A/HRC/22/31 and advice without parental or legal guardian consent, where this is in the child’s best interests. 23. As described by the Committee on Economic, Social and Cultural Rights in its general comment No.14, health services and programmes, including for children, should comply with a number of criteria, including availability, accessibility, acceptability and quality. The realization of the right of the child to health requires the availability of functioning child health facilities, goods, services and programmes, in sufficient quantity. This includes sufficient hospitals, clinics, health practitioners, mobile teams and facilities, community health workers, equipment and essential drugs to provide all children within the State with health care. Sufficiency should be measured according to need, with particular attention given to underserved and hard-to-reach populations. 24. Accessibility has four dimensions: (a) Non-discrimination: Health and related services, equipment and supplies must be accessible to all children, pregnant women and mothers, in law and in practice, without discrimination of any kind; (b) Physical accessibility: Health facilities must be within an accessible distance for all children, pregnant women and mothers. It may require additional attention to the needs of children with disabilities; (c) Economic accessibility: Lack of ability to pay for services, supplies or medicines should not result in the denial of access. States should create safety nets allowing poor populations access to services where and when critically needed, regardless of their ability to pay. This may include abolishing user fees and implementing health financing systems that do not discriminate against the poor for their inability to pay; (d) Information accessibility: Information on health promotion, health status and treatment options should be provided to children and their caregivers in a language and format that is accessible and clearly understandable and culturally suited to them. 25. In the context of the child’s right to health, acceptability implies that all healthrelated facilities, goods and services should be designed and used in a way that takes into full account and is respectful of medical ethics, as well as the child’s needs, expectations, culture and language. Health-related facilities, goods and services should be scientifically and medically appropriate and of good quality. IV. Health issues relating to children requiring attention 26. The health concerns of an ever-increasing population of people aged between 0 and 19 years, currently estimated at 2.5 billion worldwide, must be afforded appropriate attention. 27. According to ILO, 115 million children are engaged in work that is likely to harm their health, safety or morals and that should be prohibited for anyone under the age of 18. Children involved in hazardous work are highly exposed to work-related illnesses and injuries. A. Pregnancy, delivery and postnatal care 28. Ensuring that children are healthy begins with promoting the health and well-being of women of reproductive age, and continues with care and services during pregnancy, delivery and the post-partum stage. A child whose mother dies within six weeks of their birth is less likely to survive to the age of 2 than a child whose mother survives. The need 7

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