A/HRC/42/24
rights of women and girls. It also requires genuine and proactive political will,
including dedicated attention and resources, on the one hand, and cognizance of the
real on-the-ground challenges to be factored in and contextualized, on the other.
92.
At the level of implementation, this means insisting that States and other actors
operating in a humanitarian setting provide national funding and programmes for
comprehensive sexual and reproductive health services. It also means advancing
concrete guidance, trainings and follow-up on a human rights-based approach in
emergencies so that the added value is clear and is accessible, practical and tangible
for implementers.
93.
Preparedness is as essential as responses, as during crises disease outbreaks and
other new emergencies often arise. It is especially at the early stage that the root
causes, including gender-based discrimination, that drive emergencies and exacerbate
their impacts can be laid bare, addressed and transformed. This in turn reinforces the
resilience of societies and their communities. It is also a time when existing health
systems can be bolstered rather than replaced and local providers’ and first
responders’ capacity strengthened, with roles and responsibilities clearly clarified.
94.
Partnerships between diverse actors at all levels and sectors, and between
international and national and community actors, is core to a rights-based approach.
Its indispensable value in reducing preventable maternal mortality and morbidity was
also highlighted by the experts. Actors in emergencies have distinct mandates and
different roles and responsibilities. Inclusive, multi-stakeholder dialogues and
initiatives, including through the humanitarian programme cycle and cluster system,
to coordinate, share information and analysis, and leverage the niches, spaces and
perspectives of the different actors are therefore essential.
95.
A central focus throughout the meeting was the particular significance, in line
with rights-based accountability, of holistic, integrated, comprehensive action that
places the affected woman and girl at the heart of preparedness, investigations,
response and transition. This means prioritizing their voice, agency and meaningful
participation in interventions at the global, regional, national and community and
implementation levels. Experts encouraged efforts to map and identify existing
accountability frameworks for sexual and reproductive health and the gaps therein, as
well as dedicating resources to build the evidence base and highlight the impact and
added value of a rights-based approach in emergencies. A human rights-based
approach, when applied by all actors comprehensively and collaboratively, can clarify
and ensure accountability to every woman and girl and their sexual and reproductive
health and rights, including in the complex and challenging operating environment of
emergencies. OHCHR anticipates taking this discussion forward and working with
States, participating experts and other actors seeking to reduce preventable maternal
mortality and morbidity in humanitarian settings.
16
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