A/HRC/41/34/Add.1 monitoring of the effective implementation of the law to ensure the enjoyment of sexual and reproductive rights for women and adolescents. 89. At the end of his visit, the Special Rapporteur was appalled by media reports of the alleged murder of a victim of bride-kidnapping, reportedly by the abductor inside a police station. This event shows that bride-kidnapping continues, in breach of the right to enter into marriage with the free and full consent of both parties. 34 In particular, child, early and forced marriage is a violation of the victim’s sexual and reproductive health rights, including the right to control one’s health and body. Sexual violence, including forced marriage, is a serious breach of sexual and reproductive freedoms, and is a fundamental and inherent violation of the right to health. 90. According to the United Nations entities present in Kyrgyzstan, 13.8 per cent of women under 24 years old are married through some form of coercion. 35 The Special Rapporteur acknowledges that legal steps must be taken to prohibit religious child marriages and calls for a greater effort to prevent and prosecute perpetrators of human rights violations and to protect victims. All appropriate measures should be taken to stop the practices of bride-kidnapping and forced marriage. HIV/AIDS 91. While fewer cases of tuberculosis have been reported, 36 there has been a rapid increase in cases of HIV through sexual transmission, as opposed to parental transmission. According to information provided by the United Nations country team in Kyrgyzstan, the number of registered cases of HIV was 8,158 in April 2018, and cases of sexually transmitted HIV now represent approximately 60 per cent of all new cases. In contrast, parental transmission is only responsible for 44 per cent of all infections. While the transmission of HIV to newborns has dropped, the proportion of women among people with HIV has increased, rising from 30 to 42 per cent between 2011 and 2013. 92. The HIV epidemic in Kyrgyzstan is predominantly concentrated among key population groups that have a higher risk of becoming infected. 37 Therefore, in order to respond to the epidemic effectively, measures should be taken to empower these key population groups at the community level and to address stigma and discrimination, and the social and structural barriers they face in their realization of rights, including access to health-care services. 93. The Special Rapporteur collected testimonies of abuses committed by law enforcement officials, including harassment, extortion, arbitrary arrests and detention, violence, rape and a failure to protect persons from violence. To guarantee that HIV prevention services cover all key population groups, it is crucial to ensure an enabling environment and remove punitive laws and practices. 94. The State has developed an ambitious new programme for 2017–2021 that seeks to reduce the number of persons affected by HIV and to eliminate the infection by 2030. The programme is focused on reaching the 90-90-90 targets of the Joint United Nations Programme on HIV/AIDS. 95. The implementation of the above-mentioned programme will certainly require the strengthening of sex education and reproductive health services in order to prevent the sexual transmission of HIV. A human rights-based approach requires quality, integrated sexual and reproductive health and HIV services, free from stigma and discrimination, with a focus on primary care. 34 35 36 37 The right to enter into marriage with the free and full consent of both parties is enshrined in the International Covenant on Civil and Political Rights (art. 23), the International Covenant on Economic, Social and Cultural Rights (art. 10) and the Convention on the Elimination of All Forms of Discrimination against Women (art. 16), all of them ratified by Kyrgyzstan. See www.unicef.org/kyrgyzstan/press-releases/un-statement-bride-kidnapping-and-child-marriage. See https://data.worldbank.org/indicator/SH.TBS.INCD; see also WHO, “Kyrgyzstan tuberculosis country profile 2017”. See Global AIDS monitoring, “Country progress report: Kyrgyzstan”, 2018. 17

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