,i #aac? ,,congress #a/ ,session ,h4 ,r4 #cbjf ,,9 ,,! ,,h\se ,,( ,,repres5tatives ,septemb] #bg1 #bjac,ms4 ,cl>ke 7= h]self1 ,ms4 ,bass1 ,ms4 ,br[n ( ,florida1 ,mr4 ,clay1 ,mr4 ,cony]s1 ,mrs4 ,davis ( ,cali=nia1 ,mr4 ,ellison1 ,mr4 ,eny>t1 ,mr4 ,grijalva1 ,ms4 ,norton1 ,mr4 ,honda1 ,mr4 ,huffman1 ,ms4 ,jackson ,lee1 ,mr4 ,jeffries1 ,ms4 ,lee ( ,cali=nia1 ,mrs4 ,c>olyn ,b4 ,maloney ( ,new ,york1 ,mr4 ,mc,govern1 ,ms4 ,moore1 ,mr4 ,moran1 ,mr4 ,quigley1 ,mr4 ,rangel1 ,mr4 ,ru%1 ,ms4 ,s*ak[sky1 ,ms4 ,slaught]1 ,ms4 ,wass]man ,s*ultz1 ,ms4 ,wat]s1 & ,mr4 ,b]a ( ,cali=nia7 introduc$ ! foll[+ bill2 :i* 0 ref]r$ to ! ,committee on ,=eign ,affairs ,a ,,bill ,to promote ! sexual & reproductive heal? ( individuals & c\ples 9 develop+ c\ntries1 & = o!r purposes4 #a4 ,%ort title ,?is ,act may be cit$ z ! ,global ,sexual & ,reproductive ,heal? ,act ( #bjac4 #b4 ,f9d+s & purposes 7a7 ,f9d+s ,congress makes ! foll[+ f9d+s3 7#a7 ,! advancem5t ( sexual & reproductive heal? is c5tral to ! global developm5t ag5da & necess>y to meet+ mo/ ( ! eight ,unit$ ,nations ,mill5nium ,developm5t ,goals 7,m,d,gs71 ! curr5t int]national developm5t framework develop$ by #ahi c\ntries1 includ+ ! ,unit$ ,/ates4 ,t>get #e;,b1 :i* is f\nd "u ,,mdg #e on improv+ mat]nal heal? & :i* requires a*iev+ univ]sal access to reproductive heal?1 is an ess5tial elem5t 9 atta9+ ,m,d,gs relat$ to eradicat+ pov]ty 7,,mdg #a71 a*iev+ univ]sal education 7,,mdg #b71 promot+ g5d] equality 7,,mdg #c71 r$uc+ *ild mortality 7,,mdg #d71 improv+ mat]nal heal? 7,,mdg #e71 combat+ ,,hiv_/,,aids 7,,mdg #f71 & ensur+ environm5tal su/a9ability 7,,mdg #g74 ,fur!rmore1 advancem5t ( sexual & reproductive heal? & rights w be critical 9 build+ on ! a*ievem5ts ( ! ,m,d,gs :5 !y expire 9 #bjae & realiz+ ! core goals ( pov]ty r$uction & su/a9able developm5t 9 ! po/-#bjae developm5t ag5da4 7#b7 ,! resolution ( ! #bjac ,unit$ ,nations ,commission on ,population & ,developm5t recognizees t 4 4 4 sexual & reproductive heal? & reproductive rights ''' z well z ''' population & developm5t1 education & g5d] equality1 are integrally l9k$ to global ef=ts to eradicate pov]ty & a*ieve su/a9able developm5t ''' 44 7#c7 ,?r\gh\t mu* ( ! _w1 ! lack ( access ( wom51 p>ticul>ly poor wom51 to basic reproductive heal? s]vices & in=mation contributes to dea? & suff]+ among wom5 & _! families1 und]m9es wom5's /ruggle = self-det]m9ation1 & vitiates ! ef=ts ( families to lift !mselves out ( ! pov]ty 9 :i* ov] a billion ( ! _w's p live4 ,by all[+ individuals & c\ples to *oose ! numb] & tim+ ( _! *ildr51 reproductive heal? c>e gives families & individuals great] control ov] _! economic res\rces4 7#d7 ,aspects ( sexual & reproductive heal?1 includ+ mat]nal mortality & morbidity1 reproductive canc]s1 & sexually transmitt$ infections 7,s,t,is71 includ+ ,,hiv1 acc\nt = ne>ly #bj p]c5t ( ! global burd5 ( ill-heal? = wom5 & "s #ad p]c5t = m51 accord+ to ! ,_w ,heal? ,organization 7,,:o74 7#e7 ,accord+ to ! ,jo9t ,unit$ ,nations ,programme on ,,hiv_/,,aids 7,,unaids71 ,,hiv_/,,aids is ! lead+ cause ( dea? among wom5 ( *ildbe>+ age4 7#f7 ,s*ool-bas$ education & family plann+ play an int]relat$ role 9 lift+ ! /atus ( wom54 ,delay+ sexual debut1 along ) contraceptive use among "y wom5 already sexually active1 l[]s ! likelihood t "y wom5 w leave _! s*ool+ due to pregnancy1 & education increases ! *ances t "y wom5 w delay ! age at :i* !y m>ry & give bir?4 7#g7 ,sexual & reproductive heal? programs c emp[] wom5 to make in=m$ decisions & bett] control _! lives1 & by engag+ m5 & boys 9 tak+ responsibility = ! sexual & reproductive heal? ( _! p>tn]s1 c contribute to great] g5d] equality4 7#h7 ,access to sexual & reproductive heal? s]vices1 includ+ family plann+1 has a direct & important impact on infant & *ild mortality4 ,by all[+ wom5 to *oose ! tim+1 numb]1 & spac+ ( _! pregnancies1 high-risk bir?s are av]t$1 & ! *ildr5 t are born h a great] *ance ( surviv+ to adul?ood4 ,ov] #c1jjj1jjj newborns die 9 ! fir/ #d weeks ( life1 :i* acc\nts = ne>ly #dj p]c5t ( all dea?s ( *ildr5 "u ! age ( #e4 ,by provid+ wom5 family plann+ s]vices to space _! bir?s #c ye>s ap>t1 rates = "u-#e mortality w\ld drop by #be p]c5t1 av]t+ #a1hjj1jjj *ildr5's dea?s ea* ye>4 7#i7 ,increas+ access to sexual & reproductive heal? c\ld significantly decrease pregnancy-relat$ mortality & morbidity by r$uc+ ! numb] ( pregnancies t place wom5 at increas$ risk ( exp]i5c+ su* complications4 7#aj7 ,an e/imat$ #bbb1jjj1jjj wom5 9 develop+ c\ntries h an unmet ne$ = effective1 mod]n contraceptives & w\ld l to po/pone *ildbe>+1 space bir?s1 or want no m *ildr5 b are n us+ a mod]n me?od ( contraception4 ,provid+ mod]n contraceptives to fill ?is unmet ne$ w\ld av]t an e/imat$ additional #ed1jjj1jjj un9t5d$ pregnancies ea* ye>1 includ+ #ba1jjj1jjj unplann$ bir?s & #bf1jjj1jjj abortions1 #af1jjj1jjj ( :i* w\ld be unsafe4 ,9 turn1 ?is w\ld prev5t #gi1jjj mat]nal dea?s & #a1ajj1jjj infant dea?s4 7#aa7 ,complications due to pregnancy & *ildbir? are a lead+ cause ( dea? among adolesc5t females ages #ae to #ai 9 l[- & middle-income c\ntries4 ,ea* ye>1 an e/imat$ #bhg1jjj wom5 worldwide die f complications relat$ to pregnancy1 *ildbir?1 or unsafe abortion4 7#ab7 ,unsafe abortion acc\nts = #ac p]c5t ( mat]nal dea?s worldwide4 ,m ?an half ( abortions 7#ef p]c5t7 9 ! develop+ _w are unsafe4 ,( ! #bb1jjj1jjj unsafe abortions t take place ea* ye>1 ne>ly all occur 9 ! develop+ _w4 ,ar\nd #dg1jjj wom5 die & millions m suff] s]i\s injuries f ! complications ( unsafely p]=m$ abortions4 ,abortion rates are simil> 9 c\ntries :e!r abortion is illegal or legal1 ) evid5ce sugge/+ abortion rates may 9 fact be high] 9 c\ntries :]e x is illegal4 ,reg>dless1 dea? & injury f unsafe abortion is greatly r$uc$ :]e abortion is legal = a broad range ( indications & :]e safe abortion is accessible4 7#ac7 ,meet+ ! ne$ = family plann+ s]vices & pregnancy-relat$ c>e1 by d\bl+ ! curr5t global inve/m5t = bo?1 w\ld prev5t millions ( ne$less cases ( mat]nal & newborn dea?s & disabilities4 7#ad7 ,worldwide1 wom5 ( *ildbe>+ age acc\nt = m ?an half ( p liv+ ) ,,hiv_/,,aids4 ,integrat+ reproductive heal? s]vices1 includ+ family plann+1 ) ,,hiv prev5tion programs1 su* z ^? = volunt>y c\nsel+ & te/+ & prev5tion ( "m-to-*ild transmission1 is ess5tial to effectively combat+ ,,hiv_/,,aids & o!r ,s,t,is4 7#ae7 ,! _w is witness+ ! l>ge/ g5]ation ( "y p 9 hi/ory--almo/ half ( ! _w's population1 approximately #c1jjj1jjj1jjj p1 are "u ! age ( #be4 ,unmet ne$ = sexual & reproductive heal? s]vices is highe/ among ?is age cohort4 ,few] ?an #e p]c5t ( ! poore/ sexually active y\? use mod]n contraception4 7#af7 ,! ,,:o has id5tifi$ unsafe sex z ! second mo/ important risk factor = disability & dea? among "y p 9 ! _w's poore/ communities4 ,=ty p]c5t ( all new adult ,,hiv infections occur among "y p ages #ae-bd4 7#ag7 ,sixty p]c5t ( unsafe abortions 9 ,africa1 #db p]c5t 9 ,lat9 ,am]ica & ! ,c>ibbean1 & #cj p]c5t 9 ,asia are und]gone by wom5 "u ! age ( #be4 7#ah7 ,! ,,:o has id5tifi$ a #d-prong$ approa* to prev5t+ ,,hiv infection 9 infants1 :i* includes prev5tion ( un9t5d$ pregnancy among ,,hiv-infect$ wom5 z a key /rategy to prev5t "m-to-*ild transmission ( ,,hiv4 7#ai7 ,accord+ to ! ,_w ,heal? ,organization1 enabl+ ,,hiv-positive wom5 :o want to avoid a pregnancy access to contraceptive s]vices c prev5t z _m z #afj1jjj additional ,,hiv-positive bir?s ea* ye> 9 high ,,hiv preval5ce c\ntries4 7#bj7 ,demographic factors exac]bate problems relat$ to environm5tal su/a9ability4 ,! pa/ c5tury ( population gr[? has put increas+ pressure on natural res\rces z ! scale ( human ne$s & activities exp&s4 ,at ! same "t1 actual family size 9 mo/ develop+ c\ntries rema9s great] ?an ! desir$ family size4 ,access to family plann+ s]vices helps c\ples to det]m9e _! own family size1 h5ce mitigat+ ! depletion ( natural res\rces l clean wat]1 air1 & l&4 7#ba7 ,practices l e>ly & =c$ m>riage1 female g5ital mutilation_/cutt+1 & e>ly sexual debut adv]sely impact ! sexual & reproductive heal? ( "y p 9 _m develop+ c\ntries1 & /rong b>ri]s exi/ to provid+ ! in=mation1 s]vices1 & o!r =ms ( support t "y p ne$ to lead heal?y sexual & reproductive lives4 7#bb7 ,compreh5sive sexuality education seeks to help "y p develop ! int]p]sonal skills necess>y = ! =mation ( c>+1 supportive1 & nonco]cive relation%ips & ! ability to ex]cise responsibility reg>d+ sexual relation%ips by address+ su* issues z ab/95ce & ! use ( condoms1 contraceptives1 & o!r protective sexual heal? measures4 7#bc7 ,! ,unit$ ,nations has e/imat$ t ! m9imum f9ancial requirem5ts = sexual & reproductive heal?1 includ+ family plann+ & mat]nal heal?1 are r\ghly #cb1gjj1jjj1jjj 9 #bjac & increase to approximately #cc1jjj1jjj1jjj 9 #bjae4 ,! m9imum f9ancial requirem5t = ,,hiv_/,,aids is e/imat$ at #cd1gjj1jjj1jjj 9 #bjac1 & increases to #cf1bjj1jjj1jjj 9 #bjae4 ,z agre$ 9 ! ,int]national ,conf]5ce on ,population & ,developm5t's ,programme ( ,action1 :i* ! ,unit$ ,/ates committ$ to1 develop$-c\ntry donors are responsible = "o-?ird ( ! total co/ ne$$ p] ye>4 ,develop+ c\ntries are responsible = ! rema9+ two-?irds1 on av]age1 ) l[ income c\ntries requir+ a l>g] %>e ( ext]nal fund+4 7#bd7 ,! ,unit$ ,/ates has _h a hi/ory ( support+ & recogniz+ ! fundam5tal heal? & human rights ( all p ?r\gh ! sign+ or ratify+ ( v>i\s int]national agreem5ts4 ,^? agreem5ts include ! ,univ]sal ,decl>ation ( ,human ,rights 7#aidh71 ! ,int]national ,cov5ant on ,civil & ,political ,rights 7#aiff71 ! ,int]national ,cov5ant on ,economic1 ,social1 & ,cultural ,rights 7#aiff71 ! ,conv5tion on ! ,elim9ation ( ,all ,=ms ( ,discrim9ation ,aga9/ ,wom5 7#aigi71 ! ,conv5tion on ! ,rights ( ! ,*ild 7#aihi71 ! ,int]national ,conf]5ce on ,population & ,developm5t ,programme ( ,action 7#aiid71 ! ,unit$ ,nations ,mill5nium ,developm5t ,goals 7#bjjj71 & ! ,conv5tion on ! ,rights ( ,p]sons ) ,disabilities 7#bjji74 7#be7 ,! ,unit$ ,/ates has be5 ! l>ge/ donor to int]national family plann+ & reproductive heal? ef=ts ov] ! la/ #dj ye>s & has be5 an unp>allel$ s\rce ( lead]%ip & innovation 9 ! field4 ,none!less1 x has n met its fair %>e ( f9ancial assi/ance to global sexual & reproductive heal? programs4 ,n[ is ! "t to %ore up ! ,unit$ ,/ates political & f9ancial commitm5t 9 ord] to satisfy ! l>ge unmet ne$ = ^! s]vices1 !reby help+ to improve wom5's & "y p's sexual & reproductive heal? worldwide4 7b7 ,purposes ,! purposes ( ?is ,act are to-- 7#a7 au?orize assi/ance to improve ! sexual & reproductive heal? ( individuals & c\ples 9 develop+ c\ntries2 & 7#b7 implem5t compreh5sive sexual & reproductive heal? programs (f]+ a cont9uum ( c>e t are responsive to ! sexual & reproductive heal? ne$s ( "y