PHM - ACHAN
Item
- Title
- PHM - ACHAN
- extracted text
-
RF_COM_12_N_1_SUDHA
PHM Secretariat
From:
"o:
Sent:
•• pre. aJohn@vsnI aet>
<pnrnsec@-couchteii-idia net-Friday June 13, 2C03 10:10 PM
? )ear Rave
f threats from
■ that P: f.\ 2090 ?cW. ■.? lotodp-anning. in fair detail, over a length of
pecific esp
’
. ..
here has got to be a
signiticard inpu.i into their planning process - not merely where, who, how etc., but content areas.
g
uch as well
juts doc
don each nigh :-c..
: S \
v,
of course • • r.h ihier inputs.
us. whcr.
isuali
is calls for al ph i
■ '
t bjecti
nai de., and then a joint planning nice* mg wiin idem. By men they should have
i ?. I1iavc se e . docu1)
en med
.
pknark-: <•. -iMbu-c’ a hide bid
in
Idle Ea and unifoi
lake*
ps were hteraUy the life ofPHA 2000. Rhetoric ii
events in th
hat we si
inanUNOB
•
■
nail se
"
.
'.
.Ea
w.-.-a.;. ..K-ting dk^^sed ^.-iui the ilcakh •in.ist/r oflran and
leader of uc Health
j tit i
>
.
dates. I ha
.
nail sub grouj
11
is up and j
■•
manner.
Warm regards.
gifem
—-Or:.P r: Message----From: PMM Secretarial
■"g: / afrvhrh ChowdhGrv : ?> Prerr (/Mndrrb John : Eani Scrag : Pam ZhdunEPl .'f -I
Suit: Tuesday, .'imc ' C. 209.' 5:22 P'v'
Subject: PI. ? ’ - Iran
.; m 1 h i i
erne if? ‘hn-r he • ■ ..'h’y Cf?mn»iUve can bu kspt inlbnned -:•? '.veil.
.:'ilah un-J Sic.;.
a uah proposal thai was ^r\ rn .o hk.. ; pica-... cLvi-la-..
' o:
Sent:
Subject:
< Dhmsec@toucnteHndia.net>
Frc?? June '3 2003 10:21 PM
N’ewsbnef
Dear
fte/Ci .\C’ASi;;’iui shOuid UJiJV ;
................................
..................... .■
S.Ahrnt Ata event*
The 0 billon Sigr^r?
[ neec
-rial.
iliv' ;
Ji
’• . ■
..-.j
.
ialbr Deien
o es.
1 U.yS 1 kJ Ui JiS.
n th
- .
Pul.’c 1
From:
To:
S?rr:
Subject:
-pre rn_jo h n ©vs n i. n et>
< oh msec©touch teiindia. n et>
Friday. June
2003 10:10 PM
Dear Rav?
vVlide we were all starry eyed at die invitatioi ...
. ...
v. _• should realise tbct PHA 2000 took a lotof planning, in fair detail, over a length of time. Also.
c esposibi
it i
-<
there
nificant input
hUo
planning process - not mcwA where, who, how etc., but content areas, workshops, timings
I treat ou
course a id; jiiier inputs.
li
11 t
1
■
1
t of the thing, oi
an we
lise.
sting, first by us to
js, who from <
where what etc., and then a joint planning meeting with them. By then they should have organised their
i
ibilitiei
ast and uni rtnlj hey hav<
diocre - the
Yfownce that rh' rest
the world makes - or the constraints there. You will recall that the concurrent
/ere litera
het
ontributec
le bi
"coordinating, steering” role in an UNOBTRUSIVE
manner.
warm regards,
Prcm
------ Jrigina) Message----From: PHM Secretariat
io: Z.J...uuah .'howdhuiy : Dr Pre;;; Chanowm John ; Hani Serag ; Pam Zinkin-IPTU'‘-U.K.
Sent: 'i uesday. Jun? 10. 2003 6:22 PM
Subject: PHM - Iran
.
.ai
..
n
....
You must have received the maii sent to Mr. Barzgar and his reply of Sih June. The potential Alma Ata
ing < :
ed wit 1
lealth Mi
’ of 1
id the ider oi
lealth <
die parliament is taking shape and the second week of September is likely to be the dales, i ha\e
suggested that you form a small sub group to follow this up and plan with him. From time tc* time the
steering committee can be kept informed as well.
.nllah and Prem wrote a draft proposal that was given to him (please circulate to all
the / thc- s and ccatLxc ,o evolve further de-ails and clarity
rhass
ani Serag met me with Dr
i process. Ohassau coordination in the region can be further strengthened by the
hesereg
ndcountr
*anmeeti
could Sucigthcr. this process further
ii
\ iiodic r. .
iii.)
know air :
I am suggesting Pain because she has been a strong supporter of the region. If any of you
e>< vio know- the r ,'gio.n and can support please include them. Perhaps Zafar Mirza
. 1 could
’’
pporttl
a)
ifentiP h:? funding support
b)
k
c;
. d.uJ v.rdu loldalldan as suggusied.
1 two main ai*
mg with WH(> etc.. (EMRO/SE. .RO) for official correspondence
hinkingot
fog]
•
hi
'
know any other sources paiticulurly interested ffi i iv Middle Ease Zafarullah Qasem should follow up
with SEARQ
vi)
'lhe opportunity for the meeting to !'■»■•? pktee hi Iran could be aifected by global politics,
t
?risqui
ntive.
suggestions
think we
; ai
id th
-15th Septe
do you f sei? Preu
could you and ZalaruHah niiii the ideas together nrzher since you ■.’ orked on the firs! draft.
Raffi ffii ~yar
Coortdnaior. Pcopius Health .klovement Secrcurriaifg’obal)
CHC-Bang: lore*
-•367 '’Srinivasa ?<iky;f
Jakl '’.sandra Is! Main, i Block Koramangala
Bangaka'j’560C34
Join it!*-
• t'-ahh for a?l. MOW” campaign in the 25th anniversary year of ihe Alma Ata
6 '6, ()3
iA-.'c -
Ci
PKkv'i Secretariat
F re m:
To*.
Sent
Subject:
< p r a rr^ c n:r @vs n I. n et>
<pnmsec@touchtelindia.net>
v = d nf - oa y; J uIy 02, 2003 2:'■
r?.?
PM
> .get busy.
.
come
’orgetabou
;tioi
.
'
apants,
Jhop
It i
people etc., etc., If
these are not forthcoming, we should not do Teheran.
shook: ■■•o: j/iow their contac*: to be lost.
progn
won my
.....
o affon
'v'anrt regards
Prem
.
Can
>• i-.ifur -iwikhic <• ’ had beer: in ACII \X but being not
hitle e <■/-. cost. I would have doi*u
it..........................
hw.v ’h * Toney tor that?
we can allocas ? tround S5.00C’. I can plan a substantial
I
rid
.
’
t
semetit
i
..........
lier.
t /e
P.LCu 1 ;>• 1
PHM Secretariat
'■» pi’ _ j j ;■ I.
i'iSI*'*
<ph»T-.sec@touchreiindia net-Wednesday, July 02. 2003 2:17
<■* ' «3j 1 <.
To:
Sent:
Subject:
Dear Ravi,
icipants,
fnese aye . ,ot ■ • '<?x-nD-p..
[ am 1
tumbai
>w their c
example, [
••
■
...
little JX':
I would nave done
i i it
i
lie*
....
............. le 14............ . •
ve cai
?
Bang
I
iround $5,000
icon!
eg
si
i plai
ubstaati
Cambodia a
' wphoul ■D!)kin< >- i had •’ ;<ri in ?\C11 XX but being not
■ ■•■■■•.' o buy tickets and wa
have the money for that?
Wajm regards
a ■ ■■.
■
■ ■
■
.:
*ogran
.
diouM no* do Tcneran.
I
- .
id. v
5 to get busy.
■omi
vill t
.
esburcep
.
sran.;
■
I ■
merit.
i reiml
■ ■
.
.
•
•<-'
~ 'iO; jj
Page 1 <-•! 1
PHM Secreta ri a t
SMBSST3?^--
-’^ESSSBaSKSEBEa.
From:
To:
Sent:
< pre m_j civ i@ vs n i. net>
•' p; ■ i sec@to uchtel India. net>
*> j--sd3y. jure 26( 2003 3:33 PM
Dear Ra\l
I
archiv••,'. .\-so. Qasem and 1 will need to work on the Newsbrief pfPHM. I will go, perhaps some
■vw inWWy - r fy 17 - 23 look ?. pcssib’hty, Ls :• alright with you? Is thev money? of course il
AilI
.k>; vvA much sir.ee I can purchase ape:-; iickcis io Calcuua and back.
A
Warm jgcixR.
?rem
_'S. 11..-. w l ecu i-.wixk io ihc \\\ G meD.mg 2 j-^ ” July. I have never rrally been pari of it but I
■■Jvnk you mentioned we will have Siceimy Gwup Supper grovo meet uien. When and where?
P;JS. i vc Cambodiz^.i delegation in Geneva had one chap who had been trained in Deenabandu. I
■ .
ts‘
’HM before ifis
Think '"c -hoi’ld build upon it. We slu-uld revive
roucai
some
tevfo
'lO/LG
1 Oi 1
: ria.h:
----- : -: - ,. .—. •-.
______________________________ _ ___________________________ .________
From:
To:
; c:
Sent:
•-:
<ASo@rockroupa org>
:pt
gtouchtelir
Wee sesday June 25,2003 9:37 AM
dtomebj
.■
c
v4an
B'iiiiino;.
2csi
■
>n
Foundation j
s
i
i
< i
m
| ss ■
PMV Secretariat
L-T"--.'--—- - -- - -raKsswar --z-a_________________________________________________ ._______________________________________________________________
.
.
<-■
Dr Prem Chandran John <prem_john@vsni.net>
<rksava’'@oitechco.net>; <o;z'^oite?hco.net>: bate ■<oala@haiap.org>- <hariprem@etb.net-Friday, te: y ’• ’ , 2C03
PM
Tenratvu Fr^'new.? : ...oc
FoHow Jp
To:
tec:
Sent:
Attach:
Subject:
Dear P~em,
Greetings «rorn People’s -eaitn Movement Secretaria- 'Gicbai) ai CAC. Bangalore*
scent
to III, I am trying to
communistic: s ‘cLcnc acAncwteogement to PHM Seo utartet comr-.unicotions
respcnu :o
,w-..
Going to Bangladesh is a good idea. We can uy and mee- your apex fare, but can PHM resource
•• a so chip tn? Th
shoestring budget. as you know Also you mt., st a
ys
S what it will cost, so that its
■ e.a s:e r tc sa. - o:i on orcs n sd e r.
2.
tc ': .•; = a
ue: .ite:
•_ ..?•
7; .
