Integrated Sexual & Reproductive Health and Rights in all Health Systems (Vision 2020)

IPPF Manifesto no. 6: Provide comprehensive and integrated sexual and reproductive health and HIV services within public, private and not-for-profit health systems by the year 2020


SRH services in the basic health-care services delivered at district and local levels, particularly primary health care, through functioning health systems that prioritize quality, equity and integration and are equipped with accountability mechanisms for users and providers. The SRH package should universally include: family planning services; pregnancy related services, including skilled attendance  at delivery, emergency obstetric care and post abortion care; STI and HIV prevention and  diagnosis and treatment of STIs; prevention and  early diagnosis of breast and cervical cancers;  prevention of gender-based violence and care of  survivors; ASRH; and RHCS for each component  of the package.

IPPF calls on governments to:

–          Provide the widest range of affordable, integrated sexual and reproductive health and HIV services which meet the highest possible quality standards, and are available to women and men throughout their lives;

–          Strengthen health systems, including the health workforce, monitoring and evaluation systems and local community care, and increase the capacity of health care services to reach the underserved, particularly young women and girls;

–          Provide basic maternal, newborn and child health care for all, including emergency obstetric care, ante-, neo- and post-natal care;

–          Ensure that policies and programmes related to HIV prevention, diagnosis, treatment, care and support are adequately resourced, serve the needs of key populations and, where relevant, recognize the feminization of the epidemic;

–          Invest in the human resources necessary to ensure the availability of high quality sexual and reproductive health and rights information, education and services;

–          Create an enabling environment within which public, not-for-profit and private sectors, working separately and together, can increase access to the widest possible range of reproductive health care information, education and services;

–          Ensure that those who experience difficulty in conceiving have access to existing and new reproductive technologies and services that are managed in ways that respect and protect rights;

–          Financially support and improve data collection to increase the understanding of the sexual and reproductive health needs of women, men, and especially young people, and the extent to which their rights in this respect are respected and protected.


Engage young people in all policy decisions affecting their lives (vision 2020)


The breakdancing condom consultant: Dennis from Bosnia


A champion breakdancer and home-town celebrity can end up with a pretty dissolute social life. Nightclubs, drinking, one-night stands: it’s not an entirely unsurprising story. In Bosnia, it’s one which breakdancer Dennis certainly experienced.

But contact with the Association for Sexual and Reproductive Health XY (the Member Association in Bosnia and Herzegovnia) led him to rethink his lifestyle and consider the people around him.


IPPF calls on governments to:

– Expand opportunities for youth to participate and voice their opinion, for

example in national youth councils, youth fora, community service initiatives,

online activism and other avenues which enable young people to make their

voices heard within civil society, and to be heard by policy makers;

– Promote laws, policies and programmes that protect the rights of young

people, recognize diversity within this age-group, including rural and urban

young people, those living with disabilities, etc., and enable them to overcome

barriers to essential services;

– Ensure the availability of education and employment opportunities to enable

young people to contribute effectively to the creative, intellectual and

economic development of their communities and countries;

– Increase investment in the education, health and wellbeing of young people

from all social, political and economic backgrounds to enable their meaningful

participation in the shaping of the future of their communities, cultures and


– Step up the fight against poverty and inequity through child-sensitive

programmes to provide opportunities for young people that allow their full

development and prevent their being prematurely catapulted into adulthood.


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Recognize sexual rights and reproductive rights as human rights (Vision 2020)


Supporting the Constellation of Reproductive Rights

During the 1990s, a series of important United Nations conferences emphasized that the well-being of individuals, and respect for their human rights, should be central to all development strategies. Particular emphasis was given to reproductive rights as a cornerstone of development.

Reproductive rights were clarified and endorsed internationally in the Cairo Consensus that emerged from the 1994 International Conference on Population and Development. This constellation of rights, embracing fundamental human rights established by earlier treaties, was reaffirmed at the Beijing Conference and various international and regional agreements since, as well as in many national laws. They include the right to decide the number, timing and spacing of children, the right to voluntarily marry and establish a family, and the right to the highest attainable standard of health, among others.


IPPF calls on governments to:
– Repeal laws, policies and practices that have the effect of increasing stigma
and discrimination against women, men and young people on the grounds of
sex, sexuality, sexual orientation or gender identity;
– Set standards within health care services in the public and private sectors to
ensure that the rights of clients are respected, protected and fulfilled within an
environment free of discrimination based on sex, HIV-status, sexuality, sexual
orientation or gender identity;
– Ensure that service providers receive the training and support they need,

including in-service training, to provide the highest possible quality of care;
– Support qualified women, men and young people as advocates for sexual and
reproductive rights and recruit such advocates to serve as Special Rapporteurs,
members of UN treaty monitoring bodies, the Universal Periodic Review and
other mechanisms;
– Ensure the provision of youth-friendly health care services, and increase the
recognition of children and young people as subject of rights in accordance
with their evolving capacity, as recognized in the UN Convention on the Rights
of the Child.


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