Maternal Health
Experiences and Challenges Faced by Sri Lanka in Implementing the Highest Attainable Standard of Health, Including Health Equity and Sexual and Reproductive Health and Rights
By Janani Sivapakthan
Sri Lanka’s long-standing commitment to free and equitable healthcare with a focus on primary healthcare has yielded impressive achievements in health equity, maternal and child health, disease elimination, and sexual and reproductive health and rights. However, Sri Lanka faces challenges in upholding health equity in the context of escalating domestic and global pressures. Safeguarding the highest attainable standard of health for all Sri Lankans requires addressing underinvestment, workforce migration, uneven service distribution, and the emerging burden of non-communicable diseases in a context of economic constraint.
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Promoting Health Equity and Reproductive Rights in Angola
By Sandra Benge Neto
This article examines Angola´s progress in rebuilding its health system in the post conflict era, focusing on health equity and the promotion of Sexual and Reproductive Health and Rights (SRHR) in alignment with the Protocol to the African Charter on Human and Peoples’ Rights on the Rights of Women in Africa (Maputo Protocol) and international human rights commitments.
Despite significant advances – such as the expansion of primary healthcare, municipalization of services, and youth–friendly centres – Angola continues to face challenges including geographic disparities, sociocultural barriers to contraception, insufficient funding, and limited data systems. Drawing from national initiatives and community based experiences, this article highlights best practices and strategic recommendations to accelerate Angola´s implementation of the Maputo Protocol and achieve universal, gender–responsive health coverage.
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Brazil’s challenges in implementing the highest attainable standard in Sexual and Reproductive Health and Rights
By Camila C. Gasparro
This paper examines Brazil’s efforts to improve women’s Sexual and Reproductive Health and Rights. Brazil is making progress through the Ministry of Health and collaborative engagement with social movements. However, persistent structural barriers continue to disproportionately undermine women’s sexual and reproductive rights, particularly among Black, Indigenous, and vulnerable populations.
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South Centre Statement during the 60th Session of the United Nations Human Rights Council
General Debate under Item 3
Geneva, 19 September 2025
At the 60th session of the Human Rights Council (HRC60), the South Centre delivered a statement welcoming the crucial update to the technical guidance on preventable maternal mortality and morbidity.
We are encouraged that the guidance moves beyond technical corrections to address the deep-seated root causes of why women and girls still die during childbirth. In our statement, we highlighted several key advancements:
🔹 An Intersectional Approach: The guidance rightfully identifies structural racism and discrimination as fundamental factors, providing a strong basis for targeted interventions.
🔹 A “Human Rights Economy” Framework: It broadens accountability to international financial institutions and corporations, emphasising that the global financial architecture—including sovereign debt, austerity measures, and healthcare privatisation—must be reformed to prioritise human rights.
🔹 Accountability and Reparations: The call for independent accountability mechanisms and a reparation fund for victims correctly reframes preventable maternal deaths from unfortunate accidents to serious injustices requiring systemic solutions.
These principles are intrinsically linked to the realisation of the Right to Development. A global environment that respects this right is essential for funding public health and creating societies where women and girls can thrive.
The challenge now is implementation. We call on all states, international financial institutions, and partners to fully fund and realise this new, rights-based and justice-oriented guidance.
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Input on the update to the technical guidance on the application of a human rights-based approach to the elimination of preventable maternal mortality and morbidity pursuant to HRC resolution 54/16
February 2025
Maternal mortality is a global crisis. The South Centre input calls for urgent action: addressing intersectional discrimination, improving the quality of care, and tackling root causes like poverty, and to guarantee that every woman has access to a safe childbirth.
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