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The right to health includes 4 essential, interrelated elements: availability, accessibility, acceptability and quality.Acceptability requires that health facilities, goods, services and programmes are people-centred and cater to the specific needs of diverse population groups and in accordance with international standards of medical ethics for confidentiality and informed consent.Availability can be measured through the analysis of disaggregated data to different stratifiers including by age, sex, location and socio-economic status and qualitative surveys to understand coverage gaps.Quality extends to the underlying determinants of health, for example safe and potable water and sanitation as well as requiring that health facilities, goods, and services are scientifically and medically approved.

Original text

The right to health includes 4 essential, interrelated elements: availability, accessibility, acceptability and quality.


Availability refers to the need for a sufficient quantity of functioning health facilities, goods and services for all. Availability can be measured through the analysis of disaggregated data to different stratifiers including by age, sex, location and socio-economic status and qualitative surveys to understand coverage gaps.


Accessibility requires that health facilities, goods, and services must be accessible to everyone. Accessibility has four dimensions: non-discrimination, physical accessibility, economic accessibility (affordability) and information accessibility. This is particularly important for persons with disabilities who often encounter significant barriers to health related to the inaccessibility of services, facilities and health information.


Assessing accessibility requires analysis of physical, geographical, financial and other barriers to health systems and services, and how they may affect people who are marginalized. It requires the establishment or application of clear norms and standards in both law and policy to address these barriers.


Acceptability relates to respect for medical ethics, culturally appropriate, and sensitivity to gender. Acceptability requires that health facilities, goods, services and programmes are people-centred and cater to the specific needs of diverse population groups and in accordance with international standards of medical ethics for confidentiality and informed consent.


Quality extends to the underlying determinants of health, for example safe and potable water and sanitation as well as requiring that health facilities, goods, and services are scientifically and medically approved.


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