A/HRC/18/27
death audits should be a non-judicial review that goes beyond medical reasons to identify
the social, economic and cultural reasons that led or contributed to the death.39
34.
Accountability is the cornerstone of the Global Strategy for Women’s and
Children’s Health, which calls on all stakeholders to support improved monitoring and
evaluation to ensure the accountability of all actors for results. The Commission established
to provide oversight of the Strategy proposes a “monitor-review-act” framework for
accountability.40 In order to fulfil their human rights commitments made at the High-level
Plenary Meeting on the Millennium Development Goals,41 States must ensure that their
national accountability mechanisms are consistent with their human rights treaty
obligations. Human right mechanisms such as the universal periodic review, the treaty
bodies and regional mechanisms are crucial to a comprehensive accountability framework.
IV.
Examples
35.
The most effective examples involve the combination of sustained efforts to address
the underlying causes of maternal mortality and morbidity while strengthening Government
commitments to ensuring better access to quality health care and fostering the
empowerment of women. The examples below have produced demonstrable results at
reducing maternal mortality and morbidity by giving effect, to varying degrees and in
different ways, to certain principles of a human rights-based approach: equality and nondiscrimination, participation, transparency, empowerment, sustainability, accountability and
international cooperation. These examples do not review the overall human rights situation
in each State, especially in relation to women or girls, nor do they provide a comprehensive
human rights evaluation of maternal mortality reduction programmes or seek to evaluate
whether all aspects of these are consistent with a human rights-based approach. As seen
above, standards are well developed by international human rights bodies and all States can
improve their efforts to implement these norms and standards and to adopt an integrated
human rights-based approach to preventable maternal mortality and morbidity. The
examples below give effect to certain principles of such an approach, but are not cited as
examples of a holistic and comprehensive approach to maternal mortality and morbidity.
The fact that few examples of how the human rights principles of sustainability and
transparency exist is evidence of how much more needs to be done. While some excellent
examples of mechanisms have been outlined, they also demonstrate the need to incorporate
further, through consistent and systematic efforts, other human rights principles into
strategies if they are to be considered in line with a human rights-based approach.
A.
1.
Africa
Efforts to abandon female genital mutilation and cutting
36.
Throughout Africa, UNICEF and UNFPA have been working with Governments
and partners to address female genital mutilation and cutting, using an approach that does
not focus on individual behaviour but instead supports discussions and debates regarding
the issue and human rights principles; for example, the Saleema campaign in the Sudan
involves and mobilizes communities, religious leaders and families using mass media to
spread its message as widely as possible. This human rights-based approach has resulted in
39
A/HRC/7/11/Add.4, para. 16.
Commission on Information and Accountability for Women’s and Children’s Health, Keeping
Promises, Measuring Results: Final Report, 2011.
41
See General Assembly resolution 65/1.
40
11
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