IPHC
Item
- Title
- IPHC
- extracted text
-
PHM _18_FG_5_SUDHA
‘a..a -s’l? •- ZwAga wpw;@caoior;et.ccm.n!>
Serrs-ianat <phmsec@touchteiindia.nep
- R’~' >?”'• ■ '■
<aaiH~hoe^vahooxcni>
-iC rep
.
^■ners . '-j .ooc
R-V’ a.-id PRASANNA
■
•
sy.doc; £
a
X
X
Damerica HNALdoc; Fina Latin American
Dear RaM and Prasanna,
Recently I nave received the following communications from you for the Steering Group
24 June
^7 June'
pD June for Funding Group only
4 July
! have a proposal regarding the answering ox ail the questions that you are posing.
' think your effort is tremendous, but you must give us sufficient time to try and answer everything. Most
people in ’.he PHM are full time workers and have many responsabilities to carry out.
We n~ve serious limitations in that my colleagues in Central America do NOT understand English. We
cannot expect Hugo to have all this translated as that is impossible. So Hugo and I have agreed to do
some /;o.rk together on these questionaires when I am in Guatemala for a series of meetings. We are
celeb rati ;g the 25ih Anniversary of ASECSA, the Guatemalan Association of Community Health
Programs . .exi week. Margarita will also be there and we will be working on the annual plan of the
Regional Committee for the Promotion of Community Health. Ail of this is related to both the IPHC work
and the PHM work in our region.
i am copying this to Arturo as I am sure he is also overloaded. My proposal is that between Arturo, Hugo
and myself, with the help of Margarita we respond to these questions as we DO work as a region. Arturo
and Margarita are both focal persons for IPHC and we are also developing our plan for the year.
"am very concerned that Brazil is NOT on the list as having a Country facilitator. Sr. Ani Wihbey has
written to you about her work and if you check the Million Signature Campaign you will see results of her
work. She was indispensable in the WSF process as one of the few persons who could speak
Portuguese. ; am sending you a report she has done for IPHC which in her case is PHM. Please take
this in;o account and make ii.oart of the Counto/ contacts
Eraz:' is larger than most of the countries in the world. Maybe it should even be considered a region onto
itself.
With regard to the communication of the 26th of June I will send initial corrections on the Appendices in a
separate message.
Several months ago we prepared a Briefing on our Latin American work. This was done in both English
and Spanish and //as sent to Nand for inclusion on the website. It was sent to him in May. It is not yet
postec. So i am sending you both the documents we have prepared. They can be used for the News
Brief and should eventually be posted on web site.
Another issue ! want io raise is about the contribution of IPHC. Please understand that we have an
extreme?/ LrMted budget and under our current grant we have spent considerable resources for PHM
relates v/ork In fact there is often a confusion in terms of identity. Ravi, sometime we need to address
this c-ersonaliy. Just please understand that we are limited and connot begin to cover ail the PHM
activities A'e do nor even have the faintest idea of how we can fund the PHA II We must be much
more active tn discussing and resolving the financial problemas.
"5^1
in
c
of Ce
\merica most or' our long term community based programs in health are currently
suf'c .
'o. . . sc : T ancia! crisis. We are going to discuss this in the meeting in Guatemala. We do
3. th;?.; ail crcccs vsurvive. European funders are phasing out in Latin America and US sources are
airy•?$•.: -poss^ie to access because of-conditionalities. They are working actively against progressive
groves and ciscrediting many of tne leaders of these groups. My own collegue ana cofounder of CISAS
Nicaragua is being attacked continuously by the rightwing and there is an ugly campaign against her
re
to our pos tions on women's sexual and reproductive rights.
’• herefore I ce.'ieve it is very important that our website and other communication means be developed
fully in order that our PHMcan grow and flourish without having to be event driven all the time.
i-inaliy,
. wii. try’ to get back to you v/ith our responses by the end of the month when I return from Guatemala and
the meetings.
turo, please advise me as to your comments about this present communication.
I?
-• I • :
TE? ■
-
U5
s ■ RI1 17 2« 3
Decern A
* ’: > V't A: hcs been
the move in Brasil, especially in Maranhao
rvcegm:. .d
Be pccrcst suu in Be coutajv. The slow sur, gave birth to the movement
ome rea< tggrassr
s in Rio de anew
■• S.vBc " A: -.rr.-a, t\ hlo • rro.-so and Rio G -andc do SuJ.
dch hi
-A
. .-• v.
••' e; •?. s
curing me past six months are ;js. follows.
c y cs ; The Charter, •
2
2CK-G copies of Voices,
2-5 ' a? v.w: Che Cd -b;d Campaign 1 eailo’ with insert ofthe- Signature Campaign,
. -.. .vcs •?: '.lie Aima-,-\
*.
.a L>eclaroLon <jid
re trans atedinto-P
?fesot
- IS_ I,'.;-...
c
shop
.
PILM members hovolunt jerlheir
s
te-Sbw
CciK... ihc ’ 1 .’A 10 .. .
. .
.. .
.. .. S-vce i Ase in Alcan:
c-yrd;-?3ie.
og
rifttedand many will be
ust ee
.A Q
.
J unrig mar; he-; vA v \esi.; .n d we ndr-cd to organize and
nmunities^ with organized grassroot
irter, signing t] Signature
. gn,pai
inpu c
-i:;d inarches .br I 'eace. } AGm iGghts u-ic agiinst . -asr
*.
s invasion of Iraq.
....
•
' 1 ■;v.ner.t id .k Appi.t.'.> ‘ open /
AAn :A nev :_..-.\n'.cvc.;r
r’res-dent Lua.
P
r •.•<-•■.■ menu are not under ’ susA.ciorT
:\'rmcr;\ 'i nus we have much more hope
■ /
gr ■' lb. <TT 7\: : ■ .
iv/io g. ■:r
•
md the PHI L again with v<
g the
iior who ; irrniv su.pp «->• os \\ ?ih her Cabinet ami Awirtaior
nv/e a woman i
dating
ling
. ...
.
itive
rjiu
ibjectiv
plans etc I va
.■• ■ . . vic quesu mu g In ii kepi us Acond ok r, A hour’ mixmnaiw indu■'-.xv
:
..
'
/....... ?_ Sp...... b-Knci
■. . lie: m.
...
.
. .
■-.•
. •
.. v-ss \
juldgi full domin
othemo
al f Latin A
.. a- K.b.Ji’-.-.r-.g for /.va.-.' io hear that •..•.! coAsteri pn Asts a-.-d the 1 • Asigivi’wes of
r <• rwC-MW
■>.' i!k LrasdiaF. ‘ engress lc- p- .si neve voting times on the Aaco-j
irted by the
: Brasi
ts < rental
..
v
g-'v vr’wwm y. mid A in auihonw.
ecidec
.
■
■? • - , . - -assure
rhe Xew Pres, Aen: as well as the Ministers of Science and
. •*■
..y .J ’ / e:gn .’
•. j -hr •■■.ncr-\i was; xnplctdv removed Aom (Angren.
• .;vc..:.
sc uggA / v i Mba wAi M people A Akanura since
return irom
'4 3 - ' ■ ' '' 2
■
A
<r-u
■ : Mmyicsc was uisu’buial m Mnugucse spewing oanicipanis.
•
evide
iglishsp kin grot
e
i
i
Whik
j
...
s. Int
i
r
-copi
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quite
mador, m
.
•
get ler
W ?: A-: flags w ih -.lie Ago and air cry cgubsld LCA/cTAA) it is
:u:y : -g cur
m
i
ir.
iterest .
was carrier
«
he
xuntri
• rn jwmo-i ' \- are i’ni-'cd by so many equal rrohk-ms and e borts.
-i a A • ■ w<X-S l\ PO.’Vi (> Al'.oGXL. bK/\SiL
i
*
PHC/PH
4 Brasil along wit
...
•••ha;Ae WsicTiArues give/, by
sk
resp
dl'NO
.
r the J
...........
s co-coord
ant
cr-!.- counuic-.
365 i
ter
wh
eluded ’
juages and the log
s
n the front
•
ie s
ibe
^recognized
. .
i ,w •■-.•r
Central A
si
nen
l
. . ?jy n . 1C? | j 'jj-j sm tionc
IC/PIIX
s.
^C1p
emovemen
.
signihcarit material w;i> on .J-sp.riv luid used ri the marches.
‘.u.cr iransidicc inlc ?> ■■‘.ugdjs^ n. Sfn Luis, ?.Ai-aiAo.
':r'./.i
.• A7r ' IM; A.cJ
/. ... ■•. t-J. a <• ?
:.s
assisted in inc worK^iop cn Alcbnara and li.e d-AJoiLi
■..
r Movement froi
.• ... •: .I.../
s
; t andga
timon
‘ rael
u.-. 1. .A .vUCu. '. . ihc C L '. i. 1C1 Cif.. <S< .dv J
stir
A
'.'-1 Jr.isdA w rich n•y..\- ihe -.•poor vnit'. to share wnb him that our A-A ■ in. \ i;mnhA b-.o
vr •;. -. Ad '. A commiii. c ’• Lb. Ac People eflA'csline He suppens our e.-.Gvemcni md
t
5 base-, we lost no time
. ■ ••-..!!'? i1 ieu aif r j v A a lew oihergroups :he - co 15 initrnaimrW recce .\iarci:.
y..:.. : :
.:j .;-.
