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言行一致:国际人口与发展会议30年后修订计划生育核心指标这项未竟且紧迫的任务

Walk the Talk: The Unfinished and Urgent Task of Revising Top-Line Family Planning Indicators, 30 Years After ICPD.

作者信息

Corker Jamaica, Weinberger Michelle, Dasgupta Aisha N Z, Sully Elizabeth A

出版信息

Stud Fam Plann. 2025 Jun;56(2):345-354. doi: 10.1111/sifp.70007. Epub 2025 Apr 23.

Abstract

The 1994 International Conference on Population and Development transformed the family planning (FP) field. Yet, three decades later, global FP monitoring remains anchored in the same core indicators: contraceptive use, unmet need, and demand satisfied. Despite decades of well-established critique, these measures have seen little substantive revision. As the global community looks to 2030 and beyond, a coordinated effort is urgently needed to develop a revised set of easily interpretable, top-line FP indicators. Leveraging recent momentum around advances in FP and contraceptive measurement, this effort must be intentional and focused-ensuring that new indicators better reflect the values and priorities of the field-and should be guided by principles of simplicity, validity, directionality, and universal applicability. Without action, the FP community risks continued reliance on outdated measures or the adoption of impractical, unvalidated indicators, weakening future accountability for rights-based FP. We call on key stakeholders-FP advocates, donors, and global organizations-to prioritize and invest in the development and validation of robust new top-line FP indicators over the next three years, to ensure their integration into post-2030 global agenda setting.

摘要

1994年国际人口与发展会议改变了计划生育领域。然而,三十年后,全球计划生育监测仍以相同的核心指标为基础:避孕药具的使用、未满足的需求和已满足的需求。尽管几十年来一直存在着既定的批评,但这些措施几乎没有实质性的修订。随着国际社会展望2030年及以后,迫切需要做出协调一致的努力,以制定一套经过修订的、易于解释的计划生育顶级指标。利用最近围绕计划生育和避孕措施进展所形成的势头,这项工作必须是有目的和有重点的,要确保新指标能更好地反映该领域的价值观和优先事项,并且应以简单性、有效性、方向性和普遍适用性原则为指导。如果不采取行动,计划生育界可能会继续依赖过时的措施,或者采用不切实际、未经验证的指标,从而削弱未来基于权利的计划生育的问责制。我们呼吁主要利益攸关方——计划生育倡导者、捐助者和全球组织——在未来三年将制定和验证强有力的新计划生育顶级指标作为优先事项并进行投资,以确保这些指标纳入2030年后的全球议程设定中。

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本文引用的文献

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Measuring unmet need for contraception as a point prevalence.将未满足的避孕需求作为时点患病率进行测量。
BMJ Glob Health. 2019 Aug 28;4(4):e001581. doi: 10.1136/bmjgh-2019-001581. eCollection 2019.
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Toward a New Definition of Unmet Need for Contraception.走向避孕未满足需求的新定义。
Stud Fam Plann. 2019 Jun;50(2):195-198. doi: 10.1111/sifp.12084. Epub 2019 Feb 11.
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Measuring contraceptive prevalence among women who are at risk of pregnancy.测量有怀孕风险的女性的避孕普及率。
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