Published by the International
Institute for Sustainable Development
(IISD) Vol. 06 No. 53 Saturday,
03 April 1999
SUMMARY OF THE ICPD+5 PREPCOM
24 MARCH - 1 APRIL 1999
The Commission on Population and Development acting as the
Preparatory Committee (PrepCom) for the Special Session of the
UN General Assembly for the review and appraisal of
implementation of the Programme of Action of the International
Conference on Population and Development took place from 24
March-1 April 1999 at UN headquarters in New York. The task of
the PrepCom was to negotiate proposals for key actions for the
further implementation of the Programme of Action in preparation
for the Special Session.
The PrepCom was unable to finish its work in the time allotted
and had to extend its session by an additional day. However,
even with this extra meeting, the PrepCom did not complete
negotiations on the proposals for key actions for further
implementation of the Programme of Action and will thus resume
the PrepCom for an additional four days, either in mid-May or
just prior to the Special Session in June. Thus, participants
left New York looking anxiously to the horizon where the Special
Session looms large and the burden of unfinished business weighs
heavily.
A BRIEF HISTORY OF THE ICPD+5 PROCESS
The International Conference on Population and Development
(ICPD) was held in Cairo, Egypt, from 5-13 September 1994. An
estimated 20,000 government delegates, UN representatives, NGOs
and media attended the conference, which adopted a 16-chapter
Programme of Action (POA) on population and development. The
POA, adopted by 179 countries, underscores the integral and
mutually reinforcing linkages between population and development
and endorses a new rights-based strategy focused on meeting the
needs of individual women and men rather than on achieving
demographic targets. One of the primary goals of the POA is to
make family planning universally available by 2015 as part of a
broadened approach to reproductive health and rights. It
includes other time-bound population and development goals for
1995-2015, including the reduction of infant, child and maternal
mortality and provision of universal access to education,
especially for girls. The POA provides estimates of the levels
of national resources and international assistance required for
its implementation and calls on governments to make those
resources available.
GENERAL ASSEMBLY RESOLUTION FOR A SPECIAL SESSION: In
Resolution
52/188 of 18 December 1997, the UN General Assembly (GA) decided
to convene a Special Session from 30 June-2 July 1999 to review
and appraise implementation of the ICPD POA (ICPD+5). The GA
emphasized that existing agreements contained in the POA would
not be renegotiated. The GA designated the Commission on
Population and Development (CPD) as the preparatory body for the
Special Session and the 32nd session of the CPD in March 1999 as
the PrepCom. The Population Division of the UN Department of
Economic and Social Affairs (DESA) and UN Population Fund
(UNFPA) were asked to collaborate and coordinate the ICPD review
process leading up to the Special Session.
THE HAGUE FORUM: The International Forum for the Operational
Review and Appraisal of the Implementation of the ICPD POA (The
Hague Forum) took place from 8-12 February 1999 in The Hague,
the Netherlands. The Hague Forum was an integral part of the
ICPD+5 review process. The Forum, organized by UNFPA and hosted
by the Dutch Government, was attended by approximately 2000
participants, including ministers and other high-level
government officials, parliamentarians, representatives of UN
specialized agencies, international and non-governmental
organizations, youth, and the media. The goals of the Hague
Forum were to: examine lessons learned, success stories,
obstacles and constraints to enable further implementation of
the POA; allow for exchange among countries facing similar
experiences; bring together a wide variety of partners to
refocus commitment on population and development; and provide
technical inputs to the Special Session. The Forum assessed
country-level operational and programme experience in POA
implementation, focusing on five substantive themes: creating an
enabling environment for the further implementation of the POA;
gender equality, equity and empowerment of women; reproductive
health, including family planning and sexual health and
reproductive rights; strengthening partnerships; and resource
flows and financing for POA implementation.
The outcome of the Forum was a draft report that summarizes the
findings and proposed actions of the Main Committees
deliberations on these five themes. The report was submitted to
the PrepCom and provided input to the Secretary-Generals Report
for the Special Session containing proposals for key actions for
the further implementation of the POA.
32ND SESSION OF THE CPD: The 32nd session of the CPD (CPD-32)
met from 22-23 March 1999 to consider the following substantive
agenda items: follow-up actions to the ICPD recommendations; the
world population situation; the work of the CPD in the next
quinquennium; programme implementation and the future work
programme of the Secretariat in the field of population; and the
provisional agenda for CPD-33. The thematic area for CPD-32 was
population growth, structure and monitoring. CPD-32 was
reconvened on Friday, 26 March, to adopt its report, the
provisional agenda for CPD-33, and draft resolutions on
population growth, structure and distribution, and on special
themes for the CPD for 2000-2004 (E/CN.9/1999/L.2-5).
REPORT OF THE PREPCOM
CPD-32 Chair Robert Louis Cliquet (Belgium) officially opened
the PrepCom on Wednesday, 24 March 1999. Delegates elected
Anwarul Karim Chowdhury (Bangladesh) as Chair of the PrepCom and
the following as Vice-Chairs: Elza Berquó (Brazil), Ross Hynes
(Canada), Armi Heinonen (Finland), Jacob Botwe Wilmot (Ghana),
Gabriella Vukovich (Hungary), Patricia Durrant (Jamaica),
Ryuichiro Yamazaki (Japan), Alexandru Niculescu (Romania) and
Matia Mulumba Semakula Kiwanuka (Uganda). Gabriella Vukovich was
also designated as Rapporteur. Delegates then adopted the
provisional agenda and organization of work (E/CN.9/1999/PC/1
and L.1).
Joseph Chamie, Director of the DESA Population Division,
presented the Secretary-Generals Report on the review and
appraisal of progress in achieving the goals and objectives of
the ICPD POA (E/CN.9/1999/PC/2), highlighting five major
conclusions. First, the current period is demographically
unprecedented in the history of humanity. Second, generally
speaking, things are moving in the right direction; progress has
been made in a number of areas, although it has been limited in
some countries and regions. Third, many challenges remain,
including the HIV/AIDS epidemic, rapid ageing of populations,
adolescent reproductive behavior, undocumented migration and
rapid population growth. Fourth, while financial resources are
necessary, government leadership, priorities and commitment are
the critical variables for successful POA implementation.
Finally, the review concluded that the time to act is now;
delaying needed action will exacerbate problems in the future,
and action taken today will largely determine the quality of
life and living conditions for generations to come.
Kerstin Trone, Deputy Executive Director of UNFPA, introduced
the Secretary-Generals Note on The Hague Forum
(E/CN.9/1999/PC/3). She presented the outcome of the Forum on
behalf of Forum President Nicolaas Biegman, highlighting youth,
HIV/AIDS and financial resources as items receiving significant
attention at the Forum. On youth, risks arising from youth being
under-informed, under-educated and under-served in sexual and
reproductive health were highlighted, and family involvement in
sexual education, government responsibility, and mandatory
sexual education were called for. Delegates underscored the need
to confront the challenge of the AIDS epidemic. They also
identified the lack of resources as the major constraint to POA
implementation, and stressed reprioritization of government
spending, increased core funding for UNFPA and increased private
sector contributions.
