A/68/293
the introduction of household/community care capacity assessments to guide
hospital discharge decisions.
98. In particular, quality and affordable care services for carers and parents
can have a major positive impact on the human rights of both caregivers and
receivers. Investment in childcare, elder care and disability support should
therefore be increased, prioritizing disadvantaged and underserved areas. The
services should be affordable, and provided free to those who cannot afford to
pay. In particular, all women should have economic and physical access to highquality, culturally appropriate childcare for children under school age,
including children with disabilities. As well as having a major positive impact
on women’s right to work, quality early childhood education accessible to
people living in poverty has many proven benefits for children and society as a
whole. Innovative approaches such as mobile crèches should be considered in
order to reach communities living in poverty.
99. Low-income countries can overcome resource constraints by building on
existing social care programmes to provide better working conditions and
improve the quality of care, for example through the expansion of child
nutrition centres into quality preschool or educational centres with wider
coverage.
100. An important part of the State’s investment in care services is the
recruitment of adequate numbers of paid care professionals such as nurses, and
providing them with decent pay and working conditions. Overall, States should
shift from a strategy of reliance on market and voluntary provision of care that
is informal and exploitative to one that allows professional, decently paid and
compassionate forms of care.
101. States affected by the HIV/AIDS pandemic should also take specific
measures to ensure that unpaid home-based caregivers are adequately
supported, including by providing counselling, training, livelihood support and
skills development, savings and credit schemes, medical supplies and equipment.
102. States have a duty to regulate private service providers, to ensure that
they are not violating the human rights of the population they serve, including
the rights to equality and non-discrimination and the principles of availability,
accessibility, acceptability, adaptability and quality. To this end, a human rights
impact assessment should be conducted before care services are outsourced to
private providers, and at regular evaluation intervals.
2.
Infrastructure and technology
103. The time burden of unpaid care work for women living in poverty can be
significantly alleviated if there is adequate infrastructure in place in their
communities — particularly through reduced time spent on travel to
workplaces or markets, meal preparation, water collection and fuel collection.
The availability, access to, and use of, critical infrastructure must therefore be
significantly improved, prioritizing disadvantaged areas such as remote rural
communities and informal settlements, explicitly seeking to provide better
access for these communities to work and services.
104. The construction of new roads, affordable public transport, low-cost
electricity, solar and water energy for domestic purposes, and water and
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