| Where To Go From Here? |
While significant progress has been made toward the ICPD goals in many countries, enormous obstacles remain. The ICPD Programme of Action projected in 1994 that if the donor community committed US $5.8 billion by 2001 and US $6 billion by 2004 to sexual and reproductive health care programmes, it would meet a third of the need in developing countries. Those countries themselves would provide the rest. However, donor funding rose from US $1.3 billion in 1993 to only US $2.5 billion (US $2.1 billion in constant 1993 dollars) in 2001—far less than promised. UNFPA estimates that another US $7 billion was allocated from public and private national (domestic) sources for population activities in 2001, but the reliability of that estimate is uncertain. As suggested in this report, consensus on the choice of indicators remains elusive, at both the program and policy levels. Reliable statistics are also scarce, jeopardising the consistency of monitoring and evaluation. Further progress will require many steps: a supportive policy environment, the commitment of adequate human and financial resources, partnerships among the various sectors, stronger referral systems and links among services, and greater capacity at the local level. Also critical are better health care infrastructures and information systems. But we cannot wait until all elements for success are in place. Our efforts to save and improve the lives of millions of women, men and children must continue. We have ten more years to get it right. Nada Chaya is a Senior Research Associate at Population Action International. > Next section: Measuring Progress Jennifer Dusenberry is a Research Assistant at Population Action International. The authors would like to thank Laura Katzive of the Center for Reproductive Rights and Kimberley Cline of Population Action International for their contributions to this article. |
