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Published in: BMC International Health and Human Rights 1/2016

Open Access 01-12-2016 | Debate

Why the Convention on the Rights of the Child must become a guiding framework for the realization of the rights of children affected by tuberculosis

Authors: Robindra Basu Roy, Nicola Brandt, Nicolette Moodie, Mitra Motlagh, Kumanan Rasanathan, James A. Seddon, Anne K. Detjen, Beate Kampmann

Published in: BMC International Health and Human Rights | Issue 1/2016

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Abstract

Background

Until recently, paediatric tuberculosis (TB) has been relatively neglected by the broader TB and the maternal and child health communities. Human rights-based approaches to children affected by TB could be powerful; however, awareness and application of such strategies is not widespread.

Discussion

We summarize the current challenges faced by children affected by TB, including: consideration of their family context; the limitations of preventive, diagnostic and treatment options; paucity of paediatric-specific research; failure in implementation of interventions; and stigma. We examine the articles of the Convention on the Rights of the Child (CRC) and relate them to childhood TB. Specifically, we focus on the five core principles of the CRC: children’s inherent right to life and States’ duties towards their survival and development; children’s right to enjoyment of the highest attainable standard of health; non-discrimination; best interests of the child; and respect for the views of the child. We highlight where children’s rights are violated and how a human rights-based approach should be used as a tool to help children affected by TB, particularly in light of the Sustainable Development Goals and their focus on universality and leaving no one behind.

