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 4/6

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