The Millennium Development Goals (MDGs) offer precise targets for reducing poverty and promoting global development, but they remain incomplete if they do not build from and incorporate the objectives of other major international agreements, particularly those reached at the International Conference on Population and Development (ICPD) and the Fourth World Conference on Women (Beijing). At the 2005 World Summit and in the years leading to the 2015 milestone, the sexual and reproductive health community is taking every opportunity to advance this message: universal access to sexual and reproductive health services is essential to achieving the MDGs.

Nearly 80 million unintended pregnancies occur worldwide every year. More than half of these pregnancies end in abortion, often in countries where abortion is illegal and access to contraception is limited. Access to voluntary family planning services, including contraception, is essential in helping to reduce the number of unintended pregnancies and, consequently, the incidence of abortion.

More than 850 million people worldwide are classified as undernourished, many of whom suffer from chronic hunger (also known as food insecurity). Rapid population growth is intensifying food insecurity in parts of the developing world, particularly in sub-Saharan Africa where some countries' populations are doubling and tripling every 30-50 years. Greater investments in voluntary family planning programs and supplies, including contraceptives, are urgently required to meet the needs of more than 200 million women worldwide who wish to delay or end their childbearing but do not have access to modern and effective contraceptive methods.

The world's population more than doubled in the last half-century and still is increasing. Absent an unexpected dramatic shift in family size or catastrophic increases in death rates, it could add 2.5 billion people before peaking. Worldwide, the largest group of young people ever is entering their reproductive years, requiring an expansion of family planning services to enable more couples to have the smaller families and later pregnancies they desire. In the long term, this will contribute to individual and family well-being, a slowdown in population growth and sustainable economic development.

Filmed in Madagascar, this 9-minute documentary explores the linkages between population growth and environmental destruction in one of the world's most biologically unique places. Finding Balance profiles Voahary Salama, a local organization working to preserve the island's rainforest by integrating health and family planning into conservation efforts. This innovative approach to conservation and development addresses the needs of women in remote rural areas while offering hope for the sustainability of critical ecosystems and the biodiversity they shelter.

In 1994, at the International Conference on Population and Development (ICPD) held in Cairo, 179 nations endorsed an approach to improving reproductive health based on meeting individual needs and respecting human rights. They pledged to share the costs needed to make basic reproductive health care available to all who need it by 2015. Today, however, most donor and developing countries still fall short of paying their “fair share.”

At the International Conference on Population and Development (ICPD) in 1994, the international community pledged to share the costs of reproductive health care in developing countries, estimated at US$18.5 billion annually by the year 2005. Donor nations committed to provide one-third of this total, or $6.1 billion. Donors still fall far short of this pledge, once inflation is taken into account, and actual resource needs are dramatically higher today.

Since 1965, Congress has appropriated money in the foreign assistance bill for population assistance to developing countries to advance the U.S. foreign policy goals of promoting sustainable development and health in these countries. This money supports family planning and related reproductive health services through programs administered by the U.S. Agency for International Development (USAID). Such programs directly benefit tens of millions of couples each year, improving both maternal and child health and contributing to slower population growth.

In 1994, at the International Conference on Population and Development (ICPD), 179 nations agreed on a plan for achieving universal access to basic reproductive health care by 2015. Today, vast differences remain in reproductive health status between rich and poor countries. The HIV/AIDS pandemic exacts a growing toll in human lives and threatens economic growth in some of the world's poorest countries. Donors focused on achieving the Millennium Development Goals – and concerned with poverty reduction, human rights, health and development – must help ensure the adequate flow of financial resources (referred to as population assistance) for sexual and reproductive health services.

Sexual and reproductive health services, including family planning, are among the most important elements of the global effort to contain the HIV/AIDS pandemic. Through a well-established infrastructure, they help provide the supplies, education and information that are known to be effective in preventing the spread of infection.