Theorist Assignment Mann

Human rights is linked with health

AIDS, a transmissible viral infection… Mann named AIDS as a human rights issue, and a global rights issue.

"basic rights and freedoms to which all humans are entitled."

http://www.un.org/events/humanrights/2007/h rphotos/declaration%20_eng.pdf

Jonathan Mann, MD, MPH

International Health and Human Rights Pioneer

a field guy who became a media superstar 1974 M.D. Washington University in St. Louis 1980 M.P.H. Harvard School of Public Health 1981-1984 Epidemic Intelligence Service New Mexico smart, fluent French speaker. 1984. WHO Global Program on AIDS -left WHO

Mann’s theory develops…

An ah ha moment becomes EBP created Institute for Health & Human Rights.  $20 million endowment to fight against AIDS through persuasion of people and to change and improve the laws that provided more civil & human rights to people. 1991 USA founder Doctors of the World now HealthRight International

 1993 -1997 first director François-Xavier Bagnoud Center for Health & Human Rights

Example Married, monogamous women in East Africa documented to be infected with HIV. these women know about HIV, and condoms are accessible in the marketplace.. What is the problem?

Describe major concepts/ constructs Describe conceptual / operational definitions Identify the concept relationships Provide a diagram including all concepts

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practical utility of the theory

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 Discuss the following: clarity, & internal and external consistency of the theory  Does it seek to describe, explain, predict and/or control?  How does the theory guide your practice?      

Expired drugs and inexperienced do gooders Coordinating with warlords Self emulation Therapeutic feeding centers Clitoriolectomies Genocide

 What limitations inherent in the theory limit its use? Not easyneed HR understanding

References

Easley, C., Allen, E. and Easley, C. (2007). A Critical Intersection: Human Rights, Public Health Nursing, and Nursing Ethics. Advances in Nursing Science. Health, Human Rights, and Poverty. 30(4):367-382, De Negri Filho, A. (2008). A human rights approach to quality of life and health: Applications to public health programming. Health And Human Rights: An International Journal, 10(1). Retrieved March 1, 2009, from http://www.hhrjournal.org/index.php/hhr/article/view/29/107 London, L. (2008). What is a human rights-based approach to health and does it matter?. Health And Human Rights: An International Journal, 10(1). Retrieved March 1, 2009, from http://www.hhrjournal.org/index.php/hhr/article/view/25/120

Mann JM, Gruskin S, Grodin MA and Annas GJ, eds., Health and Human Rights: A Reader New York: Routledge. 1999:11–18. Mann, J. (1995). Human Rights and the New Public Health. Health And Human Rights, 1(3) (pp. 229-233) Yamin, A. (2009). Beyond compassion: The central role of accountability in applying a human rights framework to health. Health And Human Rights: An International Journal, 10(2). Retrieved March 1, 2009, from http://www.hhrjournal.org/index.php/hhr/article/view/78/143

List of works Vamps, Virgins and Victims: How Can Women Fight Aids? Robin Gorna, Jonathan M. Mann Health and Human Rights: A Reader Sofia Gruskin, Jonathan M. Mann, Michael A. Grodin AIDS in the World II: Global Dimensions, Social Roots, and Responses Jonathan M. Mann, Daniel J. M. Tarantola

References Gostin LO. Public Health, Ethics, and Human Rights: A Tribute to the late Jonathan Mann. Journal of Law, Medicine & Ethics. 2001. 28:121-130. Schusky RW. Jonathan's Mantle. Lancet. 1998. 352(9145):2025. Mann JM, Gruskin S, Grodin MA and Annas GJ, eds., Health and Human Rights: A Reader New York: Routledge. 1999:11–18. Mann JM, Gruskin S, Grodin MA and Annas GJ, eds., Health and Human Rights: A Reader New York: Routledge, 1999:7. Marks SP. Jonathan Mann’s legacy to the 21st century: The human rights imperative for public health. JLME suppl 29. 2000:131–138. Ligon-Borden L. Biography: Dr. Jonathan Mann: champion for human rights in the fight against AIDS Seminars in Pediatric Infectious Diseases. Pediatric HIV Infections in the HAART Era. 2003. 14(4):314-22. Campbell C. Prostitution, AIDS, and preventive health behavior. Sm Sci Med. 1991. 32(12):1367-78. Institute of Medicine. Future of public health. Washington DC: National Academy Press, 1988:1-7. Universal Declaration of Human Rights. JAMA. 1998. 280(5):469-70.

Describe the theory in your own words  Makes more sense than Masslow  Focus is broad  grounded theory  Human rights trumps all

What phenomenon of concern does it address? Mann’s theory provides ranking and prioritization of the real needs of populations The Four-Step Impact Assessment: 1. Does the proposed policy or program represent “good public health”? 2. Is the proposed policy or program respectful & protective of human rights? 3. How can we achieve the best possible combination of public health and human rights quality? -How serious is the public health problem? -Is the proposed response likely to be effective? 4. Finally, does the proposed policy or program (as revised) still appear to be the optimal approach to the public health problem?