Values, Policies and Rights

Commonwealth Health Ministers´ Update 2009
Sen P: August 2009

The Universal Periodic Review mechanism of the UN Human Rights Council, which came into effect in 2008, has established itself as a mechanism with huge potential and which promotes dialogue and a level playing field for all countries undergoing the review of their human rights record. Building on the Commonwealth Secretariat’s observations and analysis of the process, and the seminars it has conducted with member states, Universal Periodic Review of Human Rights consolidates the lessons learned so far, speaking equally to the three major stakeholders in the process – to states, to national human rights institutions, and to civil society organisations. An effective UPR mechanism will enhance the promotion of human rights across the world. It is therefore essential for the key players to understand and advance the UPR process including at the implementation phase. This publication describes UPR, shares experiences and provides analysis of the Commonwealth countries that reported in the first year of the UPR process.

Health and Human Rights: Volume 2
Zesiger V, Mpinga EK, Klohn A and Chastonay P: September 2009

The second volume of Health and Human Rights brings one more piece to the set of educational materials available from multiple sources, mostly, although not exclusively, in the English language. Intended primarily for health practitioners, the book incorporates a succinct introduction laying out essential concepts, principles and mechanisms relevant to the congruence between public health and human rights. Ten case studies follow, each constructed around clearly set learning objectives, including questions to be addressed, highlights of the public health issue and references to specific human rights relevant to the case study, sources of pertinent information and bibliography. The case studies focus on major public health issues such as maternal mortality, female genital mutilation, access to medicine and prison health. They constitute a useful tool for classroom education as well as self-learning. As Internet access expands in low- and medium-income countries, the material presented could serve to structure a distance-learning facility (a field in which one of the co-authors specialises) with interactivity between learners and their mentors.

Health budget decisions may be violating Constitution
Thom A: Health-e, 21 September 2009

Several health-related budget decisions taken in the past financial year in South Africa are reported to have violated the Constitution, the National Health Act, the Public Finance Management Act and the Promotion of Administrative Justice Act, according to a group of activists, researchers, unionists, health workers and academics, called the Budget and Expenditure Monitoring Forum (BEMF). The Forum has written to the ministers of health and finance, expressing concern over the effect of budgeting practices within the public health system on HIV and AIDS programmes, including on antiretroviral (ARV) treatment and prevention of mother-to-child transmission programmes, citing the moratorium on starting new patients on ARVs in the Free State as one example of such a decision.

Sex education effort raises storm clouds
Plus News: 4 September 2009

The United Nations Educational, Scientific and Cultural Organization (UNESCO) has drafted the 98-page International Guidelines on Sexuality Education. The guidelines are still being finalised but a draft version suggests key areas that a sex education curriculum should cover at four different age levels between five and 18. The topics include relationships, reproduction, gender inequality and various aspects of sexuality, but conservative groups in the United States have focused on a handful of suggested learning areas that they view as overly explicit and inappropriate for young children. Various critics have taken issue with suggestions that teachers discuss homosexuality, contraception, and gender-based violence. However, defenders of the guide assert that ‘it's better they have the right information than the wrong information.’ A report in the New York Times asserted that the controversy had caused the UN Population Fund (UNFPA), a key partner, to pull out of the project, but a UNFPA spokesperson refused to confirm this, saying only that the organisation was still in discussion with UNESCO about making the publication ‘more context specific’.

United Nations to establish single new agency to deal with rights of women
United Nations: 15 September 2009

Four United Nations agencies and offices will be amalgamated to create a new single entity within the organisation to promote the rights and well-being of women worldwide and to work towards gender equality. The UN Development Fund for Women (UNIFEM), the Division for the Advancement of Women, the Office of the Special Adviser on Gender Issues and the UN International Research and Training Institute for the Advancement of Women (UN-INSTRAW) will be merged. Secretary-General, Ban Ki-moon, said he was ‘particularly gratified’ that the Assembly had accepted his proposal for ‘a more robust promotion’ of women’s rights under the new entity. Mr Ban said that he had appointed more women to senior posts than at any other time in the history of the UN, including nine women to the rank of under-secretary-general. The number of women in senior posts has increased by 40% under his tenure.

