title: Assessing and Improving Children's Rights in Hospitals: Case Studies from Kyrgyzstan, Tajikistan, and Moldova.
abstract: There is a recognized need to raise evidence on how to adopt human rights-based approaches (HRBAs) to health and to assess their impact. In 2013 and 2014, the World Health Organization (WHO) Regional Office for Europe used a set of tools to assess and improve the situation of children's rights in 11 hospitals in Kyrgyzstan, 10 hospitals in Tajikistan, and 21 hospitals in Moldova, by applying a HRBA to health, taking as a reference the Convention on the Rights of the Child (CRC). The assessment results show a similar situation across countries in some areas, and more or less significant variation in others. Common gaps include the need to improve adolescent-friendly health services, the rights to privacy and play; and infrastructure and equipment. In Kyrgyzstan and Tajikistan, a second round of assessment, was carried out, which showed an effective change in several areas, whilst other areas showed persistent gaps. Moldova did not carry out a second round of assessment. Involving children and parents in the assessment was crucial to obtain more reliable data; the project showed how to use the CRC as a framework to improve quality of care for children (QoC); and the tools were proven useful for self-assessment.
authors: Independent Consultant on children's rights, Albufeira, Portugal, WHO Regional Office for Europe, Copenhagen, Denmark.
authors: Ana
authors: A
authors: Isabel Fernandes Guerreiro
authors: Officer, Child and Adolescent Health, Division of Non-communicable Diseases and Promoting Health through the Life-Course, WHO Regional Office for Europe, Copenhagen, Denmark.
authors: Aigul
authors: A
authors: Kuttumuratova
authors: National Professional Officer, WHO Country Office, Kyrgyzstan, Bishkek, Kyrgyzstan.
authors: Kubanychbek
authors: K
authors: Monolbaev
authors: National Professional Officer, WHO Country Office, Republic of Moldova, Chisinau, Republic of Moldova.
authors: Larisa
authors: L
authors: Boderscova
authors: National Professional Officer, WHO Country Office, Tajikistan, Dushanbe, Tajikistan.
authors: Zulfiya
authors: Z
authors: Pirova
authors: Programme Manager, Child and Adolescent Health, Division of Non-communicable Diseases and Promoting Health through the Life-Course, WHO Regional Office for Europe, Copenhagen, Denmark.
authors: Martin W
authors: MW
authors: Weber
mesh_terms: D000293:Adolescent; D016497:Adolescent Health Services / Q000592:standards; D002648:Child; D002662:Child Health Services / Q000592:standards*; D003695:Delivery of Health Care / Q000592:standards*; D006761:Hospitals; D006806:Human Rights; D006801:Humans; D007707:Kyrgyzstan; D008966:Moldova; D011795:Surveys and Questionnaires; D013620:Tajikistan