Realizing Universal Health Coverage in East Africa: The Relevance of Human Rights
BMC International Health and Human Rights, 17(1), 1-10 (2017)
10 Pages Posted: 29 Mar 2021
Alicia Ely Yamin
Harvard University - Petrie-Flom Center for Health Law Policy, Biotechnology, and Bioethics; Harvard University - Harvard Law School; Partners in Health; Chr. Michelsen Institute (CMI) - Center on Law and Social Transformation; Harvard TH Chan School of Public Health
Allan A. Maleche
Kenya Legal and Ethical Issues Network
Date Written: August 3, 2017
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.
Keywords: Universal Health Coverage, East Africa, Human rights, Health systems, Fair financing, Priority-setting, Accountability, Participation
Suggested Citation: Suggested Citation
Alicia Ely Yamin (Contact Author)
Harvard University - Petrie-Flom Center for Health Law Policy, Biotechnology, and Bioethics ( email )
23 Everett Street
Cambridge, MA 02155
United States
Harvard University - Harvard Law School ( email )
1563 Massachusetts Avenue
Cambridge, MA 02138
United States
Partners in Health ( email )
641 Huntington Ave, 1st Floor
Boston, MA 02115
United States
Chr. Michelsen Institute (CMI) - Center on Law and Social Transformation ( email )
PO Box 6033 Postterminalen
Bergen, NO-5892
Norway
Harvard TH Chan School of Public Health ( email )
Bostone, MA 02115
United States
Allan A. Maleche
Kenya Legal and Ethical Issues Network
Kenya
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