.... : <■
A cj.’xc--^. Jews
criefs etc
lev
j
Secretariat to st
‘ 'oii show a also in consultation with Qasem send out... jcinr latter about Jews orief to Steering
'■'O-.'C arc g!$r a communication on H:.*: cnarw •-. .-Andrew rsc re*-wu some yuwtetees in his
note on communications and Prasanna haa also ccrtpited notes from all the correspondence or
communication strategy. You couid vccwJw some or teese tdeas teter discussing w.-r. Qasem
3. A;so please asK Qasem to mark tne Newslercci A pdf 0: whatever format 10 us ewn tene :: is
ccmdsteo ::c send out. to peopie as email ci, requests
4
fou have
t
to
I’ette
ques
..
'
G meeting n
Bangalo-reL ACHAte has always been shewn as one of the IS networks in India AH the 5 booklets
rave sho/rn it ’ts time you come, especially in the Hght of WSF - Mumbai and the Health Fomrn
.
. .
.
.
.
5. vegaroioj -ran, . ’e are pm^rsssing s.owiy but surJy. Car you join me on a show visit .0 Im: ?. ouggestec in Barzgar’s .otter or wouid it be better to get Zafaruliah to go with m-^ strategically? >
await Pam 5 confirmation. You must have seen the programme sent as appendix to
1.
>mmun
scu:
nt
a......................
■
■
■
jo
m after
Banrwbre msemg on 28^ / 29tn till 1st August. I await Barzgars response to m / test letter. Have
,1...: ssev
- D of As"mun•option J :o Steexng group, i.e., tee updated iron ^rogra.nme
Keeo.og tee potsr.ltei c; s:ee.-ing group in mind7? Any comments?
6. .'/e can ote Afew allot amounxs tike 5000S -or regional meetings, .tee project proposal even for
one year had it. Bu: you need io keep me informed early on - for visits and we can ac*d on PHr/i
■3c?rwfa£. '-’gv.g-.w..ve- :wgottete Jv? terger gmt. .'t wte
?* te“ evert Py event. Be.. '■ ■.'■3
'z? \.:u ..c.e
tc A: ng c.> o itente’.te. ww cou.i' have pnet: °Hte cidteuonA i cenc.
seme tenes < hasten response. You must nave seen Duiews letters. Vve are missing
another opportune/ end July.
; ye,-r;?ps vou; Belen. Eveiyn, Carmelite, Satya, Claudio should be closer in touch to help a South
East Asian mcbitevtw^
•s teeste: .•.w.c w
ceen ?<le" .f ./? could vote for.? buy before you goto Bangladesh so that ?
□■•■7ww ■<.w_...un
weoews cou: ■ be cc-qpleted uefore you meet Qi. em and Zaterullah.
. ■
.
eting
Tentat ? F
work
Reports - November
03
Regufcir
■
June
Augu
■
News
Secretariat:
. Alma-Ata Anniversary
from
•
*•
Meeting - Par., September
New Publications,
(Million
signature
campaign),
News Bri
10
PHM
j tot
'Sarah Shannon),
(Werner
••
... ...
Fc
PHM
Geneva
event.
May
(Extract
from.
Report Circulated)
v
PHM statements
at WHA - PHC.
NGC recognition
TRIPS etc
Health
:■
.
Initiative - August
2003
(Dave
McCoy),
AIFO Awards for
............
'
2 0 '
2003
(ore PHA
meeting)
Me vs Brief 11
(Further)
-
II
-
Asia
News
Secretariat,
from
PHM - Iran Alma
aTa Anniversary
Meeting
September 2003
(Report).
New Publications,
(Million
signature
campaign),
Upcoming events,
<■
PHM - Germany
Meetings (Thelma
and Zafar Mirza in i
coordination with
Christine),
•
PHM input in
Genetics Review
(Germany),
♦
Steering j
News from Redons
(Women
Campaign)
■
•
■ 3com . g . .■... . .
Septemoe1
\
(Mwajuma),
Health
Committee
September
2003
I r 1
: Deoewcer
5 2003
I c??Tr'.‘
.
News
Secretarial.
> Next W'HA - 2C04
WSF - Health
Report
Forum
(Amit),
rom
New Publications,
(pre
PHP. -
i!
Report from Latin
American
in
meetings
Cuenca and Quito
—
(October
November 2004)
(Arturo),
America’s
campaign),
■ '■ f s Brief r
■
.
....
■
■.
Anniversary)
1
ta
i
Rg'-vs fror; Regiais,
•
(Women
Campaign^
GFHR - F•orum 7
(Geneva,
PHM
inputs) - David
Sanders
!
Health ;
b
, r^arc? _ ../loy
i
from : *
.
Peoples Health Assembly i News
j ciecreta^iai,
-
! New Publications,
1
• Nev'S B-ef ■ -J3
■ Upcoming events
I
. News from Regions,
.
1 August 2004
i (Women
....
Post Porto Alegre - A plan of News
Action
Secretariat
WHA - Geneva,
May
2004
Strategy
,
Health
from
Nev; Publications,
■
14
Upcoming events,
News from Regions,
•
Campaign)
p
Best wishes to both of you
Dr. Ravi Narayan
Doc
». : People’s <
/em rt£ iretariatfglol
Ch C-Ba ng Cm ore
;-<;67 ■‘Sr:r< tvasa Nilaya'
ja‘<<asanara
Main I Blc?y Koramangala
Alma
Ata
5
(announcement,
■Jnni / Satya).
Secre
. .
at
.- 5
■
. ■•...■ p.
..
G:: -or Rev
... ... '■ ids’ G..■</ G. (Gi
G
Sony 10 Gofpii'.a. IJaG completed a dciaikd updated
communication «•■ Ge South Asian suiida.rhy group (as I call ? of you). So
do read: ” • - .• .Gy;;
. .. es ions,
?iopv
■ .._• with G. • ? .
nee you canno
*:rG:G ■ -- . r
■
rvar n<
langalc>re
ike tl
.--or* cd on: soon.
' ••yry orori rm
Rcgard>.
Cocrddnitor. 1- ecpG7 ?"<jIG Movement Sc2r;[arbi'gleba!)
CiK?-Bangalore
• / '
G .
.iukdri---:-.?:'.'.: Is/ Ai'aii 1 Bk-ex Ko/otHaoLuB
■
’ ' ■•■ npaig.. y.: ■ .■■
Alma Ata
-.
—
' . .■■..
. .
■ • i ■ ■ the
www.TheklillioBSignaLiireCampaigri.org
2message----- -
i'
V'pLOiiyJphrygvsnk net
Go; phpsec@touchtehndia.net
t;
.. ' .........
'
G
dubjeer . n. K.avi
,
-• * p G ’-j-.. ■ : ■ •. • -
1 ided
■'in .ahi.
G,—.?; I'- :■
. h..;.(.iG'.-i ./..ar'i.
a- ■
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B‘!i *h*-
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lor
needed.
V/ann "..■.yn’"-.
;• ./Tard
t.dk:.';g;.
a.v-.:-G •/'*u • :->L. i avu iicki as the head of iiie
G-'. j
•
•.
ry yrobGen, ! v.iU bear it.
••tin -ui't
’j
■«“nsec^ touchteiindia.ne>
■
16 2003 825 AM
r•;
enough Lo v.3fi’Cin my aiicdinni (ancr my i^.Licrs passing a\Vcl\
iivuiitg is iiiijbi Dui since I? is my proDicni. 1 »vi]1 oesr 11.
r A-e.h.4^
■ '
' w'vw/rhc? Hi HQnSignati-r:?C:-npdgn.org
!.
prem jpKU^'y-rf-nel
ZArvo c-O
rh/n • -.e;j g touchlej in dku nc t
/’Lz-
p cr-^> k
K>yi
h years. ! plan ’•.> talk to
f AC tb
aanlleah
.- irahicd bi De^abandii.
i«K • ■. ■• • ' ■
-
’
•
pH-rl - /?-c t-)-Q /J ->
3/h I03
Ve^
P^'c-to
<^<cA^e.Uy
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p^cX-
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CZ> U p
/vc5~v
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t^nc^L^
P#h
• •= • ■■ wwwed by tne present situation, as are otner friends We were unable to meet on
. ? s
sec
'ar prem <hanprem@etb.net>
>.*
■ r,"
-
:
.
Pb/’
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3
need
/■
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■
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completed the log frame and seme
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sp't°
tn?
..
beyond h
c,-
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•.
fingj
:"? . r''n • •';'ITV
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)
iGCix KOi .'in.. '
i i-rom: hariprem
■ 1 ■
■ <'-;v ■'"•
J. '.' 29 2003 0:29 PM
.
.
k we die some good work though the time was too sho
' inil
'
p ac t r
abonr Hsease as.< ner to respond.
hoce vo
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.
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....
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them.
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Page 1 of 1
PHM Secretariat
From:
To:
Sent:
Subject:
PHM Secretariat <phmsec@touchtelindia.net>
hariprem <hariorem@eth.net>
Tuesday, September 23, 2003 9:45 AM
Re:
Dear Prem,
Greetings from PHM Secretariat (Global)!
I saw the article you wrote for CMJI. A nice overview. I only wish you had refered to be 'People's Charter for
Health' and quoted a few paras from it here and there. It is the largest consensus document in health since
jkna Ata Declaration, but I feel David and Dr. Banerji, don't even mention it and though you have mentioned
Wm a couple of times in page 10, there is no mention of the Charter - now available in 40 language
translations on the website. There are some powerful quotable quotes from it that can be intgroduced as box
items in your articel.
Actually I have also written a Health Advocate for the same issue 'Remembering Alma Ata'
Best wishes,
Ravi Narayan
Coordinator. People’s Health Movement Secretaria t(global)
CHC-Bangalore
#367 ’’Srinivasa Nilaya"
Jakkasandra 1st Main, I Block Koramangala
Bangalore-560034
Join the "Health for all, NOW" campaign in the 25th anniversary year of the Alma Ata
declaration visit www.TheMillionSignatureCampaign.org
- Original Message
From: hariprem
To: PHM Office
Sent: Sunday, September 21, 2003 9:57 PM
Dear Ravi,
A small effort on benhalf of Alma Ata which CMAI asked for its Journal.
WArm regards
Prem
9/23/03
Page 1 of 1
PHM Secretariat
--- — ■------ -----
From:
To:
Sent:
Attach:
hariprem <hariprem@eth.net>
PHM Office <phmsec@touchtelindia.net>
Sunday, September 21, 2003 9:57 PM
Whatever Happened to Alma Ata.doc
Dear Ravi,
A small effort on benhalf of Alma Ata which CMAI asked for its Journal.
WArm regards
Prem
Whatever Happened to Ahna Ata?
