Since the 1994 International Conference on Population and Development (ICPD), there have been notable improvements in reproductive health and rights. However, these overall gains obscure deep inequalities, and recent setbacks during and after the COVID‐19 pandemic highlight the fragility of this progress. The reproductive health agenda is extensive yet remains underfunded and underperforming. Careful thought is needed on how to retain reproductive health and rights as a priority in the global development framework that will replace the Sustainable Development Goals in 2030. This paper examines the evolution of reproductive health, drawing lessons and recommendations for revitalizing and future‐proofing its agenda and enhancing progress. Key recommendations include encouraging bolder thinking in research engaging with the field's multiple challenges, including nontechnical aspects; improving dissemination and utilization of policy‐relevant research; presenting a stronger business case to influence policymakers; and employing broader, inclusive rights‐based arguments that emphasize social justice and equity. Additionally, reevaluating the global reproductive health architecture is necessary, particularly the influential yet inconsistent role of the USA. Relevant lessons from maternal and child health and HIV efforts are distilled to further assist in this process of developing a more effective path forward, ensuring the ICPD's vision is achieved beyond 2030.

中文翻译：

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重振国际人口与发展会议国际发展议程行动纲领：在困难时期迈向生殖健康和权利的前进道路


自 1994 年国际人口与发展会议 （ICPD） 以来，生殖健康和权利取得了显著改善。然而，这些总体进步掩盖了深层次的不平等，最近在 COVID-19 大流行期间和之后的挫折凸显了这一进展的脆弱性。生殖健康议程范围广泛，但资金仍然不足且表现不佳。需要仔细思考如何将生殖健康和权利作为全球发展框架的优先事项，该框架将在 2030 年取代可持续发展目标。本文研究了生殖健康的演变，为振兴和适应未来的议程和促进进展吸取了经验教训和建议。主要建议包括鼓励在涉及该领域的多重挑战（包括非技术方面）的研究中进行大胆思考;改进政策相关研究的传播和利用;提出更有力的商业案例来影响政策制定者;并采用更广泛、更具包容性的基于权利的论点，强调社会正义和公平。此外，重新评估全球生殖健康架构是必要的，尤其是美国有影响力但不一致的角色。从妇幼健康和艾滋病毒工作中汲取的相关经验教训，以进一步协助制定更有效的前进道路，确保 ICPD 的愿景在 2030 年后实现。