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course, human rights do not provide neat answers to these complex issues any more than does
equity, health economics or any other body of principles and knowledge. Nonetheless, the health
and human rights movement is developing the techniques and skills to enable it to make a
constructive contribution to these important and complex discussions.
30.
In short, there is a new maturity about the health and human rights movement. “Naming
and shaming”, test cases and slogans all have a vital role to play in the promotion and protection
of the right to health, but so do indicators, benchmarks, impact assessments, budgetary analysis,
and the ability to take tough policy choices in a manner that is respectful of international human
rights law and practice.
E. The pivotal role of established human rights civil society organizations
31.
Earlier in this section, the Special Rapporteur argues that some established human rights
NGOs are now giving more attention than before to economic, social and cultural rights,
including the right to health. While this is very encouraging, the Special Rapporteur also has the
firm impression that some of these organizations still devote much more attention to civil and
political rights than to economic, social and cultural rights. Although there are numerous and
widespread right-to-health problems that are an affront to humanity, they still seldom attract the
sustained attention of established human rights NGOs.
32.
Take maternal mortality. Each year, there are over 500,000 maternal deaths. That is the
equivalent of about one maternal death every minute; 95 per cent of maternal deaths are in
Africa and Asia. Most could be avoided by a few well-known interventions. While women in
some rich countries have a 1 in 8,700 chance of dying in childbirth, women in some low-income
countries have a 1 in 10 chance.
33.
These facts are especially shocking not only because they are preventable, but also
because they expose profound health inequalities. First, the burden of maternal mortality falls
disproportionately on women in developing countries. Second, in both developing and
developed countries, the burden of maternal mortality falls disproportionately on ethnic minority
women, indigenous women and women living in poverty. Third, there is no single cause of
death and disability for men between the ages of 15 and 44 that is close to the magnitude of
maternal mortality and morbidity. In other words, maternal mortality and morbidity reveal sharp
discrepancies between men and women in their enjoyment of sexual and reproductive health
rights. In summary, maternal mortality highlights multiple inequalities - global, ethnic and
gender. And recurring throughout is the entrenched disadvantage of those living in poverty.
34.
As the Special Rapporteur argued in his last report to the General Assembly, maternal
mortality is not just a health issue, it is a human rights issue.31 Avoidable maternal mortality
violates women’s rights to life, health, equality and non-discrimination. Moreover, the scale of
maternal mortality is just as large as - if not larger than - many of the extremely serious human
rights issues that, for many years, have attracted much of the attention of established human
rights NGOs. For example, several of these organizations campaign against the death penalty.
In 2005, about 2,500 people under sentence of death were executed.32 This is almost certainly an
underestimate, so assume this figure might be multiplied tenfold to 25,000. How many maternal
deaths were there in the same period? About 500,000.
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