This document discusses the limitations of the Millennium Development Goals (MDGs) in achieving comprehensive sexual and reproductive health and rights. It summarizes that while the 1994 International Conference on Population and Development (ICPD) took a human rights-based approach, the MDGs adopted in 2000 focused only on narrow, target-oriented technical solutions like reducing maternal mortality. For India in particular, gains made after ICPD to expand reproductive health were reduced under the MDGs to only monitoring maternal mortality and skilled birth attendance. The document calls for a post-2015 agenda that places sexual and reproductive health and rights within the social determinants of health and emphasizes economic and social justice in service delivery.