Re: CLTS and human rights: Should the right to community-wide health be won at the cost of individual rights?

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  • JKMakowka
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Re: CLTS and human rights: Should the right to community-wide health be won at the cost of individual rights?

Recently came across this interesting document:

www.ids.ac.uk/publication/the-dynamics-a...llenges-and-pathways

As we have been discussing the more "philosophical" challenges of CTLS, it seemed to fit rather well here.
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  • JKMakowka
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Re: CLTS and human rights: Should the right to community-wide health be won at the cost of individual rights?

Also relevant:
onlinelibrary.wiley.com/doi/10.1111/dech.12075/abstract

"In Indonesia as elsewhere, CLTS involves more than just education and encouragement; it uses social shaming and punishments. The authors argue that this is not only an inadequate approach but one which echoes coercive, race-based colonial public health practices."
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  • dietvorst
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Re: CLTS and human rights: Should the right to community-wide health be won at the cost of individual rights?

This open access article is well worth reading. It contains harsh criticisms of how the WSP/World Bank implemented the CLTS approach in Indonesia. Interested to hear their response. See the post in Sanitation Updates, wp.me/paGBZ-2wM
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  • AquaVerde
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Re: CLTS and human rights: Should the right to community-wide health be won at the cost of individual rights?

I can only repeat:
forum.susana.org/forum/categories/5-clts...mit=12&start=12#6794

I would be very interested in the views on CLTS of colleagues from Africa, Asia and America!

Regards,
Detlef
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  • sengel
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Re: CLTS and human rights: Should the right to community-wide health be won at the cost of individual rights?

Hi all,

My first posting - I'm one of the authors of the article about CLTS in Indonesia. I do agree Detlef that human rights issues are global, as an Australian our treatment of refugees arriving by boat at the moment appals me but equally nothing will change at any level if we don't speak out against it! :)
I'm also hoping for some response from the World Bank, we sent it to the Jakarta office, so we'll see. But in the meantime the response from others interested in sanitation has been great. The question is how do we keep the debate and scrutiny of CLTS going? Any suggestions?

Best,
Susan
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Re: CLTS and human rights: Should the right to community-wide health be won at the cost of individual rights?

Telangana woman dies of 'shock' after civic body dumps garbage outside house over unpaid tax

While reading the above news item, the first thought which crossed my mind was I (in my earlier avatar who focused on supply side issues) would suggest this and other social sanction measures to improve tax collection. Unfortunately, I also know quite a few practitioners who would make the same suggestion/s.  

Glad to find this old thread that has discussed the issue in great detail. As many members have pointed out in this thread, such moves infringe on individual rights. Practicing professionals  and municipal officials often fail to recognise the impact such moves could have on individuals at the receiving end of the treatment. While looking for relevant discussions, I also came
across another excellent thread ( Toilet marketing campaigns in developing countries erode people’s dignity – this is
not acceptable
). I am also reminded of the coercive tactics adopted in implementation of the Swachh Bharat Mission (discussed across many
threads) and the paper on disconnection of water supply (discussed here Ethics in WASH research? - Enforcing Payment for Water and Sanitation Services in Nairobi's Slums )

But knowing that: 
  • Poor financial health of local governments across India (across the Global South probably) is a concern
  • Poor collection of taxes is one of the reasons from above and 
  • Professions hired to suggest measures are likely to come across SuSanA discussions when they look for alternatives (google!!),
What are possible ways/measures to improve tax collections without infringing on individual rights? 
Please feel free to add even if they have remained in theory/documents and have not yet adopted.
Also what cautions should be built in the system before such measures are enforced? 

Regards
paresh
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  • sengel
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Re: CLTS and human rights: Should the right to community-wide health be won at the cost of individual rights?

Have you come across this report?  www.indiatimes.com/news/india/dalit-kids...s-humans-376575.html . This is one of the most terrible consequence of shaming and stigmatizing I have come across!

On the taxation issue, there is a bunch of work from behavioural economics about techniques to encourage people to pay tax many drawing inspiration from Richard Thaler and Cass Sunstein's 2008 book Nudge – improving decisions about health, wealth and happiness. Various nudge programs have been implemented by tax departments in many countries around the world. Technique range from pre-filling tax data, sending letters and email highlighting how many people have already paid their tax that year or what taxes are being used for, there is even work on what font, etc it should be sent it.

As a neo-Gramscian, I think this work is fine but misses the need for a broader social discourse about the value of taxation in contributing to individual and societal well-being. With neoliberal ideology so rampant, nudges are often not enough. 
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