UNFPA Executive Director Nafis Sadik noted key achievements
since Cairo, including: a transformation in thinking about
population and its relation to development; acceptance of the
right to reproductive health and incorporation of a gender
dimension into population policies and programmes; reduction in
the incidence of abortion; and growth in partnerships between
all relevant groups, including NGOs. She noted that GA
Resolution 53/183 agreed not to renegotiate the POA during the
ICPD+5 process. She then presented the Secretary-Generals
Report containing proposals for key actions for further
implementation of the POA (E/CN.9/1999/PC/4), highlighting
proposals to: develop national policies to adjust to a rapid
increase in the number of older people; remove gender inequality
and establish womens rights; promote adolescent reproductive
health; confront HIV/AIDS; build and strengthen partnerships;
and achieve the ICPD goal of US$17 billion in total resources
and US$5.7 billion from the global community. On emergency
contraception, she said the World Health Organization (WHO) and
medical authorities agree that the so-called morning-after
pill is not an abortifacient, and called on delegates to be
guided by science and common sense. Noting that the proposals
before the meeting were realistic and affordable, she called for
the will and renewed commitment to turn them into reality.
During the course of the PrepCom, delegates met in Plenary from
Wednesday afternoon, 24 March, through Friday morning, 26 March,
to hear official statements from 45 countries and 24
international and non-governmental organizations on preparations
for the Special Session. Copies of these speeches are available
on the Internet at:
http://www.undp.org/popin/unpopcom/32ndsess/state.htm. An
informal Working Group met throughout the PrepCom to negotiate
the proposals for key actions for further implementation of the
ICPD POA. However, despite late night negotiations and the
extension of the PrepCom by an additional day, delegates were
unable to complete their work in the time allotted.
>PROPOSALS FOR KEY ACTIONS FOR FURTHER IMPLEMENTATION OF THE
ICPD
PROGRAMME OF ACTION
On Wednesday, 24 March, Chair Chowdhury introduced the draft
working paper containing draft proposals for key actions
(E/CN.9/1999/PC/CRP.1), noting that these were drawn from the
Secretary-Generals report and would serve as the basis for
negotiations at the PrepCom. Delegates conducted an initial
exchange of views on this draft on Wednesday afternoon, 24
March, and on Friday, 26 March. Chowdhury synthesized these
comments into a revised draft (E/CN.9/1999/PC/CRP.1/Rev.1),
which was circulated over the weekend and served as the basis
for negotiations for the remainder of the PrepCom. Delegates
completed negotiations on the sections on population and
development concerns, gender equality, equity and empowerment of
women, and most of the section on reproductive rights and
reproductive health, although some of the more contentious
paragraphs are in brackets due to lack of consensus. Delegates
had insufficient time to negotiate the background section and
the sections on partnerships and collaboration and mobilizing
resources. The following is a summary of the final draft, in its
current form, containing proposals for key actions for further
implementation of the POA.
I. BACKGROUND: This section was not negotiated by the PrepCom
due to lack of time. In fact, this section was not in the
original Chairs draft working paper, and in delegates initial
exchange of views, several commented that the proposals for
further implementation lacked background and context. In
introducing his revised draft on Tuesday, 30 March, the Chair
noted that he had added a background section, which drew from
the Secretary-Generals report and from the POA. As negotiations
proceeded during the PrepCom, delegates repeatedly emphasized
the need to respect national sovereignty and cultural and
religious values, which was an important element of the Cairo
consensus. As a result, delegates agreed to reiterate this in
the background section of the document.
This section states that the ICPD POA marked the beginning of a
new era in population and development, by making human well-
being the focus of national and international activities
designed to address population and development issues, with a
view to achieving sustained economic growth and sustainable
development. The POA must be seen as closely related to the
outcomes of the other major UN conferences of the 1990s, and
progress in its implementation should be assessed within the
common framework of follow-up to all of these conferences.
The background section reiterates that implementation of the
POA
recommendations is the sovereign right of each country,
consistent with national laws and development priorities, with
full respect for the various religious and ethical values and
cultural backgrounds of its people and in conformity with
universally recognized international human rights. It notes that
the POA recommended a set of interdependent quantitative goals
and objectives, including universal access to comprehensive
reproductive health services, including family planning and
sexual health, reductions in infant, child and maternal
mortality, and universal access to primary education. It
articulates a comprehensive approach to issues of population and
development, identifying a range of demographic and social goals
to be achieved over a 20-year period.
According to UN estimates and projections, world population
will
exceed six billion for the first time in 1999, nearly 80% of
which will be living in developing countries and countries with
economies in transition. Depending on action taken in the next
five to ten years, world population will reach between 7 and 7.5
billion in 2015, and it is estimated that population
stabilization will not be reached for another 50 years at the
earliest.
The text states that the five-year review of progress shows
that
implementation of the POA recommendations is off to a good
start. Mortality in most countries has continued to fall, and
the broad-based definition of reproductive health is being
accepted with steps being taken to provide comprehensive
services in many countries. Rising contraceptive use indicates
greater accessibility to family planning. Many countries have
taken important steps aimed at better managing international
migration flows through bilateral and multilateral agreements.
In addition, many civil society organizations are contributing
to the formulation and implementation of policies, programmes
and projects on their own or in partnerships with governmental
and intergovernmental organizations and the private sector.
Nonetheless, for some issues and some countries, regions and
groups, progress has been limited, and in some cases setbacks
have occurred. The HIV/AIDS pandemic has led to rises in
mortality in many countries; economic shocks and transition to a
market economy have been accompanied by stagnation and rises in
mortality, particularly among adult men; and the impact of the
financial crises is affecting the health and well-being of
individuals and limiting progress in POA implementation.
The background section emphasizes that if POA implementation is
to be accelerated, several financial, institutional and human
resource constraints must be overcome. There is a need, for
example, to ensure equitable access to basic health care
services by integrating reproductive health services and making
appropriate use of community-based services, social marketing
and cost-recovery schemes. There is also a need for more
effective decentralization, closer collaboration between
governments and civil society, greater participation by women in
policy- and decision-making and improvements in data quality and
use for policy implementation. Implementation requires greater
political will and development of national capacities, as well
as increased resources backed by effective priority-setting in
each national context.
The text emphasizes that the key future actions proposed in the
following document will require renewed and sustained commitment
to the principles, goals and objectives of the POA by
governments, civil society and the international community so
that they can be accomplished as soon as possible, but in any
case before 2015.
II. POPULATION AND DEVELOPMENT CONCERNS: This section of the
Chairs draft report outlines key actions related to population,
economic development and the environment, changing age
structures and ageing of the population, international
migration, internal displacement and migration, population
development and education, and data systems, including
indicators. Delegates gave general comments on this section on
Wednesday, 24 March, and Friday, 26 March, and conducted
negotiations on Tuesday, 30 March.
