By Hon. Prof. Kariuki Muigua, OGW, PhD, C.Arb, FCIArb is a Professor of Environmental Law and Dispute Resolution at the University of Nairobi, Member of Permanent Court of Arbitration, Leading Environmental Law Scholar, Respected Sustainable Development Policy Advisor, Top Natural Resources Lawyer, Highly-Regarded Dispute Resolution Expert and Awardee of the Order of Grand Warrior (OGW) of Kenya by H.E. the President of Republic of Kenya. He is The African ADR Practitioner of the Year 2022, The African Arbitrator of the Year 2022, ADR Practitioner of the Year in Kenya 2021, CIArb (Kenya) Lifetime Achievement Award 2021 and ADR Publisher of the Year 2021 and Author of the Kenya’s First ESG Book: Embracing Environmental Social and Governance (ESG) tenets for Sustainable Development” (Glenwood, Nairobi, July 2023) and Kenya’s First Two Climate Change Law Book: Combating Climate Change for Sustainability (Glenwood, Nairobi, October 2023), Achieving Climate Justice for Development (Glenwood, Nairobi, October 2023) and Promoting Rule of Law for Sustainable Development (Glenwood, Nairobi, January 2024)*
In order to achieve good health and well-being for all, it is important for all countries to foster Universal Health Coverage (UHC). UHC means that all people have access to the full range of quality health services they need, when and where they need them, without financial hardship. According to the WHO, UHC covers the full continuum of essential health services, from health promotion to prevention, treatment, rehabilitation, and palliative care across the life course. UHC is vital in fostering the right to health and enhancing the economic and social development of all nations.
It has been pointed out that to deliver UHC, opportunities exist to ensure equity in access to health services – everyone who needs services gets them; the quality of health services are good enough to improve the health of those receiving services; people are protected against financial-risk, ensuring that the cost of using services does not put people at risk of financial harm; and accountability to translate commitments relating to access, quality, and financial protection into action through transparency and citizen participation. Countries should therefore pursue UHC including enhancing health insurance coverage in order to achieve good health and well-being for all. In addition, there is need to improve health infrastructure in all countries.
The importance of quality health services, both as a development goal in its own right and a foundation for achieving inclusive growth and other development goals, is widely recognized. It is therefore essential for countries to invest in health infrastructure including health facilities, medicine and modern technology and equipment. Further, it is also pertinent to enhance human resource development in the health sector. It has correctly been observed that proper management of human resources is critical in providing high quality health care. However, this is often not achieved in most countries including Kenya as evidenced by the frequent cases of strikes by health care providers which are attributed to factors such as limited career opportunities, insufficient workforce, and low remuneration among others.
Effective human resources management strategies are greatly needed to achieve better outcomes in the health sector around the world. It is thus important for countries to pursue strategies including recruiting and continuously training more health workers in order to ensure adequate staff in the sector; having a clear policy and guidelines on how to protect and compensate health workers including a specific medical policy given their exposure in the line of duty; and avoid frequent strikes in order to enhance health human resources. It is also imperative to increase health financing. WHO posits that health financing is a core function of health systems that can enable progress towards universal health coverage by improving effective service coverage and financial protection.
Carefully designed and implemented health financing policies can help enhance accessibility, affordability and quality of health services. It has been asserted that there is an urgent need to accelerate health financing in Africa in order to foster the right to health and achieve good health and well-being for all. Under the Abuja Declaration, African countries committed themselves to allocate at least 15% of their annual budgets to the improvement of the health sector. It is therefore imperative to realize the target of the Abuja Declaration in order to enhance health financing and improvement of the health sector in Africa.
Countries should further embrace health financing through initiatives such as strengthening health financing structures, pursuing Public Private Partnerships and introducing supportive and flexible statutory and regulatory laws to support the health financing reforms and outcomes. It is also paramount for the world and countries to effectively combat illnesses and diseases. The COVID-19 pandemic posed and continues to pose challenges to people’s health and wellbeing globally and is impeding progress in meeting SDG 3 targets. Further, the world has struggled with health issues including HIV, tuberculosis and malaria which hinder achievement of good health and well-being for all.
It is therefore important for countries to strengthen preparedness for pandemics and other emergencies. Such measures include ensuring equitable access to safe and effective vaccines; awareness campaigns on healthy living to reduce incidences of noncommunicable diseases; and enhancing supportive and synergistic community investments in related sectors such as economic empowerment, water, sanitation and hygiene Another key measure in achieving good health and well-being for all is fostering research and development.