Summary

The article aims to bridge the gap between those providing paediatric TB clinical care and conducting research, and those working in the fields of human rights policy and advocacy to promote a human rights-based approach for children affected by TB based upon the Convention on the Rights of the Child.
Literature
2.
go back to reference Bustreo F, Hunt P, The World Health Organization. Women’s and Children’s Health: Evidence of Impact of Human Rights. 2013. Bustreo F, Hunt P, The World Health Organization. Women’s and Children’s Health: Evidence of Impact of Human Rights. 2013.
3.
go back to reference Rasanathan K, Norenhag J, Valentine N. Realizing human rights-based approaches for action on the social determinants of health. Health Hum Rights. 2010;12(2):49–59.PubMed Rasanathan K, Norenhag J, Valentine N. Realizing human rights-based approaches for action on the social determinants of health. Health Hum Rights. 2010;12(2):49–59.PubMed
4.
go back to reference Citro B, Lyon E, Mankad M, Pandey KR, Gianella C. Editorial: Developing a Human Rights-Based Approach to Tuberculosis. Health Hum Rights. 2016;18(1):1–7.PubMedPubMedCentral Citro B, Lyon E, Mankad M, Pandey KR, Gianella C. Editorial: Developing a Human Rights-Based Approach to Tuberculosis. Health Hum Rights. 2016;18(1):1–7.PubMedPubMedCentral
5.
go back to reference Inter-Agency Workshop on a human rights-based approach in the context of UN reform 3 to 5 May 2003. The Human Rights-Based Approach - Statement of Common Understanding, The State of the World’s Children. 2004. Inter-Agency Workshop on a human rights-based approach in the context of UN reform 3 to 5 May 2003. The Human Rights-Based Approach - Statement of Common Understanding, The State of the World’s Children. 2004.
6.
go back to reference Office of the United Nations High Commissioner for Human Rights. Technical guidance on the application of a human rights-based approach to the implementation of policies and programmes to reduce and eliminate preventable mortality and morbidity of children under 5 years of age. 2014. Office of the United Nations High Commissioner for Human Rights. Technical guidance on the application of a human rights-based approach to the implementation of policies and programmes to reduce and eliminate preventable mortality and morbidity of children under 5 years of age. 2014.
8.
go back to reference United Nations General Assembly. Convention on the Rights of the Child. 1989 p. Treaty Series, vol. 1577, page 3. United Nations General Assembly. Convention on the Rights of the Child. 1989 p. Treaty Series, vol. 1577, page 3.
9.
go back to reference UNICEF. The State of the World’s Children | Special Edition - Celebrating 20 Years of the Convention on the Rights of the Child. 2010. UNICEF. The State of the World’s Children | Special Edition - Celebrating 20 Years of the Convention on the Rights of the Child. 2010.
10.
go back to reference Hodgkin R, Newell P. Implementation Handbook for the Convention on the Rights of the Child. UNICEF; 2007. Hodgkin R, Newell P. Implementation Handbook for the Convention on the Rights of the Child. UNICEF; 2007.
11.
go back to reference UNICEF. The State of the World’s Children 2014 in numbers: Every Child Counts - revealing disparities, advancing human rights. 2014. UNICEF. The State of the World’s Children 2014 in numbers: Every Child Counts - revealing disparities, advancing human rights. 2014.
12.
go back to reference Davis SLM. Human rights and the Global Fund to Fight AIDS, Tuberculosis, and Malaria. Health Hum Rights. 2014;16(1):134–47.PubMed Davis SLM. Human rights and the Global Fund to Fight AIDS, Tuberculosis, and Malaria. Health Hum Rights. 2014;16(1):134–47.PubMed
13.
go back to reference The World Health Organization. Gear Up to End TB: Introducing the End TB Strategy. 2015. The World Health Organization. Gear Up to End TB: Introducing the End TB Strategy. 2015.
14.
go back to reference World Health Organization. Global Tuberculosis Report 2015. Geneva; WHO. 2015. World Health Organization. Global Tuberculosis Report 2015. Geneva; WHO. 2015.
15.
16.
go back to reference World Health Organization. Addressing Poverty in TB Control. Options for National TB Control Programmes (WHO/HTM/TB/2005.352). 2005. World Health Organization. Addressing Poverty in TB Control. Options for National TB Control Programmes (WHO/HTM/TB/2005.352). 2005.
17.
go back to reference Marais BJ, Gie RP, Schaaf HS. Hesseling a C, Obihara CC, Starke JJ, et al. The natural history of childhood intra-thoracic tuberculosis: a critical review of literature from the pre-chemotherapy era. Int J Tuberc Lung Dis. 2004;8(4):392–402.PubMed Marais BJ, Gie RP, Schaaf HS. Hesseling a C, Obihara CC, Starke JJ, et al. The natural history of childhood intra-thoracic tuberculosis: a critical review of literature from the pre-chemotherapy era. Int J Tuberc Lung Dis. 2004;8(4):392–402.PubMed
