Right to health: (in) congruence between the legal framework and the health system

Abstract

Objectiveto discuss the right to health, incorporation into the legal instruments and the deployment in practice in the National Health System in Mozambique.Methodthis is a documentary analysis of a qualitative nature, which after thorough and interpretative reading of the legal instruments and articles that deal with the right to health, access and universal coverage, resulted in the construction of three empirical categories: instruments of humans rights and their interrelationship with the development of the right to health; the national health system in Mozambique; gaps between theory and practice in the consolidation of the right to health in the country.ResultsMozambique ratified several international and regional legal instruments (of Africa) that deal with the right to health and which are ensured in its Constitution. However, their incorporation into the National Health Service have been limited because it can not provide access and universal coverage to health services in an equitable manner throughout its territorial extension and in the different levels of care. Conclusionsthe implementation of the right to health is complex and will require mobilization of the state and political financial, educational, technological, housing, sanitation and management actions, as well as ensuring access to health, and universal coverage.

Effective Universal Coverage of Diabetes Mellitus Type 2 in Chile

“…At the same time, it is necessary to encourage the active participation of professionals such as nurses in solving these problems, knowing that the insufficiency of human resources becomes an obstacle to achieve the universal coverage 25 . Such insufficiency must be understood not only in terms of number of professionals, but also in its distribution.…”

Conception of the Right to Health of Mid-Level Technical Professionals of Unified Health System In Brazil

“…As in Brazil, Mitano et al 25 treat in their study that the right to health is also constitutionally assured and is inserted in the Constitution of the Republic of Mozambique of 2004 (Article 49) defined that all citizens have the right to medical care and sanitary, and the State is also responsible for promoting and defending public health, although it is not clear how the country should offer such services equitably.…”

“…Thus, the authors understand that there is an asymmetry between the health policies predetermined by the State and the current practices, and also perceive that the focus on equity and quality is incipient 25 .…”

Representações sociais de conselheiros de saúde acerca do direito à saúde e da cidadania

“…It was verified that the councilors, when referring to the right to health, went beyond the field of health, since they pointed to other factors that influence health conditions, such as basic sanitation, housing, employment, education, food, water quality, access to sport and leisure, as demonstrated in the theme category Full Health. Accordingly, health systems and their governments, in order to guarantee the right to health, should work on the social and environmental determinants of health, derived from the form of organization of production in society, and the inequalities that exist in it, emphasizing that the action on these factors should be the responsibility of all State sectors (2) , considering the complexity of this right, as it achieves several spheres, including health, law, financial, educational, technological, housing, sanitation and management pol-icies (17) . Thus, the right to health has been closely related to other human rights such as human dignity, life, nondiscrimination, equity, prohibition against torture, privacy, access to information, and freedom for organizing associations, meetings, and movements (18) .…”