E/2009/27
E/CN.6/2009/15
infections and cervical and breast cancers. A number of effective strategies
were available to enhance women’s sexual and reproductive health and
accelerate progress towards achieving Millennium Development Goal 5,
including increased access to skilled birth attendants and access to family
planning and emergency obstetric care. Since young women were especially
vulnerable to poor sexual and reproductive health, early childbearing, sexual
coercion and violence, the inequities they faced in accessing quality services
required particular attention.
9.
The link between violence against women and women’s poor physical,
mental and reproductive health was stressed. Participants noted that violence
against women required a multisectoral response that included the public
health perspective. The health sector should provide medical care, counselling,
referrals, emergency contraception and prophylactic HIV treatment. The
broader response should include legal measures, changing of attitudes and the
provision of services for victims.
10. Participants emphasized the need for a gender-specific approach to the
prevention of and response to the HIV/AIDS pandemic. The public health
system should effectively address women’s increased vulnerability to
HIV/AIDS and provide a gender-sensitive response. Women and girls had
unequal access to health resources for the prevention, treatment and care of
HIV/AIDS. They also faced particular cultural barriers in accessing services,
including stigma and other negative repercussions when their HIV status was
revealed. Integration of services for HIV prevention or treatment with
reproductive and sexual health care was recognized as a good strategy for
improving access to important public health benefits, including increased
access to and use of HIV counselling and testing and condom use, as well as
for addressing mother-to-child transmission of HIV.
11. Participants highlighted the particular situation of migrant women and
the need for a gender-specific response by the public health system. Migrant
women were particularly vulnerable to exploitation and violence, and may fear
deportation because of their irregular status. As a consequence, migrant
women often lacked access to basic health services such as regular check-ups
and/or prenatal care. It was emphasized that migrant women should not be
denied essential health services on the basis of their immigration status.
12. Participants noted the importance of collecting data disaggregated by sex,
ethnicity, socio-economic status and, over time, in the area of public health.
Such data needed to be analysed from a gender perspective, and the insights
and results of such analysis had to be fully used in policy- and decisionmaking in the area of primary health care and in the health sector in general so
as to ensure a gender-specific response. Participants also drew attention to the
availability of tools and gender training materials aimed at the public health
sector.
13. Participants recognized the importance of women’s economic and
financial empowerment for improved health. The role of the education system
towards this end was also highlighted. Participants drew attention to the
linkages between the Millennium Development Goals, noting that efforts to
eradicate poverty required by Goal 1 also contributed towards the
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