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adopted by the General Assembly on 18 December 2014","type":"frontmatter","heading_level":null,"paragraph_type":null,"paragraph_level":null,"prefix":null,"links":[],"section":"main","text_index":1,"parser_version":"sem-v5","source":"digitallibrary"},{"extraction_quality_warning":false,"id":"7c74d768-a965-5b1e-8f71-dbec49e19700","position":1,"note_ids":[],"note_references":[],"text":"[on the report of the Third Committee (A/69/481)]","type":"frontmatter","heading_level":null,"paragraph_type":null,"paragraph_level":null,"prefix":null,"links":[],"section":"main","text_index":1,"parser_version":"sem-v5","source":"digitallibrary"},{"extraction_quality_warning":false,"id":"78cb5207-6221-5a24-9998-9cf6d55788fa","position":2,"note_ids":[],"note_references":[],"text":"Intensification of efforts to end obstetric fistula","type":"title","heading_level":null,"paragraph_type":null,"paragraph_level":null,"prefix":"69/148.","links":[],"section":"main","text_index":1,"parser_version":"sem-v5","source":"digitallibrary"},{"extraction_quality_warning":false,"id":"2e13d933-8b90-5786-95a8-4b4110c772e8","position":3,"note_ids":[],"note_references":[],"text":"The General Assembly,","type":"opening","heading_level":null,"paragraph_type":"preambular","paragraph_level":0,"prefix":null,"links":[],"section":"main","text_index":1,"parser_version":"sem-v5","source":"digitallibrary"},{"extraction_quality_warning":false,"id":"aff0c8dc-11bb-5cc0-a062-da0177406f96","position":4,"note_ids":[],"note_references":[],"text":"Recalling its resolutions 62/138 of 18 December 2007, 63/158 of 18 December 2008, 65/188 of 21 December 2010 and 67/147 of 20 December 2012 on supporting efforts to end obstetric fistula,","type":"paragraph","heading_level":null,"paragraph_type":"preambular","paragraph_level":1,"prefix":null,"links":[],"textWithHighlights":"*Recalling* its resolutions 62/138 of 18 December 2007, 63/158 of 18 December 2008, 65/188 of 21 December 2010 and 67/147 of 20 December 2012 on supporting efforts to end obstetric fistula,","mandates":[{"action_verb":"Recalling","action_verb_normalized":"recall","action_verb_type":"reinforcing","assignees":[],"mentioned_entities":[],"deliverables":[]}],"section":"main","text_index":1,"parser_version":"sem-v5","source":"digitallibrary"},{"extraction_quality_warning":false,"id":"07b04c7d-d055-5fd4-b121-1904d2868be1","position":5,"note_ids":[2,3,4,5,6,7,8],"note_references":[{"offset":60,"note_id":2},{"offset":226,"note_id":3},{"offset":312,"note_id":4},{"offset":384,"note_id":5},{"offset":637,"note_id":6},{"offset":664,"note_id":7},{"offset":889,"note_id":8}],"text":"Reaffirming the Beijing Declaration and Platform for Action, the outcomes of the twenty-third special session of the General Assembly, entitled “Women 2000: gender equality, development and peace for the twenty-first century”, the Programme of Action of the International Conference on Population and Development and the Programme of Action of the World Summit for Social Development, and their reviews, and the international commitments in the field of social development and to gender equality and the empowerment of women and girls made at the World Conference against Racism, Racial Discrimination, Xenophobia and Related Intolerance and the 2005 World Summit, as well as those made in the outcome document of the high-level plenary meeting of the General Assembly on the Millennium Development Goals, entitled “Keeping the promise: united to achieve the Millennium Development Goals”,","type":"paragraph","heading_level":null,"paragraph_type":"preambular","paragraph_level":1,"prefix":null,"links":[],"textWithHighlights":"*Reaffirming* the Beijing Declaration and Platform for Action, the outcomes of the twenty-third special session of the General Assembly, entitled “Women 2000: gender equality, development and peace for the twenty-first century”, the Programme of Action of the International Conference on Population and Development and the Programme of Action of the World Summit for Social Development, and their reviews, and the international commitments in the field of social development and to gender equality and the empowerment of women and girls made at the World Conference against Racism, Racial Discrimination, Xenophobia and Related Intolerance and the 2005 World Summit, as well as those made in the outcome document of the high-level plenary meeting of the General Assembly on the Millennium Development Goals, entitled “Keeping the promise: united to achieve the Millennium Development Goals”,","mandates":[{"action_verb":"Reaffirming","action_verb_normalized":"reaffirm","action_verb_type":"reinforcing","assignees":[],"mentioned_entities":[],"deliverables":[]}],"section":"main","text_index":1,"parser_version":"sem-v5","source":"digitallibrary"},{"extraction_quality_warning":false,"id":"b8eebf4f-e9f5-5998-a9a5-20443d5fafb8","position":6,"note_ids":[9,10,11,12],"note_references":[{"offset":59,"note_id":9},{"offset":138,"note_id":10},{"offset":185,"note_id":11},{"offset":351,"note_id":12}],"text":"Reaffirming also the Universal Declaration of Human Rights, the Convention on the Elimination of All Forms of Discrimination against Women and the Convention on the Rights of the Child, and urging States that have not done so to consider, as a matter of priority, signing, ratifying or acceding to those Conventions and the Optional Protocols thereto,","type":"paragraph","heading_level":null,"paragraph_type":"preambular","paragraph_level":1,"prefix":null,"links":[],"textWithHighlights":"*Reaffirming* also the Universal Declaration of Human Rights, the Convention on the Elimination of All Forms of Discrimination against Women and the Convention on the Rights of the Child, and urging States that have not done so to consider, as a matter of priority, signing, ratifying or acceding to those Conventions and the Optional Protocols thereto,","mandates":[{"action_verb":"Reaffirming","action_verb_normalized":"reaffirm","action_verb_type":"reinforcing","assignees":[],"mentioned_entities":[],"deliverables":[]}],"section":"main","text_index":1,"parser_version":"sem-v5","source":"digitallibrary"},{"extraction_quality_warning":false,"id":"dbb17d86-7c65-568a-8d0f-69270f3e2092","position":7,"note_ids":[13],"note_references":[{"offset":45,"note_id":13}],"text":"Welcoming the report of the Secretary-General and the conclusions and recommendations contained therein,","type":"paragraph","heading_level":null,"paragraph_type":"preambular","paragraph_level":1,"prefix":null,"links":[],"textWithHighlights":"*Welcoming* the report of the Secretary-General and the conclusions and recommendations contained therein,","mandates":[{"action_verb":"Welcoming","action_verb_normalized":"welcome","action_verb_type":"evaluative","assignees":[],"mentioned_entities":[],"deliverables":[]}],"section":"main","text_index":1,"parser_version":"sem-v5","source":"digitallibrary"},{"extraction_quality_warning":false,"id":"4a7efa3f-fd0f-5f6b-8830-2f145b88e7c7","position":8,"note_ids":[],"note_references":[],"text":"Stressing the interlinkages between poverty, malnutrition, lack of or inadequate or inaccessible health-care services, early childbearing, child, early and forced marriage, violence against young women and girls and gender discrimination as root causes of obstetric fistula, and that poverty remains the main social risk factor,","type":"paragraph","heading_level":null,"paragraph_type":"preambular","paragraph_level":1,"prefix":null,"links":[],"textWithHighlights":"*Stressing* the interlinkages