A/HRC/47/38
accompanied by gender budgeting and financial investment, to ensure access to and the
affordability of sexual and reproductive health services;
(e)
Make women’s and girls’ agency, autonomy, privacy and informed
consent central to all sexual and reproductive health laws and policies and ensure access
to accurate information thereon, remove requirements that result in delays or denials
of sexual and reproductive health care and undermine women’s and girls’ autonomy,
such as third-party consent requirements and approvals by medical boards, and
regulate refusals of care based on conscience or religion;
(f)
Address the overmedicalization and paternalistic approach to sexual and
reproductive health services for women and girls in policy and practice and reorient
them around norms and procedures aimed at safeguarding their bodily integrity,
autonomy and agency;
(g)
Ensure access to respectful and non-coercive sexual and reproductive
health services for all women and girls and take additional steps to build trust with
communities that have been historically subjected to discrimination, coercion and/or
violence;
(h)
Adopt an intercultural and participatory approach to sexual and
reproductive health to ensure that indigenous and ethnic and other minority women
and girls are actively involved in shaping and implementing the sexual and reproductive
health programmes offered to them, including through their own institutions and
communities;
(i)
Develop policies and commit additional resources to address the multiple
and intersecting forms of discrimination that contribute to reproductive health
disparities and the specific risks faced by adolescent girls, women and girls with
disabilities and migrant, refugee and displaced women and girls, among others;
(j)
Eliminate discriminatory stereotypes of women and girls and the stigma
and taboos associated with sexual and reproductive health in law, policy and practice.
3.
Institutionalize and strengthen monitoring and accountability for sexual and
reproductive health rights
78.
The Working Group recommends that States:
(a)
Adopt and enforce clear and coherent legal and policy frameworks to
guide the provision of services, in accordance with human rights obligations, and
simultaneously address social norms and discriminatory stereotypes that obstruct
implementation, including by establishing clear channels for reparations and
accountability;
(b)
Compile data, disaggregated by sex, gender, race, ethnicity and other
factors, to determine the sexual and reproductive health rights status and needs of the
diverse populations of women, throughout their life cycles, for the purpose of
developing, monitoring and strengthening the implementation of sexual and
reproductive health laws and policies, while protecting personal data and preventing
misuse;
(c)
Legally recognize and implement a broad set of reparations for violations
of sexual and reproductive health rights, including through structural measures, such
as guarantees of non-repetition;
(d)
Take effective measures to end violence and harassment against human
rights defenders advocating for sexual and reproductive health rights and ensure
accountability for perpetrators of such acts;
(e)
Fully implement the recommendations of the international human rights
mechanisms and the legal decisions of regional and national bodies and courts that
recognize the sexual and reproductive health rights of women and girls;
21
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