UNITED NATIONS POPULATION INFORMATION NETWORK (POPIN)
UN Population Division, Department of Economic and Social Affairs,
with support from the UN Population Fund (UNFPA)

95-10: Dispatches -- News from UNFPA, No. 2, October 1995

DISPATCHES -- NEWS FROM UNFPA, THE UNITED NATIONS POPULATION FUND



NUMBER 2, OCTOBER 1995



DISPATCHES is a monthly bulletin dedicated to the activities of the

United Nations Population Fund (UNFPA). It is published in English,

French, and Spanish by the Information and External Relations

Division and is available free of charge from UNFPA offices

worldwide.



The designations employed and presentation of material in

DISPATCHES do not imply the expression of any opinion whatsoever on

the part of UNFPA concerning the legal status or authority of any

country, territory, city, or area or the determination of its

frontiers or boundaries. Views expressed are the authors' and

sources' own and do not necessarily reflect the opinions or policy

of the Fund. All material is checked for accuracy as received from

source; all enquiries should be addressed to the source/further

information address provided at the end of each item. Material may

be freely reproduced; credit and copies of reproduced material

would be appreciated.



We invite colleagues from UNFPA and cooperating organizations to

submit articles about UNFPA-assisted programmes and projects,

accounts of lessons learned from past and ongoing work, and

anecdotes from their country or area of work. These should be sent

to:



DISPATCHES, c/o IERD, UNFPA, 220 East 42nd Street, 23rd floor, New

York, NY 10017, USA. Telephone: (212) 297-5022. Fax: (212)

557-6416. Internet: <aslam@unfpa.org>, <o'haire@unfpa.org>,

<travers@unfpa.org>.



==========



In this issue:



Training doctors in Mongolia

Parliamentarians' declaration

Adolescent health study group

Uganda's PEARL

1996 poster contest



==========



Beijing: Seeking rights, condemning coercion



Beijing - "The road to empowerment starts with the road to health,"

UNFPA Executive Director Nafis Sadik told last month's Fourth World

Conference on Women. "So our task is threefold. Firstly, to ensure

that women have the information and services they need to bear and

bring up their children in health and in safety. Secondly, to offer

them support for choices other than reproduction. And finally to

ensure, whatever their choices are, that the first priority goes to

their interests as women, not as mothers or wives, or units of

production or units of reproduction, but as individuals with rights

and responsibilities of their own."



     Speaking at a panel discussion on women and health security,

Dr. Sadik added: "If culture and tradition are invoked to hold back

change, and we hear this all the time, then culture and tradition

must give way."



     Conference Secretary-General Gertrude Mongella underscored Dr.

Sadik's comments. "If we implement what we agreed on in Cairo, the

lives of women would change dramatically," Mongella said. "What we

are here to do is to recognize that the advancement of women is a

struggle. You must be prepared to face some elements that want to

maintain the status quo. We must be prepared for backward-looking

and conservative elements. We must keep governments accountable." 



    Addressing the Conference plenary, Dr. Sadik said: "Respect for

women and support for their advancement must be expressed in real

terms, and the first mark of respect for women is support for their

reproductive rights. Our generation has the power to make the right

a reality."



     As DISPATCHES went to print, the Conference had adopted a

platform for action endorsing that position, although questions

remained over specific commitments and resources.



     Dr. Sadik also was among speakers who condemned coercion in

family planning programmes. "Any form of coercion is completely

unacceptable, on practical as well as ethical grounds," she said.

"Coercion is a violation of human rights. Although it is every

country's sovereign right to determine its own policy, that right

does not extend to coercive practices."



- Source: Information & External Relations Division.



==========



AIDS: Joint programme takes shape



Geneva - UNFPA is among six cosponsors of UNAIDS, the Joint United

Nations Programme on AIDS, a new venture expected to be fully

operational by January 1996.



     The Programme's roles will include advocating effective,

ethical, and adequately-funded responses to AIDS; fostering a

socio-economic and legal environment that is conducive to

prevention and care and supportive of people affected by HIV/AIDS;

serving as the primary source of policy and technical guidance; and

coordinating the strengths of the six co-sponsors.



     The other five co-sponsors are UNICEF, UNDP, UNESCO, WHO, and

the World Bank. UNAIDS is headed by Peter Piot, a physician with a

Ph.D. in microbiology and former associate director of WHO's Global

Programme on AIDS.



-Source: UNAIDS Update. Further information from: Monika Gehner,

Public Information Officer, UNAIDS, WHO, 20 avenue Appia, CH-1211

Geneva 27, Switzerland. Fax: (41-22) 791-4880.



==========



ICPD Follow-up: Reaching out to teens



New York - WHO and UNICEF have joined UNFPA in a bid to voice the

urgency of accelerating adolescent health programmes and to spell

out ways of doing so.      



