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15. In recent years, the human rights dimensions of under -5 mortality and
morbidity have been clarified and the global health and human rights communities
have begun to examine the problem through a human rights lens.
16. In 2013, the Committee on the Rights of the Child adopted general comment
No. 15, in which the Committee reiterated the importance of the obligation of States
to reduce child mortality and the need to pay particular attention to neonatal
mortality, which constitutes an increasing proportion of under -5 mortality.
17. In its resolution 22/32, the Human Rights Council expressed deep concern
about the scale of under-5 mortality and invited WHO to prepare a study on
mortality of children under 5 years of age as a human rights concern. The study
(A/HRC/24/60) identified the human rights dimensions of under-5 mortality and
paved the way for the adoption by the Council of resolution 27/14 on preventable
mortality and morbidity of children under 5 years of age as a human rights concern.
18. In that resolution, the Human Rights Council requested the Office of the
United Nations High Commissioner for Human Rights (OH CHR), in close
collaboration with WHO and in consultation with other partners, to prepare a report
on the practical application of the technical guidance on the application of a human
rights-based approach to the implementation of policies and programmes t o reduce
and eliminate preventable mortality and morbidity of children under 5 years of age.
19. The technical guidance (A/HRC/27/31) is a major contribution. It sets out the
human rights dimensions of under-5 morbidity and mortality and explains how to
apply human rights-based approaches to address the problem. It provides detailed
operational guidance for legislative measures, governance and coordination,
planning, budgeting, implementation, monitoring and evaluation, remedies and
redress and international cooperation. The Special Rapporteur endorses the
systematic approach of the technical guidance as a significant step towards the
reduction and elimination of preventable deaths of children under 5 years of age.
20. The global health community has also given attention to the human rights
dimensions of under-5 mortality and morbidity and has committed to ground its
efforts in human rights. The Secretary-General’s Global Strategy for Women’s and
Children’s Health is grounded in global human rights commitments and emphasizes
that legislation and policies should be in line with human rights. The new global
strategy, which is to replace the existing strategy in the coming months, will call for
the integration of human rights in all efforts to improve women ’s, children’s and
adolescents’ health.
21. Human rights are also one of six guiding principles of Every Newborn: An
Action Plan to End Preventable Deaths. The Action Plan highlights that all planning
and programming for reproductive, maternal and newborn health should be guided
by principles and standards derived from international human rights treaties. A range
of operational tools have also been developed to help States to systematically apply
human rights standards in law, policy and service delivery for young children and
their caregivers.
22. The question is often asked in the public health community whether human
rights will make a positive contribution in practice. Recent research undertaken by
WHO has produced evidence of the beneficial impact that human rights can have on
women’s and children’s health in early childhood in the context of initiatives by the
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