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English - CEDAW Southeast Asia

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A Gendered and Rights-Based Review of Vietnamese Legal Documents through the Lens of <strong>CEDAW</strong><br />

require that the guarantee of health care must be applicable throughout a woman’s life; thus,<br />

protection covers girls and elderly women. GR 24 also highlights the various area of health<br />

care requiring attention, such as those relating to maternity and pregnancy, HIV/AIDS and<br />

other STIs, sexual and reproductive health-care services and education, birth control and<br />

family planning methods, abortions, and the privatization of the health-care services.<br />

In relation to maternity and pregnancy, it is stated in <strong>CEDAW</strong> and GR 24 that care<br />

before, during and after pregnancy must be given. 527 Where costs are a problem, the State<br />

must put in place measures to ensure a safe and healthy delivery. 528 Targets on maternal and<br />

child mortality and morbidity are only one of the measures, among many, that are needed to<br />

comply with the obligation of provision of care. 529<br />

GR 24 also addresses birth control, family planning methods and unwanted<br />

pregnancies. 530 The obligation under <strong>CEDAW</strong> specifically points out that acceptable ad<br />

accessible health-care services must be provided, 531 including improved availability,<br />

acceptability and use of modern means of birth control. 532 GR 24 emphasizes the need for<br />

informed consent prior to undergoing procedures, such as sterilization. 533 States Parties must<br />

not permit forms of coercion in this field, including mandatory testing for STIs or mandatory<br />

pregnancy testing as a condition for employment. 534 More importantly, abortions must not be<br />

used as means of family planning. 535<br />

GR 24 in particular highlights that as a consequence of unequal power relations based<br />

on gender, women and girls are unable to refuse sex or insist on safe and responsible sex. 536<br />

By understanding the unequal power relations between men and women, the gender-related<br />

aspects of HIV/AIDS and other STIs are clearly visible. In relation to Viet Nam and HIV/AIDS,<br />

the <strong>CEDAW</strong> Committee also states that there must be improved access to ARVs, protection<br />

and care for babies born with HIV, and training for medical personnel on HIV/AIDS. 537<br />

A gendered review of health care will also point out the need to focus on issues of sexual<br />

and reproductive education in addition to simply providing health-care services. State Parties<br />

must provide age-appropriate sexual and reproductive health information and education,<br />

especially to women and girls, which respects their right to privacy and confidentiality. 538<br />

Removal of barriers to the enjoyment of health care, especially high fees of health-care<br />

services, distance of health-care facilities, lack of convenient transportation, and lack of equal<br />

budgets for men and women’s health care should be prioritized. 539<br />

527<br />

<strong>CEDAW</strong>, Article 12(2) and GR 24, Paragraph 2<br />

528<br />

GR 24, Paragraph 27<br />

529<br />

See GR 24 generally<br />

251<br />

530<br />

GR 24, Paragraphs 17, 22, 23 and 31(c)<br />

531<br />

Ibid., Paragraphs 21 and 22<br />

532<br />

Concluding Comments on Viet Nam 2007, Paragraph 25<br />

533<br />

GR 24, Paragraph 20<br />

534<br />

Ibid., Paragraph 22<br />

535<br />

Concluding Comments on Viet Nam 2007, Paragraph 25<br />

536<br />

GR 24, Paragraph 18<br />

537<br />

Concluding Comments on Viet Nam 2007, Paragraph 25<br />

538<br />

GR 24, Paragraph 18<br />

539<br />

Ibid., Paragraph 21<br />

Health (Article 12 of <strong>CEDAW</strong>)

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