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Inclusion and Human Rights in Health Policies: Comparative and Benchmarking Analysis of 51 Policies from Malawi, Sudan, South Africa and Namibia

By Malcolm MacLachlan, Mutamad Amin, Hasheem Mannan, Shahla El Tayeb, Nafisa Bedri, Leslie Swartz, Alister Munthali, Gert Van Rooy and Joanne McVeigh


While many health services strive to be equitable, accessible and inclusive, peoples’ right to health often goes unrealized, particularly among vulnerable groups. The extent to which health policies explicitly seek to achieve such goals sets the policy context in which services are delivered and evaluated. An analytical framework was developed – EquiFrame – to evaluate 1) the extent to which 21 Core Concepts of human rights were addressed in policy documents, and 2) coverage of 12 Vulnerable Groups who might benefit from such policies. Using this framework, analysis of 51 policies across Malawi, Namibia, South Africa and Sudan, confirmed the relevance of all Core Concepts and Vulnerable Groups. Further, our analysis highlighted some very strong policies, serious shortcomings in others as well as country-specific patterns. If social inclusion and human rights do not underpin policy formation, it is unlikely they will be inculcated in service delivery. EquiFrame facilitates policy analysis and benchmarking, and provides a means for evaluating policy revision and development

Topics: Research Article
Publisher: Public Library of Science
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Provided by: PubMed Central

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  3. (2011). Access to health care of persons with disabilities as an indicator of equity in health systems.
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  8. (1998). Conceptualizing vulnerable populations health-related research.
  9. (2011). Convention on the Rights of Persons with Disabilities.
  10. Core Concepts of Human Rights and Inclusion of Vulnerable Groups
  11. (1978). Declaration of Alma-Ata.
  12. (2008). Doing’ health policy analysis: Methodological and conceptual reflections and challenges.
  13. (2010). El Tayeb S (Presentation at First Global
  14. (2011). EquiFrame: A framework for analysis of the inclusion of human rights and vulnerable groups in health policies. Health and Human Rights:
  15. (2003). Equity and choice: Can the NHS offer both? A policy perspective. In: Oliver A, ed. Equity in health and health care: views from ethics, economics and political science. London: The Nuffield Trust.
  16. (2008). Equity in health care. Cuadernos de Bioetica
  17. (2008). Future directions for health policy analysis: A tribute to the work of professor Gill Walt.
  18. (1994). Health and human rights.
  19. (2006). Health disparities and health equity: Concepts and measurement.
  20. (2005). HIV-TB co-infection: Epidemiology, diagnosis & management.
  21. (2007). Home management of childhood diarrhea in southern Mali – Implications for the introduction of zinc treatment.
  22. (2012). Human Rights in Health Policies PLoS
  23. (2001). Impact of tuberculosis (TB) on HIV-1 activity in dually affected patients.
  24. (2011). Inclusive Health.
  25. (2007). Issues of equity are also issues of rights’: Lessons from experiences in Southern Africa.
  26. (2012). Kurup AS Social determinants approaches to public health: From concept to practice. Geneva: World Health Organization.
  27. (2005). Making Health Policy (Understanding Public Health).
  28. (2011). Meeting the needs of people with disabilities – New approaches in the health sector.
  29. (2003). Monitoring equity in health and healthcare: A conceptual framework.
  30. (1989). Office of the United Nations High Commissioner for Human Rights
  31. (2008). Office of the United Nations High Commissioner for Human Rights, World Health Organization
  32. (2011). Organization
  33. (2011). Organization. Health & Human Rights.
  34. (2004). Overcoming barriers to health service access and influencing the demand side through purchasing. Health, Nutrition and Population (HNP) Discussion Paper.
  35. (2008). Policy to tackle the social determinants of health: Using conceptual models to understand the policy process.
  36. (2008). Presentation at Bamako Global Health Ministerial Summit,
  37. (2012). Social Council Substantive Issues Arising in the Implementation of the International Covenant on Economic, Social and Cultural Rights.
  38. (2010). Social Inclusion and Health Policies: National Workshop for Health Policy Makers and Policy Analysts.
  39. (2006). The BIAS FREE framework: A new analytical tool for global health research.
  40. (2004). The Changing Role of Older People in African Households and the Impact of Ageing on African Family Structures. HelpAge International’s Regional Representative for Africa. The Ageing
  41. (2001). The core concepts of disability policy affecting families who have children with disabilities.
  42. the EquitAble Consortium (2011) The EquiFrame manual: A tool for evaluating and promoting the inclusion of vulnerable groups and core concepts of human rights in health policy documents.
  43. the EquitAble Consortium (2012) Noncommunicable disease priority actions and social inclusion.
  44. The Global Fund to Fight AIDS, Tuberculosis, Malaria Fighting AIDS, Tuberculosis and Malaria: Fighting Tuberculosis.
  45. (2008). The role of state and non-state actors in the policy process: The contribution of policy networks to the scale-up of antiretroviral therapy in Thailand.
  46. (2001). Tools for analyzing policy on the books and policy on the streets.
  47. (1994). Towards the development of a human rights impact assessment for the formulation and evaluation of public health policies.
  48. (2011). UNHCR Convention and Protocol Relating to the Status of Refugees.
  49. (2008). Vulnerability in research and health care: Describing the elephant in the room?
  50. (2005). Wanted: A new ethics field for health policy analysis. Health Care Analysis 13(4,
  51. (2006). World Health Organization

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