Realizing Universal Health Coverage in East Africa: the relevance of human rights

Abstract Applying a robust human rights framework would change thinking and decision-making in efforts to achieve Universal Health Coverage (UHC), and advance efforts to promote women’s, children’s, and adolescents’ health in East Africa, which is a priority under the Sustainable Development Agenda....

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Main Authors: Alicia Ely Yamin, Allan Maleche
Format: Article
Language:English
Published: BMC 2017-08-01
Series:BMC International Health and Human Rights
Subjects:
Online Access:http://link.springer.com/article/10.1186/s12914-017-0128-0
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author Alicia Ely Yamin
Allan Maleche
author_facet Alicia Ely Yamin
Allan Maleche
author_sort Alicia Ely Yamin
collection DOAJ
description Abstract Applying a robust human rights framework would change thinking and decision-making in efforts to achieve Universal Health Coverage (UHC), and advance efforts to promote women’s, children’s, and adolescents’ health in East Africa, which is a priority under the Sustainable Development Agenda. Nevertheless, there is a gap between global rhetoric of human rights and ongoing health reform efforts. This debate article seeks to fill part of that gap by setting out principles of human rights-based approaches (HRBAs), and then applying those principles to questions that countries undertaking efforts toward UHC and promoting women’s, children’s and adolescents’ health, will need to face, focusing in particular on ensuring enabling legal and policy frameworks, establishing fair financing; priority-setting processes, and meaningful oversight and accountability mechanisms. In a region where democratic institutions are notoriously weak, we argue that the explicit application of a meaningful human rights framework could enhance equity, participation and accountability, and in turn the democratic legitimacy of health reform initiatives being undertaken in the region.
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spelling doaj.art-3a501869ce5e4a72bb043a53361bce382022-12-21T21:32:07ZengBMCBMC International Health and Human Rights1472-698X2017-08-0117111010.1186/s12914-017-0128-0Realizing Universal Health Coverage in East Africa: the relevance of human rightsAlicia Ely Yamin0Allan Maleche1Law and Global Health, Harvard TH Chan School of Public HealthKenya Legal & Ethical Issues Network (KELIN)Abstract Applying a robust human rights framework would change thinking and decision-making in efforts to achieve Universal Health Coverage (UHC), and advance efforts to promote women’s, children’s, and adolescents’ health in East Africa, which is a priority under the Sustainable Development Agenda. Nevertheless, there is a gap between global rhetoric of human rights and ongoing health reform efforts. This debate article seeks to fill part of that gap by setting out principles of human rights-based approaches (HRBAs), and then applying those principles to questions that countries undertaking efforts toward UHC and promoting women’s, children’s and adolescents’ health, will need to face, focusing in particular on ensuring enabling legal and policy frameworks, establishing fair financing; priority-setting processes, and meaningful oversight and accountability mechanisms. In a region where democratic institutions are notoriously weak, we argue that the explicit application of a meaningful human rights framework could enhance equity, participation and accountability, and in turn the democratic legitimacy of health reform initiatives being undertaken in the region.http://link.springer.com/article/10.1186/s12914-017-0128-0Universal Health CoverageEast AfricaHuman rightsHealth systemsFair financingPriority-setting
spellingShingle Alicia Ely Yamin
Allan Maleche
Realizing Universal Health Coverage in East Africa: the relevance of human rights
BMC International Health and Human Rights
Universal Health Coverage
East Africa
Human rights
Health systems
Fair financing
Priority-setting
title Realizing Universal Health Coverage in East Africa: the relevance of human rights
title_full Realizing Universal Health Coverage in East Africa: the relevance of human rights
title_fullStr Realizing Universal Health Coverage in East Africa: the relevance of human rights
title_full_unstemmed Realizing Universal Health Coverage in East Africa: the relevance of human rights
title_short Realizing Universal Health Coverage in East Africa: the relevance of human rights
title_sort realizing universal health coverage in east africa the relevance of human rights
topic Universal Health Coverage
East Africa
Human rights
Health systems
Fair financing
Priority-setting
url http://link.springer.com/article/10.1186/s12914-017-0128-0
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