A/HRC/34/27
by 2030, and to reduce neonatal and under-5 child mortality. Further targets under this goal
addressing the social and economic dimensions of health services recognize factors
affecting the health outcomes of the most marginalized children, particularly target 3.8 to
achieve universal health coverage, including financial risk protection, access to quality
essential health-care services and access to safe, effective, quality and affordable essential
medicines and vaccines for all.
30.
States must implement Goal 3 commitments in accordance with article 24 of the
Convention on the Rights of the Child and related general comments of the Committee on
the Rights of the Child in this regard.11 This requires inequalities in health outcomes to be
addressed by ensuring an approach based on equality and non-discrimination for children,
for example prioritizing the most disadvantaged children and population groups with the
highest burden of morbidity and mortality. States and stakeholders should consult the
further guidance available on the application of a human rights-based approach to policies
and programmes to reduce and eliminate preventable mortality and morbidity of children
under 5 years of age (see A/HRC/27/31). Regarding universal health coverage, those
children and families who are consistently excluded from health-care systems must be
reached first. States should also take special measures to address bottlenecks in health
service delivery, ensuring quality maternal, newborn, child and adolescent health services
that do not discriminate.
31.
Underpinning early childhood development and the fulfilment of the right to health,
Goal 2 commits to ending hunger, achieving food security and improving nutrition, and has
the potential to support realization of the right to food, as specified in the International
Covenant on Economic, Social and Cultural Rights and the Convention on the Rights of the
Child (arts. 24 and 27). 12 Target 2.2 to end all forms of malnutrition and achieve
internationally agreed targets on stunting and wasting in children under 5 years of age by
2025 is especially important in this regard.
Education and lifelong learning
32.
The 2030 Agenda contains commitments for children under Goal 4 on inclusive and
equitable quality education and lifelong learning opportunities for all. Obtaining a quality
education is the foundation for children’s development and empowerment, and for reaching
overall sustainable development aims. Crucially, Goal 4 addresses both access to and
quality of education, covering the specific needs of children at particular life stages,
including early childhood development, care and pre-primary education (target 4.2), and
expanding relevant skills among youth to support access to employment (target 4.4), which
is crucial for those children who have reached legal working age.
33.
States should implement targets relating to education in accordance with the
principle of equal opportunity under article 28 of the Convention on the Rights of the
Child.13 While there has been extensive progress in expanding children’s access to primary
education, there are still major shortfalls in education quality and disparities in access to
secondary schooling, with millions of girls still being excluded at this level. In many
countries, the rapid expansion of private education is of concern to ensuring equal access
11
12
13
See general comments No. 3 (2003) on HIV/AIDS and the rights of the child; No. 4 (2003) on
adolescent health and development in the context of the Convention; No. 7 (2005) on implementing
child rights in early childhood; and No. 15 (2013) on the right of the child to the enjoyment of the
highest attainable standard of health.
See Committee on Economic, Social and Cultural Rights, general comment No. 12 (1999) on the right
to adequate food.
See also Committee on the Rights of the Child, general comments No. 1 (2001) on the aims of
education and No. 7.
9
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