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UPDATED: Wed Mar 13 16:38:44 2002

Dr Gro Harlem Brundtland        
Director-General
World Health Organization

Geneva
8 March 2002

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International Women's Day - "Women, Health and Development"

Good morning, friends and colleagues,

We are here to mark this year's International Women's Day, to celebrate the progress that has been made in fighting discrimination against women and working for equal rights participation of women and the development of communities and nations, indeed in our globalized world.

We all know that this progress has been highly uneven. This year, our focus is on women in Health and development and we will look in particular at the situation for women in Afghanistan. It was not by chance that the Secretary-General chose to use the example of the future of a newborn girl in Afghanistan in his acceptance speech for the Nobel Peace Prize.

That speech was about the challenges we, as a world community, face.

Our Secretary-General laid out for us, clearly and squarely, what we must do in order for all to be able to live in a safe and just world without extreme poverty.

As we all know, discrimination is central in this scenario. It is often based on sex and gender roles. It may result from neglect - or actual violation - of human rights. No doubt, discrimination continues to stand in the way of equitable and just societies.

We at WHO are all fortunate in that we have the chance to work on issues of health and development every day. Through our work, we are each and one of us able to contribute towards a better world. Together, we can make a difference.

Of course, the health of women matters, most of all, to women themselves. But it also matters to their families, communities and societies. Indeed, the health of women is a fundamental pillar that underpins sustainable human development.

Women's issues are intrinsically linked with poverty and poverty carries a woman's face. Three out of four of the poorest billion people of the world are women.

In many countries, women own nothing, inherit nothing and earn nothing. Discrimination combined with poverty also prevent women from getting out of situations of abuse and exploitation. Poverty leads to ill-health, additional strain on already over-stretched households, and ill-health leads to poverty. When women are ill, gender based discrimination further limit their access to care and treatment.

Societies will only be able to prosper, and emerge from poverty, if their women enjoy better health. Investing in health makes good economic sense. Investing in women makes even better economic sense.

Improving women’s health means reducing the risk of dying when giving life to a child. Women’s health is strongly influenced by their role as mothers. Still, we fail to provide so many with the means for safe motherhood. Over half a million women die each year. Twenty million suffer disability. Yet much of this suffering could be avoided if all women at least had the help of a skilled health worker during delivery.

Improving women’s health means ensuring women the right to protect themselves against infection with HIV. In 1980, 20 per cent of the adults infected with HIV were women. Ten years later, that figure had doubled. Now, nearly half of adults living with HIV are women. Most staggering of all is the evidence that in some parts of Africa infection rates of adolescent girls now run 3 - 6 times higher than boys of the same age. It is a glaring example of gender inequality and the exploitation of girls. Changes in attitude and sexual practices are the answer. Young people need the information and means to protect themselves, and people affected must receive care and protection.

Improving women’s health means speaking out against all forms of violence: female genital mutilation, trafficking, domestic violence, rape and sexual abuse. Two years ago, the US Secretary of State Madeleine Allbright said it as it is: "these practices are not cultural, they are criminal".

Improving women’s health means making sure that women get the attention and care that they need.

The experience of the last five years indicates that too many governments do not see improvements in women’s health as a priority, despite the goals set in Cairo and Beijing.

In WHO we have analysed 121 country reports on activities on the Beijing Platform for Action. Less than half of the reports identified women’s health as a national priority. Some countries did not report on women’s health at all. All countries should do better than that!

To make change, it will take investment in people, in education, in health systems that reach all and that are responsive to the needs of women.

Friends,

There is no way we can overcome poverty and gender discrimination if we do not take the health of girls and women seriously. We need to take a comprehensive look at the health of women throughout the life cycle and take up the challenge of new issues that need global attention.

The Commission on Macroeconomics and Health has provided us with an impressive agenda for investments in health. Their Report highly focuses on the importance of investing in maternal health. But we all know: women will greatly benefit from a scaling up of investment in health.

For women to fully benefit from improved health services, we must also fight the discrimination that prevents women from making use of them. We must empower women so that they are able to make healthy choices for themselves and their children.

Yesterday, Cabinet approved the WHO policy for integrating gender perspectives into all of our work.

I look forward to our discussion today, and to continue working together to improve the lives and choices of women.

Thank you.

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