A/HRC/27/31
not jeopardize the enjoyment by any child of his or her health and human rights. Alongside
its obligations to ensure children’s non-discriminatory access to high-quality health and
related services that are socially and culturally acceptable, the State has a crucial role to
play, and is obliged under human rights law, to sensitize the population about appropriate
care-seeking behaviours for child health.20
35.
In a recent report to the Human Rights Council a number of essential steps for
effectively addressing under-5 mortality using a human rights-based approach were
highlighted.21 They include: ensuring a supportive legal and policy environment; increasing
access to preventive health interventions, services and life-saving drugs; expanding access
to services for the integrated management of childhood illnesses at the community level and
elsewhere; and establishing accessible, transparent and effective mechanisms of monitoring
and accountability.
IV. Operational guidance
36.
Applying a human rights-based approach to reducing child mortality and morbidity
means systematically incorporating attention to all relevant rights, standards and principles
into national measures aimed at improving child health and survival. This begins with an
assessment of relevant legislative measures, governance and coordination mechanisms,
planning, budgeting, implementation, monitoring and evaluation efforts, mechanisms for
remedy and redress and international cooperation to determine the extent to which existing
measures, mechanisms and processes are fully compliant with recognized human rights
standards and principles and where gaps and barriers remain that must be addressed. This
should build on existing efforts with additional attention to human rights standards and
principles as required.
37.
Rights-based efforts to reduce child mortality and morbidity should adopt a life
course approach. They should be situated within a continuum of care that pays due attention
to the health and rights of women before, during and after pregnancy.22
38.
Reliable data on priority health problems, including new and neglected causes of
mortality and morbidity, and key determinants of children’s health, enable States and other
duty-bearers to target efforts to address child mortality and morbidity. Governments and
other stakeholders should collect such data through routine health information systems as
well as other surveys and research, and ensure that they include quantitative, qualitative and
policy data.
39.
A human rights-based approach requires that those data be disaggregated by age,
sex, location and other relevant categories in order to identify groups that may be
marginalized or discriminated against and to direct additional efforts and resources to
ensuring that any inequalities are addressed.
40.
Data should be analysed, disseminated and used to inform national and subnational
laws, policies, budgets, programmes and services relevant to child health and survival.
41.
In the subsections below, illustrative examples are provided of State actions required
under a human rights-based approach to reducing child mortality and morbidity.
20
21
22
8
Convention on the Rights of the Child, art. 27.
A/HRC/24/60.
A/HRC/21/22 and Corr. 1 and 2.
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