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
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Air pollution: 5 steps to vanquishing an invisible killer

A new report looks at the economics of air pollution. 

110, 150, 520... These chilling statistics are the number of deaths attributable to particulate air pollution for the cities of Southampton, Nottingham and Birmingham in 2010 respectively. Or how about 40,000 - that is the total number of UK deaths per year that are attributable the combined effects of particulate matter (PM2.5) and Nitrogen Oxides (NOx).

This situation sucks, to say the very least. But while there are no dramatic images to stir up action, these deaths are preventable and we know their cause. Road traffic is the worst culprit. Traffic is responsible for 80 per cent of NOx on high pollution roads, with diesel engines contributing the bulk of the problem.

Now a new report by ResPublica has compiled a list of ways that city councils around the UK can help. The report argues that: “The onus is on cities to create plans that can meet the health and economic challenge within a short time-frame, and identify what they need from national government to do so.”

This is a diplomatic way of saying that current government action on the subject does not go far enough – and that cities must help prod them into gear. That includes poking holes in the government’s proposed plans for new “Clean Air Zones”.

Here are just five of the ways the report suggests letting the light in and the pollution out:

1. Clean up the draft Clean Air Zones framework

Last October, the government set out its draft plans for new Clean Air Zones in the UK’s five most polluted cities, Birmingham, Derby, Leeds, Nottingham and Southampton (excluding London - where other plans are afoot). These zones will charge “polluting” vehicles to enter and can be implemented with varying levels of intensity, with three options that include cars and one that does not.

But the report argues that there is still too much potential for polluters to play dirty with the rules. Car-charging zones must be mandatory for all cities that breach the current EU standards, the report argues (not just the suggested five). Otherwise national operators who own fleets of vehicles could simply relocate outdated buses or taxis to places where they don’t have to pay.  

Different vehicles should fall under the same rules, the report added. Otherwise, taking your car rather than the bus could suddenly seem like the cost-saving option.

2. Vouchers to vouch-safe the project’s success

The government is exploring a scrappage scheme for diesel cars, to help get the worst and oldest polluting vehicles off the road. But as the report points out, blanket scrappage could simply put a whole load of new fossil-fuel cars on the road.

Instead, ResPublica suggests using the revenue from the Clean Air Zone charges, plus hiked vehicle registration fees, to create “Pollution Reduction Vouchers”.

Low-income households with older cars, that would be liable to charging, could then use the vouchers to help secure alternative transport, buy a new and compliant car, or retrofit their existing vehicle with new technology.

3. Extend Vehicle Excise Duty

Vehicle Excise Duty is currently only tiered by how much CO2 pollution a car creates for the first year. After that it becomes a flat rate for all cars under £40,000. The report suggests changing this so that the most polluting vehicles for CO2, NOx and PM2.5 continue to pay higher rates throughout their life span.

For ClientEarth CEO James Thornton, changes to vehicle excise duty are key to moving people onto cleaner modes of transport: “We need a network of clean air zones to keep the most polluting diesel vehicles from the most polluted parts of our towns and cities and incentives such as a targeted scrappage scheme and changes to vehicle excise duty to move people onto cleaner modes of transport.”

4. Repurposed car parks

You would think city bosses would want less cars in the centre of town. But while less cars is good news for oxygen-breathers, it is bad news for city budgets reliant on parking charges. But using car parks to tap into new revenue from property development and joint ventures could help cities reverse this thinking.

5. Prioritise public awareness

Charge zones can be understandably unpopular. In 2008, a referendum in Manchester defeated the idea of congestion charging. So a big effort is needed to raise public awareness of the health crisis our roads have caused. Metro mayors should outline pollution plans in their manifestos, the report suggests. And cities can take advantage of their existing assets. For example in London there are plans to use electronics in the Underground to update travellers on the air pollution levels.

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Change is already in the air. Southampton has used money from the Local Sustainable Travel Fund to run a successful messaging campaign. And in 2011 Nottingham City Council became the first city to implement a Workplace Parking levy – a scheme which has raised £35.3m to help extend its tram system, upgrade the station and purchase electric buses.

But many more “air necessities” are needed before we can forget about pollution’s worry and its strife.  

 

India Bourke is an environment writer and editorial assistant at the New Statesman.