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1.
Front Public Health ; 10: 844656, 2022.
Artículo en Inglés | MEDLINE | ID: mdl-35425747

RESUMEN

The COVID-19 pandemic has caused major catastrophes worldwide. In Indonesia, the pandemic has caused greater barriers for individuals to access mental health services. This article aims to capture the state of public mental health in Indonesia using data from various national surveys. Four main problems were identified: the increase in depression, loneliness, and distress in the general population, disruption in accessing mental health services, mental health problems among vulnerable populations, and the limited scope of available mental health services and facilities in the community. This article provided practical recommendations for the Indonesian government that focuses on preparing a resilient mental healthcare system for future crises, reducing barriers to access mental health services, and expanding the available resources and programs to ensure equal and sustainable access to mental health services in the community.


Asunto(s)
COVID-19 , Derecho a la Salud , COVID-19/epidemiología , Disparidades en el Estado de Salud , Humanos , Indonesia/epidemiología , Salud Mental , Pandemias
3.
Global Health ; 18(1): 38, 2022 04 02.
Artículo en Inglés | MEDLINE | ID: mdl-35366916

RESUMEN

Universal health coverage, as one of the targets of the Sustainable Development Goals, is the access to key promotive, preventive, curative and rehabilitative health interventions for all at an affordable cost. It is a practical expression of the concern for health equity and the right to health, and a goal for all countries. This review is a novel attempt to explore the healthcare provision in the Netherlands as an expression of universal health coverage based on the right to health.The study adopted a narrative review approach using a framework that consists of 10 universal health coverage indicators which are derived from seven human rights principles. The techno-economic approach to healthcare provision by the Dutch state achieves a healthcare system where most of the population is covered for most of the services for most of the costs. The Dutch state complies with its minimum core obligations, while less attention is paid to participatory decision making and non-discrimination principles. However, with the fiscal sustainability of healthcare provision showing erosion, basing healthcare policy on values based on human rights principles might prevent a regressive policy.


Asunto(s)
Derecho a la Salud , Cobertura Universal del Seguro de Salud , Atención a la Salud , Política de Salud , Humanos , Países Bajos
5.
Int J Prison Health ; ahead-of-print(ahead-of-print)2022 03 18.
Artículo en Inglés | MEDLINE | ID: mdl-35294830

RESUMEN

PURPOSE: The first case of COVID-19 in the Malawi prison system was reported in July 2020. Human rights organisations raised concerns about the possibility of significant COVID-19 outbreaks and deaths in the prison system, because of the poor infrastructure, lack of healthcare and adequate COVID-19 mitigation measures, existing co-morbidities (tuberculosis, HIV and hepatitis C), malnutrition and poor health of many prisoners. DESIGN/METHODOLOGY/APPROACH: The authors conducted a legal-realist assessment of the Malawian prison system response to COVID-19 during state disaster measures, with a specific focus on the right to health and standards of healthcare as mandated in international, African and domestic law. FINDINGS: The Malawi prison system was relatively successful in preventing serious COVID-19 outbreaks in its prisons, despite the lack of resources and the ad hoc reactive approach adopted. Whilst the Malawi national COVID plan was aligned to international and regional protocols, the combination of infrastructural deficits (clinical staff and medical provisions) and poor conditions of detention (congestion, lack of ventilation, hygiene and sanitation) were conducive to poor health and the spread of communicable disease. The state of disaster declared by the Malawi Government and visitation restrictions at prisons worsened prison conditions for those working and living there. ORIGINALITY/VALUE: In sub-Saharan Africa, there is limited capacity of prisons to adequately respond to COVID-19. This is the first legal-realist assessment of the Malawian prison system approach to tackling COVID-19, and it contributes to a growing evidence of human rights-based investigations into COVID-19 responses in African prisons (Ethiopia, South Africa and Zimbabwe).


Asunto(s)
COVID-19 , Desastres , Infecciones por VIH , Derecho a la Salud , COVID-19/epidemiología , Infecciones por VIH/epidemiología , Infecciones por VIH/prevención & control , Accesibilidad a los Servicios de Salud , Derechos Humanos , Humanos , Prisiones , Sudáfrica
6.
Int J Risk Saf Med ; 33(2): 185-192, 2022.
Artículo en Inglés | MEDLINE | ID: mdl-35147562

RESUMEN

BACKGROUND: The COVID-19 pandemic has increased the interest in the right to health, which represents a relatively new concept brought about by progress in medical science and the evolution of societies. The Italian Constitution, in article 32, states the right to health without specifications about the parameter of sex, assuming that this fundamental right is property of women and men indiscriminately. OBJECTIVE: To assess whether the right to health has actually been achieved in an equal way from the standpoint of sex, and whether a hypothetically "neutral" approach is actually convincing and profitable in this context. METHODS: This paper analyzes the topic of gender medicine from a scientific and legal perspective, based on current medical literature and its implementation in the Italian and European legal systems. RESULTS: Gender medicine is the only credible response to sex- and gender-based inequalities affecting the right to health, as it provides tools to address persisting inequalities in prevention and treatment, thus pursuing health for all: women and men. CONCLUSIONS: The importance of this path was underlined also by the Summit and the Rome Declaration of 21 May 2021, acknowledging that the topic of sex and gender can no longer be overlooked in focusing a correct and equal healthcare approach.


