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These topics, written in collaboration with Anne K. Eckman, PhD, offer specific guidance on the use of the Human Rights and Reproductive Health Matrix, created in 2003 by United States Agency for International Development (USAID)-supported POLICY Project Human Rights Working Group.

Definition

Reproductive rights recognize the basic rights of all couples and individuals to decide freely and responsibly the number, spacing and timing of their children and to have the information and means to do so, and the right to attain the highest standard of sexual and reproductive health.[1]  Additionally, reproductive rights affirm individuals' right to make decisions concerning reproduction free of discrimination, coercion, and violence.[2]  Reproductive rights thus refer to certain human rights already enshrined in international and national laws and consensus statements. 

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Links to Reproductive Health

Reproductive rights make meaningful the attainment of the highest standard of reproductive health, which includes prevention of gender-based violence, education and information about contraception, access to family planning methods, access to appropriate health-care services enabling safe pregnancy and childbirth[3] and information about prevention of sexually transmitted infections.[4]  Counties' high rates of maternal mortality and HIV/AIDS infection incidence, for example, clearly demonstrate the need to improve reproductive health through improving reproductive rights. 

·         Maternal deaths are largely preventable, caused by the inability of women to access timely, skilled, and medically appropriate care.  In turn, gender inequalities that undervalue women and their reproductive health needs are the most formidable barriers to women’s access of emergency obstetric care.

·         HIV transmission is enabled and facilitated by discrimination and violations of other human rights.  Women are increasingly infected with HIV because women are denied HIV/AIDS education and information, unable to obtain condoms, or forced to engage in unprotected sex.

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Human Rights Implicated

Reproductive rights are implicit in the right to health.[5] People are entitled to complete well-being, not only in mental and physical health, but "in all matters relating to the reproductive system and its functions and processes."[6] Reproductive rights do not encompass only the right to reproductive health, however.  The protection of the following other human rights enables the provision and acquisition of reproductive health:

  • Right to non-discrimination based on sex/gender - requiring countries to redress discriminatory laws, such as inequitable inheritance provisions, and social practices, such as lack of male involvement in family planning efforts, that limit the power many women and girls have over their sexual and reproductive lives.

  • Right to life - demanding prevention of maternal mortality and life-threatening sexually transmitted infections, such as HIV/AIDS.

  • Right to liberty and security of the person - recognizing human rights violations in compelled sterilization and abortion or by criminal sanctions against individuals' resort to contraception, voluntary sterilization, or abortion.

  • Right to freedom from torture of other cruel, inhuman, or degrading treatment or punishment - demanding the condemnation of rape as a deliberate instrument of war and ethnic cleansing and the prohibition of female genital mutilation.

  • Right to privacy - limiting compulsory acquisitions of information about an individual’s sexual or reproductive behavior and imposing a duty on those who receive sexual or reproductive health information not to disclose it without the individual’s consent.

  • Right to information - protecting the ability of all people to seek, receive, and impart information about reproduction and sexuality, including advice about family planning.  Also ensured is the individual’s right to receive full information about sexual processes and disease transmission to protect herself against sexual abuse or infection.  

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Relevant Human Rights Documents

All major human rights treaties and consensus statements obligate countries to protect and promote rights that relate to reproductive health.  Of all human rights documents, the Convention on Elimination of All Forms of Discrimination Against Women (CEDAW), a treaty binding on 165 countries, provides the strongest legal support for the right to reproductive health per se.  In Article 12, CEDAW guarantees non-discrimination in access to health care, including affordable services and information related to family planning, pregnancy, and the post-natal period.

Although non-binding, the 1994 International Conference on Population and Development (Cairo) Programme and the 1995 World Conference on Women (Beijing) Platform are highly persuasive consensus statements that confirm the centrality of reproductive rights in advancing the health of populations and the status of women.  Beijing in particular recognizes women’s right to control their own sexuality and sexual relations and to decide upon these matters on an equal basis with men.

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Key Human Rights Arguments You Could Use

Countries must follow the Cairo Programme to be in compliance with their duties to promote, protect, and fulfill women’s rights to good reproductive health.  The CEDAW Committee, the United Nations body that monitors countries' CEDAW compliance, declares that governments should "ensure universal access for all women to a full range of high-quality and affordable health care, including sexual and reproductive health services."  The Committee uses the uses the Cairo Programme in developing performance standards to determine whether countries are in compliance with their obligations to uphold reproductive health and rights. 

