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反腐败、透明度和问责制的人权机制:促进健康权。

Human rights mechanisms for anti-corruption, transparency and accountability: enabling the right to health.

作者信息

Sekalala Sharifah, Masud Haleema, Bosco Rebekah Thomas

机构信息

University of Warwick, Coventry, UK.

Warwick Medical School, Coventry, UK.

出版信息

Glob Health Action. 2020;13(sup1):1699343. doi: 10.1080/16549716.2019.1699343.

DOI:10.1080/16549716.2019.1699343
PMID:32194016
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7170379/
Abstract

: The presence of corruption in State institutions and broader society presents a significant obstacle to the right to the enjoyment of the highest attainable standard of health. The Universal Periodic Review, a Member State-led peer review system administered by the Human Rights Council, is a core tool of human rights, including the right to health accountability. This paper builds on existing research to examine processes that support State engagement on the issue of corruption. We identify opportunities for States to use the Universal Periodic Review to support anti-corruption, transparency and accountability to control corruption in the health-care sector.: This paper focuses on health sector how human rights mechanisms, and particularly the Universal Periodic Review, can be a tool for greater accountability for the right to health for corruption in the health sector.: The research team applied qualitative content analysis methods to analyze all 135 Universal Periodic Review documents produced during 2018 in order to analyze how human rights mechanisms address the impact of corruption on the realization of the right to health.: Although health rights violations are often addressed within human rights mechanisms such as the UPR, corruption remains under-addressed, suggesting that there are gaps in understanding how corruption can seriously undermine the right to health.: Human rights mechanisms should drive greater attention to the importance of addressing corruption in health. In order to make the UPR more effective, this paper suggests that there is a need to generate more awareness of corruption-based violations of the right to health in order to promote greater health accountabilityPractical tools such as strategic litigation and social audits can also contribute to creating greater transparency and accountability in dealing with corruption.

摘要

国家机构和更广泛社会中存在的腐败现象,对享有可达到的最高健康标准的权利构成了重大障碍。普遍定期审议是由人权理事会管理的一个由成员国主导的同行审议系统,是人权的一项核心工具,包括健康权问责制。本文以现有研究为基础,审视支持国家参与腐败问题的各项进程。我们确定了各国利用普遍定期审议来支持反腐败、透明度和问责制以控制医疗保健部门腐败的机会。本文重点关注卫生部门人权机制,特别是普遍定期审议如何能够成为加强对卫生部门腐败行为健康权问责的一种工具。研究团队运用定性内容分析方法,对2018年产生的所有135份普遍定期审议文件进行分析,以研究人权机制如何应对腐败对健康权实现的影响。虽然侵犯健康权的行为往往在诸如普遍定期审议这样的人权机制中得到处理,但腐败问题仍未得到充分解决,这表明在理解腐败如何严重损害健康权方面存在差距。人权机制应促使人们更加关注解决卫生领域腐败问题的重要性。为了使普遍定期审议更有效,本文建议有必要提高对基于腐败的侵犯健康权行为的认识,以促进更强的健康问责制。战略诉讼和社会审计等实用工具也有助于在处理腐败问题时提高透明度和问责制。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/48cf/7170379/4a08e37ea676/ZGHA_A_1699343_F0003_OC.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/48cf/7170379/ed9f801a71fb/ZGHA_A_1699343_F0001_OC.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/48cf/7170379/09b78065fc47/ZGHA_A_1699343_F0002_OC.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/48cf/7170379/4a08e37ea676/ZGHA_A_1699343_F0003_OC.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/48cf/7170379/ed9f801a71fb/ZGHA_A_1699343_F0001_OC.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/48cf/7170379/09b78065fc47/ZGHA_A_1699343_F0002_OC.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/48cf/7170379/4a08e37ea676/ZGHA_A_1699343_F0003_OC.jpg

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本文引用的文献

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The risk of corruption in public pharmaceutical procurement: how anti-corruption, transparency and accountability measures may reduce this risk.公共药品采购中的腐败风险:反腐败、透明度和问责措施如何降低这种风险。
Glob Health Action. 2020;13(sup1):1694745. doi: 10.1080/16549716.2019.1694745.
2
Anti-corruption, transparency and accountability in health: concepts, frameworks, and approaches.医疗卫生领域的反腐败、透明度与问责制:概念、框架及方法
Glob Health Action. 2020;13(sup1):1694744. doi: 10.1080/16549716.2019.1694744.
3
The sustainable development goals as a framework to combat health-sector corruption.
Glob Health Action. 2020;13(sup1):1700660. doi: 10.1080/16549716.2019.1700660.
可持续发展目标作为打击卫生部门腐败的框架。
Bull World Health Organ. 2018 Sep 1;96(9):634-643. doi: 10.2471/BLT.18.209502. Epub 2018 Jun 4.
4
Corruption and population health outcomes: an analysis of data from 133 countries using structural equation modeling.腐败与人口健康结果:使用结构方程模型对133个国家的数据进行分析
Int J Public Health. 2015 Sep;60(6):633-41. doi: 10.1007/s00038-015-0687-6. Epub 2015 May 21.
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J Adolesc Health. 2012 Jun;50(6):547-52. doi: 10.1016/j.jadohealth.2011.08.015. Epub 2011 Oct 26.
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Corruption kills: estimating the global impact of corruption on children deaths.腐败导致死亡:估计腐败对儿童死亡的全球影响。
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