A/HRC/27/20
C.
Planning, programming and strategic vision
42.
The commitment to implementation of the technical guidance specifically, and to a
rights-based approach to sexual and reproductive health, including maternal health, is also
evident in the way in which some stakeholders have effectively included rights-based
approaches in their planning and strategy processes. In line with the strategic plans of both
UNFPA and OHCHR, a Framework of Cooperation was signed on 3 March 2014 by both
organizations which provides a framework for further implementation of the technical
guidance. In particular, as the technical guidance is aimed at action at the country level, this
framework commits both organizations to advancing the integration of human rights
standards and principles into national policies, programmes and budgets relating to sexual
and reproductive health and rights, including in the areas of maternal health and family
planning. It also has the objective of supporting development of the capacity of national
human rights institutions and civil society organizations to monitor sexual and reproductive
health and rights obligations, including those related to maternal health, and to follow up on
the relevant recommendations of international human rights mechanisms.
43.
PMNCH has reported that its involvement in the process leading to the adoption of
the technical guidance has assisted it in strengthening partnerships, including with OHCHR,
to implement rights-based approaches. Furthermore, involvement in the technical guidance
process has contributed to the strengthening of PMNCH’s conceptual approach to
integrating human rights into its work. Human rights is now a major feature of the work of
PMNCH on promoting accountability for reproductive, maternal, newborn and child health,
which focuses on enhancing linkages and alignment between accountability mechanisms
for human rights and for health, and developing and disseminating tools for human rightsrelated advocacy. PMNCH has also reported that integrating human rights into its work has
had an impact in several ways, including the way in which data are collected and indicators
are identified, and the way in which concepts are defined. Other impacts include bringing
new perspectives, evidence and solutions to challenges and identifying new areas where
further research is required.
44.
The technical guidance has also been used to inform national planning processes.
For example, UNFPA in Bhutan (a One UN country) reported that the technical guidance
had contributed directly to the formulation of the country’s United Nations Development
Assistance Framework (UNDAF). Specifically, the technical guidance was useful for the
Essential Social Services cluster, which has outcomes and outputs that relate to maternal
health services. The integrated analytical framework, which encompassed concepts of
equity, a human rights-based approach, gender, capacity development and results-based
management, was used to ensure a more rigorous and systematic analysis across all crosscutting areas when formulating areas of intervention, outcomes or outputs. Moreover, a
human rights-based approach guided the formulation of interventions for maternal health,
especially to address the disparity in access to reproductive health services and
commodities, including for adolescents.
45.
UNFPA in Uganda used the technical guidance directly at a planning meeting for 11
districts that had been chosen for fast-tracking of maternal and newborn health in the
UNDAF for 2014–2015. The first day of the meeting included an orientation session on the
principles behind a human rights-based approach, as well as a dedicated session on the
technical guidance. The added value of using the technical guidance was the
acknowledgement by the participants that more than 88 per cent of maternal deaths are
preventable and that actions need to be taken at all levels of the continuum of care, from the
household and community level to the health facility level to the national and international
level, and across all the other sectors beyond the health-care sector. The obligations of the
Government were emphasized, even when health services provision is decentralized. The
need to strengthen accountability mechanisms was also discussed, and some districts intend
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