• :JkcA:A. Pfr.f
-sked L'give icslii-aGwy ;>• .me
g:.
me r.. cuk-.< and its impsc; i he . ’cave L A -;i I iuixireus marcuc;.
*
Marc
d the first t
n Ap
i
viun
d ’igh
i- ■ ••!• •’>■-.'• •
■-■:?'• -nt -'it! ;ci acin ities o Hie ie<rr .-rwt V' c accepicd ail fn\'ii>tlions md
ir: A
jmAh .--'iLh '.iv Al A vc g Ligc g:ry s.
•_e < Cv.c: -d k mwersm. i i AvL\ \ ()cpa;\.ncni oi Musing.
i
Worker •
I’T. St-de group.
Vida
-\
‘
in’bb
elders
udienct
":<-s x-.. ;: h'X r c\er\ .x\ pr .'gram.
Vie Sisters of St Pavi I-'o^k Store panel,
S‘.;X :c..?h r
ur 25th
•
reach g
npaign of the Ain
- xvcx.-,-.i.___ Ficvv. .' r .... Jv-.v much kv--w.
■ s-pncf u;,- slips al Lie meetings.
Second hvrauons h we corn
*-?
from the Radio $•??.;on asking vo know more about the
•hi..'.• ..x .x-'. f. •! ..k GV \ and me sisters of St. ?vJ.
3
■ ■■..• . ....... imny
for their second
is’the
.
ithe
Po^odaOn
:omr
;-.?t ler: ... Fti.m' ‘.-.•■xiers electrkitv w?.ter surpiy. tmnspnriation
nd
i? i
’ .
br evening cl
. and demand of • er hen'th rights
:ssv._.-- o'
-dcr-tiar? the sii or? on ?-••. quite deferent wi’b mrh iry dnmir-.mon over the people.
tng ocas :•.•• c-.v; n-cui
••..w.>. v. -ituv ic.vne and
&c
. .
Jase
.
. .
■
Ik ten-.
ew mile
. .
n
'! itc\ were moved
1, still “ '' ■.
■ . •
d income f<
lai
)Qls. health
o-<'hk.vs have mev'oed r.:v ;
s r.. pc. <. ■ ..v ra;d onhs milduy
’.. ;..■ ng v ii.r oiner coganizalkns naxr vo tic- a ommittee lor the Defense of
. .7an
*.va
CM’ n
- •■
cusi dn e iucing iearahd organ
ng for the <
sal
rig •
c signed >.;ur •' imp?, vi• ’• w :-vi so.- v•'‘ regt’:.ing • ■ ■; vr ■ izc :i v the
F. osZcio f lor.gci vro'
commun'dcs ip.the1 nt- ror
-skmd :'Sso Lisvasvdi <:s •••’■>hgrv?s in
everal pa
ire pan cipat g in the movement, especiall
e
...
.. is
;U.CA.
.-. vice. r;eaee and l-viiif uv ail is like finding Pieces i.oi >■ cc-inpicx puzzk. With ccir
. .c.i-' v.hv.i v to
uur miii.aiils v. ilh
nn
?ntn ‘ow.
.•. -.
V.'- w. S'-’D
v hear; and deeper k\ c dial \. iii
F’.'o.t :
To:
Co:
Sent:
Stmject:
/ Secre^riat -^pr msec@touciKeiinaia.netMaria Hamlin Zuniga <iphc@cablenet.com.ni>
Qasem Qhowchury. Dr <gk@citechco net>: Prem John <hariprem@eth.net>; Oile NordbergDHT-Sv. scAn <o!le nordberg@dhf irj.se>- Mario. ’’amlin Zuniga-CISAS/IPHC-Nicaragua
<iohc@cisa.s.o-gm>; Dr Prem Chandran John -p-emjohn@vsnl.net-; Andy Rutherford
<aru::he fc: d@crewcridaction.org>; ba la <baia@haiap.org>
Thursday, ^une ' 2, 2003 3:02 PM
-imdmg
Greetings -~?m Peome's -teaith Movement Secretariat (Global) atCHC. Bangalore!
-'-e reimbursement sheet given to L nni. We have just finishing the compilation and will send
aterthis week
t it in IPHO as rece
* got we message from Thelma but was awaiting me direct communication from you as well
working on the log frame and will nave the fust level craft co send out to ail of you next week for
vse pence cf April 2003 to March 2006. Canada international Development Agency has shown
:~terest :■,* PHA - II. Other have evinced interest
once we have a clearer documentation of our
s-or the
re can. approach a wicte
.
i
mor
se;c aie m.Qc. communication fei ows .o v e Qm.mg group as a post Geneva Communication.
.. . j.vncicie, however I fee! that IPHC shousd continue to include PHM inputs into their budgeting and
should use IPHC’s gooc example as symbot and invite the other founding networks and
organizations to do the some so that PHM ir. a coa'it’on, not a new bureaucracy and can be supported
: .• ? ' them without having to raise all the resources itself.
’
2
■■
4
5
Bes t ‘>sres:
Rav. Narayan
Deo.w. £.w.\ PeopiDs Health Movement Secretanatfglooal)
CHC-Bangalore
h-A7 -Sr-w/as? AHaycJ
Jakh?dm ".st Main ' B'cck Korsmangal?
Bangs io»560034
._c:- .Heai-./: for cii, iJCvV" campaign in ine 25th anni'.uwsj.y year of the Alma Ata
u-<w...-w. .is.: wwwj^
PHM Secretariat
Frcn.:
To'
Co:
Sent:
Subject
;.v 3 Hamlin Zuniga <<phc@cabienet.com. ni>
PHtVl Secretariat < phmsec@touchteiindia.net>
Andy Rutherford <arutherford@onewor!daction.org>
Wednesday, June 11 2003 12:00 PM
R,.v;
\v w
• S. S<
*.. S I •\Dt’rT;h RElxC 'E. Si OP ir.;-.. \v.AR AND THE OCX.’UP A1 ION!
)!■
DecKa\ ’.
if 1 • rec
■■■
in Geneva.
m to Ore- Worid -Wkor'?
i
.
sheettha
■
. :
,\uwW- Wiiv. TL'NIDING
: 'W Thelma shared our conversation ?n Holland. Ar the WHA I did
. .
.
iji ...
.
.
.
.
. . ....
the project applications for this fading period have closed. In. other words
tin Apri
A ipplicati
Id be
riscal year beginning in fipril 2005. She also said that funds have been
reduced and tilings are very difficult given that a new government is about
ic- W WiG hi Holland.
I ns
This
hi funds also affects die D.i.dn NGOs such as (Wrd.ikh
>o,l
t Bna
:
eriousconsi
HM se cret iri
j
1
d with respect to
d any otlu m
tv\ i i
diffic ult ituation
the Wai year of the present project face an external evaluaion. and must
ite a
project pn
.
v
Iwa^
th
?HC will
CGVvV expenses, particularly in I.aiin /America. I have Hie same concern
about T:hA:for the PUA H. Wo did noi make any ccmc-ou? :onumimeris in
Gu on AoVv to do the fund raising.
Any sonimeoA?
Regards.
via; A.
6/WP3
l-Ay.e 2 of 2
.
.. 1 < i ...
Secretariat
cttt"--,.—
L''c‘;';
’o:
Sent:
ouc.cCk.
"—3___________ ______
•" ‘ •■• Sec:e;a:..c. -ph.Tsec@touchielindia.net>
•dana Hamlin Zuniga <iphc@cao»enet com.ni■
v './•••■''
ne@ych.co.com>; Huge leu Peren <asecsa@intelnet.net.ct>:
•TC'v!epa!;s@ad oonv
Aoaday, A /14 2003 2:32 PM
,\-.•; u:k. PRASAIWA
3e?'.-t na.
Move
•
’
taria
:eass,.
.wen PhM resource persons / steering group members like you rake seriously the
co ??; ■? cecis'on making strategy we are T'/no to facilitate.
■-
•
-■
^ 's; .• do take yo».y time answering the questions We really appreciate the collective
■Jecsicr making ethos in yoio region Keen u. up
suggest c:: scout Gr. in as Zraz.i
.;as been entered .p.to the lis:. if you nave
•- orners »ri any of :ne other coam^es. sene . nose as well. Even if they are just contact
,‘ts for the time being and not elected focal points, it is okay.
..
v:s language probkT ;s coo.b.Tjing :o be a ser.ous obstacle for cross-regidfiai anc
- 'wzcages - English, rrenc~ Span.sh or Portuguese, so that we car. bridge the
.xOr. j.ne. ~ranoopnene .„r.u Lau'.".
s.cricar. Civioe some uay.
