A/71/304 14. The right to health has been clarified in general comments and observations adopted by the United Nations treaty bodies, including general comment No. 14 of the Committee on Economic, Social and Cultural Rights. 5 An increasingly rich jurisprudence and literature on the right to health has al so enhanced understanding of this fundamental right. 15. The paragraphs below elaborate the norms and obligations that are embedded in the right-to-health legal framework and must be factored into and will support progress in meeting the health-related Sustainable Development Goals. B. Health care and the underlying determinants of the right to health 16. The right to health includes a right to health care. Health care is closely connected to all the targets in Goal 3 and directly reflected in the targets to achieve universal health coverage (target 3.8) and ensure universal access to sexual and reproductive health-care services (target 3.7). The relationship between universal health coverage and the right to health is explored further below, while the right to sexual and reproductive health care has been elaborated in general comments Nos. 14 and 22 of the Committee on Economic, Social and Cultural Rights, as well as in a number of previous reports by the mandate holder (see E/CN.4/2004/49, A/66/254, A/HRC/14/20 and A/HRC/32/32). The right to health can also support and be supported by such targets as the reduction of maternal and newborn and under-5 mortality rates (targets 3.1 and 3.2) and of the incidence of communicable and non-communicable diseases (targets 3.3 and 3.4), the promotion of mental health (target 3.4) and the reduction of the number of deaths from road traffic accidents (target 3.6). 17. The right to health requires that health-care goods, services and facilities be available in adequate numbers; financially and geographically accessible, as well as accessible on the basis of non-discrimination; acceptable, that is, respectful of the culture of individuals, minorities, peoples and communities and sensitive to gender and life-cycle requirements; and of good quality. 6 Several of the Sustainable Development Goal targets are relevant to this framework, including the commitment to increase the training, recruitment and retention of health workers in developing countries (target 3.c), which supports the principle of availability of services. 18. An effective and integrated health system that is based on the human rights principles of equality and non-discrimination, transparency, accountability and participation is at the heart of the right to health. Health systems are all too often not a priority for States or for bilateral and multilateral donors. In addition, they receive scant attention within the 2030 Agenda, yet many of the Sustainable Development Goals and targets are dependent on a strong health system that is adequately funded, transparent and accountable. Without focused investment in health system strengthening, there is little prospect of much progress on the health related Goals, including addressing the growing burden of non -communicable diseases, universal health coverage and other targets. This imp lies financial investment, as well as investment in good governance, transparency, participation and accountability mechanisms. __________________ 5 6 6/26 Committee on Economic, Social and Cultural Rights, general comments Nos. 14 and 22; Committee on the Rights of the Child, general comment No. 15. Committee on Economic, Social and Cultural Rights, general comment No. 14, para. 12. 16-13597

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