CEDAW What does the Convention mean for the rights of girls in Latin America and the Caribbean? What does the CEDAW Convention mean for the rights of girls in Latin America and the Caribbean? Consultant: Ximena Andión This publication was coordinated by Luz Angela Melo, Regional Adviser for Gender, No Discrimination and Adolescents. Mark Connolly, José Bergua, Stefano Fedele and Eveliz Metellus made significant contributions to this document. Proofreading: Gladys Hauck, Information and Documentation Assistant Cover Portrait: © UNICEF Colombia/2008-55/M Quintero Design: Tinto Estudio, S.A. UNICEF Latin America and Caribbean Regional Office Building 102, Alberto Tejada St., City of Knowledge, Panama, Republic of Panama Postal Address: 0843-03045 Telephone: (507) 301-7400 www.unicef.org/lac Published in August 2014 The comments and opinions expressed in this publication do not necessarily represent the official policy or view of UNICEF. Parts of this publication may be reproduced for use in research, advocacy and education only, provided the source is acknowledged (UNICEF). This publication may not be reproduced for other purposes without the prior written permission of UNICEF. Permissions will be requested to Communication Unit, [email protected]. What does the CEDAW Convention mean for the rights of girls in Latin America and the Caribbean? 4 What does the CEDAW Convention mean for the rights of girls in Latin America and the Caribbean? Contents I. II. III. Objectives, structure and methodology................................................5 How to apply CEDAW to UNICEF programming in Latin America and the Caribbean?.........................................................7 Framework and applicable human rights principles............................9 IV. The Convention on the Elimination of all Forms of Discrimination against Women (CEDAW)…. ......................................13 V. Applying CEDAW to specific issues.....................................................22 a. Survival and development of young girls ............................................23 b. Girls’ Right to education .....................................................................31 c. Girls’ Right to health, including sexual and reproductive health…… ..35 d. Girls’ Right to be free from violence, exploitation and abuse……… ..42 e. Early marriage and early union ............................................................48 f. Water and sanitation............................................................................51 g. Migrant girls........................................................................................54 What does the CEDAW Convention mean for the rights of girls in Latin America and the Caribbean? I. Objectives, structure and methodology 5 6 What does the CEDAW Convention mean for the rights of girls in Latin America and the Caribbean? I. Objectives, structure and methodology The Convention on the Elimination of all Forms of CEDAW in achieving this goal when read in Discrimination against Women (CEDAW), adopted in conjunction with other human rights instruments, 1979 by the General Assembly of the United particularly the Convention on the Rights of the Nations, constituted a groundbreaking step toward Child (CRC). eliminating gender discrimination and advancing gender equality. The Convention provides a solid The present document aims to provide practical framework of rights and obligations that aims to guidance on how to apply CEDAW for girls within a guide the efforts of States, donors, UN Agencies life cycle approach in UNICEF programming for Latin and private actors to improve the situation of girls America and the Caribbean. The guide opens by and women. describing how the tool can best be used in the region, before moving on to outline the human All of the countries of Latin America and the Carib- rights principles behind all programmes and policies, bean have ratified CEDAW, meaning that these and providing an overview of the content of the States are obligated to take effective action to CEDAW Convention and its Optional Protocol. eliminate discrimination in all of the social, Finally, the guide highlights a range of issues economic, cultural, civil and political spheres. Given relevant to girls’ rights in Latin America and the the importance of CEDAW to the region, action is Caribbean, using CEDAW and other human rights needed to ensure greater dissemination and under- instruments to apply a human rights and gender standing of the Convention content and its interpre- perspective to these situations. tation by the compliance monitoring Committee, while increasing links with other human rights The elimination of all forms of discrimination and the instruments and initiatives. achievement of gender equality is without doubt one of the greatest challenges of our times. It is our UNICEF has reaffirmed its commitment to foster intention that this guide will contribute to the gender equality in the Strategic Plan for 2014-2017 integration of gender and human rights perspectives and through UNICEF Policy on Gender Equality and in UNICEF programming throughout Latin America the Empowerment of Girls and Women adopted in and the Caribbean. 2010. This policy acknowledges the importance of What does the CEDAW Convention mean for the rights of girls in Latin America and the Caribbean? II. How to apply CEDAW to UNICEF programming in Latin America and the Caribbean? 7 8 What does the CEDAW Convention mean for the rights of girls in Latin America and the Caribbean? II. How to apply CEDAW to UNICEF programming in Latin America and the Caribbean? All States in Latin America and the Caribbean have ratified the Convention on the Rights of the Child, and most have ratified the Convention on the Elimination of All Forms of Discrimination against Women. UN Agencies For UNICEF Country Offices, CEDAW can be read together with the Convention on the Rights of the Child to provide a solid framework of international human rights standards on the rights of children and adolescents. The CRC establishes a general framework and principles relating to the respect for, protection and fulfilment of children’s human rights according to their specific needs and the special protection they are entitled to from the State. In parallel, CEDAW provides a perspective on the gender specific needs and interests of girls and adolescent girls on the basis of recognition of historic discrimination against them. All of the States of Latin America and the Caribbean have ratified the CRC, and most have ratified CEDAW (see the chart on page 21) and its Optional Protocol. This means they are obligated to adopt all the measures and take all the steps necessary to comply with the provisions of these treaties. The role of UN Agencies is critical in providing technical assistance to States for them to improve implementation of these treaties. Additionally, UNICEF Country Offices that use both CEDAW and CRC in combination are better able to produce programming that contains a gender and human rights perspective. When read together, the CEDAW and the CRC can be very useful for UNICEF Country Offices in terms of: have a critical role in providing technical assistance to States for they may improve implementation of these treaties. u Providing a solid framework in terms of rights and obligations on which to base UNICEF Country Office programmes and policies for the protection of girls and adolescents. u Using the framework and standards developed by CEDAW and CRC to prioritize the most critical and appropriate interventions to be supported by the UNICEF Country Office. u Ensuring that the policies and programmes developed or supported by UNICEF contribute to the respect, protection and fulfilment of the human rights of girls and adolescents girls; if programmes are based on human rights principles and standards, they will be more effective and sustainable over time. u Advances in the integration of a gender perspective in UNICEF Country Office programmes and projects through application of CEDAW provisions and standards. u Providing technical assistance to governments to advance toward compliance with CEDAW and CRC. What does the CEDAW Convention mean for the rights of girls in Latin America and the Caribbean? III. Framework and applicable human rights principles 9 10 What does the CEDAW Convention mean for the rights of girls in Latin America and the Caribbean? III. Framework and applicable human rights principles Life cycle approach: early childhood, adolescence The life cycle approach works on the basis that there are characteristics particular to each stage of human life, and that these define the needs and vulnerabilities of individuals within that stage. This framework can also be applied to the analysis of children’s rights from the perspective that childhood is not a uniform process, but one where various stages can be identified. However, some difficulties have been encountered in establishing clear stages and age brackets for childhood and adolescence, due in part to the vast range of subjective and objective factors, including cultural, social and economic elements, that can affect child development. UNICEF describes the stages as: early childhood (0-4), middle childhood (5-9), early adolescence (10-13), middle adolescence (14-16) and late adolescence (17-19). The life cycle framework helps in identifying neglected risks and key gaps that can be addressed when prioritizing key interventions. If the interventions are tailored to the specific needs of the population in that life stage, they will be more effective and appropriate. Children´s emotional, physical and cognitive skills develop as they move through life, and it is important that the programmes and policies respond to interests, needs and abilities appropriate to each stage. What does the CEDAW Convention mean for the rights of girls in Latin America and the Caribbean? Non-discrimination and equality The principle of non-discrimination and equality is the cornerstone of the international human rights system, and it is particularly important for girls since it offers protection against discrimination based on age, sex and other characteristics including health condition, race, disability and ethnicity, among others. In recent decades there has been a paradigm shift from considering children and adolescents as objects of protection to considering them as bearers of rights. International human rights law has contributed to this paradigm shift, particularly with the adoption of the Convention on the Rights of the Child. The principle of non-discrimination establishes the State obligation to take all measures to ensure compliance of the law, practices, policies and any other act from private actors or public authorities. It also establishes the obligation to pay particular attention to marginalised and vulnerable groups and to establish special measures to protect them. Girls are granted special protection from the State as a discrete group. Best interests of the child Through the Convention on the Rights of the Child, international human rights law recognises the principle that what is best for the child’s well-being and protection should be a primary consideration in any action that affects them. This principle should be observed by private and public welfare institutions, courts of law, administrative authorities or legislative bodies, among other actors. The principle of the best interests of the child allows the State to limit the rights of parents, legal guardians or others responsible for children in order to ensure the best possible protection and well-being of children. The best interests of the child should be at the forefront of any decision taken by any public or private actor, and the State should ensure that all parties comply. Although what is best for a specific child will depend on many factors and circumstances, important guidance on the respect, protection and fulfillment of children's rights is provided by international human rights law. 11 12 What does the CEDAW Convention mean for the rights of girls in Latin America and the Caribbean? Evolving capacities