Asunto(s)
COVID-19 , Derecho a la Salud , COVID-19/epidemiología , Atención a la Salud , Femenino , Humanos , Italia , Masculino , Pandemias/prevención & control
7.
Porto Alegre; Editora Rede Unida; 20220221. 248 p.
Monografía en Portugués | LILACS | ID: biblio-1366772

RESUMEN

O livro que estamos apresentando à leitura de amplo acesso tem origem num esforço rizomático que envolve muitas pessoas e instituições, não apenas na escrita, mas na viabilização do contexto em que emergiu o conteúdo dos capítulos. Nossa imensa gratidão às comunidades indígenas e ribeirinhas, às organizações da saúde e às equipes que nos receberam, compartilharam sua casa e seu alimento e nos apoiaram nas pesquisas. A proposta do livro sobre os efeitos do Programa Mais Médicos na Amazônia tem como referência principal dois estudos empíricos inéditos realizados na região do Alto Rio Solimões, estado do Amazonas, acrescidos de outros, que analisaram também os efeitos da pandemia. A publicação é voltada para pesquisadores, especialistas, estudantes, trabalhadores e gestores do setor saúde, assim como entidades e movimentos sociais envolvidos com essas temáticas no território amazônico. Por certo, uma interligação de conceitos e abordagens dessa natureza possibilita a composição de um futuro referencial muito apropriado aos profissionais, aos trabalhadores e instituições sejam governamentais e não-governamentais na ampliação do cuidado em saúde em contextos específicos. Findo o trabalho da pesquisa e da organização do livro, desejamos a todas as pessoas que o acessarem que tenham uma leitura mobilizadora de pensamentos e ações em relação à saúde, ao direito à saúde, à responsabilidade ética e política do cuidado e da produção de conhecimentos, à capacidade inclusiva das políticas públicas e à relevância de um sistema de saúde universal. Também à condição de relevância pública do trabalho e do ensino na saúde. Oxalá produza novos imaginários sobre o encontro da saúde com os povos amazônicos, onde a adversidade das doenças seja intolerável, mas a diversidade dos modos de andar da vida seja reconhecida e, quiçá, desejada. Afinal, o bem viver nos coloca possíveis no sentido freireano, mesmo em tempos tão difíceis como esse que produzirmos para sobreviver.


Asunto(s)
Humanos , Masculino , Femenino , Embarazo , Recién Nacido , Lactante , Persona de Mediana Edad , Anciano , Anciano de 80 o más Años , Adulto Joven , Atención Primaria de Salud , Sistemas de Salud , Consorcios de Salud , Política Pública , Derivación y Consulta , Ecosistema Amazónico , Estado , Pueblos Indígenas , Derecho a la Salud , Grupos Profesionales
8.
PLoS One ; 17(2): e0261034, 2022.
Artículo en Inglés | MEDLINE | ID: mdl-35148319

RESUMEN

Despite billions of dollars invested into Sexual and Reproductive Health and Rights (SRHR) efforts, the effect of incorporating sexual pleasure, a key driver of why people have sex, in sexual health interventions is currently unclear. We carried out a systematic review and meta-analysis following PRISMA guidelines across 7 databases for relevant articles published between 1 January 2005-1 June, 2020. We included 33 unique interventions in our systematic review. Eight interventions reporting condom use outcomes were meta-analyzed together with a method random effects model. Quality appraisal was carried out through the Cochrane Collaborations' RoB2 tool. This study was pre-registered on Prospero (ID: CRD42020201822). We identified 33 unique interventions (18886 participants at baseline) that incorporate pleasure. All included interventions targeted HIV/STI risk reduction, none occurred in the context of pregnancy prevention or family planning. We find that the majority of interventions targeted populations that authors classified as high-risk. We were able to meta-analyze 8 studies (6634 participants at baseline) reporting condom use as an outcome and found an overall moderate, positive, and significant effect of Cohen's d = 0·37 (95% CI 0·20-0·54, p < 0·001; I2 = 48%; τ2 = 0·043, p = 0·06). Incorporating sexual pleasure within SRHR interventions can improve sexual health outcomes. Our meta-analysis provides evidence about the positive impact of pleasure-incorporating interventions on condom use which has direct implications for reductions in HIV and STIs. Qualitatively, we find evidence that pleasure can have positive effects across different informational and knowledge-based attitudes as well. Future work is needed to further elucidate the impacts of pleasure within SRHR and across different outcomes and populations. Taking all the available evidence into account, we recommend that agencies responsible for sexual and reproductive health consider incorporating sexual pleasure considerations within their programming.


