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Article
Publication date: 16 December 2019

Juan Smart and Alejandra Letelier

The purpose of this paper is to do a systematic assessment and testing of identified human rights norms alongside social determinant approaches in relation to identified health…

Abstract

Purpose

The purpose of this paper is to do a systematic assessment and testing of identified human rights norms alongside social determinant approaches in relation to identified health issues of concern in four Latin American countries (Argentina, Chile, Paraguay and Uruguay) to show how social determinants and human rights frameworks improve population health.

Design/methodology/approach

To do so, in the first part the authors analyze the inequalities both between and within each of the selected countries in terms of health status and health determinants of the population. Then, in the second section, the authors analyze the level of recognition, institutionalisation and accountability of the right to health in each country.

Findings

From the data used in this paper it is possible to conclude that the four analysed countries have improved their results in terms of health status, health care and health behaviours. This improvement coincides with the recognition, institutionalisation and creation of accountability mechanisms of human rights principles and standards in terms of health and that a human rights approach to health and its relation with other social determinants have extended universal health coverage and health systems in the four analysed countries.

Originality/value

Despite of the importance of the relation between human rights and social determinants of health, there are few human right scholars working on the issues of social determinants of health and human rights. Most of the literature of health and human rights has been focussed specific relations between specific rights and the right to health, but less human right scholar working on social determinants of health. On the other hand, just a few epidemiologists and people working on social medicine have actually started to use a universal human rights frame and discourse. In fact, according to Vnkatapuram, Bell and Marmot: “while health and human rights advocates have from the start taken a global perspective, social medicine and social epidemiology have been slower to catch up”.

Details

International Journal of Human Rights in Healthcare, vol. 13 no. 1
Type: Research Article
ISSN: 2056-4902

Keywords

Article
Publication date: 16 September 2021

Alejandra Duarte Vera, Julien Vanhulst and Eduardo Antonio Letelier Araya

Rural drinking water services in Chile are managed by Rural Drinking Water Associations (RDWAs) with a community governance model. However, urban growth and a neoliberal…

Abstract

Purpose

Rural drinking water services in Chile are managed by Rural Drinking Water Associations (RDWAs) with a community governance model. However, urban growth and a neoliberal institutional setting tend to favor market-style governance, both in terms of territorial planning and drinking water supply, placing stress on the community governance model of RDWA. The authors seek to understand these processes and identify the position of RDWA actors facing socio-territorial and environmental transformations experienced in peri-urban sectors of the city of Talca (Chile).

Design/methodology/approach

The authors used georeferenced data, participant and non-participant observation and semi-structured interviews. With these data, the authors analyzed the positions and discourses of water governance actors in relation to socio-territorial transformations in the peri-urban areas of the city, as well as for tensions between community and market governance.

Findings

The authors identified a growth tendency of RDWA users around the city of Talca due to a sharp drinking water demand increase in peri-urban territories. As such, the authors describe and contrast RWDA managers and governmental regulators' discourses regarding environmental and socio-territorial transformations. In these discourses, the authors found three critical topics: (1) land liberalization blurring urban territory borders; (2) Law #20998, a poorly financed reform which raises the specter of RDWA privatization, jeopardizing historic community drinking water management; and (3) the consequences of declining community commitment to RDWAs.

Practical implications

One key implication of these findings is the need to modify RDWA pricing policies to deal with new rural inhabitant lifestyles and drinking water demands and to fulfill water basic needs of rural families, avoiding privatization risks. This change could help not only dealing with growing scarcity during global climate change, but could also provide financial resources to face new technical and administrative requirements of SSR Law.

Originality/value

The originality of the study comes from using a framework of governance tensions applied to water governance in peri-urban areas in a neoliberal institutional setting.

Details

International Journal of Social Economics, vol. 49 no. 1
Type: Research Article
ISSN: 0306-8293

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