This principle establishes that children and adolescents acquire the capacity to take responsibility for the decisions affecting their lives progressively in accordance with their age and level of maturity - a principle that should be taken into account by the State and those caring for children. Children and adolescents should always be given the chance to express their opinions and to make decisions affecting their lives in accordance with their evolving capacities. This principle was recognised in the Convention on the Rights of the Child. When applying this principle, it is important to consider that children and adolescents acquire competencies at different ages depending on their life experiences, culture and environment. What does the CEDAW Convention mean for the rights of girls in Latin America and the Caribbean? IV. The Convention on the Elimination of all Forms of Discrimination against Women (CEDAW) 13 14 What does the CEDAW Convention mean for the rights of girls in Latin America and the Caribbean? IV. The Convention on the Elimination of all Forms of Discrimination against Women The Convention on the Elimination of All Forms of Discrimination against Women (CEDAW), adopted by the UN General Assembly in 1979, is also known as the Women’s Convention as it is the only human rights instrument directly centred on women’s interests, needs and experiences. CEDAW recognizes the historic situation of gender inequality and obliges States to eliminate discrimination against women in economic, social, cultural, civil and other spheres and to advance toward the achievement of gender equality. According to Article 1 of CEDAW, discrimination against women includes: “… any distinction, exclusion or restriction made on the basis of sex which has the effect or purpose of impairing or nullifying the recognition, enjoyment or exercise by women, irrespective of their marital status, on a basis of equality of men and women, of human rights and fundamental freedoms in the political, economic, social, cultural, civil or any other field.” This definition contains groundbreaking elements in the understanding of what constitutes discrimination against women. It enshrines the concept of direct and indirect discrimination by establishing that discrimination is “…any distinction, exclusion or restriction made on the basis of sex which has the effect or purpose of impairing or nullifying” women’s and girls’ human rights. CEDAW is the only existing human rights instrument directly centred on women’s interests, needs and experiences. What does the CEDAW Convention mean for the rights of girls in Latin America and the Caribbean? Effect Purpose 15 Indirect discrimination Even policies or laws with no purpose or objective of exclusion or restriction can result in discrimination. Direct discrimination Policies or laws with the overt purpose or objective of exclusion or restriction of women’s and girls' rights. The definition goes beyond the concept of formal equality and integrates the concept of substantive equality when it states that discrimination has the effect or purpose of “…impairing or nullifying the recognition, enjoyment or exercise by women”. Formal Equality Substantive Equality The formal recognition that women and men are equal in rights. Recognizes that, although women and men are equal in rights, they may have different needs and experiences and, given the historic situation of gender discrimination, that women do not experience the same opportunities and conditions in which to enjoy and exercise their rights. 16 What does the CEDAW Convention mean for the rights of girls in Latin America and the Caribbean? Although violence against women is not directly listed in the text of the Convention, it is considered under CEDAW because gender-based violence has been described by the Committee as a form of discrimination against women. The Convention contains a wide range of State obligations to eliminate discrimination and achieve equality in all spheres, even in private life. These obligations include: u LEGISLATION: o Embody the principle of equality between men and women and the principle of non-discrimination in the national law and Constitution. o Repeal all laws and regulations that discriminate against women and girls. o Prohibit under the law all forms of discrimination and establish appropriate sanctions. u BUDGET: o Devote sufficient resources to programmes and policies directed to eliminate discrimination against women and girls and achieve gender equality. o Include a gender perspective when drawing up public budgets. u CUSTOMS AND PRACTICES: o Take all necessary measures to modify or abolish customs and practices that are harmful to women and girls. u INSTITUTIONS: o Ensure the State has appropriate institutions to address women’s and girls’ needs and to protect their human rights. o Establish competent tribunals to address human rights violations for women and girls. u TEMPORARY SPECIAL MEASURES: o Adopt temporary special measures to accelerate actions in favour of equality between men and women and to counteract the historic situation of discrimination against women and girls. u MODIFY DISCRIMINATORY SOCIO-CULTURAL PATTERNS: o Take all appropriate measures to eliminate discriminatory socio-cultural patterns based on negative gender stereotypes outlining ‘appropriate’ roles, attitudes and activities for men and women, boys and girls. o Ensure that education includes a proper understanding of maternity and the shared responsibilities of men and women in the upbringing and development of children. u PREVENT AND PUNISH DISCRIMINATION FROM NON-STATE ACTORS: o Act with due diligence in the prevention, punishment and eradication of all forms of discrimination against women and girls. u DISAGGREGATED DATA: o Produce data disaggregated by sex and age in order to achieve a better understanding of the specific situation of women and girls in the enjoyment of their rights. u PROMOTION OF THE CONVENTION: o Take measures to ensure appropriate public dissemination of CEDAW and train public officials on the obligations emanating from the Convention that will impact their labours. What does the CEDAW Convention mean for the rights of girls in Latin America and the Caribbean? CEDAW also includes a wide range of economic, social, cultural, civil and political rights that should be respected, protected and fulfilled by States without discrimination and on the basis of equality. The CEDAW Committee stated that, as the Convention clearly prohibits any form of discrimination, those issues not explicitly considered within the text of the Convention can be regarded as being covered under the Convention as long as they constitute some form of discrimination. For instance, violence against women is not listed in the text, but as the Committee has described gender-based violence as a form of discrimination against women, it is therefore considered under the Convention. Rights included under CEDAW HEALTH RIGHTS OF RURAL WOMEN EMPLOYMENT EQUALITY IN FAMILY RELATIONS ECONOMIC LIFE CEDAW EQUALITY IN MARRIAGE EDUCATION EQUALITY BEFORE THE LAW FREEDOM FROM VIOLENCE The Convention contains a wide range of State obligations to eliminate gender discrimination and achieve gender equality in all spheres, even in private life. 17 18 What does the CEDAW Convention mean for the rights of girls in Latin America and the Caribbean? The CEDAW Committee CEDAW establishes a Committee of independent experts to monitor State compliance with the provisions of the Convention. This body is composed of 23 experts from the State parties to the Convention. It meets at least twice a year to analyse the situation in specific countries, examine individual cases and discuss interpretations of the content and scope of the Convention. The Committee is able to monitor State compliance with the Convention in several ways. Some of these were established in the body of the Convention text and others were added in an Optional Protocol to the Convention that forms an additional human rights treaty to be ratified by each State party. The Committee establishes a constructive dialogue with States. Periodic Reviews State parties to the Convention must present the Committee with a report on the progress made toward implementation of CEDAW every four years. NGOs, UN Agencies and National Human Rights Institutions can present information and reports to the Committee for the periodic reviews. After each periodic review, the Committee issues “Concluding Observations” that include recommendations to be implemented by the States. What does the CEDAW Convention mean for the rights of girls in Latin America and the Caribbean? General Recommendations Individuals Complaints The Committee issues General Recommendations in the form of authorized interpretations of the CEDAW provisions. These General Recommendations provide States with guidance on how to implement the Convention better. Women living in States that have ratified the Optional Protocol to CEDAW can lodge individual complaints in cases where their rights were violated and no effective remedy was provided at the national level. Where the Committee finds a violation has occurred, it issues recommendations to the State party to remedy and redress the violation. The Committee has issued 30 General Recommendations to date. The General Recommendations cover a wide range of issues: violence, HIV, harmful practices, temporary special measures, health, women with disabilities, political participation, among others. To date, the Committee has issued decisions on 35 individual cases from around the world. NGOs, victims and families of victims can present individual complaints. Requirements: • Violation of the Convention. • Exhaustion of domestic remedies or proof of undue delay or lack of effective remedy. • Submission in writing. 19 20 What does the CEDAW Convention mean for the rights of girls in Latin America and the Caribbean? Enquiry Procedures In cases of grave or systematic violations to the rights contained in CEDAW, the Committee can initiate an enquiry procedure. The Committee conducts the investigation and issues a report with recommendations to the State party where they find violations have occurred. The enquiry procedure can include a visit to the State where the alleged violations occurred. To date, the Committee has only conducted one enquiry procedure. NGOs, UN Agencies and individuals can ask the Committee to conduct an enquiry and provide information. What does the CEDAW Convention mean for the rights of girls in Latin America and the Caribbean? Ratification of CEDAW by States from Latin America and the Caribbean Country Argentina Convention Signed Convention Ratified Protocol Signed Protocol Ratified 17-jul-80 15-jul-85 28-feb-00 20-mar-07 Antigua and Barbuda 1-aug-89 Bahamas 6-oct-93 5-jun-06 Barbados 24-jul-80 16-oct-80 Belize 7-mar-90 16-may-90 Bolivia 30-may-80 8-jun-90 10-dec-99 27-sep-00 Brazil 31-mar-81 1-feb-84 13-mar-01 28-jun-02 Chile 17-jul-80 7-dec-89 10-dec-99 Colombia 17-jul-80 19-jan-82 10-dec-99 23-jan-07 Costa Rica 17-jul-80 4-apr-86 10-dec-99 20-sep-01 Cuba 6-mar-80 17-jul-80 17-mar-00 Dominica 15-sep-80 15-sep-80 Dominican Republic 17-jul-80 2-sep-82 14-mar-00 10-aug-01 Ecuador 17-jul-80 9-nov-81 10-dec-99 5-feb-02 El Salvador 14-nov-80 19-aug-81 4-apr-01 Grenada 14-jul-80 30-aug-90 Guatemala 8-jun-81 12-aug-82 Guyana 17-jul-80 17-jul-80 Haiti 17-jul-80 20-jul-81 Honduras 11-jun-80 3-mar-83 Jamaica 14-jul-80 25-jun-85 Mexico 17-jul-80 23-mar-81 Nicaragua 17-jul-80 27-oct-81 Panama 26-jun-80 29-oct-81 Paraguay Peru 9-dec-02 7-sep-00 9-may-02 10-dec-99 15-mar-02 9-jun-00 9-may-01 6-apr-87 23-jul-81 13-sep-82 Saint Kitts & Nevis 25-apr-85 Saint Lucia 8-oct-82 Saint Vincent and the Grenadines 4-aug-81 Suriname 1-mar-93 14-may-01 22-dec-00 9-apr-01 20-jan-06 Trinidad and Tobago 27-jun-85 12-jan-90 Uruguay 30-mar-81 9-oct-81 9-may-00 26-jul-01 Venezuela 17-jul-80 2-may-83 17-mar-00 13-may-02 21 22 What does the CEDAW Convention mean for the rights of girls in Latin America and the Caribbean? V. Applying CEDAW to specific issues What does the CEDAW Convention mean for the rights of girls