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Reproductive rights are critical for realizing all the 17 Sustainable Development Goals. The extent to which couples and individuals have real choices about whether to have children, how many and when to have them, has a direct impact on fertility levels. Where people are able to make these decisions for themselves, they tend to choose smaller families. Where choices are constrained, they tend to have families that are either large or very small, sometimes with no children at all. Choices are limited for far too many women, girls, men and boys with implications not only for individuals, but also for communities, institutions, economies, labour markets and entire nations.