Intensification of efforts to end obstetric fistula
A/RES/71/169
remote areas and the poorest urban areas, as well as to ensure that needed funding is
increased, predictable and sustained;
10. Calls upon the international community to support the activities of the
United Nations Population Fund and other partners, including the World Health
Organization, in the global Campaign to End Fistula in establishing and financing
regional fistula treatment and training centres and, where necessary, national
centres, by identifying and supporting health facilities that have the potential to
serve as centres for treatment, training and convalescent care;
11. Calls upon States to accelerate progress to improve maternal health by
addressing sexual and reproductive, maternal, newborn and child health in a
comprehensive manner, inter alia, through the provision of family planning, prenatal
care, skilled attendance at birth, including midwives, emergency obstetric and
newborn care, postnatal care and methods of prevention and treatment of sexually
transmitted diseases and infections, such as HIV, within strengthened hea lth-care
systems that provide universal access to affordable, equitable and high -quality
integrated health-care services and include community-based preventive and clinical
care, as reflected in the outcome document of the United Nations summit for the
adoption of the post-2015 development agenda, entitled “Transforming our world:
the 2030 Agenda for Sustainable Development”; 7
12. Urges the international community to address the shortage and
inequitable distribution of doctors, surgeons, midwives, nurses and other health -care
workers trained in lifesaving obstetric care, and of space and supplies, which limit
the capacity of most fistula centres;
13. Commends the commemoration by the international community of
23 May as the International Day to End Obstetric Fistula and the decision to
continue to use the International Day each year to significantly raise awareness,
intensify actions and mobilize support towards ending obstetric fistula;
14. Calls upon States and/or the relevant funds and programmes, organs and
the specialized agencies of the United Nations system, within their respective
mandates, and invites the international financial institutions and all relevant actors
of civil society, including non-governmental organizations, and the private sector, to
end obstetric fistula within a generation by:
(a) Redoubling their efforts to meet the internationally agreed goal of
improving maternal health by making maternal health-care services and obstetric
fistula treatment geographically and financially accessible, including by ensuring
universal access to skilled attendance at birth and timely access to high -quality
emergency obstetric care and family planning, as well as appropriate prenatal and
postnatal care;
(b) Making greater investments in strengthening health systems, ensuring
adequately trained and skilled human resources, especially midwives, obstetricians,
gynaecologists and doctors, and providing support for the development and
maintenance of infrastructure, as well as investments in referral mechanisms,
equipment and supply chains, to improve maternal and newborn health -care services
and ensure that women and girls have access to the full continuum of care, with
functional quality control and monitoring mechanisms in place for all areas of
service delivery;
(c) Supporting the training of doctors and surgeons, nurses and other health care workers in lifesaving obstetric care, especially midwives, who are the front-line
workers in the fight to prevent obstetric fistula and maternal and newborn mortality,
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