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After the International Conference on Population and Development (ICPD) in 1994, there has been an enthusiastic response of non-government organizations (NGOs), governments, and donors. Serious efforts have been made to carry forward and translate the ICPD Programme of Action into policies and programmes within countries. Countries in the Asia Pacific region that have begun to operationalise sexual and reproductive health (SRH) programmes are facing major financial and organizational challenges. Concerted efforts will be needed to sustain programme momentum in the region as many problems remain unaddressed. SRH programmes have begun to be operationalised but are at different stages of development. The integration of family planning, HIV/AIDS and SRH envisioned at ICPD is slowly taking place, albeit constrained by established patterns of funding, bureaucratic prerogatives, organizational barriers, and limited training opportunities for health service providers. The rights agenda, as yet nascent, needs to be seriously developed and strengthened.
One billion youth 10-24 years of age, of which more than 700 million are adolescents (10-19 years) live in Asia; 1 in 5 persons in the region is 15–24 years old. Not only are their numbers large but they are experiencing rapid changes in a fast-changing world. The sheer size of this population coupled with the dramatic changes in their life-styles and life circumstances pose serious challenges for developing programmes to address their SRH needs. Efforts are underway to engage the participation of the civil society and decentralization processes have been initiated in many countries. However, local systems of governance need strengthening to translate SRH concepts within systems that have for decades implemented top-down, bureaucratic programmes. It is clear that strong political commitment can accelerate progress and involvement of stakeholders can make a difference. Although there is considerable diversity in the region, several countries are confronting common problems. There is clearly a need to share and learn among the countries of the region.
In the Asia Pacific region, conferences on sexual and reproductive health (SRH) have been organized every two years to bring together multiple stakeholders to take stock of progress and to share experiences/best practices. These conferences have provided a common platform for stakeholders in the region to discuss and debate issues to enhance understanding and promote the agenda. The first Asia Pacific Conference on Reproductive and Sexual Health and Rights was held in Manila, the Philippines in February, 2001. The second was held in Bangkok, Thailand in October, 2003 and the third in Kuala Lumpur, Malaysia in November, 2005. The Fourth Asia Pacific Conference on Reproductive and Sexual Health and Rights (APCRSH) is scheduled to be held on October 29-31, 2007 in Hyderabad, India. |
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