The effects of international human rights treaties on the population's health: a systematic review

Authors

DOI:

https://doi.org/10.21527/2176-7114.2025.50.13605

Keywords:

International Cooperation, Human Rights, Global Health, Health Status Indicators, Systematic Review

Abstract

Objective: The study aims to describe the scientific literature regarding the association between the ratification of international pacts and the improvement of the health situation. Methods: This is a systematic review of the Preferred Reporting Items for Systematic Reviews and Meta-Analyzes model in the bibliographic bases of the Virtual Health Library, the Scientific Electronic Library Online, the National Library of Medicine and National Institute of Health, and CAPES Periodicals Portal. Results: Studies from 9 international treaties were found in the literature. Among them, four were considered ineffective because they were not associated with positive changes in the health status of individuals. The other 4 achieved relevant practical consequences with statistically significant changes to anemia in pregnant women, the woman's life expectancy, family planning, prenatal care, infant and maternal mortality, and the prevalence of smoking. Conclusion: This review showed that there are few scientific works in this area and that, in general, the practical effects of international health commitments are less than expected.

References

1. Lupu Y. Legislative Veto Players and the Effects of International Human Rights Agreements. American Journal of Political Science, v. 59, n. 3, p. 578–594, 2015.

2. Aveni A. Health Systems and Health Economy – Impacts Caused by COVID-19. Cadernos de Prospecção, v. 13, n. 2, p. 477-493, 2020.

3. Armitage RC. Unsung progress in global public health: a refreshing, heartening and motivating story. Public Health, v. 205, e26-e27, 2022.

4. Menezes W, Bezerra MHJ. The International Law and the Pandemic: Systemic-Deontological Remarks. Revista da Faculdade de Direito da Universidade Federal de Uberlândia, v. 48, n. 2, 2020.

5. Uebel RRG. A geopolítica do coronavírus em tempos de incertezas. Diálogos Internacionais, v. 7, n. 70, 2020.

6. Monge C. The fundamental right to health protection. Revista eletrônica de direito público, v. 5, n. 2, p. 075-100, 2019.

7. Kickbush I, Reddy KS. Global health governance – the next political revolution. Public Health, v. 129, n. 7, p. 838-842, 2015.

8. Ubessi L, Meneses, MN, Lemões MAM, Machado RA, Friedrish NR, Lange C, Jardim VMR. Saúde: um direito humano – Experiência-Ação nas Tendas de Afeto Popular no Extremo Sul do Brasil. Revista Contexto Saúde, v. 16, n. 30, p. 149-157, 2016.

9. Moraes MV, Stein FT. The multilevel protection of right to health from the perspective of the brazilian federal supreme court and the inter-american court of human rights: a comparative analysis. Revista do Programa de Pós-Graduação em Direito da UFBA, v. 30, n. 1, p. 137-150, 2020.

10. Nichele CST, Ferreira AP. International human rights treaties: effects on women’s health. Memorias del Instituto de Investigaciones en Ciencias de la Salud, v. 18, n. 3, p. 55–66, 2020.

11. Ooms G, Keygnaert I, Hammonds R. The right to health: from citizen’s right to human right (and back). Public Health, v. 172, p. 99-104, 2019.

12. Donnelly J. International human rights: a regime analysis. International Organization, v. 40, n. 3, p. 599-642, 2009.

13. Weissbrodt D. The Concept and Present Status of the International Protection of Human Rights: Forty Years After the Universal Declaration. The American Journal of International Law, v. 84, n. 3, p. 790–791, 1990.

14. Forsythe DP. The United Nations and Human Rights, 1945-1985. Political Science Quarterly, v. 100, n. 2, p. 249-269, 1985.

15. Keith LC. The United Nations International Covenant on Civil and Political Rights: Does It Make a Difference in Human Rights Behavior? Journal of Peace Research, v. 36, n. 1, p. 95–118, 1999.

16. Liberati A. et al. The PRISMA Statement for Reporting Systematic Reviews and Meta-Analyses of Studies That Evaluate Health Care Interventions: Explanation and Elaboration. PLoS Medicine, v. 6, n. 7, p. 001-028, 2009.

17. Downs SH, Black N. The feasibility of creating a checklist for the assessment of the methodological quality both of randomised and non-randomised studies of health care interventions. J Epidemiol Community Health, v. 52, n. 6, p. 377-84.

