FACT SHEET: THE UNITED NATIONS
POPULATION FUND AND CHINA
WHAT IS UNFPA?
UNFPA, the United Nations Population Fund, is the largest
internationally funded source of population assistance to developing
countries. The Fund, which began
operations in 1969, is a subsidiary body of the United Nations General
Assembly.
WHO FUNDS UNFPA?
UNFPA is funded from
voluntary contributions by member states – not from the UN’s regular
budget. The Fund has 102 donors,
including Japan, the Netherlands, the
United Kingdom, Germany, the United States, Norway, Denmark, Sweden, Canada,
Finland, Ireland, Pakistan, Switzerland, France, Belgium, Australia and
Italy. UNFPA’s income in 2000 was $363
million.
IS THE US THE LARGEST FUNDER OF UNFPA?
No. Various
countries provide more to UNFPA than the United States. The US just provided an annual contribution
of $21.5 million. Recently, Japan and the Netherlands have each
given about $50 million annually, with Norway, Denmark and the UK each in the
$25 million range.
WHAT IS THE SCOPE OF UNFPA OPERATIONS?
UNFPA provides support to 156 countries, 45 in sub-Saharan
Africa, 34 in Latin America and the Caribbean, 43 in Asia and the Pacific, and
34 in the Arab States and Europe. UNFPA
directly manages the majority of the world’s multilateral population
assistance. Since 1969, UNFPA has
provided almost $5 billion for reproductive health including voluntary family
planning and capacity building in developing countries.
ARE
UNFPA’S PROGRAMS EFFECTIVE?
Organized family planning, led by UNFPA during the past 30
years, has been one of the most successful development efforts ever. Globally, fertility rates have been reduced
from 6 to 3 children per women, improving the health of mothers and their
children. The rate of global population
growth has slowed dramatically over the past three decades as a result of
international efforts led by UNFPA to provide safe, voluntary family planning
around the world. Still, the 48 poorest
nations in the world are scheduled to triple in size the next 50 years, necessitating continued
support for international family planning.
WHAT IS UNFPA’S POLICY ON ABORTION?
UNFPA does not provide support for abortions or
abortion-related activities anywhere in the world. UNFPA’s policy, adopted by the Governing
Council, clearly states that it is “the policy of the Fund...not to provide
assistance for abortion, abortion services, or abortion-related equipment and
supplies as a method of family planning.”
Neither does the Fund promote or provide support for involuntary
sterilization or coercive practices of any kind. In fact, the Fund is a global leader in
working to eliminate the use of coercive family planning practices.
WHAT IS THE DIFFERENCE BETWEEN UNFPA AND OTHER ASSISTANCE PROGRAMS?
UNFPA provides population assistance to 156 countries,
more than any other donor agency. In
comparison, only about 60 countries currently receive U. S. population
assistance. In addition, UNFPA is an
important source of funds for many countries.
For example, UNFPA funding accounted for more than two-thirds of total
population assistance in roughly one-quarter of the countries it assisted in
the mid-1990s. UNFPA has played a key
role in countries where few other donors provide population assistance – such
as Iran and a number of small African countries.
IS UNFPA CURRENTLY OPERATING IN CHINA?
As is its right as a UN member,
China has requested assistance from UNFPA.
In 1997, after several years of discussion, UNFPA and the Chinese
Government agreed upon activities UNFPA can undertake in accordance with the
principles set at the International Conference on Population and Development
(ICPD) in 1994 (including those associated with human rights, gender equality,
and individual liberty).
DOES UNFPA CONDONE COERCIVE ACTIVITIES IN CHINA?
UNFPA has not, does not and will
not ever condone coercive activities in China or anywhere. UNFPA is committed to UN’s Charter, the
Universal Declaration on Human Rights, and the International Conference on
Population and Development’s Program of Action, which condemn coercion in all
its forms. UNFPA funds in China can only
be used in a manner consistent with the organization’s objectives. Moreover, UNFPA does not support China’s
one-child policy, and is unequivocally opposed to targets and quotas. In fact, UNFPA’s efforts have been aimed at
(and insisted upon) relaxation of China’s rigid reliance on quotas.
COULD UNFPA DECIDE ON ITS OWN NOT TO OPERATE IN
CHINA?
No. Under the rules of the United Nations, China is
entitled to request assistance from UNFPA.
UNFPA is governed by an Executive Board, comprised of 36 nations, which
must authorize all programs undertaken by the organization. UNFPA programming in China has been
undertaken pursuant to decisions taken by the members of its Executive Board.
WHAT IS THE STATUS OF UNFPA’S PRESENCE IN CHINA?
