Center for Health, Human Rights and Development (CEHURD) & 3 Ors v Attorney General (Constitutional Petition No. 16 of 2011)
The full judgment
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Holding
The Constitutional Court upheld the Attorney General's preliminary objection that the petition raised a non-justiciable political question. The petition challenged government's failure to provide basic maternal health commodities and the resulting high maternal mortality. Applying the separation-of-powers principle and the political question doctrine, the Court held that determining the issues would require it to review and substitute its discretion for the Executive's and Legislature's formulation, implementation, and resource allocation of health-sector policy, which is their constitutional preserve. The petition disclosed no competent question requiring constitutional interpretation under Article 137. The petitioners' grievances could be pursued through other remedies, including redress under Article 50 and the High Court under the Judicature Act and Government Proceedings Act. Petition struck out.
Facts
The petitioners — an NGO (CEHURD), an academic, and relatives of two deceased women — challenged government's non-provision of basic indispensable maternal health commodities in government health facilities and the unethical conduct of health workers toward expectant mothers, which they said caused unacceptably high maternal mortality. They cited the death of Sylvia Nalubowa at Mityana Hospital on 19 August 2009 and Jennifer Anguko at Arua Regional Referral Hospital on 10 December 2010, both allegedly due to negligence and lack of basic maternal commodities. They sought declarations that these acts and omissions contravened numerous constitutional provisions and objectives, and orders that the families be compensated. The Attorney General responded that the petition was speculative and disclosed no question for constitutional interpretation, and raised a preliminary objection that the issues were political questions reserved to the Executive and Legislature.
Issues
- Whether the petition, as framed, raised a non-justiciable political question that the Court was prohibited from determining.
- Whether the petition disclosed any competent question requiring interpretation of the Constitution within the Court's jurisdiction under Article 137.
- Whether the right to the highest attainable standard of health is a constitutional right by virtue of Article 45 of the Constitution.
- Whether government's non-provision of basic maternal health care services and inadequate health resources infringes the rights to health and life under Articles 8A, 22, and objectives XIV and XX.
- Whether the families of Sylvia Nalubowa and Jennifer Anguko are entitled to compensation.
Orders
- The respondent's preliminary objection is upheld.
- The petition is struck out.
- No order as to costs.
Key headnotes
Legislation cited (25)
- Constitution of Uganda 1995 Article 137(1)
- Constitution of Uganda 1995 Article 137(3)
- Constitution of Uganda 1995 Article 137(4)
- Constitution of Uganda 1995 Article 45
- Constitution of Uganda 1995 Article 50
- Constitution of Uganda 1995 Article 2(1)
- Constitution of Uganda 1995 Article 79
- Constitution of Uganda 1995 Article 111(2)
- Constitution of Uganda 1995 Article 111(3)
- Constitution of Uganda 1995 Article 126(1)
- Constitution of Uganda 1995 Article 176(2)(e)
- Constitution of Uganda 1995 Article 22
- Constitution of Uganda 1995 Article 24
- Constitution of Uganda 1995 Article 33
- Constitution of Uganda 1995 Article 34
- Constitution of Uganda 1995 Article 44(a)
- Constitution of Uganda 1995 Article 8A
- Constitutional Court (Petitions and References) Rules, SI No. 91 of 2005, Rule 3
- Judicature Act, Cap 13 s.33
- Judicature Act, Cap 13 s.36
- Judicature Act, Cap 13 s.37
- Judicature Act, Cap 13 s.38
- Government Proceedings Act, Cap 77 s.2
- Government Proceedings Act, Cap 77 s.3
- International Covenant on Economic, Social and Cultural Rights, Article 12
Cases cited (10)
- Baker v Carr, 369 US 186 (1962)
- R v Cambridge Health Authority, ex parte B [1995] 2 All ER 129
- Attorney General v Tinyefuza (Constitutional Appeal No. 1 of 1997)
- Ismail Serugo v Kampala City Council & Attorney General (Constitutional Appeal No. 2 of 1998)
- Marbury v Madison, 5 US 137 (1803)
- Coleman v Miller, 307 US 433 (1939)
- Luther v Borden, 48 US (7 How.) 1 (1849)
- Hirabayashi v United States, 320 US 81 (1943)
- Ex-parte Matovu
- Paul Kawanga Ssemwogerere & 2 Others v Attorney General (Constitutional Appeal No. 1 of 2001)