~.JfO nas beer' in touch about the meeting ?n Cuenca and Quito We are exploring
W? -r Un -« nnd Satya can attend.
the t
ing on Latin
can v.
* I
= n John for N
.
•■W shall post •: on the website as soon as me uploading responsibility is transferred io us.
Andrew nad informed us that Nand was going to upload till 15th June. Then transfer
•-sponsnwW wAi ii-Si.■-actions o ^rasanna. But there is a delay in >hrs. Perhaps he is busy
the eva'uat:or report
:
w;:
iGe^tity we shou-c definitely discuss tnis.as soon as possible, i £-eiie-w
;
.
•
.■ ■
■
■
■
.\r... ."or
,.?!1; >.£Ve {0 sse a:; tnat wa do as aiso :'HA keeping ou: creative dive s:t>
a;'C ''Siory. but sicw
*subsuming io a larger collectivity, 'v'/e are aireaciv oo ng that anc
■PHC ha§ 2 gC0C' t'ack recorc However the Global financial cris’s affected by increasing
. .
se
active. Ht
a
r
•
s m 2( e ar
1 credit y and
< men *e
*
d.
I c
at small amounts f
lore th
has
•
' -
. ;w£se Lureaucwcy and acAririiStrative costs). Hov/we a-a going io And Heaitn Fcw.m
• h - - -y or PhA - J is a mysiery to me as well. But somehow, I rave an unborn bed
(oeAaps unrealiAio; AA •■/e shall ger there somehow:
alb
)
ia\ 2
he
culated the
.
s
commuweadon - in) Kindiy continue the dialogue with Armando and also ir-wuae Anuc
..co. Am an:« g;V2 us scne mofe clarity about °HA - !’• We can be realistic abou;
..
lose who have done so
■K
.................
■
be perhaps s
. .
r
-
■ .•
c
ore representative samp r
=
*1;
b some
- —
■ ■
nd f
sc
2 .
.
Uf
•
trateg
■■
'
rk
. - -- -
' • ■ ...
•
■
eno of Jilv
Best . shes
T’J
• ••••••
Cog-lAmoic’s Scnkh Movement Secrciariatfglobal)
~367 ’ lAkvvasa ?xiL>a ‘
1 Block R;r;rmi?:'v.iva
,c" ..
..;.
..,. \c
v,
*
• -<S«}^•’ in
J5ih
yrjr o\ ihc Alma .Ata
----- 0"’
Message.... ’ ‘■■aria Hamlin Zuniga
■ • • AHa* Secretariat
■ cSIUBO-QUIZHPE
• Ser:: "Acrsdav, July 10, 2003 847 PM
■ Subject: RAVI and PRASANNA
Dear Ravi and Prasanna,
Recently I have received the following communications from you for the Steering Group
24 June,
27 June,
30 June for Funding Group only
i 4 July
j have a proposal regarding the answering of all the questions that you are posing.
: think your effort is tremendous, but you must give us sufficient time to try and answer everything. Most
A people in the PHM are full time workers and have many responsabilities to carry out.
. We have serious limitations in that my colleagues in Central America do NOT understand English, We
cannot expect Hugo to have all this translated as that is impossible. So Hugo and I have agreed to do
some work together on these questionaires when I am in Guatemala for a series of meetings. We are
’ celebrating the 25th Anniversary of ASECSA, the Guatemalan Association of Community Health
■ Programs next week. Margarita will also be there and we will be working on the annual plan of the
! Regional Committee for the Promotion of Community Health. All of this is related to both the IPHC
. work and the PHM work in our region.
I am copying this to Arturo as I am sure he is also overloaded. My proposal is that between Arturo,
Hugo and myself, with the help of Margarita we respond to these questions as we DO work as a
i region. Arturo and Margarita are both focai persons for IPHC and we are also developing our plan for
i the year.
• ; am very concerned that Brazil is NOT on th© list as having q Country facilitator. Sr. Ani Wihboy ha®
• written to you about her work and if you check the Million Signature Campaign you will see results of
work She was indispensable In the WSF process as one of the few persons who could speak
Portuguese, i am sending you a report she has done for IPHC which in her case is PHM. Please take
t?..s into account and make it part of the Country contacts.
■ Brazil is larger than most of the countries in the world. Maybe it should even be considered a region
‘ onto itself
Secrete at
s
3
chtelrnidi.a.n ?
Zun.ga RphcY; cac-lener.com ni>
st C": 2003 6:0^ PM
/.
R :
ESPC
$ES
C T
OOM
* SI 111
£JU\ ?gs as well to help you with. the fo-’lcm —
;
’ • s air. Pre
*s presence here tivs .-/eek '-'as good. We got some further. clarity on the 3;r?T£1 ancj on
/ /-j- Hea-f-* “omm as v ?... Am t is woddr.g on an update thatwHI
< •-:: ’’‘ciLenta’v '■' s Ca-no-: ■
..? s >-ct
in touch. Can .-•e at least have their
.....
.
.
...
.
.
;.....
.....
• • ■ h--a:ia..«-iami;n zun.-ga
■ ■■
Se.Pfstanart
■
. .
.
■
-
.•
'
np n _ i Pm c
...
■'...'.
' Dear Ravi,
; ■pr.uk you for respening.
Yes, you ray circulate my responses if that is helpful.
. s . c.'. e REPEATEDLY attempted to contact Armando with NO resuits. vVe discussed this fully in
■ Guatemala. Maragarita and i may decide to go to Brazil personally. Arturo is also quite concerned.
■ However give us a couple of weeks on this please.
And o’.esse do NOT circulate this as people will just become upset.
‘ Thanks.
; Mar:a
- -‘ A;- sa;e origins!-----
L . . ..
...i:
32 de jui.o de 2003 13: . o
1.-.a. a n^;r..;n Zun.ga
•- .
Re: RESPONSES - COrYAJNICATIONS l-ZA
^1^
ror responing.
ay circulate my responses if that is helpful.
tact
ss/^p^
....
Maragarita and ; may decide to co to Brazil personally. Arturo is discussed this fully in
also quite concerned.
/e us a couple of weeks on this please.
do NOT circulate this as peooie win iust h
*-'-
k-S^-Cry''
C'-yl 'O-
fa
c<( l7Le. PM-C~1
h-^c^
"Z^
11 .
■
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There v.Ai also oe a v/owshop on Public Private Partnerships with WEMOS and IPHC participation.
; Who else plans to be in Ottawa for the Conference? Please advise.
Maria
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Dear ^c'/• i-ave oeer;
doabouc the proposed PHiVi Steering Group
} meeting
Pom:e.
'PHO hos i?oer. oart of rhe orgac/zation c" PHA and is quite involved in the movement. It seems
■ imooD?-r‘
ks a“ ^e Steering Group ??neeting ;n order to make our positions clear. Also it is imperative
, c'O ( g-m '-"’nc 'O trzive- io Rome
me period of October 20th - 24th if that is the final decision That
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representation from Latin
’kmenca attne proposed meetings in the month of October.
■ ? ?.- • .? ’m porta nt activities in South America that are taking place in Ecudadon as veil as in Argentina.
■" ?n . rmicmanng in the Canaher Society meeting in late October. And hopefully I will be able to go
to .- --hHpwr.cs where I have beer, invited to be or:? of the keynote speakers at the International
. ou o ?e very difficult for Hugo to go to this meeting without Arturo or myself being present, given the
mmwauon issue. Hugo is working oaff
and doing h:~ faster in Public Health Program as well.
:
erica will tecefesarH}
.
asent
.
ts.
'e ?re not clear either about being able to abend the WSF. it seems very doubtful given no information
or resources.
fcr Porta Alegre and the PHA ;i ,-/e are Ending almost impossible to move forward on this.
ws was oroposed in Geneva the dates would be from July 3-7, 2004.
-?• •?
•/ e rove MO indication of ffincr ng, available pcr inis e’/enr. i must make it VERY clear that iPHC
cannot as
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i to communicate with Armando since Geneva, without success; In the meantime in
0^. ww / •’ e icw Hugo, P/orgara anc myself i.avj ;rsi end discusssed the situation. We are planning
amivities. We are in frequent communication vnil; Arturo in Ecuador who is busy with
We are also in regular communication with Ani h
Armando.
Sc. ibis is n bit sobering, but it is our reality
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9/15/03
PrtOf! I
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PHM Secretariat
From:
To:
Cc:
Sent:
Subject:
Maria Hamlin Zuniga <iphc@cablenet.com.ni>
PHM Secretariat <phmsec@touchtelindia.net>; Lanny <vze2x6qm@verizon.net>; Maria
Hamlin Zuniga <maria@iphcglobal.org>
Sarah Shannon <sarahs@hesperian.org>; <abaysema@pn3.vsnl.net.in>; David Sanders
<lmartin@uwc.ac.za>
Friday, September 12, 2003 11:39 AM
RE: Follow Up
iar Ravi,
s, the Latin Amrican delegation has received the communication from
Armando to you. It was only sent to me and I sent it on to the others
immediately.
