A/HRC/44/48/Add.1 Annex Report of the Special Rapporteur on the right of everyone to the enjoyment of the highest attainable standard of physical and mental health on his visit to Ecuador Contents Page 2 I. Introduction ................................................................................................................................... 3 II. Right to health in Ecuador ............................................................................................................. 3 A. Background ........................................................................................................................... 3 B. Normative and institutional framework ................................................................................ 5 C. National health-care system .................................................................................................. 7 III. Mental health ................................................................................................................................. 8 IV. Key populations and groups .......................................................................................................... 10 A. Women and girls ................................................................................................................... 10 B. Children and adolescents ...................................................................................................... 13 C. Lesbian, gay, bisexual and transgender persons ................................................................... 13 D. People living with HIV/AIDS ............................................................................................... 14 E. Persons with psychosocial, intellectual and cognitive disabilities ........................................ 14 F. People on the move ............................................................................................................... 15 V. Environment .................................................................................................................................. 16 VI. Conclusions and recommendations ............................................................................................... 17