• Users Online: 154
  • Print this page
  • Email this page


 
 
Table of Contents
LETTER TO EDITOR
Year : 2018  |  Volume : 5  |  Issue : 2  |  Page : 95-96

Eliminating discrimination in the health sector to attain universal health coverage


1 Vice Principal Curriculum, Department of Community Medicine, Member of the Medical Education Unit & Medical Research Unit, Shri Sathya Sai Medical College and Research Institute, Kancheepuram, Tamil Nadu, India
2 Department of Community Medicine, Shri Sathya Sai Medical College and Research Institute, Kancheepuram, Tamil Nadu, India

Date of Web Publication28-Dec-2018

Correspondence Address:
Dr. Saurabh RamBihariLal Shrivastava
Department of Community Medicine, 3rd Floor, Shri Sathya Sai Medical College and Research Institute, Ammapettai Village, Thiruporur - Guduvancherry Main Road, Sembakkam Post, Kancheepuram - 603 108, Tamil Nadu
India
Login to access the Email id

Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ami.ami_57_18

Rights and Permissions

How to cite this article:
Shrivastava SR, Shrivastava PS. Eliminating discrimination in the health sector to attain universal health coverage. Acta Med Int 2018;5:95-6

How to cite this URL:
Shrivastava SR, Shrivastava PS. Eliminating discrimination in the health sector to attain universal health coverage. Acta Med Int [serial online] 2018 [cited 2019 Aug 23];5:95-6. Available from: http://www.actamedicainternational.com/text.asp?2018/5/2/95/246946

Dear Editor,

On the global front, it is extremely sad that discrimination in the health sector has prevailed for years together and it manifests in a wide range of ways.[1],[2] Such incidents of discrimination violate the basic human rights and affect both health workers and the beneficiaries.[1],[2] More often than not, the origin for such discrimination occurs because of the parameters such as ethnicity, gender, migration status, and prevailing prejudices and practices.[1] Even though the world leaders are striving hard for the attainment of universal health coverage under the proposed sustainable development goals, the act of discrimination works exactly in the opposite direction.[3]

Further, it negates the investments made in the health systems, discourages people from availing healthcare, interferes with the unity of the people and the process of empowerment, and raises serious questions about the dignity of the people.[2],[3] In addition, it also alters the social health determinants, as many people only interact with the health system as a part of their connection with the government, and any bad experience on this front, discourages them to take any part in the societal responsibilities.[1],[2],[3] It is vital to realize that the acts of discrimination does not occur without any reason, but is usually derived from gender inequality and poor working conditions and minimal benefits to the health workers.[1],[3] In fact, female health professionals have to deal with the issue of violence, less and irregular salary, and limited involvement in the decision-making process.[2],[4]

It is vital to understand that if we succeed in addressing discrimination, it will aid extensively in the accomplishment of various other sustainable development goals.[1] At the same time, it is essential to realize that the solutions for discrimination often lie beyond the health sector, and thus there is a great need to actively involve the concerned sector, including communities to eventually reach a permanent and a sustainable solution.[2],[3],[4] Thus, the need of the hour is to involve all the stakeholders and mount a multi-sectoral response, so that discrimination comes to an end.[3] At the same time, there is an immense need to implement legal measures to discourage the practice of discrimination and respect autonomy in decision-making pertaining to health care.[1] It has to be supported by creating strong evidence and aid it simultaneously with legal the provisions to ensure accountability for discrimination in health settings.[1],[3]

In addition, the health workers should be sensitized about their rights and how to approach if they are exposed to discrimination during their career.[1] For the benefit of the general population, patient charters should be displayed in each of the healthcare facilities, and they should be made aware of their human rights.[2] Acknowledging the significance of the problem and the need for a comprehensive and united response, some of the nations have joined their hands and launched a network to facilitate quality, equity and dignity in healthcare, especially for vulnerable sections of people.[2],[3],[4]

To conclude, the issue of discrimination in healthcare settings is a major global public health concern, and it is high time that the issue is addressed on an emergency note if the global leaders want to achieve universal health coverage.

Financial support and sponsorship

Nil.

Conflicts of interest

There are no conflicts of interest.

 
  References Top

1.
Campbell J, Hirnschall G, Magar V. Ending Discrimination in Health Care Settings; 2017. Available from: http://www.who.int/mediacentre/commentaries/discrimination-health-care/en. [Last accessed on 2018 Aug 09].  Back to cited text no. 1
    
2.
Shrivastava SR, Shrivastava PS, Ramasamy J. Working together to accomplish gender equality in health: World Health Organization. Ann Trop Med Public Health 2016;9:286-7.  Back to cited text no. 2
  [Full text]  
3.
Joint WHO/UN Statement. Joint United Nations Statement on Ending Discrimination in Health Care Settings; 2017. Available from: http://www.who.int/mediacentre/news/statements/2017/discrimination- in-health-care/en. [Last accessed on 2018 Aug 09].  Back to cited text no. 3
    
4.
Shrivastava SR, Shrivastava PS, Ramasamy J. Scope of gender bias in health sector: Insights for policy makers. MAMC J Med Sci 2017;3:109-11.  Back to cited text no. 4
  [Full text]  




 

Top
 
  Search
 
    Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
    Access Statistics
    Email Alert *
    Add to My List *
* Registration required (free)  

 
  In this article
References

 Article Access Statistics
    Viewed441    
    Printed25    
    Emailed0    
    PDF Downloaded58    
    Comments [Add]    

Recommend this journal