A/HRC/27/31
principles of participation, equality and non-discrimination require ensuring that various
groups of women are included.
90.
Ensuring the participation of marginalized groups in community health committees
requires reaching, and supporting the engagement of, those who are often not reached, such
as remote populations, women at risk of adverse pregnancy outcomes, people with low
capacity to engage in health and development processes and people who have little
experience of articulating their needs and priorities.
91.
Strategies should empower committee members to articulate their expectations
towards the State and other duty-bearers to take charge of their own development and to
facilitate collaboration with others in implementing interventions.47
92.
Situated within the community, committee members are ideally placed to advise on
where, when and how interventions to address neonatal mortality can be delivered to ensure
their availability, accessibility and acceptability to the whole community, especially the
most marginalized.48 In this way, in addition to improving access to information and
services, community participation in planning service delivery can also contribute to
addressing inequalities in neonatal outcomes.
93.
An independent accountability mechanism with accessible complaints mechanisms
will also be important for promoting social accountability, by ensuring that community
members can monitor local health service delivery and the committee’s activities.
94.
This example of a human rights-based approach to reducing neonatal mortality
highlights that, beyond the legal imperative for attention to human rights, this approach can
lead to better health outcomes by ensuring systematic attention to the legal and policy
environment, equality and non-discrimination, the participation of affected populations, the
best interests of the child, accountability and the availability, accessibility, acceptability and
quality of child health facilities, goods and services.
VI. Moving forward
95.
To ensure that all efforts to reduce child mortality and morbidity fully conform
to recognized international human rights standards and principles, the Office of the
United Nations High Commissioner for Human Rights (OHCHR) strongly encourages
the implementation of the present technical guidance at the national and subnational
levels.
96.
States should disseminate the technical guidance to all relevant government
sectors and other stakeholders, and ensure its systematic application in the
development, implementation and review of laws, policies, budgets and programmes
related to child to health and survival. States are also encouraged to generate and
disseminate examples of good practice of implementation of a human rights-based
approach to reducing child mortality and morbidity.
97.
The technical guidance should be applied within the framework of the broader
recommendations made by the High Commissioner for Human Rights, the WHO and
the Independent Expert Review Group on Monitoring and Accountability for
Women’s and Children’s Health on strengthening human rights and accountability
frameworks to achieve better health and accountability for women and children. To
47
48
20
OHCHR, Frequently Asked Questions on a Human Rights-Based Approach to Development
Cooperation, 2006.
A/HRC/21/22 and Corr. 1 and 2.
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