The 69th Session of the Committee on the Rights of the Child (CRC Committee) took place in
Geneva from May 18 to June 5, 2015. The Committee reviewed the progress of the
implementation of the Conventionon the Rights of the Child in 6 countries: Eritrea, Ethiopia,
Ghana, Honduras, Mexico and Netherlands. IBFAN submitted alternative reports on
the situation of infant and young child feeding in 5 of the reviewed countries
(Ethiopia, Ghana, Honduras, Mexico, and
Netherlands). The reports on Ethiopia, Ghana, Honduras,
Mexico and Netherlands were prepared by the IBFAN groups in the countries. Spanish
and French summaries of the alternative reports were prepared in order to
inform Spanish- and French-speaking members of the Committee (see http://ibfan.org/reports-on-the-un-committee-on-the-rights-of-the-child).
In its
Concluding Observations, the CRC Committee referred specifically to
breastfeeding for 2 of the 6 countries under review (Ethiopia, Ghana and Mexico).
Honduras and Netherlands did not receive any direct recommendation on
breastfeeding, but they received recommendations on other specific health
issues that are indirectly connected to breastfeeding.
General measures of implementation
The Committee has put an emphasis on the improvement
of the data collection system in 5
of the countries under review (Ethiopia, Ghana, Honduras and Netherlands)
stressing the importance of collecting disaggregated for the the analysis on
the situation of all children, particularly those in situations of
vulnerability.
Then, a great focus was placed on the need to regulate the impact of the business sector on children’s
rights. In its recommendations to Ethiopia, Ghana, Mexico and Netherlands,
the CRC Committee expressly drew attention to its
2013 General
Comment N° 16 on
State obligations regarding the impact of the business sector on
children’s rights, which specifically calls on States Parties to establish a clear regulatory framework on business conduct to ensure
that the business sector do not have an adverse impact on child rights,
imposing sanctions and providing remedies, when any violation occurred.
Moreover, these four reviewed countries are recommended to require
companies to undertake assessments, consultations, and full public disclosure
of the environmental, health-related and human rights impacts of their business
activities and their plans to address such impacts.
Regarding environmental health, the Committee
recommended Mexico to require companies to assess air, water, soil and electromagnetic pollution on children and
maternal health as a basis to design a well-resourced strategy to remedy the
situation, prohibit the import and use of pesticides or chemicals and examine
and adapt its legislative framework to ensure the legal accountability of
business enterprises involved in activities having a negative impact on the
environment.
Health resources and budget
The Committee called for strengthening of resources allocated to health by urging Ethiopia,
Ghana, Honduras and Mexico to increase their allocations in the area of health
to adequate levels. Likewise, the Committee urged Ethiopia to develop and
implement policies to improve health infrastructures.
In particular, the Committee recommended Honduras to
allocate adequate human, technical and financial resources to its immunization
programme.
Preventive health
The importance of preventive health has been
highlighted in several recommendations. While Ghana has been urged by the
Committee to undertake all necessary measures to reduce mortality rates by improving prenatal care and preventing communicable
diseases and finalize and operationalize the National New born Strategy and
Action Plan, Netherlands was asked to take measures to prevent infant mortality by providing effective and quality
neonatal care services among infants. The Committee also called Mexico to
strengthen its efforts to reduce
maternal and child mortality.
The need to provide equal access to health services in terms of coverage and quality
was also stressed in the recommendations to Ethiopia, Mexico and Netherlands. Drawing
attention to its General Comment No 15 (2013) on the right of the child to the
enjoyment of the highest attainable standard of health, the Committee urged
Honduras to progress in the adoption of a primary-health
care strategy, allocate adequate resources to the immunization programme and improve the coverage and quality of services, paying particular attention to
rural and indigenous neglected populations.
Finally, the Committee recommended Ethiopia, Ghana and Mexico to implement the OHCHR Technical guidance on
the application of a human rights-based approach to the implementation of policies
and programmes to reduce and eliminate preventable mortality and morbidity of
children under 5 years of age (hereafter: OHCHR Technical guidance on child
mortality), which includes specific recommendations
on breastfeeding protection (including the implementation of the International
Code) and promotion.
