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sexual health and human rights in the african region - The ICHRP

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discharge its treaty obligations, <strong>in</strong>clud<strong>in</strong>g <strong>in</strong> adopt<strong>in</strong>g appropriate legal<br />

protective measures. Even for jurisdictions that follow a monist tradition,<br />

ratification is not a reliable <strong>in</strong>dicator of <strong>the</strong> domestic enforceability of state<br />

obligation that are <strong>the</strong> state has committed itself to. In <strong>the</strong> absence of domestic<br />

laws <strong>in</strong>corporat<strong>in</strong>g state obligation <strong>in</strong> a ratified <strong>in</strong>struments, ratified <strong>in</strong>struments<br />

promise much more than <strong>the</strong>y can deliver. <strong>The</strong> enormous challenges that <strong>the</strong><br />

African <strong>region</strong> faces <strong>in</strong> respect of HIV/AIDS, early/child marriages, <strong>sexual</strong><br />

violence for example, have not been matched by a commensurate development<br />

of responsive jurisprudence.<br />

[5] Case-law on <strong>sexual</strong> <strong>health</strong> at <strong>the</strong> <strong>region</strong>al level is generally conspicuous by its<br />

absence. <strong>The</strong> African-Charter treaty bodies have yet to contribute tangibly<br />

towards <strong>sexual</strong> <strong>health</strong> jurisprudence, not least because communications on issues<br />

that have a <strong>sexual</strong> <strong>health</strong> dimension have not been forthcom<strong>in</strong>g save for <strong>the</strong><br />

Sudanese case - Doebbler v Sudan. 892 Where <strong>the</strong>re is visible domestic<br />

jurisprudence, <strong>the</strong> African <strong>region</strong> has generally followed a pattern of uneven<br />

development with South Africa tak<strong>in</strong>g <strong>the</strong> lead <strong>in</strong> almost all <strong>the</strong> major areas of<br />

<strong>sexual</strong> <strong>health</strong>. <strong>The</strong> potential of many of <strong>the</strong> domestic constitutional provisions <strong>in</strong><br />

protect<strong>in</strong>g <strong>and</strong> promot<strong>in</strong>g <strong>sexual</strong> <strong>health</strong>, <strong>in</strong>clud<strong>in</strong>g <strong>the</strong> <strong>rights</strong> to equality <strong>and</strong> nondiscrim<strong>in</strong>ation,<br />

has rema<strong>in</strong>ed dormant <strong>and</strong> untested. Constitutional <strong>rights</strong> which<br />

guarantee fundamental <strong>rights</strong> that are consonant with universal <strong>human</strong> <strong>rights</strong><br />

protections have tended <strong>in</strong> many areas to rema<strong>in</strong> as paper <strong>rights</strong> ra<strong>the</strong>r than<br />

tangible <strong>rights</strong> that are fulfilled <strong>in</strong> practice. Fur<strong>the</strong>rmore, <strong>in</strong> those areas where<br />

African jurisdictions have <strong>in</strong>tervened to regulate on matters that bear on <strong>sexual</strong><br />

<strong>health</strong>, with a few exceptions, a <strong>human</strong> <strong>rights</strong>-based approach has generally not<br />

been systematically <strong>in</strong>tegrated as to create an enabl<strong>in</strong>g domestic legal<br />

environment <strong>in</strong> which <strong>the</strong> state has a duty to respect, protect <strong>and</strong> fulfil <strong>sexual</strong><br />

<strong>health</strong>.<br />

9.2 Equality <strong>and</strong> Non-Discrim<strong>in</strong>ation<br />

[6] <strong>The</strong>re is universal recognition of ‘sex’ as a ground protected aga<strong>in</strong>st<br />

discrim<strong>in</strong>ation <strong>in</strong> <strong>region</strong>al <strong>human</strong> <strong>rights</strong> <strong>in</strong>struments as well as <strong>in</strong> domestic<br />

constitutions. However, ‘sex’ has tended to be understood narrowly as a<br />

biological category only but not as social category. Only South Africa is<br />

systematically develop<strong>in</strong>g jurisprudence that is <strong>in</strong>spired by gendered<br />

underst<strong>and</strong><strong>in</strong>g of sex. Fur<strong>the</strong>rmore, save <strong>in</strong> <strong>the</strong> selected area of <strong>in</strong>heritance, sex<br />

<strong>and</strong> gender have generally not been <strong>the</strong> subject of litigation before African<br />

domestic courts.<br />

[7] Though customary law st<strong>and</strong>s <strong>in</strong> conflict with constitutional guarantees of<br />

equality on <strong>the</strong> ground of sex on account of its patriarchal orientation, domestic<br />

892 Doebbler v Sudan (2003) AHRLR 153 (ACHPR 2003). Decision of <strong>the</strong> African Commission on Peoples’<br />

<strong>and</strong> Human Rights.<br />

237

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