Asunto(s)
Salud Sexual , Bases de Datos Factuales , Infecciones por VIH/prevención & control , Humanos , Salud Reproductiva , Derecho a la Salud , Enfermedades de Transmisión Sexual/prevención & control
12.
Lancet Glob Health ; 10(2): e154, 2022 02.
Artículo en Inglés | MEDLINE | ID: mdl-35063101
13.
Glob Public Health ; 17(2): 285-296, 2022 02.
Artículo en Inglés | MEDLINE | ID: mdl-33301702

RESUMEN

Based on a brief examination of private sector healthcare in Bangladesh, this article examines two questions: (a) the compatibility of social justice and the right to healthcare with the private provision of healthcare, (b) the implication of the private sector's role in realising social justice and the right to healthcare. It is based on an extensive review of both published and unpublished documents including journal articles, government reports, policy and planning documents, as well as reports of United Nations, the World Health Organisation and the World Bank. Different search engines and databases were used to collect the documents. Thematic data analysis techniques were used in developing the text. Private provision of healthcare services raises concerns about social justice and the right to healthcare. This sector to some extent is unable to fulfil its obligation to realise social justice and the right to healthcare in the provision of healthcare. An expanding private sector role creates complexities in promoting and protecting the right to health and social justice. The study emphasised the role of the government to engage its political will and make changes in policy and governance to engage private sector in realising right to healthcare and social justice.


Asunto(s)
Derecho a la Salud , Bangladesh , Atención a la Salud , Países en Desarrollo , Humanos , Sector Privado , Justicia Social
15.
Int J Equity Health ; 21(1): 3, 2022 01 10.
Artículo en Inglés | MEDLINE | ID: mdl-35012552

RESUMEN

Although preventable by vaccines, approximately 60'000 humans die due to canine transmitted rabies annually, mostly in Africa and Asia. The aim of this paper is to advocate for including animal health aspects into considerations of human health and human rights, and for equitable access to rabies vaccination for both animals and humans. An infringement of human - in particular of children's - right to health will be illustrated with the case of rabies and poor dog management in Uganda.


Asunto(s)
Enfermedades de los Perros , Vacunas Antirrábicas , Rabia , Derecho a la Salud , Animales , Enfermedades de los Perros/prevención & control , Perros , Humanos , Rabia/prevención & control , Rabia/veterinaria , Uganda , Vacunación
16.
Int J Equity Health ; 21(1): 36, 2022 03 15.
Artículo en Inglés | MEDLINE | ID: mdl-35292027

RESUMEN

BACKGROUND: Human rights are best protected, promoted and guaranteed when they can compel binding and enforceability duty. One prominent criticism of category of human rights which includes the human right to health is that it is difficult, to assign the duties that correspond to these rights, because of stark disparity in how the main duty bearers approach their duties. METHODS: This paper adopts a doctrinal approach to examine and evaluate the duties to the right to health. The method in this study entails a detailed literature search to systematically evaluate the legal implications, regulations, arguments and policy regarding the nature of the obligation to the right to health. This study also engages with normative and philosophical aspects of human rights. RESULTS: This paper posits that human rights protect against common, serious, and remediable threats and risks, and ensure that there are remedies from governments and third parties. However, it is difficult to compel duties especially in regard to the right to health. First it is not easy to achieve a uniform standard for duty bearers implied by the words 'highest attainable physical and mental health.' Theorists discussed in the paper outline views of what this could mean, from serious to common health concerns. Second, the right to health is not a legally established right in many jurisdictions, making it difficult to enforce. This paper outlines different layers of state and non-state legal duty bearers to enforce the right to health. CONCLUSION: The duty to respect, protect, fulfil and even remedy the right to health, will often be meaningless in practice without a clear identification of the necessary duty bearers to enforce them. The law is the starting point for this to not only enshrine this right as a legally enforceable one but also to clearly identify duty bearers. Without this, the human right to health as outlined under international and regional human rights law generates an implausible, or even impossible, profusion of duties. There remains much work still to be done especially on the moral and legal fronts in order to fully guarantee this right. TRIAL REGISTRATION: Not applicable Our work does not report results of a health care intervention on human participants. Registration is therefore not applicable.