Somehow or other the month of September seems to have recent significance for
humankind. September the 11th and the World Trade Center are still fresh in our
collective memory. What is barely in our memory is what happened on the 12th of
September 1978 when the world was introduced to the concept of Primary Health Care
and the .Alma Ata Declaration was published. For us in the field of public health, Alma
Ata was the defining moment but its stated objective of Health for All by the year 2000
A.D. came and went without creating a ripple since it was a mirage in the first place. As
we mark the 25,h Anniversary of Alma Ata in September 2003, it behooves us to examine
the hopes and aspirations that Alma Ata generated, the paths we have travelled since, the
gods that we worshipped which we subsequently found had feet of clay and the highly
touted New International Economic order that was already dead when it was given a quiet
burial in Cancun in September 2003. What holds great symbolism for us is the loss of the
name of .Alma Ata itself which has now become Almaty in Kazakhstan and where
significantly the Infant Mortality Rate of 12 per thousand live births in 1978 is now
60/1000 live births, reflecting indeed the state of public health in much of the world#;
Recently I had an occasion to talk to several recent medical graduates in Sri Lanka and
India. Not a single person had heard of Alma Ata. No one knew the principles of Primary
Health Care (PHC). Nothing about this had been pail of their curriculum. Herein lies one
of the reasons why Health for All by 2000 A.D. remained a mirage. It is easy for us to sit
back in our aim chairs and discuss what has happened in the last twenty five years. We,
as the chosen community of healers with a clear mandate to heal and a clearly defined
2000 year old focus on the poor, with an infrastructure best suited to respond to the
challenges of PHC, have to admit to a collective failure. Wittingly or unwittingly, we
became part of a cartel that sabotaged PHC. Let us for a moment stop and examine which
of our institutions played a pioneering role in the spread of PHC? There are honourable
exceptions of programs of Christian inspiration predating .Alma Ata, which indeed, gave
some of the principles of Alma Ata, but collectively, as the Church in general, we failed
in promoting PHC with the zeal we should have exhibited. With our institutions and
organisations, with dedicated and informed staff, with our reach in the community and
focus on the poor, if we had stood unambiguously for PHC, the entire public health
scenario would have been different. We did not. This is an opportunity to examine again
our structures and systems to see why tins has been so and how we can face these
challenges better in future.
The Hope and The Promise
Health is a fundamental human right. This is built into the Indian Constitution. The
Constitution directs the State to regard the improvement of public health as one of its
primary5 duties.#; When J.P.Yadav, India’s representative to the International Conference
on Primary Health Care held in Alma Ata signed the Declaration, he veiy forcibly
reiterated it saying “....the health scene in most countries in Asia and Africa suffers from
severe distortions.... We are now laying greater emphasis on PHC in rural areas, on
narrowing the gap between the village and the city, between the ‘haves’ and the ‘have
1
nets’. The new direction which we have given to our health programmes seeks to take
basic health care to the doorsteps of the people in the villages”. What has happened to
this loft}7 promise of a new direction in the last twenty five years?
In 1993. fifteen years later, a critical analysis of the health data in India reports: “...the
health scenario of the country is in an abysmal state notwithstanding the islands created
by five star private hospitals and nursing homes, hi spite of the Parliament adopting the
National Health Policy in 1983, the health situation in the country today is a cause of
deep concern”. (3) We will come to this later.
The Aspirations
Wien statesmen and international decision-makers gather in conferences much hot air is
produced and rhetoric bandied about. But the Alma Ata Declaration was truly a path
breaking one thanks to the indefatigable efforts of Dr. Hafdan Mahler and his team. It is
well to recall at least the key phrases in the Declaration in order to assess how far we
have strayed from it:
Article 1: Health is a fundamental human right and the attainment of the highest possible
level of health is a most important world-wide social goal whose realization requires the
action of many other social and economic sectors.
Article II: The existing gross inequality in the health status.... Particularly between
developed and developing countries as well as within countries is politically, socially and
economically unacceptable and is therefore of common concern to all countries.
Article III: Economic and social development based on a New International Economic
Order is of basic importance to the fullest attainment of health for all.
Article IV: The people have the right and duty to participate individually and collectively
in the planning and implementation of their health care.
Article V: Governments have the responsibility for the health of their people - to lead
socially and economically productive lives. PHC is the key to attaining this target as pail
of the development of the spirit ofsocialjustice.
Article VI: Universally accessible, socially acceptable, full participation, self reliance.
self de term ination.
PHC forms an interface of the country’s health system of which it is the central function
and main focus.
Article VII: PHC
© Reflects and evolves from the economic and socio-cultural and political
characteristics of the country and its communities
© Addresses the main health problems in the community
2
©
Includes education or prevailing health problems, promotion of food supply,
©
®
®
immunization, prevention and control of endemic diseases, provision of essential
drugs.
Involves agriculture, animal husbandry, food, industry, housing, public works
etc., and demands coordinated efforts
Mutually supportive referral system to those most in need
Uses various levels of health workers including traditional practitioners
Article 1711: National policies to sustain PHC....it will be necessary to exercise political
will, to mobilize the country's resources and to use the available external resources
rationally.
Article IX: .All countries should cooperate to ensure PHC for all people since attainment
of health by people in one country directly concerns and benefits every other countiy.
Article X: An acceptable level of health for all by 2000 can be attained through a fuller
and better use of world's resources, a considerable part of which is spent on aims and
military’ conflicts.
.................. Finalh’, the Conference calls on all of the aforementioned to support national
and international commitment to PHC, collaborate in introducing, developing and
maintaining PHC in accordance with the spirit and content of the Declaration.^)
What a beautifully comprehensive document whose centrality unambiguously is “people”
and their health in their own hands! What has happened to this spirit in the last 25 years?
India’s Health
*
•
o
©
©
©
19th centuiy diseases such as Leishmaniasis (80% of the cases in three
countries, including India)^, Plague and Leptospirosis (125 cases and 12
deaths in Surat alone (6) have made a come back
Malaria, reported to be eradicated by NMEP has returned in more virulent and
resistant forms, with two and a half million cases with an SPR of 3%. (7)
Tuberculosis has made a come back and at last count there being one fourth of
the global cases - 3.5 million cases and 500,000 deaths annually, more than
1,200 deaths a day (8)
HIV-AIDS: By 2010 India will have 20-55 million cases, the official
prevalence rate being 1% (9)
Typhoid, Infective Hepatitis, Childhood ARIs are widely prevalent with
attendant mortality
At last count, there were 19 new viruses yet to be studied fully for which, of
course, there is no treatment.
3
Causes of the Deplorable State of India’s Health
li is a well known fact that despite being avowedly being disowned by the ruling
structures, that caste and to a lesser extent class, which largely follows from it as well as
asset holding patterns are at the root of the problem of poverty. Eveiything else derives
from it. There has been only one basic cause of poverty throughout the history of
humankind. It is the lack of access to the control and possession of resources (io). 80% of
these assets are owned by 20% of the population. In a recent document, the World Bank
states:”.... absolute poverty in India is declining but slowly, and it remains widespread in
37% of the rural population which lives below the poverty line. India has the largest
concentration of poor people in the world...”. The report found that staggering as the
overall numbers remain - 240 million rural poor - they do not tell the story. Social
indicators of well being - health, education and nutrition - describe a country which has
made substantial gains against widespread deprivation over 50 years of its independence
but has not achieved the momentum needed to bring the great majority of the poor into
the economic mainstream. ...’’its death rate for infants under five remains one of the
highest in the world...maternal mortality, which accounts for 12.5% of the annual deaths
of rural women aged 15 to 45, causes about 470 deaths per 100,000 population. India’s
rate is four times that of China's and 2.5 times that of the world as a whole. Tuberculosis
alone kills more than 500,000 people a year. Half the children under five are
malnourished and one third of the babies are underweight. And fewer than half the
children from poor households are in school, reducing their prospects of escaping
poverty. Two thirds of all women and two fifths all men remain illiterate
Among the
most disadvantaged groups, the ratios are even worse: literacy rates of just 19% among
scheduled caste women (ii). The Report goes on to say that in general gender, literacy,
land ownership, employment status and caste are closely associated with poverty.
What an indictment of a country that has:
o
♦
o
o
o
o
o
*
The second largest pool of scientifically trained people in the world, after the
USA
Exploded its own nuclear devises successfully
Sent its own satellites into space
Capacity to build its own aircraft, cars
Some of the best heart, eye and kidney surgical facilities and specialists
The seventh largest stock exchange
A citizen who has the largest steel empire in the world (Mittal)
The largest group of software engineers in the world
.Also has produced
© Wines that are equal to the best
© More winners of Miss. World and Miss. Universe than any other country
4
contrast this with a few basic anomalies:
•
°
°
c
°
•
The two-tumbler system that exists in many interior villages where dalits have a
separate tumbler in tea shops
The spate of killings of those who dare to marry outside their caste
The ostracism of dalits who dare to win panchayat elections
High rate of infanticide in several districts
The sacrifice of children when beginning new projects in some areas
The brides that are burnt for dowry
zAnd on and on. Where do the twain meet? Who makes plans and makes allocations? Who
oversees their implementation? Therein lies the rub, even if it involves only health. A
class of people fi-om specific social groups and who suffer from a set of Euro-American
diseases such as heart attacks, hypertension, diabetes, obesity and so on plan for,
implement, oversee and monitor health plans for a class of people from an entirely
different social background and suffer from an entirely different set of illnesses such as
tuberculosis, malnutrition, anaemia, typhoid, infective hepatitis, diarrhoea, dysentery,
cholera and so on.
Our health system was designed not to work. At independence we had the opportunity of
choosing a community-based and people-oriented system but what we did was to
exchange one set of rulers for another, only the colour of the skin being different. The
results are plain to see and reflected in the health statistics that the Ministry of Health so
kindly provides. Even without disaggregation, they are deplorable. But as the saying
goes, our decision-makers have eyes that do not see, ears that do not hear and minds thatz
refuse to acknowledge the obvious.
Along with our traditional burdens stated above, newer threats in the form of
globalisation loom large along with privatization etc., further putting public health and
other public services, inefficient as they are, beyond access to the vast majority of people
who need them.
What is more surprising is not the absolute number of poor Indians but the disparity that
exists between the haves and the have-nots.
Table I
Estimated per capita GNP in USS of the poorest 20% and the richest 10%
hi South Asia (/2)
Country
National Average
Poorest 20% Richest 10%
Ratio between
Rich and poor
Bangladesh
India
Pakistan
Sri Lanka
210
380
400
470
69
90
138
139
1:7
1:10
1:6.8
1:84
490
910
840
1160
5
As an aside, it should be mentioned here that 30 million Americans, 25% of the country’s
50 million Americans, one in five, do not have health cover so that they end up as
emergency cases.
In The World
In the last 25 years considerable gains in the health status have been achieved worldwide.