between poverty, malnutrition, lack of or inadequate or inaccessible health-care services, early childbearing, child, early and forced marriage, violence against young women and girls and gender discrimination as root causes of obstetric fistula, and that poverty remains the main social risk factor,","mandates":[{"action_verb":"Stressing","action_verb_normalized":"stress","action_verb_type":"reinforcing","assignees":[],"mentioned_entities":[],"deliverables":[]}],"section":"main","text_index":1,"parser_version":"sem-v5","source":"digitallibrary"},{"extraction_quality_warning":false,"id":"811b0059-46cb-5b82-a3c7-04c9da10ba9b","position":9,"note_ids":[],"note_references":[],"text":"Recognizing that the difficult socioeconomic conditions that exist in many developing countries, in particular the least developed countries, have resulted in the acceleration of the feminization of poverty,","type":"paragraph","heading_level":null,"paragraph_type":"preambular","paragraph_level":1,"prefix":null,"links":[],"textWithHighlights":"*Recognizing* that the difficult socioeconomic conditions that exist in many developing countries, in particular the least developed countries, have resulted in the acceleration of the feminization of poverty,","mandates":[{"action_verb":"Recognizing","action_verb_normalized":"recognize","action_verb_type":"observing","assignees":[],"mentioned_entities":[],"deliverables":[]}],"section":"main","text_index":1,"parser_version":"sem-v5","source":"digitallibrary"},{"extraction_quality_warning":false,"id":"f0d24001-23d3-5ac1-8ea3-2e8a44011f6a","position":10,"note_ids":[],"note_references":[],"text":"Recognizing also that early childbearing increases the risk of complications during pregnancy and delivery and entails a much higher risk of maternal mortality and morbidity, and deeply concerned that early childbearing and limited access to the highest attainable standard of health, including sexual and reproductive health, specifically timely access to high-quality emergency obstetric care, cause high levels of obstetric fistula and other maternal morbidities, as well as maternal mortality,","type":"paragraph","heading_level":null,"paragraph_type":"preambular","paragraph_level":1,"prefix":null,"links":[],"textWithHighlights":"*Recognizing* also that early childbearing increases the risk of complications during pregnancy and delivery and entails a much higher risk of maternal mortality and morbidity, and deeply concerned that early childbearing and limited access to the highest attainable standard of health, including sexual and reproductive health, specifically timely access to high-quality emergency obstetric care, cause high levels of obstetric fistula and other maternal morbidities, as well as maternal mortality,","mandates":[{"action_verb":"Recognizing","action_verb_normalized":"recognize","action_verb_type":"observing","assignees":[],"mentioned_entities":[],"deliverables":[]}],"section":"main","text_index":1,"parser_version":"sem-v5","source":"digitallibrary"},{"extraction_quality_warning":false,"id":"0d1b272c-bebd-5df5-b963-89c0946d9ae9","position":11,"note_ids":[],"note_references":[],"text":"Recognizing further that adolescent girls are at particular risk of maternal death and morbidity, including obstetric fistula, and concerned that the leading cause of death among girls aged 15 to 19 in many low- and middle-income countries is complications from pregnancy and childbirth and that women aged 30 and older are at increased risk of developing complications and of dying during childbirth,","type":"paragraph","heading_level":null,"paragraph_type":"preambular","paragraph_level":1,"prefix":null,"links":[],"textWithHighlights":"*Recognizing* further that adolescent girls are at particular risk of maternal death and morbidity, including obstetric fistula, and concerned that the leading cause of death among girls aged 15 to 19 in many low- and middle-income countries is complications from pregnancy and childbirth and that women aged 30 and older are at increased risk of developing complications and of dying during childbirth,","mandates":[{"action_verb":"Recognizing","action_verb_normalized":"recognize","action_verb_type":"observing","assignees":[],"mentioned_entities":[],"deliverables":[]}],"section":"main","text_index":1,"parser_version":"sem-v5","source":"digitallibrary"},{"extraction_quality_warning":false,"id":"c838e92e-d8ee-577d-8959-2040bb7ef8dc","position":12,"note_ids":[],"note_references":[],"text":"Noting that a human rights-based approach to eliminating obstetric fistula is underpinned by the principles of, inter alia, accountability, participation, transparency, empowerment, sustainability, non-discrimination and international cooperation,","type":"paragraph","heading_level":null,"paragraph_type":"preambular","paragraph_level":1,"prefix":null,"links":[],"textWithHighlights":"*Noting* that a human rights-based approach to eliminating obstetric fistula is underpinned by the principles of, inter alia, accountability, participation, transparency, empowerment, sustainability, non-discrimination and international cooperation,","mandates":[{"action_verb":"Noting","action_verb_normalized":"note","action_verb_type":"observing","assignees":[],"mentioned_entities":[],"deliverables":[]}],"section":"main","text_index":1,"parser_version":"sem-v5","source":"digitallibrary"},{"extraction_quality_warning":false,"id":"46dba354-ddff-5d28-8aa9-70e938ce59cc","position":13,"note_ids":[],"note_references":[],"text":"Deeply concerned about discrimination against women and girls and the violation of their rights, which often result in less access for girls to education and nutrition, their reduced physical and mental health and the enjoyment by girls of fewer of the rights, opportunities and benefits of childhood and adolescence compared with boys, and in their often being subjected to various forms of cultural, social, sexual and economic exploitation and to violence and harmful practices,","type":"paragraph","heading_level":null,"paragraph_type":"preambular","paragraph_level":1,"prefix":null,"links":[],"textWithHighlights":"Deeply *concerned* about discrimination against women and girls and the violation of their rights, which often result in less access for girls to education and nutrition, their reduced physical and mental health and the enjoyment by girls of fewer of the rights, opportunities and benefits of childhood and adolescence compared with boys, and in their often being subjected to various forms of cultural, social, sexual and economic exploitation and to violence and harmful practices,","mandates":[{"action_verb":"concerned","action_verb_normalized":"be concerned","action_verb_type":"evaluative","assignees":[],"mentioned_entities":[],"deliverables":[]}],"section":"main","text_index":1,"parser_version":"sem-v5","source":"digitallibrary"},{"extraction_quality_warning":false,"id":"1c2a5f5b-48ae-5dfb-8d92-536315751620","position":14,"note_ids":[],"note_references":[],"text":"Deeply concerned also about the situation of women living with or recovering from obstetric fistula, who are often neglected and stigmatized,","type":"paragraph","heading_level":null,"paragraph_type":"preambular","paragraph_level":1,"prefix":null,"links":[],"textWithHighlights":"Deeply *concerned* also about the situation of women living with or recovering from obstetric fistula, who are often neglected and stigmatized,","mandates":[{"action_verb":"concerned","action_verb_normalized":"be