in Latin America and the Caribbean? V. Applying CEDAW to specific issues a. Survival and development of young girls In Latin America and the Caribbean, the situation in terms of the survival of girls has improved in recent decades. Life expectancy was 73.4 years for men and 76.7 for women in the period 2005-2010. The infant mortality rate dropped from 42 per 1,000 live births in 1990 to 16 per 1,000 live births in 2011, which represents a 61 per cent decline in the infant mortality rate in this region within the last two decades.1 Between 1985 and 1990, the female infant mortality rate was 42 per 1,000 live births; this same rate decreased to 19 per 1,000 live births between 2005 and 2010, representing a 55 per cent decline in the female infant mortality rate within a 25-year time frame.2 Globally, there has been a significant reduction of infant mortality of children under 5 years old. This has been reflected in the region where the regional average is even lower.3 Latin America and the Caribbean has in fact reduced its under-five mortality rate by more than 50 per cent.4 Although the situation has improved, infant mortality rates are high, particularly female infant mortality rates, and great inequalities persist both within and between countries.5 The survival and development of young girls is inextricably linked with levels of poverty and extreme poverty. Poverty translates into a lack of access to appropriate services and inadequate living conditions that put the survival and development of young girls at stake. Although poverty rates have decreased dramatically over the last twenty years in the region,6 around 167 million people still live in poverty, roughly 28.8 per cent of 1 United Although the situation has improved, infant mortality rates, particularly female infant mortality rates, are quite high, and great inequalities persist both within and between countries. the population, and 66 million live in extreme poverty.7 Many studies have shown that women and girls are the population groups most affected by poverty. Statistics from the Economic Commission for Latin America and the Caribbean (ECLAC) clearly demonstrate that poverty is 1.15 times higher in women than in men and 1.7 times higher in children than in adults.8 This means that many girls live in poverty with high levels of risk to their survival and development. In many countries of the region, girls do not have equal access to services due to a range of factors, many of which bear the mark of gender discrimination and inequality. Many poor families continue to prioritize access to medical services, food and education for their male children as they consider them more likely to find better employment opportunities in later life. Many girls Nations Children’s Fund (UNICEF), <www.childinfo.org/mortality_imrcountrydata.php>. CEPALSTAT, <http://estadisticas.cepal.org/cepalstat/WEB_CEPALSTAT/Portada.asp?idioma=i>. ‘The State of the World’s Children 2011’, New York, February 2011, <www.unicef.org/sowc2011/pdfs/SOWC-2011-Main-Report_EN_02092011.pdf>. 4 UNICEF, <www.childinfo.org/mortality.html>. 5 UNICEF, The State of the World’s Children 2011, New York, February 2011. 6 Supra n. 1. 7 ECLAC, ‘Social Panorama of Latin America and the Caribbean 2012’, 2012, <www.cepal.org/publicaciones/xml/4/48454/SocialPanorama2012DocI.pdf>. 8 ECLAC, ‘Social Panorama of Latin America and the Caribbean 2009, 2009’, <www.eclac.org/publicaciones/xml/0/37840/PSI2009-full-text.pdf>. 2 ECLAC, 3 UNICEF, 23 24 What does the CEDAW Convention mean for the rights of girls in Latin America and the Caribbean? In many countries of the region, girls do not have equal access are unable to access services while they face the worst health conditions. Information from UNICEF and the Pan-American Health Organization (PAHO) reveals a worrying situation in the health indicators for both boys and girls in Latin America and the Caribbean, where 9,500 expectant mothers and 160,000 new-borns die from causes that are entirely preventable each year.9 Adequate nutrition, good health and a secure home environment during the early years are essential to ensure appropriate later development and success in life for girls. Even though conditions have improved in the region, many girls still die at a very early age and others do not experience the same conditions and opportunities as boys, meaning they are unable to develop in conditions of equality. to services due to a range of factors, many of which bear the mark of gender discrimination and inequality. Disease prevention and immunization Disease prevention and immunization programmes have proven to be highly cost-effective and successful ways to ensure that children survive in their first years of life. Since its inception in 1974, the World Health Organization (WHO) Expanded Programme on Immunization has significantly improved immunization coverage for children worldwide against the six major vaccine-preventable diseases (diphtheria, measles, pertussis, polio, tetanus and childhood tuberculosis). Vaccination coverage for DPT3 has increased from 20 per cent in 1980 to 83 per cent in 2011 globally.10 Immunization coverage for measles exceeded the target 90 per cent to reach a total of 93 per cent of children vaccinated by 2011. Vaccination coverage for measles in this region is the best in the world.11 9 UNICEF 10 UNICEF 11 ECLAC, and PAHO, Press release ‘PAHO/UNICEF join forces to improve maternal and child health in the Americas’, 30 June 2011, <www.unicef.org/lac/media_21039.htm>. and WHO, ‘Immunization Summary: A statistical reference containing data through 2011’ (The 2013 Edition), <www.childinfo.org/immunization.html>. Reporte periódico de avance en el ODM4 en América Latina y el Caribe, 2008. What does the CEDAW Convention mean for the rights of girls in Latin America and the Caribbean? CEDAW The right to the highest attainable standard of physical and mental health brings an implicit obligation for the State to ensure the prevention of illness by implementing strategies such as the vaccination and immunization of children. CEDAW Articles 1 and 12 establish an obligation to ensure that girls have equal access to programmes for the prevention of illnesses and immunization. In General Comment 24 on Women and Health, the CEDAW Committee established that to determine whether measures to eliminate discrimination in health care are adequate, States must report on “their health legislation, plans and policies for women with reliable data disaggregated by sex on the incidence and severity of diseases and conditions hazardous to women's health and nutrition and on the availability and cost-effectiveness of preventive and curative measures”. The Committee also establishes in this General Recommendation that a health system lacking services to prevent, detect and treat illnesses specific to women is discriminatory and inadequate. In practical terms this means that States must: • Ensure that programmes for the prevention of illnesses take into account specific needs and health risks for girls. A number of biological, socio-economic and psychological features affect girls in particular and have an impact on their health. • Develop appropriate programmes to address these needs from the perspective of the girl’s position in society. • Ensure that girls are not denied access to illness prevention and immunization programmes. • Take actions to ensure that girls actually receive these services (substantive equality), overcoming the social, economic and cultural factors that frequently limit their access. Simple removal of direct discrimination in access to these programmes is insufficient and States must take action to eliminate all the social and cultural barriers that may prevent girls from participating. 25 26 What does the CEDAW Convention mean for the rights of girls in Latin America and the Caribbean? Prevention of maternal mortality and morbidity As most maternal deaths are preventable, the rates of maternal mortality and morbidity in a given country can be viewed as a direct indicator of the situation of gender inequality. Maternal death rates are extremely high in many countries of Latin America and the Caribbean, and they have not decreased significantly in the last decade. Approximately 22,000 women die from pregnancy and childbirth-related causes every year in the region.12 Countries of LAC and sub-Saharan Africa have the highest proportion of adolescent births in the world: in both regions, around one in five babies is born to an adolescent mother.13 Almost 20 per cent of all births in Latin America and the Caribbean are to adolescent mothers.14 Girls below 15 years old have a higher probability of dying in childbirth than women above 20 years old.15 In 2006, for example, 27 per cent of all maternal deaths occurred in adolescent girls in El Salvador.16 For every maternal death there are a further 135 cases of complications resulting in illness or disability. Many of the women and girls who die from complications of pregnancy and childbirth come from poor and rural backgrounds. Five countries in the region still have higher rates of maternal deaths than the United States had in the 1950s.17 Current progress is insufficient to achieve the Millennium Development Goal of a 75 per cent reduction in maternal deaths by 2015.18 12 'Mortalidad Maternal mortality rates are extremely high in many countries of Latin America and the Caribbean, and they have not decreased significantly in the last decade. Since most maternal deaths are preventable, maternal mortality and morbidity rates can be viewed as a direct indicator of the gender inequality situation in a country. Materna y Neonatal en ALC y estrategias de reducción – Síntesis de situación y enfoque estratégico'. PAHO, <www.who.int/pmnch/activities/sintesis_situacionmortalidad_ en_alc.pdf>; UNICEF, ‘Progress for Children: A report card on adolescents, 2012’, <www.unicef.org/media/files/PFC2012_A_report_card_on_adolescents.pdf>; UNICEF, Progress for Children: A report card on adolescents, 2012. Based on 2006 data. UNICEF, Fast Facts on Adolescents and Youth in Latin America and the Caribbean, New York, s.f. 13 Based on 2006 data. UNICEF, Fast Facts on Adolescents and Youth in Latin America and the Caribbean, New York, s.f. 14 PAHO, 'Mortalidad maternal y neonatal en ALC y estratégias de reducción. Síntesis de situación y enfoque estratégico', <www.who.int/pmnch/activities/sintesis_situacionmortalidad_ en_alc.pdf>. 15 United Nations, ‘The Millennium Development Goals Report 2011’, <www.un.org/millenniumgoals/pdf/(2011_E)%20MDG%20Report%202011_Book%20LR.pdf>. 16 Based on 2006 data. UNICEF, Fast Facts on Adolescents and Youth in Latin America and the Caribbean. 17 PAHO, 'Mortalidad maternal y neonatal en ALC y estrategias de reducción. Síntesis de situación y enfoque estratégico', <http://www.who.int/pmnch/activities/sintesis_situacionmortalidad_ en_alc.pdf>. 18 United Nations, The Millennium Development Goals Report 2011, <http://bit.ly/1nSPnfv>. What does the CEDAW Convention mean for the rights of girls in Latin America and the Caribbean? CEDAW Preventable maternal deaths have been recognized as a human rights issue by various international human rights mechanisms including the UN Human Rights Council and the CEDAW Committee. Under CEDAW, States are obliged to ensure access to appropriate and quality maternal health care services. In its General Recommendation 24 on Women and Health, the CEDAW Committee states that denying services required only by women constitutes discrimination. Due to their reproductive capacity, only women and girls need maternal health care services. Therefore, States need to ensure access to acceptable, affordable and quality maternal health care services in a way that also complies with the standards of the Committee on Economic, Social and Cultural Rights. The CEDAW Committee decision on the individual case of Alyne da Silva Pimentel vs. Brazil established that it is not sufficient for States to have policies and programmes in place to combat maternal mortality and morbidity if these are not effective. Furthermore, the Committee established that the State must pay particular attention to the protection of those socially marginalized or vulnerable groups of women who are at greater risk of dying as a consequence of pregnancy and childbirth. As a result of their youth, pregnant girls are considered to constitute one of these vulnerable groups and specific attention is therefore due in order to ensure their access to quality maternal health care services. 