I received what I found to be a very interested article from my brother-in-law about human rights, public health, and the roles of government and health professionals. The article, published in a respected Asian magazine, argues that state governments are frequently in conflict with public health professionals and human rights advocates. As the author writes, “the state is antagonistic to public health professionals….” Citing several examples, the author argues convincingly that there is sometimes an inherent conflict between the findings of public health/human rights and the government’s desire to protect itself (for example, studies showing how socioeconomic conditions or political conditions are negatively impacting health/rights).
For me, the article was very interesting because it contradicted what I take for granted every day—that government does public health well and is in the best position to improve the health of the population. In the U.S., Canada, and many countries of Western Europe, the local and/or national government is very much viewed as the promoter/protector of the public’s health (less true regarding human rights), and seeing this article contradict that perspective so strongly was, at first, surprising.
The author's perspective did make sense after thinking about it and putting on a non-Western lens. But, the article was a helpful reminder of at least two things. First, it reminded me of the reality that there are many governments that are not interested in the public’s health or human rights. Secondly, and perhaps more importantly, the article reminded me that, within many countries, there may rightly be suspicion about policies, programs, etc that are supported by the local government even when those programs are viewed by outside public health professionals as sound health or human rights programs. For a specific example, the author of the article was surprisingly skeptical about the polio eradication campaign in his country, a worldwide campaign spearheaded by the World Health Organization, Rotary International, the Centers for Disease Control and Prevention, and the UN Children’s Fund. I found it intriguing to think about the possibility that, even though not a specific public health campaign designed by his state government, the mere support of his government seemed to bring great suspicion to its activities and goals.
I’m left thinking more about how best to do public health/human rights in areas of the world where governments are viewed suspiciously, and I’m reminded of the implications and complications of partnerships. At the very least, I’m reminded that getting outside of our own familiar cultural context is important as we do the work of public health and human rights.
Click here to read the original article (accessed June 2008): http://www.epw.org.in/epw//uploads/articles/12281.pdf