Everyday Political Economy of Human Rights to Health: Dignity and Respect as an Approach to Gendered Inequalities and Accountability

Everyday Political Economy of Human Rights to Health: Dignity and Respect as an Approach to Gendered Inequalities and Accountability
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健康人权的日常政治经济学:尊严和尊重作为性别不平等和责任的一种方法

DOI:
10.1080/13563467.2020.1841144
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发表时间:
2020
影响因子:
4.2
通讯作者:
Riggirozzi P
Riggirozzi P
中科院分区:
经济学2区
文献类型:
--
作者:
Riggirozzi P

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性健康和生殖健康的需求和权利是巴西(种族化的)性别健康不平等的最暗淡的例子之一。尽管法律的和宪法明确承认健康权是公民权,但情况仍然如此。在本文中,我们认为,一个“绩效差距”是揭示在什么样的健康权作为一个规范性框架鼓励国家做,和制度安排和权力关系,支持日常的性别不平等的健康服务之间的矛盾。这篇文章的贡献是双重的。首先,它通过增加人的尊严的视角作为解决两性不平等问题的一种方法,为女权主义政治经济学对忽视性权利和生殖权利的解释作出了贡献。第二,它探讨了健康不平等在日常实践中表现的方式,以及对专业人员和弱势黑人妇女健康权的不同期望如何限制了医疗保健的能力,使他们的福祉有所不同。该条还强调,必须以顾及性别公正、平等和尊严特权的机制来补充卫生领域的法律的问责制。
Sexual and reproductive health needs and rights are one of the bleakest examples of (racialised) gender health inequalities in Brazil. This is so despite legal and constitutional specificity recognising the right to health as right of citizenship. In this paper we argue that a ‘performance gap’ is revealed in contradictions between what the right to health as a normative framework encourages states to do, and institutional arrangements and power relations that underpin everyday gendered inequalities in health delivery. The contribution of this article is two-fold. First, it contributes to feminist political economy accounts of the neglect of sexual and reproductive rights by adding a perspective of human dignity as an approach to gender inequalities. Second, it explores ways in which health inequalities manifest in everyday practices, and how divergent expectations of what the right to health means for professionals and for disadvantaged black women limit the capacity of healthcare to make a difference to their well-being. The article also underlines the importance of complementing legal accountability in health with mechanisms that account for prerogatives of gender justice, equality and dignity.
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