A/70/213
The best interests and views of the children
43. Article 3 of the Convention stipulates that in all actions concerning children,
the best interests of the child shall be a primary consideration. This provision has
wide-ranging implications for policy, including the allocation of resources, as well
as decisions concerning individual children.
44. According to article 12, the child has a right to express his or her views freely
in all matters affecting him or her and to have them taken into accou nt. Research
shows that a child is able to form views from the youngest age, even when he or she
may be unable to express them verbally. Very soon after birth newborn babies can
recognize their parents, engage actively in various forms of non -verbal
communication and develop strong mutual attachments with their parents or primary
caregivers. 24 Child-appropriate communication must be ensured to respect the
child’s right to information and the right to be heard at all times.
45. States and all relevant stakeholders should adopt an understanding that young
children are active participants in interactions with members of their family and
community as well as users of health and other services. In this regard, they are
entitled to the same respect and dignity as all other members of the family,
community and society.
IV. Early childhood development in the context of the right to
health framework
46. In this section, attention is drawn to specific norms of, and obligations
deriving from, the right to health relevant to early childhood development. The vast
majority of these standards are also relevant to measures addressing child survival.
This approach underscores the benefits of addressing the right to survival and
development in an integrated manner.
A.
Health care and other health-related services essential for early
childhood development
Health systems
47. Health systems, including health-care services and preventive services, should
offer, in cooperation with social, child protection, educational and other relevant
services, a continuum of care for children and families. Health systems are central to
the care of pregnant women, childbirth, postnatal care of the mother and child and
the care of young children. Health systems are important not only in relation to
specific biomedical interventions, but because they often constitute the only
infrastructure that reaches young children, particularly those under 3 years of age,
and can therefore initiate and foster health promotion and social service support to
promote early child development and prevent risks. 25 For example, health visits or
growth monitoring sessions can provide an opportunity to incorporate other child
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24
25
15-12535
General comment No. 7 (2005), para. 16.
P. Engle and others, “Strategies to avoid the loss of developmental potential”, pp. 229 -242.
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