Promoting the use of the OHCHR TG to include a rights based framework for preventing maternal mortality and morbidity in México September 2014

The IIMMHR and the OHCHR TG Promote MMM as a violation of a woman’s HR: to life, health, equality and non- discrimination. IIMMHR has been seeking to influence government officials, int´l donors, & key stakeholders within the UN and regional HR systems. The IIMMHR received a grant from NORAD to strengthen its work around the promotion of the TG. The grant provides for country projects in 4 countries with interventions both among CSO and governments officials, & production of case studies and information materials.

The IIMMHR: promoting the TG in 4 countries SA IIMMHR partner is working with the newly elected members of the parliamentary oversight committee to understand human- rights based budgeting for maternal health and attention to socially excluded groups. IIMMR partner is working with midwives in training institutions and health clinics to inculcate practice of human rights principles while providing maternal health care. In Peru the IIMMHR partner is working to institutionalize social accountability through citizen monitoring of maternal health services, especially by the marginalized women who are reporting to the Ombudsman's office.

Maternal Death in Mexico Every year 1,000 women die in Mexico from pregnancy related causes 84% of these deaths are preventable Every year 30,000 women experience acute or chronic morbidity MMR was 51 women per 100,000 live births in % of women who died from maternal causes received medical treatment before dying MM among indigenous women: Oaxaca (55.9%), Guerrero (47.2%), Chihuahua (35.9%), Yucatán (25.0%) and Chiapas (24.6%). In Oaxaca, Guerrero and Chiapas one in four maternal deaths occurred in their own homes Maternal death is the 4 th cause of death among teenagers ( years) after homicide, traffic accidents and suicide. Complaints regarding maternal mortality are not followed up by health authorities

Mexico´s Implementation Team

That a variety of stakeholders will begin to use the OHCHR TG to incorporate HRBA within their programmes to reduce MMM) in 3 States in Mexico. SPECIFIC OBJETIVES GENERAL OBJETIVE To collaborate with the OHCHR and UN agencies in the dissemination of the TG To identify stakeholders nationally & in the 3 selected states To advocate for the implementation of the TG within local programmes for preventing MMM.

Initial Strategy Workshops on the TG with Maternal Mortality Committees, state ombudsman’s, the women’s state institutes’ and health system officials and civil society organizations in three states: Jalisco MMR: 29*MMC: StrongDevelopment: 1 Oaxaca MMR: 81*MMC: MediumDevelopment: 3 Yucatan MMR: 59*MMC: n/aDevelopment: 2 Source: Observatorio de Mortalidad Materna, 2013 *2012

Advocacy Plan January – May 2014 Stakeholders mapping: Jalisco, Oaxaca & Yucatan Contact OHCHR in Mexico Booklet simplifying the TG Good Faith Agreement Blueprint Advocacy w/ Excecutive Branch Officials Content and Design of Forum Forum with health officials & service providers Good Faith Agreement signature

Strategic Meetings in Jalisco Health Secretary and team: Planinig, Public Health, Civil Hospitals & Finance Directors President of the Women´s Institute President of the HR Comission

Jalisco´s Forum on TG Addressed to health officials, health professionals and academia Health secretary, University Dean, HR Comission, OHCHR, CPMSM

Maternal Deaths in Mexico January to September 2014 Jalisco is now the 4th state with most maternal deaths in the country during 2014

Advocacy Activities January – September 2014 Stakeholders mapping Booklet simplifying the TG Good Faith Agreement Blueprint Advocacy w/ Excecutive b. Officials Content and Design of Forum Forum with health officials & h. service providers Strategy Redefined Forum on Obstetric Violence Approach to Legislative Branch Budgetary Analysis Verbal Autopsies Reprinting/ dissemination of booklet

Upcoming Advocacy Actions The TG to be presented in the National Centre for Gender Equality and Reproductive Health (national governing body on maternal health) 20 Verbal Autopsies: Formal request of information to federal health ministry Working meetings with Jalisco health ministry – Sept 24th Keep on disseminating the TG with government officials and civil society Inform the Memorandum of Understanding with the results of the verbal autopsies and budgetary analysis. Budgetary Analysis of maternal health services - October Reprinting of the simplified document produced based on the TG

¡Gracias! Thank You!