Sofia Gruskin is a scholar and advocate in the field of health and human rights whose contributions range from global policy to the grassroots level. For more than 25 years her work has been instrumental in developing the conceptual, methodological, and empirical links between health and human rights, with a focus on sexual and reproductive health, HIV and AIDS, child and adolescent health, gender-based violence, non-communicable disease, and health systems. [1] Currently, Gruskin is a professor at the Keck School of Medicine [2] and Gould School of Law [3] at the University of Southern California. Gruskin also directs the USC Institute for Global Health [4] as well as its Program on Global Health & Human Rights [5] and leads the USC Law & Global Health Collaboration [6] with fellow professors. [7]
Gruskin is the co-coordinator of the Rights Oriented Research and Education (RORE) Network in Sexual and Reproductive health, which is an international network of sexual and reproductive health and rights researchers and advocates, [8] as well as a member of the PEPFAR Scientific Advisory Board. [9] She has served on many boards and committees for the World Health Organization, the Office of the High Commissioner for Human Rights, and other major players in global health.
Gruskin's focus on public health, human rights, and law emerged during the early years of the global AIDS crisis. Gruskin observed that around the world a broad range of rights were being restricted in the name of public health but without proper justification, resulting in widespread violations of rights with devastating health effects.
Gruskin received her bachelor's degree in sociology, specializing in Ethnomethodology, from the University of California at Santa Cruz. In 1990, she completed a doctoral degree in jurisprudence at the Cardozo School of Law. Also in 1990, Gruskin participated in an internship at the United States Department of State in the Office of the Legal Advisor. In 1991, Gruskin was admitted to the New York State Bar. In 1993, Gruskin completed a master's degree in International Affairs, specializing in Public Health and Human Rights at Columbia University's School of International and Public Affairs.
Soon after graduate school, Sofia Gruskin came to work with Dr. Jonathan Mann. In association with Dr. Daniel Tarantola, they worked to establish the François-Xavier Bagnoud Center for Health and Human Rights at Harvard University. Gruskin was head of the Harvard School of Public Health’s program on International Health and Human Rights, chair of the Group on Reproductive Health and Rights at the Harvard Center for Population and Development Studies, associate Professor in the Department of Global Health and Population, and Co-Director of the Inter-departmental Program on Women, Gender and Health. [10] She was at Harvard between 1993 and 2010, and from 2010-2015 was an Adjunct Professor in Global Health at Harvard University's T.H. Chan School of Public Health.
Gruskin was a member of the Amnesty International board of directors from 2002 to 2006; the principal architect of the 2003 General Comment on HIV/AIDS [11] promulgated by the UN Committee on the Rights of the Child; a standing member of the Scientific Review Committee on Behavioral and Social Consequences of HIV/AIDS [12] for the National Institutes of Health from 2005 to 2009; chair of the UNAIDS Reference Group on HIV and Human Rights from 2002-2006; a member of the Institute of Medicine's Committee for the Outcome and Impact Evaluation of Global HIV/AIDS Programs Implemented Under the Lantos/Hyde Act of 2008 (PEPFAR, 2010-2013); [13] a member of the Technical Advisory Group of the UN Global Commission on HIV and the Law [14] from 2010 to 2012; and a member of the Guttmacher Institute's Board of Directors from 2014-2016.
Gruskin now holds professorial roles in Preventive Medicine at the Keck School of Medicine and at the Gould School of Law at the University of Southern California and previously in the Department of Global Health and Population at the T. H. Chan School of Public Health. [15] [16] In addition to teaching full term courses, Gruskin has also been invited as a guest lecturer in a variety of full-term academic classes. Over the course of her career, Gruskin has partnered with the World Health Organization (WHO), the United Nations Development Program (UNDP), United Nations Population Fund (UNFPA), IPAS, Open Society Foundation, and local organizations and universities in Brazil, India, and Vietnam, amongst others. [17]
The field of health and human rights is now well recognized, and Sofia Gruskin has been a singular figure continuously at the cutting edge of conceptual and programming advances. Gruskin said, "We have to recognize that law impacts health and we need to know when law is harming people's lives and when it needs to change." She is known for addressing important questions such as, "What should be done to be sure you can access what you need, when you need it, no matter where you are or who you are? How do we best ensure health systems are supportive of the health and human rights of all populations?" [18] Gruskin's distinct contribution has been in influencing the direction of public health research and action by defining key concepts, developing and testing conceptual and analytical frameworks, and creating policy and programming tools. Her efforts have been to define, operationalize, and test what is meant by a "rights-based" approach to health; produce scholarly works to define the conceptual differences between human rights and other frameworks concerned with justice, including ethics and equity; to make clear the distinct contributions human rights offers to health practice including the use of indicators to determine the contribution of human rights to public health effort globally.