 

Legal Remedies You Could Try

Subjecting a country to international scrutiny is an effective way of pressing a country to modify laws and policies that permit human rights abuse.  The international legal system offers several ways to advocate for country-level improvement of reproductive rights.

  • Advocates desiring to prevent or redress a country’s violation of reproductive rights can press their country to ratify CEDAW.  The process of awareness raising about human rights entitlements and reproductive health needs can empower communities to demand governmental action to improve reproductive health.

  • Countries party to CEDAW should be encouraged to adopt national laws and policies reflecting the principles in CEDAW.  Laws and policies create the framework through which governments affect the behavior of people, thereby enhancing government accountability to citizens' reproductive rights, shaping people’s understanding of equity and justice, and limiting private violations of reproductive rights.[7] 

  • Advocates can also submit reports to the CEDAW Committee detailing a country’s purported violations of reproductive rights and requesting the Committee’s sanction of these violations and guidance to prevent reoccurrences of abuse.  The glare of international scrutiny and censure, and the help of international guidance, can spur countries to ensure that laws and policies are consistent with human rights standards and supportive of reproductive health.


Notes

[1] Reproductive health implies that people are able to have a satisfying and safe sex life and that they have the capability to reproduce and the freedom to decide if, when and how often to do so. Implicit in this last condition is the right of men and women to be informed and to have access to safe, effective, affordable and acceptable methods of family planning of their choice, as well as other methods of their choice for regulation of fertility which are not against the law, and the right of access to appropriate health-care services that will enable women to go safely through pregnancy and childbirth and provide couples with the best chance of having a healthy infant.  Further Actions and Initiatives to Implement the Beijing Declaration and Platform for Action (Beijing +5), para. 72 (i)

[2] International Conference on Population and Development (ICPD) Programme of Action, para. 7.3.

[3] ICPD Programme, para. 7.2.

[4] Cf. ICPD Programme, para. 7.6

[5] International Covenant on Economic, Social and Cultural Rights, Art. 12.

[6] ICPD Programme, para. 7.2.[7]  Center for Reproductive Law and Policy, Reproductive Rights 2000: Moving Forward 12; World Health Organization, Considerations for Formulating 7.

Definition

Countries are obligated by international law to prevent discrimination and to ensure equality of access in the provision of methods, techniques and services that contribute to reproductive health and well-being. Countries must make available to all family-planning counseling, information, and services; prenatal care, safe delivery, and post-natal care; prevention and appropriate treatment of infertility; abortion where permitted by law and post abortion care; treatment of sexually transmitted diseases, including HIV/AIDS; and information and education on human sexuality, reproductive health, responsible parenthood, and harmful traditional practices.[1]

 

Links to Reproductive Health

Adequate access to health care services can significantly influence patient use of the health care system and, ultimately, improve health. For example, most maternal deaths are preventable through timely provision of emergency obstetric care. Conversely, heightened reproductive risk results from inadequate health care access, as the AIDS pandemic tragically illustrates: partly due to their lack of access to HIV education, information, and prevention methods, the incidence of HIV is greater in young women than in men.
 

Human Rights Implicated

Impeding equal access to health services and information violates the right to health by restricting individuals' abilities to make personal healthcare decisions and to attain the best possible health status for themselves and their families. Other human rights, including the following, are also implicated by disparate access to health care:

  • Right to non-discrimination - Without careful tailoring, health policies may impact differentially on and increase the marginalization of the poor and uneducated. In particular, close scrutiny must be given to required user fees for health services, privatization of primary healthcare, and "target-oriented" population control programs. Policymakers must ensure that such policies do not bar those in need from essential health care and that coercion or misinformation is not used to achieve programmatic goals.

  • Right to equal protection of the law - Individuals are impermissibly excluded from heath care systems through laws that prevent or discourage participation or through inappropriate health resource allocation.

  • Right to life - High rates of maternal mortality, preventable through adequate access to obstetric health care, indicate that a country is failing to fulfill women's rights and to prioritize women's lives.

 

Relevant Human Rights Documents

The International Covenant on Economic, Social and Cultural Rights (ICESCR) and the Convention on Elimination of All Forms of Discrimination Against Women (CEDAW), both treaties binding on ratifying countries, recognize the right of everyone to the enjoyment of the highest attainable standard of physical and mental health. In particular, CEDAW, Article 12, requires countries to take all necessary measures to eliminate discrimination against women in health care and to ensure that women and men have equal access to health services. This Article further requires that countries provide free and accessible health services in relation to pregnancy and post-natal care.

