Human Rights:
Download
1 / 20

Scott Burris Temple University Beasley School of Law & The Center for Law and the Public’s Health/Johns Hopkins Bloombe - PowerPoint PPT Presentation


  • 315 Views
  • Updated On :

Human Rights: The Link to HIV Interventions Scott Burris Temple University Beasley School of Law & The Center for Law and the Public’s Health/Johns Hopkins Bloomberg School of Public health A CDC/WHO/PAHO Collaborating Center Titanic A Story About Human Rights, Health Policy and Health

Related searches for Scott Burris Temple University Beasley School of Law & The Center for Law and the Public’s Health/Johns Hopkins Bloombe

loader
I am the owner, or an agent authorized to act on behalf of the owner, of the copyrighted work described.
capcha
Download Presentation

PowerPoint Slideshow about ' Scott Burris Temple University Beasley School of Law & The Center for Law and the Public’s Health/Johns Hopkins Bloombe' - libitha


An Image/Link below is provided (as is) to download presentation

Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author.While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server.


- - - - - - - - - - - - - - - - - - - - - - - - - - E N D - - - - - - - - - - - - - - - - - - - - - - - - - -
Presentation Transcript
Slide1 l.jpg

Human Rights: The Link to HIV Interventions

Scott Burris

Temple University Beasley School of Law

&

The Center for Law and the Public’s Health/Johns Hopkins Bloomberg School of Public health

A CDC/WHO/PAHO Collaborating Center


Slide2 l.jpg

Titanic

A Story About Human Rights, Health Policy and Health


Initial research findings l.jpg
Initial research findings:

  • Deaths : 1517 of 2223 passengers and crew

  • Causes of death:

    • hypothermia

    • drowning

  • Major individual risk factors:

    • not using a lifeboat (odds ratio > 250,000)

    • traveling 3rd Class (steerage passengers were 20 X more likely not to use lifeboat than 1st Class female)

    • male gender (male death rate 3 X female death rate)


Slide4 l.jpg

  • Interventions:

    • Educate at-risk passengers about value of using lifeboats

    • Skills-building on lifeboat entry

    • Special focus on male lifeboat issues


Slide5 l.jpg

  • What happened?

    • Interventions did not reduce deaths in similar accidents.

    • Interventions did not reduce disparities based on wealth and gender


Slide6 l.jpg

Because how people behaved that night was just … the tip of the iceberg

  • The problem was not bad choices, but poor options

  • Cause of death was as much gender and class as hypothermia and drowning

  • Individual risk factors did not explain population vulnerability

There were too few lifeboats!

Access to lifeboats depended on wealth!

“Women and children first”!


Slide7 l.jpg

Which means

  • The imperative was to create ships on which people could be healthy

  • Structural interventions (i.e., interventions that change the environment):

    • Laws requiring sufficient lifeboats

    • Policies to reduce inequality and its enforcement among passengers

 Human Rights!

There were too few lifeboats!

Access to lifeboats depended on wealth!

“Women and children first”!


Slide8 l.jpg

Titanic

The Moral of the Story

Social Epidemiology is providing the evidence that human rights are crucial to health

Human rights are a crucial tool to maximizing the level and just distribution of health in this world


Slide9 l.jpg

Social determinants

of health

(e.g., inequality)

Particular pathologies

(e.g., HIV)


Slide10 l.jpg

Structural interventions: Changing the environment

Social determinants

of health

(e.g., inequality)

Particular pathologies

(e.g., HIV)

Individual interventions:

Helping people cope with current environment


Slide11 l.jpg

Structural interventions: Changing the environment

Change the environmental factors that drive health inequalities

Universal ARV access

Evidence

Change the environmental factors causing a particular disease

Social determinants

of health

(e.g., inequality)

Particular pathologies

(e.g., HIV)

Help individuals cope with social causes of disease

Help individuals deal with specific diseases

Right to highest attainable standard of health

Individual ARV treatment

Microbicides

Individual interventions:

Helping people cope with current environment


Slide12 l.jpg

Structural interventions: Changing the environment

Education

Income sufficiency

Work rights

Civil rights

Self-determination

Collective efficacy

Universal ARV access

Evidence

Social determinants

of health

(e.g., inequality)

Particular pathologies

(e.g., HIV)

Fundamental Human Rights

Right to highest attainable standard of health

Individual ARV treatment

Microbicides

Individual interventions:

Helping people cope with current environment


Slide13 l.jpg

Structural interventions: Changing the environment

Criminalization of drug use is a major driver of HIV among IDUs and of health inequalities in populations with high IDU prevalence

Universal ARV access

Evidence

Social determinants

of health

(e.g., inequality)

Particular pathologies

(e.g., HIV)

SEP

Fundamental Human Rights

Right to highest attainable standard of health

Individual interventions:

Helping people cope with current environment


Slide14 l.jpg

Structural interventions: Changing the environment

Control

Money

Voice

Collective efficacy

Own mistakes

We can follow the evidence by respecting communities in daily practice

Evidence

Social determinants

of health

(e.g., inequality)

Particular pathologies

(e.g., HIV)

Fundamental Human Rights

Right to highest attainable standard of health

Individual ARV treatment

Teaching women to negotiate with partners

Individual interventions:

Helping people cope with current environment


Slide15 l.jpg

Structural interventions: Changing the environment

Collective efficacy

Control

Voice

Own Mistakes

Evidence

Social determinants

of health

(e.g., inequality)

Particular pathologies

(e.g., HIV)

Sex worker collective

Fundamental Human Rights

Right to highest attainable standard of health

Individual ARV treatment

Individual interventions:

Helping people cope with current environment


The challenge to practice l.jpg
The Challenge to Practice

Sex workers who participated in a collective had no better STD outcomes than sex workers in a traditional intervention

BUT

They were better at seeking medical help and they felt more optimistic


The challenge to practice17 l.jpg
The Challenge to Practice

  • Are we willing to cede power – and particularly control over resources, goals and methods – to the communities we work in?

  • Are they allowed to decide HIV/AIDS is not problem number one?

  • Are they allowed to make mistakes and learn over time?


Summary of the evidence l.jpg
Summary of the Evidence

  • Social conditions, including human rights conditions, are crucial drivers of health

  • Human rights action is an important element of structural interventions to address social causes of disease

  • “Empowerment” – or more accurately ceding power – is essential in intervention designs, and daily practice.

  • More:

    • Burris, Scott C., Kawachi, Ichiro and Sarat, Austin, Integrating Law and Social Epidemiology. Journal of Law, Medicine and Ethics, Vol. 30, p. 510, 2002. Available at SSRN: http://ssrn.com/abstract=1004746

    • WHO Commission on Social Determinants of Health, http://www.who.int/social_determinants/en/

    • Volume 10, Issue !, Health and Human Rights: An International Journal (an excellent issue devoted to where the movement goes from here): http://www.hhrjournal.org/index.php/hhr


ad