A/HRC/19/73
(a)
States should prioritize the budgetary spending on the prevention and
treatment of malnutrition in children and women. Donor States should sharply increase
earmarked international assistance for nutrition which respects and promotes human rights
and does not increase the vulnerability of children and their parents on long-term;
(b)
States should establish national strategies for the prevention and treatment of
chronic and acute malnutrition in children and women. The national strategies should apply
a human rights framework and thus respect, protect and fulfil the right to food, the right to
water and sanitation, the right to health, the right to housing, the right to education and the
right to information of the child and her/his parents and eliminate discrimination patterns in
particular in relation to women or the poor living in the rural area;
(c)
States should establish food insecurity and vulnerability maps and use
disaggregated data to identify any form of discrimination that may manifest itself in greater
food insecurity and vulnerability to food insecurity, or in a higher prevalence of
malnutrition among specific population groups, in particular children, with a view to
removing and preventing such causes of food insecurity or malnutrition. They should use
this food insecurity and vulnerability maps in implementing the national strategies for the
prevention and treatment of chronic and acute malnutrition in children and women;
(d)
States should promote a resolution at the World Health Assembly to list
noma as a neglected disease;
(e)
States, in collaboration with the World Health Organization, should take all
necessary steps to establish the incidence of noma at the global level and assure the
surveillance of the disease in all affected States by incorporating it into existing
epidemiological surveillance systems;
(f)
All affected States should adopt a noma action plan focusing on the
elimination of discrimination in all spheres of life of children affected by noma and adults
with sequelae, on awareness raising and prevention of noma, on primary health care,
surgery and rehabilitation of children at risk/affected by noma. Inter alia, the following
priorities should be set:
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(i)
States should ensure that de jure and de facto discrimination of children
affected by noma and adults with sequelae is eliminated. Particular attention
should be given that children with noma are not isolated or hidden away by
their families or communities, that they have access to sufficient nutritious
food, to timely and qualitative health care, to education, and that they have
adequate housing, clean drinking water and sanitary conditions of life;
(ii)
States should raise awareness about noma through all means, including by
using media and health workers to inform communities, in particular mothers,
social and religious leaders with the view to remove the social stigma attached
to this disease and the discrimination of children affected by noma and adults
with sequelae;
(iii)
States should undertake targeted information campaigns through media and
health workers for mothers, comprising information on breastfeeding, on
complementary feeding of infants after the age of 6 months, and on improved
hygiene practices including washing of hands. States should ensure access to
specific educational information to help to ensure the health and well-being of
women, including information and advice on family planning;
(iv)
States should systematically provide information and tackle administratively
and legislatively cultural food practices, which amount to discrimination
against women and are detrimental to the nutrition and health of mothers and
their children;
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