Health and Human Rights最新文献_第5页

The Right to Health: Looking beyond Health Facilities. 健康权:超越卫生设施。

IF 3.7 3区医学

Health and Human Rights Pub Date : 2023-06-01

Agnes Binagwaho, Kedest Mathewos

引用次数: 0

Self-Managed Abortion in Africa: The Decriminalization Imperative in Regional Human Rights Standards. 非洲的自我管理堕胎：区域人权标准中的非刑罪化要求》。

IF 2.5 3区医学

Health and Human Rights Pub Date : 2023-06-01

Lucía Berro Pizzarossa, Michelle Maziwisa, Ebenezer Durojaye

引用次数: 0

Growing Up Can Be Hard to Do: Reimagining 1 Structurally Supportive Pediatric-to-Adult Transitions of Care from a Rights-Based Perspective. 成长可能很难做到:从基于权利的角度重新想象从结构上支持儿科到成人的护理转变。

IF 3.7 3区医学

Health and Human Rights Pub Date : 2023-06-01

Michelle Munyikwa, Charles K Hammond, Leanne Langmaid, Leah Ratner

{"title":"Growing Up Can Be Hard to Do: Reimagining 1 Structurally Supportive Pediatric-to-Adult Transitions of Care from a Rights-Based Perspective.","authors":"Michelle Munyikwa, Charles K Hammond, Leanne Langmaid, Leah Ratner","doi":"","DOIUrl":"","url":null,"abstract":"Extended life expectancies and shifting dynamics in chronic disease have changed the landscape of public health interventions worldwide, with an increasing emphasis on chronic care. As a result, transition from pediatric to adult care for medically complex adolescents and young adults is a growing area of intervention. Transition medicine is a nascent field whose current emphasis is on middle- and high-income countries, and thus far its methods and discourse have reflected those origins. Through several case-based examples, this paper aims to highlight the possibilities of an analytic approach grounded in structural competency for transforming transition medicine through a human rights-based framework, with an emphasis on imagining a more global framework for transition medicine. Our cases highlight the disparities between patients navigating pediatric to adult-based care, illuminating social stigma, stratification between public and private insurances, engagement in risk-taking behaviors, family conflict, and challenges with transition readiness. To reimagine transition medicine so that it is based on human rights, we must prioritize structural solutions that embrace multisectoral integration and holistic mental health support rather than oppress and marginalize these critical systemic adaptations. We aim to reconfigure this scaffolding to center structures that integrate holistic well-being and imagine alternate realities to healing. Our work contributes to the literature bringing structural competency to new spaces of clinical practice, contextualizing new frontiers for the exploration of chronic diseases across diverse clinical contexts worldwide.","PeriodicalId":46953,"journal":{"name":"Health and Human Rights","volume":"25 1","pages":"51-65"},"PeriodicalIF":3.7,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/2b/1e/hhr-25-01-051.PMC9973513.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9945675","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Global Voices for Global (Epistemic) Justice: Bringing to the Forefront Latin American Theoretical and Activist Contributions to the Pursuit of the Right to Health. 全球之声促进全球(认知)正义:将拉丁美洲理论和活动家对追求健康权的贡献带到最前沿。

IF 3.7 3区医学

Health and Human Rights Pub Date : 2023-06-01

Paola M Sesia

引用次数: 0

Social Accountability and Legal Empowerment Initiatives: Improving the Health of Underserved Roma Communities in Eastern Europe. 社会问责制和法律赋权倡议:改善东欧服务不足的罗姆人社区的健康。

