A/RES/73/147
Intensification of efforts to end obstetric fistula
Welcoming also ongoing partnerships between stakeholders at all levels to
address the multifaceted determinants of maternal, newborn and child health, in close
coordination with Member States, based on their needs and priorities, and in this
regard welcoming further the commitments to accelerate progress on the health related Sustainable Development Goals by 2030,
1.
Reaffirms the commitments made by Member States to achieve the
Sustainable Development Goals by 2030, and recognizes that the efforts to end
obstetric fistula within a decade will contribute to the achievement of the Goals
by 2030;
2.
Stresses the need to address the interlinkages between poverty, lack of or
inadequate education for women and girls, gender inequality, lack of or inadequate
access to health-care services, including sexual and reproductive health-care services,
early childbearing and child, early and forced marriage as root causes of obstetric
fistula, and calls upon States, in collaboration with the international community, to
take accelerated action to address the situation;
3.
Calls upon States to take all measures necessary to ensure the right of
women and girls to the enjoyment of the highest attainable standard of health,
including sexual and reproductive health, and reproductive rights, in accordance with
the Programme of Action of the International Conference on Population and
Development, 3 the Beijing Platform for Action 14 and the outcome documents of their
review conferences, and to develop sustainable health systems and social services ,
with a view to ensuring universal access to such systems and services without
discrimination, while paying special attention to adequate food and nutrition, water
and sanitation, family planning information, increasing women ’s empowerment,
knowledge and awareness and ensuring equitable access to high-quality appropriate
prenatal and delivery care for the prevention of obstetric fistula and the reduction of
health inequities, as well as postnatal care for the detection and early management of
fistula cases;
4.
Also calls upon States to ensure equitable coverage and timely access, by
means of national plans, policies and programmes, to health-care services, in
particular emergency obstetric and newborn care, skilled birth attendance, obstetric
fistula treatment and family planning, that are financially affordable, accessible and
culturally sensitive, especially in rural and the most-remote areas;
5.
Further calls upon States to ensure the right to education of good quality
for women and girls, on an equal basis with men and boys, and to ensure that they
complete a full course of primary education, and to renew their efforts to improve and
expand girls’ and women’s education at all levels, including at the secondary and
higher levels, including age-appropriate sex education, as well as vocational
education and technical training, in order to, inter alia, achieve gender equality, the
empowerment of women and girls and poverty eradication;
6.
Urges States to enact and strictly enforce laws to ensure that marriage,
including in rural and remote areas, is entered into only with the free and full consent
of the intending spouses and, in addition, to enact and strictly enforce laws concerning
the minimum legal age of consent and the minimum age for marriage and to ra ise the
minimum age for marriage, where necessary;
7.
Calls upon the international community to provide intensified technical
and financial support, in particular to high-burden countries, to accelerate progress
towards the elimination of obstetric fistula within a decade, which can contribute to
__________________
14
4/8
Report of the Fourth World Conference on Women, Beijing 4–15 September 1995 (United Nations
publication, Sales No. E.96.IV.13), chap. I, resolution 1, annex II.
18-22184
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