The State of World Population 2020: Against my will: defying the practices that harm women and girls and undermine equality. Every year, millions of girls are subjected to practices that harm them physically and emotionally, with the full knowledge and consent of their families, friends and communities, according to the State of World Population 2020, released today by UNFPA, the United Nations sexual and reproductive health agency. At least 19 harmful practices, ranging from breast ironing to virginity testing, are considered human rights violations, according to the UNFPA report, which focuses on the three most prevalent ones: female genital mutilation, child marriage, and extreme bias against daughters in favour of sons.