18.
go back to reference Morrison J, Pai M, Hopewell PC. Tuberculosis and latent tuberculosis infection in close contacts of people with pulmonary tuberculosis in low-income and middle-income countries: a systematic review and meta-analysis. Lancet Infect Dis. 2008;8(6):359–68.CrossRefPubMed Morrison J, Pai M, Hopewell PC. Tuberculosis and latent tuberculosis infection in close contacts of people with pulmonary tuberculosis in low-income and middle-income countries: a systematic review and meta-analysis. Lancet Infect Dis. 2008;8(6):359–68.CrossRefPubMed
19.
go back to reference Getahun H, Sculier D, Sismanidis C, Grzemska M, Raviglione M. Prevention, diagnosis, and treatment of tuberculosis in children and mothers: evidence for action for maternal, neonatal, and child health services. J Infect Dis. 2012;205(Suppl):S216–27.CrossRefPubMed Getahun H, Sculier D, Sismanidis C, Grzemska M, Raviglione M. Prevention, diagnosis, and treatment of tuberculosis in children and mothers: evidence for action for maternal, neonatal, and child health services. J Infect Dis. 2012;205(Suppl):S216–27.CrossRefPubMed
20.
go back to reference Donald PR, Marais BJ, Barry CE. Age and the epidemiology and pathogenesis of tuberculosis. Lancet. 2010;375(9729):1852–4.CrossRefPubMed Donald PR, Marais BJ, Barry CE. Age and the epidemiology and pathogenesis of tuberculosis. Lancet. 2010;375(9729):1852–4.CrossRefPubMed
21.
go back to reference Nicol MP, Workman L, Isaacs W, Munro J, Black F, Eley B, et al. Accuracy of the Xpert MTB/RIF test for the diagnosis of pulmonary tuberculosis in children admitted to hospital in Cape Town, South Africa: a descriptive study. Lancet Infect Dis. 2011;11(11):819–24.CrossRefPubMedPubMedCentral Nicol MP, Workman L, Isaacs W, Munro J, Black F, Eley B, et al. Accuracy of the Xpert MTB/RIF test for the diagnosis of pulmonary tuberculosis in children admitted to hospital in Cape Town, South Africa: a descriptive study. Lancet Infect Dis. 2011;11(11):819–24.CrossRefPubMedPubMedCentral
22.
go back to reference Swingler GH, du Toit G, Andronikou S, van der Merwe L, Zar HJ. Diagnostic accuracy of chest radiography in detecting mediastinal lymphadenopathy in suspected pulmonary tuberculosis. Arch Dis Child. 2005;90(11):1153–6.CrossRefPubMedPubMedCentral Swingler GH, du Toit G, Andronikou S, van der Merwe L, Zar HJ. Diagnostic accuracy of chest radiography in detecting mediastinal lymphadenopathy in suspected pulmonary tuberculosis. Arch Dis Child. 2005;90(11):1153–6.CrossRefPubMedPubMedCentral
23.
go back to reference Paz-Soldán VA, Alban RE, Jones CD, Oberhelman RA. The provision of and need for social support among adult and pediatric patients with tuberculosis in Lima, Peru: a qualitative study. BMC Health Serv Res. 2013;13:290.CrossRefPubMedPubMedCentral Paz-Soldán VA, Alban RE, Jones CD, Oberhelman RA. The provision of and need for social support among adult and pediatric patients with tuberculosis in Lima, Peru: a qualitative study. BMC Health Serv Res. 2013;13:290.CrossRefPubMedPubMedCentral
24.
go back to reference The World Health Organization Stop TB Partnership. No more crying, no more dying. Towards zero TB deaths in children. Geneva, Switzerland; 2012. The World Health Organization Stop TB Partnership. No more crying, no more dying. Towards zero TB deaths in children. Geneva, Switzerland; 2012.
25.
go back to reference The World Health Organization. Global Tuberculosis Report 2012. Geneva, Switzerland: WHO/HTM/TB; 2012. The World Health Organization. Global Tuberculosis Report 2012. Geneva, Switzerland: WHO/HTM/TB; 2012.
26.
go back to reference Schaaf HS, Garcia-Prats AJ, Hesseling AC, Seddon JA. Managing multidrug-resistant tuberculosis in children: review of recent developments. Curr Opin Infect Dis. 2014;27(3):211–9.CrossRefPubMed Schaaf HS, Garcia-Prats AJ, Hesseling AC, Seddon JA. Managing multidrug-resistant tuberculosis in children: review of recent developments. Curr Opin Infect Dis. 2014;27(3):211–9.CrossRefPubMed
27.
go back to reference Seddon JA, Furin JJ, Gale M, Del Castillo BH, Hurtado RM, Amanullah F, et al. Caring for children with drug-resistant tuberculosis: practice-based recommendations. Am J Respir Crit Care Med. 2012;186(10):953–64.CrossRefPubMed Seddon JA, Furin JJ, Gale M, Del Castillo BH, Hurtado RM, Amanullah F, et al. Caring for children with drug-resistant tuberculosis: practice-based recommendations. Am J Respir Crit Care Med. 2012;186(10):953–64.CrossRefPubMed
28.
go back to reference Donald PR. Childhood tuberculosis: the hidden epidemic. Int J Tuberc Lung Dis. 2004;8(5):627–9.PubMed Donald PR. Childhood tuberculosis: the hidden epidemic. Int J Tuberc Lung Dis. 2004;8(5):627–9.PubMed