p & adults4 #c4 ,/atem5t ( policy ,! foll[+ %all be ! policy ( ! ,unit$ ,/ates ,gov]nm5t3 7#a7 ,all individuals & c\ples %all h ! basic reproductive "r to decide freely & responsibly ! numb]1 spac+1 & tim+ ( _! *ildr5 & %all h ! in=mation & means to d s1 & ! "r to atta9 ! highe/ /&>d ( sexual & reproductive heal?4 7#b7 ,all individuals & c\ples also %all h ! "r to make decisions conc]n+ reproduction free ( discrim9ation1 co]cion1 & viol5ce1 z express$ 9 human rights docum5ts4 7#c7 ,! promotion ( ! responsible ex]cise ( ^! reproductive rights = all p %all be ! fundam5tal basis = sexual & reproductive heal? programs support$ by ,unit$ ,/ates ,gov]nm5t assi/ance4 7#d7 ,! pr9ciple ( free & in=m$ cons5t mu/ und]lie all sexual & reproductive heal? programs & s]vices4 ,?is pr9ciple applies to individuals :e!r !y *oose to cont9ue or t]m9ate _! pregnancies--?us1 =c$ pregnancies z well z =c$ abortions or /]ilizations are prohibit$4 ,decisions relat+ to contraceptive use %\ld be made on an in=m$ & volunt>y basis aft] adequate in=mation1 c\nsel+1 & s]vices are provid$ on a range ( me?ods4 7#e7 ,inc5tives & dis9c5tives %\ld n be us$ 9 family plann+ programs 9 ord] to meet num]ical population t>gets or quotas = f]tility goals4 ,in/ead1 gov]nm5ts %\ld use o!r indicators1 su* z unmet ne$s1 to def9e family plann+ goals4 7#f7 ,9 sexual & reproductive heal? programs fund$ by ! ,unit$ ,/ates ,gov]nm5t1 special att5tion %\ld be paid to s]v+ ! ne$s ( "y p4 #d4 ,assi/ance to support ! a*ievem5t ( univ]sal access to sexual & reproductive heal? 7a7 ,assi/ance au?oriz$ ,! ,presid5t is au?oriz$ to provide assi/ance 9 ord] to support ! a*ievem5t ( univ]sal access to sexual & reproductive heal? 9 develop+ c\ntries & to ensure individuals & c\ples 9 develop+ c\ntries c freely & responsibly det]m9e ! numb]1 tim+1 & spac+ ( _! *ildr5 & h ! means to d s4 7b7 ,activities support$ ,assi/ance provid$ "u subsection 7a7 may be us$ to-- 7#a7 exp& access to & use ( volunt>y family plann+ in=mation & s]vices1 to enable individuals & c\ples to avoid un9t5d$ pregnancies & o!r risks to sexual & reproductive heal?1 includ+ ^? associat$ ) pregnancy1 reproductive tract infections1 & sexually transmitt$ infections 7,s,t,is71 includ+ ,,hiv2 7#b7 improve public k ( contraceptives1 includ+ :]e me?ods may be obta9$1 & risk-r$uction /rategies1 & to promote ! b5efits ( family plann+ & o!r sexual & reproductive heal? c>e to individuals1 families1 & communities1 includ+ ?r\gh ! use ( education & aw>5ess programs1 mass m$ia1 & community mobilization & outrea*2 7#c7 increase ! responsiv5ess ( sexual & reproductive heal? programs to ! ne$s ( ! int5d$ b5efici>ies dur+ ! entirety ( _! sexual & reproductive lives1 includ+ "y p & old] adults2 7#d7 r$uce ! incid5ce ( unsafe abortion1 includ+ rese>* on ! heal? consequ5ces ( unsafe abortion1 & provide = ! equipm5t & tra9+ necess>y = m$ical treatm5t ( ! consequ5ces ( unsafe abortions2 7#e7 not)/&+ any o!r provision ( law1 provide safe abortion1 to ! ext5t p]mitt$ by ! laws ( ! recipi5t c\ntry2 7#f7 promote ! integration ( family plann+ s]vices 9 ,,hiv & o!r ,,/i prev5tion1 treatm5t1 c>e1 & support2 7#g7 integrate family plann+ s]vices ) mat]nal & newborn heal? c>e1 especially 9 ant5atal1 po/-p>tum1 & po/-abortion c>e sett+s2 7#h7 ensure ! consi/5t availability & af=dability ( high-quality sexual & reproductive heal? supplies & s]vices1 includ+ male & female condoms1 = ! prev5tion ( ,,hiv & o!r ,s,t,is2 7#i7 enc\rage ! ab&onm5t ( female g5ital mutilation1 e>ly m>riage1 e>ly *ildbe>+1 & o!r h>mful traditional