Community Law Centre and Others (on behalf on the Five Victims) v Federal Republic of Nigeria (Communication 564 of 2015)
Observed later treatment
No later-treatment classification is recorded for this judgment.
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Holding
The African Commission held that Nigeria did not violate the African Charter or Maputo Protocol. The Commission found the communication admissible under the exception to exhaustion of local remedies due to the large number of victims, the low income of victims unable to access legal aid, and constitutional barriers to litigating economic and social rights. On the merits, the Commission held that the complainants failed to demonstrate how Nigeria's maternal mortality rates resulted from a failure to take necessary measures with available resources, or that the State promoted discriminatory measures. The Commission found no violations of the rights to life, health, dignity, equality, non-discrimination, information, or effective remedy.
Outcome
Communication dismissed on the merits after being declared admissible
Facts
Five women in Nigeria suffered lifelong injuries or death from complications related to pregnancy or childbirth, including obstetric fistulas and haemorrhage. Nigeria has the second highest number of maternal deaths globally, with over 40,000 women dying annually from pregnancy-related causes. The complainants alleged that most deaths were preventable and resulted from inadequate access to maternal health care services. They claimed Nigeria's health expenditure of USD 72 per capita was among the world's lowest, and budget allocation to health was 5-6%, far below the 15% commitment in the 2001 Abuja Declaration. Financial barriers including user fees and compulsory blood donation by spouses prevented poor and rural women from accessing care. Women were detained in health facilities for inability to pay medical bills and subjected to abuse and ill-treatment by health care providers. The conflict with Boko Haram in northern Nigeria exacerbated the situation, with hundreds of women abducted, raped, and denied access to adequate maternal health care.
Issues
- Whether the failure of Nigeria to reduce preventable maternal deaths and injuries constitutes a violation of the right to life under Article 4 of the African Charter and Article 4 of the Maputo Protocol.
- Whether Nigeria's low per capita spending on health and failure to allocate 15% of its budget to health constitutes a violation of the right to health under Article 16 of the African Charter and Article 14 of the Maputo Protocol.
- Whether the denial of maternal health care services, detention of women in health facilities for inability to pay, and abuse by health care providers constitute violations of the right to dignity and the right not to be subjected to torture or cruel, inhuman and degrading treatment under Article 5 of the African Charter.
- Whether financial barriers to maternal health care, compulsory blood donation requirements, and detention for non-payment constitute discrimination against women in violation of Articles 2 and 3 of the African Charter and Article 2 of the Maputo Protocol.
- Whether the lack of access to comprehensive sexual and reproductive health information violates the right to information under Article 9 of the African Charter and Article 14 of the Maputo Protocol.
- Whether the denial of quality maternal health services constitutes a violation of the right to enjoy the benefits of scientific progress.
- Whether the absence of judicial or administrative remedies for victims of maternal mortality and morbidity violates the right to an effective remedy under Article 7 of the African Charter.
- Whether local remedies must be exhausted where there is a large number of victims, serious and massive violations, and victims have low income and cannot access legal aid.
Orders
- Communication declared admissible in accordance with Article 56 of the African Charter.
- Articles 2, 3, 4, 5 and 16 of the African Charter and Articles 2, 4 and 14(1)(b)(c)(f) and (2)(a) and (c) of the Maputo Protocol declared not to have been violated.
- The right to an effective remedy and the right to enjoy the benefits of scientific progress declared not to have been violated.
- All claims for compensation dismissed.
Rules and key headnotes
Legislation cited (22)
- African Charter on Human and Peoples' Rights Article 2
- African Charter on Human and Peoples' Rights Article 3
- African Charter on Human and Peoples' Rights Article 4
- African Charter on Human and Peoples' Rights Article 5
- African Charter on Human and Peoples' Rights Article 7
- African Charter on Human and Peoples' Rights Article 9
- African Charter on Human and Peoples' Rights Article 16
- African Charter on Human and Peoples' Rights Article 18(3)
- African Charter on Human and Peoples' Rights Article 45(3)
- African Charter on Human and Peoples' Rights Article 56
- African Charter on Human and Peoples' Rights Article 62
- African Charter on Human and Peoples' Rights Article 66
- Protocol to the African Charter on Human and Peoples' Rights on the Rights of Women in Africa (Maputo Protocol) Article 2
- Protocol to the African Charter on Human and Peoples' Rights on the Rights of Women in Africa (Maputo Protocol) Article 4
- Protocol to the African Charter on Human and Peoples' Rights on the Rights of Women in Africa (Maputo Protocol) Article 5
- Protocol to the African Charter on Human and Peoples' Rights on the Rights of Women in Africa (Maputo Protocol) Article 10
- Protocol to the African Charter on Human and Peoples' Rights on the Rights of Women in Africa (Maputo Protocol) Article 14
- Protocol to the African Charter on Human and Peoples' Rights on the Rights of Women in Africa (Maputo Protocol) Article 26
- Nigerian Constitution Section 6(6)(c)
- Nigerian Constitution Section 33(1)
- National Health Act Section 20
- Oil Pipelines Act 2004
Cases cited (22)
- Amnesty International and Others v Sudan (Communication 48/90, 50/91, 89/93)
- African Institute for Human Rights and Development v Guinea (Communication 249/02)
- Malawi Africa Association and Others v Mauritania (Communication 54/91-61/91-96/93-98/93-164/97-196/97-210/98)
- Sudan Human Rights Organisation v Sudan (Communication 279/03-296/05)
- Socio-Economic Rights and Accountability Project v Nigeria (Communication 338/07)
- Purohit and Moore v The Gambia (Communication 241/01)
- Tsatu Tsikata v Ghana (Communication 322/2006)
- Open Society Justice Initiative v Cote d'Ivoire (Communication 318/06)
- Socio Economic Rights and Accountability Project v Nigeria (Communication 300/05)
- Social and Economic Rights Action Center v Nigeria (Communication 155/96)
- Forum of Conscience v Sierra Leone (Communication 223/98)
- African Commission on Human and Peoples' Rights v Kenya (Application 006/2012)
- Centre for Minority Rights Development v Kenya (Communication 276/03)
- Egyptian Initiative for Personal Rights v Egypt (Communication 323/06)
- Sir Dawda K Jawara v The Gambia (Communication 147/95-149/96)
- Zimbabwe Lawyers for Human Rights v Zimbabwe (Communication 29/04)
- Kijiji Isiaga v United Republic of Tanzania (Application 032/2015)
- Spilg and Mack v Botswana (Communication 277/03)
- Working Group on Strategic Court Cases v Democratic Republic of Congo (Communication 259/2002)
- Association of Victims of Post Electoral Violence v Cameroon (Communication 272/03)
- World Organisation Against Torture v Democratic Republic of Congo (Communication 325/06)
- Ireland v United Kingdom (Application No. 5310/71)
Full judgment
The original judgment as reported. Read the original PDF before relying on any passage.