Globally life expectancy at birth has increased from 46 years in the 50’s to approximately
65 years in 1995.t7*; Total number of young children dying has been restricted to
approximately 12 million instead of the projected 17.5 million. (15) Disaggregation of
these data unfortunately reveals that the gap in mortality rates between and within
countries has widened considerably. Further, in a number of countries IMR actually
increased in the 1990’s largely due to SAP, the impact of HIV/AIDS, wars and unrest(16)
There has been, like in India, a resurgence and spread of older communicable diseases
such as cholera, tuberculosis, malaria, yellow fever, trypansomiasis, dengue etc., while
HTV/AIDS threatens this century’s health gains in developing countries, many of which
are also experiencing a double disease burden with cardio-vascular diseases, cancers,
diabetes and other chronic conditions and violent trauma replacing communicable
diseases is some social groups.(17)
There has been some progress in improving access to water supply and sanitation,
although great differences continue to exist between and within countries and social
groups/; s; Much greater immunization coverage, from 2096 in 1980 to 80% in 1990 has
been reported. That a great number of these children so protected will subsequently die of
malnutrition is of grave concern. Even immunization coverage has declined since 1999,
with difficult to reach, poor populations experiencing the burden of preventable disease;
the reappearance of diphtheria in the newly independent states as a result of vaccine
shortage and less than 50% coverage of pregnant women with tetanus toxoid is of
concerns; The nutrition situation remains serious with almost 200 million young
children being malnourished and almost a billion people receiving less than their basic
requirements of energy and protein^;
Acute respiratory infection and diarrhoeal diseases are still widely prevalent and the
leading causes of death of children under five globally, mainly as a result of minimally
improved environmental hygiene and persistent malnutrition.^; Maternal mortality and
morbidity from largely preventable causes remains unacceptably high.
Table II
Maternal Mortality Rate (23)
Countries
MMR per 100,000 lbs.
Developing countries
Least Developed countlies
Eastern Europe
Developed Countries
421
727
41
34
Number of Member states
Studied
113
37
8
25
6
Tuberculosis is not only a threat to India's health. It affects other developing countries
also causing 25% of avoidable adult deaths worldwide with 95% of the cases in
developing countries.
One of the main obstacles to improved health status has been the deplorable state of
health systems in developing countries including in India. Health systems do not mean
more buildings, personnel and infrastructure, which for example India, has plenty of. To
use a current analog}’, hardware is less important than software - what is needed is the
spirit behind PHC that Alma Ata specifically called for. Health systems development also
has been hampered greatly by austerity measures such as reduction and withdrawal of
subsidies dictated by the fiscal policies of IMF/WB. As Sanders notes, one of the
significant impediments to the successful implementation of PHC has been the
substantial failure of medical colleges, to adapt their missions and activities to the
challenges posed by Health for All. Where does this challenge leave our own institutions?
Or are we merrily continuing with our business-as-usual approach?
Why Alma Ata Failed
Alma Ata was remarkably ahead of its time when it spoke of a comprehensive and
progressive approach called PHC with an inclusive, equity oriented, participatory strategy
since called “people-centered development” .(24) As the Declaration states: “ the purpose
of development is to permit people to lead economically productive and socially
satisfying lives (Article V). This approach meant a structural change, a systemic overhaul
in favour of the poor, in favour of those most in need which the ruling classes in most, if
not all, countries were not about to allow. The Conference itself anticipated opposition to
this revolutionary approach and warned: “If can be seen that the proper application of
PHC will have far reaching consequences, not only throughout the health sector but also
for other social and economic sectors at the community level. Moreover, it will greatly
influence community organisation in general. Resistance to such change is only to be
expected”.
Quite simply stated, the ruling power structures in the world and within nations were
simply not willing to accept this and thus the deliberate scuttling of PHC. The scuttling
process started early enough, in fact in 1979 itself, when ‘experts’ at Johns Hopkins
School of Public Health started advocating ‘selective PHC’ claiming that PHC was too
complicated and too expensive for developing nations to handle. Therefore, instead the
community-based, people-oriented participator}' approach gave way to a top-down,
reductionist, technological approach resulting in separate programs for selected aspects of
PHC such as immunization, MCH, oral rehydration etc., with, as Banerji has pointed out,
virtually no scientific data to support its implementation.(25), people once again becoming
recipients of pje-fiahricjjied, iixail'et-diftvin, techna-ttsuatris,
questionable
programmes imposed by international agencies. People’s participation became the fust
casualty that contributed significantly to the failure of PHC.
The second biggest obstacle was the structural adjustment programs (SAP) introduced by
IMF and WB in the early 1980’s. The dominant models of development that liberated
7
countries chose were patently inappropriate (Remember Nehru waxing eloquent on the
steel factories being the temples of modern India?) and created a dependency on western
ideas, western technology, and even western food (Remember PL 480 and the millions of
tons of wheat that an entire generation of Indians grew up on?), not to speak of western
money.
By the early 80’s most of the southern countries were deeply in debt to western banks and
governments and were ripe for intervention in the name of SAP.pzj The draconian
policies of IMF/WB under SAP resulted in the net transfer of USS 178 billion to the west
between 1984 and 1990 from poor developing countries to commercial banks in the
north## The transfer was so outrageous that a former World Bank executive described it
as follows: "not since the conquistadores plundered Latin America, has the world
experienced a flow in the direction we see today”.(29) Galbraith described the debt crisis
as "an astounding process of impoverishment of the poor for the sake of enrichment of
the rich (Quoted in (27) above).
Reduction of public spending especially in public health, public distribution systems and
in education had devastating effects, as already cited by Sanders above (22). Increase in
IMR, MMR,and malnutrition rates right from Latin America to sub-Saharan Africa to
Orissa in India is well documented, not to speak of the loss of sovereignty that made it
impossible for Parliaments to enact laws in favour of their own citizens.
Privatisation of health services, charging of user fees, patent laws to protect western
pharmaceutical companies and the General Agreement on Trades in Services (GATS)
which may make it easy for the eventual take over of health services by foreign health
maintenance corporations - all these have made already or will shortly make even the
most basic of health services inaccessible to those who most need it.
Health as a Commodity
In January 2000, the Director General of WHO established the Commission on
Macroeconomics and Health (CMH) to assess the place of health in global economic
development. It is well to quote the fountainhead himself, Jeffrey Sachs in full;
“Although health is widely understood to be both a central goal and an important
outcome of development, the importance of investing in health to promote economic
development has been much less appreciated”. Therefore, investing in health for
economic development, especially in the world’s poorest countries has become a prime
strategy.#^ Consider the paradigm shift in the way health is viewed. People and their
health as the centrality at Alma Ata to investing in them so that they become
economically productive in order to further strengthen neo-liberal economic policies.
This is actually the result of the active involvement of the World Bank in health matters
that started in the early 1990’s when the Bank discovered that poor health reduces worker
productivity, thus impeding economic growth of big industry.#/; By the late 90’s the
World Bank was spending on the health sector three times as much as the entire WHO
budget.
8
’ \Micn David Korten wrote “When Conjurations Rule the World” he could not have
. foreseen how intensively and how soon this would become a reality. The presence of
trans-national corporations in trade agreement meetings have been widespread and
significant even since the Uruguay Round. They have played a crucial role in shaping
international policies, not merely restricted to trade alone. Consider what happened to the
Kyoto Protocol on Environment or the Doha Process. Their influence can be seen in the
measures demanded by 1MF/WB and the Western nations in SAP and after. These
include:
•
®
*
©
•
©
o
®
Cutbacks in government spending/subsidies to social sectors such as health and
education
Successive devaluation of local currencies in the name of achieving export
efficiency while retail prices go up
Rollback or containment of wages, retrenchment of workers
Deregulation of the economy, free entry of foreign operators
Elimination of protection to local markets
Liberalization of trade, reduction of tariffs
Removal of trade and exchange controls
Abolition of price controls
Compare this with Alma Ata’s call for economic and social development based on a New
International Economic Order that is basic to the fullest attainment of health? (/Article HI)
Globalization of Poverty
Ardent advocates of growth-oriented development often refuse to look at history. The
Human Development Report 1996 states: Recent decades show all too clearly that there
is no automatic link between growth and development^. Globally economic growth is
declining in about 100 countries with almost a third of the world’s population. Between
1990-1993 the average income fell by 20% or more in 21 countries.
Between 1979 and 1985 the global GDP increased by 40% but the number of poor
increased by 17%. OECD countries contain 28% of the world’s population but account
for 78% of the GDP. The ratios of the incomes of the poorest to the richest in the world
was 1:30 in 1963 but in 1993, it was 1:60.(34)
Roadmap for the Future
To use a currently fashionable phrase, though it hasn’t worked much in Palestine, is there
a roadmap for the future of public health?
To quote Mahatma Gandhi, the world has enough for everyone’s need but not for eveiy
one’s greed, A small fraction of the annual profits of the tobacco and arms industries
9
alone can provide clean water, food and basic health services to everyone who needs it.
Do we see this happening?
Political Will
Article VIU of the Declaration calls for not just political will of the ruling structures in
implementing PHC but goes beyond in spirit to call for political will of the people
through their conscious and frill participation. Making local governing structures
including primaiy health centres be accountable- to local communities through
participatory grassroots democratic movements is one option for an alternative. There are
growing movements across the globe that promote people’s struggle for equity. In this
age of information, sharing of information leads to solidarity building (Seattle, Genoa,
Geneva, Evian, Cancun - can we ever forget the picture of a man stabbing himself in
protest in Cancun?).
Some of the other hopeful initiatives are:
o
*
o
©
o
©
o
Watchdog bodies that monitor the activities of trans-nationals (eg., Multinational
Monitor)
Voluntary groups that spread information, build up public awareness and support
such as Oxfam
Groups that monitor policies, dialogue with policy makers such as in WHO
(People’s Health Movement)
Building public opinion against big business, oil cartels, aims merchants, tobacco
industry
Lobbying national and international policy makers
Bringing all sorts of concerned people together and raising public awareness like
in the World Social Forum, Asian Social Forum, People’s Health Assembly
Building effective, broad based coalitions such as the People’s Health Movement
In Conclusion:
In the histoiy of human kind people’s rights have never been handed over voluntarily by
ruling structures, they have to be taken. Tins can only happen through solidarity building
on a geographically significant scale which is now possible through the use of
information technology7. There are enough people’s initiatives going on which give hope
that indeed another world is possible and perhaps Health for All by 2020.
References
1.
2.
3.
4.
5.
6.
7.
Human Development Report, 2002
BalasubramanianiK. Health for All Indians, Fedcot-ACHAN, 24 May 1995
Health for The Millions, VHAI, New Delhi, Nov-Dec, 1994
Alma Ata Declaration. WHO, Geneva, 1979.
WHO, Geneva, 2001
Gryzybowsla, Indian Journal of Tuberculosis, 1995
Health Statistics, Government of India, New Delhi, 2002
10
8.