18. Pinheiro FML. A teoria dos direitos humanos. Themis – Revista da Escola Superior da Magistratura do Estado do Ceará, v. 6, n. 2, p. 111-122, 2008.

19. OHCHR. International Covenant on Civil and Political Rights [online]. Status of Ratification interactive dashboard, n. 30, r. 1. Available at: https://www.ohchr.org/EN/Issues/Indicators/Pages/HRIndicatorsIndex.aspx; 2020 (accessed 03 March 2021).

20. OHCHR. International Covenant on Economic, Social and Cultural Rights [online]. Status of Ratification interactive dashboard, n. 30, r. 1. Available at: https://www.ohchr.org/EN/Issues/Indicators/Pages/HRIndicatorsIndex.aspx; 2020 (accessed 03 March 2021).

21. Wilson A, Daar, AS. A Survey of International Legal Instruments to Examine Their Effectiveness in Improving Global Health and in Realizing Health Rights. Journal of Law, Medicine & Ethics, v. 41, n. 1, p. 89–102, 2013.

22. United Nations. Convention on The Prevention and Punishment of the Crime of Genocide (A/Res/3/260). General Assembly, Paris, 9 December 1948.

23. United Nations. Convention against Torture and Other Cruel, Inhuman or Degrading Treatment or Punishment. General Assembly, New York, 10 December 1984.

24. Hathaway, OA. Do Human Rights Treaties Make a Difference? The Yale Law Journal, v. 111, n. 1, p. 1936-2042, 2002.

25. Goodman R., Jinks D. Measuring the Effects of Human Rights Treaties. European Journal of International Law, v. 14, n. 1, p. 171-183, 2003.

26. Cole WM. Mind the Gap: State Capacity and the Implementation of Human Rights Treaties. International Organization, v. 69, n. 2, p. 405–441, 2015.

27. Nichele CST, Horta MAP, Ferreira AP. Saúde da mulher: papel dos pactos internacionais na evolução da proteção aos direitos humanos. Revista Brasileira em Promoção da Saúde, v. 34, n. 10766, p. 001–014, 2021.

28. Tait CA. et al. Can the health effects of widely-held societal norms be evaluated? An analysis of the United Nations Convention on the elimination of all forms of discrimination against women (UN-CEDAW). BMC Public Health, v. 19, n. 1, p. 279-289, 2019.

29. United Nations, Assembly Resolution A/RES/54/4, Optional Protocol to the Convention on the Elimination of All Forms of Discrimination against Women (1990). Available at: https://www.ohchr.org/en/instruments-mechanisms/instruments/optional-protocol-convention-elimination-all-forms; 1990 (accessed 03 March 2021).

30. Borges LC, Menezes HZ, Souza IML. Dilemmas in the implementation of the World Health Organization Framework Convention on Tobacco Control. Reports in Public Health, v. 36, n. 2, p. 001-015, 2020.

31. WHO. Convention on Tobacco Control. Conference of the Parties to the WHO, Geneva, 22 June 2003.

32. Kastler F. The Framework Convention on Tobacco Control, ten years later: the regulatory function of OMS to the rescue of global health? Revista de Direito Sanitário, v. 17, n. 1, p. 54-99, 2016.

33. Tumwine G, et al. Enablers of sexual and reproductive health and rights interventions in low- and middle-income countries. Insights from capacity development projects implemented in 13 countries in Africa and Asia. Glob Health Action, v. 15, n. 1, p. 2114148, 2022.

34. Hoffman SJ, Røttingen JA. Assessing the Expected Impact of Global Health Treaties: Evidence From 90 Quantitative Evaluations. American Journal of Public Health, v. 105, n. 1, p. 26–40, 2015.

35. Palmer A, et al. Does ratification of human-rights treaties have effects on population health? The Lancet, v. 373, n. 9679, p. 1987–1992, 2009.

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Published

2025-02-17

How to Cite

Nichele, C. da S. T., & Ferreira, A. P. (2025). The effects of international human rights treaties on the population’s health: a systematic review. Revista Contexto & Saúde, 25(50), e13605. https://doi.org/10.21527/2176-7114.2025.50.13605

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REVIEW ARTICLE