A/HRC/14/39
of information, and accountability.95 The strengthening of these systems is beneficial to all
citizens, not just women. It is, however, also costly, and illustrates clearly the interlinkages
among development, human rights and public health.
44.
In this connection, the Special Rapporteur on the right to health has emphasized that:
“The right to health gives rise to a responsibility of international assistance and cooperation
on developed States to assist developing States to realize the right to health. Developed
States should support developing States’ efforts to reduce maternal mortality. This
responsibility is reflected in Millennium Development Goal 8, which is a commitment to
develop a global partnership for development.”96 Thus, donor countries have a
responsibility to provide international cooperation and assistance.
IV. Overview of initiatives and activities within the United
Nations system and beyond to address all causes of
preventable maternal mortality and morbidity
45.
An exhaustive overview of all major existing global initiatives and activities to
address preventable maternal mortality and morbidity would be overwhelming in length. A
preliminary analysis of the types of activities, roughly categorized under normative and
policy development, service provision, and accountability, confirms the significant number
of existing initiatives but also highlights the need for coherence and enhanced action in
specific areas.
A.
Normative and policy development
46.
The elaboration on human rights law by human rights mechanisms referred to
extensively in the present report has not been done in isolation, but alongside commitments
made by States in international conferences and global initiatives. In 1994 the Cairo
International Conference on Population and Development adopted a Programme of Action,
identifying as objectives, among others, the promotion of women’s health and safe
motherhood, the achievement of a rapid and substantial reduction in maternal morbidity and
mortality, and the reduction in the differences observed between and within developed and
developing countries. Recognizing the impact of unsafe abortion as “a major public health
concern”, the Programme of Action urges Governments to spare no effort in preventing
high-risk pregnancies and births, particularly those of adolescents, as well as unwanted
pregnancies and “to reduce the recourse to abortion through expanded and improved family
planning services”.97 The Programme of Action further states in paragraph 8.25 that: “in
circumstances where abortion is not against the law, such abortion should be safe. In all
cases, women should have access to quality services for the management of complications
arising from abortion”. At the United Nations five-year review of the Programme of Action,
it was agreed that “in circumstances where abortion is not against the law, health systems
should train and equip health-service providers and should take other measures to ensure
that such abortion is safe and accessible”.98
95
96
97
98
GE.10-12949
A/61/338, para. 19.
Ibid., para. 20.
Programme of Action of the International Conference on Population and Development (ICPD), para.
8.25.
Report of the Ad Hoc Committee of the Whole, “Key actions for the further implementation of the
Programme of Action of the International Conference on Population and Development” (A/S21/5/Add.1), para. 63 (iii).
17
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