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Joint Submission to UN Special Rapporteur on Health: Health and Care Workers as Human Rights Defenders
11 June 2025
Joint Submission to UN Special Rapporteur on Health: Health and Care Workers as Human Rights Defenders
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We the undersigned 115 reproductive health, rights, and justice organizations are dedicated to the protection and realization of human rights for all people, and we are deeply concerned about the United States Government’s decision to withdraw from the Universal Periodic Review (UPR) process, an unprecedented step that signals a worrying retreat from our human rights obligations and the global mechanisms of accountability.
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The remit of the UN Special Rapporteur on Violence against Women and Girls’ mandate is to consider the human rights implications of violence against all individuals involved in surrogacy arrangements: gamete donors and surrogates, intending parent(s), and children, once born, from this process...The practice of surrogacy is not inherently coercive or exploitative and does not amount to a human rights violation. Attempts to criminalize surrogacy fall short of the duty of governments to help realize the enjoyment of human rights for all.
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As the United States (“US”) approaches its 4th Universal Periodic Review (“UPR”), individuals’ sexual and reproductive health and rights have significantly deteriorated across the country, particularly with regard to abortion and related healthcare. Following the Supreme Court’s 2022 decision, Dobbs v. Jackson Women’s Health Organization,1 a growing number of states have implemented complete bans or aggressive restrictions on abortion, resulting in millions without access to care. Many seeking care, particularly in the South, are now forced to travel long(er) distances, seek medication through additional formal and informal means, or continue pregnancies against their will. Simultaneously, states are increasingly hostile to and criminalizing abortion seekers and providers, third parties who help individuals access care, and/or circumstances surrounding pregnancy, with laws that impose harsh penalties including fines, prosecution, and imprisonment.
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Q&A: How International Law Protects Access to Abortion in Cases of Conscientious Objection
Around 80 countries expressly allow healthcare providers to refuse to provide abortion care based on their conscience, religion, or belief. This practice is referred to as ‘conscientious objection’. Conscientious objection is often unregulated or insufficiently regulated, which can create a significant barrier to care. Inadequate regulatory regimes violate international human rights law and standards, endanger the health and wellbeing of persons seeking care, overburden healthcare providers and systems, and reinforce harmful stereotypes that stigmatize patients and professionals who provide abortion services. Because conscientious objection has become a significant barrier to abortion care, the United Nations Working Group on Discrimination against Women and Girls (WGDAWG) has issued new guidance on the obligation of governments that permit conscientious objection to ensure it does not create barriers to the realization of women’s and girls’ sexual and reproductive health rights.
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