cry for the rights and
leadership of girls worldwide.
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The co-covenors formally launched the Summit, including (from
left) Her Royal Highness Crown Princess Mary of Denmark, Patron
of UNFPA; Rasmus Prehn, Minister for Development Cooperation
of Denmark; His Excellency President Uhuru Kenyatta of the
Republic of Kenya; United Nations Deputy Secretary-General Amina
Mohammed; and UNFPA Executive Director Dr. Natalia Kanem.
“Women are the backbone
of the family and, indeed,
the bedrock of a nation…
Empowering women
essentially empowers all our
families, it empowers our
societies, it empowers our
nations, and it empowers
the world.”
—His Excellency Uhuru Kenyatta,
President of the Republic
of Kenya
“Women and girls are the true
owners of their own bodies,
and reaching SDG 5 is the key
to reaching the other SDGs... We
can only be here in 2030 if we
are celebrating the finished
unfinished business... Let
us march and unite in this
moment of solidarity across
the globe so women can make
informed choices.”
—His Excellency Rasmus Prehn,
Minister for Development
Cooperation, Denmark
“The Sustainable Development
Goals cannot, and will not, be
achieved until women, girls
and young people are able to
control their bodies and their
lives, and live a life free from
fear and from violence.”
—Dr. Amina Mohammad,
Deputy Secretary-General,
United Nations
“It is important to better
understand the underlying
societal complexities and
structures that fail to respect
women’s physical integrity so
that we can bridge the gaps!”
—Her Royal Highness Crown
Princess Mary of Denmark,
Patron of UNFPA
“The reproductive rights of
women and girls are not up
for negotiation and we shall
protect and uphold them!
We will do it because the
Sustainable Development Goals
depend upon it. We will do it
because we cannot hope to
end poverty and achieve peace
and prosperity until every
woman and girl can live in
full equality, with dignity and
respect. We will do it because
strengthening our societies,
growing our economies, and
importantly, combating
climate change – all depend
upon women and girls taking
control over their bodies, their
choices, and their futures.”
—Dr. Natalia Kanem,
Under-Secretary-General,
Executive Director, UNFPA
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African legend Youssou N’Dour
roused the audience with songs
of hope and renewed ambition.
CHAMPIONS FOR CHANGE
ACROSS GENERATIONS
In opening plenary sessions, four champions of
the ICPD agenda came together to discuss rights
and choices for all on the road from Cairo to Nairobi.
Renowned women’s rights activist Gita Sen,
Director of the Ramalingaswami Centre on
Equity and Social Determinants of Health
at the Public Health Foundation of India, set
the stage by emphasizing the centrality of
human rights to achieve equality and leave
no one behind. Noting that young people
view their lives comprehensively – the same
young people who march for climate change
are mobilizing to claim their sexual and
reproductive health and rights – Sen called for
transferring the baton held by the women who
went to Cairo to the young women and girls in
the room and everywhere else.
Melinda Gates, Co-founder of the Bill &
Melinda Gates Foundation, spoke of how
25 years ago, the ICPD put women at the
centre of the agenda. Now it is time to
listen to young people and put girls at the
centre. She highlighted the transformative
power of FP2020, pointing out that with
53 million more women and girls obtaining
contraceptives since 2012, universal coverage
of contraceptives is achievable.
As a voice of the new ICPD generation,
Neil Fidelle Lombao, She Decides 25x25
Champion and Chairperson of the UN Youth
Advisory Board Philippines, mapped a vision
for the future fully grounded in human rights,
equity, equality and action. Dr. Lina Abirafeh,
Executive Director of the Arab Institute for
Women at the Lebanese American University,
urged strengthening the women’s movement
and broadening its engagement with other
movements, and outlined what it will take for
women to feel safe.
“Contraceptives are one of the
most powerful tools we have, to
put the power in the hands of
young girls and women to plan
their families, and quite honestly
to plan their futures.”
—Melinda Gates, Co-founder,
Bill & Melinda Gates Foundation
Economist Gita Sen (left) and
philanthropist Melinda Gates (right)
stressed engaging with young people.
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Five Themes. Three Zeros.
Many lives.
ICPD
25
THE PROGRAMME
Both broad and deep, the programme of the Nairobi Summit inspired one of the most
diverse international gatherings ever. Together, in nearly 150 sessions with over 700
speakers, a chorus of voices debated how we implement the ICPD commitments, for
everyone, for our shared future.
Their perspectives were many, a rich offering.
But their transformative goals were the same.
Three zeros. Zero preventable maternal
mortality. Zero unmet need for family
planning. Zero gender-based violence and
harmful practices.
Each day 810 women die giving birth.
Over 232 million women want to delay or
prevent pregnancy but have no effective
contraception. Millions of women and girls
suffer unspeakable violence, from intimate
partner violence to sexual assault to female
genital mutilation, and the physical and
psychological trauma of early child marriage.
To address the three zeros and the broader
ICPD agenda, the Summit focused on the
five themes defined in the preparations as
powerful accelerators of progress on all of
these issues: universal access to sexual and
reproductive health and rights, financing the
sexual and reproductive health and rights
agenda, demographic diversity, ending
gender-based violence and harmful practices,
and sexual and reproductive health and rights
in humanitarian and fragile contexts.
Discussions at the Summit highlighted the
power of gender equality and women’s
leadership, youth leadership, political and
community leadership, innovation and data,
and partnerships to accelerate change.
The Summit programme was structured
around signature sessions held in plenary
with expert panellists addressing key
solutions, impacts and data analysis. Open
dialogue sessions encouraged audience
discussion and debate, challenging the
status quo and advancing advocacy and
action. Concurrent sessions put a focus on
community-led approaches, concretely drilling
down into specific solutions. The interactive
Pamoja Zone inspired networking, the sharing
of innovations, and exploration of initiatives by
communities, young people and partners.
“We should create a world where
everybody, women, young men,
LGBTI, persons with disabilities, and
all marginalized sectors should
have the power to decide about
their own bodies, their lives and
their futures without question.”
—Neil Fidelle Lombao,
She Decides 25x25 Champion
AC CE LER AT IN G T HE PR OM ISE
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THEME 1
Universal access to sexual and
reproductive health and rights as a
part of universal health coverage
We changed the conversation!
At the Nairobi Summit, enthusiasm for a
“next generation” conversation on sexual and
reproductive health and rights reached an all-time
high. Consensus was strong. We need bolder
demands to realize sexual and reproductive
health and rights. We need scaled-up investments
aimed at universal access to care, bolstering
health systems but also going beyond them.
We must achieve equality, quality, affordability,
acceptability and accountability – for everyone.
Fatma Bulic, a member of the Information Centre for Persons with
Disabilities in Bosnia and Herzegovina, spoke about ending gender-based
violence, an essential sexual and reproductive health intervention.
All too often,
the stigma and taboo surrounding sex,
menstrual health and reproductive health prevent
individuals and communities from talking
about issues
crucial to empowering women to
make decisions over their own bodies.
—Folly Bah Thibault,
Journalist and Broadcaster
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Participants from Governments, civil society
and academia agreed: An essential and
comprehensive package of sexual and
reproductive health and rights interventions
is the basis for transformative change.
Required for the full implementation of the
ICPD Programme of Action, universal health
coverage and the SDGs, the package needs to
be progressively realized in rolling out national
universal health coverage plans.
For most countries, a comprehensive
approach to sexual and reproductive
health and rights is cost-effective and
affordable. Domestic resource mobilization
must increase to sustain gains and unlock
additional investments. Proven partnerships
must be strengthened, and new forms of
collaboration established, including between
the public and private sector and with non-
traditional partners. Together, they can work
towards making comprehensive sexual and
reproductive health and rights integral to
universal health coverage benefits, financing
and protection schemes to prevent financial
hardship. An imperative element is adolescent
sexual and reproductive health services.
Stop leaving young women
and girls behind;
they die
because we don’t want to talk
about sexuality education
and safe abortions.
—Mamello Makhele,
Young midwife and founder of
MobiHope in Lesotho
The call to redress inequalities was loud
and clear – and came from all directions.
We heard from people of African descent,
indigenous communities, people living with
disabilities, young sex workers, women in
humanitarian settings, LGBTQI communities,
people living in urban slums and young people
in rural and remote communities. Leaving no
one behind requires systematic actions that
put people at the centre. Gender equality,
youth leadership, political and community
leadership, innovation and data, and strategic
partnerships can all help accelerate the
progressive attainment of universal sexual and
reproductive health and rights.
KEY TAKEAWAYS
• Universal health coverage requires
a
comprehensive approach
to
sexual and reproductive health
and rights, across the lifecycle,
and embedded in national plans.
Focused, rights-based interventions
must meet the needs of all groups,
including those most marginalized
and underserved.
• Government partners, representatives of
civil society and academia all agreed:
the
essential package of sexual and reproductive
health and rights interventions
is the basis
for transformative change. It is imperative to
complete the ICPD Programme and achieve
the SDGs, and should be progressively realized
in both new and existing universal health
coverage plans.
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Safe pregnancy and childbirth are about
survival, but also about thriving, where the
health and well-being of women and girls
is the goal. Getting to zero preventable
maternal mortality requires strong health
system capacity, innovation, equity and
accountability, and partnership and
coordination. All actors must commit
to providing quality and respectful
maternal and newborn care at
a national scale, including by
connecting referral and primary
health facilities. Properly
trained, equipped and
regulated, midwives can
provide 87 per cent of the
essential care women and
newborns need.
Towards reaching zero unmet
need for contraception,
discussions emphasized
realizing rights, extending access
to services, training health-care
providers and improving quality
Counselling
and services
for modern
contraceptives
The essential package of sexual and
reproductive health interventions is part
of a comprehensive life course approach
to realizing rights and choices for all.
Prevention and
treatment of HIV
and other sexually
transmitted infections
Safe abortion
services and
treatment of
unsafe abortion
SS
|
Q
UA
LI
TY
O
F
CA
R
E
|
Detecting and
preventing
sexual and
gender-based
violence
A
T
OUN
ABI
LI
T
CC
Comprehensive
sexuality education
E
CC
A
Antenatal,
childbirth and
postnatal care
Counselling and
services for
sexual health
and well-being
Detecting, preventing
and managing
reproductive cancers
Investment must
go beyond the
health system.
