University of North Carolina at Chapel Hill, 218 Abernethy Hall, Chapel Hill, NC 27514, USA.
Bradford University Law School, UK.
Public Health. 2014 Feb;128(2):179-87. doi: 10.1016/j.puhe.2013.08.012. Epub 2014 Jan 15.
The World Health Organization (WHO) was intended to serve at the forefront of efforts to realize human rights to advance global health, and yet this promise of a rights-based approach to health has long been threatened by political constraints in international relations, organizational resistance to legal discourses, and medical ambivalence toward human rights. Through legal research on international treaty obligations, historical research in the WHO organizational archives, and interview research with global health stakeholders, this research examines WHO's contributions to (and, in many cases, negligence of) the rights-based approach to health. Based upon such research, this article analyzes the evolving role of WHO in the development and implementation of human rights for global health, reviews the current state of human rights leadership in the WHO Secretariat, and looks to future institutions to reclaim the mantle of human rights as a normative framework for global health governance.
世界卫生组织(世卫组织)旨在成为实现人权以促进全球健康的努力的最前沿,但这一对基于权利的卫生方法的承诺长期以来一直受到国际关系中的政治限制、对法律话语的组织抵制以及医学对人权的矛盾态度的威胁。本研究通过对国际条约义务的法律研究、世卫组织组织档案中的历史研究以及对全球卫生利益攸关方的访谈研究,考察了世卫组织对基于权利的卫生方法的贡献(以及在许多情况下对其忽视)。基于这项研究,本文分析了世卫组织在制定和实施全球健康人权方面不断变化的作用,审查了世卫组织秘书处目前在人权方面的领导地位,并展望未来的机构能够重新夺回人权作为全球卫生治理规范框架的重任。