As I communicated earlier, the Latin American group is planning to meet next
week. We will be discussing both personally and through e mail with Ani who
is now in the US and with Arturo in Ecuador. We will put forward our
considerations about this issue at that time.
Be assured that we have communicated with Armando in the past and we are
awaiting his response to the issues we raised with him. I hope you
understand that.
«
As for the CSIH Conference.
I would like all PHM members to be part of the workshop on the Right to
Health that will take place on Tuesday, October 28th.
Actuality we will have two workshops, one with Jose Utrera from WEMOS on
Public Private Partnerships and then immediately following the Right to
l^^lth activity.
I am unable to follow up on this until after September 19th as I leave for
Guatemala this morning.
Then I will communicate with the others. Lenny and I are already
coordinating.
Thanks,
Maria
----- Mensaje original----De: PHM Secretariat [mailto:phmsec@touchtelindia.netl
Enviado el: viemes, 12 de septiembre de 2003 15:09
Para: Lanny; Maria Hamlin Zuniga
*
CC
Sarah Shannon; abaysema@pn3.vsnl.net. in; David Sanders
Asunto: Follow Up
Dear Lanny and Maria,
Greetings from PHM Secretariat (Global)!
Just two ruick joints of follow up:
p\^'
I PP
Page 1 of 3
Ravi Narayan
From:
To:
Cc:
Sent:
Subject:
UNNIKRISHNAN PV (Dr) <unnikru@yahoo.com>
<IPHCWORLDWIDE@yahoogroups.com>; PHM_Steering_Group_02-03
<PHM_Steering_Group_02-03@yahoogroups.com>
Claudio <aviva@netnam.vn>; AN! <Acwlepalis@aol.com>
Saturday, September 20, 2003 9:33 AM
[PHM_Steering_Group_02-03] Re: [IPHCWORLDWIDE] PAHO 44th Directive Council
Dear Maria
Greetings from Bangkok, Thailand !
Congratulations ! This is an excellent intervention.
^Please mail a copy when your paper/ speech is ready. We could use your speech / paper as the base for a
press release that we could issue simultaneously.
We could also try to get it published in leading journals like Z Mag, IPS etc.
2) Is there a phone number (especially a mobile number) where we can reach you in US ? Please send it to
me so that I can pass it on to some journalist friends in US. We will also alert/ talk to the Inter Press Service
(IPS) regional bureau here in Bangkok . IPS has a good presence in UN building, NY.
3) On the draft resolution:
(a) See resolves- 1(d): consider adding 'research
*
. You may suggest inclusion of 'research' also under
2(a)(b) Need to include complimentary use of non-allopathic systems of medicine (including indigenous
medicine); ie;
reaffiriming their role and strengths
I understand that it is a PAHO/ UN resolution, but these two components are missing in the present draft.
With best wishes and in solidarity
— Original Message
From: "Maria Hamlin Zuniga" <iphc@cablenet.com.ni>
To: "PHM_SteeringJ3roup_02-03" <PHM Steering Grou p 02-03@yahooqrou ps. com>; "Iphcworldwide"
<iphcworldwide@yahoogroups.com>
Cc: "Claudio" <aviva@netnam.vn>; "AN!" <Acwlepalis@aol.com>
Sent: Friday, September 19, 2003 3:13 PM
Subject: [IPHCWORLDWIDE] PAHO 44th Directive Council
WAR KILLS. SO DOES INDIFFERENCE. STOP THE WAR AND THE OCCUPATION!
Dear Colleagues,
I wish to inform ail of you that Dr. Mirta Rosas has invited me to be a
"motivational speaker’for a panel discussion on "Primary Health Care in the
Americas: Lessons learned over 25 years and future challenges". This will
iaKe piace on weanesaay, oepiemoer zwi, zuoo in wasningion, tno.
9/22/03
Page 2 of 3
I am preparing a short paper which I will share with you later. I will take
into account the PHM statement made at the WHA in May. as well as
suggestions that have been made by my Latin American colleagues.
A resolution is being put forward to the Assambly which I will also share
with you. See attachment. We will be asking that it be ratified by the
Ministers of Health of the Americas.
I will communicate the results of this opportunity with all of you after the
event.
Regards,
Maria
Maria Hamlin-Zuniga
international People's Health Council
maria@iphcglobal.org
Member of the People's Health Movement
www.phmovement.org
We invite you to sign on to our Campaign for Health for All Now
www.themillionsignaturecampaign.org
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Page 3 of 3
PHM_steering_Group_02-03-unsuBscri be@yahoogroups.corn
Your use of Yahoo! Groups is subject to the Yahoo! Terms of Service.
9/22/03
Page 1 of2
Ravi Narayan
From:
To:
Sent:
Subject:
Ravi - PHM Secretariat^lobai) <ravi@phmovement.org>
<iphc@cabienet.com.ni>
Monday, September 22, 2003 6:14 PM
Re: [PHM_Steering_Group_02-03] PAHO 44th Directive Council
Dear Maria.
Greetings from PHM Secretariat (Global)!
Very glad io hear that you are attending the "PHC in Americas’' meeting in
Washington. WHO has agreed to call PHM for all the meetings. I have been
invited to Madrid for the first meeting at the end of October (the
^vitation came today). I shall circulate the details and the background
paper to get all your comments. 2 more meetings will be held in Brasilia
(one of you will be nominated to attend) and Alma Aty (one of the European
region PHM resource person wall be nominated).
Look forward to getting your short paper. Unni's idea is good one. In the
resolution item 1(e), please include 'plan, organize, monitor and evaluate'
not only 'participate'
hi item 2(d) and (e), emphasize testimonies and voices of local community
especially indigenous people and opportunity to share not only concerns, but
also their own locally formulated actions. Sr. Ani's work is a good case
study of this.
_________ >
Best wishes.
Ravi Narayan
----- Original Message
From: Maria Hamlin Zuniga <iphc@cablenet.com.ni>
To: PHM_Steering_Group_02-03 <PHM Steering Group 02-03@yahoogroups.com>;
Iphcworldwide <iphcworldwide@yahoogroups. com>
Cc: Claudio <aviva@netnam.vn>: ANI <Acwlepalis@aol.com>
Sent: Friday, September 19, 2003 1:43 PM
Subject: [PHM_Steeiing_Group_02-03] PAHO 44ih Directive Council
> WAR KILLS. SO DOES INDIFFERENCE. STOP THE WAR AND THE OCCUPATION!
> Dear Colleagues,
> I wish to inform all of you that Dr. Mirta Rosas has invited me to be a
>. "mutivataonal
a pnnol dioourjoion on “Primary Uvalih Car
*
in
9/23/03
Ravi Naray an
From:
To:
Cc:
Sent:
Attach:
Subject:
Maria Hamlin Zuniga <iphc@cablenet.com.ni>
PHM_Steering_Group__02-03 <PHM_Steering_Group_02-03@yahoogroups.com >; Iphcworldwide
<iphcworldwide@yahoogroups.com>
Claudio <aviva@netnam.vn>; ANI <Acwlepalis@aol.com>
Friday, September 19, 2003 1:43 PM
Resolution CE132.R5 OPS.doc
[PHM_Steering_Group_02-03] PAHO 44th Directive Council
WAR KULLS. SO DOES INDIFFERENCE. STOP THE WAR AND THE OCCUPATION!
Dear Colleagues.
I wish to inform all of you that Dr. Mirta Rosas has invited me to be a
"motivational speaker“for a panel discussion on "Primary Health Care in the
Americas: Lessons learned over 25 years and future challenges". This will
take place on Wednesday, September 24th, 2003 in Washington, DC.
I am preparing a short paper which I will share with you later. I will take
into account the PHM statement made at the WHA in May, as well as
suggestions that have been made by my Latin American colleagues.
A resolution is being pul forward to the Assambly which I will also share
you. See attachment. We will be asking that it be ratified by the
•wasters of Health of the Americas.
I will communicate the results of this opportunity with all of you after the
event.
Regards.
Maria
Maria Hamlin-Zuniga
International People's Health Council
maria@4phcglobal. org
Member of the People's Health Movement
www.phmovement. org
We invite you to sign on to our Campaign for Health for All Now
www. themillionsignaturecampaign. org
_ ________ ___
Yahoo! Groups Sponsor--------- -'L------------->
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rt
PAN AMERICAN HEALTH ORGANIZATION WORLD HEALTH ORGANIZATION
132nd SESSION OF THE EXECUTIVE COMMITTEE
Washington, D.C., USA, 23-27 June 2003
CD44/9 (Eng.)