WHO, Geneva, 1998
9. US Health Intelligence, 20 November 2002
k' TTnrlftrRtnndino Pnvftrlv Mimenoranh CTROAP Pp.nana 1000
11. World Bank, Poverty Assessment Summaries, updated 18.9.2003
12. World Resources, 1988-89
13. Beth Schulman. Exploding Myths about the Poor, Fortune Magazine, No. 18, 29 September
2003
14. Health for all in the 21st Century, Document A51/5, WHO, Geneva
15. State of World's Children. UNICEF, Oxford, 2001
16. Commonwealth Secretariat, Engendering Adjustment for the 1990’s, 1998
17. David Sanders, Twenty Five Years of Alma Ata- A Position Paper, PHM, Bangalore, May
2003
18. WHO, Geneva, 1998
19. WHO. Geneva, 1992
20. WHO, 2003
21. Sanders, ibid 2003
22. David Werner and David Sanders, Questioning the Solutions: The Politics of Child Survival,
California, Hesperian Foundation, 1997
23. Tarimo and Webster: Primary Health Care: Concepts and Challenges, WHO 942, 1994
24. David Werner, Keeping the Dream Alive, Background Paper for PHM, Bangalore 2003
25. Banerji.D Reflections of an Indian Scholar, International Journal of Health Serenes, vol.33,
2003
26. BaneijiJD. Reflections on the 25th Anniversary of .Alma Ata, Background Paper for PHM,
Bangalore, 2003
27. Quoted in Balasubramaiam.K. SAP, Globalisation and Human Development, 17 June 1998
28. ibid
29. Miller,M. Debt and Environment Convergent Crisis, UN, 1991.
30. Jeffrey Sachs, Macro-economics and Health, WHO, Geneva, December 2001
31. ibid, David Werner, PHM Papers,
32. ibid
33. Human Development Report 1996
34. ibid, BalasubramaniamJC, June 17,
35. ibid, David Werner, PHM papers
4,658 words
(I wish to acknowledge the background papers produced for the People’s Health Movement by David
Sanders, David Werner and D. Banerji as well as some writing of K.Balasubramainam)
Dr. Prem Chandran John, ACHAN/PHM/HAI-AP
10, 32nd Cross Street, Besant Nagar, Chennai - 600 090
Tel: 91-44-2491 9890
Fax:91 -44-2821 6705
E-Mail: prem_john@vsnl.net, hariprem@eth.net
11
Page 1 of 1
PHM Secretariat
From:
To:
Sent:
Subject:
<prem_john@vsnl.net>
<phmsec@touchtelindia. net>
Thursday, September 25, 2003 1:12 AM
For Ravi
Dear Ravi.
I have just got news that our team’s bid for the Thai border assignment was rejected and some one else
At it! This means that I am free to help PHM with planning of WSF Health meeting (I may not attend
k but will help plan) as well as Funding Group/S leering Group meeting and later Iran in early
December.
Warm regards
Prem
9/26/03
Page 1 of 2
PHM Secretariat
From:
To:
Sent:
Subject:
PHM Secretariat <phmsec@touchtelindia.net>
hariprem <hariprem@eth.net>
Friday, September 26, 2003 2:24 PM
Re:
Dear Prem,
Greetings from PHM Secretariat (Global)!
Just to let you know that due to one more hiccup - the last one I hope, the trip to Iran that Zafrullah and I will
make it now scheduled for 6th - 9th. Its final. The Health Minister and the International Health Adviser had to
go suddently for an EMRO meeting on 1st to 4th October. So we shall met on the days you plan the visit.
^>ts to discuss.
Thanks for the background about HAI - API Cl. You have to update me about ACHAN's as well., since all
these founding networks have to be activated and linked whatever histories. Luckily since I was not on any of
these boards, I could try afresh
Best wishes,
Ravi Narayan
Coordinator, People’s Health Movement Sccrctariat(global)
CHC-Bangalore
#367 ’’Srinivasa Nilaya”
Jakkasandra 1st Main, I Block Koramangala
Bangalore-560034
Join the ’’Health for all NOW” campaign in the 25th anniversaiy year of the Alma Ata
declaration visit vvvwv.TheN/IillionSignatureCampaign.org
..... Original Message —
From: hariprem
I To: PHM Office
Sent: Wednesday, September 24, 2003 10:16 AM
Dear Ravi,
Absolutely I agree that we should be part of the Consumer movement and be invited to their deliberations. I
have participated in three of thier World Congresses and twice chaired health workshops. Their health
concerns, apart from Bala who used to be there before coming off to Colombo, are limited but we as a
health group, have much wider views of health such as pharmaceuticals, health services, health insurance
etc.,
As Bala says we should try and work through influential people in India and the region. DR. Sothi, the CEO
of Cl ROAP whom you have met in Savar, is NOT favourably inclined towards us - due to various reasons,
mainly Bala, HAI-AP as well as me. He thinks I manipulated the shifting of HAI from Cl in Malaysia. This is
partly true but not wholly.
Here is one reason why movements don't take off as they should. Personal rivalries, kingdom concepts,
hodling on to funds and influence etc.,
Any way, ask Bala for names of Cl Board members or voting members we can contact. I can talk to Prof.
Manubhai Shah of CERC, Ahmedabad. the biggest and most influential consumer group in India. I happen
9/26/03
Pnoe 1 nf 1
PHM Secretariat
r. -1---------
From:
To:
Sent:
hariprem <hariprem@eth.net>
PHM Office <phmsec@touchteiindia.net>
Wednesday, September 24, 2003 10:16 AM
Dear Ravi,
Absolutely I agree that we should be part of the Consumer movement and be invited to their deliberations. I
have participated in three of thier World Congresses and twice chaired health workshops. Their health
concerns, apart from Bala who used to be there before coming off to Colombo, are limited but we as a health
group, have much wider views of health such as pharmaceuticals, health services, health insurance etc.,
"Bala says we should try and work through influential people in India and the region. DR. Sothi, the CEO
of Cl ROAP whom you have met in Savar, is NOT favourably inclined towards us - due to various reasons,
mainly Bala, HAI-AP as well as me. He thinks I manipulated the shifting of HAI from Cl in Malaysia. This is
partly true but not wholly.
Here is one reason why movements don't take off as they should. Personal rivalries, kingdom concepts,
hodling on to funds and influence etc.,
Any way, ask Bala for names of Cl Board members or voting members we can contact. I can talk to Prof.
Manubhai Shah of CERC, Ahmedabad, the biggest and most influential consumer group in India. I happen to
be their trustee!
I have ben denied permission to come to Bangalore this week but have been okayed for next week, perhaps
1,2,3 of October. Thus I will miss you. Please tell Prasanna to be there. When you come back I will again
come and meet you.
My assignment that I mentioned - the Burma-Thai border one has not come through yet. We have to bid for it
and am still waiting. If it does not come through I can do some work for PHM if needed.
term regards,
Prem
PS. Though I am the Chairperson of HAI-AP, I would rather you asked for these details from Bala.
Paae 1 of J
PHM Secretariat
From:
To:
Sent:
Subject:
hariprem <hariprem@eth.net>
PHM Office <phmsec@touchtelindia.net>
Saturday, September 27, 2003 5:50 PM
For Prasanna
Dear Prasanna,
I plan to come on the 1st and leave 3rd evening back to Madras, spending substantial part of my time with
you, learning to do some DTP and also putting together the Newsbrief. Unfortunately Ravi won't be there but
in a sense it is good because we can solely look at the Newsbrief. We need some help in creating a new
masthead for the newsbreif. Can you do it or do we need any one else?
will tell when I will arrive. I will come direct to the office. I would greatly appreciate it if you can spare these
■'s.
Many thanks and regards,
Prem
9/29/03
10/2/03
Page 1 of 2
PHM Secretariat
From:
To:
Sent:
Subject:
PHM Secretariat <phmsec@touchtelindia.net>
<prem_john@vsnl.net>
Thursday, October 02, 2003 2:34 PM
Re:
Dear Prem,
Greetings from PHM Secretariat (Global)!
Jhanks to CHC and its constant grassroots level networking, we have always
"een in touch with the soil of 'enthusiasm levels' you experienced at the
Tamilnadu PHM meeting. That is what has kept us going all these years. We
now have 5 fellows, the next generation - all really committed. Tliis is the
third generation of fellows in CHC literally and the baton of enthusiasm and
commitment keeps getting passed on. Very glad that both of you attended the
TN - PHM meeting. Do keep in touch closely and link your rich experience and
perspective to all this enthusiasm.
Looking forward to meeting you soon on 3rd October
Best wishes,
Ravi Narayan
Coordinator, People’s Health Movement Secretariat(global)
CHC-Bangalore
#367 ’’Srinivasa Nilaya”
iikkasandra 1st Main, I Block Koramangala
Bangalore-560034
Join the "Health for ail, NOW” campaign in the 25th anniversary year of the
.AJma Ata
declaration visit wvvw.TheMillionSignatureCampaign.org
----- Original Message-----From: <premJohn@vsnl.net• •
To: <phmsec@touchtelindia.neV
Sent: Wednesday, October 01, 2003 6:44 AM
Dear Ravi,
Yesterday Hari and I participated in the Tamilnadu PHM Planning meeting.
There were about twenl over people. It was really exciting to see their
enthusiasm. KAlpana and Balaji were there of course. Their idea is to keep
the spirit of PHM alive and I suggested that we concentrate on Primary
Health Carp.« They haw. daftidad In do a campaign - I don’t want Io piv. p.mpt
them and will wait for the minutes but by the end of this month they will
have a training workshop, produce Rs. 7 5,000 worth of printed campaign
material (many organisations PREPARE, Loyola College, Anitra Trust etc.,
Page 1 of 1
PHM Secretariat
From:
To:
Sent:
<premjohn@vsnl.net>
<phmsec@touchtelindia.net>
Wednesday, October 01, 2003 6:44 AM
Dear Ravi,
Yesterday Hari and I participated in the Tamilnadu PHM Planning meeting. There were about tvvent
over people. It was really exciting to see their enthusiasm. KAlpana and Balaji were there of course.
Their idea is to keep the spirit of PHM alive and I suggested that we concentrate on Primaiy Health
Care. They have decided to do a campaign -1 don't want to pre empt them and will wait for the
minutes but by the end of this month they will have a training workshop, produce Rs. 75,000 worth of
printed campaign material (many organisations PREPARE, Loyola College, Anitra Trust etc., pledged
money for this and have a state-level meeting in Trichy some time later this year.
WRn glad I participated. Till now I have ben hobnobing only with big shots and hence this meeting has
been an eye opener. If even half our constituents show this much of enthusiasm, PHM wil definitely
become a force to reckon with.
Warm regards,
in -
/^~CM(h At
To
]0/2/03
Page 1 of 1
PHM Secretariat
From:
To:
Sent:
Subject:
PHM Secretariat <phmsec@touchteiindia.net>
<prem_john@vsnl.net>
Thursday, October 02, 2003 2:41 PM
Re: Urgent - Prompt Action
Dear Prem,
Greetings from PHM Secretariat (Global)!
The fax came through to me. Now the passport and all the forms are lying in
the Embassy. Someone is going io call from Iran as well tills morning. My
fingures are still corssed till I get the visa finally!!! Quite a stressful
experience. It will have to be high on the agenda of the Teheran
discussions.
Incidentally, Zafrullah has still not got the fax. Iran authorities (MOH)
jay they can’t get ilwough to Dhaka. So another set of fingures are also
"rossedl ?. Any way we live in hope!
Best wishes,
Ravi Narayan
Coordinator. People’s Health Movement Secretariat(global)
CHC-Bangalore
#367 ’’Srinivasa Nilaya"
Jakkasandra 1st Main. I Block Koramangala
Bangalore-560034
Join the ’’Health for all, NOW” campaign in the 25th anniversary year of the
Alma Ata
declaration visit www.TheMilHonSignatureCampaign.org
----- Original Message-----From: <prem john@vsnl. net>
To: <phmsec@touchtelindia.net>
gjmt: Wednesday, October 01, 2003 6:56 AM
Wibjeci: Re: Urgent - Prompt Action
Dear Ravi.
Have you received the faxed invitation? Will you get your visa in time to
travel?
Warm regards
Prem
10/2/03
Page 1 of 1
PHM Secretariat
From:
To:
Sent:
Subject:
<prem.john@vsnl.net>
<phmsec@touchtelindia.net>
Wednesday, October 012003 6:56 AM
Re: Urgent - Prompt Action
Dear Ravi,
Have you received the faxed invitation? Will you get your visa in time to travel?
Warm regards
Prem
10/1/03
Page 1 of 1
PHM Secretariat
From:
To:
Sent:
Subject:
--------------------------------- - --------------------
<prem._john@vsni.net>
<phmsec@touchtelindia. net>
Wednesday, October 01, 2003 8:13 AM
Iran
My dear Ravi.
As you said, if for two people here is so much of problem, how are they going to ahdnle fifty, senty
fibe. one hundred people? This must be a very strong point that you will make with them.
Have agood trip and best wishes.
Ac.Ud-q
10/1/03
Pn©?. I r>f I
PHM Secre'tarjat
From:
To:
Sent:
Attach:
Subject:
r. a r i p rem <ha r i p re m@eth. n et>
PHM Office <pnmsec@touchtelindia.net>
Tuesday. October 14. 2003 6:10 PM
Condensed Curriculum Vitae of Dr.doc
Ravi-Harfs CV
Dear Ravi,
; am sending Han’s big' OV prepared for another occasion. Please make it short and send it.
Wa rm re n a rds a nd th a ks
rp(w
10/15/03
Condensed Curriculum Vitae of Dr. Hari John
: Harikumari John nee Arikumari Paliah Y
Name
i/Age
Date
Address
Telephone
Facsimile
E-Mail
: 24.5.1940/ 63
: 10. 32R Cross Street
Besant Nagar
Madras 600 090, India
/
: 91-44-2491 9890,
/
: 91-44-2821 6705
: haiiprem@eth.net, premJohnvivsnl. net
V::
1960-68
: M.B.B.S
Ciiristian Medical College and Hospital, Vellore, India
1959-60
. Pr
194"-5~
nd
'
Penang, Maiavsia
University C<
.
>lle ..... Madras, . /
■. is
led
ioi
Light S
C
Proressionat History :
1985 - iill dale
Honorary Executive Trustee
Asian Network for Innovative Training, Research and Action
Madras
Promoting people-based approaches in sustainable developniem
Focusing on landless outcasts communities in two districts of
Tamilnadu in southern India
1980 - 82
Trainer in die International Course on Community-based Health.
Asian Health Institute, Nagoya. Japan.
.■ .. ..
... .'■■ ... ' .
South Blast Asia
1974 - 1984
Chief Trainer
Duenabandn Animation Centre, Deenabandu, southern India
Promoting non-conventional approaches to health cure delivery
Framing trainers of community level workers from South and
South East Asian countries
1969 - 1973
Medical Officer, Deenabandu Medical Mission, R.K.Pet, TN,
Southern India
/ZO-ded'i.sed health
debsetV SYSteUlS ■JGY’CYiYZ 50.000 ■
Population. Some of the earliest such approaches andpractices
which have made this program a trend setter in community neailn
globally and recognized as such.
1982
: (>ne-month training in Community-based Family Welfi
Approaches at the University of the Philippines, Manila
1979
: Two months training in Community Food Processing al
Meals for Millions, California, USA
1975
: Training in Family Planning and Injectable Contraceptives.
McCormick Hospital, Chiang Mai, Thailand
1973
: 1 raining in Family Planning at the University of
Denver, USA
October
Col<
ree months research
1
th J .
.
. . igiri
TN, India, using and evaluating B663, then a new drug for
Leprosy
1969
:
1968 - 69
: Post-internship training in Paediatrics and
Gynaecology. Christian Medical College Hospital. Vellore. India
. . .............
2000 - till date
1998
tin date
.
let
: Trail
:
.. . . .
ist Church in Ame
. ,
•
.
organization promoting selfhelp programs world wide
1998 • till dale
: Executive Member. Asian Community Health .Action Network
(ACHAN). Manila, Philippines
Promoting people-based health systems in South and South east
. Isia in partnership with national NGO networks
1983 - 1991
: Commissioner representing India al the Christian Medical
Commission of the World Council of Churches, Geneva,
Switzerland
Policy formulation and support group for the health, work of
Member protestant churches around the world
1987
: I lonorary Executive Trustee, Women in Development Trust.
Madras, India
till date
Promoting empowerment of rural, outcast? women in southern
India
1982 - 1998
: Member, Dialogue Group. India
think-tank oj'NGO leaders in India for policy formulation
y
: International Health Award by the National Council for Inter
National Health, Wasltington DC. USA
"in recognition of outstanding contribution to improving health
for people throughout the world"
Focus Areas
ative Heal
, systems, aj
Herbal medicines. Acupressure and Acupuncture,
bod cure, P icipatorj
irting, i
And action
: Nun . )us publications on community health and training in
Community health since 1980 especially:
People’s Health in People’s Hands - Community Based Health
Action as an Alternative. I INK. Hong Kong, 1982,
We Learn fl
gh Our fail
Based Health I Tog-ram in Deenabandu, CO XT ACT 85.
Geneva, Switzerland, 1985 and
heRa
oh
i Health Development Program,
CONTACT, Geneva, December 1993
Papers
: Numerous papers on Alternative Health. Herbal Medicines.
Participatory Training, Community Health published presented
In conferences workshops seminars around 1he world, especially
in South and South East A-d
Referee?:
: 1. Dr. Badal Sen Gupta
Bonner head of Consultancy Desk. EED
(Inch von Hassell str 76
53123 Bonn
Tel: 49-228-366 228
2. Dr. Hiromi Kawahara
Asian Health Institute
X (mamiyama, Komenki
Nissliin cho. 470 - 01. /kichi. Japan
Tel: 81-5617-3-1950
25
>j3
'/'■
SecreX at
rrom:
To:
Sent:
Attach:
Q
'-z iU■ I-,; ...
hariprem <r.ar;prem@eth.net>
P.HM Office <phmsec@touchtelindia.net>
Tuesday. October 14 2003 6:13 PM
Condensed Curriculum Vitae of Prem Chandran John.doc
T? -Car-r'
. I I ‘ c f'X /
This was prepared for the EU Thai assignment and hence too long. Please use only what ever is necessary.
Warm rec a res
Prem
w
\0
10 15 03
p." SaL:
To:
Sent:
Attach:
Subject:
hariprem chariprem@eth.net>
PHM Office <phmsec@touchteiindia.net>
Tuesday, October 14, 2003 6:13 PM
Condensed Curriculum Vitae of Prem Chand ran John.doc
Prem’s CV
; his was prepared for the EU Thai assignment and hence too long. Please use only what ever is necessary.
Worm recwas
Prem
1015 03
?d Curriculum Vitae of .Prom CL
John
Coordinates
.Vtwje
Mailing . -i t u Iress
Telephone
Fax
Mobile
E-Ma-l\
: Prem Chandran John
: 9 Januaiy.1941
62
: 10. 32nd Cross Street
B esant Nagar
Madras 600 090. India
: 91 44 2491 9890
: 91 44 2821 6705
:91 - 98410 - 08001
: hariprem gjeth.net, premjolm@vsnl.net
Focus and Strengths
Justice in health care. Poverty and Health, Globalisation
and health. People’s Movements for Equity in Health,
Advocacy Role at various levels
. alt
.'
[elpin
Training at various levels
il
nil
.....
E d u c a I i o n a 1 Q u al i fi ca t i o n s
1973 - 74
Masters in Public Health (MPH)
Specialising in Internationa! I Icalth Planning
Johns Hopkins University. Baltimore, Md. USA
1960-67
Bachelor of Medicine. Bachelor of Surgery (MBBS)
Christian Medical College, Vellore, TN, India
1956 — 60
Bachelor of Science (BSc)
Madras Christian College. Madras, TN, India
1950 - 56
Secondary School Education (SSLC)
Corley Higher Secondary' School Madras, IN, India
Professional History
2001
till date
1984 - 2001
Free lance Consultant in International Health Planning
Chief Executive and Coordinator
.Asian Community Health Action International
Constituency*. Core Non-Governmental Organisation
(NGO) Networks
.
Cambodk Laos, Thailand, South
Korea. N lyanmar
?Jso, govt-; nments in India. Indonesia. Nepal. Sri
Lanka and Cambodia
As well as Resource agencies working in the Asian
Region such as EZE and Bread for die World.
Germany, ICCO, (he Netherlands, World Council of
Churches. Geneva. Christian Aid. UK
Responsibilities'.
Networking, '['raining and Advocacy' in People-based
Health Care Systems
Developing Perspective plans for the organization.
Sensitising national health decision-makers
NGO partner networks
Developing Primary Health Care plans for national
Governments (Indonesia. Cambodia)
1'raining trainers from NGO networks and
Governments (Asia) in
People-based PHC (Indonesia, Cambodia. Nepal)
Monitoring and evaluation of Health Care Programs
Or Funding Agencies (Asia)
Editing LINK Newsletter, resource material for PHC
.■ iavocacy role in rational drug use, national health
Policies, national drug policies with Action for
Rational Drugs in Asia (Nepal, India, Thailand. Sri
Lanka. Malaysia, Indonesia)
Networking of NGOs and between governments and
NG()s in \sia
I
Papers in national, regional and international
Conferences, workshops and seminars
Human Resources Development within the
organization
Equipping and leading a team of health professionals
in achieving organizational goals.
1968 - 1983
Director
Deenabandu Health Care Services, TN. India
Responsibilities'.
Developing, implementing, monitoring and evaluating
Community-based health systems for a population of
50,000 {one of the first in India in the training and use
of village health workers, VHWs and cost-effective.
->
self-sustaining comm unity-based health systems')
Community capacity building at various levels
Human resources development for the organization
tlirougli training and motivation
l eading a team of professionals. semi-professionals
and community workers in achieving organizational
g(\ds
• *
’
2001 - till date
Chairperson,
Health Action International Asia Pacific (HALAP)
Colombo, Sri Lanka
Advocacy in rational drug use. national health and
Drug policies. poverty and health in Asia
2001 - til! date
Editor. RENAISSANCE
Focusing on sustainable rural development and
Participatory development approaches
2001 - iii! date
Consultant
.
orkfoi
Madras. India
'
ining
ialcapi
In Taniilnadu and Andhra Pradesh in southern
India concentrating on outcasts communities.
Also involved in sustainable agriculture for the
poor
1998 - till date
Honorary Director
working with disadvantaged children from oulcasle
communities.