A. Population, Economic Development and the Environment: This
sub-section calls on governments to:
re-examine recent research concerning relationships among
reduced fertility, economic growth and more equitable
distribution of its benefits;
draw attention to and promote linkages among
macroeconomic,
environmental and social policies;
intensify efforts to implement legislative and
administrative
measures with special attention to youth;
increase investments in the social sector, especially
health
and education; and
develop and expand integrated community-based approaches
to
sustainable development.
It calls on governments and the international community to:
promote enabling environments to achieve sustained
economic
growth in the context of sustainable development and eradicate
poverty;
promote an open, equitable, secure, non-discriminatory and
predictable trading system;
stimulate direct investment;
reduce the debt burden; and
ensure that structural adjustment programmes respond to
social, economic and environmental concerns.
It recommends that governments of developing countries and
those
with economies in transition, with assistance of the
international community:
ensure that social safety nets are implemented, especially
in
countries most affected by recent global financial crises;
continue to support declines in infant and child
mortality;
strengthen health care systems to respond to priority
demands;
determine the causes of stagnation or increase of
mortality
among adult populations;
ensure that poverty eradication programmes are targeted at
females and female-headed households;
develop innovative ways to provide more effective
assistance
to strengthen families in extreme poverty; and
undertake policies that seek to ensure a level of
consumption
that meets the basic needs of the poor and disadvantaged.
Governments are urged to promote and protect the rights of
indigenous people with particular regard to their cultures,
resources, belief systems, land rights and languages.
B. Changing Age Structure and Ageing of the Population: In this
sub-section, governments are urged to: continue examining
economic and social implications of demographic change and their
relation to development planning concerns; support research and
develop strategies at national, regional and local levels to
meet the challenges of population ageing; and, with civil
society, create opportunities and remove barriers that hinder
the elderly from continuing to contribute to their families and
societies. The UN system is called on to provide additional
resources and document and disseminate positive experiences of
policies and programmes in the area of ageing.
The final draft urges governments to invest in the development
and implementation of national, regional and local plans to meet
the needs of young people, including education, income-
generating opportunities, vocational training and health
services, consistent with the evolving capacities of young
people. This sub-paragraph was bracketed after the G-77/CHINA
objected to a US proposal to specify "health services including
sexual and reproductive health."
C. International Migration: This sub-section calls on
governments in countries of origin and destination to, inter
alia: intensify efforts to protect the human rights and dignity
of migrants irrespective of their legal status, including
providing them with effective protection and basic health and
social services; prevent trafficking in migrants, particularly
women and children, for forced labor, sexual or commercial
exploitation; and consider ratifying/acceding to the
International Convention on the Protection of the Rights of all
Migrant Workers and Members of Their Families, if they have not
done so. The international community is encouraged to extend
assistance to support programmes in developing countries hosting
the majority of refugees and displaced people.
Governments are urged to: intensify efforts in the collection
and analysis of data on international migration; encourage
studies designed to assess the causes of international migration
and displacement and the positive contribution that migration
makes to both countries of origin and destination; and improve
understanding of the links between relevant factors that impact
on international migration. Regarding refugees, the
international community is called on to support effective
programmes to address the causes of movements of refugees and
displaced persons, and governments are encouraged to put into
place effective asylum procedures.
A call for special attention to the specific needs of refugee
women and children and for provision of access to adequate
accommodation, education, health services, including family
planning and other necessary social services, was debated at
length. The EU, JAPAN, NORWAY and the RUSSIAN FEDERATION
objected to its inclusion, stating that it was already addressed
in Paragraph 10.22 of the POA. The HOLY SEE urged its inclusion
in the text, since more attention had been given to migrants in
general and very little to refugees. Delegates agreed to bracket
the sub-paragraph.
D. Internal Migration, Population Distribution and Urban
Agglomerations: In this sub-section, delegates agreed to
distinguish between actions on internal displacement, which is
involuntary, and internal migration, which is voluntary. The
final draft calls on governments to:
carry out research to strengthen understanding of the
factors,
trends and characteristics of internal migration;
improve the management and delivery of services for
growing
urban agglomerations and put in place enabling legislative and
administrative instruments and adequate financial resources to
meet the needs of all citizens; and
affirm the call in the POA that population distribution
policies should be consistent with international instruments.
Governments are urged to address the causes of internal
displacement, including, inter alia, environmental degradation,
natural disasters and armed conflict, and establish the
necessary mechanisms to protect and assist displaced persons,
especially women and children, in the short term, and, where
possible, facilitate their return and reintegration.
E. Population, Development and Education: Governments are
called
on to:
achieve universal access to primary education as quickly
as
possible;
eliminate the gender gap in primary and secondary school
by
2005;
strive to ensure that by 2010, the net primary school
enrolment ratio of children of both sexes is at least 90%; and
make special efforts to increase retention rates of girls
in
primary and secondary schools.
The text stresses sensitization of parents to the value of
education of children, particularly of girls. Developing country
governments in particular, with the assistance of the
international community, are urged to:
expand youth and adult education;
reduce the rate of illiteracy of women and men, at least
halving it for women and girls by 2005;
promote the achievement of functional literacy for adults
where schooling remains unavailable;
prioritize investments to education and training in
development budgets; and
provide adequately equipped facilities by rehabilitating
schools and building new ones.
MEXICO's proposal to include a sub-paragraph on introducing sex
education in school curricula was opposed by the G-77/CHINA, who
preferred promoting sex education "as appropriate" without
specifying introducing it in school curricula. She said it was
up to governments to decide how to implement sex education,
noting that in some cultures it is not appropriate to do so in
schools. NORWAY, SWITZERLAND, TURKEY, the EU, the US and CANADA
supported MEXICOs proposal. The sub-paragraph was bracketed in
the final draft.
F. Data Systems, Including Indicators: This sub-section calls
on
governments to strengthen national information systems to
produce reliable statistics on a broad range of population,
environment and development indicators including, inter alia,
community-level poverty rates, women's access to social and
economic resources, access to sexual and reproductive health and
the health of indigenous people. The text urges governments to
collect and disseminate the data needed to assess the status of
male and female reproductive health, and design, implement,
monitor and evaluate action programmes. The UN system and donors
are called on to strengthen the capacity of developing
countries, particularly the least developed countries and those
with economies in transition, to undertake regular censuses and
surveys, especially for regular monitoring of POA
implementation.
III. GENDER EQUALITY, EQUITY AND EMPOWERMENT OF WOMEN: This
section reaffirms the importance of achieving gender equality,
equity and womens empowerment and identifies areas that require
emphasis or strengthening, including: promotion and protection
of womens human rights; empowerment of women; gender
perspective in programmes and policies; and advocacy for gender
equality and equity. Delegates gave general comments on this
section on Friday, 26 March, and conducted negotiations on
Wednesday, 31 March.
A. Promotion and Protection of Womens Human Rights: The text
urges governments to ensure respect for and protection of the
human rights of women and girls, noting the POAs definitions of
reproductive health and reproductive rights (paragraphs 7.2 and
7.3). It calls on governments to:
develop and enforce gender-sensitive policies and
legislation;
sign, ratify and implement the Convention on the
Elimination
of Discrimination Against Women (CEDAW) and work towards
removing existing reservations that are incompatible with
CEDAWs objective and purpose;
promote adoption of CEDAWs Optional Protocol by ECOSOC
and
the GA; and
promote operational linkages between the goals of the POA and
other international conferences.
