A/HRC/33/24
and reproductive health-care services. The Committee has also taken up the technical
guidance in its recommendations to State parties to the International Covenant on
Economic, Social and Cultural Rights, including on the Gambia (E/C.12/GMB/CO/1, para.
27), Nepal (E/C.12/NPL/CO/3, para. 26), Paraguay (E/C.12/PRY/CO/4, para. 29) and
Tajikistan (E/C.12/TJK/CO/2-3, para. 31).
10.
The Committee on the Elimination of Discrimination against Women has
incorporated the technical guidance into its concluding observations on the Bolivarian
Republic of Venezuela (CEDAW/C/VEN/CO/7-8, para. 31). The Committee on the Rights
of the Child has referred to it in its conclusions on Colombia (CRC/C/COL/CO/4-5, para.
40 (c)), the Dominican Republic (CRC/C/DOM/CO/3-5, para. 52 (b)), Eritrea
(CRC/C/ERI/CO/4, para. 56 (g)), the United Republic of Tanzania (CRC/C/TZA/CO/3-5,
para. 59 (f)) and the Bolivarian Republic of Venezuela (CRC/C/VEN/CO/3-5, para. 57 (c)).
III. Utilization of the technical guidance
A.
National-level multi-stakeholder processes
11.
Following the Council’s call to apply the technical guidance, OHCHR has been
working with partners in selected countries to facilitate multi-stakeholder processes on
sexual, reproductive, maternal and child health. That work has built on a regional workshop
held in Malawi in November 2013, where national stakeholders from Malawi, South Africa,
Uganda and the United Republic of Tanzania came together to build a common
understanding about rights-based approaches and identify opportunities to apply the
technical guidance at the national level.
12.
Human rights assessments have since been undertaken and multi-stakeholder
dialogues convened to discuss the assessments in Uganda (in 2014), Malawi (in 2015) and
the United Republic of Tanzania (in 2016). In Zambia, a multi-stakeholder dialogue was
convened in 2015. Those dialogues have triggered practical actions to support the
application of rights-based approaches. The three processes profiled below provide an
overview of how such initiatives may start or deepen discussions on some of the major
challenges at the national level.7 Critically, the entry point provided by the utilization of the
technical guidance built upon pre-existing initiatives related to health and human rights in
all three countries.
13.
A key outcome of these processes, as reported by relevant stakeholders in
interviews, was a strengthened or newly built multi-stakeholder process on the application
of a human rights-based approach to sexual, reproductive, maternal and child health.
Crucially, actors outside the health sector were involved in planning and implementation in
this area and health-sector actors developed enhanced understanding about human rights
and their significance to health-related processes.
14.
It was also emphasized that the processes had enhanced public and multisectoral
participation in planning, strengthened accountability and pushed stakeholders to look
beyond a purely biomedical approach in order to address inequalities and root causes of
impediments to sexual, reproductive, maternal and child health.
15.
In Malawi, the human rights assessment, led by the Ministry of Health, OHCHR,
UNFPA, WHO, the United Nations Children’s Fund (UNICEF) and the United Nations
7
The United Republic of Tanzania is not profiled here because the dialogue only occurred in May
2016.
5
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