; and (4) enhanced access to medical advances such as the development of antiretroviral therapies, which 23,300,000 people living with HIV accessed in 2018, contributing to significant decreases in HIV acquisition and transmission; Whereas gaps and challenges in achieving the goals of the ICPD Programme of Action remain as progress has been unequal and fragmented and new challenges have emerged, such as— (1) 214,000,000 women worldwide who still have unmet contraceptive needs; (2) 295,000 women who still die annually from complications during pregnancy and childbirth globally, nearly all of which are preventable and 1 out of 4 of which could be prevented by access to contraception; (3) up to 13.2 percent of maternal deaths that can be attributed to unsafe abortion; (4) more than 1,000,000 STIs that are— (A) acquired worldwide every day because access to education about STIs and STI testing is not universally available due to a lack of trained personnel, comprehensive sexual education, laboratory capacity, and medicines; and (B) exacerbated by the separation of STI services from other services, such as primary health care or family planning; (5) (A) 1,700,000 people who became newly infected with HIV in 2018, 54 percent of which are among key populations and their sexual partners; and (B) the risk of acquiring HIV is 22 times higher among men who have sex with men, 22 times higher among people who inject drugs, 21 times higher for sex workers, and 12 times higher for transgender people; (6) adolescent girls and young women (ages 15–24) who are at a higher risk of becoming infected with HIV and 4 out of 5 new infections among adolescents (aged 15–19) in sub-Saharan Africa are among girls