During negotiations, delegates bracketed this paragraph based
on
objections to ARGENTINA and NICARAGUAs call for inclusion of
POA language stating that the ICPD does not create any new human
rights.
On the incorporation of reproductive rights in implementing
population and development policies, the final draft refers to
POA sections that confirm that the ICPD does not create any new
international human rights and discuss reproductive rights and
abortion (paragraphs 1.15, 7.3 and 8.25). The text encourages
governments to promote the human rights of women and strengthen
the sexual and reproductive health and reproductive rights focus
of relevant policies and programmes. Indicators on sexual and
reproductive health should be worked on by relevant UN bodies,
and governments should promote and protect adolescents rights
to reproductive health education, information and care.
Countries should establish mechanisms to consult with relevant
groups such as womens organizations, and governments should
incorporate human rights into education processes.
The final draft urges governments, civil society and the UN
system to advocate for the human rights of women and the girl
child, and encourages governments to consult with civil society
in reporting to human rights treaty bodies. Governments are
called on to promote and protect the human rights of the girl
child and young women and review and change discriminatory
legislation.
B. Empowerment of Women: On womens participation and
representation at all levels of the political process and public
life, the text calls on governments to establish mechanisms to
accelerate this process, enable women to express their concerns
and needs, and ensure full and equal participation in decision-
making processes in all spheres of life. Governments and civil
society should act to eliminate discrimination and gender
inequality.
The final draft calls for government measures to promote the
fulfillment of girls and womens potential through education,
skills development and illiteracy eradication, with a priority
on eliminating poverty and ill-health. Governments should work
with civil society to ensure universal access to appropriate,
affordable and quality health care for women throughout their
life-cycle. On removing gender gaps and inequalities pertaining
to womens livelihoods and participation in the labor market,
governments are urged to create employment with secure incomes
and legislate to ensure equal pay for equal work.
C. Gender Perspective in Programmes and Policies: This sub-
section calls for a gender perspective in all processes of
policy formulation and implementation and in service delivery,
especially sexual and reproductive health. It urges
strengthening institutional capacity and expertise in
government, civil society and the UN system and says this should
be achieved by sharing tools, methodologies and lessons learned.
It also calls for gender-disaggregated data and appropriate
indicators to monitor progress at the national level.
The final draft urges monitoring of the differential impact on
women and men of globalization of the economy and social service
privatization. It calls for special programmes and mechanisms to
protect and promote the health and well-being of young girls,
older women and other vulnerable groups, while noting that
adequate sexual and reproductive health services for men should
not affect services for women.
Zero-tolerance for discrimination against the girl child and
for
all forms of violence against women is advocated, with
governments being urged to work to eliminate discriminatory
attitudes, including son preference. An integrated approach
addressing the need for social, cultural, economic and
legislative change is recommended. The girl childs access to
health, nutrition, education and life opportunities is
emphasized, as is the role of family members in strengthening
girls self-esteem and status and in protecting their health and
well-being.
D. Advocacy for Gender Equality and Equity: The final draft
calls on governments, parliamentarians, community and religious
leaders, family members, media representatives, educators and
other relevant groups to promote gender equality and change
negative and discriminatory attitudes and practices. There was
disagreement over whether the reference to family should be the
family (ARGENTINA and others) or families (the EU and
others). Delegates accepted the Chairs formulation of family
members. The text calls on all leaders at the highest levels to
speak out for gender equality and equity, including protection
of the girl child and young women.
On the role of leaders, parents and educators in improving
attitudes among men and boys, the final draft advocates
promotion of positive male role models and respect for womens
sexual and reproductive health and reproductive rights, while
affirming the inherent dignity of all human beings. It notes
mens responsibility for their sexual and reproductive health,
calls for research on mens sexuality, masculinity and
reproductive behavior, and urges governments, donors and the UN
system to support womens grass-roots, community-based and
advocacy groups.
IV. REPRODUCTIVE RIGHTS AND REPRODUCTIVE HEALTH: This section
contains proposals for key actions on reproductive health,
including family planning and sexual health, ensuring voluntary
quality family planning services, reducing maternal mortality
and morbidity, prevention and treatment of sexually transmitted
diseases (STDs), including HIV/AIDS, and promoting adolescent
sexual and reproductive health. Delegates gave general comments
on this section of the Chairs draft working paper on Friday, 26
March, and conducted negotiations on all but five paragraphs in
the Chairs revised draft on Wednesday, 31 March. It contains a
chapeau stating that the section is especially guided by the POA
principles.
A. Reproductive Health, Including Family Planning and Sexual
Health: This sub-section proposes that governments, in
collaboration with civil society, including NGOs, donors and the
UN system, undertake the following actions:
prioritize sexual and reproductive health in the context
of
health sector reform;
ensure that policies and implementation of sexual and
reproductive health services respect all human rights, meet
health needs over the life-cycle, address inequalities, and
ensure equity of access to information and services;
engage all relevant sectors in policy and programme
design,
implementation, quality assurance, monitoring and evaluation;
develop comprehensive and accessible health services and
programmes, including sexual and reproductive health, for
indigenous communities;
ensure training and supervision of health-care providers
to
ensure that they maintain high technical standards, respect the
human rights of those served, are trained to serve clients
subjected to harmful practices, and provide accurate information
about prevention and symptoms of reproductive tract diseases;
promote mens understanding of their roles and
responsibilities in respecting womens human rights, protecting
womens health, preventing unwanted pregnancy, reducing maternal
mortality and morbidity and transmission of STDs and HIV/AIDS,
sharing household and child-rearing responsibilities, promoting
elimination of harmful practices, and ensuring that women and
girls are free from coercion and violence;
strengthen community-based services, social marketing and
partnerships with the private sector and provide subsidies, as
appropriate, to ensure availability of and access to services;
and
increase investments to improve sexual and reproductive
health
quality and availability, including, inter alia, establishing
and monitoring clear standards of care, ensuring service
providers competence, and ensuring effective referral
mechanisms across services and levels of care.
Delegates debated the latter proposal, with the HOLY SEE
proposing the deletion of ensuring effective referral
mechanisms across services and levels of care, or adding
taking care that health care providers rights of conscience
are respected. The US and EU objected. Delegates accepted the
US-proposed text from the POA to take care that services are
offered in conformity with human rights and ethical and
professional standards.
The text also proposes that governments, with international
assistance, develop and use indicators that measure access to
and choice of family planning and contraceptive methods and
trends in maternal mortality and morbidity and HIV/AIDS, and
monitor progress toward the ICPD goal of universal access to
reproductive health care. It further calls on governments to
strive to ensure that by 2015 all primary health care and family
planning facilities are able to provide the widest achievable
range of safe and effective contraceptive and family planning
methods, essential obstetric care and prevention and management
of reproductive tract infections, including STDs and barrier
methods to prevent infection. The US, EU and G-77/CHINA objected
to the HOLY SEEs proposal to delete directly or through
referral. The final draft delineates specific benchmarks for
facilities offering such services for 2005 and 2010.