Health research and development is important to the health sector since it provides health practitioners and health system investors with innovation and associated evidence for prevention interventions, effective treatments and care pathways. It is therefore important to ensure the prioritization and adequate investment in research for health in order to promote technology and innovation in health care delivery. Further, it has been observed that there is need for countries to strengthen and support research in health especially on emerging diseases and support evidence based research that would inform full rollout of UHC strategies.
In addition, it is essential to foster gender equality in the health sector in order to achieve good health and well-being for all especially women and girls. Women face peculiar health concerns as a result of pregnancy and child birth which need to be met in order to foster their good health and wellbeing.However, for many women and girls, gender discrimination systematically undermines their access to health care, for reasons that include fewer financial resources and constraints on mobility among others. Further to SDG 3, SDG 5 urges countries to ensure that women have universal access to sexual and reproductive health and reproductive rights. It is therefore vital for countries to foster laws and practices which enhance women’s access to sexual and reproductive health-care services in order to realize their good health and well-being.
Finally, is vital to realize the right to a clean, healthy and sustainable environment in order to achieve good health and well-being for all. The United Nations Environment Programme correctly states that a clean environment is essential for human health and well-being. Environmental problems including climate change and environmental degradation as a result of air and water pollution as well as poor management of hazardous chemicals and waste can undermine good health and well-being and result in health hazards and diseases. It is therefore essential for countries to realize the right to a clean, healthy and sustainable environment in order to achieve good health and well-being for all. Countries should therefore address concerns which affect the attainment of the right to a clean, healthy and sustainable environment such as climate change, unsustainable management and use of natural resources, environmental degradation, pollution and poverty.
Countries should further pursue Sustainable Development in order to achieve environmental sustainability, economic growth and social progress. Sustainable Development has the ability to strike a balance between anthropocentric and ecocentric approaches towards the right to a clean, healthy and sustainable environment by promoting human rights such as the right to food, the right to clean water and sanitation, the right to affordable and clean energy and the right to health while simultaneously ensuring sound environmental protection and management. Through the foregoing among other measures, countries will be able to achieve good health and well-being for all.
*This is an extract from the Book: Promoting Rule of Law for Sustainable Development (Glenwood, Nairobi, January 2024) by Hon. Prof. Kariuki Muigua, OGW, PhD, Professor of Environmental Law and Dispute Resolution, Senior Advocate of Kenya, Chartered Arbitrator, Kenya’s ADR Practitioner of the Year 2021 (Nairobi Legal Awards), ADR Lifetime Achievement Award 2021 (CIArb Kenya), African Arbitrator of the Year 2022, Africa ADR Practitioner of the Year 2022, Member of National Environment Tribunal (NET) Emeritus (2017 to 2023) and Member of Permanent Court of Arbitration nominated by Republic of Kenya. Prof. Kariuki Muigua is a foremost Environmental Law and Natural Resources Lawyer and Scholar, Sustainable Development Advocate and Conflict Management Expert in Kenya. Prof. Kariuki Muigua teaches Environmental Law and Dispute resolution at the University of Nairobi School of Law, The Center for Advanced Studies in Environmental Law and Policy (CASELAP) and Wangari Maathai Institute for Peace and Environmental Studies. He has published numerous books and articles on Environmental Law, Environmental Justice Conflict Management, Alternative Dispute Resolution and Sustainable Development. Prof. Muigua is also a Chartered Arbitrator, an Accredited Mediator, the Managing Partner of Kariuki Muigua & Co. Advocates and Africa Trustee Emeritus of the Chartered Institute of Arbitrators 2019-2022. Prof. Muigua is a 2023 recipient of President of the Republic of Kenya Order of Grand Warrior (OGW) Award for his service to the Nation as a Distinguished Expert, Academic and Scholar in Dispute Resolution and recognized among the top 5 leading lawyers and dispute resolution experts in Band 1 in Kenya by the Chambers Global Guide 2024 and was listed in the Inaugural THE LAWYER AFRICA Litigation Hall of Fame 2023 as one of the Top 50 Most Distinguished Litigation Lawyers in Kenya and the Top Arbitrator in Kenya in 2023.
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