Ensuring workers’ rights to health and safety in SADC
Work and Health in Southern Africa (WAHASA): September 2008

The Southern African Development Community (SADC) Protocols on Health (1999), and Mining (1997) requires member states to co-operate in delivering and improving occupational health in the region’s mining sector. But the rights of mineworkers and other workers to health and safety have not been realised, according to this policy brief. Harmonisation of standards in the region, and monitoring of compliance with standards, is now more critical in the age of free trade agreements. These agreements should not impact negatively on workers’ health, through the exporting of hazardous processes within the region to where regulation and enforcement is less stringent, as well as through pressure to reduce occupational health requirements to allow companies to become more competitive. Stakeholders should hold SADC and member states to the realisation of workers’ health and safety rights and take action when rights are not upheld and targets are not met. They can also identify issues and areas in which collaboration is necessary and ensure that resources and strategies are in place to deliver what is needed.

Guidelines for occupational safety and health, including HIV in the health services sector
Uganda Ministry of Health: February 2008

These guidelines recognise that all types of work are hazardous and persons at work are exposed to situations that may result into injury, disease or even death. In Uganda, the authors argue that the health sector is loaded with a wide variety of situations where health and safety issues are crucial. Additionally, while the economic cost of occupational risks is high, public awareness of safety and health tends to be quite low. The Ugandan health sector requires a standardised framework for workplace safety and health, including responding specifically to HIV as a workplace hazard. The first chapter gives background information on occupational health and safety (OHS). The second addresses the basic OHS principles and interventions. The third deals with management of HIV and AIDS as a specific workplace hazard, while the fourth covers management of the other common hazards that exist at the health workplace. The final chapter deals with implementation of a workplace safety and health programme, including aspects of monitoring.

The role of development cooperation and food aid in realising the right to adequate food: Moving from charity to obligation
De Schutte O: April 2009

This report by the Special Rapporteur on the Right to Food, Olivier de Schutter, examines the contribution of development cooperation and food aid to the realisation of the right to food. Interventions include both long-term support for food security and short-term answers to emergency situations. This report makes a number of suggestions on how to reorient both types interventions by better integrating a perspective grounded in the human right to adequate food at three levels: in the definition of the obligations of donor states; in the identification of the tools on which these policies rely; and in the evaluation of such policies, with a view to their continuous improvement. At its core, a human rights approach turns what has been a bilateral relationship between donor and partner, into a triangular relationship, in which the ultimate beneficiaries of these policies play an active role. Seeing the provision of foreign aid as a means to fulfil the human right to adequate food has concrete implications, which assume that donor and partner governments are duty-bearers, and beneficiaries are rights-holders.

United Nations Report on the Implementation of Economic, Social and Cultural Rights
UN High Commissioner for Human Rights: 8 June 2009

This report considers implementing and monitoring human rights with specific reference to economic, social and cultural rights. It addresses the specific challenges posed by the complex array of obligations that stem from economic, social and cultural rights, including progressive realisation and non-discrimination, outlines various ways of monitoring legislation and other normative measures, such as regulations, policies, plans and programs, and elaborates on monitoring the realisation of rights, paying particular attention to human rights impact assessments. Monitoring the realisation of economic, social and cultural rights can be achieved through assessing progress, stagnation or retrogression in the full enjoyment of those rights over time. The report also provides useful indicators and benchmarks for budget analysis and addresses the issue of monitoring violations of economic, social and cultural rights. Monitoring violations of these rights can be achieved through recording complaints filed before judicial and quasi-judicial mechanisms.

Universal Periodic Review of Human Rights
Dr Purna Sen: July 2009

The Universal Periodic Review mechanism of the UN Human Rights Council, which came into effect in 2008, has established itself as a mechanism with huge potential and which promotes dialogue and a level playing field for all countries undergoing the review of their human rights record. Building on the Commonwealth Secretariat’s observations and analysis of the process, and the seminars it has conducted with member states, Universal Periodic Review of Human Rights consolidates the lessons learned so far, speaking equally to the three major stakeholders in the process – to states, to national human rights institutions, and to civil society organisations. An effective UPR mechanism will enhance the promotion of human rights across the world. It is therefore essential for the key players to understand and advance the UPR process including at the implementation phase. This publication describes UPR, shares experiences and provides analysis of the Commonwealth countries that reported in the first year of the UPR process.

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