United Nations General Assembly A/HRC/44/48/Add.1 Distr.: General 6 May 2020 Original: English Human Rights Council Forty-fourth session 15 June–3 July 2020 Agenda item 3 Promotion and protection of all human rights, civil, political, economic, social and cultural rights, including the right to development Visit to Ecuador Report of the Special Rapporteur on the right of everyone to the enjoyment of the highest attainable standard of physical and mental health*, ** Summary The Special Rapporteur on the right of everyone to the enjoyment of the highest attainable standard of physical and mental health visited Ecuador from 17 to 26 September 2019. Ecuador has made progress with regard to the realization of the right to health, particularly by investing in health infrastructure. In order for it to fully realize the right to health, the Special Rapporteur encourages the Government to address a number of serious challenges and the prevalence of discrimination and violence against key population groups, particularly women and girls, children and adolescents, lesbian, gay, bisexual and transgender persons, people living with HIV/AIDS and persons on the move. Such challenges disproportionately affect indigenous populations, persons of African descent and those living in rural areas, all of whom have worse health indicators than the rest of the population. The Special Rapporteur also addresses mental health and the challenges affecting the national health system and makes a number of recommendations. * The summary of the report is being circulated in all official languages. The report itself, which is annexed to the summary, is being circulated in the language of submission and in Spanish only. ** Agreement was reached to publish the present report after the standard publication date owing to circumstances beyond the submitters’ control. GE.20-06429(E) 