A/HRC/43/39
115. Substantial additional investments are required for promoting and protecting mental
health. Although additional resources are essential, an immediate opportunity exists for
efficient and effective use of existing resources. That could include, for example, the
redistribution of mental health budgets from large hospitals to district hospitals and
community-based local services; the introduction of early interventions for emerging
mental disorders; and the reallocation of budgets for other health priorities to promote the
integration of mental health care into established platforms of delivery.
116. Investments in research and innovation should also continue to grow. The imbalance
whereby most research is conducted in and by high-income countries needs to be corrected
in order to ensure that low- and middle-income countries have culturally appropriate and
cost-effective strategies to respond to mental health needs and priorities. The crucial
information needed to take effective action includes the prevalence and nature of mental
health problems; coverage of policies and legislation, interventions and services; health
outcome data; and social and economic outcome data. Those data need to be disaggregated
by sex and age and reflect the diverse needs of subpopulations, including individuals from
geographically diverse communities and vulnerable populations.
117. Finally, as the international community looks ahead to the decade of action for the
Sustainable Development Goals, delivery for sustainable development, monitoring and
accountability frameworks must be put in place to ensure that effective action is being
taken to promote the mental health of all, prevent mental disorders among children who
experience violence and others at high risk, and provide treatment and care to those who
need it.
V. Looking forward
118. Since assuming her role in July 2019, the Special Representative has developed her
strategy for this mandate period through a consultative and participatory process. The new
strategy includes three priority areas: (a) advocacy and mobilization of all key stakeholders
at the global, regional and national levels for the accelerated implementation of target 16.2
of the Sustainable Development Goals and of other related Goals; (b) ensuring that all
forms of violence are included in the implementation of the 2030 Agenda for Sustainable
Development, thereby ensuring that no child is left behind; and (c) amplifying the voices of
children, with particular attention paid to the most vulnerable.
119. Effective cooperation between the many actors in this field is critical. Children’s
lives are not divided thematically to correspond to the mandates of the organizations
working on their behalf: they are often exposed to more than one form of violence and in
more than one setting. Mobilizing partnerships at all levels and involving all stakeholders is
essential to generate the necessary resources and spur action. The Special Representative
will use a participatory and consultative approach to support cooperation and constructive
dialogue with all relevant stakeholders at the national, regional and international levels to
respond effectively to the continuum of violence that child victims face.
120. The most important partners in ending violence are children themselves. The active
and meaningful involvement of children in identifying the challenges to sustainable
development and how to overcome them both realizes their right to participation and
provides an effective way to accelerate progress. The Special Representative will pursue
close collaboration with child-led and child-focused organizations to ensure that the
mandate amplifies children’s voices and takes their views fully into account. Particular
attention will be paid to including the most invisible and vulnerable children in order to
ensure that no child is left behind.
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