It should back
interventions
centred on people
and integrating the
multiple issues
they face.
Not negotiable:
women’s
Successful investment
and girls’ rights to health
care, bodily autonomy
and integrity!
Complex issues demand
ambitious solutions,
with a central place for
community involvement
to define how best to
meet local needs.
in
the health workforce,
particularly midwives,
requires tackling imbalanced
gender and power dynamics
in health systems.
Access to safe
abortion
is essential
to sexual and reproductive
health and rights.
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R EPORT ON T HE N AIR OBI S UM M IT ON IC PD25
Y
|E
QUIT
Y
I
N
Counselling
and services
for infertility
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of care. Other prominent issues encompassed
access to accurate information, and creating
awareness and generating demand, with
strong potential to harness innovation, especially
digital tools. In making sure that contraceptive
commodities reach users, essentials include
preventing stock-outs, improving supply
chains and expanding choices of modern
methods. Family planning should be better
integrated into maternal care, primary health
care and HIV services, and, as a matter of
urgency, reach groups left behind, particularly
youth and adolescents, people with disabilities,
migrants and refugees, and people living
in humanitarian settings. Improved data
would allow better evaluation of whether
family planning reaches marginalized groups.
Both domestic and international financing
remain critical for sustaining family planning,
alongside strong accountability mechanisms
and enabling legislation and policies.
Universal access to sexual and reproductive
health means for everyone. That includes
men, young men and boys. Many lessons
have been learned, including in HIV
programmes, about the consequences of
restrictive gender norms, violence, stigma,
discrimination, lack of information and
lack of access to services. Rates of HIV are
increasing, for instance, in some LGBTQI
communities, and among men who have
sex with men who are married to women.
A lack of access to information and services
for men and young men results in high
rates of untreated sexually transmitted
infections, gender-based violence and
adolescent boys becoming fathers. The gap
hampers important efforts to increase men’s
responsibility for using contraception.
With India exploring universal health coverage, Debasree Chaudhuri, Minister
of State for Woman and Child Development, attended the Summit, joined in
one session by the then UNFPA Deputy Executive Director, Laura Londén.
Comprehensive
Young people
can face multiple,
A frank new conversation
sexuality
education
must
reach every young
person, including
through technology,
and emphasize
transforming
discriminatory
gender norms.
intersecting obstacles to
sexual and reproductive health
information and services. These
are related to age as well as
disabilities, gender diversity,
sexual orientation and ethnicity,
among others. They must be
part of designing and driving
their own solutions.
emerged around
menstrual hygiene,
driven
by emerging champions
of innovations such as
new designs for period
underwear, menstruation
tracking apps and
machines dispensing
organic period products.
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Youth have a right to contraception too
A recurring and critical issue was the urgency of meeting young
people’s need for contraception, as an integral part of adolescent
sexual and reproductive health and rights. Participants, including many
youth, stressed that progress must be co-led with youth. Policies and
laws should ensure that young people universally can access good
quality, integrated and comprehensive sexual and reproductive health
information and services, along with comprehensive sexuality education.
Much more could be done to build the capacity and commitment of
health providers to deliver information and services that meet the
specific needs of adolescents and youth. Different sectors will need to
work together to reach everyone and link the multiple issues at stake.
To keep the momentum going, the Youth Coalition for Sexual and
Reproductive Rights launched a short guide: Calling for Action on Young
People’s Need for Contraception. Find out more at:
unfpa.org/resources/
calling-action-young-peoples-need-contraception-guide-youth-advocates.
It’s time for more
investment in the
sexual and reproductive
health and rights of
men and boys,
targeting
institutions, communities
and individuals.
We should increase
advocacy and services
emphasizing
men’s
responsibility for
contraception.
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R EPORT ON T HE N AIR OBI S UM M IT ON IC PD25
Reformulated
strategies
should improve
LGBTQI
access to
services, sexual
and reproductive
health education,
and the protection
of their rights.
Stepped up efforts to
collect and analyse
disaggregated data
should cover the national
and subnational levels,
and the parameters of
age, sex, wealth, ethnicity,
migration status,
disability and parity.
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THEME 2
Financing to finish the ICPD
Programme of Action and to
sustain the gains made
We know what we need to invest:
let’s get the job done!
A combination of decisions, actions and
funding will determine whether or not we
meet the three zeros and live up to the
promise of the ICPD and the SDGs. It is
truly a defining moment. For achieving
the first time, we know the for achieving
the zeros. New research presented at
the Summit went beyond calculating
costs. By identifying priority
interventions, it set the stage for next
steps, including country investment cases.
KEY TAKEAWAYS
Journalist Folly Bah Thibault (bottom left) moderated
talks on the power of creative industries to achieve
rights and choices for all, featuring supermodel
philanthropists Natalia Vodianova (top left), Anja
Rubik (bottom right) and Maria Borges (top right).
How do we achieve
the three zeros?
Fill
resource gaps faster.
And step up political
commitment.
As the most sustainable source of investment,
domestic
resources
can drive transformative results. The three zeros
need to be incorporated in public budgets and development
cooperation, at the national and local levels.
Clear
financial accountability
guides the best possible use
of available resources.
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The ICPD plan of action and
its focus on women’s and
girls’ empowerment is the
foundation of human capital
formation and a key priority
for both the Global Financing
Facility and the World Bank
Health team.”
—Dr. Muhammad Ali Pate,
Global Director, Health, Nutrition and
Population Global Practice, World Bank
Getting to zero is firmly grounded in
recognizing and respecting the human rights
of all women, girls, men and boys. Incalculable
harm results when a child grows up without its
mother or a young girl suffers female genital
mutilation. The emotional, social and economic
toll may last a lifetime – and never be fully
grasped. Yet we can calculate the economic
benefits of, for instance, ensuring that all
women can freely plan and space pregnancies,
and that girls can complete their schooling
and find decent work instead of getting married
as children. Over time, these benefits far exceed
investments made in achieving the three zeros.
Completing the unfinished business of the ICPD
Programme of Action is a complex task, but a feasible
one. New and reinvigorated partnerships, at all levels,
from the global to the local, must take up the call for
investment that is strategic and, by linking different
sectors, effective, with a broad reach. A combination
of smart domestic investment and international
support, framed by committed partnerships, will be
critical to delivering for women and girls.
The amount of official development assistance going
towards sexual and reproductive health and rights is
declining. A transition to domestic resources needs
to be managed to protect gains made, and attract
and make the best use of all possible financing flows.
Countries need to deliberately prioritize health, and
especially sexual and reproductive health and rights.
UNFPA, in partnership with Johns Hopkins
University, the University of Washington, Victoria
University and Avenir Health, costed the estimated
global resource needs to achieve the three
transformative results – the three zeros – by 2030.
Knowing the global price tag provides the foundation
for developing country-level investment cases to
support national priorities.
Sexual and reproductive
health and rights need
to be
systematically
integrated
in primary
health care and universal
health coverage, in benefit
packages as well as modes
of financing.
Government leadership is critical in
partnerships with the
private sector
including to invest in women’s
inclusion, economic empowerment
and health.
Political impetus and
adequate budgetary
allocations must stand
behind meaningful efforts
to uphold the sexual health
and rights of
adolescents
and youth.
22
Investing resources in coordination
in cities
means investing in
innovation and sustainability, and
effective targeting of services to
local needs.
Small local
entrepreneurs
can play
critical roles in providing
health services; their
successes should be
scaled up more broadly.
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RUNNING THE NUMBERS TO GET TO
ZERO
Costs from 2020 to 2030 in total
$115.5 billion
in 120 priority countries.
$68.5 billion
in 120 priority countries.
$2.4 billion
to end female genital mutilation
in 31 countries. $35 billion to end child marriage
in 68 countries. $42 billion to end gender-based
violence in 132 priority countries.
ZERO
PREVENTABLE MATERNAL DEATHS
ZERO
UNMET NEED FOR FAMILY PLANNING
ZERO
GENDER-BASED VIOLENCE
AND HARMFUL PRACTICES
AGAINST WOMEN AND GIRLS
WHERE’S THE FINANCING GAP?
The largest financing gaps are in some of the countries that are the least able to address this need
through domestic spending.
THE SPENDING GAP FOR MATERNAL HEALTH
1.35% 1.35%
3.7%
3.7%
THE SPENDING GAP FOR FAMILY PLANNING
1.4%
3.8%
4.5%
4.9%
7.9%
8%
65.3%
16.7%
50.3%
27.1%
CENTRAL EUROPE,
EASTERN EUROPE
& CENTRAL ASIA
HIGH-INCOME
NORTH AFRICA &
THE MIDDLE EAST
LATIN AMERICA &
THE CARIBBEAN
SOUTH ASIA
SOUTH-EAST ASIA,
EAST ASIA
& OCEANIA
SUB-SAHARAN
AFRICA
Note:
by Global Burden of Disease super-region, 2020−2030.
Source:
Costing the Three Transformative Results,
2020, Johns Hopkins University, Avenir Health, Victoria University, Institute of Health,
Metrics and Evaluation at the University of Washington, and UNFPA.
New
financial
engineering
methods
ensure that private
sector resources support
efficient,
scaled-up
investments in sustainable
development.
We need
more innovation,
including in financial technology ,
to replicate small but promising successes and achieve more
broadly effective solutions to development problems. Women
are generators of innovation who deserve more support!
South-South and triangular cooperation
can deliver many
benefits; countries in the global South should take the lead.
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The global community needs to provide
technical support to make the investment
case and increase fiscal space, realize
spending efficiencies and achieve quality
public expenditures on health. It must
also support protections for sexual and
reproductive health services in a time of fiscal
austerity. Urgent priorities include delivering
essential sexual and reproductive health
services within universal health coverage,
and reaching populations being left behind.
Countries must also work towards a more
sophisticated integration of services, a greater
focus on quality care, and foresighted links to
major determinants of health such as climate
change and gender equality.