Gruskin is an associate editor at The American Journal of Public Health , Global Public Health , Reproductive Health Matters , and Revue Tiers Monde .
Selected articles include:
Reproductive rights are legal rights and freedoms relating to reproduction and reproductive health that vary amongst countries around the world. The World Health Organization defines reproductive rights as follows:
Reproductive rights rest on the recognition of the basic right of all couples and individuals to decide freely and responsibly the number, spacing and timing of their children and to have the information and means to do so, and the right to attain the highest standard of sexual and reproductive health. They also include the right of all to make decisions concerning reproduction free of discrimination, coercion and violence.
The Keck School of Medicine of the University of Southern California teaches and trains physicians, biomedical scientists and other healthcare professionals, conducts medical research, and treats patients. Founded in 1885, it is the second oldest medical school in California after the UCSF School of Medicine.
Sexual and reproductive health (SRH) is a field of research, health care, and social activism that explores the health of an individual's reproductive system and sexual well-being during all stages of their life. Sexual and reproductive health is more commonly defined as sexual and reproductive health and rights, to encompass individual agency to make choices about their sexual and reproductive lives.
Jonathan Max Mann was an American physician who was an administrator for the World Health Organization, and spearheaded early AIDS research in the 1980s.
George J. Annas is the William Fairfield Warren Distinguished Professor and Director of the Center for Health Law, Ethics & Human Rights at the Boston University School of Public Health, School of Medicine, and School of Law.
Abstinence-only sex education is a form of sex education that teaches not having sex outside of marriage. It often excludes other types of sexual and reproductive health education, such as birth control and safe sex. In contrast, comprehensive sex education covers the use of birth control and sexual abstinence.
Comprehensive Sexuality Education (CSE) is a sex education instruction method based on a curriculum that aims to give students the holistic knowledge, attitudes, skills, and values to make healthy and informed choices in their sexual lives. The intention is that this understanding will help students understand their body and reproductive processes, engage in safer sex by reduce incidents of contracting sexually transmitted infections (STIs) such as HIV and HPV, reduce unplanned and unwanted pregnancies, as well as lowering rates of domestic and sexual violence.
Lieve Fransen is a senior adviser to the European Policy Centre on health, social and migration policies, and published studies on investing in social infrastructure, energy poverty and social investment. Between 2011 and 2015 she was the social policies director in the Directorate for Employment and Social affairs for the European Commissionin charge of social policies, poverty eradication, pensions, health and social protection. Before that she was director for communication and representations in the EC's communication directorate for more than 500 networks across the European Union and from 1987 till 1997 she was head of unit for human development in the European Commissions department for development.
HIV/AIDS in Lesotho constitutes a very serious threat to Basotho and to Lesotho's economic development. Since its initial detection in 1986, HIV/AIDS has spread at alarming rates in Lesotho. In 2000, King Letsie III declared HIV/AIDS a natural disaster. According to the Joint United Nations Programme on HIV/AIDS (UNAIDS) in 2016, Lesotho's adult prevalence rate of 25% is the second highest in the world, following Eswatini.
Rwanda faces a generalized epidemic, with an HIV prevalence rate of 3.1 percent among adults ages 15 to 49. The prevalence rate has remained relatively stable, with an overall decline since the late 1990s, partly due to improved HIV surveillance methodology. In general, HIV prevalence is higher in urban areas than in rural areas, and women are at higher risk of HIV infection than men. Young women ages 15 to 24 are twice as likely to be infected with HIV as young men in the same age group. Populations at higher risk of HIV infection include people in prostitution and men attending clinics for sexually transmitted infections.