practices t h negative reproductive heal? consequ5ces2 7#aj7 prev5t & repair ob/etric fi/ula2 7#aa7 promote ! con/ructive engagem5t ( m5 & boys1 ! emp[]m5t ( wom5 & girls1 & m equitable g5d] norms 9 ord] to improve heal? outcomes & support ! adoption ( heal?y reproductive behaviors2 7#ab7 prev5t & mitigate g5d]-bas$ viol5ce2 7#ac7 provide compreh5sive sexuality education = "y p2 7#ad7 prev5t1 diagnose1 & treat1 :]e appropriate1 inf]tility & canc]s ( ! reproductive sy/em & ref] z appropriate2 7#ae7 develop improv$ me?ods ( safe & effective contraception & relat$ disease control ?r\gh inve/m5ts 9 biom$ical rese>*1 ) p>ticul> emphasis on me?ods :i*-- 7,a7 are likely to be saf]1 easi] to use1 m effici5t to make available 9 develop+ c\ntry sett+s1 & less exp5sive ?an curr5t me?ods2 7,b7 are controll$ by wom51 includ+ b>ri] me?ods & microbicides2 7,c7 are likely to prev5t ! spread ( ,s,t,is2 & 7,d7 enc\rage & enable m5 to take great] responsibility = _! own f]tility & ! protection ( _! p>tn]2 7#af7 support an enabl+ environm5t = wom5 to access sexual & reproductive heal? c>e s]vices by work+ ) communities to id5tify & l[] or remove b>ri]s to access1 includ+ f9ancial1 g5d]1 sociocultural1 & transportation b>ri]s2 7#ag7 tra9 heal? c>e pr(essionals on educat+ individuals1 includ+ "y p1 ab\t _! sexual & reproductive heal? c>e options1 includ+ family plann+ options2 & 7#ah7 fo/] conditions to create favorable policy environm5ts1 improve quality1 /r5g!n sy/ems1 & contribute to ! su/a9ability ( family plann+ & o!r reproductive heal? programs4 #e4 ,assi/ance to r$uce ! incid5ce ( unsafe abortion & its consequ5ces 7a7 ,assi/ance au?oriz$ ,! ,presid5t is au?oriz$ to provide assi/ance to r$uce ! incid5ce ( unsafe abortion 9 develop+ c\ntries & provide c>e = wom5 exp]i5c+ injury or illness f complications ( unsafe abortion 9 develop+ c\ntries4 7b7 ,activities support$ ,assi/ance provid$ "u subsection 7a7 %all be us$ to-- 7#a7 ensure access to family plann+ s]vices to prev5t un9t5d$ pregnancies2 7#b7 ensure t wom5 :o exp]i5ce an un9t5d$ pregnancy h access to reliable in=mation & compassionate c\nsel+ on all ( _! options1 includ+ access to ant5atal c>e & safe abortion :5 p]mitt$ by ! laws ( ! recipi5t c\ntry2 7#c7 :]e local laws p]mit abortion1 support safe abortion s]vices1 includ+ ref]rals1 & support ! tra9+ ( abortion provid]s & ! necess>y equipm5t & commodities = surgical & m$ical abortion2 & 7#d7 support em]g5cy treatm5t = complications ( induc$ or spontane\s abortion1 includ+ provision ( s]vices & tra9+ & equipp+ ( provid]s4 7c7 ,eligibility = assi/ance ,not)/&+ any o!r provision ( law1 regulation1 or policy1 9 det]m9+ eligibility = assi/ance au?oriz$ "u ?is section1 sections #ajd1 #ajd;,a1 #ajd;,b1 & #ajd;,c ( ! ,=eign ,assi/ance ,act ( #aifa 7#bb ,u4,s4,c4 #baea;b1 #baea;b-#b1 #baea;b-#c1 & #baea;b-#d71 =eign nongov]nm5tal organizations-- 7#a7 %all n be ineligible = su* assi/ance solely on ! basis ( heal? or m$ical s]vices1 includ+ c\nsel+ & ref]ral s]vices1 provid$ by su* organizations ) non-,unit$ ,/ates ,gov]nm5t funds if su* s]vices are p]mitt$ 9 ! c\ntry 9 :i* !y are be+ provid$ & w\ld n violate ,unit$ ,/ates ,f$]al law if provid$ 9 ! ,unit$ ,/ates2 & 7#b7 %all n be subject to requirem5ts relat+ to ! use ( non-,unit$ ,/ates ,gov]nm5t funds = advocacy & lobby+ activities o!r ?an ^? t apply to ,unit$ ,/ates nongov]nm5tal organizations receiv+ assi/ance "u "p ,i ( ! ,=eign ,assi/ance ,act ( #aifa4 #f4 ,assi/ance to provide sexual & reproductive heal? s]vices dur+ em]g5cy situations 7a7 ,assi/ance