Human Rights Approach & Cuba's Unique Method in Health Care
Lecture 3 Notes
Human Rights Approach in Health Care
A human rights-based approach to health care rests on the right of everyone to the
highest attainable standard of health and, in particular, that health care should be
accessible, available, acceptable, and of good quality.
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Human rights in health care are based on international treaties, including the
Universal Declaration of Human Rights and the International Covenant on
Economic, Social, and Cultural Rights.
Accessibility: Health facilities should be geographically safe and accessible to all
categories of the population, particularly those most vulnerable or marginalized. It also
involves economic accessibility, meaning affordability.
Availability: There are enough public health and healthcare facilities, products, services,
and programs to meet the need.
Acceptability: All health facilities, goods, and services must always respect medical ethics
and be culturally appropriate and sensitive to gender and lifecycle requirements.
Quality: Health facilities, goods, and services must be scientifically and medically
appropriate and of good quality.
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The human rights-based approach adds to participation, non-discrimination, and
accountability.
Non-discrimination: Health
services should be provided to
everyone without discrimination
based on race, sex, language,
religion, political or other opinion,
national or social origin, property,
or other birth status.
Participation: Respect the right
of individuals and communities to
fully participate in health-related
decision-making at the
community, national, and global
levels.
Accountability: Human rights
regard duties that are vested
within the states, among other
duty-bearers. If these rights are violated, then accountability and redress mechanisms should be in place.
The Singular Health Care of Cuba:
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Perhaps most intriguing for Cuba compared to these standard models found in most
countries, particularly those of the Global North, is the health care system.
Here are ways that Cuba does well:
Prevalent Preventive View: Cuba has more of a focus on preventive care than on curative
care in all ways, and the country has institutionalized that in its health policies and practices.
- e.g, Cuba is taking strides forward through this agenda on primary prevention, which helps
in reducing costly steps in the treatment process and generally improving public health
outcomes.
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It is very community-based, one can say, in Cuba's health care.
The country has put polyclinics as the backbone of the health system.
The polyclinics serve as the first-contact level of personal health services, with
comprehensive and continuous care initiated. Among other services, this covers more
proximately the responsibilities that a family doctor and a nurse would take for specific
communities, therefore ensuring that a medical worker with the knowledge of the health
history and needs of a specific patient is always close by to each and every one.
Universal Coverage: Cuba uses a universal health care model for all citizens. Health care
is paid for, and services are free at the point of use by the state. This removes financial
barriers, which are a big part of the problem in health care in most other systems.
Training and Education: Cuba highly invests in the training and education of health
workers. It has the highest doctor-patient ratio, with the medical schools or training
institutions having an excellent reputation across the globe.
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It also sends medical personnel to provide services in the less fortunate parts of the
world, therefore advancing a global health diplomacy solidarity.
Innovative Practices: The health practices in Cuba are very creative as they are driven
through economic constraints. The country has developed a massive array, focusing on
productive vaccinations and medications.
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They are also focused on primary care and are utilizing the skills prepared by health
professionals to maintain high standards of care.
Social determinants of health: The Cuban health system identifies and becomes engaged
in addressing social determinants of health. This is adjusted about broad social policies
bettering education, housing, nutrition, and living conditions in general. This is all-inclusive
since it emphasizes the various social and economic conditions directly affecting health.
Comparison with Human Rights Approach ●
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Still, the approach by human rights and the health care system in Cuba shares most
of the principles, and many of what the Cuban model practices are the ideals
themselves.
Indeed, much of Cuban attention in preventive care and community-based services
with universal coverage provides the predicate for the main principles:
- of availability, accessibility, acceptability, and quality.
The latter system is really a vivid example of how important principles can be built
into a national health strategy:
- non-discrimination, public participation, and public accountability.
Accessibility: Free health care in Cuba—this can be termed as an economic principle of
human rights.
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