water and adequate sanitation facilities, hospitals, clinics and other healthrelated buildings, trained medical and professional personnel.”93 340. Accessibility means that the right to health is within reach of every individual without discrimination and it is composed of the following components: nondiscrimination, physical accessibility, economical accessibility, informational accessibility.94 Acceptability requires that “all health facilities good and services must be respectful of medical ethics, and be culturally appropriate.”95 In terms of quality, the health services are required to be “scientifically and medically appropriate and of good quality.”96 341. The Court also takes note of General Comment No. 14 (2000), which obligates states to mainstream gender in all the health policies, planning, programmes and research.97 Notably, the requirement of the right to health is in relation to the “highest attainable standard of health”, in other words, states are obliged to take the necessary steps “to the maximum of its available resources”. 342. The Court observes that if a State is unwilling to use its maximum available resources then it will be in breach of its obligations. The burden of proof rests on the State to demonstrate that it has made use of all available resources in order to satisfy its obligations on the right to health. 343. In this regard, it is critical to recall that, under the General Comment No. 14 (2000), the core obligations of states which relate to providing primary health care and which constitutes the minimum required standard, is as follows: 93 General Comment No. 14, ibid, § 12(a). General Comment No. 14, ibid, para 12(b). 95 Ibid, § 12(c). 96 Ibid, § 12(d). 97 Ibid, § 20. 94 77

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