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deeply flawed approach to investment in and prioritization of human development.
The Millennium Development Goals failed to recognize the impo rtance of equity,
non-discrimination and equality in health, which masked inequalities and disparities
within and between countries, leaving the poorest and the most marginalized even
further behind. 18
41. The 2030 Agenda commits to prioritizing the poorest and most vulnerable and
to reaching the furthest behind first. Ensuring healthy lives for all at all ages
(Goal 3) positions equality, non-discrimination and equity as the central health issue
in the 2030 Agenda, complemented by Goal 10, which calls for reducing
inequalities within and among countries. However, achieving this requires a
foundational shift in implementation, one that prioritizes those furthest behind,
identifies and gives visibility to those populations, understands the barriers to their
exclusion and establishes mechanisms and policies to enable their inclusion and
empowerment (E/HLPF/2016/2, para. 109).
42. Regrettably, many of the targets and indicators developed to guide States
towards achieving health equality, non-discrimination and equity by 2030 are vague
(target 3.4), still commit to tracking progress in the aggregate (indicator 3.8.2) and
fail to articulate the interconnected nature of many of the Sustainable Development
Goals. This permits Governments to focus on easier targets or narrow
implementation plans that can undermine the broader commitment to prioritize
those furthest behind first. The right-to-health framework serves as a helpful tool to
understand inequities, set priorities and shape a holistic set of implementation
mechanisms to address that gap across the 2030 Agenda.
43. The right to health requires States to address holistically a range of barriers
arising from inequality and discrimination that impede access to health care and
underlying determinants of health and to prioritize vulnerable and poor members of
society. 19 This is consistent with the commitment to collectively implement
Sustainable Development Goal targets and, importantly, provides normative
guidance for prioritization.
Prioritizing resources for health
44. The financial resources required to both develop and gain access to health
systems constitute a common barrier to achieving health equity, affecting the health
and well-being of the world’s poorest and marginalized most acutely. Developing
countries, in particular those without strong health systems, face significant
challenges to achieving the health-related Sustainable Development Goals. The right
to health requires States to prioritize provision for the most poor and marginalized,
even in the face of resource barriers, through a range of measures. A few illustrative
examples linking various Goals are as follows:
(a) For those living in poverty or without sufficient means, States should
ensure health coverage or access to care to prevent discrimination (targets 1.3 and
3.8); 20
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19
20
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Save the Children, “Leaving no one behind: embedding equity in the post-2015 framework
through stepping stone targets” (London, 2015).
Committee on Economic, Social and Cultural Rights, general comment No. 14, paras. 18 -19.
Committee on Economic, Social and Cultural Rights, general comment No. 14.
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