Prachniak-Rincón Corey, Villar de Onís Jimena
Congratulations to Corey Prachniak-Rincón and Jimena Villar de Onís - this peer-reviewed full paper is a winner in the Harvard FXB Health and Human Rights Consortium Student Essay Competition 2016. The authors were both students at the Harvard T. H. Chan School of Public Health.
corey prachniak-rincón, JD, MPH, is a recent graduate of the Harvard T. H. Chan School of Public Health and a current Sinclair Kennedy Fellow at Harvard University.
Health Hum Rights. 2016 Dec;18(2):157-169.
The first Colombian to claim a judicially enforceable right to health was a gay man living with HIV, who in 1992 claimed a violation of his constitutional rights on account of being denied antiretroviral therapy. Since then, HIV activists have been at the forefront of advancing both the judicialization and social reconstruction of health as a human right. However, their role-and its implications today-has been sometimes overlooked in the study of Colombia's right to health. Based on semi-structured interviews with key stakeholders, we evaluate the HIV movement's effect on the progression of the right to health and resulting health care reform, and analyze the reform's success in addressing the needs of people living with HIV. While the landmark Constitutional Court decision T-760 and resulting health care reform are not the result of any one group, the HIV movement played a significant role in these developments, and its values are largely reflected in the country's new sociopolitical conceptualization of the right to health. However, the movement has faced division over the issue of generic medication availability and among subpopulations who have not been strongly represented or consistent beneficiaries of its successes.
首位主张享有可通过司法强制执行的健康权的哥伦比亚人是一名感染了艾滋病毒的同性恋男子，他于1992年声称，由于被拒绝提供抗逆转录病毒疗法，他的宪法权利受到了侵犯。从那时起，艾滋病毒感染者权益倡导者一直站在将健康作为一项人权推进司法化和社会重建的前沿。然而，在哥伦比亚健康权的研究中，他们的作用及其当今的影响有时被忽视了。基于对关键利益相关者的半结构化访谈，我们评估了艾滋病毒感染者运动对健康权进展和由此产生的医疗改革的影响，并分析了改革在满足艾滋病毒感染者需求方面的成效。虽然具有里程碑意义的宪法法院第T - 760号裁决及由此产生的医疗改革并非任何一个群体的成果，但艾滋病毒感染者运动在这些发展中发挥了重要作用，其价值观在该国对健康权的新社会政治概念化中得到了很大体现。然而，该运动在通用药物供应问题上以及在一些未得到充分代表或并非其成功的持续受益者的亚群体中面临分歧。