27 28 What does the CEDAW Convention mean for the rights of girls in Latin America and the Caribbean? Maternal mortality and human rights at the UN Human Rights Council In 2009, the United Nations Human Rights Council adopted the first-ever resolution on maternal mortality, morbidity and human rights. This resolution recognizes that maternal mortality is a human rights issue that is related to women’s and girls' right to life, equality and non-discrimination, health, education and information, among other aspects. It also acknowledges that it is critical to focus not only on the medical causes of maternal mortality and morbidity, but to address the underlying socio-economic causes. The resolution also calls States to redouble their efforts to ensure the reduction of preventable maternal deaths, particularly for marginalised groups of women and girls. Finally, the Human Rights Council resolution requested that the Office of the High Commissioner for Human Rights (OHCHR) commission a study on international standards on maternal mortality as a human rights issue. The OHCHR presented the study to the Human Rights Council in 2010. This document covered all the international standards on maternal mortality as a human rights issue and outlined the principles of a human rights-based approach to efforts to combat maternal death and disability. A further Council resolution welcomed the study and its recommendations and requested a second study on best practices that integrate a human rights-based approach into programmes and policies to combat maternal mortality and morbidity. This study, presented to the Council in 2011, was welcomed by the Human Rights Council in a further resolution that requested the production of a Technical Guidance document on the integration of human rights into maternal mortality and morbidity policies and programmes. This guidance is a very useful tool for policymakers, healthcare providers, civil society organizations, donors and other relevant actors providing a structure for concrete integration of a human rightsbased approach to maternal mortality and morbidity planning. The guidance elaborates on the principles of non-discrimination, participation, international cooperation and assistance, monitoring and evaluation. It also outlines the different types of accountability mechanisms (judicial, administrative, quasijudicial) that can be developed to identify gaps and deficiencies in existing programmes and to provide redress for victims. What does the CEDAW Convention mean for the rights of girls in Latin America and the Caribbean? Chronic malnutrition affects 15 per cent of both girls and boys younger than 5 years old in Latin America and the Caribbean. Nutrition UNICEF states that globally: “programme coverage and practice data that are disaggregated by sex reveal no significant differences on the basis of gender. But further disaggregation of data from some countries indicates there might be differences in the feeding and care of girls compared to boys, presumably stemming from power relations and social norms that perpetuate discriminatory attitudes and practices.”19 In Latin America and the Caribbean, levels of child nutrition have generally improved, but enormous disparities and inequalities persist. There are great inequalities between countries (4 per cent child chronic malnutrition in Jamaica against 48 per cent in Guatemala)20 and within countries - depending on location (urban or rural) and ethnicity (non-afro descendant or non-indigenous versus Afrodescendant or indigenous).21 Indigenous children under five years of age are two times more likely to be stunted than non-indigenous children.22 19 According to the UNICEF State of the World’s Children 2012 report, chronic malnutrition affects 15 per cent of both girls and boys below 5 years old in the region.23 It is possible that persisting inequality could combine with the current global economic downturn, climate change and food crises to worsen the situation if actions are not taken to counter this. Effective nutrition programmes with integral gender and human rights perspectives are fundamental in preventing mental and physical illness and boosting the development of girls and boys in society. Tackling malnutrition reduces the mortality of girls in the early years and helps foster gender equality. UNICEF, ‘Tracking Progress on Child and Maternal Nutrition: A survival and development priority 2009’. <www.unicef.org/nutrition/files/Tracking_Progress_on_Child_and_Maternal_ Nutrition_EN_110309.pdf>. survey of living conditions data set 2007, The Planning Institute and the Statistical Institute of Jamaica, 2009; “Encuesta nacional de salud materno infantil 2008” (ENSMI2008/09). Ciudad de Guatemala, Guatemala: Ministerio de Salud Pública, MSPAS, INE y CDC, 2010. 21 FAO, 'Hambre y cohesión social: Cómo revertir la relación entre inequidad y desnutrición en América Latina y el Caribe', <www.fao.org/alc/legacy/iniciativa/pdf/libcohsoc.pdf>. 22 Lutter CK, Chaparro CM., ‘Malnutrition in infants and young children in Latin America and the Caribbean: Achieving the Millennium Development Goals’, 2008, p. xiv. Pan American Health Organization: Washington D.C., <www.unscn.org/layout/modules/resources/files/Malnutrition_in_Infants_and_Young_Children_in_LAC,__Achieving_the_MDGs.pdf>. 23 UNICEF, The State of the World's Children 2012, New York, 2012. 20 Jamaica 29 30 What does the CEDAW Convention mean for the rights of girls in Latin America and the Caribbean? CEDAW Malnutrition among girls represents a violation of various human rights, including the right to food, the right to health, the right to non-discrimination and equality and the right to an adequate standard of living. Although malnutrition usually affects both girls and boys, detailed analysis reveals specific vulnerabilities for girls. Special attention must be given to the provision of specific programmes to address malnutrition among girls and to ensure that the special nutritional needs of girls are met. In General Recommendation 24 on Women and Health, the CEDAW Committee noted that the full realization of women’s human rights can only be achieved if their “nutritional well-being” is guaranteed throughout their life span “by means of a food supply that is safe, nutritious and adapted to local conditions”. Programmes to tackle child malnutrition should take into account the situation of gender inequality in specific societies and communities and develop actions to address this in order to ensure the sustainability and effectiveness of these programmes. For example, if the programme includes the provision of food supplies for families but no other actions are taken, then it is possible that many families may continue prioritizing boys in access to food. Therefore, these programmes should include gender awareness elements and information about the importance of nutrition of girls. Incentives to provide equal access to food supplies for girls is also an important strategy. These programmes must also take into account girls’ specific nutritional needs in consideration not only of their gender but also their age and reproductive status. The nutritional needs of pregnant girls change and this should be taken into account. What does the CEDAW Convention mean for the rights of girls in Latin America and the Caribbean? The life cycle of a girl who receives an education is different from that of one who does not. Research clearly demonstrates that a higher level of education delays marriage and the birth of the first child, decreasing rates of early pregnancy. Education also fosters the autonomy and self-esteem of girls and women, having a positive impact across many aspects of their lives. 24 ECLAC b. Girl’s Right to Education The situation of access to education in Latin America and the Caribbean has improved greatly over the last decade. Literacy rates for boys and girls have increased significantly in most countries of the region to reach 97.4 per cent for women and girls aged between 15 and 24 years and 97 per cent for men and boys of the same age in 2010.24 In 2005, 3.9 per cent of girls in this age bracket were illiterate compared with 4.6 per cent of boys.25 Despite these advances, great challenges still remain. Over eight million young people in Latin America and the Caribbean aged 15 to 24 have not completed primary school, equivalent to almost one in twelve young people.26 Over 22 million boys, girls and adolescents are not in school or are at risk of dropping out. Additionally, a large proportion of boys and girls enter the educational system late (15.6 million are at least two years behind) and there are high rates of grade repetition. The quality of educational provision also needs to be greatly improved.27 Girls and adolescent girls with disabilities or from indigenous and Afrodescendant groups and those living in rural areas are at greater risk of exclusion or grade repetition. Less than 50 per cent of rural secondary school-age girls and boys are currently attending school.28 , CEPALSTAT. Available at: <http://estadisticas.cepal.org/cepalstat/WEB_CEPALSTAT/Portada.asp?idioma=i> UNIFEM, “Estadísticas para la Equidad de Género: magnitudes y tendencias en América Latina”, Vivian Milosavljevic, 2007. 'Education for All Global Monitoring Report 2012, Putting Education to Work'. <http://unesdoc.unesco.org/images/0021/002180/218003e.pdf>. 27 UNICEF, UNESCO, 'Finishing School. A Right for Children’s Development: A Joint Effort. Executive Summary', 2012. <www.uis.unesco.org/Education/Documents/oosci-lac-executivesummary-2012-en.pdf>. 28 Ibid. 25 ECLAC, 26 UNESCO, 31 32 What does the CEDAW Convention mean for the rights of girls in Latin America and the Caribbean? Girls and adolescent girls who live in rural areas have a greater risk of school exclusion or grade repetition than those who are not. In fact, less than 50 per cent of both girls and boys who are from rural areas and of secondary school-age currently attend school. Achieving gender equality is still a challenge, although great improvements have also been made toward this goal. In the 1990s, Latin America and the Caribbean achieved top equality indicators in primary schooling, with equal access between boys and girls, and in secondary and tertiary education, girls’ access to education actually exceeded that of boys. According to the Economic Commission for Latin America and the Caribbean, in 2008, 55 per cent of women between 20 and 24 years old completed secondary education, in comparison with only 49 per cent of men.29 These statistics reflect the achievement of formal equality in access to education, but that does not necessarily indicate the achievement of substantive equality in the educational setting. Girls still face gender discrimination in schools that often determines their learning experiences and compromises their future development. Very often the school system reinforces gender roles and stereotypes that perpetuate gender discrimination and inequality. Girls also face sexual harassment and sexual abuse from classmates or teachers in schools.30 Although there is insufficient data to truly reflect the magnitude of sexual violence against girls in schools, the research available indicates that this may be a pervasive problem in the region.31 29 ECLAC, Furthermore, this equality in education coexists with a situation of gender discrimination in employment. Women still have less job opportunities and are paid less for the same job. Most women still work in the informal sector where they experience the worst employment conditions.32 Better education has not always meant greater access to employment and wider development opportunities for women in Latin America and the Caribbean. Equality in education must be understood as just one part of a wide range of policies and programmes to tackle gender inequality within social, economic and cultural structures and institutions. Guaranteeing gender equality in education has important long term effects that will reach far beyond the current generation. The life cycle of a girl who accesses education is different from that of one who does not attend or who drops out from the school system. Research clearly demonstrates that a higher level of education delays marriage and the birth of the first child, decreasing rates of early pregnancy. Furthermore, education fosters the autonomy and self-esteem of girls and women, having a positive impact across many aspects of their lives. CEPALSTAT, 2010, <http://estadisticas.cepal.org/cepalstat/WEB_CEPALSTAT/Portada.asp?idioma=i>. ‘Violence in Schools in Latin America and the Caribbean: Surface and Depth – Executive Summary’, 2011, <http://planinternational.org/files/Americas/publications%20-%20 english/violence-in-schools>. 