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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Eliminate discrimination against women (IPPF Vision 2020)



Norway’s youngest and first female prime minister (MANDY MCANALLY), and a leader in many other capacities, you are an extraordinary example of how women can lead and change the world. What is your message to global leaders today who wield the power to give girls and women opportunities to reach their goals, particularly as we think about post-2015?

VISION 2020 (3) IPPF calls on governments to:

– Empower women economically by investing in policies and programmes that
reduce the time burdens of women and girls; increase access to economic
opportunities, close the gender gap in earnings and occupational segregation;
and guarantee women’s and girl’s property and inheritance rights, including
the right to own land, secure loans, etc;
– Expand educational opportunities for all, close gender-related education gaps
at all levels, including higher education, and adopt comprehensive sexuality
education to eliminate discrimination against women and girls and facilitate the
development of the skills they need to protect themselves from sexual abuse,
HIV and other sexually transmitted infections;
– Reduce all forms of violence against women and girls – including in conflict
situations – by adopting and enforcing national laws to prevent violence and
punish violations; eliminating forced child marriage; combating son preference;
and promoting public awareness campaigns on these issues;
– Respect, protect and fulfill all women’s human rights, especially sexual rights
and reproductive rights, without which the ability to exercise other rights is
significantly constrained. Create an enabling environment for the exercise of
those rights, including equal and full participation in parliamentary and other
policy making processes.

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Vision 2020 no.2: Increase access to sexual and reproductive health and rights in order to close the gap between the top and bottom wealth quintiles by 50% by the year 2020

(ISSUE) World Health Organization – SRH/HIV: Access to and coverage of services

By minimizing missed opportunities we can increase access and coverage of services for more people including vulnerable populations, and ensure services for people living with HIV that meet their needs and respect their rights.

Country case studies

Linkages between sexual and reproductive health (SRH) and HIV

These case studies demonstrate the two-way flow between sexual and reproductive health and HIV/AIDS health-care services and reflect the diversity of integration models. They provide a brief overview that shows why the decision to integrate was taken, by whom, and what actions were needed to make it happen. The intention is to share some of the experience and lessons learnt that may be useful to others who wish to consider actions to strengthen this integration.

VISION 2020 (2) – IPPF calls on governments to:

–          Invest in educational and other programmes aimed at empowering young women and girls in particular to make informed choices, and demand accountability from service providers;

–          Create a legal and policy environment with social protection and justice measures that render sexual and reproductive health services economically accessible to poor and marginalized groups, aimed at ensuring greater progress amongst the poorest relative to the wealthiest quintile so as to significantly reduce the gap that currently exists between them;

–          Improve supply chain management, human, technical and other resources in order to minimize stock-outs and ensure the timely availability of commodities, including emergency contraceptives, of the highest possible quality at a cost that represents value for money within the context of the provision of affordable sustainable services;

–          Support innovative technologies, service delivery approaches, etc to reach young people and the poor; and also support civil society organizations that address the needs of the most vulnerable.

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IPPF Vision 2020 Manifesto

Vision2020_Alln 2000 the United Nations launched the Millennium Development Goals. The world agreed to take action against poverty. Although progress has been made, we are still far from eradicating poverty.

About Vision 2020

However, in the years since the MDG Declaration, the sexual and reproductive health and rights landscape has changed. Global health funding for sexual and reproductive rights and health has declined significantly, and in every region of the world, a maturing HIV epidemic increasingly affects women and girls.

Rising conservative tides have threatened hard-won sexual and reproductive rights victories and compromised the safety and wellbeing of all, particularly of young women in poor communities.

Similarly, several global processes – the MDG review on the post‑2015 Development Agenda, a twenty-year review of progress towards achieving the Cairo Programme of Action, and a discussion on the Sustainable Development Goals initiated at the Rio + 20 conference – are happening now and in forthcoming years, all with implications for the future of the global sexual and reproductive health and rights agenda. It is of the utmost importance that advancing sexual and reproductive rights is central to the international/global development framework that will succeed the MDGs, and will determine policies, priorities and resources allocation worldwide for the decade ahead.

Why Now?

In the second decade of the 21st century, the more than seven billion people sharing the planet face a number of global challenges: threats such as climate change and growing inequalities among and within countries persist alongside the unfinished agenda of poverty elimination at a time when the global financial crisis has reduced the funding available for international development.

Despite these challenges, the current development landscape provides unparalleled opportunities to secure a world of justice, choice and well-being for all. The International Planned Parenthood

Federation (IPPF) envisions a world in which all international programmes work towards the elimination of poverty and hunger in ways that respect, protect, and fulfil human rights.

For more info, download IPPF Vision 2020 Manifesto in PDF: