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The Millennium Development Goals & The Health Professionals. Rubina Sohail Associate Professor of Obstetrics & Gynaecology Services Institute of Medical Sciences, Lahore. Right to Health - Evolution. Universal Declaration of Human Rights -1948 International media barely reported
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The Millennium Development Goals &The Health Professionals Rubina Sohail Associate Professor of Obstetrics & Gynaecology Services Institute of Medical Sciences, Lahore
Right to Health - Evolution • Universal Declaration of Human Rights -1948 International media barely reported • 2005: Now, the world’s most translated document By the year 2000 - Goal: “Health for all” • Attention to economic, social and cultural rights • Commitments: Majestic failure to live up to expectations
September 2000 Reduce poverty & hunger by half by the year 2015 • MDGs Eight targets - Help meet these basic needs for most people “One of the most striking features of the Millennium Development Goals is the prominence they give to health” UN Special Rapporteur Paul Hunt
The Millennium Development Goals • Eradicate extreme poverty and hunger • Achieve universal primary education • Promote gender equality and empower women • Reduce child mortality • Improve maternal health • Combat HIV/AIDS, malaria, and other diseases • Ensure environmental sustainability • Develop a global partnership for development
Promoting & Protecting - Right to Health 2002 - Rapporteur For promotion and protection of the right to health Objectives • Raise the profile of health as a fundamental human right • Increase jurisprudential understanding of the right to health. • Identify good practices on how the right to health has been respected, protected and fulfilled
MDGs – Ground Situation • Slow & uneven progress towards MDG targets • At the current rate, many may be missed altogether • The mere existence of MDGs does not empower the poor people & governments • The government can provide an arena for critical engagement
“Participation can transform country-owned strategies into development strategies owned and implemented by a wide range of stakeholders, making them more effective & sustainable”
The Role of Health Professionals • Health professionals are both victims and perpetrators of human rights violations • Constitute an essential element in ensuring the fulfillment of the right to health • Concern about the role of health professionals in human rights violations in the context to stigma and discrimination
Health Professionals – Current Situation • Minimal awareness amongst health care professionals for health as a human right • Need to create a platform for human rights concerns within the medical profession • Need for a paradigm shift for health professionals
Health Professionals – The Way Forward Before • Compassion • Good clinical practice After • Broaden perspectives • Increase responsibilities • Protect and fulfill the human rights of individuals based on universal standards Guided by medical code of ethics
Workshop on ‘Poverty, RH & the MDGs’31st March 2005 (Islamabad) Recommendations • Information, prevention, diagnosis & treatment for STIs and HIV/AIDS • Training and commitment of health professionals to • Ensure that rights of their patients are respected • Correct medical ethics are adhered to
Workshop on ‘Poverty, RH & the MDGs’31st March 2005 (Islamabad) • Strengthening of health systems • Policies for availability of EmOC • Increasing the number of SBAs • Inclusion of the sexual and reproductive health in the future implementation of the MDGs
WSRR Project - Pakistan • FIGO & SOGP • Duration: 3 years • Objectives • Development of code of ethics • Sensitization • Inclusion in curriculum • Activities
WSRR Project - Pakistan Lessons learnt • Limited awareness in health professionals and medical students about WSSR • Reluctance to discuss • Need of capacity building • Medical students’ response was encouraging
Recommendations Awareness & sensitization Defining roles Capacity building Participatory approach for achieving goals Responsibilities EmOC Sexual & reproductive rights RH for all Health Professionals & MDGsConclusions
Health Professionals & MDGsConclusions Planning for the future • Inclusion in curriculum • Teaching medical students • Sensitizing for the future • Weightage in assessment • Hands-on approach