This report from Population Action International examines progress made towards achieving the goal of reproductive health and rights for all by 2015, agreed at the 1994 International Conference on Population and Development (ICPD). Key achievements include a significant increase in contraceptive use, and higher secondary school enrolment rates among girls. However, significant challenges remain, notably: high unmet need for effective contraception and protection from HIV/AIDS and other sexually transmitted infections (STIs); continuing high levels of maternal mortality; high rates of unsafe abortion; and an acute and growing resource shortfall, with many clinics experiencing stockouts (zero supplies) of contraceptives, safe motherhood kits and other reproductive health essentials.