concerned","action_verb_type":"evaluative","assignees":[],"mentioned_entities":[],"deliverables":[]}],"section":"main","text_index":1,"parser_version":"sem-v5","source":"digitallibrary"},{"extraction_quality_warning":false,"id":"3d5a300d-b715-5012-806b-28ef36213023","position":15,"note_ids":[],"note_references":[],"text":"Recognizing the need to raise awareness among men and adolescent boys and, in this context, to fully engage men and community leaders as strategic partners and allies in the efforts to address and eliminate obstetric fistula,","type":"paragraph","heading_level":null,"paragraph_type":"preambular","paragraph_level":1,"prefix":null,"links":[],"textWithHighlights":"*Recognizing* the need to raise awareness among men and adolescent boys and, in this context, to fully engage men and community leaders as strategic partners and allies in the efforts to address and eliminate obstetric fistula,","mandates":[{"action_verb":"Recognizing","action_verb_normalized":"recognize","action_verb_type":"observing","assignees":[],"mentioned_entities":[],"deliverables":[]}],"section":"main","text_index":1,"parser_version":"sem-v5","source":"digitallibrary"},{"extraction_quality_warning":false,"id":"95f2e791-f81c-588e-86f3-55788838bb9c","position":16,"note_ids":[],"note_references":[],"text":"Welcoming the contribution by Member States, the international community and civil society to the global Campaign to End Fistula led by the United Nations Population Fund, bearing in mind that a people-centred approach to social and economic development is fundamental for protecting and empowering individuals and communities,","type":"paragraph","heading_level":null,"paragraph_type":"preambular","paragraph_level":1,"prefix":null,"links":[],"textWithHighlights":"*Welcoming* the contribution by Member States, the international community and civil society to the global Campaign to End Fistula led by the United Nations Population Fund, bearing in mind that a people-centred approach to social and economic development is fundamental for protecting and empowering individuals and communities,","mandates":[{"action_verb":"Welcoming","action_verb_normalized":"welcome","action_verb_type":"evaluative","assignees":[],"mentioned_entities":[],"deliverables":[]}],"section":"main","text_index":1,"parser_version":"sem-v5","source":"digitallibrary"},{"extraction_quality_warning":false,"id":"b5dc636a-c19f-5d35-a169-ed31dbba48a1","position":17,"note_ids":[],"note_references":[],"text":"Deeply concerned that, as the Campaign to End Fistula has completed its tenth anniversary, while some progress has been made, significant challenges remain that require the intensification of efforts at all levels to end obstetric fistula,","type":"paragraph","heading_level":null,"paragraph_type":"preambular","paragraph_level":1,"prefix":null,"links":[],"textWithHighlights":"Deeply *concerned* that, as the Campaign to End Fistula has completed its tenth anniversary, while some progress has been made, significant challenges remain that require the intensification of efforts at all levels to end obstetric fistula,","mandates":[{"action_verb":"concerned","action_verb_normalized":"be concerned","action_verb_type":"evaluative","assignees":[],"mentioned_entities":[],"deliverables":[]}],"section":"main","text_index":1,"parser_version":"sem-v5","source":"digitallibrary"},{"extraction_quality_warning":false,"id":"67871d48-69d7-5abf-9f5e-9d4c5a48af60","position":18,"note_ids":[],"note_references":[],"text":"Recognizing the Secretary-General’s Global Strategy for Women’s and Children’s Health, undertaken by a broad coalition of partners, in support of national plans and strategies aimed at significantly reducing the number of maternal, newborn and under-five child deaths and disabilities as a matter of immediate concern by scaling up a priority package of high-impact interventions and integrating efforts in sectors such as health, education, gender equality, water and sanitation, poverty eradication and nutrition,","type":"paragraph","heading_level":null,"paragraph_type":"preambular","paragraph_level":1,"prefix":null,"links":[],"textWithHighlights":"*Recognizing* the Secretary-General’s Global Strategy for Women’s and Children’s Health, undertaken by a broad coalition of partners, in support of national plans and strategies aimed at significantly reducing the number of maternal, newborn and under-five child deaths and disabilities as a matter of immediate concern by scaling up a priority package of high-impact interventions and integrating efforts in sectors such as health, education, gender equality, water and sanitation, poverty eradication and nutrition,","mandates":[{"action_verb":"Recognizing","action_verb_normalized":"recognize","action_verb_type":"observing","assignees":[],"mentioned_entities":[],"deliverables":[]}],"section":"main","text_index":1,"parser_version":"sem-v5","source":"digitallibrary"},{"extraction_quality_warning":false,"id":"3606ae35-fe12-57c6-91b1-da40d2c0eaf3","position":19,"note_ids":[],"note_references":[],"text":"Welcoming the various national, regional and international initiatives on all the Millennium Development Goals, including those undertaken bilaterally and through South-South cooperation, in support of national plans and strategies in sectors such as health, education, gender equality, energy, water and sanitation, poverty eradication and nutrition as a way to reduce the number of maternal, newborn and under-five child deaths,","type":"paragraph","heading_level":null,"paragraph_type":"preambular","paragraph_level":1,"prefix":null,"links":[],"textWithHighlights":"*Welcoming* the various national, regional and international initiatives on all the Millennium Development Goals, including those undertaken bilaterally and through South-South cooperation, in support of national plans and strategies in sectors such as health, education, gender equality, energy, water and sanitation, poverty eradication and nutrition as a way to reduce the number of maternal, newborn and under-five child deaths,","mandates":[{"action_verb":"Welcoming","action_verb_normalized":"welcome","action_verb_type":"evaluative","assignees":[],"mentioned_entities":[],"deliverables":[]}],"section":"main","text_index":1,"parser_version":"sem-v5","source":"digitallibrary"},{"extraction_quality_warning":false,"id":"3eab6a03-f1ca-5b7f-8613-c34d0cd500ce","position":20,"note_ids":[],"note_references":[],"text":"Welcoming also ongoing partnerships between stakeholders at all levels to address the multifaceted determinants of maternal, newborn and child health in close coordination with Member States based on their needs and priorities, including beyond 2015, and in this regard welcoming further the commitments to accelerate progress on the health-related Millennium Development Goals by 2015,","type":"paragraph","heading_level":null,"paragraph_type":"preambular","paragraph_level":1,"prefix":null,"links":[],"textWithHighlights":"*Welcoming* also ongoing partnerships between stakeholders at all levels to address the multifaceted determinants of maternal, newborn and child health in close coordination with Member States based on their needs and priorities, including beyond 2015, and in this regard welcoming further the commitments to accelerate progress on the health-related Millennium Development Goals by 2015,","mandates":[{"action_verb":"Welcoming","action_verb_normalized":"welcome","action_verb_type":"evaluative","assignees":[],"mentioned_entities":[],"deliverables":[]}],"section":"main","text_index":1,"parser_version":"sem-v5","source":"digitallibrary"},{"extraction_quality_warning":false,"id":"25d5edf7-e650-5749-b14f-c43637c2a1e0","position":21,"note_ids":[],"note_references":[],"text":"Reaffirming