The XVIIIth International AIDS conference in Vienna, Austria told a story of measured progress in responses to the challenges of the epidemic. There were encouraging news on the development of microbicides, early signs of lives saved by the PMTCT programs and better more informed science that indicated that there may be further major steps available.
The conference was titled “Rights Here, Rights Now”. Obviously there was a major emphasis on a human rights response to the epidemic. Yet there was correspondingly much less on the importance of partnerships. The role of faith based organisations was little voiced, even though in many countries they provide approximately half of the health services.
A human rights framework has been helpful in many areas in acting as an umbrella that has allowed many groups to move forward. Yet it now seems to have over extended its clam for adherence. While there was discussion of the risk of ideologically driven responses to the disease, there was little recognition of the limitations of the ideology of human rights. An ideology is a set of aims and ideas that directs one's goals, expectations, and actions.
Human rights affirms an individualistic response to treatment options. The individual is assumed to have agency. And while this may well resonate in international conference settings, it often is little understood in rural village settings, where the individual has little power to bring about needed change, and where the power of fear greatly overwhelms externally derived science and knowledge.
For those who hold to a Christian ideology that has made enormous contributions to the provision of health services throughout the world, our response to an exclusively human rights approach needs to be carefully considered. A human rights approach, in one form seems to affirm that a commercial sex worker can only best become a human rights empowered sex worker. There is a deficiency in vision, a restriction a limitation to a human rights ideologically driven approach to disease. Christianity offers so much more.
Michael Burke
ICMDA HIV Initiative
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