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    117202

    Assessing the human rights impact.

    Gruskin S

    In: AIDS in the world II: global dimensions, social roots, and responses. The Global AIDS Policy Coalition, edited by Jonathan M. Mann and Daniel J.M. Tarantola. New York, New York, Oxford University Press, 1996. 337-8.

    The Global AIDS Policy Coalition and the International Federation of Red Cross and Red Crescent Societies have created an international working group to assess the human rights impact of policies, programs, and practices regarding human immunodeficiency virus (HIV) and acquired immunodeficiency syndrome (AIDS). In mid-1995, the International Federation of Red Cross and Red Crescent Societies and the Francis-Xavier Bagnoud Center for Health and Human Rights (Harvard University) published "AIDS, Health, and Human Rights," which includes an explanation of a methodology for balancing public health objectives with human rights norms. This brief article displays a schematic diagram in 2 x 2 format; human rights quality is on the vertical axis, while public health quality is on the horizontal axis. Both axes range from poor (negative) to excellent (positive). The quadrants, beginning in the upper right and moving vertically down, are labelled A and B, respectively; those beginning in the upper left and moving vertically down, are labelled C and D, respectively. The process involves four steps: 1) locate the proposed policy or program on the horizontal axis (public health) based entirely on health benefits, risks, and harms that will ensue; 2) locate the proposed policy or program on the vertical axis (human rights) based entirely on the potential benefits and burdens on human rights that will ensue; 3) determine an approach that best moves the policy or program into quadrant A, achieving the optimal balance between protection of public health and protection and promotion of human rights and dignity (minimizing the burdens on human rights); 4) review the approach, determined in step 3, searching for better alternative approaches.
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