Daniel Tarantola was born in Ajaccio (Corsica), France, in 1942. Having obtained his medical degree from Paris University, Daniel began an international health career in 1971 in the context of emergency humanitarian medical missions to Biafra (Nigeria), and Peru. He was engaged in a movement with Bernard Kouchner which resulted in the foundation of Médecins Sans Frontières, of which he was the first physician working in the field. Early in his career, Daniel worked over almost two decades with the World Health Organization on large scale international health programmes, including the eradication of smallpox from Bangladesh (1974–1978), childhood disease control programmes (1979–1984), the Expanded Programme on Immunization, the Control of Diarrhoeal Diseases Programme, the Acute Respiratory Infections Programme and as a senior member of the team who designed and started the launching of the WHO Global programme on HIV/AIDS (1987–1990).
Global Health Initiatives (GHIs) are humanitarian initiatives that raise and disburse additional funds for infectious diseases – such as AIDS, tuberculosis, and malaria – for immunizations and for strengthening health systems in developing countries. GHIs classify a type of global initiative, which is defined as an organized effort integrating the involvement of organizations, individuals, and stakeholders around the world to address a global issue.
Michael Alan Grodin is Professor of Health Law, Bioethics, and Human Rights at the Boston University School of Public Health, where he has received the distinguished Faculty Career Award for Research and Scholarship, and 20 teaching awards, including the "Norman A. Scotch Award for Excellence in Teaching." He is also Professor of Family Medicine and Psychiatry at the Boston University School of Medicine. In addition, Dr. Grodin is the Director of the Project on Medicine and the Holocaust at the Elie Wiesel Center for Judaic Studies, and a member of the faculty of the Division of Religious and Theological Studies. He has been on the faculty at Boston University for 35 years. He completed his B.S. degree at the Massachusetts Institute of Technology, his M.D. degree from the Albert Einstein College of Medicine, and his postdoctoral and fellowship training at UCLA and Harvard University.
Sexual and Reproductive Health Matters (SRHM), formerly Reproductive Health Matters (RHM), is an organisation that promotes sexual and reproductive health and rights (SRHR) globally. SRHM's mission is to advance the creation and dissemination of sexual and reproductive health knowledge that is grounded in human rights and based on credible evidence, and to facilitate the transformation of such knowledge into action for improved SRHR. This mission is shaped by the understanding that rights- and evidence-based knowledge is power.
Health in Mozambique has a complex history, influenced by the social, economic, and political changes that the country has experienced. Before the Mozambican Civil War, healthcare was heavily influenced by the Portuguese. After the civil war, the conflict affected the country's health status and ability to provide services to its people, breeding the host of health challenges the country faces in present day.
Sexual and reproductive health and rights or SRHR is the concept of human rights applied to sexuality and reproduction. It is a combination of four fields that in some contexts are more or less distinct from each other, but less so or not at all in other contexts. These four fields are sexual health, sexual rights, reproductive health and reproductive rights. In the concept of SRHR, these four fields are treated as separate but inherently intertwined.
Domestic violence is prominent in Nigeria as in other parts of Africa. There is a deep cultural belief in Nigeria that it is socially acceptable to hit a woman as a disciplinary measure. Cases of Domestic violence are on the high and show no signs of reduction in Nigeria, regardless of age, tribe, religion, or even social status. The CLEEN Foundation reports 1 in every 3 respondents identified themselves as a victim of domestic violence. The survey also found a nationwide increase in domestic violence in the past 3 years from 21% in 2011 to 30% in 2013. A CLEEN Foundation's 2012 National Crime and Safety Survey demonstrated that 31% of the national sample confessed to being victims of domestic violence.
Salim S. Abdool Karim, MBChB, MMed, MS(Epi), FFPHM, FFPath (Virol), DipData, PhD, DSc(hc), FRS is a South African public health physician, epidemiologist and virologist who has played a leading role in the AIDS and COVID-19 pandemic. His scientific contributions have impacted the landscape of HIV prevention and treatment, saving thousands of lives.
Terry M. McGovern is an American public health scholar. She is the Senior Associate Dean for Academic and Faculty Affairs at CUNY Graduate School of Public Health & Health Policy in New York City. McGovern is also Professor of Health Policy and Management.
The status of women in Zambia has improved in recent years. Among other things, the maternal mortality rate has dropped and the National Assembly of Zambia has enacted multiple policies aimed at decreasing violence against women. However, progress is still needed. Most women have limited access to reproductive healthcare, and the total number of women infected with HIV in the country continues to rise. Moreover, violence against women in Zambia remains common. Child marriage rates in Zambia are some of the highest in the world, and women continue to experience high levels of physical and sexual violence.
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