A/RES/63/158
(c) To strengthen the capacity of health systems, in particular public health
systems, to provide the essential services needed to prevent obstetric fistula and to
treat those cases that do occur by providing the continuum of services, including
family planning, prenatal care, skilled birth attendance, emergency obstetric care
and post-partum care, to young women and girls, including those living in poverty
and in underserved rural areas where obstetric fistula is most common;
(d) To strengthen research, monitoring and evaluation systems, including
community-based notification of obstetric fistula cases and maternal and newborn
deaths, to guide the implementation of maternal health programmes;
(e) To provide essential health services, equipment and supplies and skills
training and income-generating projects to women and girls so that they can break
out of a cycle of poverty;
(f) To mobilize funding to provide free or subsidized fistula repairs,
including through encouraging more networking among providers and the sharing of
new treatment techniques and protocols;
(g) To provide health education, rehabilitation and reintegration counselling,
including medical counselling, as key components of post-operative care;
(h) To bring obstetric fistula to the attention of policymakers and
communities, thereby reducing the stigma and discrimination associated with it and
helping women and girls suffering from obstetric fistula so that they can overcome
abandonment and social exclusion together with the psychosocial implications
thereof, inter alia, through the support of social reintegration projects;
(i) To educate individual women and men, girls and boys, communities,
policymakers and health professionals about how obstetric fistula can be prevented
and treated and increase awareness of the needs of pregnant women and girls,
including their right to the highest attainable standard of health, through working
with community and religious leaders, traditional birth attendants, media, radio
stations, influential public figures and policymakers, support the training of doctors,
midwives, nurses and other health workers in lifesaving obstetric care, and include
training on fistula repair, treatment and care as a standard element of health
professionals’ training curricula;
(j) To develop means of transportation and financing that enable women and
girls to access obstetric care and treatment, and provide incentives and other means
to secure the presence in rural areas of qualified health professionals who are able to
perform interventions to prevent obstetric fistula;
Encourages communication and networking among existing fistula
9.
centres to facilitate training, research, advocacy and fund-raising and the
development and application of relevant standards, including Obstetric Fistula:
Guiding Principles for Clinical Management and Programme Development,
published in 2006 by the World Health Organization, which provides background
information along with principles for developing fistula prevention and treatment
strategies and programmes;
10. Urges the international community to address the shortages of doctors,
midwives, nurses and other health workers trained in lifesaving obstetric care, and
of space and supplies, which limit the capacity of most of the 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 reaches young women and girls, in particular in rural and remote areas;
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