Intensification of efforts to end obstetric fistula
A/RES/73/147
the achievement of the Sustainable Development Goals by 2030 and leave no one
behind;
8.
Urges the international community to provide and enhance the necessary
resources and capacity-building, upon the request of Member States, in order to treat
fistula cases through surgery, leading to the reintegration of affected women and girls
into their communities, with appropriate psychosocial, medical and economic support
to restore their well-being and dignity;
9.
Urges multilateral donors, international financial institutions and regional
development banks in the public and private sectors, within their respective mandates,
to review and implement policies to support national efforts and institutional
capacity-building to end obstetric fistula and to ensure that a higher proportion of
resources reach young women and girls, in particular in rural and remote areas and
the poorest urban areas, as well as to ensure that needed funding is increased,
predictable and sustained;
10. Calls upon the international community to support the activities of the
United Nations Population Fund and other partners, including the World Health
Organization, in the global Campaign to End Fistula 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;
11. Calls upon States to accelerate progress to improve maternal health by
addressing sexual and reproductive, maternal, newborn and child health in a
comprehensive manner, inter alia, through the provision of family planning, prenatal
care, skilled attendance at birth, including midwives, 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 -care
systems that provide universal access to affordable, equitable and high -quality
integrated health-care services and include community-based preventive and clinical
care, towards the achievement of the 2030 Agenda for Sustainable Development; 7
12. Urges the international community to address the shortage and inequitable
distribution of doctors, surgeons, midwives, nurses and other health -care workers
trained in life-saving obstetric care, and of space and supplies, which limit the
capacity of most fistula centres;
13. Commends the commemoration by the international community of 23 May
as the International Day to End Obstetric Fistula and the decision to continue to use
the International Day each year to significantly raise awareness, intensify actions and
mobilize support towards ending obstetric fistula;
14. Calls upon States and/or the relevant funds and programmes, organs and
the 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, to end
obstetric fistula within a decade by:
(a) Redoubling 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) Making greater investments in strengthening health systems, ensuring
adequately trained and skilled human resources, especially midwives, obstetricians,
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