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Rights-Base Approaches to Public Health Systems Chapter 2 (Current RB…
Rights-Base Approaches to Public Health Systems
Chapter 2
Focus on underlying determinants of health
language of human rights
legal obligations
international human rights used in policy discourse
Evolution of Human Rights to address Health
ICESCR 1966
UDHR 1948
Declaration of Alma-Ata 1978
education of prevailing health problems
methods of prevention and control
adequate supply of safe water and basic sanitation
maternal and child health care
family planning, immunizations
prevention and control of local endemic diseases
appropriate treatment of common diseases and injuries
provision of essential medicines
Current RB frameworks
UN Committee on Economic, Social and Cultural Rights 2000
Availability
Accessibility
Acceptability
Quality
Comparative Analysis of RB Health System Reforms
Social Determinants of Health, discrete legal obligations
Overall equity as explicit goal of health systems
Human RBAs and Vulnerability
US-based: CEDAW (women), CERD (racial), CRC (child)
Framing health inequities as a "rights violations" offer international standards to which State responsibilities