In January 1998, UNFPA’s
36-nation Executive Board approved a new, sharply focused four-year program for
China. The program operates in 32 selected counties and was designed to advance
voluntary family planning and to demonstrate that free choice, access and
information can be the basis for effective reproductive health programs. The
four-year program authorized expenditures of $20 million (approximately $5
million per year, a small amount compared with UNFPA’s annual income of about
$300 million).
The program was to expire at the
end of 2000. However, due to its late
start, the program has been extended through the end of 2001. As of the end of 2000, UNFPA had expended
approximately $10.5 million.
WHAT ARE THE KEY ELEMENTS OF UNFPA’S VOLUNTARY
PROGRAM IN CHINA?
UNFPA’s activities in China
represent a significant breakthrough. Before agreeing to provide assistance,
UNFPA insisted that China agree to adhere to the principles contained in the
ICPD Program of Action in the 32 counties where UNFPA will provide
assistance. For example, the Chinese
authorities have agreed to abolish all quotas and targets in those counties.
The four-year program, totaling
$20 million – less than half the average annual expenditure of UNFPA’s previous
programs in China – are designed to improve the delivery of voluntary family
planning information and services.
Specifically, the program focuses on improved counseling services; expanding
the range of available contraceptive methods; improving pre- and post-partum
care and assisted births; training health workers about the methodologies and
advantages of informed consent, and emphasizing the international requirement
to do so; and enhancing efforts to prevent and treat sexually transmitted
diseases including HIV/AIDS. In
addition, the program includes components to enhance the status of women and
encourage exchanges with voluntary programs in other developing countries.
WHAT POSITIVE CHANGES HAVE OCCURRED AS A RESULT OF UNFPA ASSISTANCE TO
CHINA?
UNFPA’s efforts in China between 1980 and 1995 have
advanced the availability of quality, voluntary family planning, improved
maternal health, reduced infant mortality and advanced human rights.
UNFPA has maintained a constant dialogue with Chinese
officials about abuses of human rights, especially those attributable to rigid
enforcement of China’s one-child policy.
The Fund has purposefully designed projects to demonstrate the practical
advantages of voluntary efforts and has successfully done so. UNFPA remains diligent in requesting that
China review and moderate provincial and local regulations that are not in
conformity with international human rights standards.
The US State Department’s most recent human rights report
on China notes significant progress toward reducing coercive family planning
practices. For many years, it
has been reported that China’s most restrictive practices have occurred in the
cities. The State Department’s report on
human rights in China in 2000 states that “the Government was beginning to
relax its policies in the cities,” including Beijing, Shanghai, Zhejiang
Province and parts of Guizhou Province.
The report goes on to state that “outside the cities, exceptions to the
‘one-child policy’ are becoming the norm.”
Taken together, these findings essentially indicate a countrywide
relaxation of restrictive practices.
The State Department’s report indicates
that UNFPA has done exactly what it said it would do in the 32 counties in
which it is working – getting these counties to eliminate the system of strict,
government-assigned birth quotas. “In
Sichuan Province, a couple can legally have a second child without applying for
permission…”
Moreover, the report indicates that
Chinese authorities are recognizing the greater wisdom of the non-restrictive
approach advocated by UNFPA. The State
Department’s Human Rights report indicates that more than “600 counties covering
about half the country’s population have adopted more liberal policies.” “Other jurisdictions, such as Minglan village
in Yandu County, have reportedly followed the earlier example of Beijing and
other cities, abolishing birth permits and allowing couples to decide on their
own when to have a baby.”
UNFPA has also:
·
Helped encourage China to recognize and respond to
an emerging HIV/AIDS challenge;
·
supported the development and modernization of 23
contraceptive production facilities. As
a result, a wider variety and safer contraceptives are available in China
today. This kind of progress is a
critical predicate to informed consent and reproductive choice;
·
provided assistance to moderate the single-minded
pursuit of numerical targets, emphasizing instead that interpersonal counseling
underscores individual choice and informed consent;
·
supported, with WHO and UNICEF, training of health
care workers in 300 poor, rural counties to enhance provision of high quality
maternal, child health and family planning care;
·
initiated projects in 11 provinces in China to
promote women’s status through enhanced literacy training, house-hold and small
business financial management training, credit opportunities, day care and
improved maternal/child health and family planning care. These projects aim to improve women’s status
in a culture where women have traditionally been valued less than men.
HAS UNFPA EVER PARTICIPATED IN THE MANAGEMENT OF
THE CHINESE GOVERNMENT’S POPULATION PROGRAM?
Absolutely not. UNFPA does not help manage China’s population
program, nor has it ever engaged in any act of coercion – in China or anywhere
else in the world. UNFPA has not and
will not participate in the management of China’s population program. Assistance from UNFPA amounts to less than
one-half of one percent of the total cost of China’s national program
(estimated to be more than $3 billion annually, compared to UNFPA’s $5
million). Similarly, UNFPA has a staff
of four international professionals in China, as compared to the host
government’s 160,000 family planning workers.
