Dilemma of health rights of vulnerable citizens: a narrative review

Vulnerable populations have traditionally faced non availability of health services. Enforcement of constitutional protections to vulnerable citizens is essential to secure them their health rights. Hence current narrative review in perspective of rights laws was conducted with the objective to review and highlight provisions of the constitution of different countries and World Health Organization (WHO) and the on ground situation prevailing in Pakistan. This study has immense significance, since this can invoke debate, inspire research and recognition of the enabling articles/ provisions for health care guaranteed in the Constitution. For this purpose data was searched for publications related to constitution and health of countries including Pakistan, United States, United Kingdom, China, Saudi Arabia and India using search engines, data bases and different websites. 170 reports, publications & articles were downloaded out of which 30 English, full text articles, publications and reports were utilized for the current research. Keywords: Vulnerable population,

ADOLESCENTS SEXUAL REPRODUCTIVE HEALTH RIGHTS ISSUES IN RURAL ZIMBABWE

This study was aimed at examining the knowledge and perceptions of adolescents on Adolescent Sexual and Reproductive Health (ASRH) rural Zimbabwe. Adolescents in Zimbabwe faces limited access to health information and services. Different factors like poverty, gender inequality, socio-cultural and economic status play a crucial role in determining adolescent’s access to ASRH knowledge. Qualitative research methodology was used in the study. Data was gathered through key informant interviews and Focus Group Discussions (FGDs). The culture of communicating ASRH problems with parents was non-existent in most cases save for girls who indicated that they got information from their mothers during menstruation periods. Adolescents indicated that they had limited access to ASRH services available in their community. They further indicated that they were not utilising these services for various reasons such as social stigma, lack of information, poor quality service and the negative attitude displayed by some nurses and counsellors at the nearest health centre.

Professional Responsibility of Doctors in a Legal Perspective on Fulfilling Patients’ Health Rights during the COVID-19 Pandemic in Indonesia

The COVID-19 pandemic began to enter Indonesia in early 2020, in this case the responsibilities and obligations of doctors are one of the concerns during the pandemic. The responsibility of medicine from a legal perspective is very diverse and implemented in various countries. In Indonesia, to realize the responsibilities, obligations and rights of the medical profession, it can be done through the fulfillment of a code of ethics that needs to be developed in various conditions. This study used a qualitative juridical research model with a review of legal texts and other supporting literature. It is hoped that this research can provide an overview of how the medical profession responds to the phenomenon of the COVID-19 pandemic in Indonesia and the future prospects for professional development and a medical code of ethics.

Considerations for implementing criminal law for defendants exposed to COVID-19

This study discussed the scope of criminal law considerations for defendants exposed to the Coronavirus through legal studies and health literacy in Indonesia. This article also tries to understand the criminal sanctions carried out by defendants exposed to COVID-19 by examining the potential for criminal justice with considerations and consequences for the rights of citizens to obtain health protection. This study concludes that punishment for criminal acts related to criminal cases must be limited considering that prosecution and criminal sanctions can only be given as light as possible where the condition of the community does need help because of their right to obtain health insurance for the population as regulated in the Law on Health and Human Rights. With a set of rights inherent in the nature and existence of humans as creatures of God Almighty are His gifts that must be respected, upheld, and protected by the state. After reviewing several international and national publications active discussing criminal law and the control of COVID-19, we got all this data. We hope that all this qualitative data can be used for future studies related to health rights and criminal law.

Selling sex in Luganville: Ni-Vanuatu sex workers' experiences of, and limits to claiming their sexual and reproductive health rights in Luganville, Espiritu Santo, Vanuatu

<p>This thesis is a foundational piece of research into ni-Vanuatu sex workers’ experiences within the sex industry of Luganville, on the northern island of Espiritu Santo in Vanuatu. This research identifies and unpacks ni-Vanuatu sex workers’ limits to claiming their sexual and reproductive health rights (SRHR), limits which are intricately associated with gender paradigms and hierarchies in Vanuatu. Those interviewed were male and female sex workers, an ex-sex worker, ‘middle men,’ who manage sexual transactions, a client and an ex-boyfriend of a local sex worker. Discussions focused on the technicalities of Luganville’s sex industry, as well as sexual and reproductive health and rights, and the extent to which sex workers are able to exercise agency during interactions with clients. Thus, this thesis reveals both the intricate workings of the sex industry in Luganville, and the considerable extent to which sex workers are limited in making decisions about their wellbeing, leading to significant accounts of abuse. The theory of ‘body work’ informs this thesis’ analysis of how ni-Vanuatu sex workers’ bodies are understood as a constitution of their self. This analysis reveals the extent to which sex workers are divested of personhood, thereby limiting their ability to have their rights as persons realised. This thesis also draws on the complex process of, as the author conceptualises, gender and developman in Vanuatu; that is, the ways in which Vanuatu has mingled with, co-opted, and rejected introduced commodities, ways, and beliefs in particularly gendered ways. In this way, this thesis is not only unique in investigating the sex industry in Luganville. This thesis also provides a deep analysis of sex work as a part of gender and developman in Vanuatu, and what that process reveals about sex workers’ agency in particular, and modern configurations of gender in Vanuatu in general.</p>

