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Collaborative imperatives, elusive dialogues

Irwin, Alec
Yamin, Alicia Ely
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Abstract
"Perhaps what human rights most distinctively adds to work in the other fields is an emphasis on assigning responsibility. That is, it is not just that “pathologies of power,” to use Farmer’s phrase, underlie health inequities, but that those pathologies represent abdications or failures of governmental responsibility to ensure a level playing field with respect to social determinants of health and access to care. As Christopher Jochnick has written, The real potential of human rights lies in its ability to change the way people perceive themselves vis-à-vis the government and other actors. A rights framework provides a mechanism for reanalyzing and renaming ‘problems’ as ‘violations,’ and, as such, something that need not and should not be tolerated.1 Human rights provides not only a set of principles for guiding health policy and programming, often referred to as procedural dimensions, which we have elaborated on in the last four issues: accountability, equality/non-discrimination; and participation; in addition to emphasizing international assistance and cooperation. As a body of international law, human rights also provides a framework of norms, institutions, and procedures. Throughout the last five issues, we have eschewed the outdated notion of a or the “health and human rights framework.” Indeed, we have gone to lengths to illustrate how diverse rightsbased approaches can be, and to dispel the notion that there is a simple formula to deploy. In unpacking how human rights approaches might assimilate lessons about social determinants of health, the article in this issue by the human rights scholar, Audrey Chapman, makes that point vividly."(pg 2)
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2010
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Creative Commons Copyright (CC 2.5)
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