In scaling up financing, public-public and
public-private partnerships have critical
roles. So do parliamentarians in steering
adequate domestic financing into sexual
and reproductive health and universal
health coverage. Additional partnerships
and alliances need to be nurtured with
academia, young people and civil society,
aimed at extending monitoring as well as
social vigilance to uphold accountability for
domestic financing. Amid vibrant discussions
on leveraging the reach, ingenuity and
financial power of the private sector, leading
corporations and philanthropies, including BD,
Philips, MSD for Mothers, Johnson & Johnson,
the Ford Foundation, Laerdal Global Health
and the Maternity Foundation, committed at
the Summit to mobilizing some $8 billion in
new pledges.
Government representatives also stressed
institutionalizing South-South and
triangular partnerships as mechanisms
for policy dialogue, technical cooperation,
and the sharing of innovative approaches
contextualized to local situations. There
was a call for countries of the South to
increase financial resources to scale up such
mechanisms.
“HUMAN
RIGHTS demand
accountability
…and we need to focus on
the unfinished agenda of ICPD. The current situation
is not inevitable, but the result of policy choices.
Governments need to be held accountable for
making
better CHOICES.”
—Michelle Bachelet,
UN High Commissioner for Human Rights
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THEME 3
Drawing on demographic
diversity to drive economic growth
and achieve sustainable development
Investing in people:
it’s the right thing
to do and it pays a big dividend!
We live in a unique demographic moment. Some
countries are grappling with ageing and low fertility,
others with high fertility. Many are experiencing
a prominent youth bulge. The Nairobi Summit
explored this demographic diversity and how it
could drive sustainable development, including
through investments in health and education.
Packed sessions had an air of expectation and
shared understanding of the seriousness of issues
such as employment, urbanization, migration,
ethnicity and climate change. Understanding the
opportunities and challenges of demographic
diversity, and the political, economic, social, and
peace and security consequences, is fundamentally
important to all countries.
The Summit's celebration of diverse cultures
and identities was key to the inclusion of all.
KEY TAKEAWAYS
At all stages of the demographic transition,
human capital investment is among the
most critical drivers of demographic
dividends. This will demand
an education
revolution
in some of the poorest
countries, and extends to more lifelong
learning in older, wealthier populations.
All stages of demographic
transition and sustainable
development depend on
gender
equality.
LET’S BE CLEAR:
There are NO short cuts.
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Demographic transitions are time-bound.
Reaping a demographic dividend from
them requires making decisions based on
sound projections. Governments from the
global South and North shared lessons
and current challenges in responding to
demographic change. Investment in education
and employment for young people to
expand opportunities at home and provide
alternatives to outmigration came up again
and again. With 1.8 billion young people, the
world cannot wait to act.
Another prominent concern was gender
equality. To realize demographic dividends,
women need decent work and the ability to
realize their reproductive rights and choices.
The consequences of gender inequality are
palpable in preparing for an older world, with
older women left more vulnerable to poverty
for reasons ranging from the lack of access
to land titles to low lifelong earnings. Older
persons in general are more vulnerable to
extreme climate events and humanitarian
crises, areas that demand far more attention.
Since Cairo, the data revolution has
transformed the possibilities for tracking
development inequalities among different
population groups. It offers extraordinary
potential to count everyone in achieving
universal access to sexual and reproductive
health and rights, and to hold leaders
accountable for local and national
development. Debate took off on the policy
potential of new geospatial data, the need
for decentralized data, and the challenges of
protecting privacy so that democratizing data
is a public good and not used against people
and communities.
Amid the fastest ever rates of urbanization,
how we harness the power of cities will
define hopes for achieving the ICPD agenda.
Decentralized governance, economic and
health systems have made some cities
engines of innovation and inclusion. Cities
are also stepping forward to offer safe spaces
for women, and safe havens for minorities,
immigrants and refugees. There is a huge
opportunity to integrate the sexual and
reproductive health agenda within SDG 11 on
sustainable urbanization.
Mayors mobilizing
behind the ICPD
agenda
are pioneering
inclusive cities friendly
to youth, women, older
people and minorities.
Cities offer bountiful
opportunities to advance
family planning coverage
and other essential
sexual and reproductive
health services given
high population
density and geographic
concentration of
demand.
Governments see
enormous potential
in using
new geo-
referenced data
to
optimize the locations of
public services and reach
those left behind. Towards
that end, however, national
statistics offices need more
skills related to technology,
legal systems and the policy
dimensions of population
data and privacy.
The
UNFPA Population Data
Thematic Fund,
launched at
the Summit, will stimulate
more investment in geo-
referenced population
data, particularly as part
of conducting censuses.
The Digital Earth Africa
programme, the GRID3
partnership for geospatial
data and similar efforts
warrant expansion.
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Climate change, adaptation and justice are
central concerns of our time. No person,
community, town, city, country or region will
be spared the impacts of climate change.
Populations will be forced to move. Economies
and demographic dividends may contract.
While climate change affects everyone, it
disproportionately affects countries and
populations in the global South, as well as
vulnerable and marginalized groups, despite
their minimal contributions to greenhouse
gas emissions.
Globally, the climate crisis dramatizes climate
injustice on an entirely new scale. Small island
developing states, often having just ascended
to the status of middle-income countries,
see a future of being swept into the sea. Yet
they are told they are too “rich” to qualify for
international aid by wealthy countries whose
consumption habits have caused climate
change.
An urbanizing world poses challenges and opens opportunities for progress:
MANILA, PHILIPPINES
1975
2010
Source:
German
Remote Sensing Data
Center and German
Aerospace Center.
COMPREHENSIVE POLICIES SHOULD
More qualitative and quantitative
UNDERPIN THE RIGHTS OF OLDER
PERSONS AND HELP PREPARE FOR
AN AGEING WORLD.
Yet global data on
older persons are limited, especially
where ageing is a recent trend. Poverty,
discrimination and violence affecting
older persons, especially older women,
are seriously understudied.
research on older persons is urgently
needed to understand how to address
their needs, but also how they may
be involved in perpetuating harmful
norms. Experiments with wide-ranging
long-term care options deserve global
evaluation to learn key lessons.
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Young people made powerful appeals for
solutions driven by and for young people,
women and girls, indigenous communities
and other marginalized populations.
Empowering young people as leaders and
active partners on climate change is an issue
of justice now – and intergenerational equity
over time.
Climate justice leaves no one behind
Speakers from small island developing states repeatedly drew attention to climate
justice, leaving no one behind. They live with the daily reality of acute vulnerability
to climate change, even as they have contributed relatively little to greenhouse gas
emissions. His Excellency Gaston Browne, Prime Minister of Antigua and Barbuda,
emphasized that climate justice is a global challenge. His Excellency Paul Adams,
Minister of Health of the Seychelles, stressed that climate adaptation includes resilient
health systems, empowering women and girls, and scaling up opportunities for
youth. Coming from Micronesia, youth activist Yolanda Mori highlighted community
adaptation as a process grounded in participation. Indigenous peoples, youth,
women, civil society, community-based organizations and grass-roots movements
are all critical voices in decision-making. From another perspective, His Excellency
Dag-Inge Ulstein, Minister of International Development of Norway, described how
forest and land management projects must incorporate gender, women’s health and
empowerment, and investments in sexual and reproductive health and rights. All of
these elements are fundamental to resilience and conservation.
On the front lines
of climate action,
small island
developing states
are galvanizing
progress on behalf
of the most affected
regions. They must
not be left alone to
cope with climate
fallout.
28
Young people
are taking
on greater leadership
on climate change –
as is their right. Their
involvement is crucial
for the success of the
Paris climate change
agreement and the SDGs.
I
ndigenous
peoples
have
a role in climate
solutions linked
to their deep
understanding of
the natural world.
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THEME 4
Ending gender-based violence
and harmful practices
Getting to zero:
Everyone plays a part!
The goal is zero. No one in the world
should suffer from gender-based violence
or harmful practices. Getting to zero by
2030 requires all Governments to enact
and implement laws and policies, and
provide quality prevention, protection
and care services. Grounded foremost in
human rights, the measures must aim for
transformation. That means eliminating
gender inequalities and discriminatory
social norms, significantly advancing the
empowerment and agency of women
and girls, reaching all communities
and across societies, and building in
accountability and quality assurance.
US scholar Michele Bratcher Goodwin (left), UN High
Commissioner for Human Rights Michelle Bachelet (centre)
and Yazidi gynaecologist Dr. Nagham Nazwat Hasan stressed
transformative strategies to end gender-based violence.
KEY TAKEAWAYS
No sexual and
We must accelerate
Top priorities for
ALL COUNTRIES:
ending harmful practices
such as gender
discriminatory sex
selection, child and forced
marriage, and female
genital mutilation.
AC CE LER AT IN G T HE PR OM ISE
reproductive rights
means no gender
equality.
Women must
action on
have choice and
agency to demand
their rights.
commitments to
stopping gender-
based violence and
harmful practices –
for good.
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The Nairobi Summit shone a spotlight on the
unequal power dynamics and stigma that
drive discrimination and violence against
women and girls, and are so often entrenched
in laws, policies and social norms
We are not just the victims
and the beneficiaries. We are
the survivors and the change
makers, and it is time that
we get what we deserve:
the right to exist freely and
safely in this world.”
—Pooja Singh,
Advocate for adolescents and youth
with Pravah in India
Discussions stressed the urgency of acting
on root causes, which requires the deepest
examination of gender, family, social and
cultural constructs; of what happens in homes
behind closed doors; and of how gender
stereotypes can normalize violence against
women and girls. With the rapid growth of
technology, it is time as well to better respond
to evolving forms of gender-based violence,
including online.
Much unfinished business remains in leaving
no one behind. Moving forward depends
on human rights-based policymaking,
where a core principle and practice is the
more meaningful participation of diverse
communities and marginalized populations.
Different approaches can meet the needs of
particular countries, but all should uphold
the rights and choices of people with
disabilities, indigenous women and girls,
and other key populations such as the LGBTQI
community, which experiences high rates of
gender-based violence.
Investing much more in
ending gender-based
violence is an economically
and morally sound choice.
Money stands behind the
commitment to eliminate
harm and violence. It’s
a potent indicator of
government accountability.
Creating environments
safe for girls and women
depends on eliminating
discriminatory gender
norms. It calls for closer
engagement with men and
boys towards thinking and
behaving in new ways.
