who medicines strategy - libdoc.who.int - World Health Organization
who medicines strategy - libdoc.who.int - World Health Organization who medicines strategy - libdoc.who.int - World Health Organization
WHO MEDICINES STRATEGY 2004-2007 | 40Figure 6:National recognition of the right to health Source: Kinney ED, “The International Human Right to Health:What Does This Mean for our Nation and World?” in IndianaLaw Review, Vol 34, 2001, page 1465.EO 1.7Access to essential medicinesrecognized as a human right viaadvocacy and policy guidance torecognize and monitor access toessential medicines as part of theright to healthRationaleThe right to health is referred to in the openingparagraph of the WHO Constitution. It has alsobeen recognized in many global and regionalhuman rights treaties, such as the InternationalCovenant on Economic, Social and Cultural Rights(ICESCR) which has been signed by over 140countries. In the authoritative General CommentNo.14 (2000) by the Committee on Economic,Social and Cultural Rights, the right to healthfacilities, goods, and services in article 12.2.(d) ofthe Covenant is understood to include, inter alia,the appropriate treatment of prevalent diseases,preferably at community level, and the provisionof essential drugs as defined by WHO. While theCovenant provides for progressive realization andacknowledges the limits of available resources,State parties have an immediate obligation toguarantee that the right to health will be exercisedwithout discrimination of any kind, and to takedeliberate and concrete steps towards its fullrealization.ProgressAll countries in the world have signed at leastone of the international treaties that confirm theright to health as a human right (Figure 6); and109 countries have included the right to healthin their constitution. In an increasing number ofcountries, especially in Latin America but also inThailand and South Africa, individuals or NGOshave initiated and won constitutional court cases,demanding from their government the equitablerealization of the right to health — for example,winning universal access to certain types ofessential medicines.Within the UN system, a Special Rapporteuron the Right to Health was appointed in 2001.The Special Rapporteur is working in closecollaboration with WHO, with the aim ofincluding regular reporting on equitable access toessential medicines as part of the obligatory fiveyearreporting by State parties to the InternationalCovenant.
COMPONENTS OF THE STRATEGY | 41Meeting the challenges 2004-2007Over the next four years WHO will:> advocate a rights-based approach as oneadditional means to promote access toessential medicines, by collecting anddisseminating information on successfulactivities in developing countries and byformulating and providing practical advice toindividuals and NGOs active in this field.Challenges remaining> continue to collaborate with the UN SpecialRapporteur on the Right to Health to promoteregular reporting on access to essentialmedicines within standardized reportingsystems on the progressive realization of theRight to Health.Not all countries have recognized the right tohealth in their national constitution, and manycountries lack the means to ensure that the rightof access to essential medicines is fulfilled.But even where resources are limited, not allcountries recognize that they have an obligationto distribute equitably and without discrimination,and with special consideration for the poorand disadvantaged, whatever health servicesare possible within their means. An additionalchallenge is that many countries do not gatherany data on gender- or income-related access toessential medicines.OUTCOME INDICATORS1999 2003 2007No. of countries that provide HIV/AIDS-related medicinesfree at primary public health facilities#REPORTING % TARGET#REPORTING % TARGETna na na 60/104 58% 65%
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COMPONENTS OF THE STRATEGY | 41Meeting the challenges 2004-2007Over the next four years WHO will:> advocate a rights-based approach as oneadditional means to promote access toessential <strong>medicines</strong>, by collecting anddisseminating information on successfulactivities in developing countries and byformulating and providing practical advice toindividuals and NGOs active in this field.Challenges remaining> continue to collaborate with the UN SpecialRapporteur on the Right to <strong>Health</strong> to promoteregular reporting on access to essential<strong>medicines</strong> within standardized reportingsystems on the progressive realization of theRight to <strong>Health</strong>.Not all countries have recognized the right tohealth in their national constitution, and manycountries lack the means to ensure that the rightof access to essential <strong>medicines</strong> is fulfilled.But even where resources are limited, not allcountries recognize that they have an obligationto distribute equitably and without discrimination,and with special consideration for the poorand disadvantaged, whatever health servicesare possible within their means. An additionalchallenge is that many countries do not gatherany data on gender- or income-related access toessential <strong>medicines</strong>.OUTCOME INDICATORS1999 2003 2007No. of countries that provide HIV/AIDS-related <strong>medicines</strong>free at primary public health facilities#REPORTING % TARGET#REPORTING % TARGETna na na 60/104 58% 65%