A/HRC/41/47
significant part of the responses did not provide information on the topic, except for
references to constitutional provisions and general laws that guarantee the principles of
equality and non-discrimination.
Challenges in protecting women affected by leprosy
87.
The responses from Governments, civil society organizations and national human
rights institutions allow for establishing a complete lack of specific plans to address the
needs of women affected by leprosy, as well as discrimination and violence against them.
Some responses provided information on legal frames for promoting gender equality and
eliminating gender-based discrimination (constitutional provisions, ratification of the
Convention on the Elimination of All Forms of Discrimination against Women, laws to
eliminate gender-based violence and general anti-discrimination laws) in countries such as
Bolivia, Cambodia, Côte d’Ivoire, Ecuador, Georgia and India. Others referred to education
and empowerment programmes aimed at disadvantaged women in countries such as Côte
d’Ivoire, Ethiopia and Bangladesh.
Challenges in protecting children affected by leprosy
88.
A substantial part of the responses from Governments, civil society organizations
and national human rights institutions did not provide information about measures in place
to ensure the rights of children affected by leprosy, or about the overall framework for the
protection and care of children. However, some examples of generic laws, programmes and
initiatives designed for the protection and care of children (especially with regard to the
rights to health, education and information) were referred to as being in place in Bolivia,
Cambodia, Côte d’Ivoire, Ecuador and Ethiopia. The responses also provided examples of
measures specifically related to leprosy, such as educational materials being distributed and
leprosy-related projects being implemented in schools in Paraguay; awareness-raising
activities among schoolteachers and students, preventive care focused on zero disability in
children affected by leprosy and family counselling in Bangladesh; and priority access to
health care among vulnerable children in Colombia. There was no mention of measures
adopted for enforcing the rights of the children of persons affected by leprosy, except for
the reference to an ongoing lawsuit in Japan aimed at reparation for past State offences.
3.
Good practices for the elimination of discrimination
89.
The majority of good practices developed by States fall within the health sector,
namely delivery of care and awareness-raising activities. At the international level, Japan
mentioned action undertaken to ensure the inclusion of leprosy in the human rights agenda
at both the Human Rights Council and the General Assembly. At the national and
subnational levels, responses pointed mainly to awareness-raising activities, campaigns and
actions for improving health-care services (separated into new case detection, early
diagnosis, quality treatment and rehabilitation), alongside the health worker’s expertise, to
provide care for persons affected by leprosy. Such activities are driven by health
programmes in countries such as Bolivia, Brazil, Burundi, Côte d’Ivoire, Ecuador and
Paraguay. Schools as priority places for awareness-raising were referred to in countries
such as Brazil, India and Japan. Also with regard to awareness-raising activities, examples
of decentralized actions within States that bring together different stakeholders (traditional
and religious leaders, politicians, teachers, care providers, etc.) were mentioned in countries
such as Brazil and Burundi. Finally, in respect of the autonomous development of the
persons affected by leprosy, responses highlighted the role played by civil society
organizations in community-based rehabilitation; formation of associative, self-help and
self-care groups of persons affected by leprosy (with positive examples of successful
advocacy led by such groups); as well as the participation of family members in health
services, income generation and education opportunities (with a focus on women) in
countries such as Bangladesh, Cambodia, the Democratic Republic of the Congo, Ethiopia,
Nigeria and Pakistan.
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