the renewed and reinforced commitments made by Member States to achieve Millennium Development Goal 5 by 2015 and to continue with these efforts beyond 2015,","type":"paragraph","heading_level":null,"paragraph_type":"preambular","paragraph_level":1,"prefix":null,"links":[],"textWithHighlights":"*Reaffirming* the renewed and reinforced commitments made by Member States to achieve Millennium Development Goal 5 by 2015 and to continue with these efforts beyond 2015,","mandates":[{"action_verb":"Reaffirming","action_verb_normalized":"reaffirm","action_verb_type":"reinforcing","assignees":[],"mentioned_entities":[],"deliverables":[]}],"section":"main","text_index":1,"parser_version":"sem-v5","source":"digitallibrary"},{"extraction_quality_warning":false,"id":"f7c1de78-8020-5d79-809a-30c7d6c30bcf","position":22,"note_ids":[14],"note_references":[{"offset":126,"note_id":14}],"text":"Recalling its resolution 68/309 of 10 September 2014 on the report of the Open Working Group on Sustainable Development Goals, in which it decided that the proposal of the Open Working Group contained in the report shall be the main basis for integrating sustainable development goals into the post-2015 development agenda, while recognizing that other inputs will also be considered, in the intergovernmental negotiation process at the sixty-ninth session of the General Assembly, and in this regard noting the importance of continuing efforts to end obstetric fistula,","type":"paragraph","heading_level":null,"paragraph_type":"preambular","paragraph_level":1,"prefix":null,"links":[],"textWithHighlights":"*Recalling* its resolution 68/309 of 10 September 2014 on the report of the Open Working Group on Sustainable Development Goals, in which it decided that the proposal of the Open Working Group contained in the report shall be the main basis for integrating sustainable development goals into the post-2015 development agenda, while recognizing that other inputs will also be considered, in the intergovernmental negotiation process at the sixty-ninth session of the General Assembly, and in this regard noting the importance of continuing efforts to end obstetric fistula,","mandates":[{"action_verb":"Recalling","action_verb_normalized":"recall","action_verb_type":"reinforcing","assignees":[],"mentioned_entities":[],"deliverables":[]}],"section":"main","text_index":1,"parser_version":"sem-v5","source":"digitallibrary"},{"extraction_quality_warning":false,"id":"a55fbf61-8c58-5337-8ce9-abc55dbbb8cb","position":23,"note_ids":[],"note_references":[],"text":"Recognizes the interlinkages between poverty, lack of or inadequate access to health-care services, early childbearing and child, early and forced marriage as root causes of obstetric fistula, that poverty and inequality remain the main social risk factor and that the eradication of poverty is critical to meeting the needs and rights of women and girls, and calls upon States, in collaboration with the international community, to take accelerated action to address the situation;","type":"paragraph","heading_level":null,"paragraph_type":"operative","paragraph_level":1,"prefix":"1.","links":[],"textWithHighlights":"*Recognizes* the interlinkages between poverty, lack of or inadequate access to health-care services, early childbearing and child, early and forced marriage as root causes of obstetric fistula, that poverty and inequality remain the main social risk factor and that the eradication of poverty is critical to meeting the needs and rights of women and girls, and calls upon States, in collaboration with the international community, to take accelerated action to address the situation;","mandates":[{"action_verb":"Recognizes","action_verb_normalized":"recognize","action_verb_type":"observing","assignees":[],"mentioned_entities":[],"deliverables":[]}],"section":"main","text_index":1,"parser_version":"sem-v5","source":"digitallibrary"},{"extraction_quality_warning":false,"id":"a250d533-142b-5546-aad6-589b84f1a7f6","position":24,"note_ids":[],"note_references":[],"text":"Stresses the need to address the social issues that contribute to the problem of obstetric fistula, such as poverty, lack of or inadequate education for women and girls, lack of access to health-care services, including sexual and reproductive health-care services, early childbearing, child, early and forced marriage and the low status of women and girls;","type":"paragraph","heading_level":null,"paragraph_type":"operative","paragraph_level":1,"prefix":"2.","links":[],"textWithHighlights":"*Stresses* the need to address the social issues that contribute to the problem of obstetric fistula, such as poverty, lack of or inadequate education for women and girls, lack of access to health-care services, including sexual and reproductive health-care services, early childbearing, child, early and forced marriage and the low status of women and girls;","mandates":[{"action_verb":"Stresses","action_verb_normalized":"stress","action_verb_type":"reinforcing","assignees":[],"mentioned_entities":[],"deliverables":[]}],"section":"main","text_index":1,"parser_version":"sem-v5","source":"digitallibrary"},{"extraction_quality_warning":false,"id":"218f12c1-a4fc-505b-846b-073266cdf548","position":25,"note_ids":[15],"note_references":[{"offset":388,"note_id":15}],"text":"Calls upon States to take all measures necessary to ensure the right of women and girls to the enjoyment of the highest attainable standard of health, including sexual and reproductive health, and reproductive rights, in accordance with the Programme of Action of the International Conference on Population and Development,Error: Reference source not found the Beijing Platform for Action and the outcome documents of their review conferences, and to develop sustainable health systems and social services with a view to ensuring access to such systems and services without discrimination, while paying special attention to adequate food and nutrition, water and sanitation, family planning information, increasing women’s empowerment, knowledge and awareness and ensuring equitable access to high-quality appropriate prenatal and delivery care for the prevention of obstetric fistula and the reduction of health inequities, as well as postnatal care for the detection and early management of fistula cases;","type":"paragraph","heading_level":null,"paragraph_type":"operative","paragraph_level":1,"prefix":"3.","links":[],"textWithHighlights":"*Calls upon* <<States>> to take all measures necessary to ensure the right of women and girls to the enjoyment of the highest attainable standard of health, including sexual and reproductive health, and reproductive rights, in accordance with the Programme of Action of the International Conference on Population and Development,Error: Reference source not found the Beijing Platform for Action and the outcome documents of their review conferences, and to develop sustainable health systems and social services with a view to ensuring access to such systems and services without discrimination, while paying special attention to adequate food and nutrition, water and sanitation, family planning information, increasing women’s empowerment, knowledge and awareness and ensuring equitable access to high-quality appropriate prenatal and delivery care for the prevention of obstetric fistula and the reduction of health inequities, as well as postnatal care for the detection and early management of fistula cases;","mandates":[{"action_verb":"Calls