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The last 40 years have seen tremendous improvements in the reproductive health (RH) of men and women in low- and middle-income (LMI) countries. In that time, contraceptive prevalence rates have risen from an average of around 10% to over 60%. The number of LMI countries with official population policies has grown from 2 to 115, while total fertility rates have dropped from 6 to 2.6.

Unfortunately, these achievements are under threat. And they are under threat because many in the developing world can no longer access the basic RH supplies and commodities they need, whether it be to prevent unwanted pregnancies, ensure safe deliveries, or manage and treat sexually transmitted infections.

In the next 10 years, the number of contraceptive users is projected to increase by more than 21%. Without a reliable supply of sexual and RH commodities and quality service provision, the promises made at the International Conference on Population and Development (ICPD), the Millennium Summit, and reiterated at the September 2005 World Summit cannot and will not be kept. The Coalition was established to confront and address this reality.