A/HRC/39/26 violations to inform evidence-based policy advocacy and strategic litigation. Those organizations then conducted research on the status of maternal health in their regions, and the key findings were disseminated in 2017 in a regional workshop for local government officials. 19. In their submissions, the Democratic Republic of the Congo, Mexico, Portugal, Senegal, Turkey, UNFPA Burundi, Marie Stopes International, International Planned Parenthood Federation and Women Enabled International shared information about capacity-building and/or awareness-raising activities conducted with health workers, including on applying the human rights-based approach to maternal health and on respecting sexual and reproductive health and rights of all women, including women with disabilities. D. Monitoring, review, oversight and remedies 20. Efforts to monitor, review and provide remedies in line with the technical guidance were emphasized by stakeholders in their submissions. Croatia, Czechia, Georgia, Honduras, Malta, Mauritania, Mexico and Slovenia highlighted how they had put in place monitoring and accountability mechanisms, such as: gender-sensitive data collection on maternal health; survey studies; national registers on reproductive health; and mechanisms for tracking and analysing maternal deaths and injuries. In its submission, Cuba also reported the practice of regular technical discussions meetings to study each maternal health case where there had been a complication in identifying when care fell short, training personnel and taking organizational and disciplinary measures when rights were violated. Mauritius noted the establishment of a fully functioning health information system, which included 100 per cent civil registration coverage and collected disaggregated data on sexual and reproductive health on a daily and systematic basis. Marie Stopes International emphasized how it had used participatory approaches to collect both quantitative and qualitative data about their programmes to identify and address gaps, including regular feedback and client exit interviews integrated into monthly evaluations. 21. In relation to human rights mechanisms, OHCHR Uganda had supported the Uganda Human Rights Commission in developing a public database to monitor recommendations and facilitate timely reporting to international, regional and national human rights mechanisms. The database included sexual and reproductive health and rights issues and had been rolled out with six pilot ministries, departments and agencies through trainings in the period 2016–2017. Human Rights in Childbirth also indicated its assistance to civil society actors preparing shadow reports and letters of support to international and regional human rights mechanisms. 22. In 2017, the Center for Reproductive Rights in Kenya released a public report on the detention and abuse of women seeking maternal health services, which was based on a 2015 High Court decision that had declared that fundamental rights had been violated. 10 Subsequently, in 2018, the Center supported the litigation of a pregnant woman who had been verbally and physically abused by hospital staff and left intentionally to give birth on the floor. The High Court found violations of her rights to health and dignity. IV. Challenges for the implementation of the technical guidance 23. The many concrete examples of good practices highlighted above illustrate the significant progress that has been made over six years to raise awareness of and implement the technical guidance, although challenges remain. Despite the fact that more actors are familiar with the guidance, there is a clear need to continue efforts at widespread dissemination and increased awareness of the technical guidance and rights-based approaches more generally. 10 6 Center for Reproductive Rights, “Detention and Abuse of Women Seeking Maternal Health Services: Fundamental Rights Violation” (Nairobi, 2017).