upon","action_verb_normalized":"call upon","action_verb_type":"directive","assignees":[{"assignee":"States","assignee_normalized":"States","assignee_type":"unclear"}],"mentioned_entities":[],"deliverables":[]}],"section":"main","text_index":1,"parser_version":"sem-v5","source":"digitallibrary"},{"extraction_quality_warning":false,"id":"31ca815c-20d3-56d3-9b31-17b96455bd17","position":26,"note_ids":[],"note_references":[],"text":"Also calls upon States to ensure the right to education of good quality for women and girls, on an equal basis with men and boys, and to ensure that they complete a full course of primary education, and to renew their efforts to improve and expand girls’ and women’s education at all levels, including at the secondary and higher levels, and including age-appropriate sex education, as well as vocational education and technical training, in order to, inter alia, achieve gender equality, the empowerment of women and girls and poverty eradication;","type":"paragraph","heading_level":null,"paragraph_type":"operative","paragraph_level":1,"prefix":"4.","links":[],"textWithHighlights":"Also *calls upon* <<States>> to ensure the right to education of good quality for women and girls, on an equal basis with men and boys, and to ensure that they complete a full course of primary education, and to renew their efforts to improve and expand girls’ and women’s education at all levels, including at the secondary and higher levels, and including age-appropriate sex education, as well as vocational education and technical training, in order to, inter alia, achieve gender equality, the empowerment of women and girls and poverty eradication;","mandates":[{"action_verb":"calls upon","action_verb_normalized":"call upon","action_verb_type":"directive","assignees":[{"assignee":"States","assignee_normalized":"States","assignee_type":"unclear"}],"mentioned_entities":[],"deliverables":[]}],"section":"main","text_index":1,"parser_version":"sem-v5","source":"digitallibrary"},{"extraction_quality_warning":false,"id":"23dda488-6c31-5b23-8d3d-4a62d68cbb78","position":27,"note_ids":[],"note_references":[],"text":"Urges States to enact and strictly enforce laws to ensure that marriage, including in rural and remote areas, is entered into only with the free and full consent of the intending spouses and, in addition, to enact and strictly enforce laws concerning the minimum legal age of consent and the minimum age for marriage, and to raise the minimum age for marriage where necessary;","type":"paragraph","heading_level":null,"paragraph_type":"operative","paragraph_level":1,"prefix":"5.","links":[],"textWithHighlights":"*Urges* <<States>> to enact and strictly enforce laws to ensure that marriage, including in rural and remote areas, is entered into only with the free and full consent of the intending spouses and, in addition, to enact and strictly enforce laws concerning the minimum legal age of consent and the minimum age for marriage, and to raise the minimum age for marriage where necessary;","mandates":[{"action_verb":"Urges","action_verb_normalized":"urge","action_verb_type":"directive","assignees":[{"assignee":"States","assignee_normalized":"States","assignee_type":"unclear"}],"mentioned_entities":[],"deliverables":[]}],"section":"main","text_index":1,"parser_version":"sem-v5","source":"digitallibrary"},{"extraction_quality_warning":false,"id":"b8d02005-a6d6-5a88-ac58-0cb4adfa987f","position":28,"note_ids":[],"note_references":[],"text":"Calls upon the international community to provide intensified technical and financial support, in particular to high-burden countries, to accelerate progress towards the achievement of Millennium Development Goal 5 by 2015 and the elimination of obstetric fistula in the remaining days of the Millennium Development Goals and beyond 2015;","type":"paragraph","heading_level":null,"paragraph_type":"operative","paragraph_level":1,"prefix":"6.","links":[],"textWithHighlights":"*Calls upon* <<the international community>> to provide intensified technical and financial support, in particular to high-burden countries, to accelerate progress towards the achievement of Millennium Development Goal 5 by 2015 and the elimination of obstetric fistula in the remaining days of the Millennium Development Goals and beyond 2015;","mandates":[{"action_verb":"Calls upon","action_verb_normalized":"call upon","action_verb_type":"directive","assignees":[{"assignee":"the international community","assignee_normalized":"international community","assignee_type":"ngo_other"}],"mentioned_entities":[],"deliverables":[]}],"section":"main","text_index":1,"parser_version":"sem-v5","source":"digitallibrary"},{"extraction_quality_warning":false,"id":"713bc1ae-21da-5825-b5bf-99b58cba35d6","position":29,"note_ids":[],"note_references":[],"text":"Urges multilateral donors, international financial institutions and regional development banks in the public and private sectors, within their respective mandates, to review and implement policies to support national efforts and institutional capacity-building to end obstetric fistula and to ensure that a higher proportion of resources reach young women and girls, in particular in rural and remote areas, as well as to ensure that needed funding is increased, predictable and sustained;","type":"paragraph","heading_level":null,"paragraph_type":"operative","paragraph_level":1,"prefix":"7.","links":[],"textWithHighlights":"*Urges* <<multilateral donors, international financial institutions and regional development banks in the public and private sectors>>, within their respective mandates, to review and implement policies to support national efforts and institutional capacity-building to end obstetric fistula and to ensure that a higher proportion of resources reach young women and girls, in particular in rural and remote areas, as well as to ensure that needed funding is increased, predictable and sustained;","mandates":[{"action_verb":"Urges","action_verb_normalized":"urge","action_verb_type":"directive","assignees":[{"assignee":"multilateral donors, international financial institutions and regional development banks in the public and private sectors","assignee_normalized":"multilateral donors","assignee_type":"ngo_other"}],"mentioned_entities":[],"deliverables":[]}],"section":"main","text_index":1,"parser_version":"sem-v5","source":"digitallibrary"},{"extraction_quality_warning":false,"id":"45135738-ae00-5ce7-a9a5-dd6a1c76716c","position":30,"note_ids":[],"note_references":[],"text":"Calls upon the international community to support the activities of the United Nations Population Fund and other partners, including the World Health Organization, in the global Campaign to End Fistula in establishing and financing regional fistula treatment and training centres and, where necessary, national centres, by identifying and supporting health facilities that have the potential to serve as centres for treatment, training and convalescent care;","type":"paragraph","heading_level":null,"paragraph_type":"operative","paragraph_level":1,"prefix":"8.","links":[],"textWithHighlights":"*Calls upon* <<the international community>> to support the activities of the United Nations Population Fund and other partners, including the World Health Organization, in the global Campaign to End Fistula in establishing and financing regional fistula treatment and training centres and, where necessary, national centres, by identifying and supporting health facilities that have the potential to serve as centres for treatment, training and convalescent