A/HRC/33/24
21.
In Zambia, in 2015, there was an effort to replicate the technical guidance processes
carried out in other countries. In that regard, at the initiative of UNFPA, a preliminary
meeting was convened with various stakeholders, including the Population Council, the
National Human Rights Institution, the Women and Law in Southern Africa Research and
Education Trust and OHCHR to discuss the current status of sexual and reproductive health
and rights in Zambia and identify priority areas for the future. These entail: an independent
human rights assessment; the facilitation of an orientation meeting with government
officials; civil society organizations raising awareness about human rights-based
approaches to sexual and reproductive health; the subsequent facilitation of a multistakeholder national dialogue to disseminate the preliminary findings of the assessment,
receive feedback and secure consensus on policy and programme directions; and the
development of a country report on a rights-based approach to sexual and reproductive
health programming in Zambia.
22.
Those three multi-stakeholder processes illustrate the critical importance of the
engagement, initiative and leadership of a variety of partners, including the Government,
civil society, health workers, parliamentarians, statisticians, the judiciary and the United
Nations, capitalizing on the strategic advantage of differently situated stakeholders.
B.
Legislative reform
23.
Several stakeholders also report using the technical guidance or the human rights
principles enshrined therein as an assessment or monitoring tool to examine and amend
existing legislation. Submissions from States, such as Georgia, Greece, Madagascar, Mali
and the Republic of Moldova, highlighted how their national laws are aligned with the
technical guidance.
24.
Civil society groups also reported using the technical guidance in their advocacy for
law reform. For instance, in the United States of America, the Center for Reproductive
Rights reports drawing upon the technical guidance to present a “menu” of options at the
state level to work towards human rights compliance. The International Pregnancy
Advisory Services (IPAS) indicates that the technical guidance has informed its work with
the Government of Sierra Leone to address the high rate of maternal mortality, including
from unsafe abortion, and to advocate for law reforms, such as a bill legalizing abortion
currently awaiting approval.
C.
Planning and budgeting
25.
Several stakeholders report using the technical guidance or the human rights
principles enshrined therein as an assessment or monitoring tool to examine, amend and
adopt policies and programmes with particular attention given to vulnerable population
groups, for instance in El Salvador, the European Union, Madagascar, Peru and Slovakia.
In Chile and the Republic of Moldova the engagement of and collaboration and
partnerships between multiple stakeholders was also emphasized. The submissions received
from Colombia, Finland, Lithuania and the Netherlands explained that a human rightsbased approach is explicitly incorporated into health policies. Some States, such as Qatar,
have indicated the usefulness of the guidance, where others, such as Burundi, signalled its
value in the elaboration of future policies.
26.
The technical guidance has also been utilized in efforts to promote and implement
human rights-based approaches to budgeting for maternal health. For instance, SAHAYOG
and the National Alliance for Maternal Health and Human Rights in India, drawing
considerably on the technical guidance, provided reports, expert briefings, data and policy
7
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