A/HRC/23/59
standard of health. Member States reiterated that the realization of the right of the child to
health was indispensable for the enjoyment of all other rights enshrined in the Convention
on the Rights of the Child, and the need for a holistic approach to the promotion of the right
of the child to health. Reference was also made to the importance of ensuring that all
children had equal access to quality health care without discrimination, and that inequalities
in access to health care were often linked to more structural issues, such as inadequate
health systems, insufficient health financing and lack of qualified human resources.
Conflict, poverty and the lack of clean water in certain areas prevented children from
enjoying their right to health. Child mortality, epidemics and HIV/AIDS continued to pose
serious challenges for some countries. Several delegates raised the situation and
vulnerability of children under foreign occupation.
19.
Several speakers stated that more attention should be paid to technical assistance and
cooperation in enhancing children’s human rights, including the right to health. Some
delegations also expressed support for the Rio Political Declaration on Social Determinants
of Health adopted at the World Conference on Social Determinants of Health on 21
October 2011, as well as for the Optional Protocol to the Convention on the Rights of the
Child on a new communications procedure. Birth registration was mentioned as an essential
step to strengthen the rights of the child, including the right to health. The importance of
treating children with care, sensitivity, fairness and respect throughout any health-care
intervention was also raised. Several delegations referred to the best interests of the child as
a primary consideration. In this context, the promotion of breastfeeding was raised. The
essential role of the family in ensuring the well-being and protection of children was also
emphasized.
20.
Health education, and in particular sexual and reproductive health education and
information for children and adolescents, was stressed. Reference was made to how sexual
and reproductive rights were being neglected and breached by harmful practices, including
female genital mutilation and child marriage. Other issues raised included technology
advances and prenatal sex selection, the importance of awareness-raising initiatives on the
right of the child to health, and the need for States to take appropriate measures to reduce
child mortality.
21.
Non-governmental organizations expressed concern at children’s environmental
health, and called upon Governments to take action to prevent the exposure of children to
toxic chemicals and to treat its impact on health. They also expressed concern with regard
to migrant children and requested that States ensure that the best interests of the child were
always prioritized, regardless of the migration status of the child or of his or her parents.
Attention was also drawn to the vulnerability and special needs of children in detention and
of children in conflict with the law.
D.
Concluding remarks
22.
The moderator summarized the key points raised and invited panellists to
respond to a number of issues, including whether universal health coverage was a
panacea; the challenges to multi-sectoral policies in dealing with access of children to
health; the role of the family and how to address opposing views expressed on issues
concerning sexual education; the role that national human rights institutions could
have in promoting and protecting the right of the child to health; and how the
international community could do more to support and strengthen institutions in child
health.
23.
With regard to universal health coverage, Ms. Bustreo stated that the
universality of access to health services was the concept that underpinned the work of
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