The text calls for UN and donor support for governments in
building national capacity for sexual and reproductive health
services, including ensuring that all refugees and persons in
emergency humanitarian situations receive appropriate health
care, including sexual and reproductive health and information.
Delegates bracketed a proposed paragraph by NORWAY inviting WHO
to lead increased efforts by the UN system to agree on key
indicators on sexual and reproductive health, due to opposition
by SUDAN and the G-77/CHINA.
B. Ensuring Voluntary Quality Family Planning Services: This
sub-section calls on governments, in accordance with the POA, to
ensure couples and individuals basic right to decide freely
and responsibly the number, spacing and timing of their
children. It states that the UN system and donors should, upon
request:
strengthen programme management capacity to make services
safer and more affordable, convenient and accessible, and ensure
availability and continuous supply of safe and effective
contraceptives and other sexual and reproductive health
supplies;
strengthen social safety nets and ensure availability and
access to reproductive health services, including family
planning; and
provide quality counseling services and ensure ethical,
professional and technical standards of care and voluntary, free
and informed choices with privacy, confidentiality and respect.
Delegates debated at length a proposal to allocate sufficient
resources to provide access to information, counseling, services
and follow-up on the full range of safe and effective
contraceptive methods. ARGENTINA, the HOLY SEE, the G-77/CHINA
and others recommended deleting including female-controlled
methods, such as female condoms and emergency contraception, and
under-utilized methods, such as vasectomy and male condoms. The
US, EU and MEXICO objected. Some delegations said they did not
understand emergency contraception and thus objected to its
inclusion. A G-77/CHINA proposal to refer to the full range of
safe and effective family planning methods and contraceptive
choices, including new options and under-utilized methods was
inserted, and the text remains bracketed.
Delegates accepted an EU-proposed paragraph delineating
benchmark goals for closing the gap between contraceptive use
and the proportion of individuals wanting to space or limit
their families. The final draft also calls on:
governments, with increased participation of the UN
system,
civil society, donors and the private sector, to pursue research
and development of new, safe, low-cost and effective family
planning and contraceptive methods;
the international community and private sector to take
necessary measures to enable countries to produce, store and
distribute safe and effective contraceptives and other supplies
essential for reproductive health services; and
UNFPA to continue to strengthen its leadership in
assisting
countries to ensure availability of reproductive health services
and choice of reproductive health products, including
contraceptives.
C. Reducing Maternal Mortality and Morbidity: This sub-section
calls on governments, with increased participation of the UN
system, civil society, including NGOs, donors and the
international community, to:
recognize linkages between high maternal mortality and
poverty
and promote reduction of maternal mortality and morbidity as a
public health priority and reproductive rights concern;
ensure that maternal mortality and morbidity reduction is
a
health sector priority and that women have access to, inter
alia, essential and emergency obstetric care, maternal health
care services, effective referral, post-partum care and family
planning;
support public health education to create awareness of the
risks of pregnancy, labor and delivery;
develop appropriate interventions to improve girls and
young
womens status to enable their informed choices at maturity
regarding childbearing; and
implement programmes to address the negative impact of
environmental degradation in some regions on high maternal
mortality and morbidity.
A proposal to address the health impact of unsafe abortion as a
major public health concern was debated at length. The US
proposed managing complications of unsafe abortion in the
safest and most effective way and recommended the following
alternative formulation: where abortion is not against the law,
health systems should train and equip health service providers
and take other measures to seek to ensure that abortion is safe
and accessible. Laws containing punitive measures against women
who have undergone illegal abortion should be reviewed. The EU
supported the latter with the addition of with a view to
safeguarding womens health. The G-77/CHINA, ARGENTINA, SUDAN,
the HOLY SEE and others preferred the text in the Chairs
revised draft, which stressed that: the recommendations of POA
paragraph 8.25 be followed; any measures related to abortion
within the health care system can be determined only at national
or local levels; where it is not against the law, abortion
should be safe; and in no case should abortion be promoted as a
method of family planning. The latter formulation remains in
brackets.
The final draft further proposes that countries use the
proportion of births assisted by skilled attendants as a
benchmark indicator. It identifies benchmarks for skilled
attendants to assist 40% of all births by 2005, 50% by 2010 and
60% by 2015 where maternal mortality is high, and 80% by 2005,
85% by 2010 and 90% by 2015 globally. Delegates adopted NORWAYs
proposed sub-paragraph calling for cooperation among
governments, UN agencies, development banks and the research
community to calculate the societal costs of maternal deaths.
Delegates bracketed a paragraph proposed by the EU urging WHO to
fulfill its leadership role in assisting countries to implement
standards for care and health facilities, with a US amendment
calling on UN agencies and multilateral development banks to
intensify their role in promoting and investing in improving
maternal health.
D. Prevention and Treatment of STDs, Including HIV/AIDS: This
sub-section calls on governments to take urgent action to
provide education and services to prevent transmission of STDs
and HIV, enact legislation to ensure non-discrimination against
people living with HIV/AIDS and vulnerable populations, and,
with UNAIDS assistance, where appropriate, develop and
implement national HIV/AIDS policies and action plans. It states
that governments should:
ensure that prevention of and services for STDs and
HIV/AIDS
are an integral component of sexual and reproductive health
programmes at the primary health care level;
develop guidelines for HIV treatment and care, emphasizing
equitable access;
ensure wide provision of and access to female and male
condoms;
support information campaigns that promote informed,
responsible and safe sexual behavior and practices; and
develop youth-specific education and treatment projects.
The text further proposes that governments strengthen, where
appropriate, education and treatment projects aimed at
preventing mother-to-child HIV transmission. It specifies
benchmarks for young peoples access to the information,
education and services necessary to develop the life skills
required to reduce their vulnerability to HIV infection: at
least 90% must have such access by 2005 and 95% by 2010. The
text calls on the private and public sectors to increase
investment in research on development of microbicides and other
female-controlled methods, simpler and cheaper diagnostic tests,
single-dose treatments for STDs and vaccines. A proposal by
NORWAY, to urge UNAIDS to ensure a well-coordinated response
from the UN system to the HIV/AIDS pandemic and provide support
to national programmes as appropriate, was inserted in brackets.
E. Adolescent Sexual and Reproductive Health: The PrepCom ran
out of time before it was able to complete negotiations on this
sub-section. The portion of the text that was negotiated states
that governments, with full involvement of young people and
international support should, as a priority, implement the POA
in regard to adolescent sexual and reproductive health as per
POA paragraphs 7.45 and 7.46. NORWAY and the US proposed adding
adolescent sexual and reproductive health and reproductive
rights but the G-77/CHINA objected.
