Scientific and Information Bulletin

Ivan-Frankivsk University named King Danylo Halytsky

Issue № 18(30)

Blashchuk T. Non-discrimination and equality in healthcare: guarantees of implementation in international law and Ukrainian legislation

Blashchuk T. Non-discrimination and equality in healthcare: guarantees of implementation in international law and Ukrainian legislation

DOI: https://doi.org/10.33098/2078-6670.2024.18.30.56-65

Purpose. The purpose of the article is to provide a comprehensive analysis of legal guarantees of non-discrimination and equality in healthcare in Ukraine and worldwide. The study aims to identify the main types of discrimination, their impact on access to healthcare services, and to develop recommendations for improving legislative mechanisms and policies. Methodology. The study was conducted through a comprehensive analysis of international and national legal acts regulating non-discrimination in healthcare.The following were used methods of scientific cognition, such as terminological, logical and semantic, comparative and legal, systemic and structural, and analytical. Results: The study found that discrimination on financial, territorial, gender and age grounds significantly limits access to healthcare services for socially vulnerable groups. The author emphasises the need to harmonise national legislation with international standards, which will contribute to the creation of an inclusive healthcare system. Priority areas of state policy have been identified, including investments in infrastructure modernisation, development of telemedicine, mobile health units and gender-sensitive approaches. Originality. It is established that ensuring non-discrimination in healthcare requires updating legal and organisational approaches. The author proposes a set of measures, including improvement of the legal framework, implementation of socially oriented programmes and development of intersectoral cooperation. Practical significance. The findings can be used in lawmaking and law enforcement activities, as well as in the development of social programmes to improve access to healthcare services for vulnerable populations.

Key words: non-discrimination, equality, healthcare, legal guarantees, medical services, international law, Ukraine, gender inequality, territorial inequality.