29.
go back to reference Sandgren A, Cuevas LE, Dara M, Gie RP, Grzemska M, Hawkridge A, et al. Childhood tuberculosis: progress requires an advocacy strategy now. Eur Respir J. 2012;40(2):294–7.CrossRefPubMedPubMedCentral Sandgren A, Cuevas LE, Dara M, Gie RP, Grzemska M, Hawkridge A, et al. Childhood tuberculosis: progress requires an advocacy strategy now. Eur Respir J. 2012;40(2):294–7.CrossRefPubMedPubMedCentral
30.
go back to reference The World Health Organization. The Roadmap for Childhood TB: Toward Zero Deaths (WHO/HTM/TB/2013.12). 2013. The World Health Organization. The Roadmap for Childhood TB: Toward Zero Deaths (WHO/HTM/TB/2013.12). 2013.
31.
go back to reference Committee on the Rights of the Child. GC15: General comment No. 15 on the right of the child to the enjoyment of the highest attainable standard of health (art. 24)*. 2013. Committee on the Rights of the Child. GC15: General comment No. 15 on the right of the child to the enjoyment of the highest attainable standard of health (art. 24)*. 2013.
32.
go back to reference Committee on Economic Social and Cultural Rights. GC14: General Comment No. 14 The right to the highest attainable standard of health (article 12 of the International Covenant on Economic, Social and Cultural Rights). 2000. Committee on Economic Social and Cultural Rights. GC14: General Comment No. 14 The right to the highest attainable standard of health (article 12 of the International Covenant on Economic, Social and Cultural Rights). 2000.
34.
go back to reference Chiang SS, Khan FA, Milstein MB, Tolman AW, Benedetti A, Starke JR, et al. Treatment outcomes of childhood tuberculous meningitis: a systematic review and meta-analysis. Lancet Infect Dis. 2014;14(10):947–57.CrossRefPubMed Chiang SS, Khan FA, Milstein MB, Tolman AW, Benedetti A, Starke JR, et al. Treatment outcomes of childhood tuberculous meningitis: a systematic review and meta-analysis. Lancet Infect Dis. 2014;14(10):947–57.CrossRefPubMed
35.
go back to reference The World Health Organization. Guidance for national tuberculosis programmes on the management of tuberculosis in children –. 2nd ed. 2014. The World Health Organization. Guidance for national tuberculosis programmes on the management of tuberculosis in children –. 2nd ed. 2014.
37.
go back to reference The World Health Organization. Rapid advice : treatment of tuberculosis in children. Geneva: World Health Organization; 2010. The World Health Organization. Rapid advice : treatment of tuberculosis in children. Geneva: World Health Organization; 2010.
39.
go back to reference Nicholson T, Admay C, Shakow A, Keshavjee S, Admay CA. Double Standards in Global Health: Medicine, Human Rights Law and Multidrug-Resistant TB Treatment Policy. Health Hum Rights J. 2016;18(1):85–101. Nicholson T, Admay C, Shakow A, Keshavjee S, Admay CA. Double Standards in Global Health: Medicine, Human Rights Law and Multidrug-Resistant TB Treatment Policy. Health Hum Rights J. 2016;18(1):85–101.
40.
go back to reference London L, Cox H, Coomans F. Multidrug-Resistant TB: Implementing the Right to Health through the Right to Enjoy the Benefits of Scientific Progress. Health Hum Rights J. 2016;18(1):25–41. London L, Cox H, Coomans F. Multidrug-Resistant TB: Implementing the Right to Health through the Right to Enjoy the Benefits of Scientific Progress. Health Hum Rights J. 2016;18(1):25–41.
41.
go back to reference Frick M, Henry I, Lessem E. Falling Short of the Rights to Health and Scientific Progress: Inadequate TB Drug Research and Access. Health Hum Rights J. 2016;18(1):9–23. Frick M, Henry I, Lessem E. Falling Short of the Rights to Health and Scientific Progress: Inadequate TB Drug Research and Access. Health Hum Rights J. 2016;18(1):9–23.
42.
go back to reference Bhaumik S. India’s human rights commission seeks answers over shortage of TB drugs. BMJ. 2013;347:f4301.CrossRefPubMed Bhaumik S. India’s human rights commission seeks answers over shortage of TB drugs. BMJ. 2013;347:f4301.CrossRefPubMed
47.
go back to reference Søborg B, Andersen AB, Melbye M, Wohlfahrt J, Andersson M, Biggar RJ, et al. Risk factors for Mycobacterium tuberculosis infection among children in Greenland. Bull World Health Organ. 2011;89(10):741–8. 748A–748E.CrossRefPubMedPubMedCentral Søborg B, Andersen AB, Melbye M, Wohlfahrt J, Andersson M, Biggar RJ, et al. Risk factors for Mycobacterium tuberculosis infection among children in Greenland. Bull World Health Organ. 2011;89(10):741–8. 748A–748E.CrossRefPubMedPubMedCentral
48.
go back to reference Devlin S, Passmore E. Ongoing transmission of tuberculosis in Aboriginal communities in NSW. N S W Public Health Bull. 2013;24(1):38–42.CrossRefPubMed Devlin S, Passmore E. Ongoing transmission of tuberculosis in Aboriginal communities in NSW. N S W Public Health Bull. 2013;24(1):38–42.CrossRefPubMed