Additionally, the non-binding but highly persuasive consensus statements from the International Conference on Population and Development (ICPD or Cairo) and the Fourth World Conference on Women (Beijing) highlight the importance of ensuring women access to acceptable reproductive health services throughout the life cycle and of implementing gender-sensitive standards for health care delivery. The CEDAW Committee, the body that oversees compliance with CEDAW, refers to the ICPD guidelines to determine country compliance with CEDAW Art 12. In their reports to the CEDAW Committee, countries therefore should detail their implementation of the lCPD Programme of Action.

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Key Human Rights Arguments You Could Use

As another the ICESCR Committee notes in its General Comment on the Right to Health, access to health care is determined by the availability of specific services; the accessibility of services to the public; the acceptability of the services to different cultures, sexes, and age groups; and the quality of the services.[2]

  • Availability.  Functioning health care facilities, services, and programs, must be available in sufficient quantity within the country. These include safe and potable drinking water, adequate sanitation facilities, health-related buildings, trained medical and professional personnel receiving domestically competitive salaries, and essential drugs.

  • Accessibility.  Accessibility has four overlapping dimensions:

    • Non-discrimination: health facilities, goods, and services must be accessible to all, especially the most vulnerable or marginalized sections of the population, in law and in fact.  For example, investments should not disproportionately favor expensive curative health services, which are often accessible only to a small, privileged fraction of the population, rather than primary and preventive health care benefiting a far larger part of the population.

    • Physical accessibility: health facilities, goods and services must be within safe physical reach for all sections of the population, especially vulnerable or marginalized groups, such as women.  Medical services, safe and potable water, and adequate sanitation facilities must also be within safe physical reach in rural areas and for persons with disabilities.

    • Economic accessibility: health facilities, goods, and services must be affordable for all.  Equity demands that poorer households should not be disproportionately burdened with health expenses as compared to richer households.

    • Information accessibility: everyone has the right to seek, receive and impart information and ideas concerning health issues.

  • Acceptability. All health facilities, goods and services must be respectful of medical ethics and sensitive to gender and life-cycle requirements, as well as designed to respect confidentiality and improve the health status of those concerned.

  • Quality. Health facilities, goods and services must also be scientifically and medically appropriate and of good quality. This requires skilled medical personnel, scientifically approved and unexpired drugs and hospital equipment, safe and potable water, and adequate sanitation.

To ensure health services are acceptable, accessible, affordable, and appropriate to the needs of women, countries should integrate a gender perspective in their health-related policies, planning, programs and research.  To do this, the ICESCR Committee encourages countries to develop and implement a comprehensive national strategy for promoting women's right to health.  A major goal should be reducing women's health risks, particularly lowering rates of maternal mortality and protecting women from domestic violence. The realization of women's right to health further requires the removal of all barriers to sexual and reproductive health services, education, and information.  In particular, countries should recognize and address harmful traditional cultural practices and norms that negatively impact women’s health and bar women from health care.[3]

 

Legal Remedies You Could Try

Subjecting a country to international scrutiny is an effective way of pressing a country to modify laws and policies that permit human rights abuse.  The international legal system offers women several ways to challenge barriers to their equal access to health care. 

  • A country’s health advocates can submit complaints and reports about health care access to the committee that monitors compliance with CEDAW.  The CEDAW Committee uses the ICPD Programme of Action to set standards for country compliance with the right to health.[4]  This means that countries party to CEDAW must follow the measures listed in the ICPD to eliminate discrimination against women in health care and to guarantee equal access to health services.

  • If it finds a country in violation of the right to health, the CEDAW Committee recommends to that country how to properly promote and protect women’s access to quality health care.  Policymakers may be convinced to improve women’s access to quality health care by being made aware of these recommendations.

 

Notes

[1] International Conference on Population and Development (ICPD) Programme of Action, para. 7.6.

[2]The Right to the Highest Attainable Standard of Health, CESCR General Comment 14, E/C.12/2000/4 (2000), available HERE.

[3] Id.

[4] Report of the Committee on the Elimination of Discrimination Against Women, 14th Sess., U.N Doc. A/50/38 (1995).

