A/HRC/29/33
85.
This, once again, reflects power asymmetries between interest groups behind
different forms of services and interventions, and a lack of transparency, monitoring and
accountability in mental health-care systems. WHO recommendations are very clear about
the five obligatory components of community-based care for persons with severe
psychosocial disabilities, which comprise access to psychotropic medications,
psychotherapy, psychosocial rehabilitation, vocational rehabilitation and employment and
supported housing. However, in many countries, a number of those components are not
being implemented.8
D.
The life-cycle approach to the right to health
86.
There is overwhelming evidence that many children die too young from preventable
causes and/or suffer high levels of violence and insecurity. Consequently, the health status,
quality of life and well-being of many individuals, groups and entire societies worldwide
remain unacceptably low. The Special Rapporteur believes that the life-cycle approach can
be used as one method to identify the critical elements of the challenges and opportunities
for the reduction of preventable deaths and the improvement of health indicators, wellbeing and quality of life.
87.
The Special Rapporteur is planning to address right-to-health challenges using,
among other methods, a life-cycle approach. Such an approach helps identify critical
elements of challenges and opportunities for full realization of the right to health. It is
during some important stages of the life course that the right to health needs to be
particularly protected, since during those stages there is a greater risk of violations of
human rights, including the right to health. On the other hand, interventions during those
critical stages of life open up new opportunities and offer new health protective factors. The
life-cycle approach can help in the prevention of chronic diseases in adult life through the
effective protection of children from early childhood adversities.
88.
In line with the life-cycle approach, the Special Rapporteur will dedicate his next
thematic report to the challenges to, opportunities for and best practices in promoting the
right to health in early childhood. He will analyse two interdependent and indivisible rights
directly related to the right to health: the right to survival and the right to development
during first five years of life.
89.
The right to survival relates to the prevention of infant and under-5 mortality.
Despite many achievements in the field of medicine, 6 million children under 5 die every
year in the world. Those children do not die of unknown or incurable diseases or illnesses;
they die because of the conditions in which they and their parents live and poor governance
and accountability.
90.
The launch of the technical guidance on the application of a human rights-based
approach to the implementation of policies and programmes to reduce and eliminate
preventable mortality and morbidity of children under 5 years of age (A/HRC/27/31) in
2014 is a serious attempt to put an end to the unacceptable epidemics of preventable deaths
of infants. The human rights-based approach is critically important in that regard since
child mortality is intimately linked with human rights of women and the widespread
discrimination against vulnerable groups of population.
91.
The right to holistic development is another equally important element of the right to
health of children. Children need to be protected through the promotion and protection of
their economic, social and cultural rights. Furthermore, from the moment of birth, children
8
See WHO, World Health Report 2001.
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