Health Hum Rights. 2009;11(1):105-12.
In the United States, city and county governments are often responsible for implementing health policies and programs on behalf of state and federal governments. However, local jurisdictions have generally not capitalized on their own expertise or on local knowledge to advocate rights-based health care reform. Working with local public health officials to develop a rights-based health care reform advocacy plan is a way to integrate human rights principles into local government policy and practice at the grassroots level. The concrete policy objectives found in human rights princples can also be the basis of local government advocacy efforts toward state and federal government for reform that addresses local and regional health needs. This article presents a first-person, "hands-on" account of efforts to operationalize a human rights framework in public health advocacy and action in a local setting, King County, a jurisdiction of Washington, USA, that includes the city of Seattle.
在美国，市和县政府通常负责代表州和联邦政府实施卫生政策和计划。然而，地方司法管辖区通常没有利用自己的专业知识或当地知识来倡导基于权利的医疗保健改革。与当地公共卫生官员合作，制定基于权利的医疗保健改革宣传计划，是将人权原则纳入地方政府政策和基层实践的一种方式。人权原则中找到的具体政策目标也可以作为地方政府向州和联邦政府争取改革的基础，以解决地方和区域的健康需求。本文以第一人称的方式，介绍了在美国华盛顿州的金县（包括西雅图市）这一地方管辖区，将人权框架付诸公共卫生宣传和行动的实际操作的情况。