care;","mandates":[{"action_verb":"Calls upon","action_verb_normalized":"call upon","action_verb_type":"directive","assignees":[{"assignee":"the international community","assignee_normalized":"international community","assignee_type":"ngo_other"}],"mentioned_entities":[],"deliverables":[]}],"section":"main","text_index":1,"parser_version":"sem-v5","source":"digitallibrary"},{"extraction_quality_warning":false,"id":"fe552df4-6586-5e04-bc1a-ddcb4e65131a","position":31,"note_ids":[],"note_references":[],"text":"Calls upon States to accelerate progress in order to improve maternal health in the remaining days of the Millennium Development Goals and beyond 2015, by addressing sexual and reproductive, maternal, newborn and child health in a comprehensive manner, inter alia, through the provision of family planning, prenatal care, skilled attendance at birth, emergency obstetric and newborn care, postnatal care and methods of prevention and treatment of sexually transmitted diseases and infections, such as HIV, within strengthened health-care systems that provide equal access to affordable, equitable and high-quality integrated health-care services and include community-based preventive and clinical care, as also reflected in the outcome document of the high-level plenary meeting of the General Assembly on the Millennium Development Goals, entitled “Keeping the promise: united to achieve the Millennium Development Goals”,Error: Reference source not found and in the Secretary-General’s Global Strategy for Women’s and Children’s Health;","type":"paragraph","heading_level":null,"paragraph_type":"operative","paragraph_level":1,"prefix":"9.","links":[],"textWithHighlights":"*Calls upon* <<States>> to accelerate progress in order to improve maternal health in the remaining days of the Millennium Development Goals and beyond 2015, by addressing sexual and reproductive, maternal, newborn and child health in a comprehensive manner, inter alia, through the provision of family planning, prenatal care, skilled attendance at birth, emergency obstetric and newborn care, postnatal care and methods of prevention and treatment of sexually transmitted diseases and infections, such as HIV, within strengthened health-care systems that provide equal access to affordable, equitable and high-quality integrated health-care services and include community-based preventive and clinical care, as also reflected in the outcome document of the high-level plenary meeting of the General Assembly on the Millennium Development Goals, entitled “Keeping the promise: united to achieve the Millennium Development Goals”,Error: Reference source not found and in the Secretary-General’s Global Strategy for Women’s and Children’s Health;","mandates":[{"action_verb":"Calls upon","action_verb_normalized":"call upon","action_verb_type":"directive","assignees":[{"assignee":"States","assignee_normalized":"States","assignee_type":"unclear"}],"mentioned_entities":[],"deliverables":[]}],"section":"main","text_index":1,"parser_version":"sem-v5","source":"digitallibrary"},{"extraction_quality_warning":false,"id":"1b83e4d9-a4f1-518a-a2a7-0cca6cf1f048","position":32,"note_ids":[],"note_references":[],"text":"Urges the international community to address the shortage of doctors and the inequitable distribution of midwives, nurses and other health-care workers trained in lifesaving obstetric care, and of space and supplies, which limit the capacity of most fistula centres;","type":"paragraph","heading_level":null,"paragraph_type":"operative","paragraph_level":1,"prefix":"10.","links":[],"textWithHighlights":"*Urges* <<the international community>> to address the shortage of doctors and the inequitable distribution of midwives, nurses and other health-care workers trained in lifesaving obstetric care, and of space and supplies, which limit the capacity of most fistula centres;","mandates":[{"action_verb":"Urges","action_verb_normalized":"urge","action_verb_type":"directive","assignees":[{"assignee":"the international community","assignee_normalized":"international community","assignee_type":"ngo_other"}],"mentioned_entities":[],"deliverables":[]}],"section":"main","text_index":1,"parser_version":"sem-v5","source":"digitallibrary"},{"extraction_quality_warning":false,"id":"3c41ffd8-7537-543b-8ce2-eeaff3ff7fd5","position":33,"note_ids":[],"note_references":[],"text":"Commends the commemoration by the international community of 23 May as the International Day to End Obstetric Fistula and the decision to continue to use the International Day each year to significantly raise awareness and intensify actions towards ending obstetric fistula;","type":"paragraph","heading_level":null,"paragraph_type":"operative","paragraph_level":1,"prefix":"11.","links":[],"textWithHighlights":"*Commends* the commemoration by the international community of 23 May as the International Day to End Obstetric Fistula and the decision to continue to use the International Day each year to significantly raise awareness and intensify actions towards ending obstetric fistula;","mandates":[{"action_verb":"Commends","action_verb_normalized":"commend","action_verb_type":"evaluative","assignees":[],"mentioned_entities":[],"deliverables":[]}],"section":"main","text_index":1,"parser_version":"sem-v5","source":"digitallibrary"},{"extraction_quality_warning":false,"id":"51ff3f43-6501-5b06-8d4a-4c8a030c0627","position":34,"note_ids":[],"note_references":[],"text":"Calls upon States and/or the relevant funds and programmes, organs and the specialized agencies of the United Nations system, within their respective mandates, and invites the international financial institutions and all relevant actors of civil society, including non-governmental organizations, and the private sector:","type":"paragraph","heading_level":null,"paragraph_type":"operative","paragraph_level":1,"prefix":"12.","links":[],"textWithHighlights":"*Calls upon* <<States and/or the relevant funds and programmes, organs and the specialized agencies of the United Nations system>>, within their respective mandates, and invites the international financial institutions and all relevant actors of civil society, including non-governmental organizations, and the private sector:","mandates":[{"action_verb":"Calls upon","action_verb_normalized":"call upon","action_verb_type":"directive","assignees":[{"assignee":"States and/or the relevant funds and programmes, organs and the specialized agencies of the United Nations system","assignee_normalized":"States and/or the relevant funds and programmes","assignee_type":"un_system"}],"mentioned_entities":[],"deliverables":[]}],"section":"main","text_index":1,"parser_version":"sem-v5","source":"digitallibrary"},{"extraction_quality_warning":false,"id":"db1313fb-3a90-5b23-841f-0743e4d203e1","position":35,"note_ids":[],"note_references":[],"text":"To redouble their efforts to meet the internationally agreed goal of improving maternal health by making maternal health-care services and obstetric fistula treatment geographically and financially accessible, including by ensuring universal access to skilled attendance at birth and timely access to high-quality emergency obstetric care and family planning, as well as appropriate prenatal and postnatal care;","type":"paragraph","heading_level":null,"paragraph_type":"operative","paragraph_level":2,"prefix":"(a)","links":[],"mandates":[{"action_verb":"Calls upon","action_verb_normalized":"call