30
Stigmas and taboos
must be challenged
and broken down,
wherever they
manifest, including
in attitudes, laws,
policies and
institutions.
Let’s
provide respectful
and quality health
care and other
services for ALL!
To end gender-based
violence, countries need
the right laws. But faster
progress calls for broad
buy-in, including among
influential religious and
community leaders, from
the local level on up.
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Human rights defenders, leaders of social and
feminist movements, grass-root activists, and
members of community-led organizations and
youth networks can all be powerful agents
of change. They can reach well beyond their
communities and networks, including in
contesting imbalances in power and rights.
Mobilizing new young leaders should be
central to realizing the promises that have
been made, with a systematic emphasis on
young women and girls.
Despite global agreement that gender-based
violence is a human rights violation, a chasm
remains between rhetoric and reality. Too few
financial and human resources are invested
in getting to zero. Gender-based violence
needs to be seen and stopped in all its forms,
whether as economic violence, partner
violence, domestic violence, child marriage,
female genital mutilation, gender-biased sex
selection, denial of access to education or
work, or the denial of rights and choices.
“ I commit to provide the
leadership necessary to
ensure that female genital
mutilation ends within
this generation.”
—Uhuru Kenyatta,
President of the Republic of Kenya
There are many solid examples of countries
dramatically reducing child marriage and
female genital mutilation. Compelling
narratives made it clear that urgent action
is still needed, however, combined with
increased funding, including from domestic
resources. Governments everywhere have the
responsibility to ensure that no woman or girl
is subject to harm.
Building investment cases can draw on
evidence of what works and the perspectives
Persons with disabilities are
agents of change, making a
difference everywhere
so that
everyone can live free of violence
and discrimination.
Laws must guarantee equal rights
for LGBTQI people. Health services
must meet their needs.
Information
and education on sexual and
reproductive health must include
diverse gender identities and
sexual orientation, diversity and the
protection of rights.
Discrimination in health care
translates into widespread
abuse of indigenous peoples.
We must better educate the public
about cultural diversity, provide
culturally accessible and quality
health services and information for
indigenous peoples, and respect their
traditional knowledge and culture.
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The violation of our
bodies might heal, but
psychological damage
is harder to repair. This
is how patriarchy uses
violence against women
to keep women trapped
in inequality.”
—Aya Chebbi,
African Union Youth Envoy
of diverse communities. They must span the
national to the local level, and cover economic,
social, cultural and political dimensions. Since
gender-based violence and harmful practices
have significant impacts on economic
development and hinder achievement of the
SDGs, the Decade of Action provides the
political space to act boldly and decisively.
Further momentum comes from the 25th
anniversary of the 1995 Fourth World
Conference on Women in 2020. Achieving
gender equality will be fundamental, because
without that, the toll of violence against
women and girls will never end.
Participants stressed that the road from Nairobi leads to the 25th
anniversary of the Fourth World Conference on Women.
We need to better see the
problems and monitor
progress. That means
more disaggregated and
reliable data, especially on
marginalized communities
invisible in current data
and research.
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Let’s not talk about young
Scaled-up support should go
towards further
empowering
grass-roots actors on the
front lines
of stopping
gender-based violence and
harmful practices.
people. Let young people do
the talking! They should have
leading roles in
changing
the culture of relationships,
providing behavioural
education for children, and
assessing their own needs.
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THEME 5
Upholding the right to sexual
and reproductive health care even in
humanitarian and fragile contexts
Peace and Humanitarian Action:
Put women, girls and young people
at the centre!
Today, more than 2 billion people live in
countries affected by conflict, violence
and fragility. Only by meeting their needs
can the world realize the ICPD promise of
universal rights to sexual and reproductive
health care and an end to gender-based
violence, along with commitments to
women and youth made in Security Council
resolutions 1325 and 2250.
Of 143 million people requiring
humanitarian assistance in 2019, more
than one in four were women and
adolescent girls of reproductive age.
A youth leader from the Dadaab Refugee Complex
highlighted the power of young people in promoting
positive change in countries affected by crisis.
KEY TAKEAWAYS
Uphold
sexual and reproductive health
and rights
in conflict situations,
backed
by the increased allocation of resources.
Apply a gender lens to all programmes!
More can be done to deploy
mobile services
to reach vulnerable women and girls in remote
areas. There should be a focus on community
health care, not just hospitals, to provide
sexual and reproductive health services.
Crisis should not interrupt the
continuum
of care.
In armed conflicts, preserving
the health system, including to provide
sexual and reproductive health care,
should be a priority.
More
crisis preparedness
should include
pre-positioning more reproductive health kits.
Pre-crisis training on humanitarian tools and
coordination mechanisms is critical.
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@MavicCBalleza:
We spoke about reproductive health in peacebuilding at
the resolution 1325 anniversary in New York and spoke about it again at
#NairobiSummit. We’ll speak again and again until there’s sustainable peace!
Until there’s no more sexual violence in conflict at any time.
—Victoria “Mavic” Cabrera Balleza,
Founder and CEO of the Global Network of Women Peacebuilders
Yet sexual and reproductive health services
are often overlooked and underfunded in
emergencies. The shortfall continues despite
some tremendous successes in delivering
high-quality sexual and reproductive health
services to populations in the most difficult
environments.
Much more can be done with the right
planning, coordination and funding.
Participants called for a feminist approach to
humanitarian action as well as more attention
to adolescent sexual and reproductive health,
and specific support to menstrual hygiene
through education and sanitary towel
distribution. Community engagement can
empower women and girls, and change social
norms by working with men and boys.
Compelling stories highlighted vulnerability to
gender-based violence in conflicts and natural
disasters, and the horrors of sexual abuse,
which occurs with impunity around the world.
Activists working on the ground stressed
commitments to protecting the safety and
rights of all women and girls, including those
who are hard to reach and most vulnerable.
Life-saving interventions during humanitarian
crises must be linked to longer term
development actions to advance human rights,
reduce risk, strengthen preparedness and build
resilience. This can build on strengthening
national systems, including for health care and
supply chains. Local systems and solutions are
especially important.
All discussions took up the centrality of
solutions driven by women and girls, young
people and marginalized populations. They
bear enormous burdens in humanitarian and
fragile contexts, whether these arise from
conflict, violence, fragility, climate change
and environmental degradation or a
combination of factors.
Integrate essential services to prevent
and respond to
gender-based violence
within sexual and reproductive health
care. Services should be inclusive
and comprehensive, linking legal,
psychological, medical and educational
assistance, and responding to needs for
electricity, sanitation, food security and
so on.
Bring
more women into peace talks and peacebuilding
– from all population groups and from the beginning!
Peacebuilding should involve not only the antagonists
in a conflict, but all members of the society.
Establishing
safe spaces for girls and women
caught
in crisis gives them space to talk freely and participate
in designing programmes based on their needs.
Programmes should ensure that women and girls find
safety and can avoid harmful coping mechanisms.
Preventing
sexual exploitation
and abuse
and ensuring access to justice where it
does occur should be a top priority.
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Climate change, for instance, puts huge
stress on ecosystems, food production, soil
and coastlines, where women, especially in
marginalized communities, typically have
fewer resources to cope. It will be crucial
for responses, such as forest and land
management projects, to incorporate gender,
women’s health and empowerment, and
sexual and reproductive health, and aim at
both resilience and sustainability. Increasingly,
young people are leading climate action,
urging significant investment in adaptation
and resilience. Their calls for community
leadership, youth empowerment and
opportunities for political action deserve
more attention and investment.
Women and girls can play essential parts in
negotiating peace agreements and sustaining
peace. Yet they remain on the margins, denied
their right to lead and participate. Women
who have been included and excluded in
peace processes shared compelling stories
about the subsequent impact on prospects
for peace. They galvanized renewed
commitments to bringing many more
women into negotiating ceasefires, preventing
conflicts, participating in peace processes
and building sustainable futures. “No women,
no peace” was reiterated as the rallying cry.
Similarly, the active participation of youth
underpins social cohesion as well as long-
term development, peace and security.
Conflict, violence and disasters have devastating effects
on people’s bodies and also their minds, underscoring the
essential requirement for mental health and psychosocial
support to be integral to humanitarian responses.
How does an adolescent girl recover from
rape and childbirth in conflict settings, for
example? Participants discussed barriers to
mental health and psychosocial interventions
in emergencies, and the most promising
solutions. They stressed how these services
can uphold human rights and justice, and
pave the way for others to help people cope
and restore a sense of normalcy in their lives.
Mental health and psychosocial support
in crisis are major but underrecognized
issues. It is time to prioritize, scale up and
sustain related interventions. This requires
sufficient resources, skills, services and
capacities. Interventions must be tailored to
local communities and engage young people,
women, people living with disabilities and other
marginalized populations.
Young people need to be fully involved
as agents of change in humanitarian
situations. Comprehensive sexuality
education should be integral to
humanitarian action, as it equips
young people with knowledge and the
skills to make informed decisions.
Engaging youth in peace processes
fosters social cohesion and longer
term prospects to restore stability and
return to development.
More should be done to roll out capacity
development programmes on mental health
and psychosocial support for people on the
front lines of humanitarian action, and to collect
more evidence on effective responses.
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Committed to Change,
III:
Accountable for Progress
The Nairobi Summit had an overarching vision: inspire action that
makes a difference. Get people from all walks of life to come with a
concrete plan to accelerate progress and fulfil ICPD promises. And
then call on them to stand up and announce their commitments for
all the world to hear. It’s about change and accountability, about
finishing the unfinished agenda, about getting to zero!
Before people came to the Summit, they
were invited to post commitments on a
dedicated website (nairobisummiticpd.org/
commitments).
Some 1,253 commitments
were uploaded before and during the Summit.
Aligned with the 12 global commitments of
the Nairobi Statement, all were expected to
match a big dream with a well-defined plan to
power real and lasting progress.
The Summit could have been just another
global event: lots of interesting discussions,
new insights, new energy, good intentions,
but in the end, little accountability. It was the
commitments that dramatically raised the
Summit’s level of meaning and relevance,
even more so because they were made on a
voluntary basis. People chose to come and
chose to commit, achieving a heightened
ownership and legitimacy that will last for
years to come.
