Institutional violence and violation of the right to health: Elements to rethink the demandability of the right to health in present-day Mexico

Detalles Bibliográficos
Autor principal: Bellamy, Clara
Formato: Online
Idioma:spa
Publicado: Universidad Nacional, Costa Rica 2020
Acceso en línea:https://www.revistas.una.ac.cr/index.php/derechoshumanos/article/view/13427
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institution Universidad Nacional de Costa Rica
collection Revista Latinoamericana de Derechos Humanos
language spa
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author Bellamy, Clara
spellingShingle Bellamy, Clara
Institutional violence and violation of the right to health: Elements to rethink the demandability of the right to health in present-day Mexico
author_facet Bellamy, Clara
author_sort Bellamy, Clara
title Institutional violence and violation of the right to health: Elements to rethink the demandability of the right to health in present-day Mexico
title_short Institutional violence and violation of the right to health: Elements to rethink the demandability of the right to health in present-day Mexico
title_full Institutional violence and violation of the right to health: Elements to rethink the demandability of the right to health in present-day Mexico
title_fullStr Institutional violence and violation of the right to health: Elements to rethink the demandability of the right to health in present-day Mexico
title_full_unstemmed Institutional violence and violation of the right to health: Elements to rethink the demandability of the right to health in present-day Mexico
title_sort institutional violence and violation of the right to health: elements to rethink the demandability of the right to health in present-day mexico
title_alt Violencia institucional y violación del derecho a la salud: Elementos para repensar la exigibilidad del derecho a la salud en el México actual
publisher Universidad Nacional, Costa Rica
publishDate 2020
url https://www.revistas.una.ac.cr/index.php/derechoshumanos/article/view/13427
work_keys_str_mv AT bellamyclara institutionalviolenceandviolationoftherighttohealthelementstorethinkthedemandabilityoftherighttohealthinpresentdaymexico
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spelling DERECHOSHUMANOS134272022-09-08T17:19:12Z Institutional violence and violation of the right to health: Elements to rethink the demandability of the right to health in present-day Mexico Violencia institucional y violación del derecho a la salud: Elementos para repensar la exigibilidad del derecho a la salud en el México actual Bellamy, Clara right to health; human rights; institutional violence; obstetric violence; exclusion. derecho a la salud; derechos humanos; violencia institucional; violencia obstétrica; exclusión. The objective of the present investigation was to generate evidence on elements that may constitute obstacles in the exercise of the right to health, while documenting violations of said right and characterizing the main forms of institutional violence suffered by users of public health services.  The recommendations of the Comisión Nacional de Derechos Humanos (CNDH) (National Human Rights Commission), published in its monthly gazette between 2000 and 2016, were analyzed for cases pertaining to health.  A quantitative analysis of simple frequencies and bivariate relationships was carried out and four population profiles were established: pregnant women, non-pregnant women, men and collective cases.  Subsequently, a content analysis of the legal narrations for each group was performed and analyzed through four analytical categories: (attention) waiting time, chain of errors, obstetric violence and exclusion.  We characterize the patterns present in the violation of the right to health and debate against the arguments that support the notion that most of the errors are mainly due to infrastructure problems.  In spite of considering that infrastructure deficiencies effectively influence user attention, a finding of the investigation is that, in a great number of complaint cases presented before the CNDH, infrastructure deficiencies are not the main element, but instead, are superseded by elements related to classism, racism and sexism, perpetrated through practices of discrimination, authoritarianism and social exclusion. El objetivo de la presente investigación fue generar evidencias sobre elementos que puedan constituir obstáculos en el ejercicio del derecho a la salud y, a la vez, de documentar las violaciones de dicho derecho y caracterizar las principales formas de violencia institucional que sufren el público usuario de los servicios públicos de salud. Se analizaron las recomendaciones de la Comisión Nacional de Derechos Humanos (CNDH) publicadas en su gaceta mensual entre los años 2000 y 2016, solo en los casos referentes a la salud. Se realizó un análisis cuantitativo de frecuencias simples y relaciones bivariadas, con lo cual se conformaron cuatro perfiles poblacionales: mujeres embarazadas, mujeres no embarazadas, hombres y casos colectivos. Posteriormente, se hizo un análisis de contenido de los relatos jurídicos para cada grupo y se analizaron por medio de cuatro categorías analíticas: la espera, la cadena de errores, la violencia obstétrica y la exclusión. Caracterizamos los patrones en la violación del derecho a la salud y debatimos contra los argumentos que sustentan que la mayoría de los errores se deben principalmente a problemas de infraestructura. A pesar de considerar que las carencias, en efecto, influyen en la atención, estas no son las que más afectan: Un hallazgo del estudio es que, en un gran número de casos de las quejas presentadas ante la CNDH, se refieren a elementos relacionados con el clasismo, el racismo y el sexismo, perpetrados a través prácticas de discriminación, de autoritarismo y de exclusión social. Universidad Nacional, Costa Rica 2020-02-20 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion application/pdf text/html application/epub+zip https://www.revistas.una.ac.cr/index.php/derechoshumanos/article/view/13427 10.15359/rldh.30-2.6 Revista Latinoamericana de Derechos Humanos; Vol. 30 Núm. 2 (2019): Revista Latinoamericana de Derechos Humanos (Julio-diciembre) 2215-4221 1659-4304 spa https://www.revistas.una.ac.cr/index.php/derechoshumanos/article/view/13427/18863 https://www.revistas.una.ac.cr/index.php/derechoshumanos/article/view/13427/18864 https://www.revistas.una.ac.cr/index.php/derechoshumanos/article/view/13427/18865