A/HRC/45/19
morbidities, by ensuring their voices are part of the development and implementation of
programmes and policies related to morbidities.
71.
Embracing the concept of a “circle of accountability”, States can build in avenues
for accountability throughout the policy cycle to address maternal morbidities. This
includes clearly identifying who is responsible for what action to uphold human rights, and
ensuring that women and girls are aware of where to turn if they suffer morbidities during
pregnancy and childbirth. This can be achieved through systems of accountability that cut
across spheres, including social, professional, political, legal, judicial and international
spheres. Through engagement across diverse accountability mechanisms, information
critical for corrective action to address systemic problems is revealed, and individual cases
can be identified where remedies may be needed.
V. Recommendations
72.
Stakeholders have undertaken numerous initiatives to implement a human
rights-based approach to reducing preventable maternal mortality and morbidity.
Assessing the impact of the utilization of the technical guidance and increasing
understanding of how human rights-based approaches to maternal mortality and
morbidity can be operationalized remains critical. In this regard, it is recommended
that the Human Rights Council remain seized of this important issue and continue to
receive information on the implementation of the technical guidance.
73. The following recommendations are addressed to States and other stakeholders,
as relevant:
(a)
Build recognition, at the national and international levels, that
preventable maternal mortality and morbidity is a fundamental human rights issue
and enhance understanding among all stakeholders of the indivisibility of all human
rights;
(b)
Disseminate and promote implementation of the technical guidance and
associated tools as widely as possible, including to all ministries, in particular
ministries of health, and relevant public institutions at all levels, as well as to rights
holders, civil society organizations and national human rights institutions working in
related areas;
(c)
Strengthen awareness and build the capacities of various stakeholders,
including health workers, policymakers, legislators, national human rights institutions
and the judiciary, on the application of rights-based approaches to sexual and
reproductive health and rights, by organizing, inter alia, briefings and trainings;
(d)
Convene and support multi-stakeholder meetings at multiple levels,
which involve health workers and marginalized women and girls, to discuss the
application of a rights-based approach to sexual and reproductive health and rights,
identify opportunities within national-level processes and prioritize concrete areas
and plans for action;
(e)
Ensure coordination of multisectoral and cross-disciplinary processes at
the national level in order to achieve a comprehensive approach to sexual and
reproductive health and rights, including maternal health, as required by a human
rights-based approach;
(f)
Engage in capacity-building for rights holders to enable them to claim
their rights and to participate, and contribute to a culture of accountability for
delivering on sexual and reproductive health and rights;
(g)
Increase awareness and the visibility of maternal morbidity as a human
rights concern, including through more dedicated research in this area, allocation of
sufficient resources and dedicated efforts to ensure the availability of information,
particularly for women and girls, on the causes of specific maternal morbidities and
their prevention;
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