Melinda Gates has long championed international family planning, and the Goalkeepers Report highlights it as one of four priority areas, alongside HIV, agriculture, and education. One of the SDG targets is to ensure universal access to sexual and reproductive health care services, including family planning. But when it comes to measuring access, the UN relies on metrics better suited to measuring use, or the concept of “unmet need,” of which lack of access to services makes up only 5%.Share
Sub-Saharan Africa remains notable for both its high actual fertility, and its high desired fertility. While family planning advocates, including Melinda Gates, typically speak of the need to increase access to contraceptives, their real goal is to increase use and to promote a small-family norm. But the looming shadow of past abuses remains large, despite efforts by the Gates Foundation and others to bring back the demographic rationale for family planning in addition to rhetoric about human rights and choice.
Melinda Gates told the Washington Post she is frustrated with the Trump administration’s decision to cut funding for international “reproductive-rights projects,” calling it “incredibly disappointing.” While in the past Gates notably distanced her family planning advocacy from the global abortion lobby, she co-chaired a Gender Equality Council at the G7 earlier this year, that called for public funding for abortion, abortion as a component of humanitarian assistance, and the withdrawal of the Trump administration’s expanded Mexico City Policy blocking aid funding to international abortion groups. (Read more.)
The Mystical Doctor
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