IF 3.7 3区医学

Health and Human Rights Pub Date : 2023-06-01

Marek Szilvasi, Maja Saitovic-Jovanovic

{"title":"Social Accountability and Legal Empowerment Initiatives: Improving the Health of Underserved Roma Communities in Eastern Europe.","authors":"Marek Szilvasi, Maja Saitovic-Jovanovic","doi":"","DOIUrl":"","url":null,"abstract":"Improving the protection of the right to health of ethnic Roma people is one of the most pressing public health challenges in contemporary Europe, as their life expectancy and health status remain significantly lower than their non-Roma counterparts.1 This paper analyzes Roma-led accountability initiatives that embrace social accountability and legal empowerment approaches to advocate for equitable fulfillment of the right to health. While these initiatives have led to the elimination of some harmful health practices (such as illegal cash bribes and violent and abusive treatment by medical professionals) and to improvements in health care, and some Roma communities have become driving forces for local and national health system reforms for advancing the fulfillment of health rights, the health inequalities affecting Roma communities remain significant. This issue also remains largely overlooked by European health research and policy experts, who are mostly reluctant to incorporate analyses of ethnicity and racialization into their research on health inequalities in Europe. The COVID-19 pandemic has further exacerbated these health inequalities.","PeriodicalId":46953,"journal":{"name":"Health and Human Rights","volume":"25 1","pages":"67-79"},"PeriodicalIF":3.7,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/db/7b/hhr-25-01-067.PMC9973508.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9707017","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Five Lessons for Advancing Maternal Health Rights in an Age of Neoliberal Globalization and Conservative Backlash. 在新自由主义全球化和保守主义反弹的时代推进孕产妇健康权利的五个教训。

IF 3.7 3区医学

Health and Human Rights Pub Date : 2023-06-01

Alicia Ely Yamin

{"title":"Five Lessons for Advancing Maternal Health Rights in an Age of Neoliberal Globalization and Conservative Backlash.","authors":"Alicia Ely Yamin","doi":"","DOIUrl":"","url":null,"abstract":"After considerable progress in recent decades, maternal mortality and morbidity (MMM) either stagnated or worsened in most regions of the globe between 2016 and 2020. The world should be outraged given that we have known the key interventions necessary for preventing MMM for over three-quarters of a century. Since the 1990s, human rights advocacy on MMM has gained crucial ground, demonstrating that entitlements related to maternal health are judicially enforceable and delineating rights-based approaches to health in the context of MMM. Nonetheless, evident retrogressions, coupled with ballooning social inequalities, redoubled austerity post-pandemic, and a conservative populist backlash against reproductive rights, underscore the steep challenges we face. This paper offers five lessons gleaned from what we have achieved during the past 30 years of human rights advocacy on maternal health, and where we have fallen short: (1) maternal health is not a technical challenge alone and is inseparable from reproductive justice; (2) reproductive justice requires strengthening health system infrastructures; (3) we must center the political economy of global health in our advocacy, not just national policies; (4) litigation is part of a larger advocacy toolkit, not a go-it-alone strategy; and (5) we must use metrics that tell us why women are dying and what to do.","PeriodicalId":46953,"journal":{"name":"Health and Human Rights","volume":"25 1","pages":"185-194"},"PeriodicalIF":3.7,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/8c/86/hhr-25-01-185.PMC10309149.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9750843","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The Commoditization of Ecosystems within Chile's Mapuche Territory: A Violation of the Human Right to Health. 智利马普切领土内生态系统的商品化:对人权健康的侵犯。

IF 3.7 3区医学

Health and Human Rights Pub Date : 2023-06-01

Marcela Castro Garrido, Ana María Alarcón

{"title":"The Commoditization of Ecosystems within Chile's Mapuche Territory: A Violation of the Human Right to Health.","authors":"Marcela Castro Garrido, Ana María Alarcón","doi":"","DOIUrl":"","url":null,"abstract":"The Araucanía region of Chile is characterized by a significant rural Indigenous population-the Mapuche people-who preserve their cultural beliefs about the world around them. This region is also distinguished by the conflict between the Mapuche people and the Chilean government. The Chilean state has supported the development of extractive projects such as industrial plantations, hydroelectric plants, and aquaculture, using nature to generate profits. This has collided with the Mapuche's inextricable relationship with nature and territory, which they value as a spiritual and historical space. Our qualitative study, conducted between 2016 and 2019 in three Araucanía territories with large Mapuche populations, sought to explore Mapuche perceptions of nature, their right to health, Indigenous rights generally, and Indigenous communities' relationship with the state. The results show an overall perception among Mapuche communities of an extractive mentality at the heart of the Chilean state, regardless of the administration in power, as well as a belief that the industrial occupation of their territories represents a process of colonialism and the transgression of ancestral rights. This extractivist approach by the state has caused Mapuche communities to witness enormous changes to their ecosystem, with negative impacts on their well-being.","PeriodicalId":46953,"journal":{"name":"Health and Human Rights","volume":"25 1","pages":"95-103"},"PeriodicalIF":3.7,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/76/5e/hhr-25-01-095.PMC9973514.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10363663","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Awareness of the Need for Change: A Constructivist Grounded Theory of Medical Students' Understanding of Human Rights in Mental Health. 变革意识:医学生心理健康人权理解的建构主义基础理论