upon","action_verb_type":"directive","assignees":[],"mentioned_entities":[],"deliverables":[]}],"section":"main","text_index":1,"parser_version":"sem-v5","source":"digitallibrary"},{"extraction_quality_warning":false,"id":"56c5e130-ae46-5c50-bb61-0354490af535","position":36,"note_ids":[],"note_references":[],"text":"To make greater investments in strengthening health systems, ensuring adequately trained and skilled human resources, especially midwives, obstetricians, gynaecologists and doctors, and providing support for the development and maintenance of infrastructure, as well as investments in referral mechanisms, equipment and supply chains, to improve maternal and newborn health-care services and ensure that women and girls have access to the full continuum of care, with functional quality control and monitoring mechanisms in place for all areas of service delivery;","type":"paragraph","heading_level":null,"paragraph_type":"operative","paragraph_level":2,"prefix":"(b)","links":[],"mandates":[{"action_verb":"Calls upon","action_verb_normalized":"call upon","action_verb_type":"directive","assignees":[],"mentioned_entities":[],"deliverables":[]}],"section":"main","text_index":1,"parser_version":"sem-v5","source":"digitallibrary"},{"extraction_quality_warning":false,"id":"fb0fcabb-e32d-57e3-be18-bc199811ee35","position":37,"note_ids":[],"note_references":[],"text":"To support the training of doctors, nurses and other health-care workers in lifesaving obstetric care, especially midwives, who are the front-line workers in the fight to prevent obstetric fistula and maternal and newborn mortality, and include training on fistula repair, treatment and care as a standard element of the training curricula of health professionals;","type":"paragraph","heading_level":null,"paragraph_type":"operative","paragraph_level":2,"prefix":"(c)","links":[],"mandates":[{"action_verb":"Calls upon","action_verb_normalized":"call upon","action_verb_type":"directive","assignees":[],"mentioned_entities":[],"deliverables":[]}],"section":"main","text_index":1,"parser_version":"sem-v5","source":"digitallibrary"},{"extraction_quality_warning":false,"id":"f6c79a7b-a010-5312-8395-99886cbe5eef","position":38,"note_ids":[],"note_references":[],"text":"To ensure equitable access through national policies, plans and programmes that make maternal and newborn health-care services, particularly family planning, skilled attendance at birth, emergency obstetric and newborn care and obstetric fistula treatment, financially accessible, including in rural and remote areas and among the poorest women and girls, through, where appropriate, the establishment and distribution of health-care facilities and trained medical personnel, collaboration with the transport sector for affordable transport options, the promotion of and support for community-based solutions and the provision of incentives and other means to secure the presence in rural and remote areas of qualified health-care professionals who are able to perform interventions to prevent obstetric fistula;","type":"paragraph","heading_level":null,"paragraph_type":"operative","paragraph_level":2,"prefix":"(d)","links":[],"mandates":[{"action_verb":"Calls upon","action_verb_normalized":"call upon","action_verb_type":"directive","assignees":[],"mentioned_entities":[],"deliverables":[]}],"section":"main","text_index":1,"parser_version":"sem-v5","source":"digitallibrary"},{"extraction_quality_warning":false,"id":"1ff79150-af1a-58d7-a1ba-5aa90e9a6056","position":39,"note_ids":[],"note_references":[],"text":"To develop, implement and support national and international prevention, care and treatment and socioeconomic reintegration and support strategies, policies and plans to eliminate obstetric fistula, to develop further multisectoral, multidisciplinary, comprehensive and integrated action plans in order to bring about lasting solutions and put an end to maternal mortality and morbidity and obstetric fistula, including by ensuring access to affordable, accessible, comprehensive, high-quality maternal health-care services and, within countries, to incorporate into all sectors of national budgets policy and programmatic approaches to address inequities and reach poor, vulnerable women and girls;","type":"paragraph","heading_level":null,"paragraph_type":"operative","paragraph_level":2,"prefix":"(e)","links":[],"mandates":[{"action_verb":"Calls upon","action_verb_normalized":"call upon","action_verb_type":"directive","assignees":[],"mentioned_entities":[],"deliverables":[]}],"section":"main","text_index":1,"parser_version":"sem-v5","source":"digitallibrary"},{"extraction_quality_warning":false,"id":"2b428c05-2347-5326-9222-2ad88ed3d780","position":40,"note_ids":[],"note_references":[],"text":"To establish or strengthen, as appropriate, a national task force for obstetric fistula, led by the Ministry of Health, to enhance national coordination and improve partner collaboration to end obstetric fistula;","type":"paragraph","heading_level":null,"paragraph_type":"operative","paragraph_level":2,"prefix":"(f)","links":[],"mandates":[{"action_verb":"Calls upon","action_verb_normalized":"call upon","action_verb_type":"directive","assignees":[],"mentioned_entities":[],"deliverables":[]}],"section":"main","text_index":1,"parser_version":"sem-v5","source":"digitallibrary"},{"extraction_quality_warning":false,"id":"b4d89f0c-5c1f-54c0-8d81-8ca7eeadba27","position":41,"note_ids":[],"note_references":[],"text":"To strengthen the capacity of health-care systems, in particular public health systems, to provide the essential services needed to prevent obstetric fistula and to treat existing cases by increasing national budgets for health, ensuring that adequate funds are allocated to reproductive health, including for obstetric fistula, ensuring access to fistula treatment through increased availability of trained, expert fistula surgeons and permanent, holistic fistula services integrated into strategically selected hospitals, thereby addressing the significant backlog of women and girls awaiting surgical repair of fistula, and encouraging communication among fistula centres to facilitate training, research, advocacy and fundraising and the application of relevant medical standards, including consideration of the use of the World Health Organization manual entitled “Obstetric Fistula: Guiding Principles for Clinical Management and Programme Development”, which provides background information and principles for developing fistula prevention and treatment programmes, as appropriate;","type":"paragraph","heading_level":null,"paragraph_type":"operative","paragraph_level":2,"prefix":"(g)","links":[],"mandates":[{"action_verb":"Calls upon","action_verb_normalized":"call upon","action_verb_type":"directive","assignees":[],"mentioned_entities":[],"deliverables":[]}],"section":"main","text_index":1,"parser_version":"sem-v5","source":"digitallibrary"},{"extraction_quality_warning":false,"id":"d587de88-72d9-50d6-a678-2d369fade838","position":42,"note_ids":[],"note_references":[],"text":"To mobilize funding to provide free or adequately subsidized maternal health-care and obstetric fistula repair and treatment services, including by encouraging networking among providers and the sharing of new treatment techniques and protocols to protect women’s and children’s well-being and survival and to prevent the recurrence of subsequent fistulas by making post-surgery follow-up and the tracking of fistula patients a routine and key component of all fistula programmes, and also to ensure access to elective caesarean sections for fistula survivors who become pregnant again in order to prevent fistula recurrence and to