Intensification of efforts to end obstetric fistula
A/RES/69/148
organizations and women’s and girls’ empowerment programmes so as to help to
achieve this goal;
(j) To empower fistula survivors to contribute to community sensitization
and mobilization as advocates for fistula elimination, safe motherhood and newborn
survival;
(k) To educate individual women and men, girls and boys, communities,
policymakers and health professionals about how obstetric fistula can be prevented
and treated, and increase awareness of the needs of pregnant women and girls, as
well as of those who have undergone surgical fistula repair, including their right to
the highest attainable standard of health, including sexual and reproductive health,
by working with community and religious leaders, traditional birth attendants,
women and girls who have suffered from fistula, the media, social workers, civil
society, women’s organizations, influential public figures and policymakers;
(l) To enhance the participation of men and adolescent boys in the
intensification of efforts to end obstetric fistula and to further strengthen their
involvement as partners, including in the Campaign to End Fistula;
(m) To strengthen 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;
(n) To strengthen 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 reporting, tracking
and follow-up for the purpose of guiding the development and implementation of
maternal health programmes;
(o) To strengthen 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;
(p) To improve data collection, pre- and post-surgery, to measure progress in
addressing the needs for surgical treatment and the quality of surgery, rehabilitation
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;
(q) To provide essential health-care services, equipment and supplies, skills
training and income-generating projects to women and girls so that they can break
out of the cycle of poverty;
13. Acknowledges that intensification of efforts is urgently needed to end
obstetric fistula and, in this context, the importance of giving the issue due
consideration in the elaboration of the post-2015 development agenda;
14. Invites Member States to contribute to efforts to end obstetric fistula,
including, in particular, through the Campaign to End Fistula, as part of the
endeavours to achieve Millennium Development Goal 5 by 2015, and to commit
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