The text further calls on governments to:
continue to support programmes for adolescent health,
including sexual and reproductive health;
develop action plans for adolescents and youth that cover
education, professional and vocational training and income-
generating opportunities, with the full involvement of
adolescents and youth and with proper regard for parental
guidance and responsibilities; and
acknowledge and promote the central role of families,
parents
and other legal guardians in educating their children and ensure
that they are educated about and involved in providing sexual
and reproductive health information. The US specified that
sexual and reproductive health information be provided in a
manner consistent with the evolving capacities of adolescents.
Delegates debated at length a proposal on adolescents rights
to
reproductive health care. MEXICO offered an alternative
formulation to fully promote adolescents rights to health,
provide specific and user-friendly sexual and reproductive
health services, including information and counseling, which
should safeguard their rights to privacy, confidentiality and
informed consent. The G-77/CHINA supported this with the
inclusion of respecting cultural values and religious beliefs.
The HOLY SEE advocated adding respecting parents rights, duties
and responsibilities. CANADA said the chapeaus reference to POA
paragraph 7.45 obviated the need to mention parents. Delegates
could not reach agreement and the sub-paragraph was bracketed.
At this point in the text, delegates ran out of time and could
not complete the negotiations on this sub-section. Paragraphs
that have not been negotiated include:
ensuring that adolescents receive necessary information,
education, counseling and health services to enable their
informed choices and decisions regarding their sexual and
reproductive health;
removing barriers to sexual and reproductive health
information and services for adolescents;
increasing resource allocation for promoting and
protecting
adolescent health, including sexual and reproductive health;
documenting and evaluating programmes to determine best
practices and developing indicators and data-collection systems
to monitor progress; and
earmarking at least 20% of resources for reproductive
health
programmes to meet adolescents information and service needs.
V. PARTNERSHIPS AND COLLABORATION: The PrepCom held a general
discussion on this topic on Friday, 26 March, but had
insufficient time to negotiate this section of the Chairs
revised draft. The text is in brackets pending its negotiation
at the resumed PrepCom.
The text urges governments to adopt policy measures and
guidelines and remove legal and bureaucratic barriers so civil
society organizations can be involved in policy discussions,
health sector planning and work on POA objectives. It says
governments should include NGO representatives, including
womens, youth and indigenous organizations, on delegations to
relevant regional and international fora. On fostering an
enabling environment for partnership, the revised draft calls
for greater collaboration and cooperation between governments,
civil society and the UN. It calls on governments and civil
society to develop systems to increase transparency and
accountability.
The text recommends that governments and international
organizations develop mechanisms to build and sustain
partnerships with community-based organizations and NGOs
committed to womens health and rights, the research community
and professional organizations. Governments, civil society and
the international community should cooperate on strengthening
national capacity to implement population and reproductive
health programmes. Civil society is encouraged, where
appropriate, to build partnerships with the media, religious
leaders, community groups and leaders and youth in order to
develop POA advocacy.
The text encourages governments, international organizations
and
financial institutions to provide, on request and if feasible,
financial and technical resources and information to facilitate
national civil society involvement in relevant policies,
programmes and activities. It calls for mechanisms to ensure
transparency, accountability and effective use of funds.
Governments should encourage private and informal sector
engagement with civil society and governments in implementing
the POA.
The text notes that the private sector may assist or supplement
but not substitute for governments responsibility to provide
full, safe, accessible and affordable sexual and reproductive
health services. Governments should ensure that reproductive
health products and services meet acceptable standards through
adequate laws and regulations. Parliamentarians are encouraged
to: promote legislative reform necessary for POA implementation;
mobilize the necessary funding for their countries to meet ICPD
commitments; advocate for the POA; and regularly exchange
experience at regional, inter-regional and international levels.
Donor countries and the private sector are urged to provide
external funding and support for the South-South initiative and
assist sharing of relevant experiences and mobilization of
technical expertise and other resources among developing
countries. The compilation of a roster of relevant institutions
and expertise within developing countries is proposed. The text
calls for strengthened efforts by UN agencies to promote system-
wide coordination and collaboration, particularly at the country
level. The CPDs intergovernmental work and UNFPAs relevant
inter-agency coordination should be reinforced.
VI. MOBILIZING RESOURCES: Delegates conducted an initial
exchange of views on this section on Friday, 26 March, but did
not have adequate time to conduct negotiations on the Chairs
revised draft. The following is a summary of the text in its
current non-negotiated state. The text stresses the urgent need
for increased political will and mobilization of the
international assistance agreed at Cairo to accelerate POA
implementation. It encourages all governments and the
international community to recommit at the highest political
level to mobilize the financial resources required for full POA
implementation. All developing countries must continue to make
efforts to mobilize domestic resources, and the international
community must take steps to meet the shortfall of external
resources. The international donor community should endeavor to
meet the agreed 0.7% of GNP for ODA as soon as possible and
commit to the target of a minimum of 5% of ODA for population
activities. Advocacy efforts should be increased at national and
international levels to ensure that the necessary resource goals
are met.
The text calls for special attention to promptly providing the
estimated US$1.3 billion for HIV/AIDS prevention in 2000, with
particular attention to young people. Governments and donors
should intensify efforts to provide resources for the care and
support of those affected by HIV/AIDS and for specialized
prevention needs not included in the costed POA package. Many
developing countries need special attention from the
international community in meeting their resource needs, and
countries currently in emergency situations and/or economic
crisis need substantial external resources to implement their
population and reproductive health programmes.
The text calls on governments and the international community
to
encourage and promote additional ways and mechanisms to increase
funding for population and sexual and reproductive health
programmes, including, inter alia, selective use of user fees,
social marketing, cost-sharing, an increased role for the
private sector and more efficient mechanisms to reduce the
burden of external debt. Governments should further ensure that
public resources, subsidies and donor assistance are invested to
maximize the benefits that those who suffer from
disproportionate reproductive ill-health receive from public
sector health systems. Donor agencies and developing countries
should continue to strengthen efforts and collaboration to
reduce redundancies, identify funding gaps and ensure that
resources are used as effectively and efficiently as possible.
The text calls on UNFPA, in cooperation with governments and
NGOs, to seek to ensure full and regular monitoring of resource
flows, paying particular attention to transparency and
accountability for the costed population and reproductive health
package included in the POA. Countries, especially developed
countries, are urged to substantially increase their voluntary
contribution to UNFPA. Governments are called on to give serious
consideration to implementation of the 20/20 Initiative, which
can provide resources for broader population and social sector
objectives. The text says governments should also implement
policies that facilitate greater private sector involvement in
providing reproductive health care, promote effective
interventions and support services, shifting those who can pay
to private sector services, and ensure that tax and tariff
policies and the regulatory environment do not act as barriers
to commercial enterprises seeking to provide reproductive health
commodities or services.
CLOSING PLENARY
On Thursday afternoon, 1 April, the Chair convened the closing
Plenary, a day late, to adopt procedural decisions on the
Special Session and the substantive outcomes of the PrepCom.
