(2017) 1 African Human Rights Yearbook
101
medical services. Instead, they must supervise and regulate the health
practices and policies of private health facilities.110 It also found that
Brazil had violated Alyne’s right to access to justice guaranteed in
article 2(c), due to the delays and ultimate lack of redress. It further
determined that the government had failed in its obligation to exercise
due diligence in ensuring that private healthcare providers deliver
sufficient care as provided for in article 2(e) of the Convention.111 It also
held that Alyne’s right to non-discrimination, defined under article 1,
had been violated.112
The Committee issued both individual and broader remedies aimed
at addressing structural shortcomings. It mandated individual
remedies such as reparation to Alyne’s family, including financial
compensation.113 It also required the government to ensure maternal
healthcare was affordable to all women,114 and to train healthcare
providers about women’s reproductive rights including quality care
during pregnancy and timely emergency obstetric care.115 The
Committee asked the government to provide effective remedies for
violations of women’s reproductive rights,116 to make certain that
health centres respect reproductive healthcare standards,117 to punish
providers who violate women’s reproductive rights,118 and to
implement a national law to reduce maternal mortality and
morbidity.119
The case also established state responsibility for private healthcare
facilities, and can offer the African Court on Human and Peoples’
Rights (African Court) crucial insights on the role it could play to
develop and strengthen standards and ensure accountability for
preventable maternal mortality and morbidity.
4
POTENTIAL OF THE AFRICAN COURT AND
COMMISSION TO DEVELOP NORMS ON
MATERNAL MORTALITY
As noted above, all the three major human rights instruments in the
region – the African Charter, the African Children’s Rights Charter and
the African Women’s Rights Protocol – contain important provisions
relevant in addressing maternal mortality as a human rights violation.
Furthermore, both the African Court and the African Commission have
110
111
112
113
114
115
116
117
118
119
As above, para 7.5.
As above, para 8.
As above.
As above, para 8.1.
As above, para 8.2(a).
As above, para 8.2(b).
As above, para 8.2(c).
As above, para 8.2(d).
As above, para 8.2(e).
As above, para 8.2(f).