A/HRC/44/52/Add.2 testimonies. Women and girls with disabilities face additional obstacles to leaving situations of family violence. While the Organic Law on Health guarantees the right of everyone to receive medical treatment based on their informed and prior consent and expressly prohibits forced sterilization, the Special Rapporteur is deeply concerned at reports that forced sterilization of women with disabilities continues to occur in Ecuador, as do cases of rape, incest and subsequent forced abortions. 3. Lesbian, bisexual, transgender and intersex women 91. Through her interactions with members of the lesbian, bisexual, transgender and intersex community, the Special Rapporteur learned that, despite the progressive legislation and jurisprudence in place in Ecuador,25 including a ruling by the Constitutional Court in May 2018 that a girl born in Ecuador with two British mothers should be registered as an Ecuadorian citizen and the registry office should record the names of her two mothers, the prevailing stigma, family pressure and social expectations have led to continuing discrimination on the basis of sexual orientation. The Special Rapporteur is deeply concerned at reports suggesting that “de-homosexualization” clinics continue to exist, with information received indicating that some 65 of these clinics have been in existence at various stages in Quito over the past 12 years. H. Emerging forms of violence against women 92. Online violence against women and girls is an emerging issue in the country. The Special Rapporteur recommends that the Government address this new form of violence against women and girls as a form of gender-based violence interrelated with the broader framework of discrimination and violence against women and girls. In this regard, she refers the Government to the recommendations contained in her report on online violence against women and girls (A/HRC/38/47). V. Conclusions and recommendations 93. On the basis of the above findings and in a spirit of cooperation and dialogue, the Special Rapporteur on violence against women, its causes and consequences, offers the Government of Ecuador the following recommendations. 94. The Government should ensure that the Convention on the Elimination of All Forms of Discrimination against Women, its Optional Protocol, general recommendation No. 35 of the Committee on the Elimination of Discrimination against Women and the Committee’s jurisprudence, as well as the Belém do Pará Convention, are included as an integral part of the professional training of judges, prosecutors, lawyers, police officers and civil servants in order to ensure their direct application in line with the Constitution of Ecuador. 95. Concerning the Comprehensive Organic Law to Prevent and Eradicate Violence against Women, the Government should: (a) Ensure an adequate budget allocation for the full implementation of the Policy to Prevent Pregnancy in Girls and Adolescents; (b) Ensure that the budget allocation for the implementation of the Comprehensive Organic Law to Prevent and Eradicate Violence against Women is increased; 25 16 Article 141 of the Criminal Code, which defines femicide, includes reference to killings of women based on gender identity; article 142 determines aggravating circumstances in this regard; while articles 151.3 and 177 provide for the criminalization of torture and hate crimes based on gender identity and sexual orientation.