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doctors and patients. It is equally important that parties to conflict emphasize that
hospitals are neutral civilian spaces and that medical personnel should be free to treat
all wounded persons in line with medical ethics and without fear of repercussions.
9.
Training must be at the core of prevention efforts. Parties to conflict should
develop specific child protection training modules, including outlining the
responsibilities under international humanitarian law regarding hospitals, medical
personnel and patients, and conduct training sessions and closely monitor awareness
of laws and procedures. Precautionary measures for military operations must also be
put in place, and the human cost of military actions should always be considered.
Even in circumstances in which acts do not amount to international crimes, the
civilian costs are nearly always too high; parties to conflict should refrain from
engaging in combat and using explosive weapons with a wide impact in populated
areas. To make these assessments, mechanisms can be put in place such as
establishing a review board composed of military and civilian experts to act as an
internal oversight mechanism on the conduct of operations.
10. All incidents must be investigated promptly and effectively, as ending
impunity for attacks on health care is the best way to prevent their recurrence.
Member States should investigate incidents, in a timely and transparent manner, and
punish those responsible. Putting remedial measures in place is also a necessary
element of accountability. When attacks have taken place, Governments should
ensure that they mitigate the impact by repairing damage, clearing military hazards,
providing emergency medical care and establishing safe routes and alternative
medical facilities.
11. The international community has an important role to play in promoting
accountability, protection and prevention. In resolution 69/132 on global health and
foreign policy, the General Assembly urged Member States to protect, promote and
respect the right to the enjoyment of the highest attainable standard of health, in
accordance with obligations under relevant provisions of international human rights
law. Similarly, the Security Council, in resolution 2286 (2016), demanded that all
parties to armed conflict comply fully with their obligations under international law.
The provisions set out in resolution 2286 (2016) complement those contained in
Assembly resolutions relating to the children and armed conflict mandate to monitor
and report on attacks on hospitals and schools.
12. The protection of health care is also a key element of Goal 3 of the Sustainable
Development Goals (General Assembly resolution 70/1). Initiatives to implement
the Goals must include specific provisions for children affected by armed con flict.
In that regard, the Special Representative welcomes the launch of the Charter on
Inclusion of Persons with Disabilities in Humanitarian Action at the World
Humanitarian Summit. The initiative will help to ensure that the many children who
are permanently disabled during conflict, sometimes purely as a result of the lack of
basic medical services to treat minor conditions, are not forgotten.
13. The protection of health care from attack is vital and the primary responsibility
for upholding international humanitarian law lies with parties to conflict. The
United Nations can support such efforts, but cannot make up for the lack of political
will to comply with basic legal obligations. Clear and concrete actions are required;
the Security Council, in its resolution 1998 (2011), called upon the parties listed in
the annexes to the report of the Secretary-General on children and armed conflict
that commit recurrent attacks on schools and/or hospitals and recurrent attacks or
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