Malnutrition and safe drinking water
The Committee expressed concern over the persistent high rates of malnutrition, therefore,
recommended Ethiopia to effectively address malnutrition in terms of stunting, wasting
and low weight, particularly in rural and remote areas. Honduras was also urged
to intensify its efforts to reduce chronic malnutrition, which affects twice as
many children in rural as in urban areas.
In its recommendations to Mexico, the Committee
highlighted the need to evaluate the initiatives to reduce malnutrition, overweight and obesity among children, and
based on the results draft a national strategy on nutrition, which also
includes measures to ensure food security, in particular in rural and
indigenous areas. It also encouraged Ethiopia to develop public awareness programmes on food diversity.
The Committee expressed concerns over the significant
numbers of overweight and obese children
in Netherlands, asking the State to provide access to nutrition education
and sufficiently nutritious food to all children in order to promote healthy
eating habits.
The Committee also focused on nutrition, recommending Mexico to continue raising awareness at the
national, federal and local level on the negative health impacts of processed
food, and strengthen regulations to restrict advertising and marketing of junk,
salty, sugary and fatty foods and their availability for children. It also
called Ghana to expedite the approval of the National Nutritional Policy.
Finally, regarding safe drinking water, the Committee asked Ghana to improve the access
to safe drinking water and adequate sanitation facilities by resolutely
finalizing and implementing the Water Sector Strategy Development Plan and
investment plan and strengthening its efforts to continue implementing the
Rural Sanitation Model and Strategy. The Committee also
called Honduras for improving the access to water and
sanitation in rural, indigenous and Afro Honduran areas.
HIV/AIDS
The Committee addressed the issue of mother-to-child HIV transmission by requesting Ethiopia to take all
appropriate measures to prevent it and address geographic disparities regarding
HIV infection and access to treatment, by enhancing free access to neonatal
care, vaccination, prevention of transmission of HIV/AIDS from mother to child
and anti-retroviral therapy. It also called for the improvement of the access
to quality, age-appropriate HIV/AIDS, sexual and reproductive health services.
Honduras and Ghana were requested to sustain the
measures in place to prevent mother-to-child transmissions of HIV/AIDS and were
called to develop a roadmap to ensure the implementation of effective
preventive measures. The Committee also recommended them to improve the
follow-up treatment for HIV/AIDS-infected mothers and their children in order
to ensure early diagnosis and initiation of the treatment, as well as the
improvement to access to antiretroviral therapy for children, mothers and
pregnant women.
Breastfeeding national strategy
In its recommendation to Ghana, the Committee stressed
the need to expedite the approval of the National Nutritional Policy and
strengthen monitoring of implementation
of the Breastfeeding Promotion Regulation 2000 (BPR), implement a deterrent
sanctioning system and ensure the Food and Drugs Authority commitment to
enforce the BPR. The Committee also recommend Ghana to finalize and
operationalize the National Newborn Strategy and Action Plan.
Breastfeeding protection
The Committee specifically urged Mexico to promote the adequate implementation of the International Code of
Marketing of Breast-Milk Substitutes and the Child-Friendly Hospital Initiative.
Breastfeeding promotion
Out of 6 reviewed countries, 3 were recommended to strengthen efforts to
promote breastfeeding (Ethiopia,
Mexico and Ghana). Ethiopia was encouraged to develop
public awareness programmes on the benefits of breastfeeding while Mexico was
recommended to increase efforts to promote breastfeeding through educational
campaigns and training to professionals. Finally, Ghana was recommended
to continue encouraging exclusive breastfeeding for six months with appropriate
introduction of an infant diet thereafter, aimed at reducing neonatal as well
as under-five mortality.
Breastfeeding support
Following the 69th Session, no specific
recommendations have been issued by the CRC Committee with respect to training on and support to breastfeeding.
