Family planning is a matter of social justice

Leaders have the opportunity to unleash women's full potential.

Many leaders from government and civil society will meet in London today to discuss family planning. What they discuss will have an impact on women and girls around the world.

Today more than 25,000 girls under the age of 18 will get married, and the same number will do so tomorrow, the next day, and the next. For the majority of these girls, pregnancy and childbirth will soon follow.

Complications in pregnancy and childbirth are the leading causes of death among adolescent girls aged 15-19 in low and middle-income countries, resulting in thousands of deaths every year. That so many women die as a result of complications from pregnancy or childbirth in the 21st century is a shocking indictment of the low priority given to the needs and status of women and girls in many societies.

As well, many suffer complications in childbirth. In the case of fistula, women may be rejected by their husbands and families and outcast by their communities. They may endure intense shame and physical pain.

Access to reproductive health services is a health issue, but it is also an issue of social justice and human development. It is a basic human right for women to enjoy full legal equality and equality of opportunity, and for a girl born today, in any country, to have the same life prospects as any boy.

When women’s needs for family planning and reproductive and sexual health services go unmet, their chances of finishing their education, entering and remaining in productive work, and breaking out of poverty are sharply reduced.

All too often, women and girls are discriminated against not only in access to health services, but also in education and in the labour market — with negative repercussions for not only their own freedoms, but for progress in their countries as a whole.  In 2010, UNDP introduced the Gender Inequality Index as part of its Human Development Reports, to reveal differences in the distribution of human development achievements between women and men so that policymakers know to take steps to reduce disparities.

Empowering women and girls is one of the strongest tools available to accelerate development. Sexual and reproductive health and rights are an essential component of that empowerment.

When women have control over their health and sexuality, they can plan their pregnancy and childbirth, better protect themselves from HIV and other sexually transmitted infections, and fare better in their families, households, communities, and countries.

This summit, hosted by the UK government and the Bill & Melinda Gates Foundation, with UNFPA and other partners, could mark the start of a new drive to empower women and girls.

The Guttmacher Institute and UNFPA estimate that meeting the unmet need for modern family planning methods in developing countries would cost about $8.1 billion annually. With $4 billion of this total now being invested, there is a shortfall of $4.1 billion.

Leaders have the opportunity to help plug the $4.1 billion a year funding gap in order to get contraception to the hundreds of millions of women who would like to access family planning, but can’t.

Leaders can also take this opportunity to ensure that women’s and girls’ rights are enshrined in law, empowering them to decide whether, when, and how many children they have. 

When women can access family planning, they have the opportunity to shape their own future, and that of their children.  The benefits are felt across whole nations.

All our societies are the poorer if they fail to tap the full potential of half their population, and do not remove the obstacles to their success.

Helen Clark is the Administrator of the United Nations Development Programme and the former Prime Minister of New Zealand
 

A Philippine health worker lectures pregnant women on responsible family planning. Photograph: Getty Images
Show Hide image

Leader: Mourning in Manchester

Yet another attack shows we are going to have to get to used to the idea that our liberalism and our freedoms can only be preserved by a strong state.

Children are murdered and maimed by a suicide bomber as they are leaving a pop concert in Manchester. As a consequence, the government raises the terror threat to “critical”, which implies that another attack is imminent, and the army is sent out on to the streets of our cities in an attempt to reassure and encourage all good citizens to carry on as normal. The general election campaign is suspended. Islamic State gleefully denounces the murdered and wounded as “crusaders” and “polytheists”.

Meanwhile, the usual questions are asked, as they are after each new Islamist terrorist atrocity. Why do they hate us so much? Have they no conscience or pity or sense of fellow feeling? We hear, too, the same platitudes: there is more that unites us than divides us, and so on. And so we wait for the next attack on innocent civilians, the next assault on the free and open society, the next demonstration that Islamism is the world’s most malignant and dangerous ideology.

The truth of the matter is that the Manchester suicide bomber, Salman Ramadan Abedi, was born and educated in Britain. He was 22 when he chose to end his own life. He had grown up among us: indeed, like the London bombers of 7 July 2005, you could call him, however reluctantly, one of us. The son of Libyan refugees, he supported Manchester United, studied business management at Salford University and worshipped at Didsbury Mosque. Yet he hated this country and its people so viscerally that he was prepared to blow himself up in an attempt to murder and wound as many of his fellow citizens as possible.

The Manchester massacre was an act of nihilism by a wicked man. It was also sadly inevitable. “The bomb was,” writes the Mancunian cultural commentator Stuart Maconie on page 26, “as far as we can guess, an attack on the fans of a young American woman and entertainer, on the frivolousness and foolishness and fun of young girlhood, on lipstick and dressing up and dancing, on ‘boyfs’ and ‘bezzies’ and all the other freedoms that so enrage the fanatics and contradict their idiot dogmas. Hatred of women is a smouldering core of their wider, deeper loathing for us. But to single out children feels like a new low of wickedness.”

We understand the geopolitical context for the atrocity. IS is under assault and in retreat in its former strongholds of Mosul and Raqqa. Instead of urging recruits to migrate to the “caliphate”, IS has been urging its sympathisers and operatives in Europe to carry out attacks in their countries of residence. As our contributing writer and terrorism expert, Shiraz Maher, explains on page 22, these attacks are considered to be acts of revenge by the foot soldiers and fellow-travellers of the caliphate. There have been Western interventions in Muslim lands and so, in their view, all civilians in Western countries are legitimate targets for retaliatory violence.

An ever-present threat of terrorism is the new reality of our lives in Europe. If these zealots can murder children at an Ariana Grande concert in Manchester, there is no action that they would not consider unconscionable. And in this country there are many thousands – perhaps even tens of thousands – who are in thrall to Islamist ideology. “Terror makes the new future possible,” the American Don DeLillo wrote in his novel Mao II, long before the al-Qaeda attacks of 11 September 2001. The main work of terrorists “involves mid-air explosions and crumbled buildings. This is the new tragic narrative.”

Immediately after the Paris attacks in November 2015, John Gray reminded us in these pages of how “peaceful coexistence is not the default condition of modern humankind”. We are going to have to get used to the idea that our liberalism and our freedoms can only be preserved by a strong state. “The progressive narrative in which freedom is advancing throughout the world has left liberal societies unaware of their fragility,” John Gray wrote. Liberals may not like it, but a strong state is the precondition of any civilised social order. Certain cherished freedoms may have to be compromised. This is the new tragic narrative.

This article first appeared in the 25 May 2017 issue of the New Statesman, Why Islamic State targets Britain

0800 7318496