umu.sePublications
Change search
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf
Can the right to health inform public health planning in developing countries?: A case study for maternal healthcare from Indonesia
Immpact, University of Aberdeen, UK.
Umeå University, Faculty of Medicine, Department of Public Health and Clinical Medicine, Epidemiology and Global Health. University of Aberdeen, Dept Publ Hlth, Aberdeen, UK.ORCID iD: 0000-0001-5474-4361
Univ Indonesia, Fac Publ Hlth, Ctr Family Welf, W Java, Indonesia.
2008 (English)In: Global Health Action, ISSN 1654-9716, E-ISSN 1654-9880, Vol. 1, 10- p.Article in journal (Refereed) Published
Abstract [en]

Background: Maternal mortality remains unacceptably high in developing countries despite international advocacy, development targets, and simple, affordable and effective interventions. Human rights are powerful advocacy tools, which have become prominent in health and development. In recent years, regard for maternal mortality as a human rights issue as well as one that pertains to health, has emerged.

Objective: We study a case of maternal death using a theoretical framework derived from the right to health to examine access to and quality of maternal healthcare. Our objective was to explore the potential of rights-based frameworks to inform public health planning from a human rights perspective.

Design: Information was elicited as part of a verbal autopsy survey investigating maternal deaths in rural settings in Indonesia. The deceased's relatives were interviewed to collect information on medical signs, symptoms and the social, cultural and health systems circumstances surrounding the death.

Results: In this case, a prolonged, severe fever and a complicated series of referrals culminated in the death of a 19-year-old primagravida at 7 months gestation. The cause of death was acute infection. The woman encountered a range of barriers to access; behavioural, socio-cultural, geographic and economic. Several serious health system failures were also apparent.. The theoretical framework derived from the right to health identified that none of the essential elements of the right were upheld.

Conclusion: The rights-based approach could identify how and where to improve services. However, there are fundamental and inherent conflicts between the public health tradition (collective and preventative) and the right to health (individualistic and curative). As a result, and in practice, the right to health is likely to be ineffective for public health planning from a human rights perspective. Collective rights such as the right to development may provide a more suitable means to achieve equity and social justice in health planning.

Place, publisher, year, edition, pages
CoAction Publishing, 2008. Vol. 1, 10- p.
Keyword [en]
human rights, maternal mortality, developing countries, Indonesia
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
URN: urn:nbn:se:umu:diva-21832DOI: 10.3402/gha.v1i0.1828ISI: 000208158100002PubMedID: 20027244OAI: oai:DiVA.org:umu-21832DiVA: diva2:211943
Note

This work was undertaken as part of Immpact, funded by the Bill & Melinda Gates Foundation, the Department for International Development, the European Commission and United States Agency for International Development. Immpact is an international research programme which also provides technical assistance through its affiliate organisation, Ipact.

Available from: 2009-04-20 Created: 2009-04-20 Last updated: 2017-12-13Bibliographically approved

Open Access in DiVA

Can the right to health inform public health planning in developing countries?: A case study for maternal healthcare from Indonesia(1294 kB)134 downloads
File information
File name FULLTEXT02.pdfFile size 1294 kBChecksum SHA-512
30742a6f0d754f9a4700cfe29fcadc10759a2717e0c7b10543721eec774eab983ef41890440bc5b58de0767e457a146a21c0db5313b1d24e25747ee84eb1cac3
Type fulltextMimetype application/pdf

Other links

Publisher's full textPubMed

Authority records BETA

D'Ambruoso, LuciaByass, Peter

Search in DiVA

By author/editor
D'Ambruoso, LuciaByass, Peter
By organisation
Epidemiology and Global Health
In the same journal
Global Health Action
Public Health, Global Health, Social Medicine and Epidemiology

Search outside of DiVA

GoogleGoogle Scholar
Total: 134 downloads
The number of downloads is the sum of all downloads of full texts. It may include eg previous versions that are now no longer available

doi
pubmed
urn-nbn

Altmetric score

doi
pubmed
urn-nbn
Total: 106 hits
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf