Human Rights and Coronavirus: What’s at Stake for Truth, Trust, and Democracy?
Alicia Ely Yamin and Roojin Habibi
Health and Human Rights Journal, 1 March 2020
It has scarcely been a month since COVID-19 (then simply known as the disease caused by a novel ‘coronavirus’) was declared a “public health emergency of international concern”. The virus has since travelled to every continent except Antarctica, and prompted at least 80 travel restrictions against China, with many others now targeting secondarily affected countries, such as Iran, Italy, and South Korea.
Although World Health Organization (WHO) Director General Dr. Tedros Ghebreyesus has called for solidarity, not stigma, it is notable that to date WHO has not issued any substantive guidance on how countries can take public health measures that achieve health protection while respecting human rights. Amid growing public fears, confusion, and misinformation, as well as government reactions that may fuel rather than mitigate intolerance, discrimination and exclusion, it is critical to set out some key human rights principles and the guidance they provide. Read more
Do not violate the International Health Regulations during the COVID-19 outbreak
Alicia Ely Yamin and Roojin Habibi
The Lancet, 13 February 2020
Legislating for public accountability in universal health coverage, Thailand
Kanang Kantamaturapoj, Anond Kulthanmanusorn, Woranan Witthayapipopsakul, Shaheda Viriyathorn, Walaiporn Patcharanarumol, Churnrurtai Kanchanachitra, Suwit Wibulpolprasert & Viroj Tangcharoensathien
Bulletin of the World Health Organization, Special theme issue: accelerating universal health coverage, February 2020
Sustaining universal health coverage requires robust active public participation in policy formation and governance. Thailand’s universal coverage scheme was implemented nationwide in 2002, allowing Thailand to achieve full population coverage through three public health insurance schemes and to demonstrate improved health outcomes. Although Thailand’s position on the World Bank worldwide governance indicators has deteriorated since 1996, provisions for voice and accountability were embedded in the legislation and design of the universal coverage scheme. We discuss how legislation related to citizens’ rights and government accountability has been implemented. Thailand’s constitution allowed citizens to submit a draft bill in which provisions on voice and accountability were successfully embedded in the legislative texts and adopted into law. The legislation mandates registration of beneficiaries, a 24/7 helpline, annual public hearings and no-fault financial assistance for patients who have experienced adverse events. Ensuring the right to health services, and that citizens’ voices are heard and action taken, requires the institutional capacity to implement legislation. For example, Thailand needed the capacity to register 47 million people and match them with the health-care provider network in the district where they live, and to re-register members who move out of their districts. Annual public hearings need to be inclusive of citizens, health-care providers, civil society organizations and stakeholders such as local governments and patient groups. Subsequent policy and management responses are important for building trust in the process and citizens’ ownership of the scheme. Annual public reporting of outcomes and performance of the scheme fosters transparency and increases citizens’ trust. Read more