Over three days, participants listened intently
to 247 commitment statements, the basis for
actionable changes worldwide.
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Global leaders from around the world and across the United Nations opened the commitments
session and pledged the specific steps they would take to finish unfinished business.
THE COMMITMENTS SESSION:
THE POLITICAL HEART OF THE SUMMIT
The political heart of the Summit was the commitments session. In a vibrant atmosphere
of hope and change, and addressing over 4,500 participants with standing room only, the
co-convenors invited global leaders to announce their commitments. Below are excerpts from
these commitments to frame the Summit’s high ambition towards the attainment of the ICPD
Plan of Action.
His Excellency Uhuru Kenyatta, President,
Republic of Kenya:
Increased budgetary
allocations and integration of population
issues into all national and subnational
policies, increase in HIV and social protection
allocations, elimination of female genital
mutilation in Kenya by 2022 and all forms of
gender-based violence and harmful practices
by 2030.
His Excellency Rasmus Prehn, Minister
for Development Cooperation, Denmark:
International and national actions to
increase funding levels in service delivery,
accountability measurement of the Nairobi
Summit commitments, nationwide counselling
for youth victims of dating violence.
Her Excellency Amina Mohammed, Deputy
Secretary-General, United Nations:
Support
to national governments, alignment and
coordination of UN teams and UN reform
processes, data gathering and dissemination,
Nairobi Summit commitment fulfilment as
critical contribution to the SDGs and integral
part of the Decade of Action.
Dr. Natalia Kanem, Executive Director,
United Nations Population Fund:
Lead on
three zeros globally, and remain custodians
of ICPD especially for all marginalized
populations, in development and humanitarian
contexts, provision of reproductive health
commodities, mobilize diversified funding to
meet the financial gap.
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His Excellency Yoweri Kaguta Museveni,
President, Republic of Uganda:
Eliminating
obstacles that stand in the way of women’s
and girls’ empowerment including teenage
pregnancy, child marriage, and all forms
of gender-based violence, and introducing
sexuality education in schools.
His Excellency Danny Faure, President,
Republic of Seychelles:
Ensuring that
10 per cent of the State budget goes to
universal health coverage, including sexual
and reproductive health.
His Excellency Mohamed Abdullahi
Mohamed, President, Federal Republic
of Somalia:
Supporting women and girls,
ensuring public services, justice, equality and
societal engagement with policy makers. No
nation can succeed with half of its population
marginalized!
His Excellency Gaston Brown, Prime
Minister, Antigua and Barbuda:
Ensuring
full access to all adolescents, youth and girls,
and continued progress in preventing mother-
to-child transmission of HIV, introducing
legislative and legal protection frameworks
on gender-based violence, and passing new
gender equality legislation including necessary
domestic resources.
Her Excellency Epsy Campbell Barr, First
Vice-President, Republic of Costa Rica:
Providing protection of the rights of the more
than 2 million people of African descent in South
America and the Caribbean, making visible the
intersectionality and vulnerabilities affecting
them and overcoming structural obstacles and
discrimination.
Her Excellency Jewel Cianeh Howard-
Taylor, Vice-President, Republic of Liberia:
Contraceptive access by 2030 and attainment
of the 12 global commitments of the Nairobi
Statement.
Her Excellency Dr. Hala Mostafa Elsaid
Zayed, Minister of Health and Population,
Arab Republic of Egypt:
Given that Egypt
hosted and co-convened the ICPD 1994, and
given its regional and multilateral role, Egypt
is keen to help face the complex elements of
population issues and garner political will to
implement the Programme of Action!
Her Royal Highness Princess Angelika
Latūfuipeka
Halaevalu Mata’aho Napua-o-
kalani Tuku’aho, Kingdom of Tonga:
Ensuring
universal availability of quality, affordable
and safe modern contraceptives by no later
than 2030 and in this time of climate change,
integrating sexual and reproductive health
services and gender-based violence programmes
during disaster responses.
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Her Excellency
Epsy Campbell Barr,
First Vice-President
of Costa Rica.
organizations, academia and regional
organizations. The overcrowded room
boasted a completely filled schedule of
three-minute interventions.
The commitments session unfolded in
line with the inclusive spirit of the Summit.
Presentations from high-level government
officials and ministers were liberally mixed
with those from civil society representatives,
business people and more, giving everyone
equal prominence. The format broke down
barriers and recognized that the ICPD agenda
belongs to everyone, benefits everyone
and requires everyone to do their part. The
commitment session closed at the end of day
three with 1,253 documented commitments,
far beyond the already high ambition of the
Summit co-convenors.
Following these remarkable initial
statements of national and global import,
all stakeholders were invited to the dedicated
commitment session that ran for three days,
non-stop.
Some 145 Governments stepped up to
make commitments, as did a mix of 102
civil society organizations, private sector
companies, parliamentarians, youth groups,
speakers representing indigenous peoples
and people with disabilities, faith-based
EXCERPTS FROM PARTNER STATEMENTS DURING THE
THREE-DAY COMMITMENT SESSION
URUGUAY:
We must ensure no one is left
behind, no one is left out of human rights-
based society, that no one can own the
bodies of others, nor can love be made illegal
in any form.
NEPAL
commits to reducing maternal deaths
to 70 per 100,000 live births and reducing
maternal morbidity through integrating
comprehensive sexual and reproductive
health services as part of the universal health
coverage basic health package, ensuring that
the proportion of births attended by skilled
birth attendant increases to 90 percent by
2030, and the provision of legal abortion
and post-abortion services that are safe,
accessible, affordable and good quality.
The basic health package will be provided
free-of charge and other services beyond
the basic health package will be offered
at an affordable cost through targeted
subsidies and various social protection and
health insurance schemes for vulnerable
populations.
Summit commitments are transformative, as they will galvanize global,
national and local actions towards specific, time-bound financial,
legislative, public and corporate results.
Commitments inspired close attention because they were all
made voluntarily, and by people from all regions and walks of life,
reflecting how everyone has a role in achieving the ICPD agenda.
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The YouthNow! commitment combined inputs from 39 civil society
organizations and youth networks from across Latin America and
the Caribbean.
SOUTH AFRICA:
The right to bodily integrity
is at the centre of the protection of human
dignity and thereby places a positive duty on
the new democratic government of South
Africa to put in place progressive population
and development policies and laws.
BURKINA FASO:
The goal is to provide free
access to modern contraceptive methods
across the national territory in public and
private health care facilities by 2022.
Y-PEER MOLDOVA
commits to reach
10,000 young people annually with peer-
to-peer comprehensive and age-appropriate
education on sexual and reproductive
health and rights using alternative methods
of education (such as theatre-based
techniques, role games, simulations, etc.)
with the purpose to increase their capacity in
tackling informed decisions and having safe
behaviours.
SAVE THE CHILDREN
will uphold the right
to universal sexual and reproductive health
care in humanitarian and fragile contexts
by reaching 1,000,000 new contraceptive
users in these settings by 2030 – 30% of
whom are adolescents and youth (10-24
years) – targeting the most vulnerable and
marginalized.
“What was impressive for me to
witness during the three days of
the Summit was the high number of
young people whose participation
was supported through the
scholarship programme. Moreover,
the diversity of the young people
who marched to Nairobi to be
part of the historic moment is
something one should always
remember: youth with disabilities,
LGBTQI, indigenous youth from
all corners of the globe. That was
one of the most diverse youth
participation I have witnessed.”
—Jayathma Wickramanayake,
UN Special Envoy on Youth
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The Merck For Mothers Initiative presented
a commitment statement.
During the Summit, the Governments of
Austria, Canada, Denmark, Finland, France,
Germany, Iceland, Italy, the Netherlands,
Norway, Sweden and the United Kingdom,
together with the European Commission,
committed around $1 billion in new money to
support finishing the unfinished business.
The involvement of businesses, academia,
civil society, foundations and others was
crucial, leading to one of the largest financial
investments – totalling $8 billion – ever
announced to advance the ICPD agenda.
Sportspeople, fashion designers and
supermodels unveiled new and innovative
initiatives, signalling the commitment of
multibillion-dollar industries with the power to
change how we think and talk about women’s
health, menstrual hygiene, sexuality and sex
education.
COMMITMENTS BY THE ISSUES
6%
8%
ACHIEVE SEXUAL AND
REPRODUCTIVE HEALTH
AND RIGHTS AS PART
OF UNIVERSAL HEALTH
COVERAGE
43%
RESPOND TO DEMOGRAPHIC
DIVERSITY
END GENDER-BASED
VIOLENCE AND HARMFUL
PRACTICES
MOBILIZE MORE FINANCIAL
RESOURCES
UPHOLD SEXUAL AND
REPRODUCTIVE HEALTH
AND RIGHTS IN
HUMANITARIAN AND
FRAGILE CONTEXTS
21%
22%
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IV:
A Voice for Everyone
The Nairobi Summit was a moment of transition from those
who have steered the ICPD Programme of Action for 25 years
to those who will lead the way forward to 2030, through the
SDG Decade of Action and the full realization of ICPD promises.
At every opportunity, the Summit celebrated
ICPD champions and young people,
marginalized communities and visionary
leaders active on all elements of the agenda.
The global movement for sexual and
reproductive health and rights became richer
and more diverse, with strong engagement
from Governments, young people, women’s
organizations, businesses, royalty, refugees,
grass-roots organizations, sports personalities,
faith-based organizations, LGBTQI
communities and the United Nations family.
In joining the call to achieve rights and choices
for all, they made commitments, presented
innovative programmes, listened, discussed
and debated. They were thrilled by stories
of hope and achievement, and saddened by
stories of those suffering in silence.
Over 8,300 people
from 172 countries and
territories participated,
debated and celebrated
at the Summit.
Special Olympics athlete Kester Eduards
demonstrated inclusively-designed trainers,
one of many ways to encourage everyone
to participate in sports.
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Every aspect of the Summit promoted the rights of persons
with differing abilities, leading some to commend it as the
most inclusive meeting of its kind.
“Women’s and girls’ right to the health care they need and
their
right to bodily integrity is non-negotiable.
We cannot
talk about investments and services without making sure
that human rights principles are directing them”.
