A/HRC/38/37 informed participation of individuals and groups in health policies, programmes and projects and the right to health monitoring and accountability mechanisms that are effective, transparent and accessible.75 Enhancing the enjoyment of the right to health 47. The United Nations Population Fund (UNFPA) provided an example of expanding access to care for the poorest and most marginalized women and girls living with obstetric fistula. In 2009, Comprehensive Community Based Rehabilitation in Tanzania came together with UNFPA and Vodacom, a mobile telecommunications technology company, to work on a project to help women and girls gain access fistula repair surgery through the MPesa mobile telephone money transfer service. The free fistula surgery provided by Comprehensive Community Based Rehabilitation in Tanzania is now accessible to many women and girls for whom the high costs of transport were previously prohibitive. Using mobile-to-mobile banking technology, funds can now be transferred to fistula patients to cover this cost, with the help of community-based outreach workers, or “ambassadors”, who identify and assist woman and girls living with fistula in their local communities. UNFPA reports that, since the project was launched, the number of women receiving fistula treatment has grown exponentially. 76 Focus on groups in vulnerable situations 48. Morocco has integrated human rights and ethics into training on HIV and syphilis testing in prisons provided to doctors, dentists and psychologists. 77 In Mexico, following a qualitative study on stigma and discrimination in health centres, building on health personnel testimonies, training material for health personnel was developed to address stigma and discrimination.78 Availability of health facilities, goods and services 49. With regard to enhancing the availability of medicines, following the addition of new medicines (for the treatment of hepatitis C, tuberculosis and cancers) to the WHO Model List of Essential Medicines, in 2017, Malaysia issued a government-use licence for direct acting antivirals to allow the import of generic versions of Sofosbuvir, a hepatitis C drug.79 Accessibility 50. In Morocco, the Minister of Health has established a package of services dedicated to women and child victims of violence, to which all Moroccan nationals and all migrants, regardless of their migratory status, have access. In 2017, South Africa launched a national HIV plan, which is aimed at significantly reducing infection rates, discrimination and stigma by providing information, psychosocial support and treatment to all members of the lesbian, gay, bisexual, transgender and intersex community. 80 In 2017, Denmark removed self-identification as transgender from its list of mental health conditions, an important contribution to addressing the stigmatization and pathologization of diverse gender identities. 81 In Portugal, decriminalization of drug use has been helpful in decreasing stigmatization, and ensuring access to health services for all, without discrimination. 82 51. Accessibility also means economic accessibility of health facilities, goods and services. In Australia, the National Immunisation Programme is a joint initiative of the Commonwealth Government and state and territory governments. Providing free vaccines 75 76 77 78 79 80 81 82 Ibid., para. 53. Submission by UNFPA, pp. 4–5. Submission by Morocco, p. 10. Submission by Mexico, p. 4. Submission by the Major Group for Children and Youth, p. 2. Submission by the International Lesbian, Gay, Bisexual, Trans and Intersex Association, p. 10. Ibid., p. 3. Submission by Students for Sensible Drug Policy, p. 1. 15