Asunto(s)
Respeto , Derecho a la Salud , Atención a la Salud , Derechos Humanos , Humanos
18.
Washington D.C; Organización Panamericana de la Salud; 1 ed; Dic. 2021. 27 p. ilus.(Serie Derechos Humanos y Salud, 8).
Monografía en Español | MINSAPERÚ, LIPECS, MINSAPERÚ | ID: biblio-1352693

RESUMEN

En esta publicación se presentan los instrumentos internacionales y regionales de derechos humanos y los sistemas de protección de esos derechos instaurados por las Naciones Unidas y el Sistema Interamericano de Derechos Humanos, así como medidas para hacerlos efectivos, con especial hincapié en la protección del derecho a la salud y a una alimentación adecuada


Asunto(s)
Dieta , Nutrición, Alimentación y Dieta , Dieta Saludable , Derecho a la Salud , Abastecimiento de Alimentos , Derechos Humanos
19.
Washington D.C; Organización Panamericana de la Salud; 1 ed; Dic. 2021. 32 p. ilus.(Serie Derechos Humanos y Salud, 7).
Monografía en Español | MINSAPERÚ, LIPECS, MINSAPERÚ | ID: biblio-1352692

RESUMEN

En la presente publicación se describen los instrumentos internacionales y regionales de derechos humanos y los sistemas de protección de esos derechos instaurados por las Naciones Unidas y el Sistema Interamericano de Derechos Humanos, así como medidas para hacerlos efectivos, con especial hincapié en el derecho a la salud, al medio ambiente y cambio climático sano y otros derechos relacionados con el cuidado del planeta y una variedad de desafíos relacionados con el reconocimiento y el respeto de los derechos humanos de los miembros de los pueblos indígenas, los afrodescendientes, los romaníes, así como de otros grupos étnicos


Asunto(s)
Cambio Climático , Grupos Étnicos , Diversidad Cultural , Grupo de Ascendencia Continental Africana , Ambiente , Contaminación Ambiental , Pueblos Indígenas , Derecho a la Salud , Derechos Humanos
20.
Pesqui. prát. psicossociais ; 16(3): 1-17, set.-dez. 2021.
Artículo en Portugués | LILACS, Index Psicología - Revistas | ID: biblio-1351267

RESUMEN

O objetivo do artigo é discutir sobre as relações de gênero na perspectiva de profissionais de uma Equipe de Atenção Básica Prisional (EABp) de uma penitenciária feminina. Os dados foram produzidos a partir da fala de profissionais da saúde em cinco encontros de apoio matricial, sendo o gênero utilizado como categoria de análise. Como resultados, foi possível organizar três subtemas como desdobramentos do tema principal: gestação e permanência dos bebês na prisão; normas corporais e saúde; e nome social de pessoas trans. A discussão segue referenciais dos estudos de diversidade sexual e de gênero e saúde coletiva, além de abordar a necessidade do direito à saúde integral da população encarcerada, especificamente de mulheres e população LGBTI. A centralidade do cuidado relativo à gestação e o papel da educação permanente para a redução do preconceito e qualificação no atendimento também aparecem como campos de trabalho a ser explorados.


The objective of this article is to discuss gender relations from the perspective of professionals of a Prison Basic Health Staff at a female prison. The speeches of health professionals were analyzed in five matrix support meetings and gender was used as category of analysis. Results were possible to be organized in three subthemes from the main theme: pregnancy and babies staying in prison; body norms and health; and transgender people social names. The discussion of these results follows theoretical aspects of gender and sexual diversity studies and collective health and mainly addresses the right to integral health care in prison, specifically to women and LGBTI population. The central role of health attention directed to motherhood in prison and the role of health education in order to reduce prejudice and to qualify health attention also appear as important fields of work to be explored.


El objetivo de este artículo es discutir las relaciones de género desde la perspectiva de los profesionales que componen un equipo de atención básica de salud en una prisión femenina. Los datos fueron producidos a partir de cinco encuentros de soporte matricial y el género fue utilizado como categoría de análisis. Los resultados fueron organizados en tres subtemas del tema principal: embarazo y bebés que permanecen en prisión; normas corporales y salud y nombres sociales de personas transgénero. La discusión toma en cuenta aspectos teóricos de la diversidad sexual y de género y la salud colectiva y aborda la necesidad del derecho a la atención integral a la salud en la prisión, específicamente dirigido a las mujeres y a la población LGBTI. La centralidad de la atención a la salud dirigida a la maternidad y la educación permanente para la reducción del prejuicios y calificación en la atención, también surgieron como campos de trabajo a explorar.


Asunto(s)
Prisiones , Atención Primaria de Salud , Trabajo , Salud Pública , Responsabilidad Parental , Personal de Salud , Género y Salud , Diversidad de Género , Identidad de Género , Derecho a la Salud , Relaciones Interpersonales
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