     The WHO/UNFPA/UNICEF Study Group on Adolescent Health and

Development Programming is to meet before year's end to:



>    establish a new, realistic vision of the importance,

situation, and needs of adolescents;



>    devise a strategic programming framework to meet those needs; 



>    outline evidence on the effectiveness of key programme

activities; 



>    take stock of country-level experience and show that

programming for adolescent health can be applied on a wider scale;



>    highlight the essential factors and strategies to establish,

implement, and sustain adolescent health programmes, including

resource mobilization; and 



>    recommend action to accelerate and strengthen existing

programmes, including global support for country-level activities.



     The initiative is a response to growing awareness of the need

to promote adolescent health, including sexual and reproductive

health. This awareness, generated in large part by youth NGOs

themselves, was brought into focus and given impetus by the ICPD

Programme of Action, which seeks, among other things, to

substantially reduce adolescent pregnancies.

     



-Source/further information from: James Chui, Education,

Communication & Youth Branch, Technical & Evaluation Division,

UNFPA, 220 East 42nd Street, New York, NY 10017, USA. Fax: (212)

297-4915.



==========



Uganda: A PEARL for adolescents



Kampala - Community and youth groups have joined forces with the

government to create PEARL, the Programme for Enhancing Adolescent

Reproductive Life in Uganda. PEARL is an indigenous effort to

create an environment conducive to adolescent health and

development and to provide young people with reproductive health

counselling and services that are appropriate to their culture and

circumstances.



     PEARL was born of local concern for adolescents' welfare.

School drop-out rates are high, as is the prevalence of teen

pregnancies and sexually transmitted diseases (STDs), including

HIV/AIDS. An estimated 30 per cent of children of primary-school

age are not enrolled and only 43 per cent of those enrolled go on

to secondary school. Studies suggest that, at any given moment, 11

per cent of girls aged 15-24 are pregnant. In 1987, people aged

14-24 accounted for 46 per cent of all cases of HIV infection.

Girls aged 15-21 are thought to be four times more likely to be

infected with HIV than boys in the same age group.



     Similar concerns lay behind the ICPD Programme of Action's

recognition that the reproductive health needs of adolescents as a

group have been largely ignored by existing reproductive health

services.  The Programme of Action recommended that information and

services be made available to young people to protect them from

unwanted pregnancies, STDs, and HIV/AIDS.



     UNFPA's involvement in PEARL began with facilitating two

national workshops which helped to document the problems faced by

young Ugandans, identify gaps in existing programmes, and propose

strategies to address youth concerns, particularly in reproductive

health. The workshops brought together participants from the

government, NGOs, youth service organizations, community groups,

and the donor community.



     Given PEARL's diverse and indigenous origins, its success will

depend largely on the establishment of a feasible institutional

framework and an effective mechanism for coordination. There is no

lack of energy to drive the programme, however, as young people

themselves and local community leaders will play a lead role in

implementing it.



-Source/further information from: Francois Farah, UNFPA Country

Director, 15B Clement Hill Road, P.O. Box 7184, Kampala, Uganda.

Fax: (041) 236-645.



==========



Panama:    A treasure for schools



PANAMA CITY, PANAMA - UNFPA has joined the Ministry of Education

and the national newspaper [La Prensa] in publishing a four-page

monthly newspaper for the country's schoolchildren. [La Prensa en

las Escuelas] ("The newspaper in the schools") uses riddles,

puzzles, and cartoons to engage its young readers.      



     UNFPA has joined the initiative, helping to produce [Un Tesoro

Para Ti] ("A Treasure for You"), a page dedicated to population and

development issues. A complement to Project PAN/93/P01, Population

Education, it sets out to inform and empower readers. A recent

issue explored peer pressure and decision-making. Readers were

presented with a list of situations that could undermine their

self-esteem and asked to match these to a corresponding list of

"positive responses."



- Source: Pablo-Jose Mandeville, UNFPA Programme Officer. Further

information from: UNFPA, Apartado 6314, Panama 5, Panama. Fax:

(507) 27-5478.



==========



Parliamentarians: Renewed vows



Tokyo - Parliamentarians from 57 countries last month affirmed

their "belief that equitable and universal access to education and

reproductive health and rights, including sexual health and rights,

are a prerequisite for improving the living conditions of all

individuals, including adolescents, and for empowering women and

promoting their advancement."



     Participants at the UNFPA-supported International Meeting of

Parliamentarians on Gender, Population, and Development called on

"parliamentarians everywhere" to, among other things:



>    urge their governments to keep promises made at ICPD and other

conferences;



>    appeal to governments that have not done so to sign the

Convention on the Elimination of All Forms of Discrimination

Against Women, have their parliaments ratify it, and monitor its

implementation;



>    urge donors to fulfil the agreed-upon target of 0.7 per cent

of their GNP for overall official development assistance and

earmark half the sum for women, gender, and population programmes;

and



>    urge "interested developed and developing country partners" to

allocate 20 per cent of official development assistance and 20 per

cent of the national budget to basic social programmes, "especially

by reducing military expenditures."      



