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传统/替代医学与健康权:全球健康公约的关键要素

Traditional/alternative medicines and the right to health: Key elements for a convention on global health.

作者信息

Mpinga Emmanuel Kabengele, Kandolo Tshimungu, Verloo Henk, Bukonda Ngoyi K Zacharie, Kandala Ngianga-Bakwin, Chastonay Philippe

机构信息

Institute of Social and Preventive Medicine, University of Geneva.

Institut Supérieur des Techniques Médicales in Kinshasa, Democratic Republic of Congo.

出版信息

Health Hum Rights. 2013 Jun 14;15(1):E44-57.

Abstract

Little has been done to investigate and promote the importance of non-conventional medicines (NCMs) in the realization of the right to health, yet all over the world people regularly resort to NCMs to secure healing or to prevent or mitigate the occurrence of a wide range of morbidities. This study aims to elucidate the theoretical framework of the role of NCMs in realizing the right to health, to identify the potential manifestations and causes of violations of the right to health in their practice, and to propose the practice of NCMs that could be included in a Framework Convention on Global Health. We use both the documentary analysis and the violation of rights approaches. Through a non-directive review of the literature, we have tried to clarify the concepts and uniqueness of NCMs. We have also tried to unveil the challenges facing NCMs in a context where conventional medicines assume extensive power. The human rights approach has enabled us to bring to light the potential challenges to the rights of the various stakeholders that NCMs create. We argue that NCMs can contribute to realizing the right to health through their availability, accessibility, acceptability, and relative quality. The Framework Convention on Global Health could contribute to the effective realization of this right by integrating basic principles to ensure the recognition, protection, promotion, and conservation of NCMs-at least of those NCMs that have shown evidence of efficacy-as well as catalyzing increased international cooperation in this area.

摘要

在调查和推广非传统医学在实现健康权方面的重要性方面,所做的工作甚少,然而在世界各地,人们经常求助于非传统医学来确保治愈或预防和减轻多种疾病的发生。本研究旨在阐明非传统医学在实现健康权方面的作用的理论框架,确定其在实践中侵犯健康权的潜在表现形式和原因,并提出可纳入《全球健康框架公约》的非传统医学实践。我们采用文献分析和权利侵犯方法。通过对文献的非定向回顾,我们试图厘清非传统医学的概念和独特性。我们还试图揭示在传统医学占据广泛主导地位的背景下非传统医学所面临的挑战。人权方法使我们能够揭示非传统医学给各利益相关方的权利带来的潜在挑战。我们认为,非传统医学可以通过其可及性、可获取性、可接受性和相对质量,为实现健康权做出贡献。《全球健康框架公约》可通过纳入基本原则,确保对非传统医学——至少是那些已显示出疗效证据的非传统医学——的承认、保护、推广和保存,并促进该领域国际合作的增加,从而有助于有效实现这一权利。

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