1998 - til! date
Core Group member
People’s Health Movement (PHM)
In this capacity helped organize PHA 2009
a celebration of people’s involvement in health in
which 1,500 people from 190 countries took part
in December 2000 in Dhaka. Bangladesh
till date
Chairperson
Testing Organisation for Chemical and Health
Hazards (TORCH). Ahmedabad, Gujarat. India
e premi
in Indi
Health and other consumer products
1995
19^6 - till (Lie
Trustee
Consumer Education and Research Centre (CERC)
xAhmedabad. G uj a ra I. India
The foremost consumer education and advocacy
Network in India
1982 - 1999
Honorary Coordinator
Dialogue group. Madras, India
A think tank on developmental issues in partnership
With large NGO networks in India and their
Funding partners in Europe
1979 - 1983
Founding member and Vice-Chairman
Volun
Healtl
India
.Advocacy, networking on national health issues
Special Interests
Poverty and Health
Community Capacity Building
Participatory approaches in development
Conferences Attended
Participation iri and presentation. of papers al numerous
. conferences. seminars and workshops Internationally on
issues of primary health care, development, consumer
affairs, poverty and health from 1973 onwards.
Publications
1981 onwards On issues of justice in health care, poverty
and health. Participatory training, participatory
development etc.. In journals such as Link, Renaissance.
Dialogue. .Madras. IONESCO Courier. Paris. Nutrition
Journal. Geneva, Contact, Geneva.
Referees
1. Dr. Hiromi Kawahara
Asian Health Institute
X linamiyama, Komcnoki, .Aichi
Japan 470 -01
E-Mail: ahi-masaladb3.so-net.ne.jp
4
Dalasubrainaniain
Consultant. MAJ Asia Pacific
5. Frankfurt Place
Colombo 4. Sri I .anka
E-Mail: bala@haiap.org
Page 1 of 4
PHM Secretariat
From:
To:
Cc:
Sent:
Subject:
hariprem <hariprem@eth.net>
Sarah Shannon <sarahs@hesperian.org>
PHM Office <phmsec@touchtelindia.net>
Tuesday, October 14, 2003 7:50 AM
Re: PHM Newsbrief inquiry
Dear Sarah,
Many thanks for your inquiry. Our problem is one of plenty. We are struggling to fit all the material that we have
into about six pages (both sides). Yes, we have some material on the visit of Ravi but we would appreciate it
very much if you can send a, say, 500 word summary for inclusion in Newsbrief 10. WE want this to come out
in time for the Iran event and therefore frist world involvement in PHM would make encouraging reading for all.
Best regards,
Prem
I — Original Message----From: Sarah Shannon
To: Dr Prem Chandran John
Cc: Prasanna - PHM Communications ; Tawnia Queen
Sent: Tuesday, October 14, 2003 5:06 AM
Subject: PHM Newsbrief inquiry
i Dear Prem John,
Greetings from all of us at Hesperian! I hope this finds you well.
I thought I might help shed some light on the origins of our recent communications with Prasanna
regarding the Newsbriefs. In May during the WI-IA, Ravi and I noted that a mention of the tour he,
Thelma and Zafrfullah did to help us launch the PHM in the US had not been included in the Spring
newsbrief. Ravi asked that we do a write up about the tour and also about PHM US for the
Newsbrief #9. It appears that #9 came and went without this piece, and in recent correspondence
with Ravi he suggested that there was still time to include it in #10 if it could be sent before the
middle of October.
It would be helpful to know if there is still space in #10 for this information to be included; and if
so, how much space and when the hard and fast deadline for copy is. We're happy to write this up,
we just need to know the parameters. If it's too late, I guess we'll need to think about how to frame a
write up of the tour to include in #11.... We'll look forward to hearing from you about this so that
we know how to proceed.
With our best wishes,
fr-/n
From: "Prasanna - PHM Communications" <prasanna@phmovement.org>
To: "Tawnia Queen" <tawnia@hesperian.org>
Cc: "Dr Prem Chandran John" <premJolm@vsnl.net>
Pnee I
9
■. v. ? .... .'
...
PH?■/. Secretariat • -phmsec@touchtelindia.net>
hariprem <hariprem@eth.net>
Tuesday. October 14 2003 6:24 PM
Re;
To:
Sent:
Subject;
Dear Prem,
Greetings from PHM Secretariat (Global)!
The idea bout the two Cambodian resource persons is a good one. Why don’t we consider
ore of them for Iran and both of them for WSF - Health Forum?
PHM has a problem of cash flow, but we could consider the investment, if you put it up as a
short project proposal with some more details and also because Hari is willing to advance the
amount for reimbursement later. Perhaps if you could think if meetings in both Bangkok and
Phnom Penh, that would be more cost effective. Claudio could help with Cambodia and Unni and
Satya with Bangkok. If Mar...
away and easily included, then you could link the visit to
the Philippines conference in November as another possibility. We need to evolve a clearer
South East Asian process. Keep Deien, Claudio, Unni and Satya in touch.
iii.
i have suggested you and or Han for the Melbourne conference (see Fran’s letter and my
reply).
iv
Dr Barzgar was very keen that someone like you should go there a week or 10 days in
advance to help him with the finer points and last minute technical framework details. Can you
go? Tne meeting is 5:h - 7tn December 2003. Zafrullah has offeree to reach there on the 1st
December. Can you consider 28th November or so? It will be a great load of my shoulders and
since you are computer friendly, that's a great advantage. Barzgar has good facilities and local
volunteers, but he needs support with PHM perspectives and PHM style of meetings etc.
is your visit to UK finalized? Have you been In touch with Andy? We need to talk before we
leave for London.
Best wishes to both of you
Ravi Narayan
P.S. Unni and Dv. ;d Legge have offered to help stimulate PHM •- China Cirlce. Since Hari had contacts with
Ami:y, can she also make suggestions? She will get relevant mail.
Ravi Xarayan
Coordinator. People's Healih Movemenl Secreiarial(global)
CHC-Bangalore
r367 ’’Srinivasa Nilaya"
Jakkasandra 1st Main. I Block Koramangala
B angal ore - 560034
Join die Health tor all SOW” campaign in the 25th anniversary year of the Alma Ata
deckvation visit vvww.TheMillionSignatureCampaign.org
| — Original Message
; From: hariprem
10 14 03
Page 1 of 1
PHM Secretariat
From:
To:
Sent:
hariprem < hariprem@eth.net>
PHM Office <phmsec@touchtelindia.net>
Tuesday October 14, 2003 8:13 AM
My dear Ravi,
You seem to have forgotten Murphy's Law. In PHM we always have to remind ourselves of this in order not
to get discouraged!
I am glad that at long last the dates are final. I will plan to come for this and have already sent the information
on passports asked for. But I am unable to send to Barzgar - the message bounces back.
What about the Cambodians? (I had written to you in your absence). Should numbers and travel scholarships
are too few, I would be happy to give my place to a Cambodian.
1 Think it is important for the Cambodians to have a couple of meetings first at the national level.
jfcase let me Know if you need any preparatory help with the Iran event. I will be happy to come and help
Wer returning from England
Taking this London meeting as an opportunity, I will visit some friends there. I am leaving early (i.e. early
tomorrow morning) and will be at the meeting on the 22nd at the Methodist Centre. Please send:
1 Any background material such as new budget etc.,
2. The exact venue with address and telephone number.
Please call me today if there is a necessity
Warm regards.
Prem
(pkM r
10 14.03
Page 1 of2
PHM Secretariat
From:
<premjohn@vsnl.net>
To:
•-phmsGc@touchtelindia.nou*
Sent:
Wednesday, October 08, 2003 9:00 PM
My dear Ravi.
Il may be worthwhile getting one or two people from South East Asia, specifically from Cambodia.
You may recollect that we introduced one chap DR. Char Meng Chuor from the Cambodian
delegation. He is the Vice-Director of the Health Education Bureau and coincidentally, has been
trained in Deenabandu and has attended ACHAN training programs elsewhere. I don’t know if he is
free to come bur it will be good to have him.
It would be goo to have Dr. Chiv Bunthy, Director, Cambodian Health Committee, who was the head
of the Cambodian delegation in PHA 2000.
70 thing:
i. I intend to go to Cambodia and use these two chaps to organise a PHM event like the Tamilnadu
group
2. Should it be difficult to accommodate them, I won’t mind offering my place for Teheran for
Cambodia.
We neeed ro exploit ACHAN’s influence before it wanes. THis would mean a trip to Cambodia and a
stay of three days. Should tins meet with your approval. I will plan to ge there during the first ten days
of November so that who ever comes has already organised a PHM meeting in Phnom Penh before
Teheran. This would need an investment of USS 1,200 or so. IT would even be cheaper if I go
Madras-Bangkok-Madras which is around $420 or so and then buy Bangkok-Phnom Penh-BAngkok
in Bangkok which is around $250 or so.
If we are serious about SE Asia, we should do this now. Once the ground work is laid, then you should
go there officially’ and follow it up.
fiiould PHM have a problem with cash flow, we will advance (that is Hari’s organisation will advance)
Wr reimbursement later.
Warm regards.
Prem
plnnsec@iouchtelindia.net wrote
To
The PHM Organizing Committee
October 6. 2003
Ref: Alma Ata Conference - Iran
Dear Friends,
10/8/03
Atm V
PHM Secretariat
From:
To:
Sent:
hariprem <hariprem@eth.net>
PHM Office <phmsec@touchtelindia.net>
Tuesday, October 14. 200311:11 AM
Dear Ravi,
You know Mr. Idris, who founded Consumers' Association of Penang and Third World Network. Bala
suggests that this charismatic person should be invited to Teheran. Please give him more information on
that. His e-mail ID is:
idrismd@tm.net. my
I tried my best to persuade Bala but he is unable to come. His second son from USA is coming to be with
them in Colombo after a long time and he regrets his inability to come.
Warm regards
Prem
_
Paac 1 of 1
PHM-Secretariat
From:
To:
Cc:
Sent:
Subject:
"Prem John” <premS141@hotmail.com>
<secretariat@phmovement.org>
<unnikru@yahoo.com>
Friday, September 03, 2004 5:49 PiVi
Trave!
dear Ravi and Unni.
will
1
jming
1 will return th
me day. I will let;
,\hen and how later. I will in any case find my own way io the office.
With at wed on
Prem
9 6 04
>A circular letter to you all listing out all the events and meetings will
PHM- Secretariat(Global)
From:
To:
Sent:
Subject:
hariprem <hariprem@eth.net>
PHM-Secretariat(Global) <secreta riat@ ph movement. org>
Saturday, November 22, 2003 10:30 PM
Re: [pha-ncc] RE: Position Papers
My dear Ravi,
I think that tliis is well putIBut I also think tha we can’t spend quality
time, as the Americans say, on what can, at best, be termed as non-issues.
We need to conserve our energies for more productive and network expanding
and nurturing things!
^jrem
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hanorem ^haripreni^^eth.net^
PHM Office < ph msec@touchteli nd ia.nei>
~ruesday) November 04. 2003 7:56 AM
Prasanna
Dear Prasanna,
vad tod R-■ would be in Bnagalore 5-7 November I called him at home this morning., no one picked
. He aisu said he would be in Madras over the /vsekend but no contact.