Table 1. CRC Committee -
Session 69/2015 – Summary of Concluding Observations on IYCF
|
Country
|
IBFAN
report
|
Summary
of specific recommendations on IYCF
|
Session
69 – January 2015
|
1
|
Ethiopia
(4th-5th periodic report)
|
yes
|
Indirect
– General measures of implementation (§14, 22c): develop
and implement a comprehensive framework of data collection which will cover all
areas of the Convention and will be disaggregated […]; develop and implement
a comprehensive framework on business conduct in order to ensure that
business activities do not have adverse impact on human rights or endanger
environmental and other standards, in particular those relating to children
and women, and impose sanctions and provide remedies when violations occur. Health (§
56a,b,c,e): raise the annual per capita
expenditure on health and eliminate regional disparities in the provision of
health services, including prenatal and postnatal care, immunization coverage
[…]; implement and
apply the OHCHR Technical guidance on child mortality (A/HRC/27/31); develop and implement policies to improve
health infrastructures, and intensify
training programmes for all health professionals, including the pastoralist
health extension workers; effectively address
malnutrition in terms of stunting, wasting and low weight, particularly
in rural and remote areas HIV/AIDS
(§ 58a,d): take all appropriate measures to
address geographic disparities regarding HIV infection and access to treatment; improve access
to quality, age-appropriate HIV/AIDS, sexual and reproductive health
services […]; improve access to quality, age-appropriate
HIV/AIDS, sexual and reproductive health services […].
Direct
(§ 56c): develop public awareness programmes on food diversity
consumption of nutritious food and benefits of breast-feeding and engage with World
Health Organization (WHO) and the United Nations Children’s Fund (UNICEF).
|
2
|
Ghana
(3rd-5th periodic report)
|
yes
|
Indirect – General measures of implementation (§ 16, 20a-b, 50b, 50c, 50f, 50h): […] urges the State party to expeditiously improve its data collection system; establish clear regulations and a
nation-wide legislative framework (...) requiring companies operating in the State party to adopt measures to
prevent and mitigate adverse child rights impact of their operations in the
country; require companies to
undertake child rights assessments, consultations, and full public disclosure
of the environmental, health-related and child rights impacts of their
business activities and their plans to address such impacts […]. Health (§50a,b,c,f,h):
allocate sufficient financial and human
resources to health services, particularly to child health and nutrition, providing effective
access to trained and qualified health care; finalize and operationalize the National New born Strategy and Action
Plan; undertake all necessary
measures to reduce mortality rates by improving prenatal care and preventing
communicable diseases; expedite the approval of the National Nutrition Policy; implement and apply the OHCHR Technical guidance on child mortality (A/HRC/27/31). HIV/AIDS (§54b,d): improve
follow-up treatment for HIV/AIDS-infected mothers and their children […];
improve access and coverage of antiretroviral
therapy for HIV-infected children, mothers and pregnant women […].
Direct (§ 50d,e): continue encouraging exclusive
breastfeeding for six months with appropriate introduction
of an infant diet thereafter, aimed at reducing neonatal as well as
under-five mortality; strengthen monitoring of implementation of the BPR, implement
a deterrent sanctioning system and ensure the Food and Drugs Authority is
committed to enforce the BPR.
|
3
|
Honduras
(4th-5th periodic report)
|
yes
|
Indirect - General measures of implementation (§ 16a-c): provide the adequate resources for the effective
functioning of data collection systems; strengthen the capacity of State institutions to provide pertinent, high quality and
timely information; ensure that data
covers all areas of the Convention and is disaggregated […]. Health (§61a-c):
progress in the adoption of a
primary-health care strategy; allocate adequate human, technical and financial resources to the
immunization programme; improve coverage and quality of services with particular attention to rural and indigenous neglected populations. HIV/AIDS (§67b-c): sustain
measures in place to prevent mother-to-child transmission of HIV/AIDS […]; improve follow-up treatment for HIV/AIDS-infected mothers and their
infants […].
