CEDAW/C/1996/3/Add.1
English
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demands for energy and iron imposed by menstruation, childbearing and lactation.
Malnutrition also contributes to increased morbidity and death from a variety of
infectious and chronic diseases. Anaemia, which affects some 450 million women
aged between 15 and 49 years, is the most widespread and neglected nutritional
deficiency disease in the world today. It is largely a problem for women,
particularly during pregnancy and lactation. The WHO Nutrition Programme is
working to implement a range of interventions targeting anaemia, including
modification of dietary patterns, alternative treatment schedules and delivery
systems for iron supplementation to overcome problems such as lack of compliance
and logistic difficulties, and food fortification.
9.
A collaborative project with the International Food Policy Research
Institute will examine whether sex and age biases exist on intra-household
resource allocation. An update of the 1986 WHO and United Nations Children's
Fund (UNICEF) publication on the health implications of sex discrimination in
childhood is being prepared, focusing on data from the last 10 years. More work
is needed to identify strategies to address this concern.
10. Improving women's nutritional status, in particular removing the burden of
chronic fatigue that accompanies anaemia, will be a vital step in breaking the
cycle of neglect and ill-health. The commitments made in the Plan of Action on
Nutrition of the International Conference on Nutrition and reaffirmed in
Beijing, including a reduction world wide of severe and moderate malnutrition
among children under the age of 5 by one half of 1990 levels by the year 2000,
giving special attention to the gender gap in nutrition, and a reduction in iron
deficiency anaemia in girls and women by one third of the 1990 levels by the
year 2000, should be used for monitoring progress towards improving women's
nutritional status.
Reproductive health
11. Recent United Nations conferences such as the International Conference on
Population and Development, the World Social Summit, held in Copenhagen in
March 1995, and the Fourth World Conference on Women agreed on a number of
fundamental principles and broad plans of action in the area of health and
development. In particular they affirmed that development policies should
improve the health and well-being of individuals. They also emphasized quality
of life goals and paid particular attention to gender equity and the need to
improve the status of women. The International Conference on Population and
Development proposed and the others endorsed a broad reproductive health
framework, which includes the regulation of fertility and sexual health and
advocated comprehensive reproductive health programmes to be made available
through the primary health-care system no later than the year 2015. Success and
sustainability will depend on integrating the perspectives of women and men into
the development and implementation of reproductive health policies and
programmes.
12. The importance of reproductive health has been recognized within WHO by the
recent creation of the family and reproductive health programme. WHO will
continue to work with Governments to implement integrated reproductive health
programmes reflecting the broader approach to reproductive health, the
empowerment of women and equitable gender relations as endorsed by the
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