A/RES/67/147
Supporting efforts to end obstetric fistula
fistula repair, treatment and care as a standard element of the training curricula of
health professionals;
(k) To strengthen awareness-raising and advocacy, including through the
media, to effectively reach families with key messages on fistula prevention and
treatment and social reintegration;
(l) To strengthen research, monitoring and evaluation systems, including by
developing a community- and facility-based mechanism for the systematic
notification of obstetric fistula cases and maternal and newborn deaths to ministries
of health, in a national register, as well as for the purpose of guiding the
implementation of maternal health programmes;
(m) To strengthen research, data collection, monitoring and evaluation to
guide the planning and implementation of maternal health programmes, including
for obstetric fistula, by conducting up-to-date needs assessments on emergency
obstetric and newborn care and for fistula, and routine reviews of maternal deaths
and near-miss cases, as part of a national maternal death surveillance and response
system, integrated within national health information systems;
(n) To improve data collection, pre- and post-surgery, to measure progress in
addressing the needs for surgical treatment and the quality of surgery, rehabilitation
and socioeconomic reintegration services, including post-surgery prospects for
successful subsequent pregnancies, live births and severe health-related
complications, so as to address the challenges of improving maternal health;
(o) To provide essential health-care services, equipment and supplies and
skills training and income-generating projects to women and girls so that they can
break out of the cycle of poverty;
10. Urges the international community to address the shortage of doctors and
the inequitable distribution of midwives, nurses and other health workers trained in
life-saving obstetric care and of space and supplies, which limit the capacity of most
fistula centres;
11. Urges multilateral donors, and invites international financial institutions,
within their respective mandates, and regional development banks to review and
implement policies to support national efforts to ensure that a higher proportion of
resources reach young women and girls, in particular in rural and remote areas;
12. Calls upon the international community to designate 23 May as the
International Day to End Obstetric Fistula, and henceforth use the International Day
each year to significantly raise awareness and intensify actions towards ending
obstetric fistula;
13. Invites Member States to contribute to efforts to end obstetric fistula,
including, in particular, the United Nations Population Fund Campaign to End
Fistula, with the goal of eliminating obstetric fistula globally, in line with the targets
of the Millennium Development Goal of improving maternal health;
14. Requests the Secretary-General to submit a report to the General
Assembly at its sixty-ninth session on the implementation of the present resolution
under the item entitled “Advancement of women”.
60th plenary meeting
20 December 2012
6/6