4. Going on visits around the country
should also be part of monitoring. The
availability, accessibility and quality of
reproductive rights services tends to
differ substantially between the main
urban centres and the rural areas, making missions outside of the capital necessary. Based on information from civil
society and the press a NHRI should be
able to decide where to go and whom to
visit. With respect to reproductive rights,
it will normally be relevant to visit hospitals and clinics providing family planning
services and pre- and post-natal care,
and check the availability of essential
medicines, including modern contraceptive methods, and assess the reliability
of procurement and supply chains. It is
also relevant to visit schools, interview
teachers responsible for sexuality education, and visit other places where youth
gather. Attempts should furthermore be
made to get in contact with parts of the
population that do not normally access
formal structures such as hospitals, for
example because they are based in very
remote areas or because they belong to
stigmatized groups.
5. In addition to monitoring the general
situation with respect to reproductive
rights, a NHRI should attempt to monitor
the implementation of public policies
and programmes that have a potential
to influence the enjoyment of reproductive rights. As mentioned above, customary and traditional law and practice
tend to weigh heavily on the enjoyment
of reproductive rights so a NHRI should
take steps to monitor how the state
deals with such issues.
44
6. Reproductive rights is one of the areas
where certain categories, namely
women and adolescents, are at greatest risk of violations and where certain
vulnerable groups, such as poor rural
communities, LGBT persons and others,
are easily overlooked or might be subject
to factual discrimination even if the law
or policy appears neutral. Consequently,
monitoring should focus on cases of
discrimination.
SOUTH AFRICAN HUMAN
RIGHTS COMMISSION
MONITORING ECONOMIC
AND SOCIAL RIGHTS
As part of its constitutional duties,
the South African Human Rights
Commission (SAHRC) annually
monitors the implementation of economic and social rights. Its 7th such
report from 2010 focused on the
attainment of the MDGs, including
MDG 5 on maternal m
ortality.
SAHRC concluded that maternal
mortality actually seemed to be on
the increase in South Africa and
repeated its calls for the Department
of Health to investigate child and
maternal mortality.
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