A/HRC/42/24
C.
Discrimination and inequality
62.
Experts highlighted the need to view discrimination and inequality within the
broader context of the backlash against women’s rights and gender equality around the
world, including in discourse, practices and funding. Addressing this broader context also
requires attention to the intersections of national security, sexism, racism and populism and
their impact on the individual person either displaced by or remaining in a humanitarian
setting.
63.
In this same context, experts also highlighted the importance of addressing
discrimination throughout the different stages of an emergency and how this impacts
enjoyment by women and girls of their sexual and reproductive health and rights. An
understanding of pre-existing discrimination and inequality, driven by social norms and
power structures and often exacerbated when crisis hits, is required to design effective
interventions. A human rights lens and analysis reveals this dimension.
64.
Further, experts observed that in humanitarian settings, affected populations are
often framed as a homogeneous group when in fact there is a need to zoom in on the
individuals. When it comes to preventable maternal mortality and morbidity, within these
“population groups” one can identify women and girls who are particularly at risk of being
discriminated against and left behind. In this context, gender-based discrimination
intersects with discrimination on other grounds related to, among other things, age,
disability, sexual orientation, gender identity, health status, ethnicity, nationality, caste,
poverty, urban/rural residence, refugee/migrant/internally displaced status and sex work,
and whether one was a victim of gender-based violence, a victim of trauma, living
inside/outside camp settings, displaced/not displaced and an established/new arrival.
65.
Experts also shared examples of maternal deaths attributed to denial of care because
of status, caste, ethnicity and an inability to pay. This can also inadvertently be reinforced
by siloed programmatic distinctions and framings. Experts therefore highlighted the
importance of paying specific attention to individuals of diverse population groups and
ensuring accountability to them, including through full transparency and meaningful
participation in decisions concerning by whom, to whom, when and where assistance is
provided, and of what kind. Awareness should be raised to help women, authorities and
providers understand that access to services is a matter of rights, not a favour.
66.
Experts also raised the need for political will on the part of States in certain cases of
emergency to address preventable maternal mortality and morbidity of all affected
populations. In cases highlighted by experts, the State receiving refugees was primarily
concerned with its host communities and the risk of disease outbreaks. This led to the
prioritization of vaccinations and water and sanitation services to refugees, rather than a
focus on their sexual and reproductive health and rights. Moreover, differential treatment
and access to sexual and reproductive health services for host communities and for refugees
and migrants is common.
67.
It was emphasized that the situation of adolescent girls and boys in humanitarian
responses was often overlooked, with adverse impacts on effective protection of their
rights, including access to and information or awareness of sexual and reproductive health
services. This is also reflected in investment and funding often being the least for
adolescents and their sexual and reproductive health and rights, including for their
participation in decisions on service provision. Good practice initiatives shared included
youth centres staffed with psychologists, nurses and other professionals in urban settings to
reach refugee and migrant adolescents, raise awareness of their sexual and reproductive
health and effectively refer them to services.
D.
Sustainability and international cooperation and assistance
68.
Experts agreed on the critical importance of transition as soon as possible from the
Minimum Initial Service Package to comprehensive sexual and reproductive health services
in order to reduce preventable maternal mortality and morbidity. As noted above, experts
expressed a need to devote attention and resources to rebuilding and reinforcing an existing
12
Select target paragraph3
Connect to a paragraph
Connect to an entity
Disable highlights
Add to table of contents