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Health

    • UN report points to yawning gap of inequality in sexual and reproductive health worldwide

    A woman carries her baby and a bucket of water in Harare on April 6, 2020. (AP Photo/Tsvangirayi Mukwazhi) A woman carries her baby and a bucket of water in Harare on April 6, 2020. (AP Photo/Tsvangirayi Mukwazhi)
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    GENEVA -

    A new study says an African woman is roughly 130 times more likely to die from pregnancy and childbirth complications than a woman in Europe or North America, the UN population fund reported Wednesday as it decried widening inequality in sexual and reproductive health and rights worldwide.

    UNFPA's latest 鈥溾 report also estimates that nearly 500 maternal deaths per day occur in countries with humanitarian crises or conflicts, and shows that women of African descent in the Americas are more likely to die giving birth than white women.

    鈥淪weeping global gains in sexual and reproductive health and rights over the last thirty years are marred by an ugly truth 鈥 millions of women and girls have not benefited because of who they are or where they were born,鈥 the fund said in a statement.

    UNFPA executive director Dr. Natalia Kanem said the unintended pregnancy rate has declined by nearly one-fifth since 1990 and the maternal death rate has dropped by more than one-third since 2000.

    But 鈥渋nequalities within our societies and health systems are widening, and we have not adequately prioritized reaching those furthest behind,鈥 she said. Improvements in health-care access have mostly benefited wealthier women and members of ethnic groups with better access to care, the fund said.

    Kanem hailed some progress: More than 160 countries have passed laws against domestic violence, and 鈥渓egislation against LGBTQIA+ sexuality鈥 that was once widespread has been on the retreat. Now only one-third of countries have such laws.

    While she credited 鈥渢he world's agreement鈥 that led to such gains, Kanem also warned: 鈥淗uman reproduction is being politicized. The rights of women, girls and gender diverse people are the subject of increasing pushback."

    鈥淎nd yet, today, that progress is slowing. By many measures, it has stalled completely," she said. 鈥淎nnual reductions in maternal deaths have flatlined. Since 2016, the world made zero progress in saving women from preventable deaths in pregnancy and childbirth.鈥

    鈥淗ealth systems today are weak," Kanem added. "They鈥檙e tainted by gender inequality, by racial discrimination and by misinformation.鈥

    The fund called for new investment in sexual and reproductive health, as well as improvements in sexuality education, stopping gender-based violence, and 鈥渆nding unmet need for contraception鈥 鈥 an issue that has driven a wedge in some countries.

    Under the term of then-president Donald Trump, the United States halted funding for UNFPA largely over concerns about abortion 鈥 depriving the fund of tens of millions of dollars over four years.

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