A human rights-based approach to improve access to insulin and other aspects of diabetes care

  • Frank Brennan
    Correspondence
    Corresponding authorat: Calvary Hospital, 91 Rocky Point Road, Kogarah, NSW 2217, Australia.
    Affiliations
    Calvary Hospital, 91 Rocky Point Road, Kogarah, NSW 2217, Australia

    Insulin for Life Global, C/O NHMRC Clinical Trials Centre, 92–94 Parramatta Rd, Camperdown, NSW 2070, Australia
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  • Paul Williams
    Affiliations
    Insulin for Life Global, C/O NHMRC Clinical Trials Centre, 92–94 Parramatta Rd, Camperdown, NSW 2070, Australia

    Department of Chemical Pathology, NSW Pathology, Royal Prince Alfred Hospital, Missenden Road, Camperdown, NSW 2050, Australia

    Department of Endocrinology, Room 3216, Level 3 West, Charles Perkins Centre D17, Johns, Hopkins Drive, University of Sydney, NSW 2006, Australia
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  • Kate Armstrong
    Affiliations
    Caring & Living as Neighbours (CLAN), 13 Fourth Avenue, Denistone, NSW 2114, Australia
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  • Emma Klatman
    Affiliations
    Life for a Child, Diabetes NSW & ACT, 26 Arundel St., Glebe NSW 2037, Australia
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  • Neil Donelan
    Affiliations
    Insulin for Life Global, C/O NHMRC Clinical Trials Centre, 92–94 Parramatta Rd, Camperdown, NSW 2070, Australia
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  • Graham D. Ogle
    Affiliations
    Life for a Child, Diabetes NSW & ACT, 26 Arundel St., Glebe NSW 2037, Australia
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  • Alicia J. Jenkins
    Affiliations
    Insulin for Life Global, C/O NHMRC Clinical Trials Centre, 92–94 Parramatta Rd, Camperdown, NSW 2070, Australia

    NHMRC Clinical Trials Centre, University of Sydney, 92–94 Parramatta Rd, Camperdown, NSW 2050, Australia
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Published:November 23, 2021DOI:https://doi.org/10.1016/j.diabres.2021.109153

      Abstract

      Many nations struggle to provide adequate diabetes care. Legal as well as moral obligations may facilitate access. International human rights law places obligations on governments to ensure the accessibility and affordability of insulin (a World Health Organization essential medicine), and other components of diabetes care. Despite this obligation, the global reality is that access remains deficient. A human rights approach facilitating the improvement of diabetes services and equitable access to insulin provides a strong framework, theoretically and practically, for advocacy and policymaking changes. This approach links governments to their international obligations, fosters the ideal of, and adherence to, national essential medicine lists, complements the pursuit of international goals in non-communicable diseases, and should influence the actions of pharmaceutical and device companies. This approach empowers patients, families, and communities living with diabetes, and grounds actions by governments, clinicians, and non-government organisations in the principles of dignity, non-discrimination, and equity of access.

      Keywords

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