1Centre of Expertise on Gender, Diversity and Intersectionality (RHEA), Vrije Universiteit Brussel, Brussels, Belgium.
2School of Health and Related Research (ScHARR), The University of Sheffield, Sheffield, United Kingdom.
Am J Trop Med Hyg. 2021 Jan 25;104(3):812-813. doi: 10.4269/ajtmh.20-0128.
The Nairobi Summit, held in November 2019 and convened by the United Nations Fund for Population Activities, claims to have represented "all nations and peoples, and all segments" of society during its high-level conference. The overall aim of the summit was to mobilize political will and financial commitments that are urgently needed to "finally and fully" implement the 1994 International Conference on Population and Development (ICPD) Program of Action. Despite the recommendation by ICPD to incorporate infertility care in reproductive health services, the new Nairobi Statement largely neglects the topic of infertility. This is particularly troublesome as infertility is a global health problem affecting between 52.6 and 72.4 million couples worldwide, with a high prevalence in low- and middle-income settings. For many people around the world, infertility constitutes an emotional, social, and financial burden, yet appropriate services directed toward preventing and addressing infertility are often inaccessible, unaffordable, or nonexistent. With the impetus of a wider reproductive justice community, we call for the integration of infertility into global reproductive health research and practice, urging policy makers, practitioners, researchers, activists, and funders worldwide to bring focused attention to addressing challenges posed by a lack of safe, effective, and dignified fertility management among those in need.
内罗毕峰会于 2019 年 11 月由联合国人口活动基金组织召开，声称在其高级别会议期间代表了“所有国家和人民，以及社会的各个阶层”。峰会的总体目标是调动政治意愿和财政承诺，以“最终和全面”执行 1994 年国际人口与发展会议（ICPD）行动纲领。尽管 ICPD 建议将不孕不育护理纳入生殖健康服务，但新的内罗毕宣言在很大程度上忽略了不孕不育这一主题。这尤其令人困扰，因为不孕不育是一个全球性的健康问题，影响着全球 5260 万至 7240 万对夫妇，在中低收入国家更为普遍。对于世界上许多人来说，不孕不育是一种情感、社会和经济负担，但往往无法获得或负担不起适当的预防和治疗不孕不育的服务。在更广泛的生殖正义界的推动下，我们呼吁将不孕不育纳入全球生殖健康研究和实践中，敦促世界各地的政策制定者、实践者、研究人员、活动家和资助者关注那些有需要的人缺乏安全、有效和有尊严的生育管理所带来的挑战。