Annex
RESOLUTION CE132.R5 PRIMARY HEALTH CARE IN THE AMERICAS
THE 132nd SESSION OF THE EXECUTIVE COMMITTEE, Having seen Document
CE132/13 on primary health care in the Americas; Bearing in mind the lessons learned in
the 25 years since the implementation of primary health care began, as well as the
challenges of its renewal for the future in the Region;
Recognizing the validity of primary care as a general strategy for improving the health of
the population and human development; and Taking note, moreover, of Resolution
WHA56.6, adopted by the World Health Assembly in May 2003,
RESOLVES:
To recommend that the 44th Directing Council adopt a resolution along the following lines:
THE 44th DIRECTING COUNCIL, Having seen Document CD44/9 on primary' health
care in the Americas;
Considering the Declaration of Alma-Ata (1978), as well as Resolutions
CD27.R20 and CD27.R21 on the regional strategies to promote health for all by the year
CE132.R5 (Eng)
2000 (HFA2000) and CD28.R11 on the plan of action for the implementation of the
regional strategies to promote HFA2000; Resolutions CSP21.R12 and CSP21.R20 on the
Regional Plan of Action on HFA2000; Resolutions CD31.R27, CD33.R17, and CD35.R19
on the monitoring and evaluation of the HFA2000 strategies; and Resolutions CD39.R4 and
CD40.R11 on renewal of the call for HFA and the health for all strategies;
Observing the impact of a changing environment on primary health care in the Americas;
and
Acknowledging the efforts of the countries of the Region to put policies and programs on
primary care at the center of their health services systems to meet the goal of health for
all—efforts in which tire State, nongovernmental organizations, and grassroots community
organizations have played a role,
RESOLVES:
1. To request the Member States to:
(a) ensure that the necessary resources are available for primary care and that its
implementation helps to reduce inequalities in health;
(to) tencvv their commitment to ensuring the human resources development required for
primaiy health care in die long term;
(c) boost the potential of primary health care to reorient the health services, fostering the
adoption of a health promotion approach;
(d) promote the maintenance and strengthening of information and surveillance systems in
primary health care;
(e) support local communities to participate actively in primaiy health care.
2. To request the Director to:
(a) take the principles of primaiy health care into account in the activities of all technical
cooperation programs, especially diose related to the attainment of the Millennium
Development Goals;
(b) evaluate the different systems based on primary health care and identify and
disseminate information on best practice with a view to improving application of the
relevant policies;
(c) continue assisting the countries to improve training for health workers in the priority
activities of primaiy health care;
(d) place renewed emphasis on support for locally defined primaiy7 health care models that
are both flexible and adaptable;
CE132.R5 (Eng)
(e) promote and organize a celebration with activities devoted to underscoring throughout
the Region the importance of the 25 years of experience with primaiy health care in the
Americas. Tins would be a year-long process involving discussions, national
commemorations, subregional forums, regional activities, etc.;
(f) organize a regional consultation for the definition of future strategic and programmatic
orientations in primaiy7 health care.
Page 1 of 2
Ravi Narayan
From:
To:
Cc:
Sent:
Attach:
Subject:
Maria Hamlin Zuniga <iphc@cablenet.com.ni>
Claudio <aviva@netnam.vn>; PHM_Steering_Group_02-03 <PHM_Steering_Group_0203@yahoogroups.com>; Iphcworldwide <iphcworldwide@yahoogroups.com>
Sarah Shannon <sarahs@hesperian.org>; Lanny <vze2x6qm@verizon.net>; Armando
<armandon@portoweb.com.br>
Tuesday, September 23, 2003 8:14 AM
Letter for IPHC-PHM English.doc, carta PHM-IPHC Espahol.doc
[PHM_Steering_Group_02-03] Letter from Latin American group to IPHC and PHM
WAR KILLS. SO DOES INDIFFERENCE. STOP THE WAR AND THE OCCUPATION!
Air friends.
Please find the letter which our small Latin .American group has prepared for
IPHC colleagues and the PHM Steering Group.
We hope that this letter will stimulate the discussion. It is sent to all
of you in a spirit of constructive criticism.
There is a Spanish version and an English version.
>From now on all our communications will be prepared taking into account
these two languages. These translations will be the responsibility of the
IPHC Global Coordination office. We hope this will help communications.
Cheers,
Maria
Estimad@s colegas,
Estamos enviando la carta elaborada por nuestro pequeno grupo
latinoamericano para IPHC y el grupo coordinador del Movimiento de Salud de
los Pueblos.
Esperamos estimular la discusion. Estamos enviandola a Uds en un espiritu
de critica constmctiva.
Flay una version en espanol y otra en ingles.
Desde ahora nuestras comunicaciones estaran preparadas en estas dos idiomas.
La Oficina de Coordination de IPHC cumplira con esta responsabilidad. Asi
esperamos facilitar la comunication.
Saludos,
Maria
M r J- P k c
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9/24/03
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9/24/03
o.
September 17, 2003
Cliimaltenango. Guatemala
Members of the
PHM Coordinating Committee
IPHC Colleagues
■pear Colleagues:
We send you warm solidarity greetings on behalf of the Latin American Group along with our
best wishes for success in your struggle for people and the Right to Health.
We are writing to present our reflections to you about what has occurred around the planning of
the Second World People’s Health Assembly, slated for next July in Brazil.
Due to the way that information has been handled, both in terms of content as well as the use of
channels, we are concerned about the following:
1.
The misunderstandings that arise from the entire communication process for the
discussion are due to the fact that we are communicating in a number of different languages,
among people that belong to different member organizations or structures connected with IPHC
and'or PHM.
B.
There should be a framework for resolving communications problems within the
organizations and/or regions themselves, unless they require the support of others.
3.
The problem that occurred is not simply a problem of translation; ra ther it is a
conununications problem both within the decision-making process as well as in working methods
and styles, where, from our perspective, there should be overall respect for collective decisions.
4.
The idea of developing a Second World People’s Health Assembly emerged in Porto
Alegre, after the Second Forum on the Defense of People’s Health. The proposal was made in a
bilateral meeting between representatives of the IPHC and the PHM, with Armando Di Negri. In
addition, the members of the PHM Coordinating Committee were consulted and the proposal was
later accepted.
5.
Hie representatives of the IPHC and of the PHM present in Porto Alegre recognized the
feasibility of the proposal given the political support of the Municipal Government of Porto
uegre and its indisputable experience tn organizing the World Social Fofuin. And, ai the request
of .Armando. we adjusted die date (July 2004) so that the event would not be affected by the
electoral agenda.
6.
After the decision was made, there was no follow-up communication between January
and May, until contact was again made al the Geneva meeting, at which point the viability of the
event continued to be analyzed and was ratified in a collective consultation with IPHC and PHM.
/.
In Geneva, issues were defined, the dates of the event were ratified, and two commissions
were elected: one commission to connect the Mumbai Forum and the Second WPHA and another
to put die Assembly in Porto Alegre into place, composed of die Latin American Group.
8.
The LA Group agreement was to communicate on an ongoing basis and to meet in July in
Guatemala during the National ASECSA Assembly to further the commitments that had been
made; however, it was difficult once again to communicate with Armando, and he did not
participate in the Guatemala event.
9.
The glowing concern caused us to send a letter to Armando, requesting, in writing, the
commitment from Porto Alegre and the need to postpone the event. To date, we have still not
received a response, not as a group or to the concerns expressed. A letter was also sent to Ravi,
jor the PHM Secretariat, explaining the content of the letter to Armando and making our proposal
To postpone the event in Porto Alegre.
10.
Surprisingly and very efficiently, communication was established between Armando and
Ravi, and the LA Group, without having received a response to the letter we sent, only received a
copy of the communication between these two.
11.
Hie LA Group is composed of persons and organizations with many years of working
together, and we are in constant communication, as our interest continues to be the struggle for
people’s health. It is in this spirit that we make the following proposals:
0
IN THE SHORT TERM
1.
We demand respect for the Latin /American Group in the internal discussion on the
operational aspects of the preparation for the Second WPHA.
2.
We maintain our interest in holding the Second WPHA in Latin America, either in Brazil
hr in Ecuador.
3.
We recommend postponing the event to enable the various regions to complete their
preparatory work.
4.
We will allow one month for Porto Alegre to provide a written commitment regarding
auditoriums, lodging, internal transportation.
5.
We are also requesting the same written proposal and commitment from Ecuador.
6.
4 he content framework proposed in Geneva should be maintained.
O
IN THE MEDIUM AND LONG TERM
1.
Initiate a discussion on strategies to strengthen the IPHC and PHM at the regional and
Establish clear mechanisms for communication and relationship between each network
and its members as well as between the networks themselves (IPHC and PHM).
A, . Define policy and logistical criteria for the development of worldwide events.
4.
Clearly define a flexible and functional organizational structure for action by IPHC and
PHM.
2.
We hope that this letter sen es to advance this process ro globalize the struggle for the defense of
life and we ratify' our commitment to strengthen the movement on the national, regional and
global levels.
Sr. Ani Wihbey,
Dr. Arturo Quizhpe
Dr. Hugo Icu
Margarita Posada
Maria Hamlin Zuniga
Chimaltenango, Guatemala 17de Septiembre del 2003.
Sres.
Comite Coordinador PHM
Compaheros y companeras IPHC
Presente.
Estimados y estimadas companeras:
f^eciban un fraterno y solidario saludo en nombre del Grupo de America Latina y nuestros
Wiejores deseos de exito en su lucha por el Derecho a la Salud de los pueblos.