au?oriz$ ,! ,presid5t is au?oriz$ to provide assi/ance1 includ+ ?r\gh int]national organizations1 national gov]nm5ts1 & int]national & local nongov]nm5tal organizations1 to ensure t sexual & reproductive heal? s]vices are provid$ 9 develop+ c\ntries at e phase ( a humanit>ian em]g5cy1 includ+ e>ly recov]y4 7b7 ,priority ,9 provid+ assi/ance au?oriz$ "u subsection 7a71 ! ,presid5t %all give priority to-- 7#a7 ^? reproductive heal? s]vices t are ess5tial 9 em]g5cies1 :e!r !y are conflict or natural disa/] sett+s1 to save lives & help survivors fulfill _! pot5tial ev5 "u ! mo/ difficult circum/ances2 & 7#b7 build+ local capacity & improv+ national sy/ems :5ev] possible dur+ displacem5t & e>ly recov]y4 7c7 ,activities support$ ,assi/ance provid$ "u subsection 7a7 %all be us$ to-- 7#a7 direct ! ,secret>y ( ,/ate & ! ,adm9i/rator ( ! ,unit$ ,/ates ,ag5cy = ,int]national ,developm5t to implem5t ! ,m9imum ,initial ,s]vices ,package 7,,misp71 a set ( life-sav+ priority activities t mu/ be put 9 place 9 ! e>lie/ days ( an em]g5cy & t is set out 9 ! ,sph]e ,project's ,humanit>ian ,*>t] & ,m9imum ,/&>ds 9 ,disa/] ,response2 7#b7 among o!r activities1 e/abli% critical reproductive heal? coord9ation me*anisms1 prev5t sexual viol5ce & assi/ survivors by provid+ ess5tial m$ical c>e includ+ psy*osocial s]vices1 prev5t transmission ( ,,hiv & o!r sexually transmitt$ infections 7,s,t,is71 ensure access to em]g5cy ob/etric & newborn c>e1 to contraceptive me?ods1 & to treatm5t ( ,s,t,is1 cont9ue antiretroviral treatm5t1 & lay ! gr\ndwork = compreh5sive reproductive heal? c>e2 & 7#c7 z soon z conditions p]mit1 ensure t compreh5sive reproductive heal? c>e programs1 includ+ compreh5sive family plann+1 are put 9 place = ! duration ( displacem5t & are ma9ta9$ z ! relief phase ends & communities transition to e>ly recov]y4 7d7 ,coord9ation ,assi/ance au?oriz$ "u subsection 7a7 %all be coord9at$ 9 t]ms ( policy1 practice1 & fund+ across & )9 relevant ,unit$ ,/ates ,gov]nm5t dep>tm5ts & ag5cies involv$ 9 em]g5cy situations4 #g4 ,assi/ance to promote sexual & reproductive heal? c>e = "y p 7a7 ,assi/ance au?oriz$ ,! ,presid5t is au?oriz$ to provide assi/ance to ensure access to sexual & reproductive heal? c>e = "y p 9 develop+ c\ntries4 7b7 ,priority ,9 provid+ assi/ance au?oriz$ "u subsection 7a71 ! ,presid5t %all prioritize a plan to increase compreh5sive k ab\t sexuality among "y p & improve sexual & reproductive heal? outcomes among "y p1 :ile improv+ coord9ation & implem5tation ( ho/ c\ntry & ,unit$ ,/ates ,gov]nm5t activities focus$ on adolesc5t & y\? sexual & reproductive heal?4 7c7 ,activities support$ ,assi/ance provid$ "u subsection 7a7 %all be us$1 among o!r ?+s1 to-- 7#a7 provide univ]sal & af=dable access to-- 7,a7 evid5ce-bas$ compreh5sive sexuality education & reproductive heal? education1 9 consultation ) local communities1 9 & outside s*ools to ensure "y p c delay sexual debut & make in=m$ decisions ab\t _! sexual & reproductive heal?2 & 7,b7 y\?-fri5dly compreh5sive sexual & reproductive heal? c>e1 includ+ activities describ$ 9 section #d7;b71 z appropriate2 7#b7 coord9ate ! a*ievem5t ( ! goals ( sexual & reproductive heal? programm+ = "y p 9 ,unit$ ,/ates ,gov]nm5t-fund$ programs2 7#c7 educate implem5t]s on be/ practices 9 adolesc5t & y\? programm+ & deliv]y & = effective dissem9ation ( policy guidel9es reg>d+ adolesc5t & y\? programm+2 & 7#d7 incorporate ! recomm5dations ( "y p 9 program design & s]vice deliv]y ori5t$ = "y p4 #h4 ,/rategy to integrate & l9k sexual & reproductive heal? s]vices 7a7 ,/rategy