A/HRC/17/25
inadequate protection of the right to health are symptoms and constituent parts of
inadequate human development and poverty, and instrumental in that the enjoyment of the
right to health is instrumental in securing other human rights, such as the right to education
and work, which are essential to the achievement of human development.
13.
In other words, the new conception of development recognizes that the realization of
human rights, including the right to health, is a central aspect of development itself. This
connection has been elaborated in many forums, including the United Nations: the
centrality of human rights in poverty reduction has been well recognized, and elaborated
through a conceptual framework and guidelines on human rights and poverty reduction.17
However, as previously discussed, health is also implicated in many other conceptions of
development besides that involving poverty reduction, and it is this centrality of health to
all aspects of development which makes it essential that a right to health approach be used
in all development programmes and policies which seek to address health.
III.
The right to health and development
14.
The right to health is of particular importance to development. It is an inclusive right
that encompasses the underlying determinants of health such as access to food and water
and sanitation and poverty and discrimination. As such, the right to health is implicated in
nearly all development activities, and should be a central component of development
programming.
15.
Of the eight Millennium Development Goals subsequently developed to reflect the
objectives agreed upon in the Millennium Declaration in 2000, Goals 4, 5 and 6 deal with
health directly and others deals with underlying determinants of health. At least 8 of the 16
MDG targets, and 17 of the 48 related indicators, are health-related. As the MDGs have
become a major focus of health-related development work, it was an important step for
these goals to place health at the very centre of the development enterprise. Moreover, at
the 2010 high-level plenary meeting of the General Assembly, States committed to
promoting global public health for all to achieve the MDGs and to ensure “respect for
human rights, promote gender equality and the empowerment of women as essential means
of addressing the health of women and girls, and to address the stigmatization of people
living with and affected by HIV and AIDS”.18 The normative framework that is now well
developed and understood for the right to health is well placed to inform the efforts towards
achieving the MDGs.19
16.
The following sections address in turn how human rights, and the right to health
framework in particular, can inform development policies and programmes; the right to
development and how it relates to the right to health; practical examples of use of the right
to health framework in development efforts; and, finally, the benefits and challenges of
integrating human rights into development programming.
A.
The right to health framework
17.
Comprehensive incorporation of human rights into development work necessitates
changes in the practical approach taken to development work itself. The advancement of
human rights through development work – as opposed to simply avoiding rights violations
17
18
19
6
Idem.
A/RES/65/1, para. 73 (i)
A/59/422.
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