ReproRights
EqualAccess

Definition

“Harmful traditional practices” include female circumcision/genital mutilation, facial scarring, the force-feeding of women, early or forced marriage, nutritional taboos, traditional practices associated with childbirth, dowry-related crimes, honor crimes, and the consequences of son preference.[1] These practices adversely affect the health of women and children.  Through controlling women’s bodies for men’s benefit and through ensuring the political and economic subordination of women, harmful traditional practices perpetuate the inferior status of women.  Despite their harmful nature and their violation of international human rights laws, such practices persist because they are not questioned.[2]

 

Links to Reproductive Health

Traditional practices harmful to women and children inflict both immediate and long-term mental and physical pain on their victims.  These practices expose women to sickness and death from hemorrhage, infection, keloid formation, and consequent obstructed labor.  Ironically, while many traditional practices are intended to control women’s sexuality and reproductive capacity, these practices expose women to reproductive health risks that threaten women’s fertility and lives.

 

Human Rights Implicated

Harmful traditional practices also violate a number of recognized human rights protected in international and regional instruments and reaffirmed by international conference documents. These rights include the right to life and right to health and the following human rights:

 

Relevant Human Rights Documents

The following human rights treaties bind almost all countries and prohibit countries? toleration of harmful traditional practices:

Agreements reached at the 1994 International Conference on Population and Development (Cairo) and the 1995 Fourth World Conference on Women (Beijing), reinforce CEDAW, CRC, and ICCPR by including commitments to remove discriminatory, harmful, and coercive traditional practices:

·         Cairo defines reproductive rights as including the right of individuals "to make decisions regarding reproduction free of discrimination, coercion and violence."  Further, reproductive health is defined as "a state of complete physical, mental and social well-being... which implies that people are able to have a safe and satisfying sex life" (paragraph 7.3).

  • Beijing states that women have "the right to attain the highest standard of sexual and reproductive health" and "the right to make decisions concerning reproduction free of discrimination, coercion and violence" (paragraph 97).

 

Key Human Rights Arguments You Could Use

Although the rights to culture and religion and the rights of minorities have been invoked in support of harmful traditional practices, such arguments contradict guarantees in the Universal Declaration of Human Rights that protect women's equality without exemption for the cultural or religious practices of the community.  UNFPA, UNICEF, and WHO state unequivocally: 

It is unacceptable that the international community remain passive in the name of a distorted vision of multiculturalism. Human behaviours and cultural values . . . have meaning and fulfil a function for those who practise them. However, culture is not static but it is in constant flux, adapting and reforming. People will change their behaviour when they understand the hazards and indignity of harmful practices and when they realize that it is possible to give up harmful practices without giving up meaningful aspects of their culture.[3]

A human rights perspective affirms the universality of the rights of women and girls to physical and mental integrity, to freedom from discrimination, and to the highest standard of health.  Cultural claims cannot be invoked to justify violation of these rights.[4]

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Legal Remedies You Could Try

The force and guidance of the international human rights system may spur policymaker action to prevent and punish harmful traditional practices and to promote healthier and gender-equitable practices.  Advocates can use international human rights mechanisms to promote and protect reproductive rights by doing the following:

  • Providing information on the extent of harmful traditional practices in the country to the United Nations Special Rapporteur on Harmful Traditional Practices.

  • For a country party to the ICCPR, CRC, or CEDAW, reporting country progress in eliminating harmful traditional practices to any of these treaties? monitoring bodies.  The country’s progress should include undertaking a review of laws and policies to ensure compliance with human rights standards against harmful traditional practices.

 

Notes

[1]  See the Beijing Declaration.  See also Halima Embarek Warzazi, Third Report of the Special Rapporteur on Traditional Practices affecting the Health of Women and the Girl Child, para. 20, submitted to Sub-Commission on the Prevention of Discrimination and Protection of Minorities, E/CN.4/Sub.2/1999/14, July 9 1999.

[2] UNHCHR, Fact Sheet No.23, Harmful Traditional Practices Affecting
the Health of Women and Children, available at http://www.unhchr.ch/html/menu6/2/fs23.htm.

[3] World Health Organization, UN Children’s Fund (UNICEF) and UN Population Fund, Joint Statement, February 1996.

[4] Amnesty International, Female Genital Mutilation: A human rights information pack (1997), available at http://www.amnesty.org/ailib/intcam/femgen/fgm4.htm.

Definition

Inequitable intestate succession practices and laws (dealing with after-death property distribution not controlled by a will) institute a deliberate disparity between the amount of inheritance received by a woman and the amount inherited by a man.  Although such laws often entitle a wife or daughter to some property after the death of a husband or male relative, the laws discriminate against women by entitling a daughter only to half the inheritance that a son would receive, giving male relatives or spouses the right to administer women’s wealth, requiring estates to distribute property only after consulting male beneficiaries, or prohibiting women from owning certain types of property (e.g. land).  Discriminatory inheritance laws may be part of religious or customary systems that are incorporated into civil law or that exist as an alternative form of law available to some populations. 