50.
go back to reference Mason PH, Degeling C, Denholm J. Sociocultural dimensions of tuberculosis: an overview of key concepts. Int J Tuberc Lung Dis. 2015;19(10):1135–43.CrossRefPubMed Mason PH, Degeling C, Denholm J. Sociocultural dimensions of tuberculosis: an overview of key concepts. Int J Tuberc Lung Dis. 2015;19(10):1135–43.CrossRefPubMed
53.
go back to reference Nicolai T, Fuchs O, von Mutius E. Caring for the Wave of Refugees in Munich. New England J Med. 2015 Sep 23;150923140040009. Nicolai T, Fuchs O, von Mutius E. Caring for the Wave of Refugees in Munich. New England J Med. 2015 Sep 23;150923140040009.
54.
go back to reference Committee on the Rights of the Child. Report of the 2012 Day of General discussion on the rights of all children in the context of international migration,. 2012. Committee on the Rights of the Child. Report of the 2012 Day of General discussion on the rights of all children in the context of international migration,. 2012.
55.
go back to reference Ritz N, Brinkmann F, Garcia BS, Tebruegge M, Kampmann B. Tuberculosis in young refugees. Lancet. 2015;386(10012):2475–6.CrossRefPubMed Ritz N, Brinkmann F, Garcia BS, Tebruegge M, Kampmann B. Tuberculosis in young refugees. Lancet. 2015;386(10012):2475–6.CrossRefPubMed
60.
go back to reference Barnes DS. Historical perspectives on the etiology of tuberculosis. Microbes Infect. 2000;2(4):431–40.CrossRefPubMed Barnes DS. Historical perspectives on the etiology of tuberculosis. Microbes Infect. 2000;2(4):431–40.CrossRefPubMed
61.
go back to reference Committee on the Rights of the Child. GC14: General comment No. 14 on the right of the child to have his or her best interests taken as a primary consideration. 2013. Committee on the Rights of the Child. GC14: General comment No. 14 on the right of the child to have his or her best interests taken as a primary consideration. 2013.
62.
go back to reference The World Health Organization. Chapter 5: Reducing transmission of TB in households. WHO policy on TB infection control in health-care facilities, congregate settings and households. 2009. The World Health Organization. Chapter 5: Reducing transmission of TB in households. WHO policy on TB infection control in health-care facilities, congregate settings and households. 2009.
63.
go back to reference Loveday M, Wallengren K, Brust J, Roberts J, Voce A, Margot B, et al. Community-based care vs. centralised hospitalisation for MDR-TB patients, KwaZulu-Natal, South Africa. Int J Tuberc Lung Dis. 2015;19(2):163–71.CrossRefPubMedPubMedCentral Loveday M, Wallengren K, Brust J, Roberts J, Voce A, Margot B, et al. Community-based care vs. centralised hospitalisation for MDR-TB patients, KwaZulu-Natal, South Africa. Int J Tuberc Lung Dis. 2015;19(2):163–71.CrossRefPubMedPubMedCentral
64.
go back to reference Lansdown G, Save the Children. Every Child’s Right to be Heard – a resource guide on the UN Committee on the Rights of the Child General Comment No. 12. 2011. Lansdown G, Save the Children. Every Child’s Right to be Heard – a resource guide on the UN Committee on the Rights of the Child General Comment No. 12. 2011.
66.
go back to reference Papathakis P, Piwoz E, Africa’s Health in 2010 Project. Nutrition and Tuberculosis: A review of the literature and consideration for TB control programs. 2008. Papathakis P, Piwoz E, Africa’s Health in 2010 Project. Nutrition and Tuberculosis: A review of the literature and consideration for TB control programs. 2008.
67.
go back to reference McBroom K. Litigation as TB Rights Advocacy: A New Delhi Case Study. Health Hum Rights J. 2016;18(1):69–83. McBroom K. Litigation as TB Rights Advocacy: A New Delhi Case Study. Health Hum Rights J. 2016;18(1):69–83.
68.
go back to reference UN Committee on Economic Social and Cultural Rights (CESCR). General Comment No. 14: The Right to the Highest Attainable Standard of Health (Art. 12 of the Covenant) E/C.12/2000/4. 2000. UN Committee on Economic Social and Cultural Rights (CESCR). General Comment No. 14: The Right to the Highest Attainable Standard of Health (Art. 12 of the Covenant) E/C.12/2000/4. 2000.
Metadata
Title
Why the Convention on the Rights of the Child must become a guiding framework for the realization of the rights of children affected by tuberculosis
Authors
Robindra Basu Roy
Nicola Brandt
Nicolette Moodie
Mitra Motlagh
Kumanan Rasanathan
James A. Seddon
Anne K. Detjen
Beate Kampmann
Publication date
01-12-2016
Publisher
BioMed Central
Published in
BMC International Health and Human Rights / Issue 1/2016
Electronic ISSN: 1472-698X
DOI
https://doi.org/10.1186/s12914-016-0105-z

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