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POPULI. 1994 Jul-Aug; 21(7):4-6.An agenda for significant change is proposed for the International Conference on Population and Development (ICPD). Current progress toward the agenda is viewed as insufficient unless there are resource reallocations, political will, vision, and the adoption of the agenda at the ICPD. The ICPD goals also should be accepted by the World Summit for Social Development and by the Fourth World Conference on Women in 1995 in order to achieve human security and development. Population agencies must 1) increase investments in health, education, water, sanitation, housing, and social services; 2) enact and enforce legislation empowering women in sexual, social, and political ways; 3) provide credit, training, and income development so women can have decent lives; 4) involve women's advocates at all levels of decision making; and 5) eliminate the gender gap in education, prevent violence against girls, and eliminate sex role stereotypes. The literature in the population field has neglected sexuality, gender roles, and relations and has concentrated on unwanted pregnancy, sexually transmitted diseases, and contraceptive efficacy. Many family planning (FP) programs reinforce gender roles. Improvement in the quality of services must be a top priority for FP programs. Quality of care is conceptualized differently by FP providers and women's health advocates. Basic program management and logistics systems could be changed with modest investments in staff motivation and revised allocations of human and financial resources. Clients must be treated with dignity and respect. Programs should not concentrate on married, fertile women to the neglect of adolescents and other sexually active women. Preventive health should include those sexually active beyond the reproductive age. Men's responsibility in FP is viewed as fashionable but problematic in terms of actual program change.