Por medio de ia presente queremos hacerles Hegar nuestras reflexiones con respecto a los
hechos sucedidos en el marco de la Planificacibn de la Segunda Asamblea Mundial por la
Salud de los Pueblos, prevista para Julio proximo en Brasil.
Por la forma como se ha manejado la informacibn, tanto en terminos de contenido como de
utilization de canales nos preocupa Io siguiente:
1.
2.
3.
A
4.
5.
6.
7.
Los malentendidos que surgen de todo el proceso de comunicacion para la
discusibn, se deben a que nos estamos comunicando en varios idiomas, entre
diferentes personas que pertenecemos a diferentes organismos o estructuras
vincuiadas a IPHC y/o a PHM.
Debe haber un marco de resolution de los problemas de comunicacibn dentro de las
mismas instancias y/o regiones, a menos que los mismos demanden apoyo de otros.
El problema que se ha dado no es de simple traduction, sino mas bien es un
problema de comunicacion tanto en el proceso de toma de decisiones como en los
metodos y estiios de trabajo, en donde, desde nuestro crrterio debe prevalecer el
respeto a las decisiones colectivas.
La idea de desarrollar una II Asamblea Mundial por la Salud de los Pueblos surge en
Porto Alegre, luego de la realization del II Foro por la Defensa de la Salud de los
Pueblos. Propuesta que se hizo en una reunion bilateral entre representantes de
IPHC y PHM, con Armando Di Negri, misma que fue consultada a los miembros del
Comite Coordinador de PHM y posteriormente aceptada.
Desde los representantes de IPHC y de PHM presentes en Porto Alegre, se vio la
factibilidad de hacerla por contar con el respaldo politico del Gobierno Municipal de
Porto Alegre y su indudable experiencia de organization de los Foros Sociales
Mundiales, con respecto de la fecha (Julio 2004) nos adecuamos a solicitud hecha
por Armando para no afectar el evento por la agenda electoral.
Posteriormente a la decision no se tuvo comunicacibn de seguimiento entre Enero y
Mayo, hasta que se toma contacto de nuevo en la reunion de Ginebra, momenta en
el cual se continuaba analizando viable y se ratifies en consulta colectiva con IPHC y
PHM.
En Ginebra se definen temas y se ratifican las fechas para su realizacibn,
eligiendose ademas dos comisiones, una cornision para relacionar el Foro de
Mumbai y la II AMSP y otra para operativizar la Asamblea en Porto Alegre,
conformada por el Grupo de America Latina.
El acuerdo de; Grupo LA, era mantener una comunicacion constante y reunirnos en
Julio en Guatemala en el marco de la Asamblea Nacional de ASECSA para avanzar
en los compromises adquiridos; sin embargo fue una vez mas dificil la comunicacibn
de! Grupo con Armando, quien tampoco participo en el evento de Guatemala.
9. La preocupacion creciente nos motiva ha enviar una carta a Armando, solicitando
por escrito el compromise de Porto Alegre y la necesidad de postergar el evento, sin
que a la fecha se nos haya respondido, ni como grupo, ni a las inquietudes
planteadas. De igual forma se hizo Hegar a Ravi para el Secretariado de PHM,
explicando e! contenido de la carta a Armando y haciendo nuestra propuesta de
posponer el evento en Porto Alegre.
10. Sorprendentemente y de manera muy eficiente se establece una comunicacion entre
Armando y Ravi, donde como Grupo L.A. sin que de ninguno de ellos recibieramos
respuesta de la carta enviada, unicamente recibimos copia de la comunicacion entre
elios dos.
11. El Grupo de AL somos organizaciones historicas y nos mantenemos en constante
comunicacion, por Io que nuestro interns seguirb siendo la lucha por la salud de los
pueblos. Y con ese espiritu hacemos las siguientes propuestas:
K 8.
*
> EN EL CORTO PLAZO
1.
2.
3.
4.
5.
6.
Demandamos respeto al grupo de America Latina en la discusion interna sobre los
aspectos operatives preparatories de la il AMSP
Mantenemos nuestro interns de que la II AMSP se desarrolle en America latina,
pudiendo hacer en Brasil o Ecuador.
Posponer la fecha para garantizar todo el trabajo previo en las diferentes regiones.
Damos un mes de piazo para tener por escrito el compromise en Porto Alegre,
respeto de Auditories, Hospedaje, transporte interno.
De igual forma estamos solicitando e! propuesta y compromise por escrito de
Ecuador.
Que se mantenga el marco de contenidos propuestas en Ginebra.
EN EL MEDIANO Y LARGO PLAZO
1.
2.
3.
4.
iniciar una discusion sobre las estrategias de fortalecimiento de IPHC y PHM a nivel
de las regiones y a nivel mundial.
Establecer mecanismos claros de comunicacibn y formas de relacionarse entre cada
red y sus miembros, asi como entre ellas. (IPHC y PHM).
Definir criterios politicos y logisticos para el desarrollo de eventos mundiales
Definir con claridad una estructura organizativa flexible y funcional al accionar de
IPHC y PHM.
Esperamos que la presente carta sirva para avanzar en este proceso de construccion por
globalizar la lucha por la defensa de la vida y ratificamos nuestro compromise de
fortalecer el movimiento a nivel nacional, regional y mundial.
Sr. Ani Whibey
Dr. Arturo Quizphe
Dr. Hugo leu
Margarita Posada
Maria Hamlin Zuniga
Page 1 of 1
PHM Secretariat
To:
Cc:
Sent:
Attach:
Subject:
Mara Hamiin Zuniga <iphc@cablenetcom.ni>
Ciauaio <aviva@netnam.vn>; iphcworldwide <iphcworldwide@yahoogroups.com>
PHM Secretariat <phmsec@touchtelindia.net>; PHM_Steering_Group_02-03
<PHM_Steering__Group_02-03@yahoogroups.com>
Monday, October 03, 2003 5:04 PM
PAHO PAPER FINAL VER. 29 sep..doc
PAHO Documents
WAR KILLS. SO DOES INDIFFERENCE. STOP THE WAR AND THE OCCUPATION!
Dear friends and colleagues,
Attached please find the presentation which I made at the Roundtable
discussion on Primary Health Care at the recent PAHO 44th Directive Council
meeting in Washngton, D.C.
I held up sending this in order to be able to inform you of the final
disposition of the plenary with respect to the Executive Board resolution of
PHC. I have been unable to secure the final document. I will send it when
it becomes available.
This document is also available in Spanish and is being posted to the
REDLATINOAMERICANASALUD.
If any one wishes to have the Spanish version please inform me and I will
send it to you.
According to our contacts at PAHO this presentation was well received,
especially because it brings up issues not usually discussed by the health
tasters.
Health to All
Maria
10,7/03
PRESENTATION FOR THE PAHO ROUND TABLE ON PRIMARY HEALTH
CARE IN THE- AMERICAS
44th DIRECTING COUNCIL, 24 SEPTEMBER, 2003
WASHINGTON, D.C.
Presenter, Maria Hamlin Zuniga, MPH
Global Coordinator, International People’s Health Council
Steering Group of the People's Health Movement
On behalf of the International People's Health Council and the People's Health
Movement, we wish to thank Dr. Mirta Roses, Director of the Pan American Health
Organization, for the opportunity to participate on this found table.
In December, 2CC0 a People’s Health Assembly was held at GK, Savar, Bangladesh
involving 1,500 representatives of citizens and peoples organizations from around the
world who met to share their stories, especially of their experiences in community based
health programs of Primary7 health care and to discuss the reasons why there was not
Health for Ml by the year 2000. A People's Health Charter was developed, building on
the principles of universal and comprehensive primary healthcare envisioned in the
1978 Alma Ata Declaration.
The Charter makes clear the Vision of the People's Health Movement.
Equity, ecologically-sustainable development and peace are at the heart of our vision
of a better world- a world in which a healthy life for all is a reality; a world that
respects, appreciates and celebrates all life and diversity; a world that enables the
flowering ofpeople's talents and abilities to enrich each other; a world in which
people's voices guide the decisions that shape our lives.
Since December 2000 the People’s Health Movement has grown and extended to many
localities in countries throughout of the world. In national and international forums, we
have made our position clear that Primary Health Care and Health For All are relevant
to the problems facing our communities, our countries, and our world today Our
concept of Primary Health Care is integral and is based on social justice, participatory7
democracy and an intersectorial approach tc problem solving.
The People’s Health Movement believes in the principle of HEALTH AS A HUMAN
RIGHT
Health is a reflection of a society's commitment to equity andjustice. Health and
human rights should prevail over economic and political concerns.
At the People’s Health Assembly, many people shared their testimonies, their direct
experiences of health and health related problems. One person from Central America
staled:
"Illness and. death every day anger us. Not because there are people who get sick or
because there are people who die. We are angry because many illnesses and deaths
have their roots in the economic and social policies that are imposed on us."
1
What is the reality of our continent? What are the major concerns of the People’s
Health Movement with regard to our continent?
