A/HRC/37/74
medicines were significant problems. The health sector was one of the most corrupt in the
country, which undermined the credibility of the data it produced and the quality of
treatment provided. The fight against corruption, underfunding, and the lack of political
will and commitment were cumulative challenges that needed to be faced in order to fight
diseases effectively. Since the capacity of Governments in the global South was low, NGOs
should lead the fight against discrimination and efforts to combat tuberculosis and HIV in a
cost-effective manner. NGOs in Mongolia had succeeded in reducing the cost and
improving the quality of drugs. He welcomed the partnerships WHO and the Global Fund
to Fight AIDS, Tuberculosis and Malaria had set up with local communities to identify and
remedy discriminatory practices against children with tuberculosis.
23.
During the interactive dialogue, representatives of Panama, Ukraine, the Domino
Foundation and the International Federation of Anti-Leprosy Associations took the floor.
The issues they raised included violations of the right to health of people who used drugs,
minorities and persons living with HIV in Crimea; the need to access high-quality health
services for all persons; the close link between mental health, HIV and treatment adherence
patterns; the specific needs of specific groups; discrimination against people affected by
neglected tropical diseases, including leprosy; and the importance of not leaving behind
indigenous peoples and people living in rural communities.
D.
Role of civil society in the context of epidemics
24.
The Executive Director of the Global Network of People living with HIV, Laurel
Sprague, said that people living with HIV lived at the intersection of a health condition and
social prejudice. They had created the principle of Greater Involvement of People Living
with or Affected by HIV/AIDS, which had resulted in their increased representation in
various policymaking bodies at all levels. Ending AIDS required a real right to health; the
right to non-discriminatory employment and education for people living with HIV; putting
a stop to gender-based violence, discriminatory gender norms and laws, arbitrary arrests
based on lesbian, gay, bisexual and transgender identity, drug use, sex work or HIV status;
and addressing poverty and the other social determinants of health that made some people
and communities more vulnerable to HIV than others. Ending AIDS without ending
prejudices and social hierarchies would be a failure.
25.
The Strategic Initiatives Advisor to the Board of African Men for Sexual Health and
Rights, Kene Esom, recommended breaking the silos that continued to divide human rights
and public health work both in national ministries and in international organizations.
Funding for community work on health was either for public health interventions or human
rights interventions, which restricted the allocation of funds to one area or the other.
However, the distinction between them was blurred in the case of many organizations that
supported marginalized groups affected by communicable diseases. Other challenges
included the shrinking of civil society space through reprisals or restrictive NGO
regulations, and the denial of due process. Health-care workers often did not know about
the work of the Human Rights Council to prevent and prohibit reprisals, and did not
therefore benefit from it. Stigma, discrimination and persecution also impeded the delivery
of quality health services that left no one behind.
26.
The Regional Director for Latin America and the Caribbean at the Centre for
Reproductive Rights in Colombia, Catalina Martínez Coral, described how the 2016 Zika
outbreak in Latin America had disproportionately affected pregnant women due to the
increase in the number of abortions and of babies born with microcephaly. Many countries
had ignored reproductive rights and reacted by recommending the postponement of
pregnancy. That recommendation was unworkable in a region where 55 per cent of
pregnancies were unplanned, the availability of contraception was limited and sexual
violence was widespread. The region also had legislation criminalizing with harsh
sentences most if not all cases of abortion. She recommended that States recognize
women’s rights to make an informed decision about their bodies and family planning,
provide access to contraception and safe abortions, update health workers in rural areas
about the virus and provide good quality free maternal health services. She recommended
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