A/62/214
105. While the present report gives particular attention to water and
sanitation, it must be understood that the right to health encompasses
numerous other underlying determinants. The analytical framework set out in
the report can be applied to other underlying determinants of health.
106. Although fundamental to survival, development, economic growth and the
right to health, water and sanitation are frequently neglected. Many States
devote inadequate budgetary resources to water and sanitation and fail to
develop adequate plans, policies, programmes and laws. Historically,
international organizations have neglected water and sanitation, although
WHO and OHCHR are both taking important strides towards redressing this
imbalance. Also, donors have inadequately supported safe water and adequate
sanitation initiatives, although there are some signs that this is beginning to
change. Civil society organizations have made commendable progress in
advancing debates on issues of water, sanitation and human rights. 58
107. In order to redress this neglect, the Special Rapporteur makes the
following recommendations:
(a) Formal recognition. All States should formally recognize that the
right to the highest attainable standard of health includes access to safe water
and adequate sanitation;
(b) Laws, plans, policies, programmes and projects. By way of
participatory processes, States should formulate and implement laws, plans,
policies, programmes and projects that enhance access to safe water and
adequate sanitation for all;
(c) National budgets and international assistance. The vital importance of
safe water and adequate sanitation to health — and the right to health — must
be reflected in national budgets and international assistance and cooperation;
(d) Disadvantaged groups and individuals. Consistent with international
human rights law, measures (both national and international) to enhance access
to safe water and adequate sanitation must give particular attention to
disadvantaged groups and individuals, such as the poor, as well as those living
in rural communities and urban informal settlements, irrespective of their
tenure status;
(e) Gender. In the context of water, sanitation and the right to health, it
is extremely important that States, international organizations and others
adopt a gender-sensitive approach to all relevant policymaking;
(f) An integrated approach. The right to the highest attainable standard
of health requires an integrated approach whereby adequate sanitation and
hygiene are included in water supply programmes;
(g) Public information campaigns. Large-scale public awareness health
campaigns are needed to provide information relating to water and sanitation,
for example on hygiene, safe water storage and monitoring water quality. This
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07-45379
See, for example, the Right to Water Programme, Centre for Housing Rights and Evictions
(www.cohre.org); Water Law Research Programme (www.ielrc.org); and Water Aid
(www.wateraid.org).
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