HLT 600 Discussion Public Health is a Right

HLT 600 Discussion Public Health is a Right

HLT 600 Discussion Public Health is a Right

Do you think that public health is a right? Why or why not? Respond to three other peers and provide additional insight and/or constructive comments. One-sentence posts or peer responses are not appropriate and will not receive full credit.

“The enjoyment of the highest attainable standard of health is one of the fundamental rights of every human being without distinction of race, religion, political belief, economic or social condition”.

Almost 70 years after these words were adopted in the Constitution of the World Health Organization, they are more powerful and relevant than ever.

Since day one, the right to health has been central to WHO’s identity and mandate. It is at the heart of my top priority: universal health coverage.

The right to health for all people means that everyone should have access to the health services they need, when and where they need them, without suffering financial hardship.

No one should get sick and die just because they are poor, or because they cannot access the health services they need.

Good health is also clearly determined by other basic human rights including access to safe drinking water and sanitation, nutritious foods, adequate housing, education and safe working conditions.

The right to health also means that everyone should be entitled to control their own health and body, including having access to sexual and reproductive information and services, free from violence and discrimination.

Everyone has the right to privacy and to be treated with respect and dignity. Nobody should be subjected to medical experimentation, forced medical examination, or given treatment without informed consent.

That’s why WHO promotes the idea of people-centred care; it is the embodiment of human rights in the practice of care.

When people are marginalized or face stigma or discrimination, their physical and mental health suffers. Discrimination in health care is unacceptable and is a major barrier to development.

But when people are given the opportunity to be active participants in their own care, instead of passive recipients, their human rights respected, the outcomes are better and health systems become more efficient.

We have a long way to go until everyone – no matter who they are, where they live, or how much money they have – has access to these basic human rights.

The central principle of the 2030 Agenda for Sustainable Development is to ensure that no one is left behind.

I call on all countries to respect and protect human rights in health – in their laws, their health policies and programmes. We must all work together to combat inequalities and discriminatory practices so that everyone can enjoy the benefits of good health, no matter their age, sex, race, religion, health status, disability, sexual orientation, gender identity or migration status.

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Astana, Kazakhstan, 26 October 2018 (PAHO/WHO)–Health is a human right, and it is governments’ responsibility to ensure that right, said the Director of the Pan American Health Organization (PAHO), Dr. Carissa F. Etienne, during the closing session of the Global Conference on Primary Health Care in Astana, Kazakhstan.

“Health is not a privilege, nor a commodity. It is a fundamental human right,” said Etienne, adding that “national governments must lead and own national processes towards universal health, in coordination with partners.”

“Health is not a privilege, nor a commodity. It is a fundamental human right”

The Global Conference on Primary Health Care, held October 25-26, was organized by the World Health Organization (WHO), UNICEF and the Government of Kazakhstan and was attended by representatives of governments, nongovernmental organizations, international agencies, academic institutions and youth organizations.

“We know what works and what we need to do,” said Etienne, referring to what is known as the Primary Health Care (PHC) strategy. Based on the principles of equity and solidarity in health, the PHC strategy was first endorsed by global health leaders 40 years ago in the 1978 Declaration of Alma-Ata, signed in the city that served as Kazakhstan’s capital until 1997.

During the Astana meeting, delegates from more than 120 countries—including many from the Americas—reaffirmed their countries’ commitments to PHC and signed the Declaration of Astana, in which signatory countries pledge to strengthen their primary health care systems as an essential step toward achieving health for everyone, everywhere. Universal health is also called for in the United Nations’ Sustainable Development Goals (SDGs).

PHC is a strategy for human health and well-being and social development that is centered on people, their families and communities. “It is not merely the first level of care, nor it is the provision of a limited package of services for the poor,” said PAHO Director Etienne, who also serves as WHO’s Regional Director for the Americas.

Primary Health Care envisions universal access to comprehensive and quality health care services that focus not just on curing diseases but also on prevention, rehabilitation, and treatment. The strategy also calls for addressing social determinants of health such as poverty, education and housing.

Etienne noted that PHC also requires breaking down barriers to access to health, including financial, geographic, and cultural and gender barriers. It also seeks to overcome the fragmentation and segmentation of health systems and services.

All this “requires State action,” said Etienne. “Without State action, there is no right to health, especially for those living in situations of vulnerability.” She urged governments to listen to the voices of those who have lacked equitable access to health, to better understand their needs and to strengthen their participation and commitment to be able to develop a model of care centered on people and communities.

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