monitor the environmental impact of business activities that may compromise children’s right to health, food security and access to
safe drinking water and to sanitation.
The Committee draws attention to the relevance of the environment, beyond environmental pollution, to children’s health.
Environmental interventions should, inter alia, address climate change, as this is one of the biggest threats to children’s healthand
exacerbates health disparities. States should, therefore, put children’s health concerns at the centre of their climate change adaptation
and mitigation strategies.
Article 24, paragraph 2(d). “To ensure appropriate pre-natal and post-natal health care for
mothers”
The Committee notes that preventable maternal mortality and morbidity constitute grave violations of the human rights of women and
girls and pose serious threats to their own and their children’s right to health. Pregnancy and child birth are natural processes, with
known health risks that are susceptibleto both prevention and therapeutic responses, if identified early. Risk situations can occur
during pregnancy, deliveryand the ante- and postnatal periods and have both short- and long-term impact on the health and wellbeing of both mother and child.
The Committee encourages States to adopt child-sensitive health approaches throughout different periods of childhood such as (a)
the baby-friendly hospital initiative which protects, promotes and supports rooming-in and breastfeeding; (b) child-friendly health
policies focused on training health workers to provide quality services in a way that minimizes the fear, anxiety and suffering of
children and their families; and (c) adolescent-friendly health services which require health practitioners and facilities to be welcoming
and sensitive to adolescents, to respect confidentiality and to deliver services that are acceptable to adolescents.
The care that women receive before, during and after their pregnancy has profound implications for the health and development of
their children. Fulfilling the obligation to ensure universal access to a comprehensive package of sexual and reproductive health
interventions should be based on the concept of a continuum of care from pre-pregnancy, through pregnancy, childbirth and
throughout the post-partum period. Timely and good-quality care throughout these periods provides important opportunities to
prevent the intergenerational transmission of ill-health and has a high impact on the health of the child throughout the life course.
The interventions that should be made available across this continuum include, but are not limited to: essential health prevention and
promotion, and curative care, including the prevention of neonatal tetanus, malaria in pregnancy and congenital syphilis; nutritional
care; access to sexual and reproductive health education, information and services; health behaviour education (e.g. relating to
smoking and substance use); birth preparedness; early recognition and management of complications; safe abortion services and
post-abortion care; essential care at childbirth; and prevention of mother-to-child HIV transmission, and care and treatment of HIVinfected women and infants. Maternal and newborn care following delivery should ensure no unnecessary separation of the mother
from her child.
The Committee recommends that social protection interventions include ensuring universal coverage or financial access to care, paid
parental leave and other social security benefits, and legislation to restrict the inappropriate marketing and promotion of breast-milk
substitutes.
Given the high rates of pregnancy among adolescents globally and the additional risks of associated morbidity and mortality, States
should ensure that health systems and services are able to meet the specific sexual and reproductive health needs of adolescents,
including family planning and safe abortion services. States should work to ensure that girls can make autonomous and informed
decisions on their reproductive health. Discrimination based on adolescent pregnancy, such as expulsion from schools, should be
prohibited, and opportunities for continuous education should be ensured.
Taking into account that boys and men are crucial to planning and ensuring healthy pregnancies and deliveries, States should integrate
education, awareness and dialogue opportunities for boys and men into their policies and plans for sexual, reproductive and children’s
health services.
Article 24, paragraph 2(e). “To ensure that all segments of society, in particular parents and
children, are informed, have access to education and are supported in the use of basic knowledge
of children’s health and nutrition, the advantages of breastfeeding, hygiene and environmental
sanitation and the prevention of accidents”
The obligations under this provision include providing health-related information and support in the use of this information. Healthrelated information should be physically accessible, understandable and appropriate to children’s age and educational level.
Children require information and education on all aspects of health to enable them to make informed choices in relation to their
lifestyle and access to health services. Information and life skills education should address a broad range of health issues, including:
healthy eating and the promotion of physical activity, sports and recreation; accident and injury prevention; sanitation, hand washing
and other personal hygiene practices; and the dangers of alcohol, tobacco and psychoactive substance use. Information and
educationshould encompass appropriate information about children’s right to health, the obligations of Governments, and how and
where to access health information and services, and should be provided as a core part of the school curriculum, as well as through
health services and in other settings forchildren who are not in school. Materials providing information about health should be
designed in collaboration with children and disseminated in a wide range of public settings.
Sexual and reproductive health education should include self-awareness and knowledge about the body, including anatomical,
physiological and emotional aspects, and should be accessible to all children, girls and boys. It should include content related to
sexual health and well-being, such asinformation about body changes and maturation processes, and designed in a manner through