A/HRC/14/39
62.
This operationalization is inherently a large process requiring systematization
and is currently without a clear lead within the United Nations system. Without
doubt, there is much good practice that States and other actors can helpfully share,
ensuring that such good practice relates specifically to the implementation of a human
rights-based approach to maternal mortality and morbidity. While the universal
periodic review is one forum for such sharing, there is much scope at this time for
good practice to be collected in a systematic and thorough fashion. Implementation
and monitoring of such an operational framework are also necessary; however, they
have not been a priority at the international level. The Council could spearhead
efforts to move forward on such implementation and monitoring activities.
63.
As discussed earlier, of all the Millennium Development Goals, Goal 5 is the
furthest from being realized. Despite efforts to reduce maternal mortality globally,
very little progress has actually been made in the last 20 years. Given this, there is
clearly much scope for the Council to make constructive and effective contributions to
the global effort to eliminate maternal mortality and morbidity through its mandate
to promote and protect human rights. There are a number of recommended options
for the Council’s consideration relating to promoting a human rights-based approach
to addressing preventable maternal mortality and morbidity. The options presented
below are not mutually exclusive, but rather reinforce one another. In the short term,
such steps could include making a contribution in relation to the human rights
dimensions of maternal mortality and morbidity to the High-level Plenary Meeting of
the General Assembly in September 2010 reviewing the progress made towards
achieving the Millennium Development Goals and forwarding the present study for
the attention of the Sixty-fourth World Health Assembly. Such steps would be
consistent with the Council’s mandate of mainstreaming human rights within the
United Nations system.
64.
Additional steps the Council could take would be to further the
operationalization of a human rights-based approach to maternal mortality and
morbidity. This could involve, as an initial step, the collection of good practices from
States and other actors as to addressing maternal mortality and morbidity from a
human rights perspective. Such a compilation of good or effective practice would be
an important and necessary contribution or foundation for an expert consultation cohosted by relevant United Nations agencies that would look at the operational aspects
of a rights-based approach to maternal mortality and morbidity in greater detail. The
outputs of such a large-scale consultation could be presented to the Council for its
consideration.
65.
As a final step, while there is already much ongoing inter-agency dialogue and
collaboration within the United Nations (and Bretton Woods) systems on the issue of
maternal mortality and morbidity, there is further scope for work on the human
rights dimensions of this topic to be strengthened through the Office of the High
Commissioner for Human Rights (OHCHR) participation in this dialogue and
collaboration, particularly with UNFPA, UNICEF, WHO and the World Bank. Such
participation would allow OHCHR to assist this collaboration by offering human
rights expertise and at the same time would also allow for the building of OHCHR
capacity in this area through the interaction with agencies having a range of
specialized technical expertise in maternal mortality and morbidity.
22
GE.10-12949
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