Do we choose a needs based approach to development or a rights based approach? RBAs are already supported by legal frameworks.

1. Specially Prepared for: Members of the International
Health and Nutrition Working Group of
TheSociety for International Development
March 27, 2013
Rights-BasedPage
Title Approaches to
International Health and Nutrition
Elvira Beracochea, MD. MPH.
President
elvira@midego.com
www.midego.com

2. Choice
A needs-based approach
Or
A rights-based approach?

3. The Actors
• Duty bearers
• Right holders
• Non-State Actors
• Dual Roles
• Dual Loyalties

4. The Duty Bearer must ensure
• Availability
• Accessibility
• Acceptability
• Quality
• Equity (for all)

5. Right Holders / Non-State Actors
Advocacy

6. Rights-Based Approach MUST
Respect, Protect and Fulfill
human rights
and
Demonstrate Effectiveness

7. To Deliver Effective Results,
Health services must
deliver
Quality
At
Countrywide Scale

8. Presentation Goals
1. Present an overview of Human Rights
Instruments available to help you
improve the effectiveness of your
programs
2. Discuss ways you can apply rights-based
approaches in international health and
nutrition
3. RBA Career Make- Overs!

9. Universal Human Rights
Instruments
• http://www.ohchr.org/EN/ProfessionalInte

10. Innovation in IHN
“The process of analyzing
a problem and solving it
by creating a new or better
process, product or
service.”
Dr. Elvira Beracochea
www.midego.com

11. A better approach is
A Rights Based
Approach
Why?

12. Legal Framework and
International Declarations
• UDHR, 1948
•ICESCR, 1966
•CEDAW, 1979
•The Right to Development, 1986
•CRC, 1989
•The Millennium Declaration, 2000
•General Comment 14, 2000

13. Human Rights Principles
• Universal and inalienable
• Indivisible
• Interdependent and interrelated
• Equal to all human beings
• Meaningful Participation
• States are duty bearers

14. Article 25
“Everyone has the right to a standard of
living adequate for the health and well-
being of himself and of his family, including
food, clothing, housing, and medical care
and necessary social services, and the
right to security in the event of
unemployment, sickness, disability,
widowhood, old age, or other like of
livelihood in circumstances beyond his
control.”

15. Global Health HR Tools
•ICDP Cairo, 1994 and Cairo +5
• Beijing Conference on Women, 1995
• Millennium Declaration, 2000
• Paris Declaration, 2005
•Accra Agenda for Action
•Rio +20, 2012
Beyond the MDGs: Sustainable Goals &
Universal Coverage

16. The Right to Food
• Article 25
• General Comment 12 on the Right to
Adequate Food (1999)
“The right to food is realized when every
man, woman, child, alone or in
community with others, has physical
and economic access at all times to
adequate food or the means for its
procurement.”

17. Assess your Program
How to apply RBAs to
your Program or
Project

18. Other IHN RBA Issues to explore
• Right to Water
• Right to Clean Air
• Right to medicines
• Women’s Health
• Children’s Health
• Rights of Drug Users
• Rights of persons in prisons
• Rights of persons in conflict settings

19. Choice
A needs-based approach
Or
A rights-based approach?

20. RBA Career Make-Over
Volunteers?

21. Would you share your
comments?
Thank you!
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