A/HRC/7/44
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3.
On 11 December 2007, the Office received a reply from the Permanent Observer Mission
of Palestine indicating that the Israeli practices described in a report compiled by the Palestinian
Ministry of Health in early 2007 persist. It also indicates that the number of cases of Palestinian
pregnant women giving birth at Israeli checkpoints recorded in that report (69 cases) remains the
same. The above-mentioned Israeli practices and cases of deliveries at checkpoints were
described in detail in the previous report of the High Commissioner.1
4.
At the time of writing, no reply had been received from the Permanent Mission of Israel.
5.
In order to gather information on the issue, the Office also wrote on 6 November 2007 to
the following United Nations entities and specialized agencies represented in the Occupied
Palestinian Territory: the Office for the Coordination of Humanitarian Affairs (OCHA), the
Office of the United Nations Special Coordinator for the Middle East Process (UNSCO), the
United Nations Development Fund for Women (UNIFEM), the United Nations Relief and Works
Agency for Palestine Refugees in the Near East (UNRWA), the United Nations Children’s Fund
(UNICEF), the United Nations Population Fund (UNFPA), the World Food Programme (WFP)
and the World Health Organization (WHO).
6.
Replies were received on 23 November 2007 from UNRWA and WHO. Both indicate that
since all internal Israeli Defense Force (IDF) checkpoints were dismantled in Gaza in 2005, there
were no cases of pregnant women giving birth at checkpoints in Gaza during the reporting
period. In addition, WHO reports that since there was no referral for pregnancy-related
conditions from Gaza to outside hospitals, no delivery was reported at the Erez checkpoint
(currently the only checkpoint where patients can exit Gaza). Neither UNRWA nor WHO replies
contain information concerning deliveries at checkpoints in the West Bank. However, on
3 January 2008, OHCHR received information from B’Tselem, the Israeli Information Center for
Human Rights in the Occupied Territories, concerning two cases of deliveries of Palestinian
women. Both women had been forced to give birth in their respective cars following the refusal
of the Israeli soldiers guarding a gate north of the village of ‘Azzun ‘Atmah, which is cut off
from the rest of the West Bank by the Wall, to allow them to pass to get to a hospital in nearby
Qalqiliya. A first case occurred on 12 December 2007, in which the delivery took place in the
car after a delay of over half an hour at the gate. In the other case, which took place on
15 December 2007, a Palestinian woman from the village began to deliver in her car at 4.30 a.m.,
following a delay of more than one and half hours at the gate.
7.
WHO further reports that, while the number of Palestinian women giving birth at
checkpoints is an important indicator, it is not sufficient to assess the accessibility of adequate
medical services for pregnant women, the changing patterns of behaviour in response to mobility
restrictions and their implications for the right to health. According to studies referred to by
WHO,2 restricted mobility and increasing poverty have resulted in difficult situations for
2
Laura Wick, Birth at the Checkpoint, the Home or the Hospital? Adapting to the Changing
Reality in Palestine, Institute of Community and Public Health, Birzeit University, 15 June 2002;
Rita Giacaman et al., “The Politics of Childbirth in the Context of Conflict: Policies or de facto
Practices?”, Health Policy, vol. 72, issue 2, May 2005, pp. 129-139; Laura Wick, “Childbirth
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