人权精神：肯尼亚马库埃尼县的全民健康覆盖
The Spirit of Human Rights: Universal Health Coverage in Makueni County, Kenya.
作者信息
Kamau Esther, MacNaughton Gillian
机构信息
Research manager at the Institute for Community Inclusion at the University of Massachusetts Boston, United States.
Co-founder of Social and Economic Rights Associates; a senior fellow with the Program on Human Rights and the Global Economy at Northeastern University School of Law; and an affiliated researcher with the Research Program on Economic and Social Rights at the University of Connecticut, United States.
出版信息
Health Hum Rights. 2024 Dec;26(2):25-37.
In view of the United Nations' goal to achieve universal health coverage (UHC) by 2030, this paper investigates MakueniCare, the highly successful UHC program in Makueni County, Kenya, to reveal the spirit of human rights underlying it. Drawing on international, Kenyan, and Makueni County law and policy, as well as 30 interviews with government and civil society leaders in health care policy and programming at the national and county levels, we examine the human rights law and principles that underlie the adoption and implementation of MakueniCare. We first set out key human rights principles grounded in the International Covenant on Economic, Social and Cultural Rights and the 2010 Kenyan Constitution, and then describe the research design and methodology of the project. Then, we analyze the data collected to highlight the various ways in which the adoption and implementation of MakueniCare were influenced by human rights, particularly the right to health. We conclude with thoughts on how MakueniCare could be further improved from a human rights perspective.
鉴于联合国到2030年实现全民健康覆盖（UHC）的目标，本文对肯尼亚马库埃尼县非常成功的全民健康覆盖项目“马库埃尼关爱计划”进行了调查，以揭示其背后的人权精神。借鉴国际、肯尼亚及马库埃尼县的法律和政策，以及对国家和县级医疗保健政策与规划领域的政府和民间社会领导人进行的30次访谈，我们审视了“马库埃尼关爱计划”的采用和实施所依据的人权法律和原则。我们首先阐述基于《经济、社会及文化权利国际公约》和2010年《肯尼亚宪法》的关键人权原则，然后描述该项目的研究设计和方法。接着，我们分析所收集的数据，以突出“马库埃尼关爱计划”的采用和实施受到人权，特别是健康权影响的各种方式。最后，我们思考如何从人权角度进一步改进“马库埃尼关爱计划”。
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