In Latin America, the gap between the rich and the poor is greater than in any other
region of the world. And that gap is growing. According to the Economic Commission
for Latin America and the Caribbean (ECLAC), progress toward overcoming poverty
has ground to a halt in the last five years. Living conditions remain without significant
change.
The concentration of wealth by a few means that the actual numbers of poor people is
greater everywhere in our region, even in the richer countries. More women than men
live in poverty, despite the fact that women have more years of schooling. Secondary'
poverty of women in male headed households is not even mentioned in the statistics,
when it has been documented that those women and their children frequently suffer
bigger deprivation than women and children from households headed by women, even
with their with lower income
The document prepared by PAHO (CD44/9 English) does mention the inequities
between countries and within countries, (sec.22). However, it does not mention the
unipolar world economic order and the macroeconomic policies set forth by the richest
and powerful countries and the International Financial Institutions and their impact on
the health of our people.
There is an enormous contradiction between the Millennium Development Goals put
forth by the United Nations and the conditionalities placed on countries to meet the
demands of the World Bank and the International Monetary Fund. This is also the case
with the bilateral and regional Free Trade Agreements and the regulations of the World
Trade Organization.
Health care reform, in many of our countries, is synonymous with the increasing
privatization of health services and the contracting out of services within the public
health system. While those who are wealthy have the opportunity to access health care,
the distribution of risks is immensely greater for the poor.
Even though there are opportunities to develop Country Poverty Reduction Strategies,
there is very little participation of the Ministries of Health, and much less of social
movements and the poor themselves in the elaboration and implementation, the
monitoring and evaluating poverty reduction strategies of poverty reduction strategies.
Many PRSP's become just another paper exercise with many macroeconomic
conditionalities and little effect on poverty reduction where debt payments take
precedence over everything, affecting any substantial investments in the social sectors.
Interestingly enough, the same World Bank in its very recently released (Sunday Sept.
21st) 2004 World Development Report ’’Making Services Work for Poor People"
recognizes various important issues that civil society' and social movements have been
stressing for years:
1. Basic sendees are failing poor people
2. There is no such thing as "one size fits all" recipe to readdress this issue, and
privatization is not always the solution, nor increasing public expenditures
alone.
3.
Social accountability and citizens control and participation are key to make
things better.
With the implementation of the CAFTAand the FTAAmany basic public services
including health services and water will be open to privatization by foreign, particularly
transnational companies, outside of the regulations of national governments. We must
not permit this to happen, as it will have a devastating effect on the lives and the health
of our citizens.
Public policies have failed and unemployment is increasing everywhere, resulting in
more poverty and even death. Young people increasingly resort to violence, which in
many cases is a direct result of unemployment, the lack of opportunities and
hopelessness. Unfortunately, rather than deal with violence as a public health problem,
as recommended by the World Health Organization, many countries are increasingly
using repressive measures.
Rather than invest in social programs, limited national budgets are being used for
upgrading police and defense departments to fight against delinquency, therefore
engendering even more violence. At the same time, with the new approach to terrorism.
money is being diverted from poverty reduction to the “Antiterrorism Crusade" to
control frontiers, elaborate new types of passports and documents, and design ‘’more
control on laundering of money" that could finance terrorism, although we have not
seen the effect of these measures in problems as sensitive as drug trafficking or
corruption.
Or even worse, money has been diverted from national budgets to send members of the
armed forces from Nicaragua, Honduras, El Salvador and Dominican Republic to Iraq.
They are expected to risk their lives in a multinational force occupying another country
in the defense of an increasingly unpopular coalition.
Agricultural production is decreasing to alarming degrees. This has resulted in wide
spread hunger in many countries and many deaths, especially in children, due to severe
malnutrition. Trade policies and liberated markets are destroying the agricultural
economies, even in terms of subsistence farming. The introduction of genetically
modified seeds and food products is also a concern of our people.
Migration has become the only alternative for hundreds of thousands of out citizens
whose labor results in the remittances sent back to the families in their native counties,
but also in having their basic human rights violate in the countries where they work and
family disintegration and its consequences back home. These have become, in somecases. the most important product in the national economics.
The Millennium Development Goals, just like the Health For All goal, are not possible
if these situations and contradictions persist and if the market continues to dominate
public policies for development.
And certainly, we cannot talk about the Millennium Development Goals or the Goal of
Health for All if we allow medicines to be included in the CAFTA or FTAA as
commodities and subject to market rules as if there were no lives depending on the
availability and the prices of those medicines.
3
CHAl.^nNUES FOR THE FUTURE.
< d -- • agrees wuh i-.x; !<) in the renewed commitment to Primary Health Care and
rieaA: f. -r .All. ’■ his is the demand our movement has been making to the World Health
Organization. Rather than health in the hands of bankers and economists, we want
health in the hands of the people and in the interest of the majority, who happen to be
poor. We want PAHO to accompany us in this renewal.
A e believe that a major issue to be considered is that of participation and empowerment
of the poor in health decisions at all levels. Unless rhe poor have the opportunity to
participate and to empower themselves to take an active role in the decisions which
at feet them, there is no way any health initiative will succeed in terms of equity,
effectiveness and sustainability.
This includes the recognition of the practices and experiences of the people themselves
and a reaffirmation of their role and their strengths. As a result of their exclusion, the
poor use self-medication and alternative therapies. These alternatives, known as
popular. natural, traditional or indigenous are legitimate and should be recognized as
complementary to allopathic systems.
Specifically, the PHM supports Resolution CE132.R5
We ask for the inclusion of the People's Health Movement, of non-governmental
organizations and social movements in the processes proposed in the Resolution.
Together with PAHO. we could develop institutional mechanisms to involve civil
society in the distinct levels of discussion and proposals, not just at the local level.
We invite PAHO and the health ministers of our countries to participate in the activities
we are planning related to Primary Health Care and the renewed goal of Health for All.
We urge PAHO to establish a strong commitment in the national offices to maintain an
open and permanent dialogue with civil movements and civil society organizations as
well talking to our governments. It is now widely recognized that the UN and other
multilateral institutions have as a constituency not only national governments but also
the people. And PAHO should move in this direction. This will create a productive
collaboration to address the roots of poverty, inequity and injustice in our region.
We propose that PAHO lake a more belligerent position with respect to the broader
determinants of health and the problems we have identified. It should be possible for us
- PAHO and the People’s Health Movement - to develop a strategic alliance to make
the Health For All and the Millennium Development Goals a reality in the Americas.
THANKS to all.
REFERENCES AVAILABLE ON INTERNET
http: /Avww.phmovement. org/
http: //www.phmovement. org/pubs/mdex.html
ht tp: //www.phmovement. org/pubs/index.htmlffCharter
http: //www.phmovement. org/voi ces/unheard.htm 1
http://www.eclac.cl/
http://www.eclac.cl/publicaciones/DesarrolloSociaI/9/LCG2209PI/PSI 2003 Summary.
pdf
Join the "Health for a". NOW campaign in the 25th anniversary year of the Alma Ata
Declaration visit ww.TheMillionSiqnatureCampaiqn.org
CONTACTS
PEOPLE'S HEALTH MOVEMENT
Dr. Ravi Narayan
Coordinator, People's Health Movement Secretariat (global)
•CHC-Bangalore
#367 “Srinivasa Nilaya"
Jakkasandra 1st Main. I Block Koramangaia
Bangaiore-060034 India
Maria Hamlin Zuniga
International People's Health Council
Apartado #6152
Managua, Nicaragua
Tel. yFax: 505-2662225
info@iphcgl obal .org
www. i ph cgloba 1. org
Page J of 2
Ravi Narayag
From:
To:
Sent:
Subject:
K Bala <kbala12@yahoo.com>
< P H M__Steer i n g_G ro u p__02-03@ ya h oog rou ps. com >
Tuesday. October 07. 2003 11:52 AM
Re: [PHM_Steering_Group_02-03] PAHO Documents
Dear Maria,
1 enjoyed reading your veiy comprehensive presentation
to PAHO.
I always wonder how you find the rime to travel,
prepare veiy informative papers and present them. God
bless you. Best wishes. Bala
— Maria HamlinZuniga Mphc@cablenet.com.ni - wrote:
THE OCCUPATION!
- Dear friends and colleagues,
> Attached please find the presentation which I made
> at the Roundtable
■ discussion on Primary Health Care at the recent PAHO
- 44th Directive Council
> meeting in Washngton, D.C.
- I held up sending this in order to be able ;o inform
> you of the final
> disposition of the plenary with respect to the
> Executive Board resolution of
> PMC. I have been unable to secure the final
^locument. I will send it when
> it becomes available.
> This document is also available in Spanish and is
> being posted to the
> REDLATINOANffiRlCANASAJ^UD.
- If any one wishes to have the Spanish version please
> inform me and 1 will
> send it to you.
> According to our contacts al PAHO this presentation
> was well received,
> especially because it brings up issues not usually
> discussed by the health
> ministers.
