A/RES/73/147 Intensification of efforts to end obstetric fistula (o) Strengthening awareness-raising and advocacy, including through the media, to effectively reach families and communities with key messages on fistula prevention and treatment and social reintegration; (p) Strengthening research, monitoring and evaluation systems, including by developing a community- and facility-based mechanism for the systematic notification of obstetric fistula cases and maternal and newborn deaths to ministries of health, and their recording in a national register, and by acknowledging obstetric fistula as a nationally notifiable condition, triggering immediate rep orting, tracking and follow-up for the purpose of guiding the development and implementation of maternal health programmes and ending fistula within a decade; (q) Strengthening research, data collection, monitoring and evaluation to guide the planning and implementation of maternal health programmes, including for obstetric fistula, by conducting up-to-date needs assessments on emergency obstetric and newborn care and for fistula and routine reviews of maternal deaths and near miss cases as part of a national maternal death surveillance and response system, integrated within national health information systems; (r) Improving data collection, pre- and post-surgery, to measure progress in addressing needs for surgical treatment and the quality of surgery, re habilitation and socioeconomic reintegration services, including post-surgery prospects for successful subsequent pregnancies, live births and severe health-related complications, so as to address the challenges of improving maternal health; (s) Providing essential health-care services, equipment and supplies, education, skills training and income-generating projects and support to women and girls so that they can break out of the cycle of poverty; 15. Encourages Member States to contribute to efforts to end obstetric fistula, including, in particular, through the global Campaign to End Fistula, to achieve the Sustainable Development Goals by 2030 and to commit themselves to continued efforts to improve maternal and newborn health, with the aim of eliminat ing obstetric fistula globally within a decade; 16. Requests the global Campaign to End Fistula to develop a road map that will accelerate action to end obstetric fistula within a decade, towards achieving the 2030 Agenda for Sustainable Development, including for enhancing financial resources for interventions at the local, subnational, national, regional and international levels, in order to support countries and relevant United Nations organizations in the prevention, treatment and care of obstetric fis tula; 17. Requests the Secretary-General to submit a comprehensive report with specific updated statistics and disaggregated data on obstetric fistula and the challenges faced by Member States in implementing the present resolution to the General Assembly at its seventy-fifth session under the item entitled “Advancement of women”. 55th plenary meeting 17 December 2018 8/8 18-22184

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