134. The Court notes that the use of gender stereotypes in criminal proceedings may reveal
a violation of the right to presumption of innocence, of the duty to provide the reasons for a
decision, and of the right to be tried by an impartial court. On this basis, the Court will now
examine: (a) the investigations conducted, and (b) the reasoning behind the guilty verdict.
B.2.a The investigations
135. The Court has indicated that the criminal proceedings, which represent the State’s
investigative and judicial response, should constitute an appropriate means to conduct a
genuine search for the truth of what happened by an adequate assessment of the different
hypotheses concerning the method and circumstances of the offense. 243 Consequently, owing
to the principle of presumption of innocence, investigating agencies must investigate not only
the perpetration of the offense, but also the possibility that no offense has occurred. This
same obligations was recognized in Salvadoran legislation at the time of the facts. 244
136. In the instant case, the principle of presumption of innocence meant that the domestic
authorities should have investigated all the logical lines of inquiry, including the possibility
that the newborn’s death was not caused by Manuela, and this theory could have been
assessed by investigating her health situation and whether this could have had an impact at
the time of the birth.
137. In this regard, the Court notes that Manuela was diagnosed with severe preeclampsia,
which may result in precipitate delivery and increase the risk of perinatal mortality and
morbidity, placental abruption, asphyxia and intrauterine fetal death.245 In addition, Manuela
suffered from a postpartum hemorrhage, caused by the placental retention and tears to the
delivery canal.246 As a result of the postpartum hemorrhage, Manuela was possibly in a state
that made it impossible for her, at the moment of the birth “to look after herself or to be able
to look after someone else.”247 Furthermore, Manuela had visible lumps in her neck, which
were subsequently diagnosed as Hodgkin’s lymphoma; this could have contributed to the
appearance of anemia, which may result in a preterm delivery.248
rights, p. 5. Available
Stereotypes_EN.pdf
243
at:
https://www.ohchr.org/Documents/Issues/Women/WRGS/JudiciaryRoleCounter
Case of Zegarra Marín v. Peru, supra, para. 142.
Article 238. As soon as the Prosecutor General becomes aware of a wrongful act, either by a report or in any
other reliable way, he shall endeavor to ensure that there are no further consequences and shall initiate the
investigation, subject to the exceptions authorized by this Code or by law. The prosecutor shall investigate not only
the circumstances that prove the charges, but also those that serve to excuse the accused, endeavoring to urgently
gather evidence that could be lost. If it is deemed necessary to conduct a procedure in keeping with those established
for definitive or non-reproducible evidence or if a court order is required, this shall be requested immediately from
the competent magistrate; in urgent cases, the nearest one. He shall also conduct the investigations that the accused
or his defense counsel request to clarify the incident and his situation Cf. Code of Criminal Procedure of El Salvador,
Legislative Decree No. 776 of 1996, article 238. Available at: http://www.oas.org/juridico/spanish/mesicic3_slv_
procesal.pdf
244
245
3847).
Cf. Expert opinion provided by affidavit by José Mario Nájera Ochoa on March 5, 2021 (evidence file, folio
Cf. Expert opinion provided by Guillermo Antonio Ortiz Avendaño during the public hearing held in this case,
and Communication of the director of the San Francisco Gotera National Hospital of February 29, 2008 (evidence file,
folio 59).
246
247
Cf. Expert opinion provided by Guillermo Antonio Ortiz Avendaño during the public hearing held in this case.
Cf. Expert opinion provided by affidavit by José Mario Nájera Ochoa on March 5, 2021 (evidence file, folios
3846 and 3847); Forensic analysis by Dr. José Mario Nájera Ochoa (evidence file, folio 2165), and Medical appraisal
in the case of Manuela. Review of clinical and hospital treatment in the Cacaopera Health Unit and the San Francisco
National Hospital (evidence file, folio 181).
248
42