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Links to Reproductive Health

Inheritance practices and laws that discriminate between women and men perpetuate economic discrimination against women, thus violating women’s human rights and adversely affecting women’s reproductive health.  Economic well-being fosters physical and mental health, as demonstrated by the correlation between people’s health status and their levels of personal wealth.[1]  In particular, economic well-being sets the conditions for women’s bettered reproductive health.  Higher economic status permits girls? school attendance, resulting in women’s literacy.  Literacy, in turn, enhances women’s agency, or command over their lives, resulting in reduced fertility and lower mortality rates for children under five.[2] 

Poverty is a barrier to good health, and a society’s lack of decent living standards is strongly associated with the society’s level of gender inequality.[3]  (Though, even when a country is very poor in terms of income poverty, it can still achieve a relative level of gender equality according to basic indicators for human development.)  Continued discrimination against women in all matters relating to land and property, including inheritance, is the single most critical factor in the perpetuation of gender inequality and women’s poverty.[4]

Through stripping them of their homes, lands, and other property, inequitable inheritance practices may condemn women to an early death from AIDS.[5]  Women lose assets crucial to decreasing their vulnerability to HIV and, for HIV positive women, assets necessary for their care and shelter.   In order to keep their property, widows may have to undergo customary "wife inheritance" or "cleansing" rituals which involve unprotected sex, putting them at risk of contracting and spreading HIV.[6]

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Human Rights Implicated

Inheritance laws restricting women’s equal access to resources abuse women’s right to health.  Additionally, such laws violate countries? obligations to uphold other rights, including:

Right to non-discrimination on the grounds of sex or gender - Under human rights law, countries must accord to women equal rights in property ownership, acquisition, management, administration, enjoyment, and disposition.

Right to development - Women are entitled to access to, control of, and use of productive resources.  Gender asymmetry in land inheritance and ownership is one of the main obstacles to the full participation of women in rural development.[7]  When a woman is denied the right to inherit land or property, she is often denied the means to ensure her and her family’s livelihood. [8]  Further, women who are denied inheritance rights are often forcibly evicted from their homes and lands. 

Forced eviction is a "gross violation of human rights,"[9] in particular the right to housing.[10]

Right to property: Individuals have the right to own property alone as well as in association with others and no one can be arbitrarily deprived of his or her property.

Individuals also have the right to non-discrimination. Women and men, therefore, have equal rights to enjoy the right to property and countries need to take steps to ensure that statutory and customary laws are gender sensitive. The right to property also includes: the right to property in marriage; and the right to property in case of separation, divorce or annulment of marriage.

  • The right to property in marriage: Women and men have equal rights within marriage with respect to the ownership, acquisition, management, administration, enjoyment and disposition of property.

  • The right to property in case of separation, divorce or annulment of marriage: Women and men have the right to equitable sharing of joint property deriving from the marriage, in the case of separation, divorce or annulment.

The right to inheritance: The Protocol to the African Charter on Human and Peoples' Rights on the Rights of Women in Africa, added in 2003, gives a widow the right to an equitable share in the inheritance of her husband's property. She also has the right to continue to live in the matrimonial home. If she remarries, she retains this right if she owns or has inherited the house. The protocol goes further to protect the inheritance rights of girl children by stating that women and men have the right to inherit in equitable shares. This provides equal inheritance rights for female and male children.

The right to an adequate standard of living: This right includes: the right to equitable distribution of food; the right to access to safe drinking water and sanitation; the right to adequate housing; and the right to a safe and healthy environment.

Inequitable inheritance and property rights, including home ownership, access to property and accommodation violates the right to adequate housing. After being evicted from their homes due to inequitable inheritance laws and practices, women are left without adequate housing and livelihoods.

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Relevant Human Rights Documents

The Convention on Elimination of All Forms of Discrimination Against Women (CEDAW) calls on countries to prohibit property and inheritance practices that favor the husband or his heirs over the wife.  CEDAW requires in Article 2(f) that State Parties modify or abolish existing laws, regulations, customs, and practices that discriminate against women.  In particular, Article 16(h) mandates that countries eliminate discrimination against women in all matter relating to marriage and family relations, in particular ensuring that both spouses have the same rights in the ownership, acquisition, management, administration, enjoyment, and disposition of property.