ORGANIZATIONAL ARRANGEMENTS FOR THE SPECIAL SESSION: Chair
Chowdhury introduced the draft provisional agenda and
organizational matters for the 21st Special Session of the GA
(E/CN.9/1999/PC/CRP.2). Under organizational arrangements,
delegates commented on the provisions for participation of
speakers other than member States. They agreed that observers
may make statements in the general debate in the Plenary, but
had a protracted discussion on whether a limited number of NGOs
designated by their constituencies may also make statements in
the general debate, subject to the approval of the members.
Delegations expressed support for involvement of NGOs, but the
G-77/CHINA and others underscored that, from a procedural
perspective, NGO participation had to be equitable, balanced,
representative and non-intrusive. Concern was voiced over
whether allowing their participation would be precedent-setting,
and the example of Rio+5 was cited as having already set a
precedent for NGO participation in a GA Special Session. CANADA,
the US, NORWAY and others stressed recognizing the contribution
of NGOs to the process. The EU and CANADA highlighted the call
for NGO participation in GA Resolutions 52/188 and 53/183.
The Plenary agreed that given availability of time, and
bearing
in mind GA Resolution 51/467, a limited number of NGOs may also
make statements in the general debate, subject to the approval
of the Special Session. The GA President is requested to ensure
that such participation is on an equal and transparent basis,
taking into account the diversity of NGOs. A provision was also
added providing that statements by NGOs in the general debate in
Plenary have a time limit of five minutes. Delegates agreed on
the related provision for participation of specified States,
under GA Resolution 53/183, in the capacity of observers, and
for representatives of the UN system and NGOs to make statements
in the Ad Hoc Committee of the Whole. A provision was added
stating that associate members of the Regional Economic
Commissions should be allowed to participate in the Special
Session, subject to the rules of procedure of the GA, in the
same capacity of observer that held for their participation in
the ICPD. The draft provisional agenda was adopted as amended.
SPEAKERS LIST FOR THE SPECIAL SESSION: Chair Chowdhury next
introduced the document Establishment of the list of speakers
for the debate in Plenary of the 21st Special Session of the GA
(E/CN.9/1999/PC/CRP.3). The document was adopted with minor
amendments.
ACCREDITATION OF NGOS: On arrangements for the accreditation of
NGOs at the 21st Special Session of the GA (E/CN.9/1999/PC/L.2),
delegates agreed on the provisions for inviting to the Special
Session NGOs in consultative status with ECOSOC and those
already accredited to the ICPD and/or the PrepCom. The G-
77/CHINA objected to a provision for inviting NGOs associated
with the Department of Public Information (DPI) of the UN
Secretariat and for accreditation of interested NGOs to be
granted by a committee composed of the Bureau of the PrepCom and
the Secretariat by 14 May 1999, provided that requests for
accreditation are accompanied by specified information.
Delegates agreed to delete the provision for DPI NGOs but to
retain the provision for accreditation of other interested NGOs
including those who have applied for ECOSOC consultative status
to be examined by a committee composed of the Bureau of the
PrepCom and the Secretariat by 14 May 1999, which will make
appropriate recommendations to the PrepCom at its resumed
session for a decision, provided that the specified information
accompanies the request. The document was adopted as amended.
DATES FOR A RESUMED SESSION OF THE PREPCOM: A discussion ensued
on appropriate dates for a resumed session of the PrepCom. Chair
Chowdhury stressed that the objective is for the PrepCom to
complete its work well ahead of time to facilitate participation
at the highest level and to avoid leaving matters outstanding.
He reported that the possible dates for the resumed PrepCom were
17-20 May or 24-29 June 1999, with initial preference for the
former due to better room availability. Some delegations noted
their preferences, pointing to issues such as cost, conflict
with the Social Summit+5 PrepCom (17-28 May), need for
preparation time before the Special Session, and limited need
for attendance of experts given the substance of the outstanding
matters. It was agreed that the Chair would consult with the
Bureau on the matter and report back as soon as possible.
CLOSING REMARKS: The Chair then explained the status of the
PrepComs outcome, identifying those paragraphs in the revised
Chairs draft covered by the PrepCom and the remaining
paragraphs that are still outstanding. A clean text, dated 1
April 1999, of the agreed changes to the Chairs revised draft
was circulated to delegates. A compilation of amendments
submitted by delegations on the Chairs initial draft was also
circulated for delegates reference. Chowdhury noted that he had
received submissions from some delegations on the outstanding
paragraphs to be negotiated and welcomed any further
submissions. The Chair presented for adoption the Rapporteurs
draft report of the PrepCom, noting this would be the draft
report of this session of the PrepCom and not of the PrepCom in
its entirety. The report was adopted without amendment.
In her closing statement, UNFPA Executive Director Nafis Sadik
noted that one of the lessons learned from the PrepCom was not
to underestimate the power of delegations. The PrepCom also
revealed that the POA is a living document that is clearly alive
and well. She hoped the intensity of discussions was indicative
of full commitment and stressed the need to work hard to
complete negotiations on proposals for further implementation to
encourage high-level participation at the Special Session and
attain a high level of commitment to the POA.
Joseph Chamie, Director of the DESA Population Division,
thanked
participants and particularly the Chair for navigating through
difficult waters. He noted the slow pace of the PrepCom
negotiations and stressed the need to make good progress.
Chair Chowdhury thanked all participants and noted that, while
the PrepComs time could have been better managed, progress had
been made and the intention and interest to continue progressing
was present. He stressed that Cairo had been a milestone and
that it had and would continue to act as a guide. He declared
the meeting of the CPD acting as the PrepCom for the Special
Session suspended at 8:15 pm.
A BRIEF ANALYSIS OF THE ICPD+5 PREPCOM
Disappointment and frustration marked the final hours of the
PrepCom to review implementation of the ground-breaking and
hard-fought Cairo consensus. Many participants were distraught
that the PrepCom was unable to complete its work despite late
night negotiations and its extension by an additional day. The
optimistic enthusiasm that delegates brought from The Hague to
New York has worn off and has been replaced by both a vivid
reminder of just how fragile the Cairo consensus is and a cloud
of disappointment over unfinished business, lost time and
concern about the significant workload remaining before the
Special Session. Many NGOs and some delegates attributed the
PrepCom's failure to fulfill its task to an effectively
orchestrated campaign on the part of conservative elements who
successfully put the brakes on the negotiations and ensured that
little that was new or progressive emerged. Some felt that the
conceptual rather than practical approach to the review process
lent itself to distraction by conservative elements.
Participants left New York looking anxiously to the horizon
where the Special Session looms large and the burden of
unfinished business weighs heavily. This analysis will take
stock of the the PrepCom and what awaits when it resumes its
work.
GREAT EXPECTATIONS: The success of The Hague Forum raised
delegates' expectations for a similar outcome to the PrepCom.
This may be attributed to the non-binding nature of The Hague
deliberations, which provided a forum to discuss all issues
freely, as well as the fact that the meeting was held outside of
New York. Many had hoped that The Hague's spirit of openness,
trust and goodwill would continue at the PrepCom. They expected
that the positive sharing of experience and reports of progress
would propel the work of the PrepCom towards concrete and
consensual guidelines for actions into the millennium. Needless
to say, these expectations were not met.