Selling sex in Luganville: Ni-Vanuatu sex workers' experiences of, and limits to claiming their sexual and reproductive health rights in Luganville, Espiritu Santo, Vanuatu

<p>This thesis is a foundational piece of research into ni-Vanuatu sex workers’ experiences within the sex industry of Luganville, on the northern island of Espiritu Santo in Vanuatu. This research identifies and unpacks ni-Vanuatu sex workers’ limits to claiming their sexual and reproductive health rights (SRHR), limits which are intricately associated with gender paradigms and hierarchies in Vanuatu. Those interviewed were male and female sex workers, an ex-sex worker, ‘middle men,’ who manage sexual transactions, a client and an ex-boyfriend of a local sex worker. Discussions focused on the technicalities of Luganville’s sex industry, as well as sexual and reproductive health and rights, and the extent to which sex workers are able to exercise agency during interactions with clients. Thus, this thesis reveals both the intricate workings of the sex industry in Luganville, and the considerable extent to which sex workers are limited in making decisions about their wellbeing, leading to significant accounts of abuse. The theory of ‘body work’ informs this thesis’ analysis of how ni-Vanuatu sex workers’ bodies are understood as a constitution of their self. This analysis reveals the extent to which sex workers are divested of personhood, thereby limiting their ability to have their rights as persons realised. This thesis also draws on the complex process of, as the author conceptualises, gender and developman in Vanuatu; that is, the ways in which Vanuatu has mingled with, co-opted, and rejected introduced commodities, ways, and beliefs in particularly gendered ways. In this way, this thesis is not only unique in investigating the sex industry in Luganville. This thesis also provides a deep analysis of sex work as a part of gender and developman in Vanuatu, and what that process reveals about sex workers’ agency in particular, and modern configurations of gender in Vanuatu in general.</p>

Curriculum development on the human rights of people with disabilities for future medical education: using a modified Delphi

Background In order for doctors to effectively provide medical services to patients with disabilities, an understanding of this population is necessary, along with the knowledge, attitudes, and technical abilities necessary to address health problems associated with each type of disability. One way of doing this is by educating doctors about disabilities and ensuring their frequent contact with people with disabilities while they are in medical school. Therefore, this study aimed to develop a systematic medical education curriculum to enhance doctors’ understanding of people with disabilities. Methods The authors conducted a systematic literature review to develop and verify the basic framework of the educational content and curriculum. Two surveys were also developed using the Delphi method to evaluate the adequacy and necessity of educational topics. Items with a content validity ratio equal to or greater than the minimum value were considered valid. Survey panels comprised academic experts and health care practitioners who were working with people with disabilities. We conducted two surveys, one for a basic and the other for an advanced course, in which 13 to 16 respondents took part. Results The authors selected 13 topics for the ‘Basic Introductory Course’ and included general educational content on the health rights of people with disabilities focused on improving students’ knowledge of disabilities. The authors also selected 12 topics for the ‘Care and Communication for Patients with Disabilities Course’ designed to improve students’ understanding of interviewing and communicating with patients with disabilities. Conclusions In Korea, disability has received little attention in the medical curriculum to date. The curriculum developed in this study provides preliminary data for guiding future directions in medical education and developing specific support plans for an education that promotes people with disabilities’ health rights.

Centre-staging citizenship, power and communities in accountability discourses: An overview

This paper distils the key insights from thematic and inter-thematic deliberations of the Global Symposium on Citizenship, Governance and Accountability in Health. It describes the evolution of the symposium theme on linking accountability to citizenship and governance in health while providing an overview of the symposium. The paper further synthesises the key discussions of the core-themes, lays out analytical reflections that have emerged from the deliberations that touch upon the issues of power and politics surrounding accountability, viz civil society, democracy, power, civic space and the role of private non-state actors that affect health rights of the marginalised.