UNFPA is no more able to “manage” Chinese activities than any other
nation or entity that deals with China – including countries like the United
States that have important bilateral relations and high level interactions with
China.
UNFPA has ultimate control over
its funds and requires that they be expended in a manner consistent with the
highest standards for human rights, voluntarism and health care. UNFPA funding in China is only expended in a
manner consistent with voluntarism, respect for human rights, and the elements
contained in the agreed country program.
HAS UNFPA EVER BEEN SUBJECT OF A COMPLAINT, IN CHINA OR ELSEWHERE,
REGARDING COERCIVE ACTIVITIES?
No. Never. There is not any instance anywhere in which
UNFPA efforts have supported coercive activities or compromised international
standards of human rights.
WHY DO OTHER COUNTRIES SUPPORT A UNFPA PROGRAM IN
CHINA?
Historically, almost all of the
nations on UNFPA’s Executive Board have strongly supported the proposition that,
by providing assistance to China, UNFPA is in a unique position to positively
influence China’s population policies and to promote human rights.
UNFPA is in constant dialogue
with Chinese officials at every level on matters pertaining to human rights. UNFPA’s projects require strict adherence to
human rights and insist on approaches to service delivery that are grounded in
informed consent.
HASN’T CONGRESS WORKED OUT A REASONABLE COMPROMISE
ON THIS ISSUE?
Yes. Year-after-year, Congress has dealt with the
issue of funding for UNFPA in light of its mandated presence in China. In recent years, a reasonable compromise has
been worked out to govern US participation in UNFPA. Specifically, the compromise has ensured that
the US remains engaged in UNFPA by providing an annual contribution to the
organization. However, the US
contribution has been reduced by one dollar for every dollar spent by UNFPA in
China. For example, the most recent US
contribution to UNFPA was reduced by $3.5 million, based on last year’s level
of UNFPA activity in China.
DOESN’T US FUNDING TO UNFPA FREE UP ADDITIONAL FUNDS FOR
THE CHINA PROGRAM – THE SO-CALLED “FUNGIBILITY” ISSUE?
Over the past decade, UNFPA took
the highly unusual step – at the request of the United States – of segregating
the US contribution and providing accounting information that irrefutably
demonstrated that no US taxpayer funds were used in China. In addition, US funds could not be used to
allow additional funds to be spent in China because the program allocation for
China ($20 million over four years) is set in the project documentation and
cannot be changed.
IS CUTTING OFF FUNDING TO UNFPA A MEANS FOR THE
UNITED STATES TO ADDRESS CONCERNS ABOUT CHINA’S POPULATION PRACTICES?
Absolutely not. UNFPA is a positive force for change in
China. UNFPA has helped to prevent large
numbers of unwanted pregnancies in China by making safe and more effective
contraceptives available as a replacement for unsafe and failure prone
methods. Millions of improved IUDs have
been produced with UNFPA support, resulting in hundreds of thousands fewer
unwanted pregnancies, fewer abortions, reduced maternal and infant mortality.
If the United States wants to influence China’s population
practices beyond what UNFPA is doing now, it should pursue such efforts
vigorously through its bilateral agenda and human rights dialogue with
China.
DO OTHER ORGANZATIONS HELP ADMINISTER FUNDS IN CHINA?
Historically, more than 99 percent of UNFPA’s assistance
in China has been administered by other multilateral organizations or
international NGOs. Administering
agencies have included the World Health Organization (WHO), the United Nations
Childrens Fund (UNICEF), and the UN Food and Agriculture Organization (FAO),
all of which have an immovable commitment to international human rights
standards.
WHAT WILL BE THE IMPACT OF THE WITHDRAWL OF US FUNDING?
In the 1980s, the United States withdrew from UNFPA
funding for seven years with absolutely no effect whatsoever on Chinese
conduct. And as stated above, under
current law, no US funds may be expended in China. Therefore, the true impact of US withdrawal
from UNFPA is felt by the poorest countries of the world. Because the United States accounts for
between 5-10 percent of UNFPA’s budget in any given year, US withdrawal will
result in a 5-10 percent reduction in UNFPA’s available funding for programs in
developing countries, particularly funding available for some of the poorest
countries in Africa.
As a result of the withdrawal of the United States
contribution to UNFPA in 1999, it is estimated that 870,000 women in the
developing world were deprived of effective modern contraception, leading to
500,000 unintended pregnancies, 234,000 births, 200,000 abortions, and
thousands of maternal and child deaths.