A/HRC/21/42
D.
Adopting targeted interventions
72.
One of the drivers of stigma is irrational assumptions that influence policy design
and implementation. States should adopt policies and measures that are based on evidence,
rather than on preconceptions. To establish the evidence base, States should undertake a
comprehensive study on stigma, understand who is affected, for what reasons, and how
stigma manifests itself. This requires both quantitative and qualitative data. Based on this
assessment, States must take targeted measures and affirmative action to address groups
that experience stigmatization. This will often require devoting greater resources to these
groups, for instance through earmarked funds.
73.
For example, some Slovenian municipalities have taken measures in response to the
lack of access to water and sanitation in many Roma communities. Previously, either
ownership or authorized occupation of a home was required to receive municipal services,
thus the unauthorized status of a settlement was a barrier to services. The municipalities of
Prekmurje region have waived these strict regulations, which has resulted in all but 3 of the
38 Roma settlements gaining access to services.48
E.
Adopting technical measures
74.
While the focus in combating stigma must be on bringing about societal change and
changes in attitude, technical measures are still crucial to ensure accessibility, for instance
for persons with disabilities or older persons, as are public health measures to prevent and
cure neglected tropical diseases. Sanitation systems should be adjusted to avoid manual
sanitation work. The provision of adequate facilities is crucial for menstrual hygiene
management, since it is often the lack of a safe and clean space that prevents women and
girls from exercising proper hygiene.
75.
Water and sanitation interventions are transformative and can be an entry point for
broader societal change. They facilitate the realization of other human rights, such as
education, health and work. In many instances, water and sanitation interventions prove to
be ideal starting points since everyone shares the need for these services, ensuring access
brings tangible improvements in people‘s lives, and speaking about water and sanitation
can be easier than addressing societal inequalities at large. To capitalize on that
opportunity, technical measures need to be accompanied by measures that go beyond
building infrastructure.
F.
Ensuring access to justice
76.
One of the defining tenets of the human rights framework is accountability. States
are obliged to put in place judicial and non-judicial accountability mechanisms to redress
human rights violations. Mechanisms must be in place to investigate violations and punish
the perpetrators. States must not allow impunity. They must provide for redress at the
individual level, including restitution, compensation, satisfaction and/or guarantees of nonrepetition.49 Mechanisms at the international level, including the universal periodic review
and the procedures of the treaty bodies, should be strengthened and applied in the context
of human rights violations based on stigma.
48
49
Catarina de Albuquerque, On the Right Track: Good Practices in Realising the Rights to Water and
Sanitation (Lisbon, 2012), p. 144.
Committee on Economic, Social and Cultural Rights, general comment No. 15 (2002) on the right to
water, para. 55.
19
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