31 World Bank, ‘Addressing Violence against Women within the Education Sector, 2012, Washington: Gender and Development Group’, <http://siteresources.worldbank.org/INTGENDER /Resources/Education.pdf>. 32 ECLAC, ‘The Millennium Development Goals: A Latin American and Caribbean perspective’, 2005, <www.latinamerica.undp.org/content/dam/rblac/docs/Research%20and%20 Publications/MDG%20Reports/2005.pdf>. 30 UNICEF, What does the CEDAW Convention mean for the rights of girls in Latin America and the Caribbean? Article 10 of CEDAW establishes that women and girls should not be discriminated against in the educational field and that States should guarantee equality in education by taking the following measures: • Provision of the same information and counselling regarding careers and educational opportunities as is offered to boys. • Access to the same educational opportunities offered to boys (programmes, curricula, teachers, equipment and infrastructure). • Elimination of all gender stereotypes within education at all levels. • Access to the same opportunities to obtain scholarships and incentives to continue studying as are offered to boys. • Reduction of female drop-out rates. • Provision of the same opportunities to actively participate in sports as are offered to boys. • Access to specific information to ensure the health and well-being of families. The CEDAW Committee has repeatedly expressed concern over the persistence in Latin American and Caribbean countries of structural barriers that undermine de facto access to educational opportunities for girls, such as gender-segregation and the lack of diversified educational opportunities for girls. The Committee has recommended States tackle these structural barriers and eliminate gender stereotypes and discrimination from textbooks and school curricula. 33 34 What does the CEDAW Convention mean for the rights of girls in Latin America and the Caribbean? Other relevant human rights standards on girls' right to education The Committee on the Rights of the Child established in General Comment 1 on the Aims of Education that “… gender discrimination can be reinforced by practices such as a curriculum which is inconsistent with the principles of gender equality, by arrangements which limit the benefits girls can obtain from the educational opportunities offered, and by unsafe or unfriendly environments which discourage girls’ participation.” (Committee on the Rights of the Child, General Comment 1 “Article 29 (1) The aims of Education”, CRC/GC/2001/1, 17 April 2001). The Committee on Economic, Social and Cultural Rights explicitly stated in General Comment 13 on the Right to Education that the “enjoyment of the right to fundamental education is not limited by age or gender” and established that “State parties are obliged to remove gender and other stereotyping which impedes the educational access of girls, women and other disadvantaged groups”. (Committee on Economic, Social and Cultural Rights, General Comment 13 “The Right to Education”, E/C.12/1999/10, 8 December 1999). What does the CEDAW Convention mean for the rights of girls in Latin America and the Caribbean? The general context of gender discrimination and inequality and their resultant vulnerability mean that girls are at greater risk of the violation of their right to sexual and reproductive health than boys. This right includes protection against sexual violence and the right to decide over their bodies without coercion or violence. c. Girl’s Right to Health, including Sexual and Reproductive Health Girls have the right to the highest attainable standard of health, as recognized in various international human rights treaties including CEDAW, the Convention on the Rights of the Child and the International Covenant on Economic, Social and Cultural Rights. As has been shown in other sections of this document, mortality rates due to ill health among girls are still high in the region, despite the progress made. risk of being subjected to sexual violence and other forms of gender-based violence. Many girls are coerced into early marriage or union, increasing the possibilities of early pregnancy and putting their life and health at risk. Girls may be unable to refuse unwanted sex or resist coerced sex, often as a result of approaches from family members. In some countries, over a third of girls report coercion in their first sexual encounter.34 Girls who become pregnant are less likely than adult women to access skilled care during pregnancy and childbirth.35 Protection of their sexual and reproductive health is of particular importance for young girls, and this particular strand has been recognized as an integral part of the right to health by UN human rights bodies and other mechanisms. The International Conference on Population and Development (ICPD), held in Cairo in 1994, acknowledged that sexual and reproductive health is fundamental for individuals and for the social and economic development of communities and nations. This conference moved away from narrow population control approaches toward practices that placed girls and women, and their rights, at the forefront and centre of population policies.33 Girls have the right to the highest attainable standard of sexual and reproductive health. However, the general context of gender discrimination and inequality and their resultant vulnerability mean that girls are at a greater risk of the violation of their right to sexual and reproductive health than boys. This right includes protection against sexual violence and the right to decide over their bodies without coercion or violence. The right to sexual and reproductive health also includes the right to access sexual and reproductive health services, information and supplies that are acceptable, affordable and of good quality. As is stated in the section on violence against girls, in Latin America and the Caribbean, girls face a high 33 Programme of Action of the IV International Conference on Population and Development, adopted by consensus in Cairo on 1994. 34 WHO, ‘Preventing Early Pregnancy and Poor Reproductive Health Outcomes among Adolescents in Developing Countries: what the evidence says’, WHO/FWC/MCA/12.02, <http://whqlibdoc.who.int/hq/2012/WHO_FWC_MCA_12_02.pdf>. 35 Ibid. 35 36 What does the CEDAW Convention mean for the rights of girls in Latin America and the Caribbean? Girls who get pregnant before age 15 have greater risks of dying during pregnancy and childbirth. Early pregnancy is also a barrier to their possibilities of completing school and obtaining better employment. Across the world, about 16 million adolescent girls between the ages of 15 and 19 years give birth annually. This accounts for roughly 11 per cent of all births worldwide. Complications related to pregnancy and childbirth account for the deaths of some 50,000 adolescent girls each year and are among the leading causes of death in girls of this age group.36 In Latin America and the Caribbean, sexually transmitted infections (STIs) affect one in every twenty adolescents every year. STIs and HIV are among the leading causes of mortality in adolescents between the ages of 15 and 24 years.37 Discrimination against girls and their lower social status make them more vulnerable to acquiring STIs and HIV as they have insufficient power to negotiate condom use and to refuse sexual encounters. Early pregnancy poses high risks to girls’ health and well-being. Girls who get pregnant before the age of 15 have greater risks of dying during pregnancy and childbirth. In addition, early pregnancy hampers their possibilities of completing school and obtaining better employment. Very often, girls who become pregnant are made to leave school and they encounter difficulties when attempting to return to education. 36 UNICEF, In Latin America and the Caribbean, adolescent fertility has not declined as systematically as in other regions of the world, nor has it remained in line with the decrease in adult fertility. Latin America and the Caribbean is the region with the third highest fertility rate in the world.38 Half of the countries in the region have adolescent fertility rates of over 70 births for every 1,000 women between the ages of 15 and 19 years. Between 2000 and 2010, nearly one of every five births (18 per cent) in Latin America and the Caribbean was to adolescent girls between 15 and 19 years of age.39 Between 67 and 89 per cent of adolescent mothers do not attend school, compared to 14 to 35 per cent of childless adolescent girls. Women who have their first child during adolescence complete at least two or three years less education than women who do not have children at that age.40 Improving the sexual and reproductive health of adolescent girls is critical in advancing their enjoyment of their human rights. Greater sexual and reproductive health would have positive consequences on their development, grant them greater autonomy and allow them better educational and employment opportunities. Progress for Children: A report card on adolescents, 2012. ‘Health in the Americas 2007’: scientific publication, No. 622, 2007, <www.1.paho.org/hia/vol2paisesing.html>. from 79 countries. UNFPA, 'State of the World Population 2013: Motherhood in Childhood: Facing the challenge of adolescent pregnancy', <www.unfpa.org/webdav/site/ global/shared/swp2013/EN-SWOP2013-final.pdf>. 39 UNICEF, Progress for Children: A Report Card on Adolescents, 2012; WHO, 'Adolescent pregnancy', <www.who.int/maternal_child_adolescent/topics/maternal/adolescent_pregnancy/en/>. 40 Ibid. 37 PAHO, 38 Data What does the CEDAW Convention mean for the rights of girls in Latin America and the Caribbean? CEDAW Article 12 of CEDAW protects girls' right to the highest attainable standard of physical and mental health without discrimination and in conditions of equality. This entails the obligation to ensure the accessibility, availability, acceptability and good quality of health care facilities, goods and services. CEDAW indicates that women and girls have very specific health needs and risks determined by their biology and their social and cultural contexts. These needs should be taken into account when developing policies and programmes for the protection of girls' right to health. The health services provided for girls should be adapted to their age and culture, and they should be gender sensitive. General Recommendation 24 of the CEDAW Committee on Women and Health, recognizes that in many countries adolescent girls lack the necessary and appropriate information and services to protect their sexual and reproductive health. It also recognizes that “as a consequence of unequal power relations based on gender, women and adolescent girls are often unable to refuse sex or insist on safe and responsible sex practices”. Thus, this recommendation establishes that States should ensure adolescent girls have access to appropriate sexual and reproductive health education and services that respect their privacy and confidentiality. 