Universal Access to HIV prevention, treatment and care: assessing the inclusion of human rights in international and national strategic plans

Universal Access to HIV prevention, treatment and care: assessing the inclusion of human rights in international and national strategic plans
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DOI:
10.1097/01.aids.0000327444.51408.21
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发表时间:
2008-08-01
期刊:
影响因子:
3.8
通讯作者:
Tarantola, Daniel
Tarantola, Daniel
中科院分区:
医学2区
文献类型:
--
作者:
Gruskin, Sofia;Tarantola, Daniel

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对艾滋病防治工作中人权价值的口头承认仍在继续,但人权原则在国家工作中的实际应用似乎越来越不足。我们评估国际和国家战略计划及其他核心文件如何考虑各国在实现普遍可及的努力中维护人权的承诺。审查了联合国艾滋病毒和艾滋病联合规划署(艾滋病规划署)、世界卫生组织(世卫组织)、世界银行、全球抗击艾滋病、结核病和疟疾基金和美国总统艾滋病紧急救援计划的主要文件,以及14个国家艾滋病毒战略计划,因为它们说明了艾滋病毒流行模式、收入水平和地理位置的多样性。虽然人权概念绝大多数出现在国际和国家战略文件中,但将其转化为可操作的条款或监测框架的工作薄弱、不具体或缺乏。今后的工作应分析战略计划、业务计划、预算和实际执行情况,以便不仅充分利用人权的道德和法律价值,而且充分利用人权对实现普遍获取的工具价值。(C) 2008年威科医疗集团bbb & Lippincott Williams & Wilkins。
Rhetorical acknowledgment of the value of human rights for the AIDS response continues, yet practical application of human rights principles to national efforts appears to be increasingly deficient. We assess the ways in which international and national strategic plans and other core documents take into account the commitments made by Countries to uphold human rights in their efforts towards achieving Universal Access. Key documents from the Joint United Nations Programme on HIV and AIDS (UNAIDS), the World Health Organization (WHO), the World Bank, the Global Fund to Fight AIDS, TB and Malaria (GFATM) and the US President's Emergency Plan for AIDS Relief (PEPFAR) were reviewed along with 14 national HIV strategic plans chosen for their illustration of the diversity of HIV epidemic patterns, levels of income and geographical location. Whereas human rights concepts overwhelmingly appeared in both international and national strategic documents, their translation into actionable terms or monitoring frameworks was weak, unspecific or absent. Future work should analyse strategic plans, plans of operation, budgets and actual implementation so that full advantage can be taken, not only of the moral and legal value of human rights, but also their instrumental value for achieving Universal Access. (C) 2008 Wolters Kluwer Health | Lippincott Williams & Wilkins.