...I. .eave Madras by Laibaugh Express this afternoon and can be contacted on my cell198410-08001.
Page 1 of 1
PHM Secretariat
Frcui:
7o:
Sent:
!
her..:•
<hanprern@eth.net>
Pn /i CM;ce <phmsec@touchtelindia.net>
criday, October 31: 2003 7:02 PM
de ,-r --- PHM omce on the 5 th morning. • will come and return by train.
Give me a oat .vhen you come to Madras.
even if i: is inconvenient to some and some ;ose some money in order
Warm recards
Prern
Page 1 of .
To:
Sent:
.-an:.;e.;. <hanprem@eth.nep
PHM Office <phmsec@touchtelindia.net>
Sunday, November 02. 2003 8:04 AM
On the 24‘h i sent a t/zo page note on training for PHM from England, did you get it? I sent a copy to myself
It does not seem, to have arrived.
Regards
P-em
112 03
Pa.L/.e 1 of 1
v . i
To:
Cc:
Sent:
. .'7\, <7‘
pre .n_john@vsiu.ne>
<lawn ia@hes perian. org>
<secretariat@phmovemfcnt crg>
Wednesday?’October 29, 2003 9:51 PM
Dear Taenia.
1low nice io hear AiOiu you .gig io note you.’ aheres:. \\ c will be ver* happy lo
that yon send and include it in the PHM Newsbnef. The only
get any
is spa
.
i
ill be < 24 28
. :
NewsbsSef:Please fee* Pee to contact me any time.
PO/-.;'.
<:.
a: d
-njim, Paiiks. Prcr:
10 25 03
rage i ox v>
Sec:efe,'a’.
From:
To:
C)
ent:
u Jject:
Si., a.'. c...,;...:j/. ^sarahs@hesperian.org>
hariprem <hariprern@eth.net>
PHM Otf’.oe <phmsec@touchtelindia.net>; Tawnia Queen <tawnia@hesperian.org>
Thursday. October 16, 2003 4:59 AM
Re: PHU .\ewsbrief inquiry
Dear Prem,
sh
thanks so much for your note. \Ve arc working on drafting a short summary for
News brief >) and will send it to you soon. Tawnia Queen is the- contact person for Hesperian on this
ot sed further information from us. Tawnia’s email address is
iawnia a, Hesperian.org>.
'Alt 11 besL wishus.
Sarah
07:50 AM 10-14-2003 -0530, hariprem wrote:
Dear &arah.
Many thanks fcr your inquiry. Our problem is one of plenty. We are struggling to fit all the
material that we have into about six pages (both sides). Yes. we have some materia! on the visit
of Ravi but we would appreciate it very much i; you can send a, say, 500 word summary for
inclusion tn Uewsbrief i0. WE want inis to come out in time for the Iran event and therefore frist
world involvement in PHM would make encouraging reading for all.
Best regards.
----- Original Message-----FrSarah Shannon
* o: Dr Prem Chandran John
' ■ Prasanna ■ PHM Communications : Tawnia Queen
nt: Tuesday, October 14,
Subject: PHM Newsbrief inquiry
Dear Prem John.
’
of us a! ■. e jperian! Ih<
thi
Is
>11.
I thought J might help shed some light on the origins of our recent communications
Prasanna reg ding 1
sbri s. Ini
during the WHA, Ravi and I
noted that a mention of the tour he, Thelma and Zafrfullah did to help us launch the
in the US had not been included in the Spring newsbrief. Ra i asked tl
do a write up about the lour and also about PHM US for the Newsbrief
li
impears tha* ~9 came and went without this piece, and in recent correspondence
ith
i he suggested that there was still time io include it in #10 if it could be sent
before the middle of October.
ii .. /.iii.4 br' hplnml in Vnnvv ii ihpiv- su
cnnrp in -;!() rnv
hnnrj’HQiinn rn h. •
Page 1 of 1
Main Identity
From:
To:
Sent:
Subject:
<prem_john@vsnl.net>
<secretariat@phmovementorg>
Wednesday, December 08, 2004 2:29 PM
Travel
Dear Ravi,
I am arriving by Shatbdi around 10:30 am on the 9th and will leave by 4 pm on the 10th, also by Shatabdi.
1 will find my own way to the office.
Best regards,
Prem
12/9/04
Main Identity
__________________________ _
From:
To:
Sent:
RiihiAft***• -J—'--.
"PHM - Secretariat" <secretariat@phmovementorg>
"Dr Prem Chandran John" <premJphn@vsnl.net?-; <hariprem@eth.net>
•: hursday. December 16. 2004 4:37 Pm
R
• a- FPHM
L....... ~ —.^pprina
w~J . . - Grnun
. - —■ 02-D31 Naw
w.. .V.Y.aat CJrpAtinn^
. W.and RproIi itinnc; for t HpNaw Yaap
Dear Prem.
Greetings from the PHM Global Secretariat!
Sorry. Our mistake. We shall show yon in all the other commiuiication. You
are in sprint in the message but we must put you 'in flesh’ as well.
PHM Secretariat team (Global)
12/17/04
Page 1 of 1
Main Identity
<premjohn@vsni.net>
<PHM_Steering_Group__02-03@yahoogroups.com>
Wednesday, December 15, 2004 9:37 PM
Re' [PHM_Steering_Group_02-03] New Year Greetings and Resolutions for t heNew Year
From:
To:
Sent:
Subject:
Ravi,
A good one and congratulations! But you have forgotten that I amlaos part of tlire Bangalore team! Not to worry!
Prem
— Original Message —
From: PHM - Secretariat <secretariat@phmovement.org>
Date: Wednesday, December 15, 2004 7:07 pm
Subject [PHM_Steering_Group_02-03] New Year Greetings and Resolutions for t heNew Year
> To: PHM Steering Group,
> Communication: New Year Greetings
. L*Je
m uz?
Y
15th December 2004
>
> Dear Friends,
ryu2^n<z
P
O-V C ’l_X)
xtc> -/
H
> Greetings for the New Year!
>
>
PLAtA
---------
> This is a special note of thanks from the PHM Global Secretariat
12/16/04
6\
Page 1 of 1
Page 1 of 2
Main identity
From:
To:
Sent:
Subject:
<prem_john@vsnl.net>
PHM - Secretariat <secretariat@phmovement.org>
Tuesday, September 06, 2005 7:20 PM
Re: CONFIDENTIAL
My dear Ravi,
I was not really telling you the truth when I left for MAlaysia. Bear with me.
ANITRA, in one of their areas, faced a problem. They work with dalits and in a case invhfng denial of
water, therewas an altercation between the dalits and the gounders (the ANITRA worker there is a
gounder!). THis resulted in violence and as usual the upper caste land lords bought the police who
foisted cases under section 307 which is inciting to murder and is non-bailable. THe worker there is a
full fledges lawyer and therefore the lawyers went on strike when he was betaen up.
The net result was that there may have been an arrest warrant against Hari since she heads the
organisation. Lawyers here suggested that we don't take an anticipatory bail since it will bring
unnecessary publicity and suggested that she goes elsewhere till the thing settled down.
That is the story!
It hasn’t setled down yet but using some IAS people we know, the FIR against our worker has been
kept in abeyance and the lawyers demonstrated in front of the high court in favour of our worker.
It is alright to say that when tilings like tliis happen, that means we are doing good work but at this age
and being a woman, I didn’t want all tliis. Therefore we thought discretion was tlie better pail of
valour!
When I was in Penang, Alec called up and asked me to come to Ahmedabad also.
Warm regards,
Prem
----- Original Message-----From: PHM - Secretariat <secretariat@phmovement. org>
Date: Tuesday, September 6, 2005 4:21 pm
Subject: CONFIDENTIAL
> Dear Fran and Prem,
> Greetings from the PHM Global Secretariat in Transition!
9/8/05
agu z, vjl z.
> It was refreshing to have a 2 week break even though that was
9/8/05
Page 1 of 5
Main Identity
From:
To:
Sent:
Subject:
"PHM - Secretariat" <secretanat@phmovement org>
<premjohn@vsnl.net>
Tuesday, September 06, 2005 5:55 PM
Re. Proposal to host PHM Secretariat 2005-07
Dear Prem.
We are looking forward to your return.
1. You must have seen Fran's translation / communication of LA proposal.
2. Saw your comments, have you seen mine?
3. Newsbrief 16 is nearly ready. We need your comments and expertise
Finally.
4. The Delhi meetingof WHO-CSDH is very important. So do plan to attend. I
am writing to WHO-SEARO that you will attend on behalf of me and the
secretariat. We have been invited separately from PHM India.
5. Ring us up as soon as you return.
6. We are helping Thelma with the Ahmedabad inputs but you and Amit should
have been more proactive to help her decide what to say - since the meeting
is a follow up of Geneva.
7. Abraham is due back end of the week.
8. 1 sdhall be in Mumbai for Forum 9 - 14-18th.
9. We have a PHM stall in Forum 9 (run by Prasanna) and also planning
something at IWHM Delhi. Arc you and Hari attending?
Best wishes.
Ravi Narayan
Coordinator
PHM Secretariat (Global)
c/o CHC
No. 359 (old No. 367)
Srinivasa Nilaya. Jakkasandra 1st Main
1st Block. Koramangala
Bangalore - 560 034. India
Tel: 00-91-80-51280009
Fax: 00-91-80-25525372
Email: secretarial@phmovemenl.org
Website: www.phmovement.org
----- Original Message-----From: <prem John@vsnl.net>
To: "Fran Baum" <Fran.Baum@flinders.edu.au>; <aquizhpe@yahoo.com>
Cc: <secretariat@phmovement.org>
9/6/05
Page 1 of 1
<U_1 J
Main Identity
From:
To:
Sent:
<premjohn@vsnl.net>
<secretariat@phmovement.org>
Wednesday, August 24, 2005 8:21 AM
$
Ravi,
22 P'
Just send me the salient points of the so-called Latin American proposal
Warm regards
Prem
<3
Dr.Prem Chandran John
Asian Community Health Action Network/ People's Health Movement
10, 32nd Cross Street, Besant Nagar,
Madras 600 090 , India
Tel:+91-44-2491 9890 Fax:+91-44-2821 6705
Mobile:+91-98410 08001
El Movimiento Mundial por la Salud de los Pueblos demanda jSalud para Todos y Todas!
HEALTH FOR ALL NOW!
As
c«j
•$S
e>
c
H-&
xj
8/26/05
/A.
?lc.
£f.chcJ[
t/
—
Page 1 of 1
Main Identity
From:
To:
Sent:
Subject:
<premjohn@vsnl.net>
<secretariat@phmovement.org >
Monday, September 26, 2005 9:33 PM
Ravi
Dear Ravi,
1 will arrive by Brindavan and take a taxi. May be in office by, say, 3 pm or so.
I will also come to office 28th by 10 a.m. or so and be there till work is finished.
Prem
•5?
•7
9/27/05
- Media
RF_COM_12_N_1_SUDHA.pdf
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