—Gabriella Cuevas Baron,
President of the Inter-Parliamentary Union
PARLIAMENTARIANS
Over 200 parliamentarians from more than
100 countries came to the Summit from
across the political spectrum. Their common
commitment: advance the health and rights of
women and girls everywhere.
Parliamentarians emphasized that health
and rights transcend political differences.
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Her Excellency the First Lady of
Kenya, Margaret Kenyatta, delivered
the keynote speech at the When
Women Lead session.
WHEN WOMEN LEAD
A women-only high-level dialogue offered a
rich mosaic of royalty, first ladies, ministers,
parliamentarians, women of African descent,
indigenous women, young women leaders,
feminists and activists, women leaders from
the private sector, supermodels, academics
and advocates. Her Excellency Margaret
Kenyatta, First Lady of Kenya, delivered the
keynote speech.
She urged all women “to stand together
to pledge to fulfil the ICPD commitments
on maternal deaths by 2030, and to build
sustainable solutions for an inclusive and
more equal world”.
The “Fabric of Being” textile exhibition
showcased renowned artists and designers
from Africa and Asia, presenting textile
artwork from handmade batik and indigo,
to crotchet and khanga.
“Over the last seven years, I have
learned that change requires more
than collective and capable minds.
It requires boldness, innovation, a
spirit of humility and the capacity to
critically question the status quo –
to move beyond business as usual
and to dare to do things differently.”
—Her Excellency Margaret Kenyatta
First Lady of Kenya
ARTISTS AND FABRICS
In vibrant colours and striking designs, the
“Fabric of Being: Textiles, gender equality and
the empowerment of women” exhibit told the
story of how textiles define the lives of people
– and women, in particular – as they move
through the life cycle, negotiating sexuality,
fertility, reproduction, relationships, childbirth,
health, illness and inevitably death.
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THE PAMOJA ZONE
The Pamoja Zone provided an exciting, interactive space to explore new perspectives
and experiences. Participants included the more than 1,000 young people and members
of small communities who attended the Summit through UNFPA scholarships. They
brought to the table a true grass-roots spirit and base of evidence.
Participants praised the Pamoja Zone for
enabling interaction and a smooth flow of
dialogue, and being a safe space, without
judgment or restraint. Speakers shared
opinions, experiences and ideas without
hesitation.
More than 84 “lightning talks” (rapid 15
to 30 minute sessions) and 19 community
conversations featured speakers from 78
countries. They covered topics including
accelerating sexual and reproductive health
and rights, humanitarian action, youth peace
and security, population and data, and
innovative community approaches. “Meet
the Leaders” sessions became platforms for
conversations between ICPD leaders and
Summit participants, involving Her Royal
Highness Crown Princess Mary of Denmark,
the UNFPA Executive Director, two senators
from Ireland, the African Union’s Youth Envoy
and the UN Secretary-General’s Youth Envoy.
Youth and grass-roots activists offered
community-driven solutions to inspire the
broader ICPD community. They showcased
how they carve out spaces to talk about sex,
sexuality and gender, including by involving
traditional leaders, religious organizations,
and men and boys. Gender equality and
gender diversity were themes emerging
strongly from many discussions where
participants deconstructed social norms and
patriarchal values.
Comprehensive sexuality education was also
a hot topic, with debate on how to integrate
it into the school curriculum, and strengthen
the ability of teachers and service providers to
deliver it. Frank discussions broke out around
issues often seen as sensitive or taboo, such
as access to safe abortion, menstrual health
management, and sexuality for people living
with disabilities.
Conversations flowed freely in the Pamoja Zone, a dedicated
space for sharing and identifying steps to accelerate ICPD
implementation on the ground. All ideas were welcome, heard
without restraint.
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There was much talk about the role
of new technologies in igniting more
open discussions around sex, sexuality,
relationships and gender. Speakers showcased
cutting-edge data innovations, and touched
on the need to both protect privacy and
fully include marginalized populations.
Vibrant exchanges took place around geo-
localization technologies to better target
development investments, and explored how
the integration of different data sets such as
geo-located censuses, household surveys
and satellite imagery can reveal subnational
inequalities and locate those usually missed
in data collection.
As part of the Pamoja Zone, the Human
Library hosted more than 30 speakers with
various backgrounds and expertise, inspiring
participants and creating new connections
in a more informal setting. Among them
were actors and artists fighting for gender
equality, LGBTQI inclusion and access
to comprehensive sexuality education;
youth leaders championing environmental
innovations and promoting the rights
of refugees; and researchers pioneering
new methods to track progress on ICPD
commitments.
The Pamoja Zone featured 84 lightning talks and
19 community conversations, with speakers from
78 countries. The majority were below age 35.
SAFE SPACE FOR ALL
To make the Summit a safe space for all,
participants were required to adhere to the
Code of Conduct to Prevent Harassment,
including Sexual Harassment. A team
of 30 designated “safe-persons” and a
streamlined incident reporting system
ensured comprehensive safeguarding.
The Kenyatta International Convention
Centre became United Nations
international territory for the duration of
the Summit, and was under the protection
of the United Nations Department of
Safety and Security with support from
national and local authorities.
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THE FAMILY OF WOMEN FILM FESTIVAL
The Family of Women Film Festival featured 11 feature and
short-form documentaries and dramatic films on ICPD
themes, as well as interactive discussions with award-
winning film makers, artists and musicians. A highlight was
A Girl from Mogadishu
(Somalia), a full-length dramatic feature
telling the extraordinary life story of advocate against female
genital mutilation Ifrah Ahmed and Irish director Mary McGuckian.
The film has gone on to win several film awards.
Ahmed told the audience, “A
Girl from
Mogadishu
is based on my story – but
it is also the story of the 200 million
women and girls worldwide who have
suffered the consequences of female
genital mutilation. And while the movie
is intended to focus attention on the
barbarity and scale of the practice, its
ambition is also to empower all young
women and girls to have the courage to
stand up and speak out!”
Also featured were other
compelling stories including
The
Eagle Huntress
(Mongolia),
Standing On Their Shoulders
(South Africa),
Pili
(Tanzania), the
Academy Award-winning
Saving
Face
(Pakistan) and
The Cave
(Syria). The films were interspersed
with interactive sessions featuring
emerging artists, and storytellers,
poets and visual artists.
A scene from the award-winning
The Girl from Mogadishu,
which
drew attention to the scourge of
female genital mutilation.
AWARDS NIGHT
An awards ceremony and reception, hosted by
UNFPA, celebrated outstanding contributions to
advancing the ICPD agenda and achieving rights
and choices for all. Her Majesty, Gyalyum
Sangay Choden Wangchuck, Queen Mother of
Bhutan (left) looks on as Dr. Natalia Kanem,
Executive Director of UNFPA (centre),
recognizes Rebeca Gyumi, Executive
Director of the Msichana Initiative.
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V:
A Global Call to Action
The Nairobi Summit on ICPD25: Accelerating the Promise
closed as it began – with renewed dedication and drive! There was
tremendous energy after three days of discussions and debates,
consensus, commitments, new friendships, strengthened
networks, and a shared feeling of success and purpose.
At the closing ceremony, there was no
doubt that the three objectives set out at the
beginning of the ICPD25 process had been
fully met. In fact, the Summit, and the process
leading up to it, exceeded all expectations.
No one could have fully imagined all the
people reached and engaged, the diversity
of stakeholders involved, the commitments
made, the political and financial buy-in
achieved, and the new avenues to realize
ICPD promises explored. It was a more than
befitting way to start the UN Decade of
Action to achieve the SDGs.
The Summit demonstrated as never before
that the three zeros have now been universally
embraced as key vehicles to achieve the
promise of the ICPD. Diverse actors can
come to a common table with a common
vision – to debate, resolve, and promote sexual
KEY SUMMIT TAKEAWAYS
The three zeros
of ending
maternal death, unmet
need for family planning,
and gender-based violence
and harmful practices
are
cornerstones for achieving
the 2030 Agenda for
Sustainable Development.
48
• Universal access to
sexual and reproductive
health
is an essential
part of
universal health
coverage
and the
achievement of
the SDGs.
• We know the
price tag
to reach the three
zeros, and that,
if no
action is taken, the costs
will be incalculably
greater, in financial and
human terms.
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“I have been to many conferences,
and if attendance is any measure
of success, this conference is in
its own class! This is the only
conference I have attended where
there are more people at the
closing ceremony than at the
opening ceremony!”
—His Excellency Dr. William Samoei Ruto,
Deputy President of the Republic of Kenya
and reproductive rights and health across
populations and cultures. It is possible to get
voluntary commitments that are truly owned,
achievable and attainable. An international
plan of action is implementable through public
and private voluntary global, national, local
and individual actionable commitments.
It was also clear that an intergenerational
transition had begun. Young people are
empowered and ready for change, from
rural villages to global conference tables. By
coming in such large numbers, from every
corner of the world, and infusing dialogues
and debates with their wisdom and energy,
they demonstrated that they are more than
prepared to carry the torch to 2030. Further,
as we look to the coming decade, sexual and
reproductive health and rights must be at the
forefront of the SDGs. With Summit sessions
addressing all 17 of the global goals, different
participants repeatedly observed that there are
no SDGs without the ICPD.
As a special tribute to rights and choices for
all, celebrated Moroccan artist Ahmed Chawki
composed and performed his new song on
the ICDP at the close of the Summit. He was
a smash hit and had people out of their seats,
dancing. He charmed the audience with his
personal story of triumph, thanking his single
mother for being strong and supporting him.
• Ending gender-based
violence and harmful
practices is
imperative,
possible and urgent.
• Investing in human capital
and drawing on
demographic
diversity will drive economic
growth
and achieve sustainable
development, and is key to
ensure economic, social and
environmental justice.
• Upholding rights to sexual and
reproductive health care even
in humanitarian and fragile
contexts remains a priority,
and is
a pathway to peace and
development.
• To enact the ICPD agenda we
need to
transform our societies.
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Afropop superstar Yemi Alade of Nigeria,
known as the “woman of steel”, also
took to the stage. Her message: “An
investment in women and girls is
an investment in a nation.”
