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Universal-MigrationHRlaw-PG-no-6-Publications-PractitionersGuide-2014-eng

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MIGRATION AND INTERNATIONAL HUMAN RIGHTS LAW | 247<br />

to housing, the African Commission has stated that “the corollary of<br />

the provisions protecting the right to enjoy the best attainable state of<br />

mental and physical health [. . .], the right to property, and the protection<br />

accorded to the family” mean that the right to shelter or housing,<br />

including protection from forced evictions are effectively <strong>eng</strong>aged under<br />

the Charter. 1007<br />

2. Health<br />

The right to health, or, more precisely, the right to the highest attainable<br />

standard of health, is recognised in numerous international instruments.<br />

1008 It encompasses both the liberty to control one’s own health<br />

and body, and the entitlement to a system of health protection that provides<br />

equality of opportunity for people to enjoy the highest attainable<br />

level of health. 1009 As the CESCR has <strong>no</strong>ted, “the right to health embraces<br />

a wide range of socio-eco<strong>no</strong>mic factors that promote conditions in<br />

which people can lead a healthy life, and extends to the underlying determinants<br />

of health, such as food and nutrition, housing, access to safe<br />

and potable water and adequate sanitation, safe and healthy working<br />

conditions, and a healthy environment.” 1010 The right to health requires<br />

that healthcare be available and accessible to all without discrimination.<br />

It must be affordable, including to socially disadvantaged groups, and<br />

culturally accessible to mi<strong>no</strong>rities. 1011<br />

The CESCR has clarified that States have a core obligation to ensure the<br />

satisfaction of minimum essential levels of healthcare rights. 1012 These<br />

core obligations are:<br />

• To ensure the right of access to health facilities, goods and services<br />

on a <strong>no</strong>n-discriminatory basis, especially for vulnerable or<br />

marginalised groups;<br />

• To ensure access to the minimum essential food which is nutritionally<br />

adequate and safe, to ensure freedom from hunger;<br />

1007 SERAC and CESR v. Nigeria, ACommHPR, op. cit., fn. 29, paras. 60–63.<br />

1008 Article 12 ICESCR; Article 25.1 UDHR; Article 5(e)(iv) ICERD; Articles 11.1(f) and 12<br />

CEDAW; Article 24 CRC; Article 25 CRPD; Article 11 ESC(r); Article 16 ACHPR; Article 10,<br />

Protocol of San Salvador; Article XI ADRDM; Article 14, Protocol to the ACHPR on the Rights<br />

of Women in Africa; Article 14 ACRWC; Constitution of the World Health Organisation, adopted<br />

19 June to 22 July 1946. The right to health has been proclaimed by the Commission on<br />

Human Rights, as well as in the Vienna Declaration and Programme of Action of 1993 and<br />

other international instruments.<br />

1009 CESCR, General Comment No. 14, op. cit., fn. 37, para. 8.<br />

1010 Ibid., para. 4.<br />

1011 Ibid., para. 12<br />

1012 Ibid., para. 43. Definition of primary health care is also enshrined in the Declaration of<br />

Alma-Ata, adopted 6–12 September 1978 at the International Conference on Primary Health<br />

Care.

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