A/HRC/32/32 91. Furthermore, States should introduce measures to raise adolescents’ awareness of their rights to sexual and reproductive health and to services and goods at the family, school and community levels. Age-appropriate, comprehensive and inclusive sexuality education, based on scientific evidence and human rights, should be part of the mandatory school curriculum, with special attention given to relationships, sexuality, gender equality and identity and sex characteristics, including non-conforming gender identities, responsible parenthood and sexual behaviour, and preventing early pregnancy and sexually transmitted infections.73 92. States are strongly encouraged to decriminalize abortion, in accordance with international human rights norms, and adopt measures to ensure access to legal and safe abortion services. Criminal laws with respect to abortion result in a high number of deaths, poor mental and physical health outcomes, infringement of dignity and amount to violations of the obligations of States to guarantee the right to health of adolescent girls. 74 Furthermore, information about and access to abortion services must be available, accessible and of good quality, without discrimination, at a minimum in the following circumstances: when the life or health of the mother is at risk, when the mother is the victim of rape or incest and if there is severe and fatal foetal impairment. Post-abortion care must be available and accessible to all adolescent girls irrespective of the legal status of abortion. 93. Prevention, care, treatment and support are mutually reinforcing elements in providing a comprehensive and effective response to HIV/AIDS.75 All adolescents should have access to HIV testing and counselling, and evidence-based HIV prevention and treatment programmes. Health services should offer HIV-related information, testing, sexual and reproductive health services, contraception, condoms and HIV-related care and treatment, including antiretroviral and other medicines, diagnostics and related technologies for the care of HIV/AIDS, related opportunistic infections and other conditions, good nutrition and social, spiritual and psychological support, as well as family, community and home-based care. 94. The Special Rapporteur deplores the imposition of treatments to try to change sexual orientation and gender identity, including forced sex assignment surgeries for intersex youth, forced sterilizations and abortions for girls with disabilities, the use of surgery and hormone therapy to stunt the growth of children with developmental disabilities and remove their reproductive organs, and the pathologizing of transgender identity and samesex attraction as psychiatric disorders. States should eliminate such practices and to repeal all laws criminalizing or otherwise discriminating against individuals on the basis of their sexual orientation or gender identity and expression.76 There is a need to reform and update national health information systems to include human rights concepts and variables such as lesbian, gay, bisexual and intersex status.77 73 74 75 76 77 General Assembly resolution 70/137 and UNESCO, International Technical Guidance on Sexuality Education (2009). A/66/254 and A/HRC/32/44. Committee on the Rights of the Child general comment No. 3 (2003) on HIV/AIDS and the rights of the child. See A/HRC/22/53; CRC/C/RUS/CO/4-5; CRC/C/GAM/CO/2-3, paras. 29-30; and CRC/C/CHE/CO/2-4, paras. 42-43. Pan American Health Organization resolutions CD50.R8 and CD52.R6. 19

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