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The Spirit of Human Rights: Universal Health Coverage in Makueni County, Kenya
Esther Kamau1, Gillian MacNaughton2
1Research manager at the Institute for Community Inclusion at the University of Massachusetts Boston, United States.
Health and Human Rights
|January 1, 2025
Summary
MakueniCare, a successful universal health coverage (UHC) program in Kenya, demonstrates how human rights principles, particularly the right to health, can drive UHC implementation. This study highlights its successes and suggests human rights-based improvements.
Area of Science:
- Public Health
- Human Rights Law
- Health Policy
Background:
- The United Nations aims for universal health coverage (UHC) by 2030.
- MakueniCare in Kenya is a successful UHC program.
- Investigating the human rights underpinnings of MakueniCare is crucial for UHC advancement.
Purpose of the Study:
- To examine the human rights principles guiding MakueniCare's adoption and implementation.
- To analyze the influence of human rights law, especially the right to health, on the program.
- To identify potential human rights-based improvements for MakueniCare.
Main Methods:
- Analysis of international, Kenyan, and Makueni County laws and policies.
- Conducting 30 interviews with national and county-level health policy and programming leaders.
- Grounded examination of human rights principles from key covenants and the Kenyan Constitution.
Main Results:
- MakueniCare's adoption and implementation were significantly influenced by human rights principles.
- The right to health was a key driver in the program's development and execution.
- The study identified specific ways human rights shaped the program's success.
Conclusions:
- MakueniCare exemplifies the successful integration of human rights into UHC.
- The program's success offers valuable lessons for other UHC initiatives globally.
- Further enhancements to MakueniCare can be achieved through a continued human rights lens.
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