Additionally, the United Nations, through its Sub-Commission on the Promotion and Protection of Human Rights, issued non-binding but persuasive Resolution 1998/15 urging that governments "amend and/or repeal laws and policies pertaining to land, property and housing which deny women security of tenure and equal access and rights to land, property and housing," "encourage the transformation of customs and traditions which deny women security of tenure and equal access and rights to land, property and housing," and "adopt and enforce legislation which protects and promotes women's rights to own, inherit, lease or rent land, property and housing."

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Key Human Rights Arguments You Could Use

Access to economic resources is essential for people’s well-being. Therefore, ensuring women's full enjoyment of their human rights is a crucial strategy for the empowerment of women and for overcoming the economic, political, and social disadvantages they face. Women's equal access to resources and opportunities and equal treatment in economic and social life are, in turn, necessary for the full realization of their human rights.[11]

Some seek to defend inequitable inheritance practices by asserting that such rules are designed to distribute wealth and that each spouse is responsible for earning and holding separately her/his own wealth.  This argument ignores reality.  In many countries, women engage in the unpaid work of housekeeping and child rearing.  Women are either too busy to take paid work, or they are legally barred from working in the same paid professions as men.  Yet, women’s unpaid work permits male relatives or spouses to earn money for labors outside the home.  Men thus earn income to support their wives and children.  Under an inequitable inheritance structure, though, when the man dies, his wife and female children are rendered destitute, having no separate wealth of their own.  The same legal standard should be applied to men and women’s ownership of property during the marriage and inheritance of property after a spouse’s death.

Others argue that cultural sensitivities demand adherence to traditional inequitable inheritance practices.  Some countries even constitutionally permit discriminatory ?customary law? to be applied to inheritance questions of certain ethnic groups.  Yet, the international community has become aware of the need to achieve equality between the sexes and of the fact that an equitable society cannot be attained if fundamental human rights of half of human society, women, continue to be denied and violated.[12]  Discriminatory inheritance practices expose women to poverty, violence, homelessness, and disease.  Particularly in sub-Saharan Africa, the raging HIV/AIDS epidemic thrives on women's property rights violations, risking the lives and well-being of millions of women and their dependants.[13]

Legal Remedies You Could Try

To fulfill their human rights-based obligations to foster equitable inheritance practices, countries must repeal inheritance laws that discriminate against women. 

·         Inequitable inheritance laws cannot exist as a possible alternative for certain populations. International law prohibits countries from maintaining dual systems of law, civil and traditional, and requires that countries adopt one standard applicable to all. 

·         Countries must ensure that the law sets out an effective remedy for violations of women’s rights to non-discrimination in inheritance practices.  Countries could adopt a law similar to the model non-discriminatory law on inheritance at http://www.caricom.org/archives/inheritance.htm

Additionally, subjecting a country to international scrutiny is an effective way of pressing a country to modify laws and policies that permit human rights abuse.   

·         Advocates wishing to challenge a country’s inheritance laws may, as women from Zimbabwe have, lodge a complaint with the Committee on Economic, Social and Cultural Rights (ESCR), the U.N. body that oversees country compliance with the International Covenant on ESCR.  The Committee has recognized women's rights to inheritance within its analysis of the right to housing and guides countries? adherence to this right.

Notes

[1] James S. House, Relating Social Inequalities in Health and Income, 26 J. Health Politics, Pol., & L. 523 (2001).  A. Wagstaff & E. van Doorslear, Income Inequality and Health: What Does the Literature Tell Us, 21 Ann. Rev. of Pub. Health 543 (2000).

[2] Jean Dreze and Amartya Sen, Hunger and Public Action 198-99 (1989).

[3] Myriam Tebourbi, Women's enjoyment of their economic, social and cultural rights, in UN High Commissioner on Human Rights, Women's Rights are Human Rights: Special Issue on Women's Rights (2000), available at http://www.unhchr.ch/html/menu2/womenpub2000.htm

[4] Id.

[5] Human Rights Watch, Double Standards: Women’s Property Rights Violations in Kenya, 15(5A) Reports 10 (2003), available at: http://www.hrw.org/reports/2003/kenya0303/kenya0303-02.htm#P239_41275

[6] Human Rights Watch, Women's Property Rights Violations and HIV/AIDS, Letter to Alie Eleveld, Society of Women against AIDS in Kenya, February 13, 2003, available at http://www.hrw.org/press/2003/02/kenya021303.htm.

[7] Id.

