A/HRC/39/26
60.
Finally, the principle of accountability ensures that rights holders may seek redress
when duty bearers have not fulfilled their obligations. Remedies are not limited to court
interventions, as national judicial systems may be significantly compromised, weakened or
entirely inexistent. Access to effective remedies must recognize and remove the specific
barriers women and girls may face in seeking justice. This includes establishing
confidential and non-biased processes to receive and address complaints and make
meaningful changes to services. Lastly, an effective remedy must also include gendertransformative, victim/survivor-centred and comprehensive reparations.
VI. Recommendations
61.
The United Nations High Commissioner for Human Rights notes with
appreciation the numerous initiatives stakeholders have undertaken around the world
to implement a human rights-based approach to reducing preventable maternal
mortality and morbidity. Given the guidance’s value to complement and inform
emergency preparedness and response in a world facing increasingly complex and
protracted humanitarian crises, with disproportionate and devastating impacts on
maternal mortality and morbidity, the High Commissioner recommends that the
Council remain seized of this important issue. In particular, the High Commissioner
notes that strengthened efforts would be needed in order to enhance understanding on
how a human rights-based approach to eliminating preventable maternal mortality
and morbidity can be operationalized in humanitarian settings.
62.
The following recommendations are made to States, humanitarian actors and
other stakeholders, as relevant:
(a)
Disseminate and promote implementation of the technical guidance and
related tools developed by OHCHR as widely as possible at the national and
subnational levels, as well as the international and regional levels;
(b)
Bring laws and policies concerning sexual and reproductive health,
including international assistance policies, in line with international human rights
standards;
(c)
Include analysis on how the technical guidance has been implemented by
the State when reporting to international and regional human rights mechanisms,
including in the context of the 2030 Agenda and the World Humanitarian Summit;
(d)
Ensure a more holistic integrated approach that places the individual
woman and girl at the centre of humanitarian preparedness and response, and
recognizes the need to overcome siloed approaches and fragmented programming;
(e)
Prioritize full implementation of the Minimum Initial Service Package
for Reproductive Health at the onset of humanitarian emergencies, with particular
attention to women and girls in situations of vulnerability, and ensure a transition, as
soon as possible, towards comprehensive sexual and reproductive health services;
(f)
Establish clear referral pathways that place the individual health user
and her views, experiences and needs at the centre, are known by affected
populations, promote an integrated approach, and include attention to a continuity of
care and follow-up;
(g)
Ensure meaningful participation of women and girls in identifying and
determining needs, priorities for funding and service, processes for access and
delivery, and crisis response, in recognition of their agency;
(h)
Fund and promote reliable transparent, collaborative and disaggregated
data collection on the availability, accessibility, appropriateness and quality of sexual
and reproductive health services for all women and girls of affected populations,
including host populations;
(i)
Consider the systematic integration of sexual and reproductive health
and rights into the mandates of investigative bodies established by the Human Rights
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