increase the chances of survival of mother and baby in all subsequent pregnancies;","type":"paragraph","heading_level":null,"paragraph_type":"operative","paragraph_level":2,"prefix":"(h)","links":[],"mandates":[{"action_verb":"Calls upon","action_verb_normalized":"call upon","action_verb_type":"directive","assignees":[],"mentioned_entities":[],"deliverables":[]}],"section":"main","text_index":1,"parser_version":"sem-v5","source":"digitallibrary"},{"extraction_quality_warning":false,"id":"7f232f3d-03b3-52a2-81b3-7c22309fd526","position":43,"note_ids":[],"note_references":[],"text":"To ensure that all women and girls who have undergone fistula treatment, including the forgotten women and girls with incurable or inoperable fistula, are provided with and have access to comprehensive health-care services, holistic social integration services and careful follow-up, including counselling, education, family planning and socioeconomic empowerment, for as long as needed, through, inter alia, skills development and income-generating activities, so that they can overcome abandonment and social exclusion, and to develop linkages with civil society organizations and women’s and girls’ empowerment programmes so as to help to achieve this goal;","type":"paragraph","heading_level":null,"paragraph_type":"operative","paragraph_level":2,"prefix":"(i)","links":[],"mandates":[{"action_verb":"Calls upon","action_verb_normalized":"call upon","action_verb_type":"directive","assignees":[],"mentioned_entities":[],"deliverables":[]}],"section":"main","text_index":1,"parser_version":"sem-v5","source":"digitallibrary"},{"extraction_quality_warning":false,"id":"4037ea86-a957-5cd1-a493-8b568c276912","position":44,"note_ids":[],"note_references":[],"text":"To empower fistula survivors to contribute to community sensitization and mobilization as advocates for fistula elimination, safe motherhood and newborn survival;","type":"paragraph","heading_level":null,"paragraph_type":"operative","paragraph_level":2,"prefix":"(j)","links":[],"mandates":[{"action_verb":"Calls upon","action_verb_normalized":"call upon","action_verb_type":"directive","assignees":[],"mentioned_entities":[],"deliverables":[]}],"section":"main","text_index":1,"parser_version":"sem-v5","source":"digitallibrary"},{"extraction_quality_warning":false,"id":"c905877e-ce77-554f-9471-a45b6f47bc4e","position":45,"note_ids":[],"note_references":[],"text":"To educate individual women and men, girls and boys, communities, policymakers and health professionals about how obstetric fistula can be prevented and treated, and increase awareness of the needs of pregnant women and girls, as well as of those who have undergone surgical fistula repair, including their right to the highest attainable standard of health, including sexual and reproductive health, by working with community and religious leaders, traditional birth attendants, women and girls who have suffered from fistula, the media, social workers, civil society, women’s organizations, influential public figures and policymakers;","type":"paragraph","heading_level":null,"paragraph_type":"operative","paragraph_level":2,"prefix":"(k)","links":[],"mandates":[{"action_verb":"Calls upon","action_verb_normalized":"call upon","action_verb_type":"directive","assignees":[],"mentioned_entities":[],"deliverables":[]}],"section":"main","text_index":1,"parser_version":"sem-v5","source":"digitallibrary"},{"extraction_quality_warning":false,"id":"682002ff-2e62-50fa-a77a-950b5efd5138","position":46,"note_ids":[],"note_references":[],"text":"To enhance the participation of men and adolescent boys in the intensification of efforts to end obstetric fistula and to further strengthen their involvement as partners, including in the Campaign to End Fistula;","type":"paragraph","heading_level":null,"paragraph_type":"operative","paragraph_level":2,"prefix":"(l)","links":[],"mandates":[{"action_verb":"Calls upon","action_verb_normalized":"call upon","action_verb_type":"directive","assignees":[],"mentioned_entities":[],"deliverables":[]}],"section":"main","text_index":1,"parser_version":"sem-v5","source":"digitallibrary"},{"extraction_quality_warning":false,"id":"cdece239-9ca8-5889-bde0-433853733ae9","position":47,"note_ids":[],"note_references":[],"text":"To strengthen awareness-raising and advocacy, including through the media, to effectively reach families and communities with key messages on fistula prevention and treatment and social reintegration;","type":"paragraph","heading_level":null,"paragraph_type":"operative","paragraph_level":2,"prefix":"(m)","links":[],"mandates":[{"action_verb":"Calls upon","action_verb_normalized":"call upon","action_verb_type":"directive","assignees":[],"mentioned_entities":[],"deliverables":[]}],"section":"main","text_index":1,"parser_version":"sem-v5","source":"digitallibrary"},{"extraction_quality_warning":false,"id":"fab079b4-be2d-522c-b2a3-cfc37a193976","position":48,"note_ids":[],"note_references":[],"text":"To strengthen research, monitoring and evaluation systems, including by developing a community- and facility-based mechanism for the systematic notification of obstetric fistula cases and maternal and newborn deaths to ministries of health, and their recording in a national register, and by acknowledging obstetric fistula as a nationally notifiable condition, triggering immediate reporting, tracking and follow-up for the purpose of guiding the development and implementation of maternal health programmes;","type":"paragraph","heading_level":null,"paragraph_type":"operative","paragraph_level":2,"prefix":"(n)","links":[],"mandates":[{"action_verb":"Calls upon","action_verb_normalized":"call upon","action_verb_type":"directive","assignees":[],"mentioned_entities":[],"deliverables":[]}],"section":"main","text_index":1,"parser_version":"sem-v5","source":"digitallibrary"},{"extraction_quality_warning":false,"id":"8c8b34de-f860-5a03-85d4-a524a9b207dc","position":49,"note_ids":[],"note_references":[],"text":"To strengthen research, data collection, monitoring and evaluation to guide the planning and implementation of maternal health programmes, including for obstetric fistula, by conducting up-to-date needs assessments on emergency obstetric and newborn care and for fistula and routine reviews of maternal deaths and near-miss cases as part of a national maternal death surveillance and response system, integrated within national health information systems;","type":"paragraph","heading_level":null,"paragraph_type":"operative","paragraph_level":2,"prefix":"(o)","links":[],"mandates":[{"action_verb":"Calls upon","action_verb_normalized":"call upon","action_verb_type":"directive","assignees":[],"mentioned_entities":[],"deliverables":[]}],"section":"main","text_index":1,"parser_version":"sem-v5","source":"digitallibrary"},{"extraction_quality_warning":false,"id":"6b2c7780-bab3-5725-8af0-b242fed0c5e1","position":50,"note_ids":[],"note_references":[],"text":"To improve data collection, pre- and post-surgery, to measure progress in addressing the needs for surgical treatment and the quality of surgery, rehabilitation and socioeconomic reintegration services, including post-surgery prospects for successful subsequent pregnancies, live births and severe health-related complications, so as to address the challenges of improving maternal health;","type":"paragraph","heading_level":null,"paragraph_type":"operative","paragraph_level":2,"prefix":"(p)","links":[],"mandates":[{"action_verb":"Calls upon","action_verb_normalized":"call 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