A/HRC/33/24 31. A number of the recommendations in this case focus on non-repetition of those human rights violations and suggest reforms to how the State administers maternal health care. Four years after the decision was issued, the Center for Reproductive Rights indicated that it had convened a follow-up commission to assess implementation of those recommendations. Inspired by the technical guidance, the commission was able to craft robust recommendations for further reform of the Brazilian maternal health system, which the Center is currently using in ongoing advocacy. 32. IPAS has noted that, with its national partners, it has used a human rights-based approach to monitor the progress of the Government of Brazil in taking effective measures to implement the Committee’s decision. Using the technical guidance as a framework, IPAS has also worked with Brazilian civil society organizations to assess the quality of post-abortion care in five Brazilian states. Researchers used a human rights-based approach and based their interview questions on the technical guidance and presented the final report in October 2015 in a thematic hearing before the Inter-American Commission on Human Rights. 33. The Information Group on Reproductive Choice (GIRE) in Mexico highlighted that the technical guidance has been instrumental in its focus on social justice to build capacity of rights holders to demand a State response when their rights have been violated, making use of complaints to public human rights bodies, both at local and national levels, with the objective of achieving comprehensive reparations for violations. The organization has developed specific research and reports on women’s reproductive rights in Mexico aimed at drawing attention to violations, making recommendations to different authorities and influencing policy decisions related to reproductive health and rights. 34. Stakeholders in Peru have also utilized the technical guidance to support participatory monitoring methods. For example, Foro de la Sociedad Civil en Salud (ForoSalud) has focused its efforts on building the capacity of indigenous women to ensure the quality of care at health facilities; direct citizen monitoring of health facilities; documentation and production of reports on the monitors’ findings; the monthly analysis of those findings with the Regional Ombudsperson’s Office, ForoSalud members and the Departmental Officer for Integral Health Insurance; and the creation of “dialogue spaces” for indigenous women leaders and health providers and authorities. Those efforts have led to improved understanding within the Ombudsperson’s Office of health rights and increased accountability of public health facilities as a result of regular monitoring by indigenous women, who are now able to present their monitoring findings to the Ombuds officers. 35. As another example of monitoring human rights violations related to maternal health, Amnesty International published a report in 2014 that examined some of the barriers to antenatal care faced by women and girls in South Africa.9 The report, which utilized the technical guidance as a tool for analysis, adopted a qualitative and inclusive research methodology and identified key barriers that cause delays to or avoidance of antenatal care. A significant result was the shift in perception among the community concerned from viewing maternal health care as an issue of poor service delivery to be endured to one of human rights to be challenged. It is reported that the authorities have visited some of the sites mentioned in the report to investigate its key findings. 9 Amnesty International, “Struggle for maternal health: barriers to antenatal care in South Africa” (2014). 9