A/HRC/22/31
arguing that they may actually lead to malnutrition if applied where ecosystems are able to
support sustainable diets. Meals provided at schools may help to ensure children’s access to
adequate food as well as increase their learning capacity and enrolment in schools.
44.
Obesity in children can be addressed by promoting healthy eating habits and
physical exercise. Together with parental education, regulating advertising and the
promotion of unhealthy food and beverages can limit children’s exposure to them.
45.
The Special Rapporteur on the right to food underscores the importance of
addressing undernutrition, micronutrient deficiency and overnutrition in a concurrent
manner by reshaping whole food systems for the promotion of sustainable diets. 8
D.
Harmful practices
46.
Certain practices condoned by parents, relatives, even religious and community
leaders, may have a detrimental impact on the health of children, such as female genital
mutilation and cutting, forced feeding, child marriage, acid attacks, “honour” killings,
breast ironing, virginity testing, harmful initiation rites, son preference, sex selection,
infanticide, dowry, bonded labour and sexual slavery. Measures should be taken to abolish
them, in accordance with article 24.3 of the Convention on the Rights of the Child.
47.
Harmful practices to children’s health are in some cases induced by the media and
private industry. Beauty stereotypes promoted by the media can lead to such unnecessary
practices as cosmetic surgery. States should also take effective and appropriate measures to
address them, if relevant.
E.
Sexual and reproductive health
48.
Approximately 16 million girls aged from 15 to 19 years give birth every year;
adolescent girls run a particularly high risk of complications during pregnancy and delivery.
Poor maternal health causes 7 per cent of female deaths in the 10 to 24 age group, and
underlies a high proportion of global disability.
49.
The right to sexual and reproductive health is a fundamental part of the right to
health. As noted by the Special Rapporteur on the right of everyone to the enjoyment of the
highest attainable standard of physical and mental health, States must ensure that this aspect
of the right to health is fully realized.9 Ensuring the highest attainable standard of health
and well-being of adolescents requires comprehensive sexuality education and full access to
confidential youth-friendly and evidence-based sexual and reproductive health services.
Adolescent-friendly comprehensive sexuality education can help to address the high rates
of teenage pregnancy and the additional risks of associated morbidity and mortality.
50.
The Committee on the Rights of the Child has urged State parties to take all
necessary measures to reduce teenage pregnancies and to improve knowledge and the
availability of family planning services, to develop education programmes on adolescent
reproductive health, and to raise awareness about access to safe contraception methods. It
has also stressed that the views of the child should always be heard and respected in
abortion decisions, and that this be ensured by law and in practice.10
8
9
10
10
A/HRC/19/59, paras. 37-47,
A/66/254.
CRC/C/UKR/CO/3-4, para. 57.
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