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Specially Prepared for: Members of the International
              Health and Nutrition Working Group of
           TheSociety for International Development
                                      March 27, 2013




      Rights-BasedPage
              Title Approaches to
   International Health and Nutrition

Elvira Beracochea, MD. MPH.
President
elvira@midego.com

                                      www.midego.com
Choice

A needs-based approach

          Or

A rights-based approach?
The Actors

• Duty bearers
• Right holders
• Non-State Actors
• Dual Roles
• Dual Loyalties
The Duty Bearer must ensure

•   Availability
•   Accessibility
•   Acceptability
•   Quality
•   Equity (for all)
Right Holders / Non-State Actors


       Advocacy
Rights-Based Approach MUST



Respect, Protect and Fulfill
human rights
and
Demonstrate Effectiveness
To Deliver Effective Results,

  Health services must
         deliver
         Quality
           At
   Countrywide Scale
Presentation Goals
1.   Present an overview of Human Rights
     Instruments available to help you
     improve the effectiveness of your
     programs
2.   Discuss ways you can apply rights-based
     approaches in international health and
     nutrition
3.   RBA Career Make- Overs!
Universal Human Rights
        Instruments

• http://www.ohchr.org/EN/ProfessionalInte
Innovation in IHN
“The process of analyzing
a problem and solving it
by creating a new or better
process, product or
service.”
          Dr. Elvira Beracochea
                       www.midego.com
A better approach is


A Rights Based
  Approach

      Why?
Legal Framework and
 International Declarations
• UDHR, 1948
•ICESCR, 1966
•CEDAW, 1979
•The Right to Development, 1986
•CRC, 1989
•The Millennium Declaration, 2000
•General Comment 14, 2000
Human Rights Principles

•   Universal and inalienable
•   Indivisible
•   Interdependent and interrelated
•   Equal to all human beings
•   Meaningful Participation
•   States are duty bearers
Article 25
“Everyone has the right to a standard of
living adequate for the health and well-
being of himself and of his family, including
food, clothing, housing, and medical care
and necessary social services, and the
right to security in the event of
unemployment, sickness, disability,
widowhood, old age, or other like of
livelihood in circumstances beyond his
control.”
Global Health HR Tools
•ICDP Cairo, 1994 and Cairo +5
• Beijing Conference on Women, 1995
• Millennium Declaration, 2000
• Paris Declaration, 2005
•Accra Agenda for Action
•Rio +20, 2012
Beyond the MDGs: Sustainable Goals &
 Universal Coverage
The Right to Food
• Article 25
• General Comment 12 on the Right to
  Adequate Food (1999)

“The right to food is realized when every
  man, woman, child, alone or in
  community with others, has physical
  and economic access at all times to
  adequate food or the means for its
  procurement.”
Assess your Program


How to apply RBAs to
  your Program or
       Project
Other IHN RBA Issues to explore
  •   Right to Water
  •   Right to Clean Air
  •   Right to medicines
  •   Women’s Health
  •   Children’s Health
  •   Rights of Drug Users
  •   Rights of persons in prisons
  •   Rights of persons in conflict settings
Choice

A needs-based approach

          Or

A rights-based approach?
RBA Career Make-Over


   Volunteers?
Would you share your
            comments?

                        Thank you!

              www.midego.com
Copyright ©2013MIDEGO

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Rights-Based Approaches to International Health and Nutrition

  • 1. Specially Prepared for: Members of the International Health and Nutrition Working Group of TheSociety for International Development March 27, 2013 Rights-BasedPage Title Approaches to International Health and Nutrition Elvira Beracochea, MD. MPH. President elvira@midego.com www.midego.com
  • 2. Choice A needs-based approach Or A rights-based approach?
  • 3. The Actors • Duty bearers • Right holders • Non-State Actors • Dual Roles • Dual Loyalties
  • 4. The Duty Bearer must ensure • Availability • Accessibility • Acceptability • Quality • Equity (for all)
  • 5. Right Holders / Non-State Actors Advocacy
  • 6. Rights-Based Approach MUST Respect, Protect and Fulfill human rights and Demonstrate Effectiveness
  • 7. To Deliver Effective Results, Health services must deliver Quality At Countrywide Scale
  • 8. Presentation Goals 1. Present an overview of Human Rights Instruments available to help you improve the effectiveness of your programs 2. Discuss ways you can apply rights-based approaches in international health and nutrition 3. RBA Career Make- Overs!
  • 9. Universal Human Rights Instruments • http://www.ohchr.org/EN/ProfessionalInte
  • 10. Innovation in IHN “The process of analyzing a problem and solving it by creating a new or better process, product or service.” Dr. Elvira Beracochea www.midego.com
  • 11. A better approach is A Rights Based Approach Why?
  • 12. Legal Framework and International Declarations • UDHR, 1948 •ICESCR, 1966 •CEDAW, 1979 •The Right to Development, 1986 •CRC, 1989 •The Millennium Declaration, 2000 •General Comment 14, 2000
  • 13. Human Rights Principles • Universal and inalienable • Indivisible • Interdependent and interrelated • Equal to all human beings • Meaningful Participation • States are duty bearers
  • 14. Article 25 “Everyone has the right to a standard of living adequate for the health and well- being of himself and of his family, including food, clothing, housing, and medical care and necessary social services, and the right to security in the event of unemployment, sickness, disability, widowhood, old age, or other like of livelihood in circumstances beyond his control.”
  • 15. Global Health HR Tools •ICDP Cairo, 1994 and Cairo +5 • Beijing Conference on Women, 1995 • Millennium Declaration, 2000 • Paris Declaration, 2005 •Accra Agenda for Action •Rio +20, 2012 Beyond the MDGs: Sustainable Goals & Universal Coverage
  • 16. The Right to Food • Article 25 • General Comment 12 on the Right to Adequate Food (1999) “The right to food is realized when every man, woman, child, alone or in community with others, has physical and economic access at all times to adequate food or the means for its procurement.”
  • 17. Assess your Program How to apply RBAs to your Program or Project
  • 18. Other IHN RBA Issues to explore • Right to Water • Right to Clean Air • Right to medicines • Women’s Health • Children’s Health • Rights of Drug Users • Rights of persons in prisons • Rights of persons in conflict settings
  • 19. Choice A needs-based approach Or A rights-based approach?
  • 20. RBA Career Make-Over Volunteers?
  • 21. Would you share your comments? Thank you! www.midego.com Copyright ©2013MIDEGO

Notas do Editor

  1. The name MIDEGO is made up of the first two letters of the words Millennium Development Goals, which tells we are in the development business and public health is our main strategy.