References

  1. Constante, H.M., & Bastos, J.L. (2021). Mapping the Margins in Health Services Research: How Does Race Intersect With Gender and Socioeconomic Status to Shape Difficulty Accessing Health Care Among Unequal Brazilian States? International Journal of Health Services, 51(2), 155–166. https://doi.org/10.1177/0020731420979808 (in English)
  2. Medvediev, M. (2021). Zakhyst prav u sferi okhorony zdorovia v mizhnarodnomu pravi [Protection of rights in the healthcare sector in international law]. LRKUL, 2, 307–312. https://doi.org/10.36695/2219-5521.2.2021.63 (in Ukrainian)
  3. Maruthappu, M., Ologunde, R., & Gunarajasingam, A. (2013). Is health care a right? Health reforms in the USA and their impact upon the concept of care. Annals of Medicine and Surgery, 2, 15–17. https://doi.org/10.1016/S2049-0801(13)70021-9 (in English)
  4. Dyskryminatsiia [Discrimination]. (n.d.). Slovnyk ukrainskoi movy [Dictionary of the Ukrainian language]. Retrieved from https://slovnyk.ua/index.php?swrd=дискримінація (in Ukrainian).
  5. Zahalna deklaratsiia prav liudyny [Universal Declaration of Human Rights]. (n.d.). Retrieved from: https://zakon.rada.gov.ua/laws/show/995_015#Text (in Ukrainian)
  6. Mizhnarodnyi pakt pro hromadianski i politychni prava [International Covenant on Civil and Political Rights]. (n.d.). Retrieved from: https://zakon.rada.gov.ua/laws/show/995_043#Text (in Ukrainian)
  7. Konventsiia OON pro likvidatsiiu vsikh form dyskryminatsii shchodo zhinok [UN Convention on the Elimination of All Forms of Discrimination Against Women]. (n.d.). Retrieved from: https://zakon.rada.gov.ua/laws/show/995_207#Text (in Ukrainian).
  8. Konventsiia pro prava osib z invalidnistiu [Convention on the Rights of Persons with Disabilities]. (n.d.). Retrieved from: https://zakon.rada.gov.ua/laws/show/995_g71#Text (in Ukrainian)
  9. Mizhnarodna konventsiia pro likvidatsiiu vsikh form rasovoi dyskryminatsii [International Convention on the Elimination of All Forms of Racial Discrimination]. (n.d.). Retrieved from: https://zakon.rada.gov.ua/laws/show/995_105#Text (in Ukrainian)
  10. Mizhnarodnyi pakt pro ekonomichni, sotsialni i kulturni prava [International Covenant on Economic, Social and Cultural Rights]. (n.d.). Retrieved from: https://zakon.rada.gov.ua/laws/show/995_042#Text (in Ukrainian)
  11. Konventsiia pro zakhyst prav liudyny i osnovopolozhnykh svobod [Convention for the Protection of Human Rights and Fundamental Freedoms]. (n.d.). Retrieved from: https://zakon.rada.gov.ua/laws/show/995_004#Text (in Ukrainian)
  12. Dyrektyva Rady 2000/43/YeS vid 29 chervnia 2000 roku [Council Directive 2000/43/EC of 29 June 2000]. (n.d.). Retrieved from: https://zakon.rada.gov.ua/laws/show/994_a65#Text (in Ukrainian)
  13. Directive 2006/54/EC of the European Parliament and of the Council of 5 July 2006 on the implementation of the principle of equal opportunities and equal treatment of men and women in matters of employment and occupation (recast). (n.d.). Retrieved from: https://www.legislation.gov.uk/eudr/2006/54 (in English)
  14. Konstytutsiia Ukrainy [Constitution of Ukraine]. (n.d.). Retrieved from https://zakon.rada.gov.ua/laws/main/254к/96-вр#Text (in Ukrainian).
  15. Pro zasady zapobihannia ta protydii dyskryminatsii v Ukraini [On the principles of preventing and combating discrimination in Ukraine]. (n.d.). Retrieved from https://zakon.rada.gov.ua/laws/show/5207-17/ed20140530#Text (in Ukrainian)
  16. Pro zabezpechennia prav i svobod vnutrishno peremishchenykh osib [On ensuring the rights and freedoms of internally displaced persons]. (n.d.). Retrieved from https://zakon.rada.gov.ua/laws/show/1706-18#Text (in Ukrainian)
  17. Pro derzhavni finansovi harantii medychnoho obsluhovuvannia naselennia [On state financial guarantees for healthcare]. (n.d.). Retrieved from https://zakon.rada.gov.ua/laws/show/2168-19#Text (in Ukrainian)
  18. Zahorodnia, S.P. (2024). Ekonomichna nerivnist v Ukraini: otsiniuvannia ryzykiv v interesakh zmitsnennia stiikosti [Economic inequality in Ukraine: Assessing risks for resilience]. Dnipro Scientific Bulletin of Public Administration, Psychology, and Law, 2, 36–42. https://doi.org/10.51547/ppp.dp.ua/2024.2.6 (in Ukrainian)
  19. Bezoplatni shcheplennia u 2024-mu [Free vaccinations in 2024]. (2024). Retrieved from: https://www.kmu.gov.ua/news/bezoplatni-shcheplennia-u-2024-mu-ukladeno-dohovir-na-zakupivliu-11-mln-doz-oralnoi-vaktsyny-proty-poliomiielitu-dlia-imunoprofilaktyky-ditei (in Ukrainian)
  20. Provedennia rutynnykh shcheplen u 2024 [Routine vaccinations in 2024]. (2024). Retrieved from: https://moz.gov.ua/uk/provedennja-rutinnih-scheplen-u-2024-bude-zakupleno-15-mln-doz-vakcin-proti-difterii-ta-pravcja-a-takozh-koru- (in Ukrainian)
  21. Vplyv konflikty na systemu okhorony zdorovia [Impact of conflict on the healthcare system]. (2023). Retrieved from: https://www.acaps.org/fileadmin/Data_Product/Additional_resources/20231004_ACAPS_thematic_report_Ukraine_impact_of_the_conflict_on_healthcare_system_and_spotlight_on_specific_needs_Ukrainian.pdf (in Ukrainian)
  22. Programa EU4Health [EU4Health program]. (n.d.). Retrieved from: https://moz.gov.ua/uk/programa-eu4health (in Ukrainian)
  23. Ukrinform. (n.d.). Za yakyi chas maie pryizhdzhaty shvydka? [How quickly should an ambulance arrive?]. Retrieved from: https://www.ukrinform.ua/rubric-society/3569740-za-akij-cas-mae-priizdzati-svidka-rozasnenna-moz.html (in English)
  24. Henderna perspektyva sfery okhorony zdorovia Ukrainy [Gender perspective in Ukraine’s healthcare sector]. (2022). Retrieved from: https://razumkov.org.ua/images/2022/07/15/we_act_medical_ukr_report.pdf (in Ukrainian)

Науково-інформаційний вісник

Івано-Франківського університету права імені Короля Данила Галицького