     The legislators themselves promised "to translate into

political action the recommendations set forth in this Declaration

and ensure that the achievements of the ICPD are affirmed" at the

Beijing conference and in their national legislatures.



-Source: Tokyo Declaration. Further information from: Executive

Board, UN Liaison, & External Relations Branch, Information &

External Relations Division, UNFPA, 220 East 42nd Street, New York,

NY 10017, USA. Fax: (212) 557-6416.



==========



ECO: First forum held



Tehran - Regional cooperation in development programming among the

member countries of the Economic Cooperation Organization (ECO) has

entered a new phase with completion of ECO's First Conference on

Women's Status and Health.      



     The conference, held in the Iranian capital in August, was

sponsored by ECO, Iran's Ministry of Health, and UNFPA. It was the

first such joint effort since ECO and UNFPA last October signed a

Memorandum of Understanding committing them to "promote research,

analysis, and policy development in areas of mutual interest such

as population and development, women's empowerment, reproductive

health including family planning, income and employment, education,

urbanization, and migration."



     ECO's members are: Afghanistan, Azerbaijan, Iran, Kazakhstan,

Kyrgyzstan, Pakistan, Tajikistan, Turkmenistan, Turkey, and

Uzbekistan.      



     The conference brought together senior health officials from

ECO's member countries and set the scene for future collaboration.

After the conference, President Akbar Hashemi Rafsanjani voiced

Iran's readiness to share experience with its neighbours and to set

up a regional health training institution in collaboration with

UNFPA, according to the newspaper [Iran News].



     "I think many of the Central Asian Republics are definitely

quite willing to learn from the Iranian experience," UNFPA

Executive Director Nafis Sadik was quoted as saying in an interview

with the Iranian newspaper [Kayhan International]. "Since they are

just embarking on their own family planning programmes, this is a

good opportunity to show them what they can do."



     Dr. Sadik acknowledged Iran's achievements in bringing health

care to more than 80 per cent of the population; nearly doubling

women's literacy and increasing their access to education;

increasing contraceptive prevalence; and decreasing infant

mortality after the Islamic Revolution. She called for increased

emphasis, in all countries, on women's representation in political

institutions and legislative processes.      



     In Iran, "women's participation in health and medical care has

grown conspicuous after the victory of the Islamic Revolution,"

Minister of Health Alireza Marandi was quoted by [Iran News] as

telling the conference. "Thirty per cent of medical assistants in

all medical fields and 30 per cent of the scientific faculty

members of universities" are women.



     Dr. Marandi said this sort of women's advancement and

participation helped the country to slow the annual population

growth rate from 3.2 per cent in 1989 to 1.75 per cent this year.



-Source/further information from: Shu Yu Xu, UNFPA Country

Director, Ghaem Magham Farahani No. 185, P.O. Box 15875-4557,

Tehran, Iran. Fax: 504-8864.



==========



Mongolia: Doctors' training course



Ulaanbaatar - One hundred non-specialist physicians from places

where maternal mortality rates have been persistently high have

completed a one-month course in perinatal care.



     The course, organized under a Ministry of Health-UNFPA

project, was designed to reduce maternal and perinatal illness and

death by improving non-specialists' knowledge and practical skills,

putting trainees through 30 hours of theory classes and 108 hours

of practical training in obstetrics and gynaecology and 20 hours of

theory and 42 hours of practice in perinatology.



     The original idea for the training course belongs to outgoing

UNFPA MCH/FP Resident Advisor Zahidul Huque, who last year traveled

to the Gobi desert region to speak with doctors about their

concerns.



     The performance of the trained physicians will be monitored,

their impact on maternal and child health gauged, and the findings

applied in organizing future training courses.



-Source: Safe Motherhood Newsletter, published by the Ministry of

Health in collaboration with UNFPA. Further information from: Safe

Motherhood Newsletter, Ministry of Health, Room No. 202, 4 Karl

Marx Street, Ulaanbaatar, Mongolia; or UNFPA, P.O. Box 49/207,

Ulaanbaatar, Mongolia.



==========



Poster Contest: 1996 theme set



New York - "Where We Live Now" is to be the theme of next year's

UNFPA international poster contest, the fifth such competition held

to promote awareness of population and development issues.



     The theme was chosen to coincide with the Second United

Nations Conference on Human Settlements -- Habitat II, scheduled

for June 1996 in Istanbul -- at which the winners will be

announced. To qualify for the international contest, designers must

first enter a national contest organized by the local UNFPA office

and win first, second, or third prize in their age group. The

contest is open to people aged 6 years or older and features five

age groups. A brochure describing the rules, procedures, and

rewards of the competition is to be distributed to UNFPA country

offices later this month.



-Further information from: UNFPA Country Offices or Information &

External Relations Division, UNFPA, 220 East 42nd Street, New York,

NY 10017, USA. Fax: (212) 557-6416.



==========




For further information, please contact: popin@undp.org
POPIN Gopher site: gopher://gopher.undp.org/11/ungophers/popin
POPIN WWW site:http://www.undp.org/popin