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  • Title: The Tbilisi Declaration.
    Author: International Conference, "From Abortion to Contraception; Public Health Approaches to Reducing Unwanted Pregnancy and Abortion through Improved Family Planning Services" (1990: Tbilisi).
    Journal: Plan Parent Eur; 1991 May; 20(1):27-8. PubMed ID: 12343178.
    Abstract:
    The Tbilisi Declaration of 13 October 1990 approved by participants at an international conference supported by UNFPA, WHO/Europe, PPF/Europe, and the Zhordania Institute is printed in its entirety. The original conference document was altered inspite of IPPF Europe Regions' protestations and final approval that the conference document remain intact. In dispute was the last sentence in the "contraception reduces abortion" section, which originally left out the modifiers and stated that with appropriate backup, simple safe inexpensive ... procedures exist for use in PHC settings. ILPPF urged government agencies to change participant's views; a position expressed and agreed with in Tbilisi. The document itself is concerned with the right to reproductive health, a major public health problem, contraception reduces abortion, and the impact of legislation. The UNFPA formal position on abortion is stated as "not a means of family planning;" government support does not imply endorsement of national policy. UNFPA is concerned with increases in the availability of family planning. Participants agreed that couples and individuals have the right to decide freely, responsibly and without coercion the number and spacing of children, the right to reproductive health, self-determination, and that every child should be a wanted child. Recognition was given to unwanted pregnancy and unsafe abortion as major public health and social problems. Also, it was recognized that abortion rates are highest in countries with weak education in FP and sexuality and constraints on women. Criminal sanctions have no impact on the abortion or birth rates, but are associated with unsafe abortion. Abortion can be reduced through family planning. There is need for 1) high quality reproductive health services that respect women's autonomy and dignity; 2) early sex education; 3) lifestyle changes to place responsibility also on men for contraception, family formation, and rearing; 4) increased government funding for service and training. Central and East Europe are in greatest need. The goal of the document was to insure life which contributes to one which is rich and joyful.
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