A/HRC/27/20
36.
OHCHR has used the example of maternal mortality in its staff training on human
rights budgeting, using the technical guidance as a tool. Bringing together about 30
OHCHR staff members, the training included a session that examined the budget chapter of
the technical guidance and considered the application of these principles in the national
context.
37.
The International Federation of Gynaecology and Obstetrics considers the adoption
of a human rights-based approach to be very important in improving women’s health and
has reported that the technical guidance has been a useful tool for its work in this area. In
particular, the technical guidance has provided input into the work of its Committee for
Women’s Sexual and Reproductive Rights, which has developed a curriculum on women’s
rights to reproductive and sexual health. The curriculum will be introduced at the executive
board meeting being held in Tokyo in July 2014, and will also feature at other upcoming
Federation conferences at the national, regional and international levels. The Federation is
also examining the possibility of introducing the curriculum in medical schools. The aim of
the curriculum is to raise awareness among gynaecologists and obstetricians around the
world of the importance of women’s human right to health. The curriculum highlights case
studies where women’s rights have been jeopardized. It addresses the questions of access to
facilities and services, the treatment of health-care providers, and quality of care, among
many other aspects.
38.
In South Africa, the Equinet network, together with the Society of Midwives of
South Africa, is working to build the capacity of midwives to apply rights-based
approaches, focusing strategically on educators. In KwaZulu Natal province, a task team
has been established to examine the midwifery curriculum and integrate a human rightsbased approach, drawing on the technical guidance. Discussions are also under way with
midwifery colleges in Eastern Cape, Western Cape and Free State, as well as at the national
level, to expand these efforts to incorporate a rights-based approach into the curriculum.
39.
Uganda’s Center for Health, Human Rights and Development has reported that the
technical guidance has been a useful tool in the development of an action research project
on community participation in the realization of the right to health, which was implemented
in partnership with the Learning Network for Health and Human Rights at the School of
Public Health and Family Medicine of the University of Cape Town, South Africa. The
project explores the experiences of community members in the Kiboga and Kyankwanzi
districts of Uganda with regard to the health unit management committees — the
institutional structures established by the Government for community members to
participate in health governance.
40.
In Peru, CARE Peru is working together with PAHO to engage national health
authorities and policymakers on dissemination and capacity-building with regard to the
implementation of the technical guidance. In that connection, CARE Peru is producing a
publication entitled Methodology for Training Citizens for Local Citizen Monitoring:
Legislative and National Norms Framework to Promote Citizen Monitoring for Health
Rights.
41.
At the Harvard University School of Public Health, the technical guidance was
studied in a course entitled “The right to health in resource-poor settings: maternal health in
Tanzania”. The course examined the implications of adopting a rights-based approach to
maternal health for multiple actors across the policymaking, implementation and review
cycle, as well as with respect to enforcement mechanisms and international assistance and
cooperation. The students undertook interviews with a wide range of stakeholders, such as
government officials, donors, representatives both of United Nations agencies and of civil
society organizations, and patients, and visited facilities, in order to explore the obstacles
to, and the implications of, implementing rights-based approaches.
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