37 38 What does the CEDAW Convention mean for the rights of girls in Latin America and the Caribbean? Other relevant human rights standards on adolescent girls’ sexual and reproductive health The UN Special Rapporteur on the Right of Everyone to the Enjoyment of the Highest Attainable Standard of Physical and Mental Health issued a report on the right to sexual and reproductive health in 2004. In this document, the Rapporteur stated that sexual and reproductive health forms part of the right to the highest attainable standard of health, and provided an outline of the relevant human rights standards on this issue. Building on the right to health framework of accessibility, availability, acceptability and quality, the report explores the content of the rights to sexual and reproductive health and outlines the scope of State obligations. The report also explains the importance of sexual and reproductive health to achievement of the Millennium Development Goals. (Special Rapporteur on the Right of Everyone to the Enjoyment of the Highest Attainable Standard of Physical and Mental Health, Paul Hunt, The right of everyone to the enjoyment of the highest attainable standard of physical and mental health, E/CN.4/2004/49, 16 February 2004). In General Comment 4 on Adolescent Health, in the context of the Convention on the Rights of the Child, the CRC recognizes the importance of establishing specific programmes and policies to address the sexual and reproductive health of adolescents. These programmes should guarantee “access to information on family planning and contraceptives, the dangers of early pregnancy, the prevention of HIV/AIDS and the prevention and treatment of sexually transmitted diseases (STDs)” for adolescents. According to the Committee, such information and services should be provided to adolescents of any marital status regardless of the consent of their parents or legal guardians. The General Comment places particular emphasis on the situation of adolescent girls and the need to ensure the provision of sexual and reproductive health programmes that address their specific needs. (Committee on the Rights of the Child, General Comment 4 on Adolescent Health, CRC/GC/2003/4, 1 July 2003). What does the CEDAW Convention mean for the rights of girls in Latin America and the Caribbean? CEDAW Early pregnancy is a violation of girls' rights to equality and non-discrimination, health, and equality in marriage and family relations. General Comment 24, Article 12 on Women and Health establishes that early pregnancy should be addressed by providing girls with appropriate and good quality sexual and reproductive health services and information. The CEDAW Committee has expressed concern to countries in the region over the high rates of adolescent pregnancy and the role of this situation in secondary school drop-out rates. The Committee has recommended States to take measures to prevent unwanted pregnancies among adolescents. The CEDAW Committee suggests measures such as prosecution for men who have intercourse with underage girls and education on responsible parenthood and shared responsibilities in the upbringing of children to increase awareness among boys and girls. 39 40 What does the CEDAW Convention mean for the rights of girls in Latin America and the Caribbean? Throughout the past decade, the proportion of new HIV infections of women and girls has increased drastically in Latin America and the Caribbean. Among possible contributing factors are early marriage and early union and violence against women and girls. Girls and HIV and AIDS Globally, there are 1.3 million adolescent girls (10-19 years) living with HIV as compared with 780,000 adolescent boys (10-19 years).41 Throughout the past decade, in Latin America and the Caribbean, the proportion of new HIV infections of women and girls has increased drastically. Girls are especially vulnerable to and disproportionately affected by HIV infection due to biological, social, economic and cultural factors that are entrenched in gender-based inequality. Early marriage and early union expose girls to various health risks including exposure to HIV. In addition, violence against women and girls is both a cause and a consequence of the spread of HIV. Girls’ lower position in society and unequal power 41 UNICEF, relations make them more vulnerable to the risk of contracting HIV as they are unable to refuse sexual intercourse or to negotiate condom use. Girls with HIV and AIDS face broader discrimination in their families, communities and societies. They are discriminated against on the basis of both gender and HIV status, deepening their social and economic inequality and furthering poverty. However, the evidence suggests that women and girls are more likely to receive proper treatment, although in a limited way: The fact that ante-natal clinics are the mechanism through which HIV is detected among pregnant girls and pregnant women also provides them with more access to diagnostics and treatment than men and boys, who in general ‘Promoting equity for children living in a world with HIV and AIDS’, 2012, <www.unicef.org/aids/files/PromotingEquity_Final.pdf>. What does the CEDAW Convention mean for the rights of girls in Latin America and the Caribbean? Approximately half of all new HIV infections occur in women and girls in this region, and young women are nearly two and a half times more likely to be infected with HIV than young men. access the health system years after infection and almost always when ill. Globally, young women make up more than 60 per cent of all young people living with HIV,42 and girls in the 15-24 year age bracket are the group most vulnerable to HIV infection. Indeed, the rate of infection for this group is nearly twice that of their male peers. According to UNAIDS data for 2009, 3.2 million women between 15 to 24 years of age were living with HIV, compared to 1.7 million same-aged males.43 For example, there are 68,000 adolescents living with HIV in Latin America and the Caribbean, of which more than half (51 per cent) are adolescent girls.44 In the Caribbean, HIV and AIDS is increasingly affecting adolescent females.46 Approximately half of all new HIV infections occur in women and girls in this region, and young women are nearly two and a half times more likely to be infected with HIV than young men.47 Latin America and the Caribbean is slowly following this trend. Girls and women make up an increasing proportion of people living with HIV in the region. 42 Young women aged 15-24. UNICEF, ‘Opportunity in Crisis: Preventing HIV from early adolescence to young adulthood’, 2011, <www.unicef.org/media/files/Opportunity_in_Crisis_LoRes _EN_05182011.pdf>. 43 UNICEF, Opportunity in Crisis: Preventing HIV from early adolescence to young adulthood, 2011. Table 1. 44 UNICEF, Progress for Children: A report card on adolescents, 2012. Figure 5.6, Adolescents and HIV, 10-19 years old. 45 UNAIDS, <www.unaids.org/en/regionscountries/regions/caribbean/>. 46 UNICEF, Fast Facts on Adolescents and Youth in Latin America and the Caribbean, New York, s.f. 47 UNAIDS, ‘Women, Girls, Gender Inequality and HIV, Fact sheet’, 2011, <www.unaids.org/en/media/unaids/contentassets/documents/factsheet/2012/20120217_FS_WomenGirls_en.pdf>. 41 42 What does the CEDAW Convention mean for the rights of girls in Latin America and the Caribbean? CEDAW The CEDAW Committee, in its General Recommendation 15 on the Avoidance of discrimination against women in national strategies for the prevention and control of acquired immunodeficiency syndrome (AIDS), established that States should redouble efforts to increase public awareness of the risks of HIV infection among women and girls. In this General Recommendation, the Committee calls on States and other relevant actors to place special attention on the rights and needs of women and children in HIV response. In order to fulfill their obligations to protect girls' right to health, States need to adopt effective measures to prevent the spread of the infection. At the same time, they need to ensure the adoption of specific policies to address the needs of girls and women living with HIV. The CEDAW Convention protects the rights of girls and women living with HIV and AIDS. According to CEDAW, girls living with HIV and AIDS should not be discriminated against by their families and communities, and they should enjoy equal access to education, health services and employment opportunities. d. Girls’ right to be free from violence, exploitation and abuse Violence against girls Girls are particularly vulnerable to violence and abuse, especially by members of their families, and they are consequently at risk of physical and psychological harm as well as unwanted and early pregnancy. The UN General Assembly resolution on the International Day of the Girl Child recognizes the need to break the cycle of violence and discrimination by empowering girls and promoting and protecting the full enjoyment of their human rights.48 48 UN Sexual, domestic and institutional violence against women and girls is a critical problem in all of the countries of Latin America and the Caribbean. Although there is a lack of detailed data on the situation of violence against girls in the region, existing data indicates that between 10 and 36 per cent of women and girls have been subjected to physical or sexual violence.49 Estimates state that roughly 6 million children and adolescents suffer from severe abuse each year and that 80,000 die annually from causes related to domestic violence in Latin America and the Caribbean.50 Sexual abuse against children is often not reported to the General Assembly, International Day of the Girl Child, A/RES/66/170, 30 March 2012. ‘La violencia contra niños, niñas y adolescentes: informe de América Latina en el marco del informe mundial de Naciones Unidas’, 2006, <www.unicef.org/republicadominicana/ Estudio_violencia(4).pdf>. 50 Ibid. 49 UNICEF, What does the CEDAW Convention mean for the rights of girls in Latin America and the Caribbean? Girls who are victims of violence have a higher risk of dropping out from school and are more likely to repeat situations of violence in their adult life. Sexual violence against girls can cause an unwanted pregnancy or lead to a sexually transmitted infection or HIV. authorities, and in 8 out of 10 cases the perpetrator is the father, husband or another family member.51 Latin America and the Caribbean has a population of more than 222 million children.52 It is one of the most unequal regions in the world, with one of the highest rates of violence, an element that falls disproportionately upon women and girls. According to a report from the Inter-American Development Bank, approximately 7 million boys, girls and adolescents living in the streets of the region have been forced from their homes by domestic violence, abuse and economic exploitation.53 51 Ibid. 52 United Violence against girls puts the enjoyment of all their human rights at stake. Girls who are victims of violence have greater risk of dropping out from school, and their health may be compromised. Sexual violence against girls can cause an unwanted pregnancy or lead to a sexually transmitted infection or HIV, with the ensuing grave consequences on their life and health. If a girl lives in a situation of violence, then she is more likely to repeat situations of violence during her adult life. Many countries in the region have changed their legislation in order to punish and sanction genderbased violence. Most now have laws to punish domestic violence and to combat sexual offenses, although only a few punish feminicide and sexual harassment. Despite advances in regulations and law, genderbased violence against women and girls is rampant in the region. There is a need for redoubled efforts to tackle gender-based violence from a multidimensional approach. Particular attention should be placed on girls who are more vulnerable to violence. Nations Department of Economic and Social Affairs, Population Division, World Population Prospects: The 2012 Revision, New York, 2013. La violencia contra niños, niñas y adolescentes: informe de América Latina en el marco del informe mundial de Naciones Unidas, New York, 2006. 