A/HRC/33/24
Entity for Gender Equality and the Empowerment of Women (UN-Women), converged
with a separate national inquiry on sexual and reproductive health and rights initiated by the
Malawi Human Rights Commission and supported by UNFPA. Because of the
complementarity of the two reports, they were considered together at a multi-stakeholder
dialogue in October 2015. Actors from various areas of the Malawian society attended the
meeting, including government officials from several ministries, members of Parliament,
district health officers, justice system personnel, United Nations agencies, service
providers, civil society organizations and the media. During this dialogue, several evidencebased policy responses were identified and responsibilities assigned to key actors to take
action, ultimately strengthening accountability at various levels.
16.
As a result of this engagement, sexual and reproductive health and rights feature
prominently in the Human Rights Action Plan of Malawi, as well as in the joint work plan
of the United Nations and the Malawi Human Rights Commission. One of the main areas
for action is efforts to bring the human rights discussion to the district level, where many of
the barriers to effective enjoyment of rights were observed. UNFPA is also placing
particular priority on ensuring contraceptive choice and the availability and accessibility of
contraceptive goods and services. Another key area for action in Malawi concerns law
reform, including ongoing efforts to reform the abortion law and advocate for a
comprehensive law on sexual and reproductive health and rights.
17.
In Uganda, the multi-stakeholder meeting held in November 2014 took place within
the context of multiple initiatives to improve sexual and reproductive health and rights.
Under the leadership of the Ministry of Health, a task force has been established on a
human rights-based approach for planning and implementation, creating additional
advocacy opportunities.
18.
A variety of capacity-building initiatives have emanated from the technical guidance
roll-out process in Uganda. OHCHR has prioritized building the capacity of civil society to
monitor violations of sexual and reproductive health and rights, the provision of a human
rights database customized for the documentation of cases to inform strategic litigation and
policy advocacy, and capacity-building for health workers on rights-based approaches to
health. Additionally, UNFPA, OHCHR and WHO formed a reference group to work with
the Ugandan Human Rights Commission to build its institutional capacity to monitor and
report on sexual and reproductive health and rights.
19.
In recognition of the need to pay particular attention to individuals and communities
who are often excluded in planning processes in this area, the Ministry of Health has agreed
to ensure that maternal death reviews will be conducted not only at the health-facility level
but also at the community level. As a result, there is now improved understanding that the
unmet health needs and rights of those not coming to health facilities must be analysed in
order to ensure effective redress. Illustratively, and in accordance with the technical
guidance, the White Ribbon Alliance has prioritized monitoring access to services in
various regions with community-based monitoring action teams. Moreover, awareness of
the technical guidance raised through the multi-stakeholder process has also led to
increased attention paid to access to sexual and reproductive health services for adolescents,
with the Ministry of Health updating its adolescent health strategy and introducing data
collection for 10-14 year olds.
20.
Another key area of action by OHCHR and civil society organizations in Uganda
following the multi-stakeholder process is engagement with the judiciary to enhance
understanding of the justiciability of economic, social and cultural rights, including the
right to health, which would strengthen the possibility of effective accountability for
preventable maternal deaths.
6
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