A/HRC/27/20 the main theme was the human rights of women and girls. The Amman Declaration and Programme of Action that came out of the conference contain explicit recommendations to national human rights institutions on the protection and promotion of reproductive rights, including rights related to maternal health. OHCHR has received information since then that certain national human rights institutions are working with the technical guidance. In Mexico, the Human Rights Commission of Mexico City, in its 2013 annual report concerning maternal health and obstetric violence, refers to the technical guidance, among other international human rights instruments protecting maternal health and other relevant human rights. In India, an article on the technical guidance appeared in the Journal of the National Human Rights Commission in 2013.8 20. In addition, numerous stakeholders have reported to OHCHR that the technical guidance has been disseminated at the national level. In Switzerland, for example, the technical guidance was distributed through the organization Santé Sexuelle Suisse, which is the main organization in the country working on the promotion of sexual and reproductive health and respect for sexual rights. The Government of the Republic of Moldova reported that the technical guidance had been presented to relevant experts in the Ministry of Health, and that the guidance was the subject of regular discussion among national experts in the field of reproductive health. In Mexico, 32 women’s institutions at the State level disseminated the technical guidance to the health sector in their respective States and also to the municipal women’s institutes. Furthermore, the technical guidance was presented and circulated at a national-level meeting held by the Committee for Safe Motherhood in Mexico City in September 2013 to raise awareness about safe pregnancy as a human right that entails obligations across various sectors. The Burundi office of UNFPA reported that it had disseminated the technical guidance to a network of journalists, in order to raise awareness among the media about the applicability of rights-based approaches. 21. The technical guidance has also informed discussions around the ICPD beyond 2014 review process. In July 2013, an international conference on human rights was held in the context of the ICPD beyond 2014 review process, in order to identify positive human rights developments over the past 20 years, remaining gaps and challenges, and emerging issues and priorities for the future. The issue of accountability, as explained in the technical guidance, was an important discussion point at the conference. This understanding of accountability requires attention to all phases of the policy cycle, and to ensuring transparency and effective participation. The report of the operational review of the implementation of the programme of action of the ICPD and its follow-up beyond 20149 is explicitly oriented around the obligation to realize human rights, and it supports the application of rights-based approaches, including in regard to the question of maternal mortality and morbidity. In connection with the Human Rights Council’s resolutions on maternal mortality and morbidity, he explains that the ICPD beyond 2014 review process affords an opportunity to reflect the expansion and strengthening of a human rights-based approach to health. 22. Knowledge about the technical guidance has also been spread more widely, thanks to its citation in a number of articles and publications.10 8 Jashodhara Dasgupta, “Maternal health: promotion and protection of human rights of women”, Journal of the National Human Rights Commission, India, vol. 12 (2013). 9 Launched by the Secretary-General of the United Nations and the Executive Director of UNFPA on 12 February 2014. 10 See, for example, African Union policy brief, “Using human rights to advance accountability for women and children’s health”, August 2013. Available from http://www.who.int/pmnch/media/events/2013/au_policy_brief_human_rights.pdf; 7

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