53 UNICEF, 43 44 What does the CEDAW Convention mean for the rights of girls in Latin America and the Caribbean? CEDAW Violence against women and girls has been recognized as a human rights violation by international and regional human rights bodies. Furthermore, gender-based violence impairs and nullifies the enjoyment of a wide range of women’s and girls' human rights, including the right to life, equality, freedom from torture and cruel, inhumane and degrading treatment and the right to personal integrity, among other rights. In General Recommendation 19, the CEDAW Committee stated that violence against women is a form of discrimination against women and it therefore falls under its mandate. The Committee recognized that violence against women can take many forms (physical, sexual, psychological), and that it occurs in both public and private spheres. States should refrain from any act of violence against girls but should also take all reasonable measures to prevent, investigate and punish all acts of gender-based violence committed by private actors. This element is known as the standard of due diligence, and it is enshrined in this General Recommendation. In order to comply with their obligations, States should also provide adequate legal, medical and psychological care for women victims of violence, while also ensuring protective mechanisms and measures are in place for women who report acts of violence to the authorities. What does the CEDAW Convention mean for the rights of girls in Latin America and the Caribbean? Other relevant human rights standards At the regional level, the Organization of American States (OAS) has the only legally-binding instrument that focuses directly on gender-based violence: the Inter-American Convention on the Prevention, Punishment and Eradication of Violence against Women (known as the 'Belem Do Para Convention'). The Belem Do Para Convention recognizes that violence against women is a human rights violation that also puts a wide range of women’s human rights at stake. It is an instrument that clearly outlines the legal obligations of States to prevent, punish and sanction violence against women as well as their obligation to provide legal, medical, psychological and other services to women victims of gender-based violence. The Convention establishes that States have certain immediate obligations including: the criminalization of all forms of gender-based violence; the establishment of appropriate judicial and administrative mechanisms to provide adequate remedies and redress for victims of violence; the investigation of all acts of gender-based violence regardless of whether they are committed by public or private actors, and; the ensured protection of survivors of violence. There are also progressive obligations under the Convention including: the modification of gender roles and stereotypes that perpetuate violence and discrimination; the establishment of adequate education programmes and campaigns; the provision of training on the causes and consequences of violence against women for all authorities, and; the provision of specialized services and assistance for victims of gender-based violence. The Belem Do Para Convention forms a cornerstone of the international human rights framework, and the Inter-American Commission on Human Rights and the Inter-American Court monitor State compliance with this Convention allowing them to set important precedents and jurisprudence in the region. 45 46 What does the CEDAW Convention mean for the rights of girls in Latin America and the Caribbean? There is no concrete data available on the number of persons trafficked each year from Latin America and Caribbean, yet relevant studies all agree the phenomenon is rampant in the region and is fed by factors that include lack Trafficking of girls Trafficking of girls is a modern form of slavery that has unfortunately grown in magnitude and extent to become a major human rights concern. Women and children are especially vulnerable to becoming victims of trafficking. Women and girls are trafficked for different purposes, but mostly for sexual exploitation or forced labour. This practice constitutes violence against women and girls and is a form of gender discrimination. There is no concrete data available on the number of persons trafficked each year, but it is clearly a large-scale problem. The U.S. State Department estimates that by the end of 2011-2012, roughly 800,000 people are trafficked each year in Latin America and the Caribbean (representing an increase from more than 700,000 people that were estimated to be victims of trafficking by the end of 2001-2002), with between 50,000 and 100,000 women and children trafficked into the U.S. alone.54 A 2012 report by the United Nations Office on Drugs and Crime states that women account for 55 to 65 per cent of all victims of trafficking that are detected globally, and women and girls together account for about 75 per cent.55 UNICEF estimates that, globally, 1.2 million children become victims of trafficking every year, and 2 million are exploited through commercial sexual exploitation and pornography.56 of opportunities, strength of organized crime networks, corruption and the increase in “sex tourism”. As trafficking operates internationally across the globe, it is also impossible to know exactly how many women and girls are trafficked from Latin American and Caribbean countries each year. However, relevant studies all agree the phenomenon is rampant in the region and is fed by the lack of opportunities, the strength of organized crime networks, corruption and the increase in “sex tourism”, among other elements. Women and girls may fall victims to traffickers in their efforts to escape the dangers, violence and exploitation they face in their own homes or communities. Thus, any attempt to tackle trafficking must address both the crime element and the structural situation of gender inequality. Girls in conflict situations or girl refugees are particularly vulnerable to trafficking, so special attention must be paid to these sectors. 54 Congressional Research Service, Trafficking in Women and Children: the US and the International response, 2002; Congressional Research Service, Trafficking in Persons in Latin America and the Caribbean, 2012. 55 UNODC, Global Report on Trafficking in Persons 2012 (United Nations publication, Sales No. E.13.IV.1). 56 UNICEF Regional Office for Latin America and the Caribbean. Available at: <www.unicef.org/lac/overview_4447.htm>. What does the CEDAW Convention mean for the rights of girls in Latin America and the Caribbean? CEDAW CEDAW Article 6 focuses on the trafficking of women and girls. It establishes that State parties should take all appropriate measures, including legislative action, to prevent and punish all forms of trafficking in women and exploitation of prostitution of women. The fact that the Convention has a specific article on this issue is highly relevant and is demonstrative of the extent of the practice and the higher vulnerability of women and girls to trafficking and sexual exploitation. The CEDAW Committee routinely requests information on the measures taken by State parties to address the trafficking of women and girls. It has clearly stated the importance of specific laws to prevent trafficking and efforts to ensure that the laws are adequately implemented and that protection is provided to the victims of trafficking. The Committee has also requested that States provide appropriate care and assistance services for the survivors of trafficking. 47 48 What does the CEDAW Convention mean for the rights of girls in Latin America and the Caribbean? In some countries of Latin America and the Caribbean, the legal age of marriage is lower for girls than for boys, with the legal age of marriage for girls as low as 12 years old. The average age of marriage or union for girls is usually lower in rural and indigenous communities, where the practice is seen as part of traditional norms. e. Early marriage and early union Early marriage and early union are still a leading issue for most developing countries, despite the fact that the negative consequences of these practices have been clearly demonstrated for some time. Thirty-five per cent of girls in developing countries marry before they reach 18 years old, and approximately 12 per cent are married by the age of 15.57 In Latin America and the Caribbean, over a quarter (29 per cent) of young women were married or in union by the age of 18, with 8 per cent married or in union by the age of 15.58 In fact, the legal age of marriage is lower for girls than for boys in some countries, reflecting a situation of gender inequality in both law and practice. Some countries of Latin America and the Caribbean have legal ages of marriage as low as 12 years old.59 The average age of marriage or union for girls is usually lower in rural and indigenous communities, where the practice is viewed as part of traditional norms. 57 UNICEF, Marriage and union at a very young age are risk factors for early pregnancy and for poor reproductive health outcomes. According to data from the United Nations Population Fund (UNFPA), 12 per cent of adolescent girls in Latin America and the Caribbean between 15 to 19 years of age are currently married.60 As was established in section c. on sexual and reproductive health, early pregnancy has grave consequences for the well-being, development and future of the girl child. Pregnancy and childbearing is likely to lead girls into a lifetime of “domestic and sexual subservience over which they have no control.”61 Moreover, marriage at a very young age perpetuates the cycle of poverty and undermines girls’ access to educational and employment opportunities. Given the context of widespread gender discrimination and inequality, marriage at a very young age also perpetuates female subordination and lower status within the family. Progress for Children: A report card on adolescents, New York, 2012. on data obtained from 20-24 year old female population. UNICEF, Progress for Children: A report card on adolescents, 2012, Figure 2.10. A., Atkins E., At What Age?...are school-children employed, married and taken to court? – Trends over Time, 2011, pp. 26-27. 60 UNFPA, State of the World of Population 2013, Motherhood in Childhood: Facing the challenge of adolescent pregnancy, New York, 2013, p. 12. 61 UNICEF, Early Marriage: Child Spouses, UNICEF Innocenti Research Centre, Florence, 2001. 58 Based 59 Melchiorre What does the CEDAW Convention mean for the rights of girls in Latin America and the Caribbean? CEDAW Article 16 of CEDAW refers to the right of women and girls to equality within family relations and marriage. It establishes that States should ensure men and women have equal rights and responsibilities within the family and marriage, along with the same right to freely choose their spouse and decide if and when to marry. It also highlights the equal right of couples to decide on the number and spacing of their children. CEDAW also strongly establishes the prohibition of child marriage and the obligation of States to specify a minimum age for marriage that should be equal for both men and women. This article must be read in conjunction with Article 5 of CEDAW which states that the obligation to ensure family education includes an adequate understanding of maternity as a social function and the "recognition of the common responsibility of men and women in the upbringing and development of their children". 