[8] Leilani Farha, Women's Housing Rights Programme, Centre on Housing Rights and Evictions, emailed communication, May 19, 1999, available at http://www.sdnp.undp.org/ww/lists/cedaw/msg00075.html.

[9] Commission on Human Rights, Res. 1993/77

[10] Farha, supra.

[11] Tebourbi, supra.

[12] UNHCHR, Fact Sheet No.23, Harmful Traditional Practices Affecting
the Health of Women and Children, available at http://www.unhchr.ch/html/menu6/2/fs23.htm.

[13] Janet Walsh, Human Rights Watch, HIV/AIDS and Women's Property Rights Violations in Sub-Saharan Africa, Testimony to the Congressional Human Rights Caucus, April 10, 2003, available at http://hrw.org/press/2003/04/africa041003.htm.

Gender-Based Violence

​Definition

The United Nations Declaration on the Elimination of Violence against Women was the first international human rights instrument to deal exclusively with gender-based violence (GBV).  Although non-binding on countries, the Declaration uniformly defines GBV as "any act. . . that results in, or is likely to result in, physical, sexual or psychological harm or suffering to women, including threats of such acts, coercion or arbitrary deprivations of liberty, whether occurring in public or private life."  Another international consensus statement, the Platform of Action from the 1995 Fourth World Conference on Women (Beijing), explains that GBV includes physical, sexual and psychological violence occurring in the family or within the general community, including battering; sexual abuse of female children; dowry-related violence; marital and non-marital rape; traditional practices harmful to women; sexual harassment and intimidation at work, in educational institutions and elsewhere; trafficking in women; and forced prostitution.  Physical, sexual and psychological violence perpetrated or condoned by the State is also GBV.

The Convention on the Elimination of All Forms of Discrimination against Women (CEDAW) is a treaty that requires countries to prevent and prohibit GBV.  Although the Convention itself does not specifically address violence against women, the Convention’s monitoring body, the Committee on the Elimination of Discrimination Against Women, has stated that GBV is gender-based discrimination prohibited by the Convention.  The Committee’s General Recommendation (GR) 19 specifies that GBV is violence that is directed against a woman because she is a woman or that affects women disproportionately.  GR 19 cautions States Parties to take all appropriate measures to eliminate gender-based violence, especially in the home.

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Links to Reproductive Health

GBV places in jeopardy women’s lives by putting them at risk of sickness or death from physical and mental trauma.  GBV often involves unprotected sex that is coerced through force or the threat of violence.  Women suffering GBV are thus also exposed to sexually transmitted infections, including HIV/AIDS, and unwanted pregnancy.

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Human Rights Implicated

Impairing their health and lives, GBV obviously nullifies women’s human right to life and right to health.  Other human rights violated by GBV include the following:

  • Right to non-discrimination - GBV is the most extreme sort of discrimination against women: violence directed at women because of their sex.  GBV is calculated to and has the effect of perpetuating male domination over women.

  • Right to equal protection under the law - when GBV is not prosecuted or prevented, the law fails to ensure the safety and security of women, even though this right may be protected for men.  A law enacted for all of society thus treats men and women differently and is less concerned about violence against women than violence against men.

  • Right to just and favorable work conditions - GBV does not only occur in intimate relationships in the home; it also includes sexual harassment and discrimination on the job.

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Relevant Human Rights Documents

A country that sanctions, permits, or does not deter GBV violates international human rights treaties the country has ratified.  Such treaties could include CEDAW (mentioned above); The International Covenant on Civil and Political Rights; and The Convention Against Torture and Other Cruel, Inhuman or Degrading Treatment or Punishment.  These three treaties have been signed by most countries and have bodies that review countries? compliance with their treaty obligations. 

The Beijing Platform of Action provides countries direction in how to comply with human rights treaties addressing GBV.  Beijing noted "violence against women" as one of its areas of critical concern and, in Section D, elaborated several guidelines to eliminate and prevent gender-based violence.

