A/HRC/27/20
lens for many years. In 2006, this issue was placed on the human rights agenda of the
United Nations, when the Special Rapporteur on the right of everyone to the enjoyment of
the highest attainable standard of physical and mental health devoted part of his report to
the General Assembly to this topic. Subsequently, the Human Rights Council organized a
panel discussion in 2009 on this issue, and the three reports of the High Commissioner were
produced in the following years.
6.
Importantly, the recognition of maternal health as a human rights concern has not
been restricted to the human rights sphere. Recent years have also witnessed increased
collaboration between the health and human rights communities on maternal health. The
2010 Global Strategy for Women’s and Children’s Health, led by the Secretary-General,
which focused on acceleration towards the achievement of Millennium Development Goals
4 and 5, explicitly recognizes the human rights dimensions of maternal and child health.
The work that has followed on from that Global Strategy, including through the
recommendations of the Commission on Information and Accountability for Women’s and
Children’s Health, and the work of the independent Expert Review Group on
Accountability for Women’s and Children’s Health, has continued to emphasize that
maternal health cannot be treated solely as a public health issue but must be understood as a
human rights concern. Furthermore, the Partnership for Maternal, Newborn and Child
Health (PMNCH) has played an important role in convening policy networks that extend
across normally disparate elements of research, policy, practice and the public, thus
contributing to the widening of partner networks for reproductive, maternal, newborn and
child health and human rights.
7.
More recently, the Commission on the Status of Women recognized that failures to
protect reproductive rights were hampering efforts to achieve Millennium Development
Goal 5 on maternal health (E/CN.6/2014/L.7, para. 23), and the Commission on Population
and Development, in its resolution 2014/1, linked the “promotion, respect, protection and
fulfilment of all human rights” to the elimination of preventable maternal mortality and
morbidity (E/2014/25-E/CN.9/2014/7, para. 11).
8.
In discussions around the post-2015 development agenda, there has also been an
emphasis on sexual and reproductive health and rights, including the human rights
dimensions of maternal mortality and morbidity. For example, the report of the High-Level
Panel of Eminent Persons on the Post-2015 Development Agenda paid specific attention to
sexual and reproductive health, including maternal health, and remarked that “universal
access to sexual and reproductive health and rights is an essential component of a healthy
society”.3
9.
These developments signal that there is increased understanding of maternal
mortality and morbidity as a matter of human rights. The contribution of the technical
guidance, based on this recognition, is to offer assistance to relevant stakeholders on the
actions required to address maternal health in line with human rights obligations, and to put
in place processes for the development of policies and programmes that respect human
rights principles, including participation, non-discrimination and accountability.
10.
It is important to note that some Governments, United Nations agencies and civil
society organizations, and other entities, were already applying rights-based approaches to
maternal health before the technical guidance was adopted, and continue to implement
these important projects and programmes. The High Commissioner welcomes these efforts
and encourages further uptake of rights-based approaches. The technical guidance is a tool
3
4
A New Global Partnership: Eradicate Poverty and Transform Economies through Sustainable
Development, p. 39.
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