A/HRC/42/24
preventable maternal and newborn mortality and morbidities with gaps in terms of
coordination around responses. Moreover, once an outbreak has been established, the
imperative is to contain and control it, often at the cost of everything else, including
provision of sexual and reproductive health. This has also led to the curtailment by States of
human rights and targeting of specifically marginalized populations.
C.
Partnerships and coordination
36.
Experts noted that everyone agrees on and wants to strengthen coordination between
humanitarian providers in a given emergency, including to ensure a comprehensive, holistic
and integrated approach that puts the individual woman and girl at the centre. However,
there are unique challenges, particularly when each actor has separate obligations to report
on and financial resources to use within a set time frame, reflecting diverse priorities of
donors and actors at the global level.
37.
In addition, experts also emphasized the importance of partnerships across
stakeholders and sectors, including how task sharing and shifting can help address
challenges in sexual and reproductive health service provision. As also highlighted in the
technical guidance, there is an opportunity to better reflect on and harness the different
perspectives, strengths and roles of the diversity of actors operating in emergencies.
Moreover, through such partnerships and collaboration, silos in programming can be
overcome and gaps in service delivery identified, revealed, learned from and adequately
addressed.
38.
Experts also noted that in many contexts, despite playing a significant role, private
actors are often overlooked and excluded from cluster coordination meetings and processes.
At the same time, other experts observed that partnering with the private sector will require
careful consideration of their role and contribution as well as alignment with human rights
and humanitarian principles such as accessibility and affordability.
39.
It was also highlighted that collaboration with law enforcement and other uniformed
personnel such as peacekeepers, as well as judicial actors, is beneficial. They are often the
first point of contact when a human rights violation has occurred, including when certain
services are denied to an individual, and they can also assist in terms of increasing
accountability, strengthening service delivery and providing adequate referrals.
D.
Linkages with gender-based violence and mental health
40.
Humanitarian crises exacerbate pre-existing forms of gender-based discrimination
and violence, such as trafficking, sexual slavery, rape, forced pregnancy and harmful
practices, and survival strategies such as transactional sex. This creates additional barriers
to gaining access to services, further increasing potential exposure to sexually transmitted
infections, unintended pregnancies, unsafe abortions and maternal mortality and morbidity.
41.
Experts pointed to a need to strengthen the linkages between sexual and
reproductive health, gender-based violence and mental health programming. It was noted
that responses to gender-based violence and mental health can be entry points to build
response frameworks for sexual and reproductive health (and vice versa), including
provision of services that would otherwise be considered sensitive.
42.
It was also highlighted that in emergencies, there has been evidence of girls forced
into marriage due to the perception that marriage will provide a degree of security, but also
because their families could not provide them with food. These child marriages have
serious implications on the sexual and reproductive health of the girls. Moreover, there is a
lack of funding for and clarity and coordination on how to deal with mental health and
providing psychosocial support for victims of trauma in emergencies, which also impacts
maternal and newborn health.
43.
Experts shared examples of a refusal by certain service providers to issue to women
and girls who were victims of sexual violence the medical certificates required to access
justice in many contexts. In these examples, providers used the pretext that medical
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