A/HRC/29/33
58.
Another example of an unbalanced approach to human rights is when the full
realization of the right to health is hindered by undue restrictions in the enjoyment of civil
and political rights. That approach can lead to a failure in the implementation of the
principles of participation and empowerment and it undermines the crucial role that civil
society can play in promoting societal health and well-being.
59.
There is no hierarchy among human rights, and any attempt to restrict or undermine,
intentionally or unintentionally, any of the basic human rights can have a harmful impact on
individual and societal health and well-being. That is why the best way of “vaccinating”
health-care systems and policy decisions against a departure from agreed principles and
standards is to systematically apply a human rights approach in full accordance with
universal principles enshrined in the Universal Declaration of Human Rights and human
rights conventions and treaties.
2.
Balancing the key elements in the health-care system
60.
All key elements of health-care systems must be balanced. That includes the
relationships between the curative and preventive aspects of health care, so that power
asymmetries do not weaken primary care and preventive medicine. The modern publichealth approach should be strengthened and a right balance between all elements of the
health-care system should be ensured so that the implementation of health policies is not
dominated by vertical “disease-based” programmes and specialized health-care services.
61.
In addition, the role of the health sector and that of other sectors in improving the
health of individuals and populations must also be balanced. A modern understanding of
the effective realization of right to health requires a “health in all policies” approach. To
fully achieve goals, such as to reduce infant or under-5 mortality, improve mental health,
reduce the burden of non-communicable diseases or promote the health of older persons, all
sectors and all branches responsible for public policies need to be involved.
62.
This does not mean that role of health sector should be restricted to specialized
health care. On the contrary, the scenario of ministries of health preoccupied mainly with
meeting the need of specialized health-care services is an outdated one. The role of the
health sector is becoming increasingly important in areas such as health promotion,
prevention of health problems and protection of human rights, especially within health-care
services, with particular attention given to the situation of marginalized groups. In the
promotion of a “health in all policies” approach, the health sector should take the lead and
share responsibility for societal health with other sectors.
63.
With all this in mind, the Special Rapporteur is considering the analysis of the
following themes as some of his priorities.
V. Themes as priorities
A.
Global health in the post-2015 agenda
64.
The transition from Millennium Development Goals to Sustainable Development
Goals is a unique opportunity to rethink achievements and assess the remaining challenges
affecting the right to health and well-being of individuals and societies. In the decade
between 2000 and 2010, an estimated 3.3 million deaths from malaria were averted and 22
million lives were saved in the fight against tuberculosis. Access to retroviral therapy for
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