and policies for women with reliable data disaggregated by sex on the incidence and
severity of diseases and conditions hazardous to women’s health and nutrition and on
the availability and cost-effectiveness of preventive and curative measures. Reports
to the Committee must demonstrate that health legislation, plans and policies are
based on scientific and ethical research and assessment of the health status and needs
of women in that country and take into account any ethnic, regional or community
variations or practices based on religion, tradition or culture.
10.
States parties are encouraged to include in their reports information on
diseases, health conditions and conditions hazardous to health that affect women or
certain groups of women differently from men, as well as information on possible
intervention in this regard.
11.
Measures to eliminate discrimination against women are considered to be
inappropriate if a health-care system lacks services to prevent, detect and treat
illnesses specific to women. It is discriminatory for a State party to refuse to provide
legally for the performance of certain reproductive health services for women. For
instance, if health service providers refuse to perform such services based on
conscientious objection, measures should be introduced to ensure that women are
referred to alternative health providers.
12.
States parties should report on their understanding of how policies and
measures on health care address the health rights of women from the perspective of
women’s needs and interests and how it addresses distinctive features and factors that
differ for women in comparison to men, such as:
(a)
Biological factors that differ for women in comparison with men, such
as their menstrual cycle, their reproductive function and menopause. Another
example is the higher risk of exposure to sexually transmitted diseases that women
face;
(b)
Socio-economic factors that vary for women in general and some
groups of women in particular. For example, unequal power relationships between
women and men in the home and workplace may negatively affect women’s nutrition
and health. They may also be exposed to different forms of violence which can affect
their health. Girl children and adolescent girls are often vulnerable to sexual abuse by
older men and family members, placing them at risk of physical and psychological
harm and unwanted and early pregnancy. Some cultural or traditional practices such
as female genital mutilation also carry a high risk of death and disability;
(c)
Psychosocial factors that vary between women and men include
depression in general and post-partum depression in particular as well as other
psychological conditions, such as those that lead to eating disorders such as anorexia
and bulimia;
(d)
While lack of respect for the confidentiality of patients will affect both
men and women, it may deter women from seeking advice and treatment and thereby
adversely affect their health and well-being. Women will be less willing, for that