Master of Science student at El Colegio de la Frontera Sur, Chiapas, Mexico.
Researcher at El Colegio de la Frontera Sur, Chiapas, Mexico.
Health Hum Rights. 2020 Jun;22(1):305-316.
This article analyzes the fulfillment of the four essential and interrelated elements of availability, accessibility, acceptability, and quality (AAAQ) presented in General Comment 14 of the United Nations Committee on Economic, Social and Cultural Rights. We examined the ways that AAAQ criteria are met in tuberculosis (TB) care by evaluating a sample of 33 primary health care units (PHCUs) in 10 municipalities of the Chiapas Highlands region of Mexico. We collected information about 56 people with TB who were treated in those PHCUs, the structural conditions of the health facilities, and data about all health care workers in the PHCUs (n=423). Our results show that there is great variability in how AAAQ criteria are met among the PHCUs and in the way that TB care programs are delivered. Resource shortages and infrastructure characteristics hinder the fulfillment of AAAQ elements despite the commitment made by Mexico to guarantee the right to health as outlined in General Comment 14.
本文分析了联合国经济、社会和文化权利委员会第 14 号一般性意见中提出的可及性、可及性、可接受性和质量（AAAQ）这四个基本且相互关联的要素的实现情况。我们通过评估墨西哥恰帕斯高地地区 10 个城市的 33 个初级保健单位 (PHCU)，评估了结核 (TB) 护理中满足 AAAQ 标准的方式。我们收集了在这些 PHCU 中接受治疗的 56 名结核病患者、卫生设施的结构条件以及 PHCU 中所有卫生保健工作者的数据（n=423）。我们的研究结果表明，PHCU 之间以及结核病护理方案的实施方式在满足 AAAQ 标准方面存在很大差异。尽管墨西哥承诺按照第 14 号一般性意见的规定保障健康权，但资源短缺和基础设施特点却阻碍了 AAAQ 要素的实现。