The three co-convenors, the
Governments of Denmark
and Kenya as well as
UNFPA, closed the Summit
by urging an elated audience
to meet their commitments,
take forward concrete actions and
deliver fully on the promise of the
ICPD.
Karen Ellemann, Member of Parliament
for the Liberal Party of Denmark, and
Chairwoman of the All-party Parliamentary
Group on Sexual and Reproductive Rights,
said, “The Nairobi Summit has made it clear
that an overwhelming majority of countries
want to accelerate the promise of Cairo; that
an overwhelming majority of stakeholders
want to partner in this effort to make the
ICPD Programme of Action a reality for all.”
Afropop superstar Yemi Alade
brought down the house in a surprise
performance. She rallied the crowd,
leading chants of “ICPD, ICPD, ICPD”.
The celebrated Moroccan singer
and songwriter Chawki inspired
hope and solidarity with his original
composition “Together we Rise”.
Women leaders are
transforming the status
quo, and
protecting and
advancing hard-won rights;
men and boys need to be
engaged too.
• Political and community
leadership are needed to
address inequalities in
sexual and reproductive
health and rights,
make the
“invisible”, visible, and end
stigma and discrimination.
50
• Meaningful
youth
engagement and
leadership
maximizes
everyone’s potential,
and leads to prosperity
and peace.
• Innovation, technology,
creativity, data and
voice will
amplify
results and scale up
progress to meet the
promise of Cairo.
Partnerships have been
strengthened and movements
expanded
with Governments,
regional bodies, international
organizations, civil society,
community-based organizations
from marginalized groups
and people with disabilities,
the private sector, academia,
philanthropists, activists,
celebrities and artists.
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WE ARE READY TO ACCELERATE THE PROMISE!
Participants from Governments, civil society, academia, the private sector, youth groups,
humanitarian actors and the United Nations shared heartfelt reflections on the Summit.
“Greater investment in health
and secondary education for
women and girls could go a
long way towards the critical
goals of ending preventable
maternal deaths, unmet need
for family planning, and
gender-based violence.”
—Christopher Murray,
Institute for Health Metrics
and Evaluation
“Thank you for the decision not
to leave girls like me behind.
We are the generation born
after Cairo, and we are ready
to accelerate the promise. The
Summit has affirmed my faith
in the power of nations to
embrace the fullness of human
life beyond number.”
—Priscilla Nyamal,
Refugee from South Sudan
and member of the Kakuma
Youth Parliament, Kakuma
Refugee Camp, Kenya
“Sexual and reproductive
health and rights is a win-
win concept... If you want
to address these issues
successfully you need to
engage faith communities...
Challenge false theologies,
lift up research that shows
the effectiveness of gender
justice work, and lift up
good examples, both from
governance and grass-roots
level, empower women in
leadership, and last but
not least, provide safe and
brave spaces for difficult
conversations and keep those
conversations going.”
—Dr. Antje Jackelen,
Archbishop of the Church
of Sweden
“The highlight of this Summit
is the commitment of my
President that other girls
and I who are worried about
their education can access it
without any worries. And that
we are protected from harmful
practices such as [female
genital mutilation] and early
marriage. As a matter of fact I
will be 39 years old when the
next ICPD50 will be held and
I will work hard to accelerate
the promise. I will also urge
the stakeholders in this room
to invest in sports and safe
spaces for girls like me from
challenging backgrounds.”
—Stacey Akinyi,
14-year-old Ambassador
at Polycom of Sports, Kibera
Slums, Kenya
In sharing final reflections, Stacey Akinyi welcomed the commitment of her President.
Behind her (left to right) are Priscilla Nyamal; Dr. Antje Jackelen; Her Excellency Lindiwe
Zulu, Minister of South Africa; Dr. Sheikh Hassan Kinyua Omari; Chris Murray; Lantonirina
Rakotomalala; Naisola Likimani and Haifa Sdiri.
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FROM COMMITMENTS TO ACTION
The Nairobi Summit had high ambitions. Nothing less will do as the world embarks on
the Decade of Action to achieve the SDGs by 2030. Much work lies ahead to realize
sexual and reproductive health and rights. We must close the financing gap. We
must end inequalities. In its call to transform rhetoric into actionable commitments,
the Nairobi Summit has already resulted in 1,253 steps forward through its voluntary
commitments to action.
It is an extraordinary moment of hope and
momentum, one that must be seized and
sustained. Everyone must take part in, and be
accountable for, accelerating the promise.
Individuals
can step forward to know and
claim their rights and choices, while doing
everything they can to protect the rights and
choices of others.
Communities and local groups
can support
the diverse groups committed to realizing the
ICPD agenda through continued intersectoral
and intergenerational dialogue and action at
all levels, recognizing the centrality of young
people as new leaders.
Nations
must be accountable to their citizens
and to other nations by providing sufficient
domestic and international resources, aiming
public policy at the three zeros, legislating in
line with human rights and sharing lessons to
accelerate progress.
Regions
can work across borders to
encourage solidarity and consensus in
achieving the ICPD agenda in its entirety.
Private sector partners
should be fully
aligned with the ICPD agenda and the SDGs
through their actions, products, messaging,
practices and investments.
THREE CRITICAL ACTIONS
Of the many actions that will follow the
Nairobi Summit, three are critical overall to
keep progress on track. The first is to cost
and implement the Summit commitments.
The second is to encourage Governments
and partners to voluntarily report on their
achievements, including through the
Voluntary National Reviews as the main
monitoring tool for the SDGs, and the
Universal Periodic Review under the UN
Human Rights Council. The third entails
multiple stakeholders monitoring the 12 global
commitments in the Nairobi Statement. A
high-level commission will be established to
provide follow-up oversight.
Our collective actions will take us to zero, ensuring rights and
choices for girls and women, boys and men, everyone, everywhere.
We will keep our promises.
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“WE KEEP MOVING FORWARD.
We will
NEVER RETREAT.
We are in a race
to the finish
line,
AND WE SHALL PREVAIL.”
—Dr. Natalia Kanem,
Executive Director, UNFPA
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Annex 1:
Nairobi Statement on
ICPD25: Accelerating the Promise
This is the final version of the Nairobi Statement, formulated after six months of global consul-
tations led by the International Steering Committee on ICPD25, with hundreds of organizations
and thousands of people involved. The Nairobi Statement provides a global framework for the
formulation of government and partner commitments. Since it is non-binding, countries and other
stakeholders may choose to support the Nairobi Statement in its entirety, in part, or not at all. In
no way does supporting the Nairobi Statement infringe upon national sovereignty.
Introduction
Twenty-five years ago, in 1994, 179 countries
adopted a landmark Programme of Action
during the International Conference on
Population and Development (ICPD), held in
Cairo, Egypt. The ICPD Programme of Action
transformed the way in which the linkages
between population, poverty reduction and
sustainable development were addressed – by
putting the rights, needs and aspirations
of individual human beings at the centre of
sustainable development. The 179 countries
promised to strive for achieving universal
access to sexual and reproductive health, for
all, by no later than 2015; to achieve infant
mortality rates below 35 per 1,000 live births
and under-5 mortality rates below 45 per
1,000 live births by 2015; and a 75 per cent
reduction of the maternal mortality rate by
2015.
i
In 2010, the UN General Assembly
extended this promise beyond the 20-year
timeframe given in the ICPD Programme of
Action in order to “fully meet its goals and
objectives”.
ii
In 2014, the UN Commission
on Population and Development took note
of the outcome documents of the regional
conferences on population and development,
stating that each outcome provided
region-specific guidance on population
and development beyond 2014 for each
region that adopted the particular outcome
document.
iii
In 2015, the international
community also reaffirmed the commitment
of putting “people, planet and prosperity” at
the centre of sustainable development and
leaving no one behind, when it adopted the
2030 Agenda for Sustainable Development
and the Sustainable Development Goals
(SDGs). And, on 1 April 2019, UN Member
States adopted a Declaration during the 52nd
session of the UN Commission on Population
and Development that reaffirmed the
importance of the ICPD Programme of Action
for guiding population and development
policies and programmes, within the
context of the 2030 Agenda for Sustainable
Development, and pledged to undertake
further actions to ensure its “full, effective and
accelerated implementation”.
iv
The future of sustainable development is
directly linked to fulfilling the aspirations
of adolescents and youth. Empowering
the world’s 1.8 billion young people and
unleashing their full potential to contribute
to economic and social progress will be
instrumental for bringing the vision and the
promise of the ICPD Programme of Action
and of the 2030 Agenda for Sustainable
Development to life.
Moreover, the achievement of sustainable,
just and inclusive development must be
based on actions that meet the needs and
aspirations of all. Consequently, governments
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that embraced the ICPD Programme of Action
25 years ago, and reaffirmed it in subsequent
intergovernmental fora and reviews, should
continue to invest in its full and accelerated
implementation, and support concrete actions
to that effect, within the overall context of the
2030 Agenda for Sustainable Development.
Furthermore, to fulfil the unfinished business
of the ICPD Programme of Action and enable
the guarantee and respect for human rights
everywhere around the world, strengthening
civil society organizations and movements
who have defended it and worked for its
implementation is necessary and crucial. This
means that those organizations, movements,
institutions and individuals must be able to
work freely in a safe environment, including
through the active protection of sexual and
reproductive health and rights
v
and human
rights defenders.
The way forward
We, representing all nations and peoples,
and all segments of our societies,
vi
meet at
the Nairobi Summit on ICPD25, from 12 to
14 November 2019, in Kenya, to present our
own ambitious commitments with concrete
and innovative actions that will accelerate the
implementation of the ICPD Programme of
Action, leaving no one behind, ensuring rights
and choices for all.
Despite remarkable progress over the past 25
years, the promise of the ICPD Programme of
Action remains a distant reality for millions of
people across the world. Universal access to
the full range of sexual and reproductive health
information, education and services, as defined
in the ICPD Programme of Action and the Key
Actions for the Further Implementation of the
Programme of Action of the ICPD,
vii
has not
been achieved. We acknowledge that unless
we complete the unfinished business of the
ICPD Programme of Action and realize the
strong and evidence-based investment case
for ensuring sexual and reproductive health
and rights for all, and for girls’ and women’s
empowerment and gender equality, reaching
the ambitious SDGs by 2030 will be difficult, if
not impossible.
