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Human Rights and Health Promotion

  • Safura Abdool Karim,
  • Petronell Kruger,
  • Daniella Watson

摘要

This chapter explores the intricate relationship between health promotion, disease prevention, and human rights, highlighting both the synergies and tensions that exist between these concepts. Health promotion endeavors to empower individuals and communities by providing them with greater control over their health outcomes. It serves as a mechanism for improving overall health and well-being. Although human rights have evolved somewhat independently from health promotion, there are inherent complementary elements that deserve exploration. This chapter begins by providing an overview of human rights before turning to examine how human rights can be supportive of health promotion efforts. Human rights frameworks provide a normative basis for states to fulfill the right to health, which encompasses disease prevention and health promotion activities. This implies that states may have obligations to implement measures aimed at preventing diseases and creating environments conducive to healthy behaviors. Conversely, human rights can also present barriers to initiatives aimed at promoting health behaviors. In recent decades, human rights have been wielded as tools to prevent governments from adopting health-promoting measures, often in favor of emphasizing individual autonomy and liberty. The case studies of Kenya’s tobacco control measures and responses to COVID-19 exemplify instances where human rights have been leveraged against public health initiatives, illustrating how rights can be weaponized to undermine collective health objectives. This chapter concludes by recognizing that while human rights offer substantial support for health promotion efforts by emphasizing state responsibilities and rights to health, they have concurrently been used to challenge and obstruct such efforts.