TRACKING THE INTERNATIONAL, REGIONAL
AND NATIONAL AGENDAS OF SEXUAL AND
REPRODUCTIVE HEALTH AND RIGHTS
Chief Directorate:
Population and Development
National Department of Social Development
Presentation at the WGNRR, MOSAIC and Triangle
Project Advocacy Skills Training and Strategic
Planning Workshop
Ms. Neloufar Khan
CD: Population and Development
23 November 2011
Outline of the Presentation
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Who are we? … What do we do?
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Tracking international, regional and national
agenda of SRHR
– Participation of CD: Population and Development
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Sharing regional and national work experiences
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Current Activities
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Upcoming Activities
– ICPD +20 Review
– 45th Session of UNCPD
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Who are we?
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Chief Directorate: Population and Development
(National Population Unit)
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Provincial Population Units
– Promoting advocacy for population and related
development issues
– Assistance in interpreting the Population Policy
– Analysing and interpreting population dynamics
– Disseminating information to inform policy design and
programming
– Monitoring and evaluating population policy
implementation
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Population Policy (1998)
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The South Africa Population policy endorses and is heavily
influenced by the vision encapsulated in the ICPD PoA;
Vision: Establishment of a society that provides a high and
equitable quality of life to all South Africans, and in which
population trends are commensurate with sustainable
socio-economic and environmental development
Goal: To align population trends with achievement of
sustainable human development
Various concerns raised based on data available at the time,
outlining state of SA population on the dawn of democracy
and after the ravages of Apartheid.
Three main objectives stated
24 Major strategies proposed to achieve objectives
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Major SRHR Concerns in the
Population Policy (pp.33/34)
– “reduced human development potential
influenced by the high incidence of unplanned
and unwanted pregnancies and teenage
pregnancies”
– “high rates of infant and maternal mortality, linked
to high risk childbearing” and;
– “rising incidence of sexually transmitted diseases,
especially HIV and AIDS”
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SRHR Strategies of Population Policy (pp.35/36)
– “Improving the quality, accessibility, availability and
affordability of primary health care services, including
reproductive health and health promotion services (such
as family planning), to the entire population in order to
reduce mortality and unwanted pregnancies, focusing on
disadvantaged groups, currently underserved areas, and
adolescents; and eliminating disparities in the provision of
such services” and;
– “Promoting responsible and healthy reproductive and
sexual behaviour among adolescents and the youth to
reduce the incidence of high-risk teenage pregnancies,
abortion and sexually transmitted diseases, including HIV
and AIDS, through the provision of life skills, sexuality and
gender-sensitivity education, user-friendly health services
and opportunities for engaging in social and community 6
life”
Sexual & Reproductive Health
& Rights Agenda
INTERNATIONAL
REGIONAL
NATIONAL
International SRHR Agenda
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Committed to the implementation of:
– 1994 ICPD PoA
– Maputo Plan of Action
– The Commitment Document of the 15 Year Review of the
Implementation of the ICPD PoA in Africa, adopted by the African
Ministerial Conference on ICPD @ 15 in Addis Ababa - 2009
– The Resolution of the Southern African Development Community’s
Ministers’ Conference on ICPD+15 - 2009.
United Nations Commission on Population and Development (UNCPD)
– 44th Session – “Fertility, Reproductive Health and Development”
– 45th Session – “Adolescents and Youth”
– www.unpopulation.org
Partners in Population and Development (PPD)
World Population Day – 11 July
State of the World Population Report
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Regional SRHR Agenda
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Review of the 15 Years of ICPD PoA in the Southern
African Development (SADC) Region
– SADC Member States met in 2005, 2007, 2008 to discuss
implementation of ICPD PoA
– Regional progress review
– 13 individual country reports
– Various thematic areas within population and
development including:
• Sexual and Reproductive Health and Rights
• Gender Equality, Equity and Empowerment of Women
• Youth Empowerment, Adolescent Sexual and Reproductive Health
• HIV and AIDS, Malaria, TB and other Communicable Diseases
– Report finalised – July 2009
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National SRHR Agenda
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Progress with Implementing the 1994 ICPD PoA and the
1998 Population Policy for South Africa – 2009/10
– To evaluate progress with the implementation of the
Population Policy and ICPD, as well as teasing out
shortcomings and challenges in order to improve
development efforts;
– Thematic background papers prepared by staff in the
CDPD in collaboration with researchers and other
government officials.
– Review is part of a wider process of developing a more
concerted strategy to address national population and
development concerns to inform priorities that will guide
the development of the next five year national population
strategy (2009-2014)
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Thematic background papers:
Activities covered in more detail in 8 thematic background papers
available at www.population.gov.za
1.
Poverty and inequality
2.
Migration and urbanization
3.
Families, households and children
4.
HIV and AIDS
5.
