In 1993, the United Nations (UN) General Assembly defined gender-based violence as "any act of. .. violence that results in, or is likely to result in, physical, sexual, or psychological harm or suffering for women, ineluding threats of such acts, coercion, or arbitrary deprivations of liberty, whether occurring in public or private life."1 A recent analysis of more than 50 population-based surveys found that between 10% and 50% (or more) of adult-women respondents around the world reported having been physically assaulted by an intimate male partner at some point in their lives. Psychological abuse almost always accompanied physical abuse, and sexual abuse was present in a third to more than half of the cases.2 By labeling such violence as gender-based, the UN highlighted the need to understand this violence within the con

The 1994 International Conference on Population and Development held in Cairo has generated widespread commitment to changing family planning programs from categorical and medically focused service organizations to reproductive health initiatives that embrace a wide range of social and human services. This article uses qualitative data analysis to review the experience of nine family planning association projects in the Latin American and Caribbean region that have made a successful organizational transition from services focused on family planning to a gender-based and sexual health approach. A conceptual framework is proposed, including factors external to the organization. Factors that can promote a pilot intervention's becoming fully institutionalized include: the need for commitment from high-level staff and members of the board of directors, the creation of partnerships with other agencies, and an emphasis on monitoring and evaluation. Lessons from this experience and their potential relevance to other settings are reviewed and discussed.

There is growing science and policy interest in multi-sectoral action, but bridging the gap between family planning and urban development is challenging. This paper analyses the experience of integrating these sectors in sub-Saharan Africa via building research capacity. Familyplanning researchers were supported to link with urban-development actors, one goal being to generate lessons on the process of getting their research into the policy domain. The urban governance sector's dynamic and complex nature was a particular challenge for familyplanning researchers; in future, structured familiarisation with a sector might facilitate multi-sectoral action and better enable researchers to link with the policy world.

For most of human existence and in most societies, women have been considered to be property and subject to men. Throughout history, with such notable exceptions as Queen Boadicea, Eleanor of Aquitaine, Elizabeth I of England, and Catherine the Great of Russia, women had little or no power until early in the 20th century when the women's suffrage movement was successful in the United States and in some European countries. As women have gained political rights, groups of women have sought sexual and reproductive rights, as exemplified by the feminist movement of the past few decades in the United States. Although marked strides toward achievement of reproductive choice have been taken in high-income countries, there remain major strictures to reproductive freedom for women in low-income countries. This area, which is replete with ethical and moral issues, has been addressed by the International Planned Parenthood Foundation (IPPF), which has worked to improve the sexual and reproductive health of women throughout the world. The IPPF Charter on Sexual and Reproductive Rights is a paradigm for both women's rights and human rights. Karen Newman is policy adviser with the IPPF and has codrafted the IPPF Charter on Sexual and Reproductive Rights together with two lawyers. She has held several positions within the IPPF, including medical researcher, press officer, and programme adviser in Europe, where she had responsibility for working with new family planning associations (FPAs) in the Czech Republic and Slovakia. At present, she is working to increase the capacity of IPPF member FPAs to undertake human rights-based advocacy for sexual and reproductive health and rights. Judith F. Helzner is director of Sexual and Reproductive Health at International Planned Parenthood Federation/Western Hemisphere Region, Inc., where she has worked since 1987. She holds M.A. degrees from the University of Pennsylvania in International Relations and Demography. Her previous employment includes the Pathfinder Fund and the International Women's Health Coalition.

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