49 50 What does the CEDAW Convention mean for the rights of girls in Latin America and the Caribbean? CEDAW General Recommendation on equality in marriage and family relations In 1994, the CEDAW Committee adopted General Recommendation 21 on Equality in Marriage and Family Relations, which addresses the situation of early marriage as a form of discrimination against girls, as one of its core elements. The Committee clearly establishes in this text that there is no justification for the application of different and discriminatory laws or customs for women and girls in marriage and family relations. The Committee acknowledges that marriage entails important responsibilities and should therefore not be permitted until both men and women have attained full maturity and capacity to act. It also recognizes the adverse effects of the marriage of under-age children, particularly girls who are restricted in their autonomy and educational and employment opportunites as a consequence of the union. Therefore, the Committee asserts that the minimum age for marriage should be 18 years for both men and women. Through this General Recommendation, the Committee calls on State parties to abolish any provisions built on the incorrect assumption that women have a different rate of intellectual development than men as well as any provisions that allow family members to select the marriage partner of women and girls. What does the CEDAW Convention mean for the rights of girls in Latin America and the Caribbean? Inadequate and non-existent water and sanitation services disproportionately affect girls and women, ignoring their different physical needs that entail greater privacy when using toilets and bathrooms, increasing their vulnerability to gender-based violence, particularly rape, when toilets and bathrooms are inaccessible, and also hindering their access to education if bathrooms are unavailable at schools. f. Water and sanitation Water and sanitation are both critical in ensuring girls’ access to an adequate standard of living. Lack of water and sanitation contributes significantly to poor health conditions that threaten the adequate development and even survival of girls. WHO estimates that 2.5 billion people around the world lived without proper sanitation by the end of 2011, and more than 1 billion people (about 15 per cent of the world’s population) had no sanitation facilities at all, practicing open defecation in bushes, ditches, plastic bags or on railway tracks.62 62 WHO, The lack of adequate water and sanitation is a matter of great concern in Latin America and the Caribbean, where only 40 per cent of the population have access to proper water and sanitation, and only 13 per cent of water is treated adequately. Every year, 1.5 million children die from waterborne diseases,63 a situation that is worst in rural areas where the water and sanitation infrastructure is less well developed.64 By the end of 2011, 14 per cent of rural dwellers in the region were still practicing open defecation due to lack of adequate sanitation coverage.65 ECLAC estimates show approximately 43.2 per cent of children between the ages of 0 and 5 years have inadequate access to sanitation, and almost three in every five boys, girls and adolescents lack adequate water and sanitation.66 Inadequate and non-existent water and sanitation services affect girls and women disproportionately. Firstly, girls and women have different physical needs that entail greater privacy when using toilets and bathing. Secondly, inaccessible toilets and bathrooms make girls more vulnerable to gender-based violence, particularly rape, and girls unable to access bathrooms may also be at greater risk of animal attacks. Furthermore, the lack of adequate sanitation, particularly toilets in schools, can hinder women’s access to education. UNICEF, ‘Progress on Sanitation and Drinking Water, 2013 Update’, <http://apps.who.int/iris/bitstream/10665/81245/1/9789241505390_eng.pdf>. Vindas, L., ‘Solo el 40% de América Latina tiene acceso a agua potable’, El Financiero, 2010, <http://bit.ly/1qyzj0H>. Bank, ‘Latin America: Bridging the gap in water access’, 2012, <www.worldbank.org/en/news/feature/2012/08/30/agua-saneamiento-america-latina>. 65 WHO, UNICEF, Progress on Sanitation and Drinking Water, 2013 Update, Figure 12. 66 ECLAC, Surveys in fifteen countries of Latin America and the Caribbean, 2001-2005. 63 64 World 51 52 What does the CEDAW Convention mean for the rights of girls in Latin America and the Caribbean? CEDAW CEDAW does not have a specific article on water and sanitation, but it does clearly establish the State obligation to eliminate discrimination in all areas of public and private life. Thus, reading the Convention in light of the negative and disproportionate effects of the lack of water and sanitation on women and girls, the issue implicitly falls under the protection of the Convention. Furthermore, the lack of water and sanitation has a negative impact on a wide range of rights recognized under CEDAW, including the right to health and the right to education. Given that girls and women from rural areas are also the population most affected by the lack of water and sanitation, this would also violate the article protecting rural women and girls from discrimination. The CEDAW Committee has expressed initial concerns to State parties regarding the lack of adequate water and sanitation and the negative consequences of this on the enjoyment of human rights by women and girls. What does the CEDAW Convention mean for the rights of girls in Latin America and the Caribbean? The UN Human Rights Council Resolution on the Right to Water and Sanitation In 2010, following a similar resolution by the UN General Assembly, the UN Human Rights Council adopted a consensus resolution reaffirming that water and sanitation are human rights issues. The resolution establishes that “the human right to safe drinking water and sanitation is derived from the right to an adequate standard of living and inextricably related to the right to the highest attainable standard of physical and mental health, as well as the right to life and human dignity.” This means that water and sanitation are already covered in existing human rights instruments, meaning that these rights are both enforceable and legally binding. The Council resolution calls on States to take measures to improve access to water and sanitation and to incorporate a human rights approach into programmes and policies on this area. It reaffirms the need to pay particular attention to persons in vulnerable and marginalised groups and to respect the principles of non-discrimination and gender equality. This last point is fundamental as it reaffirms the specific needs of women and girls regarding water and sanitation, and it commits States to undertaking actions to address these needs. (UN Human Rights Council, Human Rights and Access to Safe Drinking Water and Sanitation, A/HRC/15/L.14, 24 September 2010). 53 54 What does the CEDAW Convention mean for the rights of girls in Latin America and the Caribbean? It is estimated that one in every five emigrees from the region is a girl, boy or adolescent, with girls slightly outnumbering boys. However, the figures overlook the children left behind by migrating parents or those born to migrant parents but registered as nationals of the destination country. g. Migrant girls Migration is a phenomenon that cuts across and underpins the socio-economic situation of most of the countries in Latin America and the Caribbean, as most are either countries of origin, transit or destination for one group of migrants or another. Reasons for migration in the region vary: sometimes in pursuit of better job opportunities, sometimes for professional reasons and other times simply to join family members living abroad. Undocumented migrants, who make up a large proportion of migrants from the region, are at greater risk of encountering discrimination, exploitation and abuse. Moreover, the current economic crisis and other factors have led to tighter migration policies that have given rise to situations of further discrimination and abuse of undocumented migrants, including sexual exploitation and trafficking. Approximately 26 million people have emigrated from Latin America and the Caribbean to the United States and Europe.67 Although there is no concrete data available on the number of migrant children, it is estimated that one in every five emigrees from the region is a girl, boy or adolescent, with girls slightly outnumbering boys.68 However, the figures give no reflection of the complexity of migration, overlooking the children left behind by migrating parents or those born to migrant parents but registered as nationals of the destination country.69 67 ECLAC, 68 Feuk Many of the children who migrate move across borders unaccompanied, sometimes in the hope of joining parents and sometimes to escape situations of violence and exploitation. Child migration has somewhat contradictory consequences: while it can give children greater educational opportunities and chances of well-being in the country of arrival, it can also expose them to abuse during the migration process and to discrimination in the country of arrival. Just as in other circumstances and contexts, girls and women are particularly vulnerable to abuses and human rights violations during the migration process. As was mentioned earlier, more girls migrate than boys, reflecting a global tendency of greater migration among women and girls for economic reasons, to escape violence or to join families abroad. Migrant girls are especially vulnerable to sexual violence and trafficking by smugglers, migration officers and even other migrants, with unaccompanied girls at a greater risk of abuse than their accompanied peers. The Inter-American Court of Human Rights is currently preparing an advisory opinion on the human rights of child migrants in response to a request from Argentina, Brazil, Paraguay and Uruguay. ‘International Migration, Human Rights and Development in Latin America and the Caribbean’, Santiago de Chile, 2006, <www.eclac.org/publicaciones/xml/7/23967/DGI-230.pdf>. R., Perrault N., Delamonica E., ‘Children and International Migration in Latin America and the Caribbean’, ECLAC and UNICEF, Challenges, Number 11, November 2010, pp.4-9 UNICEF, ‘The Many Faces of Child Migration’, Challenges, Number 11, November 2010, p. 2. 69 ECLAC, What does the CEDAW Convention mean for the rights of girls in Latin America and the Caribbean? CEDAW In CEDAW there is no specific article referring to migrant women and girls, but many of the other provisions of the Convention provide a solid framework for their protection. Firstly, the Convention establishes that women should be protected against any form of discrimination, including that based on their status as migrants, whether documented or undocumented. The Committee also established that violence against women and girls violates the Convention and that it should be prevented, investigated and punished by the State. Thus, under the Convention, States are obliged to protect migrant girls from discrimination and abuse, regardless of whether this is committed by private or public actors. In order to protect their human rights, States must ensure that migrant girls are not discriminated against in access to education or health care services, even when undocumented. The CEDAW Committee has repeatedly questioned States on the situation of migrant women and girls in their countries. This issue has been of concern to the Committee for many years and has been linked with the issue of trafficking in women and girls. 55 56 What does the CEDAW Convention mean for the rights of girls in Latin America and the Caribbean? The International Convention on the Protection of the Rights of all Migrant Workers and Members of their Families In 1990, the UN General Assembly adopted the International Convention on the Protection of the Rights of All Migrant Workers and Members of Their Families. This is an instrument that protects migrant workers and their families during the entire process of migration including departure, transit and the entire period of stay. The Convention enshrines the principle of non-discrimination based on all grounds and it outlines the civil, political, economic and social rights of all migrant workers and their families. It covers children as family members of migrant workers and establishes that States should ensure these children are not discriminated against in access to school and health services. Latin America and Caribbean Regional Office Building 102, Alberto Tejada St., City of Knowledge, Panama, Republic of Panama Postal Address: 0843-03045 Telephone: (507) 301-7400 www.unicef.org/lac
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