THINGS FALL APART: The reality is that the PrepCom fell short
of
even the most modest expectations as several factors contributed
to the loss of time, momentum and focus. The meeting was dogged
by significant delays during its first three days as the G-
77/China struggled to pull together diverging positions on the
Chair's draft text. It appeared that some members of the Group
had come to New York determined to reiterate their reservations
to the Cairo programme with renewed vigor and ensure that these
would not be exceeded in proposed actions. Many delegates felt
that the proposals that did emerge from the PrepCom contained
watered-down language that did not provide detailed guidance on
how to further implement the POA and repeated the delicately
balanced Cairo consensus on controversial issues rather than
succeeding in moving ahead. Some conservative members, though
few and increasingly isolated, held up the G-77's deliberations
and even broke ranks during the negotiations on issues such as
adolescent sexual and reproductive rights and emergency
contraception. One delegate expressed her frustration over
"narrow-minded and regressive" approaches to the issues under
consideration, emphasizing that abortion is not the central
issue, but only a small part of the larger issues of women's
empowerment and social development.
The Cairo consensus, though fragile, was a global consensus
that
the General Assembly stressed should not be reopened for
negotiation. However, some thought that the approach employed in
the PrepCom deliberations "played into the hands" of those who
were not fully satisfied with Cairo. Several participants felt
that by trying to re-prioritize issues by negotiating key
actions rather than identifying obstacles to current
implementation and learning from successes, as was done at The
Hague Forum, facilitated retrograde tactics gravitating back to
contentious aspects of issues that had been exhaustively debated
in Cairo and which, many participants felt, had advanced in the
real world since 1994. Many participants felt that the process
should now focus on areas where such progress has been achieved
rather than dwelling on certain issues where the global
community will most likely never find common ground. The ICPD+5
process, they contended, had followed the precedent of the Rio+5
process and the Beijing+5 PrepCom and got bogged down in
attempts to reopen debates on such issues while detracting from
the main objective of the review, which was to chart the way
forward. In the words of one delegate, "we have done exactly
what the Rio+5 process showed us not to."
A CANDLE IN THE DARK: Despite these shortcomings, one major
positive accomplishment emerged. Participants observed that the
participation of young people in the process constantly served
to remind delegates of the need to focus on implementation for
the future. As in The Hague, youth advocates were highly visible
and vocal and succeeded in placing strong emphasis on young
people and their needs in the text. Their clearly articulated
and lucid inputs shed considerable light on the pressing issues
that have emerged since Cairo and foreshadow a positive outlook
for responsible and competent leadership on these issues in the
future.
BACK TO THE FUTURE: As the meeting concluded, delegates
increasingly realized that the resumed PrepCom may be unable to
overcome the barriers to its progress if the current approach to
the review continues. Although no one can deny that much has
been achieved in the area of population and development and the
lives of millions have improved since Cairo, one delegate said
it would take a miracle to salvage the review process and come
through with concrete proposals if it fails to focus on
achievements and obstacles and chart the way forward. Some
participants described the PrepCom exercise as a costly waste
of time and feared that its lack of progress might provide
fodder for those reluctant to commit the resources and political
will that are vital to the implementation of the Cairo POA.
As Nafis Sadik said in her closing statement, the POA is
clearly
alive and well and working on the ground. The PrepComs setbacks
are thus "growing pains" that can be overcome. If the spirit of
cooperation and goodwill that characterized the process in The
Hague can be recaptured, the Cairo consensus will come of age in
the new millennium.
THINGS TO LOOK FOR BEFORE ICPD+5
COMMISSION ON SUSTAINABLE DEVELOPMENT: The seventh session of
the Commission on Sustainable Development (CSD-7) will be held
from 19-30 April 1999 in New York. The Commission will consider
the following thematic areas: tourism; consumption and
production patterns; oceans and seas; and the review and
appraisal of the Barbados Programme of Action for the
Sustainable Development of Small Island Developing States. For
more information contact: Andrey Vasilyev, Division for
Sustainable Development; tel: +1-212-963-5949; fax: +1-212-963-
4260; e-mail: vasilyev@un.org. For NGO information, contact
Zehra Aydin-Sidos, Division for Sustainable Development; tel:
+1-212-963-8811; fax: +1-212-963-1267; e-mail: aydin@un.org;
Internet: http://www.un.org/esa/sustdev/.
MINISTERIAL MEETING ON REGIONAL COOPERATION ON IRREGULAR
MIGRATION: This meeting will be hosted by the Government of
Thailand from 21-23 April 1999 in Bangkok. Invitations to this
meeting have been sent out at the ministerial level. For more
information contact: Peter Schatzer, International Organization
for Migration; tel: +41-22-717-9278; fax: +41-22-798-6150; e-
mail: schatzer@geneva.iom.ch.
COMMISSION ON HUMAN SETTLEMENTS: The 17th session of the
Commission on Human Settlements will meet from 5-14 May 1999 in
Nairobi, Kenya. For more information contact: Information and
External Relations, UN Centre for Human Settlements, UNCHS
(Habitat); tel: +254-2-623067; fax: +254-2-624060; Internet:
http://www.unhabitat.org.
COPENHAGEN+5: The Preparatory Committee for the Special Session
of the General Assembly on Implementation of the Outcome of the
World Summit for Social Development and Further Initiatives will
hold its first substantive session in New York from 17-28 May
1999. The second session will be held in April 2000, with the
Special Session to take place later in 2000. For more
information contact: Secretariat, UN Commission for Social
Development; tel: +1-212-963-6763; fax: +1-212-963-3062; e-mail:
ngoran@un.org; Internet:
http://www.un.org/esa/socdev/wssdcal1.htm.
RESUMED ICPD+5 PREPCOM: The PrepCom for the Special Session of
the General Assembly will resume from either 17-20 May or 24-29
June 1999, pending a decision by the Bureau. For more
information contact: United Nations Population Fund, 220 East
42nd Street, New York, NY 10017 USA; fax: +1-212-557-6416; e-
mail: dayal@unfpa.org; Internet:
http://www.undp.org/popin/icpd5.htm.
CONVENTION ON THE ELIMINATION OF ALL FORMS OF DISCRIMINATION
AGAINST WOMEN (CEDAW): The 21st session of CEDAW will meet from
7-25 June 1999 in New York. For more information contact:
Women's Rights Unit, DAW, Room DC2-1226, UN, New York, NY 10017
USA; fax: +1-212-963-3463; e-mail: connorsj@un.org; Internet:
http://www.un.org/womenwatch/daw/cedaw/committ.
SPECIAL SESSION OF THE GENERAL ASSEMBLY ON ICPD+5: The Special
Session of the UN General Assembly for the review and appraisal
of implementation of the ICPD Programme of Action will meet from
30 June-2 July 1999 in New York. For more information contact:
United Nations Population Fund, 220 East 42nd Street, New York,
NY 10017 USA; fax: +1-212- 557-6416; e-mail: dayal@unfpa.org;
Internet: http://www.undp.org/popin/icpd5.htm.
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