requir$ 7#a7 ,9 g5]al ,! ,presid5t %all develop & implem5t a /rategy to improve & create l9kages among ! v>i\s compon5ts ( sexual & reproductive heal? ) ea* o!r & ) o!r global heal? c>e s]vices1 deliv]y1 & policies 9 ord] to meet ! goal describ$ 9 p>agraph 7#b74 7#b7 ,goal describ$ ,! goal ( bett] l9kages & integration ref]r$ to 9 p>agraph 7#a7 is to ensure t individual m5 & wom5 are provid$ ) a cont9uum ( sexual & reproductive heal? s]vices t meet _! ne$s4 ,integration does n require t all ( ^! s]vices %\ld be provid$ by ! same cl9ician or ev5 9 ! same sett+2 r1 !re %\ld be a me*anism 9 place1 s t e p]son has access to ! sexual & reproductive heal? s]vices he or %e ne$s1 ei!r directly or by ref]ral4 7b7 ,elem5ts ,! /rategy requir$ by subsection 7a7 %all include ! foll[+3 7#a7 ,9 g5]al1 at ! program level1 support+ heal? sy/ems to l9k ! v>i\s compon5ts ( sexual & reproductive heal? s]vices bo? 9 t]ms ( heal? sy/em managem5t1 su* z integrat+ commodity & supply sy/ems1 tra9+1 sup]vision1 data collection & analysis1 & s]vice provision1 to ensure t p h access to a full range ( s]vices 9 _! community4 7#b7 ,9 g5]al1 su* s]vices %\ld include prev5tion ( ill-heal?1 provision ( in=mation & c\nsel+1 scre5+1 diagnosis & curative c>e & ref]ral = a full range ( sexual & reproductive heal? & o!r heal? & social s]vices4 7#c7 ,) respect to l9kages & program integration ( sexual & reproductive heal? s]vices1 su* s]vices %all include activities describ$ 9 section #d7;b74 7#d7 ,) respect to l9kages ( sexual & reproductive heal? s]vices ) o!r global heal? s]vices1 su* s]vices %all include-- 7,a7 c\nsel+ ab\t & ref]rals to o!r relat$ heal? s]vices su* z address+ newborn1 infant1 & *ild heal? 7includ+ educat+ families ab\t prop] ant5atal & deliv]y c>e1 brea/fe$+1 hygi5e1 & int]v5tions = neonatal infections & life-?reat5+ *ildhood illnesses71 mal>ia1 tub]culosis1 neglect$ tropical diseases1 & prop] nutrition = all ages2 & 7,b7 ref]rals to ne>by quality s]vices t _c be provid$ by ! prim>y provid] & o!r social s]vices4 #i4 ,coord9ation2 rese>*1 monitor+1 & evaluation 7a7 ,coord9ation ,assi/ance au?oriz$ "u ?is ,act %all promote coord9ation betwe5 & among donors1 ! private sector1 nongov]nm5tal & civil society organizations1 & gov]nm5ts 9 ord] to support compreh5sive & responsive sexual & reproductive heal? programs 9 develop+ c\ntries4 7b7 ,rese>*1 monitor+1 & evaluation 7#a7 ,9 g5]al ,assi/ance au?oriz$ "u ?is ,act %all be us$ = ! conduct ( =mative rese>* & to monitor & evaluate ! effectiv5ess & effici5cy ( programs4 7#b7 ,requirem5ts ,9 c>ry+ out p>agraph 7#a71 ! ,presid5t %all ensure t !re is-- 7,a7 support = =mative rese>* on ! det]m9ants ( access+ sexual & reproductive heal? products & s]vices1 & adopt+ heal?y behaviors relat$ to sexuality & reproduction1 to in=m program design2 7,b7 support = ! ongo+1 regul>1 & sy/ematic collection ( in=mation to s]ve z ! basis = monitor+ *ange 9 population-bas$ outcomes2 7,c7 support = evaluations ( programmatic effectiv5ess by measur+ ! ext5t to :i* *ange 9 population-bas$ outcomes c be attribut$ to program int]v5tions or environm5tal factors2 7,d7 support = op]ations rese>* t uses appropriate sci5tific me?ods to comp>e diff]5t int]v5tions ) ! objective ( increas+ ! effici5cy1 effectiv5ess1 & quality ( programs2 7,e7 support = field rese>* on ! *>act]i/ics ( programs mo/ likely to result 9 su/a9$ use ( effective family plann+ 9 meet+ ea* individual's lifetime reproductive goals1 ) p>ticul> emphasis on ! p]spectives ( family plann+ us]s1 includ+ support = relevant social & behavioral rese>* focus+ on su* factors z ! use1 nonuse1 & unsafe or ineffective use ( v>i\s contraceptive & relat$-disease control me?ods2 & 7,f7 support = ! developm5t ( new evaluation te*niques & p]=mance crit]ia = sexual & reproductive heal? programs1 emphasiz+ ! us]'s p]spective & reproductive goals4 #aj4 ,def9itions ,9 ?is ,act3 7#a7 ,adolesc5t ,! t]m adolesc5t means an individual :o has atta9$ ! age ( #aj ye>s b n #bj ye>s4 7#b7 ,compreh5sive sexuality education ,! t]m compreh5sive sexuality education means help+ "y p develop ! int]p]sonal skills necess>y = ! =mation ( c>+1 supportive1 & non-co]cive relation%ips & ! ability to ex]cise responsibility reg>d+ sexual relation%ips by address+ su* issues z sexual div]sity1 ab/95ce1 & ! use ( condoms1 contraceptives1 & o!r protective sexual heal? measures4 7#c7 ,integration ,! t]m integration means jo9+ toge!r diff]5t k9ds ( s]vices or op]ational programs1 ei!r directly or by ref]ral1 to ensure m compreh5sive s]vices1 promote a cont9uum ( c>e1 & to maximize heal? outcomes4 7#d7 ,l9kages ,! t]m l9kages means-- 7,a7 ! bi-directional syn]gies 9 policy1 programs1 s]vices1 & advocacy relat$ to sexual & reproductive heal?1 includ+ ,,hiv_/,,aids2 & 7,b7 ref]s to a broad] human rights bas$ approa*1 ( :i* s]vice integration is a subset4 7#e7 ,reproductive heal? ,! t]m reproductive heal?-- 7,a7 means a /ate ( complete physical1 m5tal1 & social well-be+ & n m]ely ! abs5ce ( disease or infirmity1 9 all matt]s relat+ to ! reproductive sy/em & to its functions & processes2 & 7,b7 implies t an individual is able to h a satisfy+ & safe sex life & t su* individual has ! capability to reproduce & ! fre$om to decide if1 :51 & h[ (t5 to d s1 includ+ ! "r ( m5 & wom5 to be in=m$ & to h access to safe1 effective1 af=dable1 & acceptable me?ods ( family plann+ ( _! *oice1 z well z o!r me?ods ( _! *oice = regulation ( f]tility :i* are n aga9/ ! law1 & ! "r ( access to appropriate heal? c>e s]vices t w enable wom5 to g safely ?r\gh pregnancy & *ildbir? & provide c\ples ) ! be/ *ance ( hav+ a heal?y infant4 7#f7 ,reproductive rights ,! t]m reproductive rights-- 7,a7 means ^? rights t embrace c]ta9 human rights t are already recogniz$ 9 national laws1 int]national human rights docum5ts1 & o!r cons5sus docum5ts2 7,b7 includes ! recognition ( ! basic "r ( all c\ples & individuals to decide freely & responsibly ! numb]1 spac+1 & tim+ ( _! *ildr5 & to h ! in=mation & means to d s1 & ! "r to atta9 ! highe/ /&>d ( sexual & reproductive heal?2 & 7,c7 fur!r includes ! "r ( all c\ples & individuals to make decisions conc]n+ reproduction free ( discrim9ation1 co]cion1 & viol5ce1 z express$ 9 human rights docum5ts4 7#g7 ,sexual heal? ,! t]m sexual heal?-- 7,a7 means a /ate ( physical1 emotional1 m5tal1 & social well-be+ 9 relation to sexuality & n m]ely ! abs5ce ( disease1 dysfunction1 or infirmity2 7,b7 includes a positive & respectful approa* to sexuality & sexual relation%ips1 z well z ! possibility ( hav+ pleasurable & safe sexual exp]i5ces1 free ( co]cion1 discrim9ation1 & viol5ce2 & 7,c7 fur!r includes ! sexual rights ( all p]sons to be respect$1 protect$1 & fulfill$4 7#h7 ,unmet ne$ ,! t]m unmet ne$ ref]s to nonuse ( a mod]n contraceptive me?od by an individual :o is m>ri$ or unm>ri$ & sexually active1 is able to become pregnant1 & wants to /op *ildbe>+ or to wait at lea/ #b ye>s be=e hav+ a *ild4 7#i7 ,"y p ,! t]m "y p means ^? individuals :o h atta9$ ! age ( #aj ye>s b n #be ye>s4 7#aj7 ,y\? ,! t]m y\? means an individual :o has atta9$ ! age ( #ae ye>s b n #be ye>s4