HRBA to Education

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International Development and Globalization
Sonia Gulati

February 6, 2014 Global Health and Human Rights • Right to health is not the same as the right to be (perfectly) healthy o If a child is born deaf, does the child have the right to perfect hearing? Cochlear implants?  No; it is an expensive procedure that puts an extra strain on resources and being deaf is not technically a major restraint on the quality of life—it can be managed. o But, does the child have a right to get the information so he/she can lead a fulfilling life?  Yes! o Skepticism about the human right to health;  Unclear who bears the duty to ensure right to health; concept itself is problematic.  Individual rights and access may be prioritized vs. public health/ health promotion initiatives  Single issue advocacy may be damaging  How does the approach challenge people’s self-advocacy?  Complicated by the “right to live” and “right to die” debates, and Human Right to Health action and lawsuits  What happens if the elite choose to fund only the private health system? What if all our resources go towards curing HIV/AIDS? • There are fundamental human rights that we as a society should be able to fully realize, whereas other human rights come from progressive realization. o Limited resources and funds and often states cannot help you attain certain human rights coming from progressive realization. • Human rights and health o Health is a lot more than the presence of disease;  Human agency view of health; people’s capacity and freedom to lead a meaningful life. • Right to choose how to act • Right to adequate conditions and material resources o Consider people’s rights at end-of-life care, their right to die comfortably rather than their right to be kept alive. How much resources should be set aside for this?  Right to health; is related to the attainment of other human rights as described in the International Bill of Human Rights, including the right to basic needs, education, vocation, access to resources and information, and dignity. • Four key elements; availability, accessibility, acceptability, quality. o What are the most commonly reported issues within these domains?  Availability; sufficient quantity (ie. Consider limited access of those in rural areas), private enterprises on the increase, long wait times.  Accessibility; transportation, out-of-pocket expenses; universal health coverage would make healthcare affordable and accessible.  Acceptability; discrimination based on gender, religion, race, etc. that falls into domain of responsiveness. • Consider women being discriminated/stigmatized heavier than men for having an STD.  Quality; issues around evidence-based medicine, safety issues when coming to receiving care, etc.
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