IF 3.7 3区医学

Health and Human Rights Pub Date : 2023-06-01

Peter Macsorley, Sarah Gordon, Tracey Gardiner, Giles Newton-Howes

{"title":"Awareness of the Need for Change: A Constructivist Grounded Theory of Medical Students' Understanding of Human Rights in Mental Health.","authors":"Peter Macsorley, Sarah Gordon, Tracey Gardiner, Giles Newton-Howes","doi":"","DOIUrl":"","url":null,"abstract":"Traditionally, teaching in psychiatry has had a passing focus on human rights. Against this backdrop, the aim of this study was to construct a theory of the learning value of a service user-led human rights-focused teaching program for final-year medical students. We used descriptive qualitative analysis based on constructivist grounded theory to examine final-year medical students' understandings of human rights following a formal teaching program. The overarching theory that emerged focuses on an awareness of the need for change within student learning. This involves both a need for understanding the mental health care system and a need for self-reflection. These two processes appear to interact, promoting learning about the value of a human rights focus. While acknowledging the difficulties in securing such a change, students felt that doing so would be valuable to the practice of mental health. This service user-led human rights teaching program produced new awareness in medical students, both in terms of their understanding of their own biases and in terms of understanding the influence of systemic and structural elements of the psychiatric system on the protection of service users' human rights. Teaching human rights in psychiatry is likely to enrich their future self-reflective practice.","PeriodicalId":46953,"journal":{"name":"Health and Human Rights","volume":"25 1","pages":"161-169"},"PeriodicalIF":3.7,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/51/23/hhr-25-01-161.PMC10309151.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9741820","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Global Social Medicine for an Equitable and Just Future. 全球社会医学促进公平和公正的未来。

IF 3.7 3区医学

Health and Human Rights Pub Date : 2023-06-01

Carlos Piñones-Rivera, Ángel Martínez-Hernáez, Michelle E Morse, Kavya Nambiar, Joel Ferrall, Seth M Holmes

引用次数: 0

Food Security as a Social Determinant of Health: Tackling Inequalities in Primary Health Care in Spain. 粮食安全是健康的社会决定因素:解决西班牙初级保健中的不平等问题。

IF 3.7 3区医学

Health and Human Rights Pub Date : 2023-06-01

Mireia Campanera, Mercè Gasull, Mabel Gracia-Arnaiz

{"title":"Food Security as a Social Determinant of Health: Tackling Inequalities in Primary Health Care in Spain.","authors":"Mireia Campanera, Mercè Gasull, Mabel Gracia-Arnaiz","doi":"","DOIUrl":"","url":null,"abstract":"Food insecurity can be understood as a manifestation of health inequality and thus a deprivation of the right to health. This paper explores the strategies followed in primary health care centers in Spain to care for people struggling to regularly access healthy, safe, and sufficient food. Ethnographically based, our study analyzes, on the one hand, the resources available to primary health care teams to assess the social determinants of health and, on the other, the importance that professionals give to food in the diagnosis, treatment, and prevention of diseases related to inequality. Given that our study was carried out during the recent economic and health crises, the results show the difficulties faced by these centers in responding to constantly changing social needs. Budget cuts, a lack of specific or structural actions, and the invisibilization of particular expressions of inequality have proven challenging to the aim of providing integrated care capable of recognizing the environmental factors that condition patient health. In the case of food insecurity, our study found that there are no instruments in primary care centers to identify and therefore address this insecurity. We explore whether this is due mainly to the growing lack of means or more to the fact that the relationship between material living conditions, food, and health has been downplayed-and the responsibility of the health system in guaranteeing the right to food correspondingly diluted.","PeriodicalId":46953,"journal":{"name":"Health and Human Rights","volume":"25 1","pages":"9-21"},"PeriodicalIF":3.7,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/19/e6/hhr-25-01-009.PMC9973507.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9698915","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0