Population, Environment and Development
6.
Sexual and Reproductive Health and Rights
7.
Youth
8.
Gender Equality and Equity
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Sexual and Reproductive Health and Rights
Total Fertility , Maternal Mortality (per 100,000) and Life
Expectancy for South Africa
3.3
160
3.2
140
120
3.1
100
3
80
2.9
60
2.8
40
2.7
20
2.6
1996
TFR
MMR
1998
2001
E0
0
2006
Maternal Mortality increased: Stats SA
88-136/100,000 (1999-2002)
Infant and Child (under 5) mortality
remained high yet relatively constant at
about 43 and 16/1000 respectively in 2003
MAIN FINDING
• Improved access to SRH services
since 1998 undermined by
decreased life expectancy and
increased MMR, both linked to
HIV & AIDS
RECOMMENDATIONS
• Improve women’s access to and
use of effective SRH services.
Emphasize adolescents, youth
and rural women. Continue to
promote responsible, healthy
reproductive lifestyles and
behaviour among high risk groups
and the youth.
• Strengthen commitment to and
enhancing national capacities and
mechanisms for the collection,
analysis, interpretation and
dissemination of application 12
information.
HIV and AIDS
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National HIV prevalence trends among antenatal
clinic attendees in South Africa, 1995-2008
RECOMMENDATIONS
• Improve the social and
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economic status of women
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(particularly youth) in order to
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decrease their vulnerability, and
to increase the ability of
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households to deal with the
5
impact of HIV and Aids.
0
• Strengthen commitment to and
1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008
enhancing national capacities
and mechanisms for the
MAIN FINDING
collection, analysis,
HIV & AIDS continues to pose serious health and
interpretation and dissemination
development challenges. Young women (20-29)
of HIV and AIDS and population
disproportionally affected. Male attitudes and
research data, and the use of
behaviours key. Benefits of ART becoming
such data and information to
apparent i.t.o improving life expectancy and
inform policy making and
curbing orphanhood.
development planning.
30
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Conclusions of Review
• Some progress in achieving objectives of ICPD+15 and
Population Policy
• However, many challenges remain, amongst which are:
– Youth: Addressing issues of concern to one of the fastest
growing sections of society (youth) and reaping the
demographic dividend
– Gender: Optimal utilization of and vigorous protection for
½ the population should be addressed
– HIV & AIDS: continue to strengthen prevention and
treatment programmes, with particular focus on
protecting women, and establishing male responsibility
• Based on the analysis of the review, the above are critical
focus areas
• Population and Development Strategy – 2009 - 2014
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National: Co-ordinated Efforts
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National and provincial stakeholder teams on teenage
pregnancy (Govt departments, NGOs, research institutions)
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Inter-Governmental Task Team on Teenage Pregnancy
– Headed by Dept of Basic Education
– Strategy on the Prevention and Management of Teenage Pregnancies
in Schools
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Civil Society - Sexual Health and Rights Initiative (SHARISA)
– Recent registration
– Interim Board
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Technical and steering committees (e.g. NYDA Status of
Youth Survey, internal DSD projects etc.)
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National: Research Activities
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Research report on HIV and AIDS and other key health
concerns with demographic consequences
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Gap Analysis Report on Services for Youth in South Africa
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Report on the State of Adolescent Sexual & Reproductive
Health & Rights in South Africa
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Report on Factors Associated with Teenage Pregnancy in
South Africa
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Population report on the State of Gender & the
Empowerment of Women in South Africa
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National: Advocacy and Programmes
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Training sessions conducted on HIV and AIDS and
TB management for government planners
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Capacity building and training workshops
conducted to mainstream population issues,
including gender, into social sector development
plans and social research
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Population & Development Knowledge &
Information Service (PDKIS)
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Local Population Advocacy Campaign
– Adolescent Sexual and Reproductive Health and Rights
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Guideline to integrate population policy
information into IDPs
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Upcoming Activities: ICPD +20 Review
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Operational Review - Series of inter-related activities
– Global survey (results to strengthen monitoring framework
with improved indicator and baseline),
– To be conducted in 193 countries
– In-depth studies
– Thematic group reports
– National and regional consultations
– Expert meetings
Core module used in all countries, and optional modules for
countries to explore in-depth specific issues of interest.
Core module :
– Country Implementation Profile
– A questionnaire to be filled in a consultative format
addressing barriers, enabling factors, priorities and emerging
issues
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ICPD +20 Review - National
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Global survey – country profile
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Thematic chapters with stakeholder
meetings on drafts
• ICPD +20 and Population Policy +15 review –
September 2013
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Upcoming Activities: 45th Session UNCPD
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Theme : “Adolescents and Youth”
• Thematic Background Paper
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International Population Forum
– Consultation with Government
Departments, NGOS etc.
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THANK YOU
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