A/HRC/33/24
recommendations to the country’s Parliamentary Standing Committee on Health and
Family Welfare. Following their intervention, the Committee provided budget oversight on
the departmental demand for grants 2015/16 of the Ministry of Health and Family Welfare,
which subsequently took into account the human rights principles of equality and nondiscrimination, and made a number of rights-based recommendations to the Ministry. As a
consequence, the Ministry increased the special component of the budget earmarked for
marginalized indigenous populations.
D.
Ensuring implementation in practice
27.
Important efforts have also been made to work with health-service providers in
implementing rights-based approaches to sexual and reproductive health. For example, a
coalition of organizations, including the Ministry of Health of Jalisco, the National
Committee for the Promotion of Safe Motherhood, the Committee for the Promotion of
Safe Motherhood in Jalisco, the Simone de Beauvoir Leadership Institute and OHCHR
have used the technical guidance in Jalisco, Mexico, to address high maternal mortality
rates. Through the project, training sessions have been organized for 60 social workers who
subsequently produced 10 research protocols on sexual and reproductive service provision
and human rights within their health facilities. These protocols, currently being
implemented, enabled the social workers to break down stereotypes, be critical of
institutional practices that violate women’s human rights and strengthen monitoring and
accountability.
28.
In addition to the guidance mentioned above (para. 7), one of which is focused on
health workers, UNFPA has partnered with WHO to develop a detailed implementation
guide, in terminology commonly used by health-care providers and programme managers,
on ensuring human rights within contraceptive service delivery.8
29.
In South Africa, the Society of Midwives of South Africa is using the technical
guidance in its efforts to build the capacity of midwives to apply a human rights-based
approach and to promote the special role of midwives in sexual and reproductive health as
distinct from general nurses, including their separate training, registration and management.
The Society has developed the “Trainers handbook on applying human rights-based
approaches to midwifery”, which draws on and contextualizes the technical guidance,
conducted workshops to empower its executive members and strategic educators to
introduce this work in their respective training institutions and carried out advocacy for
midwifery. Thus far, the handbook has been piloted with 30 midwives in courses facilitated
by two of the trained educators. The workshops and training courses also helped sharpen
advocacy efforts and collaboration with the National Department of Health and the Minister
of Health to ensure explicit and independent recognition of midwives in the South African
Nursing and Midwifery Act 2015.
E.
Monitoring, review, oversight and remedies
30.
The technical guidance was used extensively by multiple stakeholders in Brazil to
monitor follow-up to communication No. 17/2008, Da Silva Pimentel v. Brazil, on which
the Committee on the Elimination of Discrimination against Women had adopted its views
on 25 July 2011, the first decision of an international human rights treaty body on a
maternal death as a human rights violation.
8
8
UNFPA and WHO, Ensuring Human Rights within Contraceptive Service Delivery: Implementation
Guide (2015).
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