Joint statement on the 58th Session of the UN Commission on Population and Development delivered by Sierra Leone on Monday 7 April 2025, on behalf of Albania, Andorra, Armenia, Australia, Austria, Belgium, Bosnia and Herzegovina, Brazil, Bulgaria, Cabo Verde, Cambodia, Chile, Colombia, Costa Rica, Croatia, Cyprus, Czechia, Democratic Republic of the Congo, Denmark, Dominican Republic, Estonia, Eswatini, Finland, France, Georgia, Germany, Greece, Guinea, Honduras, Iceland, Ireland, Israel, Italy, Japan, Latvia, Lebanon, Lesotho, Liberia, Liechtenstein, Lithuania, Luxembourg, Malta, Mexico, Monaco, Mongolia, Montenegro, Morocco, Nepal, Netherlands, New Zealand, North Macedonia, Norway, Panama, Papua New Guinea, Peru, Poland, Portugal, Republic of Korea, Republic of Moldova, Romania, Samoa, San Marino, Serbia, Sierra Leone, Slovakia, Slovenia, South Africa, Spain, Sweden, Switzerland, Thailand, Timor-Leste, Tunisia, Tuvalu, Ukraine, Uruguay, Zambia and the United Kingdom.
We are making this collective statement to emphasise the urgent need for action to achieve Sustainable Development Goal (SDG) 3. Health is a human right and a foundation of sustainable development, driving economic growth, social cohesion, and individual dignity.
Over the past decades, significant progress has been made in many areas of health. We have seen a reduction in maternal and child mortality, expanded access to modern contraceptive methods as well as maternal and newborn medicines and commodities, improvements in adolescent health and education, addressing sexually transmitted diseases including HIV, and a decline in child and early forced marriages. These achievements give us hope for a healthier future.
However, significant challenges persist, and the urgent need for equal access to health services and opportunities for healthy lives remains out of reach for many.
Health inequalities stemming from complex, interrelated factors such as economic disparities, social exclusion, significant financial hardship, discrimination, and unequal access to resources, has a profound impact on individuals and communities. These inequalities manifest in poor health outcomes, lower life expectancy, reduced household income, and weaker national economic growth potential. Income inequality exacerbates vulnerabilities, limiting access to health services in low-income countries and disadvantaged communities. Social disparities rooted in gender, race, age, class, religion, and ethnicity perpetuate stigma, violence, and adverse health determinants.
Economic disparities within and among countries remain significant, impacting the lives of many individuals. Far too many people are unable to access essential health services or are forced to forgo care due to unaffordability. Rising out-of-pocket health costs are pushing millions into poverty, hindering the realisation of Universal Health Coverage. Conflicts and climate change are straining health systems and the health workforce, contributing to stagnating maternal mortality rates, growing mental health challenges, and the inability of health systems to cope with the rise of non-communicable diseases.
Equitable, inclusive, and resilient health systems are essential to ensure healthy lives and promote well-being. It is imperative to prioritize universally accessible, quality, and comprehensive primary healthcare services. Sexual and reproductive health and reproductive rights must enable individuals to make free and informed decisions about their health and their lives. Addressing the social determinants of health - such as poverty, malnutrition, education, water and sanitation, and gender inequality - is critical for achieving inclusive economic growth that strengthens and benefits all of society.
The health and well-being of adolescents and youth also demands greater attention - they require better access to health services, education, and information that enable them to make informed decisions about their lives.
Investing in health, particularly sexual and reproductive health, is not just a matter of well-being, but also a powerful driver of economic growth. UNFPA estimates that allocating an additional $79 billion by 2030 to expand maternal health and family planning services could yield $660 billion in economic benefits by 2050-preventing 400 million unplanned pregnancies, 1 million maternal deaths, 6 million stillbirths, and 4 million newborn deaths, while also enhancing workforce participation and economic productivity (UNFPA, 2022). Similarly, closing the women's health gap more broadly could further accelerate economic progress, with the World Economic Forum projecting a potential boost of at least $1 trillion annually to the global economy by 2040.
Greater investments in health infrastructure, workforce capacity, and innovative solutions like digital health can improve service delivery and expand access to services. Strengthening and expanding the global health workforce is at the heart of this. We must address health workforce shortages, ensure equitable distribution, enhance training and pay attention to sustainable retention strategies.
It is vital that we, as policymakers, health organizations, and civil society, address disparities within and among countries, ensuring that people in vulnerable situations, including women, children, older persons, migrants, people with disabilities, and those in extreme poverty, have access to quality, comprehensive health services without financial hardship and discrimination. Our role in promoting responsive health systems that cater to the unique needs of at-risk individuals are key to sustainable and inclusive progress.
A healthier population is central to achieving the 2030 Agenda for Sustainable Development. The ICPD's Programme of Action has guided countries toward inclusive, equitable policies advancing health and gender equality. By strengthening health systems and addressing inequalities, we can work toward a world where all people can live healthy, productive and fulfilling lives.
