Orders, decorations, and medals of the Holy See of the Catholic Church by his authority as head of the Holy See and sovereign of the Vatican City State. Historically, membership in these orders was either conferred by Papal bulls not signed by the Pope or by apostolic letters signed by the Pope himself. Since the reforms of these orders in the beginning of the 20th century, the diplomas have been signed by the Cardinal Secretary of State. In general, "Papal orders of knighthood" refers to the five equestrian orders of the Holy See awarded directly by the Supreme Pontiff as head of the Catholic Church, Holy See and
Multilateral foreign policy of the Holy See Multilateral foreign policy of the Holy See The multilateral foreign policy of the Holy See is particularly active on some issues, such as human rights, disarmament, and economic and social development, which are dealt with in international fora. Both at the United Nations and at the various international conferences, the Holy See has promoted the "Culture of life", opposing efforts to legalize or endorse abortion and euthanasia through internationally legally binding instruments or non-binding declarations, advocating for the abolition of death penalty at the global level, and seeking to ban research on human embryos. At the United Nations General Assembly,