Is universal health coverage the practical expression of the right to health care?

被引:38
作者
Ooms, Gorik [1 ,2 ,3 ]
Latif, Laila A. [4 ,5 ]
Waris, Attiya [5 ]
Brolan, Claire E. [6 ]
Hammonds, Rachel [1 ,2 ]
Friedman, Eric A. [3 ]
Mulumba, Moses [7 ]
Forman, Lisa [8 ]
机构
[1] Inst Trop Med, Dept Publ Hlth, B-2000 Antwerp, Belgium
[2] Univ Antwerp, Fac Law, Law & Dev Res Grp, B-2000 Antwerp, Belgium
[3] Georgetown Univ, Ctr Law, ONeill Inst Natl & Global Hlth Law, Washington, DC 20001 USA
[4] Rachier & Amollo Advocates, Nairobi, Kenya
[5] Univ Nairobi, Sch Law, Commercial Law Dept, Nairobi 00100, Kenya
[6] Univ Queensland, Fac Med & Biomed Sci, Sch Populat Hlth, Herston, Qld 4006, Australia
[7] Ctr Hlth Human Rights & Dev, Kampala, Uganda
[8] Univ Toronto, Dalla Lana Sch Publ Hlth, Toronto, ON M5T3M7, Canada
基金
加拿大健康研究院;
关键词
Millennium development goals; Universal health coverage; Right to health;
D O I
10.1186/1472-698X-14-3
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
The present Millennium Development Goals are set to expire in 2015 and their next iteration is now being discussed within the international community. With regards to health, the World Health Organization proposes universal health coverage as a 'single overarching health goal' for the next iteration of the Millennium Development Goals. The present Millennium Development Goals have been criticised for being 'duplicative' or even 'competing alternatives' to international human rights law. The question then arises, if universal health coverage would indeed become the single overarching health goal, replacing the present health-related Millennium Development Goals, would that be more consistent with the right to health? The World Health Organization seems to have anticipated the question, as it labels universal health coverage as "by definition, a practical expression of the concern for health equity and the right to health". Rather than waiting for the negotiations to unfold, we thought it would be useful to verify this contention, using a comparative normative analysis. We found that - to be a practical expression of the right to health - at least one element is missing in present authoritative definitions of universal health coverage: a straightforward confirmation that international assistance is essential, not optional. But universal health coverage is a 'work in progress'. A recent proposal by the United Nations Sustainable Development Solutions Network proposed universal health coverage with a set of targets, including a target for international assistance, which would turn universal health coverage into a practical expression of the right to health care.
引用
收藏
页数:7
相关论文
共 14 条
[1]   Ships passing in the night: The current state of the human rights and development debate seen through the lens of the Millennium Development Goals [J].
Alston, P .
HUMAN RIGHTS QUARTERLY, 2005, 27 (03) :755-829
[2]  
[Anonymous], 2013, World health statistics 2013: A wealth of information on global public health
[3]  
[Anonymous], ACT AG SUST DEV
[4]  
[Anonymous], 1978, INT C PRIM HLTH CAR
[5]  
[Anonymous], 2013, POS HLTH POST 2015 D
[6]   International Norm Dynamics and the "End of Poverty": Understanding the Millennium Development Goals [J].
Fukuda-Parr, Sakiko ;
Hulme, David .
GLOBAL GOVERNANCE, 2011, 17 (01) :17-36
[7]  
High-Level Panel of Eminent Persons on the Post-2015 Development Agenda, 2013, NEW GLOB PART ER POV
[8]   The Sachs report: Investing in health for economic development - Or increasing the size of the crumbs from the rich man's table? Part I [J].
Katz, A .
INTERNATIONAL JOURNAL OF HEALTH SERVICES, 2004, 34 (04) :751-773
[9]  
Ministers of Finance and Ministers of Health of Africa, 2010, TUN DECL VAL MON SUS
[10]  
Smits JanM., 2009, METHODS OF HUMAN RIGHTS RESEARCH