Remarks by Dr. Natalia Kanem, UNFPA Executive Director at the PMNCH High-Level Panel – SRHR as a Catalyst for Social and Economic Rights: Advancing Health, Equity, and Development

Your Excellencies, 
Dear Rajat, 
Esteemed partners and friends, 
Dear young people,

My greetings are of peace – now so needed and the fervent wish of the women, girls and young people UNFPA, the United Nations sexual and reproductive health agency, serves in over 150 countries. In these times, the United Nations' mission: peace, human rights and development, is more precious now than ever before.

Since 1994 and the Cairo International Conference on Population and Development (ICPD), Principle 1 of the Programme of Action affirming that all human beings are born free and equal in dignity and rights. This has been underscored in the UN Charter itself. 

So we thank our friends at the Partnership for Maternal, Newborn and Child Health (PMNCH) for organizing this event with a focus on sexual and reproductive health and rights – an intrinsic part of the right to health and development. UNFPA will continue to be your best ally on the frontlines of the fight for sexual and reproductive health and rights.

Let me go further and commend you, the stalwarts of the sexual and reproductive health and rights movement – a movement that connects us all around the world. 

We must face the reality that the pushback is intensifying and that progress is slowing. Once again, it is poor marginalized women and girls being left behind – who have the least access to health services and are bearing the greatest burden of ill health and preventable deaths. 

Who is listening to them? Because they are being denied their fundamental rights and choices every day.

Right now, the world over, human rights are being threatened. Let me tell you, there are two areas in particular that have me up at night:

1) Population crusaders

Some are currently taking the view that you should have 10- or 20 children because it’s what’s best for society. The right to bodily autonomy asserts that no woman anywhere should ever be told how many children to have, to be denied contraception of her choosing, or to be coerced into sterilization. It is women without a social safety net who fall victim to unsafe abortion and will be particularly harmed by these types of ideas.

The right to bodily autonomy should not be up for debate. It should not be a toxic, third rail issue. Yet even in parts of Europe, women face difficulties accessing contraception and young women are being encouraged to pursue motherhood only, not a career.

2) Online violence

Online violence is terrorizing women, girls, and people of diverse sexual identities. If we do not act, if we do not listen, the average 10-year-old girl will not be able to go online without being bullied or shamed.

The increasing prevalence of shocking disrespect and technology-facilitated gender-based violence threatens the safety and wellbeing of women and girls. Two in five women say they have experienced online violence. It’s even higher for women at the intersection of multiple forms of discrimination, including racism.

Every day, UNFPA valiantly serves women and girls who have experienced life-altering violence; and women and girls who lack access to the essential sexual and reproductive health care that is their right.

Let me remind us that a woman living in a country with a fragile health system is 135 times more likely to die from pregnancy complications than one in a country with accessible emergency care. This disparity is further compounded for women of African descent and Indigenous women, who face alarmingly high mortality rates due to inadequate care.

Women and girls caught up in a humanitarian crisis have to contend with even more dire conditions. 

In Myanmar, where the earthquake recently struck, it didn’t just shake the ground; it shook the very foundations of women’s access to life-saving care. In Gaza, pregnant women are giving birth amid chaos and without the essential maternal health care and medicines they desperately need. 

And in conflicts everywhere, women and girls are singled out for abuse. Rape and assault as a tactic of war aims to terrorize and displace populations. I can imagine no worse violation of the dignity and rights of a human being.

People who have been victimized tell us that justice is very important to them – it is part of the healing that they seek. But again, is anyone listening?

I can assure you that UNFPA, PMNCH and all of us in this room are listening and are determined to speak up for her. I am certainly determined to defend the rights and choices of women, girls and young people everywhere.

It is not something that goes in and out of fashion. It is not something that any one Member State can dictate. These are values that must not be compromised. 

The enjoyment of sexual and reproductive health and rights generates a multitude of socioeconomic benefits, ranging from reductions in maternal and child mortality to higher education levels and greater productivity — building blocks for stronger, healthier communities.

It is one of the best investments possible.

I learned this week about a study in South Africa that has shown that at the age of 14-16 years, something dramatic happens in the life of an adolescent girl. Prior to that age, boys and girls enjoy the same freedoms when it comes to accessing social and economic opportunities. But with the onset on puberty, the girl diverges from the boy, her potential curtailed.

Meeting the needs of young people has to be a priority, and solutions have to be co-created with them. 

I hope we will take inspiration from CPD week and be humble enough to explain our positions, which are based on data and evidence, but also be adamant about our values proposition, as proclaimed in Principle 3 of the ICPD Programme of Action:

The right to development is a universal and inalienable right and an integral part of fundamental human rights, and the human person is the central subject of development. 

Thank you again. I encourage and urge you to continue to be vocal and to be visible, not just here in New York during this time, but everywhere where you sit. As you go back home, know that we wish the best for you as defenders of the rights and choices women and girls. 

Please continue to wave the flag of the ICPD up high.