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 MexicoEvery 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 2011

91% 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 4th cause of death

among teenagers (15 -19 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 StrategyWorkshops 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: Strong

Development: 1

Oaxaca

MMR: 81*

MMC: Medium

Development: 3

Yucatan

MMR: 59*

MMC: n/a

Development: 2

Source: Observatorio de Mortalidad Materna, 2013 *2012

Advocacy PlanJanuary – 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 ActivitiesJanuary – 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!