A/HRC/27/31
(b)
Meet the WHO-recommended minimum health expenditure per capita27 and
prioritize child health in budgetary allocations;
(c)
Increase the budget and expenditure to address child mortality and morbidity,
and their underlying determinants, over time, using interim benchmarks and targets to
demonstrate progress, in line with the principle of progressive realization;
(d)
Focus investment on the populations of children that are most marginalized
and discriminated against;
(e)
Reduce reliance on direct, out-of-pocket payments, increase the level and
share of revenues channelled through prepaid and pooled mechanisms, and use the pooled
funds to cover health-care costs for economically disadvantaged children;
(f)
Implement rights-based budget planning, monitoring and analysis, as well as
impact assessments of how investments, particularly in the health sector, may improve
child health and survival outcomes;
(g)
Identify insufficiencies and bottlenecks in child health budgeting and the
disbursement of funds and take appropriate remedial action as required;
(h)
Ensure sufficient transparency in budgets relating to child health to allow
effective and participatory tracking of the flow of resources, including budgeting, allocation
and expenditure, and its timeliness, from the national ministry of health through all levels
down to health facilities.
E.
Implementation
57.
Ensuring access to interventions, services and medications for child health requires
action across the health sector, and also beyond it to encompass efforts in other sectors to
address the underlying and structural determinants of child mortality and morbidity.
Multisectoral action is required that fully conforms with international human rights
standards and principles with regard to both its desired outcomes and its implementation
processes.
58.
States have an obligation to ensure for all children and caregivers the availability,
accessibility, acceptability and quality of all facilities, goods and services relating to child
health and survival, including services outside the health sector. Special attention may be
required to reach the most marginalized child populations, in order to fulfil the obligation of
immediate application of the principles of equality and non-discrimination.
59.
States are required to:
(a)
Build the capacity of duty-bearers to fulfil their obligations and of children,
parents and other caregivers to understand and claim their child health- and survival-related
rights;
(b)
Ensure that health workers are adequately trained in child health and child
rights, supervised and mentored;
(c)
Provide access to essential interventions for addressing child mortality and
morbidity28 as well as other interventions outside the health sector to address underlying
determinants;
27
WHO. “Spending on health: A global overview”, Factsheet No. 319, April 2012.
13
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