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required to ensure that disadvantaged children enjoy the same access to health care
and other relevant services as other children ( A/HRC/7/11 and Corr.1, para. 42).
78. The following paragraphs address some of the groups of children that are
marginalized in the context of early child development as well as the human rights
obligations of States to address discrimination and its root causes.
The girl child
79. Gender biases within families give rise to a range of inequalities that obstruct
the optimal development of the girl child. Where gender inequalities persist, boys
may receive greater medical attention and girls may be vulnerable to discriminatory
feeding patterns.
80. International human rights law places particular emphasis on the responsibility
of States to address discrimination against women and girls and ensure that they
enjoy their rights on the basis of equality with men and boys. Among other actio ns,
States must ensure that national law provides a robust framework for gender
equality and non-discrimination. In the context of early child development, policies
and programmes must pay particular attention to redressing discrimination and to
equality. For example, parenting programmes should be gender sensitive 53 and
States should make particular efforts to address any discrepancy in educational
attainment between girls and boys.
81. The Special Rapporteur wishes to highlight that the healthy developmen t of
boys is an important issue and should also be addressed. In many cultures boys are
not allowed or encouraged to express their emotions, which results in the adult male
population being more prone to violent and self-destructive behaviour. This
inhibition relates to gender stereotyping that is harmful for both girls and women,
boys and men.
Children with disabilities
82. Despite being more vulnerable to health and developmental risks, young
children with disabilities are often overlooked in mainstream programmes and
services designed to promote health to ensure child development. They also often do
not receive the specific support required to meet their needs in accordance with their
rights. Children with disabilities and their families are confronted with barriers that
include inadequate legislation, policies and services, negative attitudes and a lack of
accessible environments. Children with developmental disabilities, including
intellectual disabilities and autistic-spectrum conditions, are still suffering from
outdated approaches in many countries such as institutionalization and excessive
medication.
83. Early intervention services for children with disabilities should follow a
human rights-based approach, including provisions of the Convention on the Rights
of Persons with Disabilities. Governments should ensure that all young children
with disabilities grow up in families and that they and their families receive all
necessary services to remove barriers and promote their rights in the s ame manner
that the rights of children without disabilities are promoted. Practices based on
institutional care and overuse of biomedical interventions for young children with
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WHO and Commission on Social Determinants of Health, p. 56.
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