A/RES/67/147
Supporting efforts to end obstetric fistula
7.
Also calls upon the international community to support the activities of
the United Nations Population Fund and other partners in the global Campaign to
End Fistula, including the World Health Organization, 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;
Calls upon States to accelerate progress in order to achieve Millennium
8.
Development Goal 5 and its two targets by addressing reproductive, maternal,
newborn and child health in a comprehensive manner, inter alia, through the
provision of family planning, prenatal care, skilled attendance at birth, emergency
obstetric and newborn care, postnatal care, and methods of prevention and treatment
of sexually transmitted diseases and infections, such as HIV, within strengthened
health systems that provide equal access to affordable, equitable and high-quality
integrated health-care services and include community-based preventive and clinical
care, as also reflected in the outcome document of the high-level plenary meeting of
the General Assembly on the Millennium Development Goals, entitled “Keeping the
promise: united to achieve the Millennium Development Goals”,7 and the Global
Strategy for Women’s and Children’s Health;
9.
Calls upon States and/or the relevant funds and programmes, organs and
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:
(a) To redouble 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) To make greater investments in strengthening health systems, ensuring
adequately trained and skilled human resources, especially midwives, obstetricians,
gynaecologists and doctors, as well as investments in infrastructure, referral
mechanisms, equipment and supply chains, to improve maternal health-care services
and ensure that women and girls have access to the full continuum of care;
(c) To ensure equitable access through national policies, plans and
programmes that make maternal and newborn health-care services, particularly
family planning, skilled attendance at birth, emergency obstetric and newborn care
and obstetric fistula treatment, financially accessible, including in rural and remote
areas and among the poorest women and girls, through, where appropriate, the
distribution of health-care facilities and trained medical personnel, collaboration
with the transport sector for affordable transport options, the promotion of and
support for community-based solutions and the provision of incentives and other
means to secure the presence in rural and remote areas of qualified health
professionals who are able to perform interventions to prevent obstetric fistula;
(d) To develop, implement and support national and international prevention,
care and treatment and socioeconomic reintegration and support strategies, policies
and plans to eliminate obstetric fistula and to develop further multisectoral,
multidisciplinary, comprehensive and integrated action plans in order to bring about
lasting solutions and put an end to maternal mortality and morbidity and obstetric
fistula, including by ensuring access to affordable, accessible, comprehensive,
high-quality maternal health-care services; within countries, policy and programmatic
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