期刊论文

【摘要】

Background

Global health institutions increasingly recognize that the right to health should guide the formulation of replacement goals for the Millennium Development Goals, which expire in 2015. However, the right to health’s contribution is undercut by the principle of progressive realization, which links provision of health services to available resources, permitting states to deny even basic levels of health coverage domestically and allowing international assistance for health to remain entirely discretionary.

Discussion

To prevent progressive realization from undermining both domestic and international responsibilities towards health, international human rights law institutions developed the idea of non-derogable “minimum core” obligations to provide essential health services. While minimum core obligations have enjoyed some uptake in human rights practice and scholarship, their definition in international law fails to specify which health services should fall within their scope, or to specify wealthy country obligations to assist poorer countries. These definitional gaps undercut the capacity of minimum core obligations to protect essential health needs against inaction, austerity and illegitimate trade-offs in both domestic and global action. If the right to health is to effectively advance essential global health needs in these contexts, weaknesses within the minimum core concept must be resolved through innovative research on social, political and legal conceptualizations of essential health needs.

Summary

We believe that if the minimum core concept is strengthened in these ways, it will produce a more feasible and grounded conception of legally prioritized health needs that could assist in advancing health equity, including by providing a framework rooted in legal obligations to guide the formulation of new health development goals, providing a baseline of essential health services to be protected as a matter of right against governmental claims of scarcity and inadequate international assistance, and empowering civil society to claim fulfillment of their essential health needs from domestic and global decision-makers.

【授权许可】

2013 Forman et al.; licensee BioMed Central Ltd.

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BMC International Health and Human Rights
What could a strengthened right to health bring to the post-2015 health development agenda?: interrogating the role of the minimum core concept in advancing essential global health needs

Moses Mulumba⁶ Everaldo Lamprea¹ Attiya Waris⁷ Eric Friedman³ Audrey Chapman⁵ Gorik Ooms² Lisa Forman⁴
[1]Los Andes University, Cra 1 Nº 18A- 12, Bogota, Colombia
[2]Institute of Tropical Medicine, Nationalestraat 155, 2000, Antwerp, Belgium
[3]Georgetown University Law Center, 600 New Jersey Avenue NW, Washington DC 20001, USA
[4]Dalla Lana School of Public Health, University of Toronto, 155 College Street, Toronto, Ontario M5T 3M7, Canada
[5]University of Connecticut School of Medicine, 263 Farmington Avenue, Farmington, Connecticut 06030, USA
[6]Centre for Health, Human Rights and Development, Plot 614 Tufnell Drive, Kamwokya, PO Box 16617, Wandegeya, Kampala, Uganda
[7]University of Nairobi, P. O. Box 30197 – 00100 Parklands Campus, Nairobi, Kenya
关键词: Equity; Global health; Post-2015 health development agenda; Millennium development goals; Minimum core obligations; Right to health; Human rights;
Others : 855054 DOI : 10.1186/1472-698X-13-48

received in 2013-06-07, accepted in 2013-11-19, 发布年份 2013
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