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Key Human Rights Arguments You Could Use

Under international human rights law, states are required not only to avoid violating human rights, but also to prevent and respond to human rights abuses.  This concept of state responsibility also obligates countries to prevent and punish rights violations by private actors.  The following three doctrines must be considered when dealing with violence against women by private actors:[1]

  • Due Diligence

Advocates should call for countries' due diligence in investigating and punishing acts of violence; the existence of a national legal system criminalizing and providing sanctions for GBV is not sufficient.[2] States must "pursue by all appropriate means and without delay a policy of eliminating violence against women" and "exercise due diligence to prevent, investigate and, in accordance with national legislation, punish acts of violence against women, whether those acts are perpetrated by the State or by private persons."[3] Victims of gender-based violence must also be assured adequate compensation from their abusers.[4]  In GR 19, the Committee for Elimination of All Forms of Discrimination Against Women (the CEDAW treaty body) recommends measures states should take to provide effective protection of women against violence.  Similarly, The Inter-American Convention on the Prevention, Punishment and Eradication of Violence against Women (or the Convention of Belem do Para) provides State Parties a detailed list of duties to prevent and punish GBV.

  • Equal protection of the law

If a country’s law enforcement discriminates against the victims in cases involving violence against women, then advocates may ask an international treaty body or court to hold the State liable for violating international human rights standards of equality.  CEDAW requires State parties to "pursue by all appropriate means and without delay a policy of eliminating discrimination against women."[5]  This obligation includes a duty to "refrain from engaging in any act or practice of discrimination against women and to ensure that public authorities and institutions shall act in conformity with this obligation" and "to take all appropriate measures, including legislation, to modify or abolish existing laws, regulations, customs and practices which constitute discrimination against women."

  • GBV as torture

Depending on the severity and the circumstances, GBV can constitute torture or cruel, inhuman and degrading treatment or punishment actionable under human rights treaties such as The International Covenant on Civil and Political Rights, and The Convention Against Torture and Other Cruel, Inhuman or Degrading Treatment or Punishment (CAT).  Some GBV involves the four critical elements that constitute torture: (a) it causes severe physical and or mental pain, it is (b) intentionally inflicted, (c) for specified purposes and (d) with some form of official involvement, whether active or passive.  Rape, for example, is a form of torture, and courts have required used CAT to require countries to prevent and punish rape.

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Legal Remedies You Could Try

Subjecting a country to international scrutiny is an effective way of pressing a country to modify laws and policies that permit human rights abuse.  The international legal system offers advocates several ways to address GBV in their own countries.

  • The United Nations Special Rapporteur on Violence against Women analyzes and documents incidents of gender-based violence and reports her findings to the U.N. Commission on Human Rights.  The Special Rapporteur may receive and request information from Governments, organizations, and individuals on violence against women and can initiate relevant investigations.

  • Under the 1999 Optional Protocol to CEDAW, the treaty’s monitoring Committee may receive and consider complaints from individuals or groups from a State Party.  The Committee can then conduct confidential investigations and issue urgent requests for a government to take action to protect victims from harm and to comply with CEDAW.

  • The Inter-American Convention on the Prevention, Punishment and Eradication of Violence against Women also permits individuals and groups from ratifying countries to submit complaints regarding State inaction to protect women from violence.  The Inter-American Commission on Human Rights receives these complaints and monitors treaty compliance.

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Notes
[1] This analysis is taken from Radhika Coomaraswamy, United Nations Special Rapporteur on Violence Against Women, Combating Domestic Violence: Obligations of the State, 6 Innocenti Digest 10 (2000), available at http://www.unicef-icdc.org/publications/pdf/digest6e.pdf.

[2] See Veláquez Rodríguez v. Honduras, 4 Inter. Am. Ct. HR, Ser. C, No.4, para. 167 (1988).

[3] Committee on the Elimination of Violence Against Women, Eleventh Session, General Recommendation 19, Official Records of the General Assembly, Forty-seventh Session, Supplement No. 38 (A/47/38), Ch.1.

[4] See Veláquez Rodríguez at 174 (requiring Honduras to "take reasonable steps to prevent human rights violations and to use the means at its disposal to carry out a serious investigation of violations committed within this jurisdiction, to identify those responsible, to impose the appropriate punishment and to ensure the victim adequate compensation").

[5] CEDAW, Art. 2​.

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These topics highlight legal strategies health advocates can take to remedy situations abusive of reproductive health and human rights. Legal remedies, such as submitting a complaint to an international treaty body or revising laws to comply with international human rights standards, promote enabling policy environments critical to promoting reproductive health and gender equity. At the same time, the social change needed to ensure human rights requires a range of advocacy strategies including, but not limited to, the legal system. For instance, advocates may need to focus on how laws are actually implemented. Or advocacy efforts may need to focus on the cultural beliefs that contradict basic rights or on educating men and women about their rights. Advocates should assess which approaches are most promising for promoting human rights within a given context. When possible, advocates should include legal remedies so to create the legal change necessary for reproductive health policy change.

Remedies
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