CEDAW/C/GC/30 4. Access to education, employment and health, and rural women (arts. 10-12 and 14) 48. The total breakdown of State public and service provision infrastructure is one of the major and direct consequences of armed conflict, resulting in the lack of delivery of essential services to the population. In such situations, women and girls are at the front line of suffering, bearing the brunt of the socioeconomic dimensions of the conflict. In conflict-affected areas, schools are closed owing to insecurity, occupied by State and non-State armed groups or destroyed, all of which impede girls’ access to school. Other factors preventing girls’ access to education include targeted attacks and threats against them and their teachers by non-State actors, in addition to the additional caregiving and household responsibilities that they are obliged to assume. 49. Likewise, women are forced to look for alternative sources of livelihood as family survival comes to depend heavily on them. Even though during conflict women take on roles previously held by men in the formal employment sector, it is not uncommon in post-conflict settings for women to lose formal-sector jobs and return to the household or to the informal sector. In post-conflict settings, the generation of employment is a top priority for building a sustainable post-conflict economy; however, employment-generation initiatives in the formal sector tend to neglect women because they focus on economic opportunities for demobilized men. It is imperative that post-conflict reconstruction programmes value and support women’s contributions in the informal and productive areas of the economy where most economic activity occurs. 50. In conflict-affected areas, access to essential services such as health care, including sexual and reproductive health services, is disrupted owing to inadequate infrastructure and a lack of professional medical care workers, basic medicines and health-care supplies. Consequently, women and girls are at a greater risk of unplanned pregnancy, severe sexual and reproductive injuries and contracting sexually transmitted infections, including HIV and AIDS, as a result of conflictrelated sexual violence. The breakdown or destruction of health services, combined with restrictions on women’s mobility and freedom of movement, further undermines women’s equal access to health care, as guaranteed by article 12 (1). Power imbalances and harmful gender norms make girls and women disproportionately more vulnerable to HIV infection and these factors become more pronounced in conflict and post-conflict settings. HIV-related stigma and discrimination is also pervasive and has profound implications for HIV prevention, treatment, care and support, especially when combined with the stigma associated with gender-based violence. 51. Women in rural areas are often disproportionately affected by the lack of adequate health and social services and inequitable access to land and natural resources. Similarly, their situation in conflict settings presents particular challenges with regard to their employment and reintegration, given that it is often exacerbated by the breakdown of services, resulting in food insecurity, inadequate shelter, deprivation of property and lack of access to water. Widows, women with disabilities, older women, single women without family support and female-headed households are especially vulnerable to increased economic hardship owing to their disadvantaged situation, and often lack employment and means and opportunities for economic survival. 13-54331 13/24