Our world has, in many ways, profoundly
changed over the last 25 years, and many
new issues are influencing the field of
population and development, including
climate change, growing inequalities and
exclusion within and between countries,
migration, the youth bulge and the prospects
of demographic dividends, and increasing
demographic diversity.
Advancing the ICPD Programme of Action’s
promise of universal access to sexual and
reproductive health, of girls’ and women’s
empowerment and gender equality, while
leaving no one behind, in particular youth as
agents of positive change and the leaders
of the generation to carry forward the ICPD
Programme of Action and the 2030 Agenda
for Sustainable Development, requires
new, innovative and strategic partnerships,
including with and between youth, civil
society organizations, local communities, the
private sector, and through South-South and
triangular cooperation among countries.
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Therefore, recognizing our different capacities and responsibilities, our way forward is to focus
in particular on those actions, expressed in specific commitments and collaborative actions, that
will deliver on the promise of the ICPD Programme of Action, the Key Actions for the Further
Implementation of the Programme of Action of the ICPD, and the outcomes of its reviews, and the
2030 Agenda for Sustainable Development. In that context, we will:
1.
Intensify our efforts for the full, effective
and accelerated implementation and
funding of the ICPD Programme of
Action, Key Actions for the Further
Implementation of the Programme of
Action of the ICPD, the outcomes of
its reviews, and the 2030 Agenda for
Sustainable Development.
Achieve universal access to sexual and
reproductive health and rights as a part of
universal health coverage (UHC)
viii
by
committing to strive for:
2.
Zero unmet need for family planning
information and services,
ix
and
universal availability of quality,
accessible, affordable and safe modern
contraceptives.
x
3.
Zero preventable maternal deaths
xi
and
maternal morbidities, such as obstetric
fistulas, by, inter alia, integrating a
comprehensive package of sexual and
reproductive health interventions,
xii
including access to safe abortion to
the full extent of the law, measures for
preventing and avoiding unsafe abortions,
and for the provision of post-abortion
care,
xiii
into national UHC strategies,
policies and programmes, and to protect
and ensure all individuals’ right to bodily
integrity, autonomy and reproductive
rights, and to provide access to essential
services in support of these rights.
4.
Access for all adolescents and youth,
especially girls, to comprehensive and
age-responsive information, education
and adolescent-friendly comprehensive,
quality and timely services
xiv
to be able
to make free and informed decisions
and choices about their sexuality and
reproductive lives, to adequately protect
themselves from unintended pregnancies,
all forms of sexual and gender-based
violence and harmful practices, and
sexually transmitted infections, including
HIV/AIDS, to facilitate a safe transition
into adulthood.
Address sexual and gender-based violencex
v
and
harmful practices, in particular child, early and
forced marriages and female genital mutilation,
by committing to strive for:
(a) Zero sexual and gender-based violence
and harmful practices, including zero child,
early and forced marriage,
xvi, xvii
as well as
zero female genital mutilation.
xviii
(b) Elimination of all forms of
discrimination against all women and
girls,
xix
in order to realize all individuals’
full socioeconomic potential.
Mobilize the required financing to finish the
ICPD Programme of Action and sustain the gains
already made, by:
5.
Using national budget processes,
including gender budgeting and
auditing, increasing domestic financing
and exploring new, participatory and
innovative financing instruments and
structures to ensure full, effective and
accelerated implementation of the ICPD
Programme of Action.
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6.
Increasing international financing
for the full, effective and accelerated
implementation of the ICPD Programme
of Action, to complement and catalyse
domestic financing, in particular of sexual
and reproductive health programmes,
and other supportive measures and
interventions that promote gender
equality and girls’ and women’s
empowerment.
Draw on demographic diversity to drive economic
growth and achieve sustainable development, by:
7.
Investing in the education, employment
opportunities, health, including family
planning and sexual and reproductive
health services, of adolescents and youth,
especially girls, so as to fully harness the
promises of the demographic dividend.
xx
8.
Building peaceful, just and inclusive
societies, where no one is left behind,
where all, irrespective of race, colour,
religion, sex, age, disability, language,
ethnic origin,
xxi
sexual orientation and
gender identity or expression, feel valued
and are able to shape their own destiny
and contribute to the prosperity of their
societies.
9.
Providing quality, timely and
disaggregated data, that ensures privacy
of citizens and is also inclusive of younger
adolescents,
xxii
investing in digital health
innovations, including in big data systems,
and improvement of data systems to
inform policies aimed at achieving
sustainable development.
10.
Committing to the notion that nothing
about young people’s health and well-
being can be discussed and decided upon
without their meaningful involvement
and participation (“nothing about us,
without us”).
Uphold the right to sexual and reproductive
health services in humanitarian and fragile
contexts, by:
11.
Ensuring that the basic humanitarian
needs and rights of affected populations,
especially that of girls and women,
are addressed as critical components
of responses to humanitarian and
environmental crises, as well as fragile
and post-crisis reconstruction contexts,
through the provision of access to
comprehensive sexual and reproductive
health information, education and
services, including access to safe abortion
services to the full extent of the law, and
post-abortion care, to significantly reduce
maternal mortality and morbidity, sexual
and gender-based violence and unplanned
pregnancies under these conditions.
Follow-up
All stakeholders, present and not present at
the Nairobi Summit on ICPD25, who have
made concrete commitments to ensure the
full, effective and accelerated implementation
of the ICPD Programme of Action and the
2030 Agenda for Sustainable Development
are strongly encouraged to report periodically
on the progress towards fulfilling these
commitments through transparent means
and/or in appropriate public fora.
UN Member States are strongly encouraged
to use the reporting ecosystem for the ICPD
Programme of Action and the 2030 Agenda
for Sustainable Development, i.e., the UN
Commission on Population and Development,
the periodic regional review mechanisms
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and the High-Level Political Forum, for
stock-taking on and follow-up to the national
commitments announced at the Nairobi
Summit. Commitments that are specific to
UN entities should be taken up in the context
of their respective governing bodies. We
recommend that UNFPA, the United Nations
Population Fund, periodically report on the
progress made towards achieving the global
commitments outlined above.
i
ii
iii
iv
v
vi
vii
viii
ix
Paras. 7.6, 8.16 and 8.21 of the ICPD Programme of Action.
General Assembly Resolution 65/234, para. 2, of 22
December 2010.
Para. 17 of UN Commission on Population and Development
resolution 2014/1 - Assessment of the status of
implementation of the Programme of Action of the
International Conference on Population and Development.
Political Declaration, adopted at the 52nd session of
the UN Commission on Population and Development
(1-4 April 2019).
The term “sexual and reproductive health and rights” is used
in the UNFPA Strategic Plan (2018 – 2021), paras. 23 and
31, approved by the UNDP/UNFPA/UNOPS Executive Board
in decision 2017/23 on 11 September 2017.
In line with para. 4 of General Assembly resolution 70/1 on
the 2030 Agenda for Sustainable Development, adopted on
25 September 2015.
As defined by paras. 7.2, 7.3, 7.6 and 8.25 of the ICPD
Programme of Action (September 1994), and para. 63
of the Key Actions for the Further Implementation of the
Programme of Action of the ICPD (July 1999).
Including in reference to paras. 68 and 69 of the Political
Declaration of the High-level Meeting on Universal Health
Coverage, adopted by the United Nations Member States on
23 September 2019.
This commitment is different from the concept of ‘unmet
need for family planning’, which points to the gap between
women’s reproductive intentions and their contraceptive
behaviour.
Achieving zero unmet need for family planning information
and services is an important indicator of having achieved
universal access to sexual and reproductive health, as
contained in SDG target 3.7 and SDG target 5.6.
xi
Achieving zero maternal deaths is an important indicator of
having achieved universal access to sexual and reproductive
health and reproductive rights, as contained in SDG target
3.7 and SDG target 5.6.
xii
At a minimum, as defined in paras. 7.2, 7.3 and 7.6 of the
ICPD Programme of Action, and para. 53 of the Key Action
for the Further Implementation of the Programme of Action
of the ICPD. This could be further guided by the expanded
definition of sexual and reproductive health and rights
interventions, as proposed in the Report of the Guttmacher -
Lancet Commission on Sexual and Reproductive Health and
Rights (May 2018).
xiii In accordance with para. 8.25 of the ICPD Programme
of Action and para. 63 of the Key Actions for the Further
Implementation of the Programme of Action of the ICPD.
xiv In line with international technical guidance; ref
https://unesdoc.unesco.org/ark:/48223/pf0000260770.
xv
SDG target 5.2.
xvi SDG target 5.3.
xvii This should also include ‘de facto’ child (marital) unions.
xviii SDG target 5.3.
xix SDG target 5.1.
xx
For the definition of ‘demographic dividend’, see
www.unfpa.org/demographic-dividend
xxi Including indigenous peoples and Afro-descendants.
xxii 10-14 years of age.
x
Thank you from UNFPA to those who made the Nairobi Summit possible
Co-conveners:
The Government of Kenya and the Government of Denmark, with their
inspired leadership
Governance teams:
Immense gratitude goes to the International Steering Committee,
the International Programme Committee, and their thematic working groups and subcommittees
UNFPA staff:
Local, regional and global offices
Co-organizers:
Kenyatta International Convention Centre, Media Edge Consortium, United Nations
Department of Safety and Security, United Nations Offices in Nairobi and Geneva, and the Protocol
and Liaison Service of the United Nations
Government sponsors:
Australia, Canada, Denmark, Finland, Germany, Iceland, Ireland, Italy,
Kenya, Luxembourg, Netherlands, Norway, Republic of Korea, Sweden and Switzerland
Private sector and other partners:
Bayer, Beifang International Education Group, Ford Foundation,
General Electric, Global Citizen, Kenya Airways, Philips, Plan International, Prada Group,
Special Olympics, United Nations Office for Partnerships, Women Deliver and YMCA Africa
A special thanks to all session chairs, panellists, speakers and participants
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ICPD
25
ICPD
25
International Conference on
Population and Development
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United Nations Population Fund
605 Third Avenue
New York, NY 10158
www.unfpa.org
@unfpa