Searching for the Right to Health in the Sustainable Development Agenda; Comment on “Rights Language in the Sustainable Development Agenda: Has Right to Health Discourse and Norms Shaped Health Goals?”

Document Type: Commentary

Authors

1 Faculty of Pop Health Sciences, Institute for Global Health (IGH), University College London, London, UK

2 United Nations Programme on HIV/AIDS (UNAIDS), Geneva, Switzerland

Abstract

The United Nations (UN) Sustainable Development Agenda offers an opportunity to realise the right to health for all. The Agenda’s “interlinked and integrated” Sustainable Development Goals (SDGs) provide the prospect of focusing attention and mobilising resources not just for the provision of health services through universal health coverage (UHC), but also for addressing the underlying social, structural, and political determinants of illness and health inequity. However, achieving the goals’ promises will require new mechanisms for inter-sectoral coordination and action, enhanced instruments for rational priority-setting that involve affected population groups, and new approaches to ensuring accountability. Rights-based approaches can inform developments in each of these areas.
 
In this commentary, we build upon a paper by Forman et al and propose that the significance of the SDGs lies in their ability to move beyond a biomedical approach to health and healthcare, and to seize the opportunity for the realization of the right to health in its fullest, widest, most fundamental sense: the right to a healthpromoting and health protecting environment for each and every one of us. We argue that realizing the right to health inherent in the SDG Agenda is possible but demands that we seize on a range of commitments, not least those outlined in other goals, and pursue complementary openings in the Agenda – from inclusive policy-making, to novel partnerships, to monitoring and review. It is critical that we do not risk losing the right to health in the rhetoric of the SDGs and ensure that we make good on the promise of leaving no one behind.

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  1. Horton R. Offline 13/11 – the flames of war. Lancet. 2015;386(10008):2041. doi:10.1016/s0140-6736(15)00993-9
  2. Moon BK. Speaking at September 2015 United Nations General Assembly, New York. http://www.un.org/apps/news/story.asp?NewsID=51968#.VobEHcBkg_U. Accessed January 1, 2016.
  3. Forman L, Ooms G, Brolan CE. Rights language in the sustainable development agenda: has right to health discourse and norms shaped health goals? Int J Health Policy Manag. 2015;4(12):799-804. doi:10.15171/ijhpm.2015.171
  4. Finnemore M, Sikkink K. International norm dynamics and political change. Int Organ. 1998;52(4):887-917. doi:10.1162/002081898550789
  5. Harmer A. Understanding change in global health policy: ideas, discourse and networks. Glob Public Health. 2011;6:7:703-718. doi: 10.1080/17441692.2010.515236
  6. Shiffman J. A social explanation of the rise and fall of global health issues. Bull World Health Organ. 2009;87:608-613. doi:10.2471/blt.08.060749
  7. United Nations (UN).  A/RES/70/1 – Transforming our world: the 2030 Agenda for Sustainable Development. http://www.un.org/ga/search/view_doc.asp?symbol=A/RES/70/1&Lang=E
  8. Buse K, Hawkes S. Health in the sustainable development goals: ready for a paradigm shift? Globalisation and Health. 2015;11:13:doi:10.1186/s12992-015-0098-8
  9. Murray CJ, Vos T, Lozano R, et al. Disability-adjusted life years (DALYs) for 291 diseases and injuries in 21 regions, 1990–2010: a systematic analysis for the global burden of disease study 2010. Lancet. 2012;380(9859):2197–2223. doi:10.1016/S0140-6736(12)61689-4
  10. United Nations (UN). A/RES/2200 (XXI) – Covenant on Economic, Social and Cultural Rights. https://treaties.un.org/doc/Publication/UNTS/Volume%20993/volume-993-I-14531-English.pdf
  11. Marmot M, Friel S, Houweling TJ, Taylor S; on behalf of the Commission on Social Determinants of Health. Closing the gap in a generation: health equity through action on the social determinants of health. Lancet. 2008;372:1661-1669. doi:10.1016/s0140-6736(08)61690-6
  12. Dittrich R, Cubillos L Gostin L, Chalkidou K, Li R. The international right to health: what does it mean in legal practice and how can it affect priority setting for universal health coverage? Health Systems and Reform. 2016;2(1):23-31.
  13. Agenda item 13.3 in the sixty-fourth World Health Assembly of WHO: WHO’s role in the follow-up to the United Nations High-level Plenary Meeting of the General Assembly on the Millennium Development Goals. http://apps.who.int/gb/ebwha/pdf_files/WHA64/A64_R12-en.pdf?ua=1
  14. Schweitzer J. Accountability in the 2015 global strategy for women’s, children’s and adolescents’ health. BMJ. 2015;351:h4248. doi:10.1136/bmj.h4248
  15. Morah E, Ihalainen M. National AIDS Commissions in Africa: Performance and Emerging Challenges. Dev Policy Rev. 2009;27(2):185-214. doi:10.1111/j.1467-7679.2009.00442.x
  16. Hunt P. SDGs and the importance of formal independent review: an opportunity for health to lead the way. Health and Human Rights Journal. September 2, 2015. http://www.hhrjournal.org/2015/09/sdg-series-sdgs-and-the-importance-of-formal-independent-review-an-opportunity-for-health-to-lead-the-way/