The CRC reporting process and how to link it to the WBTi Camille Selleger / IBFAN-GIFA Geneva, May 2015 – WBTi/WBCi training workshop The CRC A Convention… and a monitoring body See Convention: http://www.ohchr.org/EN/ProfessionalInterest/Pages/CRC.aspx Breastfeeding from the CRC perspective Which rights are involved? • • • • • • • • Right to non-discrimination (2 CRC) Right to life-survival-development (6 CRC) Right to adequate assistance for parents (18 CRC) Right to to the enjoyment of the highest attainable standard of health (24 CRC) Right to adequate food (24.2(c) CRC) Right to education and correct information (17, 24 (e) CRC) Right to social security (26 CRC) Right to a decent standard of living and living conditions (27 CRC) Article 24 CRC: Highest attainable standard of health 1. States Parties recognize the right of the child to the enjoyment of the highest attainable standard of health and to facilities for the treatment of illness and rehabilitation of health. States Parties shall strive to ensure that no child is deprived of his or her right of access to such health care services. Article 24 CRC: Highest attainable standard of health 2. States Parties shall pursue full implementation of this right and, in particular, shall take appropriate measures: (a) To diminish infant and child mortality; […] (c) To combat disease and malnutrition, including within the framework of primary health care, through, inter alia, […] the provision of adequate nutritious foods […]; (d) To ensure appropriate pre-natal and post-natal health care for mothers; (e) To ensure that all segments of society, in particular parents and children, are informed, have access to education and are supported in the use of basic knowledge of child health and nutrition, the advantages of breastfeeding, hygiene and environmental sanitation and the prevention of accidents; […] CRC General Comment No 15 (2013) 44. Exclusive breastfeeding for infants up to 6 months of age should be protected and promoted and breastfeeding should continue alongside appropriate complementary foods preferably until two years of age, where feasible. States’ obligations in this area are defined in the “protect, promote and support” framework, adopted unanimously by the World Health Assembly.14 States are required to introduce into domestic law, implement and enforce […] the International Code on Marketing of Breast-milk Substitutes and the relevant subsequent World Health Assembly resolutions […] 14 See WHO and United Nations Children’s Fund (UNICEF), Global Strategy for Infant and Young Child Feeding (Geneva, 2003). CRC General Comment No 15 (2013) 81. Among other responsibilities and in all contexts, private companies should […] comply with the International Code of Marketing of Breast-milk Substitutes and the relevant subsequent World Health Assembly resolutions […] THIS PROVISION SETS A DIRECT OBLIGATION FOR PRIVATE COMPANIES TO COMPLY WITH THE CODE UNIVERSALLY! See http://www.ohchr.org/en/HRBodies/CRC/Pages/CRCIndex.aspx -> General Comments -> General Comment No 15 CRC General Comment No 16 (2013) 57. States are also required to implement and enforce internationally agreed standards concerning children’s rights, health and business, including […] the International Code of Marketing of Breast-milk Substitutes and relevant subsequent World Health Assembly resolutions. See http://www.ohchr.org/en/HRBodies/CRC/Pages/CRCIndex.aspx -> General Comments -> General Comment No 16 OHCHR Technical guidance on child mortality (2014) 77. Adopting and enforcing laws and policies that promote access to high-quality maternal and newborn care in both the public and private sectors is a key component of a human rightsbased approach to preventing neonatal mortality. This encompasses laws and policies for: […] implementing and monitoring the International Code of Marketing of Breast-milk Substitutes. 78. In addition, workplace policies are important to support women during pregnancy and in the postnatal period by protecting women from physical demanding work and supporting breastfeeding in the workplace. http://www.ohchr.org/Documents/Issues/Children/TechnicalGuidance/Technic alGuidancereport.pdf Reporting cycle to the CRC Source: Child Rights Connect New CRC reporting procedure (LOIPR) LOIPR: List Of Issues Prior Reporting ‘Simplified reporting procedure’ gradually implemented from 2016 onwards State report will prepare its report in reply to the LOIPR issued by the CRC No further written information will be required from the State until the dialogue with the CRC LOIPR will complicate work of NGOs (different types of reporting, risks to see BF/IYCF side-lined and not included in the LOIPR) By now, no full clarity on the introduction of LOIPR to CRC! CRC reporting: what outcome? Armenia - May-June 2013 42. The Committee recommends that the State party: (a) Undertake measures to resume its baby-friendly hospital initiatives and ensure its maternity hospitals meet the required standards and are certified as baby-friendly under the BabyFriendly Hospital Initiative (BFHI); (b) Ensure regular monitoring of existing international marketing regulations relating to breast-milk substitutes and take necessary actions against those who violate these regulations and accelerate the adoption of the draft Law on Breastfeeding; (c) Promote proper infant and young child feeding practices through a health-care system in institutions and communities. CRC reporting: what outcome? Portugal - Jan 2014 56. The Committee recommends that the State party take action to improve the practice of exclusive breastfeeding for the first six months, through awareness-raising measures, including campaigns, the provision of information and training to relevant officials, particularly staff working in maternity units, and parents. The Committee also recommends that the State party strengthen the monitoring of existing marketing regulations relating to breast-milk substitutes. CRC reporting: what outcome? Croatia – Sept 2014 49. The Committee recommends that the State party take action to improve the practice of exclusive breastfeeding, through awareness-raising measures, the provision of information and training to relevant officials, particularly staff working in maternity units, and parents. The Committee also recommends that the State party take all the necessary legislative and structural measures, including monitoring, to control the marketing of breast-milk substitutes. CRC reports: how to leverage WBTi assessments? • Assessment-Analysis-Action CRC report leads to Concluding Observations which urge State to take ACTION • CRC template report is consistent with WBTi indicators CRC report is easy to draft once the WBTi is made WBTi report card can be directly used to inform CRC Committee during a LOIPR reporting procedure • Also the other way around… CRC report could be used as a basis to start a WBTi assessment Conclusion Once you have achieved your WBTi assessment, do not forget to use it to draft your report to the CRC ! Thank you! Individually, we are a drop. Together, we are an ocean. Ryunosuke Satoro
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