Nutrition (§ 69c): intensify its efforts to reduce chronic malnutrition;
|
4
|
Mexico
(4th-5th periodic report)
|
yes
|
Indirect – Health (§ 48c, e): Evaluate the initiatives taken to reduce malnutrition,
overweight and obesity among children and based on the results draft a
national strategy on nutrition, which also includes measures to ensure food
security, in particular in rural and indigenous areas; continue raising awareness at national, federal and local level on the negative health impacts of
processed food including and strengthen the regulations to restrict the
advertising and marketing of junk, salty, sugary and fatty foods and their
availability for children. Health services (§
48a,b):
ensure the availability and accessibility of quality health services for
all children, in particular rural and indigenous children, including by
allocation adequate resources; strengthen its efforts to reduce
maternal and child mortality,
including by implementing the OHCHR
Technical Guidance on child mortality (A/HRC/27/31). Environmental
health (§52a-c): Assess the impact of air, water, soil
and electromagnetic pollution on children and maternal health as a basis to design
a well-resourced strategy at federal, state and local levels (...) to
remedy the situation and drastically decrease the exposure to pollutants;
prohibit the import and use of any pesticides or chemicals that have been
banned or restricted for use in exporting countries; examine and adapt its legislative framework to ensure the legal
accountability of business enterprises involved in activities having a
negative impact on the environment, in the light of its general comment No. 16 (2013)
on State obligations regarding the impact of the business sector on
children’s rights.
Direct
(§48d):
Increase efforts to promote breastfeeding through educational campaigns and
training to professionals, adequately implement the International Code of
Marketing of Breast-Milk Substitutes and the Child-Friendly Hospital
Initiative.
|
5
|
Netherlands
(4th periodic report)
|
yes
|
Indirect -
General measures of implementation (§17, 23a-b): improve its data
collection system. The
data should include both qualitative
and quantitative indicators and cover
all areas of the Convention and should be disaggregated […];
implement regulations to
ensure that the business sector complies with international and national
human rights […] particularly
with regard to children’s rights ; establish a clear regulatory framework for the industries under the State party’s jurisdiction
to ensure that their activities both at home and abroad do not negatively
affect human rights […]; effective
monitoring of implementation of these standards and appropriately sanctioning and
providing remedies when violations occur […]. Health
(§43a,c,d):
take measures to prevent infant
mortality by providing
effective and quality neonatal and
other care services for infants throughout the Kingdom; ensure that all children in the State party have access to free of charge basic health care […]; ensure that children without
documentation have access to
information on their rights, including their right to basic free health care.
Nutrition (§43b): provide access to nutrition education and sufficiently nutritious food to all children in the State party in
order to promote healthy eating habits.
|
|
6
|
Eritrea
(4th periodic report)
|
no
|
Indirect -
General measures of implementation: (§20a-b, 23a,c) collect data which covers all areas of the
Convention and disaggregate them […]; ensure that data collection captures the situation of children in situations of
vulnerability […]; take immediate action to allow human rights defenders and civil society
organizations […]
to exercise their right to freedom of expression, opinion and
association without threats and harassment; involve all NGOs working in the field of
children’s rights in
the development, implementation, monitoring and evaluation of laws, policies
and programmes related to children […]. Health
(§56a-c,f-g):
adopt, implement and monitor relevant national
strategies on child health, including a national child survival strategy, a strategy on
adolescent health and information services, and on HIV/AIDS, sexually
transmitted diseases […]; focus its efforts on reducing disparities in achieving health
and nutrition goals […];
intensify nutrition and
health intervention targeting children affected by severe malnutrition; continue efforts to translate commitments made in the context of the Campaign for
Accelerated Reduction of Maternal Mortality in Africa (CARMMA) into results-oriented
action, and adequately train health personnel on the
reduction of maternal mortality and morbidity; take into account the OHCHR Technical Guidance on child mortality (A/HRC/27/31) as well as the OHCHR Technical Guidance on maternal morbidity and
mortality
(A/HRC/21/22). HIV/AIDS (§ 50b): […] support
children affected by HIV/AIDS and their families.
Direct (§56h): strengthen necessary laws and policies to promote
exclusive breastfeeding for 6 months, including through the regulation of marketing of breast-milk
substitutes.
|