South Africa: Right to health
Minister of Health v Treatment Action
Campaign40
The South African HIV/AIDS activist
organisation, Treatment Action Campaign
(TAC), along with a concerned doctor and
the Children’s Rights Centre, sued the South
African Ministry of Health for not making drugs
to prevent mother-to-child transmission of HIV
widely available to the population. In that year
alone, around one quarter of a million people
died in South Africa of AIDS-related causes. The
then-President had publicly expressed the view
that HIV did not cause AIDS, and was supported
by the Minister of Health.
In examining TAC’s claims, the Court looked to
the South African Constitution, which grants
the right of all citizens to public health care
and the right of children ‘to be afforded special
protection’.
Sections 27 and 28 of the Constitution provide
that: 27(1) Everyone has the right to have
access to (a) health care services, including
reproductive health care … (2) The state must
take reasonable legislative and other measures,
within its available resources, to achieve the
progressive realisation of each of these rights
… 28(1) Every child has the right … (c) to basic
nutrition, shelter, basic health care services and
social services.
In light of these provisions, the Court found
that the government had not taken reasonable
steps to reduce the risk of mother to child
transmission of HIV at birth, both because:
(1) the government did not make the antiretroviral drug Nevirapine available to
HIV-positive mothers and at-risk newborns
even when ordered or prescribed by
doctors, and
(2) the government had not set out a
timeframe for creating a national program
to prevent mother-to-child transmission of
HIV.
The Court ordered the government to:
• Remove restrictions that prevented
most public hospitals from making
Nevirapine available to reduce the
risk of mother-to-child transmission
of HIV;
• ‘Permit and facilitate the use of
Nevirapine’, and make Nevirapine
available where medically indicated;
• take ‘reasonable measures’ to
expand testing and counselling
facilities at public hospitals and
clinics ‘to facilitate and expedite the
use of Nevirapine’.
Extracted from: CRIN Legal Library.41
(b) The case for implementing ICESCR
rights in Australia
ICESCR is one of three core international
instruments, alongside the ICCPR and the
Universal Declaration of Human Rights (UDHR),
that make up the ‘International Bill of Rights’.42
The UDHR, the first of the three instruments,
124
includes both civil and political rights; and
economic, social and cultural rights. The
split between economic, social and cultural
rights and civil and political rights within the
subsequent treaties, was a product of Cold War
politics, with the East and West each preferring
to emphasise a different set of rights based on
their economies and histories.43 It remains the