10/6/03
Ravi Narayan
-...-> . ---------------- ------------------------------------------ ------------------------------------------------------------------------------------------------------------------------------------------------------------------
err-
From:
Maria Hamlin Zuniga <iphc@cablenet.com.ni>
To:
PHM_J>teering_Group__02-03 <PHM_Steering_Group__02-03@yahoogroups.com>; iphcworldwide
Sent:
Attach:
Subject
< i ph cworldwide@ ya h oog rou ps. com>
Friday, October 10, 2003 8:49 PM
cd44-r6-e.pdf.pdf
[PHM_Steering__Group_02-03] PAHO resolution on PHC
WAR KILLS. SO DOES INDIFFERENCE. STOP THE WAR AND THE OCCUPATION!
Friends.
fere is the final version of the PAHO resolution on Primary Health Care for
tout information.
Maria Hamlin-Zuniga
International People's Health Council
maria@iphcglobal. org
.Member of the People's Health Movement
www. phmovement. org
We invite you io sign on to our Campaign for Health for All Now
www. themillionsignaturecampaign. org
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Join‘.ho . <,.... :c: a i. AC J/ cz • _..:.-. ... . s 2c Ji anniversary year of the Alma Ata
Page 1 oi 2
cecij:OmC. . >..-,•. t \>w,The\;HJipnS.gnaiufeCampaignx)rg
r; ;M Secretariat
From:
To:
Co:
Sent:
Subject:
PHM Secretariat <phmsec@touchtelindia.net>
Mana Hamim Zuniga <maria@iphcgiooai.org>
Andy Rutherford <arutherford@oneworldaction.org >; Olle Nordberg-DHF-Sweden
<c:!e.nordberg@dhf.uu.se>- <premjohn9141@hotmail.com >
Tuesday, October 14, 2003 6:33 PM
Follow Up
Dear Maria
Greetings from PHM Secretariat (Global)!
Zafru.’lah and I are just back from Teheran after a very useful planning visit. A report from Dr. Barzgar and a
communication from me secretariat was dispatched yesterday (13th October 2003). This is just to respond to
some of your recent mail and other matters.
Your presentation, at the Round Table Discussion on Primary Health Care at PAHO is very well
done. Thanks for presenting the concerns from the People’s Charter for Health, so well It will be
very helpful for my input in the Primary Health Care meeting organized by WHO in Madrid at the
end of this month. I have aiso received seme relevant inputs from Bala. Claudio and Prof. D.
Banerji
ii.
I was glad to find that the Canadian conference (CSIH) has a strong PHM contingent - you,
David Sanders. Lanny, Abhay, Jose and also at least three important workshops. I am sure it will
go we" and I hope the PHM Canada circle will be supported as well.
’ notice you will be in Amsterdam on 20th October By any chance would you be able to visit
London on 22nd / 23rd October, enroute to Rome? As a recent development, Oile, Andy, Prem
and . as members of a funding group will meet at Methodist international Center (MIC - near
Euston, where we had Andrews Evaluation meeting in April) to finalize the draft of the 3-year
plan and PHM Log frame. Bala ana Qasem as members of the funding group will not be able to
join, i had send an earlier tentative communication but you did not respond and at that time, my
visit to London was also not sure. You will al! receive the draft plan by email scon. With your
rather complicated travel programme, if you are not able to join - its also okay, since we shali
meet in Rome between 24- - 26tn October and i can discuss the plan father with you, Mwajuma
and Sunil. It will be a sort of extended funding group meeting. In London, we hope to drawn on
the wisdom and experience of Pam. Andrew and Mike as well.
Just in case you are not able to join, would it be possible for you to indicate very tentatively
what is the time schedule you propose for PHA - li in Brazil or Ecuador and in terms of process
support what sort of grants for the region for planning and organizing would be helpful? What
would be a minimum to be added to the PHM budget excluding the actual event? If this is difficult
•n the lime available, we can also work on it together in Rome and add it to the exercise.
v.
When are you reaching Rome and how? When are you leaving Rome? I shall be in London on
22nd / 23rd October (MIC), then reach Rome on 24th afternoon and leave Rome on 26th late
evening, since the WHO meeting in Madrid is on 27tn - 29th October 2003.
Hope ycu have got your isa. Mine is still being processed. The Italian Embassy gives a lot of
problem to South Asians of late.
Regarding the Award Acceptance Speech. I shall forward to you and Mwajuma the
draft of the acceptance speech shortly. You both will have to plan messages of 10 minutds eagrm
from Latin America and Africa to supplement the presentation, bringing greetings and thanks
] 0/14 03
Page 2 of 2
mom your reg ons and also sharing the concerns, challenges and what PHM is doing in the
rec-ion
: -e
-c
'~s : -V’iacto' went web' Looking forward to hearing more about st from you
xmn and Satya. Was any further clarity evolved about PHA - il?
Fina’eres lots to discuss with you about PHM I IPHC / PHA - ii / WSF - IHF / Iran
Conference smce ;n_: nave such a good collective PHM process in your region and I think PHM
must be ?b’e to draw on this expertise, enthusiasm and grassroots experience, transcending
language and other barriers.
Locking fcmvard to the opportunity of a discussion in Rome (London?)
Best v.-isnes.
Ravi Narayan
Coordinator. People's Health Movement Secretariat(global)
Or C-Bangalore
i>r.n;vasa i
cakxasandra 1st ;V,ain. i Block Koramangaia
Bangalore-560034
Jem the ’ Hea.itn for ail NOW" campaign in the 25th anniversary year of the Alma Ata
dec-cmt on •. ;s:‘ \w.v/. Th e M i 11 io n Sig natu reCa m pa ig n. org
1044/03
Prw. I nt
. .
i .........
From:
To:
Cc:
Sent:
Subject:
...
PHM Secretariat <phmsec@touchtelindia.net>
Maria Hamlin Zuniga <iphc@cabienet.com.ni>
Mwajuma S. Masaiganah <masaigana@africaonline.co.tz>
Saturday, October 13. 2003 1:18 PM
Re u. Response to Follow up ietter
Dear Maria
Greetings from PHM Secretariat (Global)!
fcaw your letter of October 15“\ Could reply only today, since I had to go unexpectedly to Mumbai
or R
d Madrid, after some moments of stress and anxiety.
Sony to hear ihat you Mil not join us in London. Will catch up with ail the matters in Rome. Thanks
for a copy of the ’Acceptance speech1 from Latin America. Mine, on behalf of PHM and Asia is
being fon.varded separately. Haven't seen Mwajuma’s speech as yet!
Iran government is quite confident about rhe visa for all US citizens, including if necessary on
arrival. Please send the list of details requested at the earliest. Our programmes in the last 2’Weeks
have been hectic, but I nope we can find time to discuss it all at Rome in spite of a rather
interesting Aagenda
Pam and Mike are attending rhe London meeting, but Andrew is unfortunately not able to do so.
See you in Rome on the 24ih
Best wishes.
kRavi Narayan
Coordinator, People’s Health Movement Secret ana ((global)
CI IC-Bangalore
#367 "SHnivasa Nilaya”
Jckka sandra 1st Main, I Block Koramangala
Banga lore-560034
J Tn ihe "Health for all, NOW” campaign in the 25111 anniversary year of the Alma Ata
deMifuik'u Th www.TTieAIillionSignatureCampaign.org
— urigicsi Message —
: Maria Hamlin Zuniga
To: PHM Secretariat
Sent: Wednesday, October 15s 2003 8:17 AM
Subject: In Response tc Fellow up letter
Dear Ravi,
Thank you for this follow up letter. I am in the midst of an intensive external evaluation process for the
IPHC at the moment.
And Friday I will be leaving on a 3 and 1/2 week trip so you can imagine the amount of stress. The trip
covers Holland, Italy, Canada and the Philippines!
; 1. Yes, the paper was well received at PAHO. I hope it will be useful for you.
I.'YIS
7':'.'^ Secretariat
To:
Sen
ou eject:
4c> taw
Ham^n Zuniga ■;;iphc@caDienet.com.ni>
PHM Secretariat <phrnsec@touchielindia.net>
Wednesday, October 15 2003 8:17 AM
PRESENTATIONFOR THE AIFO AWARDS.doc
In Response to Follow up letter
Dear Ravi,
Thank you for this follow up letter. I am in the midst of an intensive external evaluation process for the IPHC
kt the moment
And Friday I will be leaving on a 3 and 1/2 week trip so you can imagine the amount of stress. The trip
covers Holland, Italy, Canada and the Philippines!
1. Yes, the paper was well received at PAHO. I hope it will be useful for you.
2. ; have sent a communication to you and the others yesterday regarding the CCIH and the PHM circle in
Canada. We must let the Canadians make their decisions in their own process. That there is not a facilitator
identified does not mean they are not active. They need to find a way to share it with the PHM. I will be
following up on this with the others and am urging Lanny to make contacts as he gets there earlier than I do.
3. I am in Amsterdam from the 18th until the morning of the 23rd when I go to Rome. I explained in my letter
yesterday that I will not be able to go to London as I will be busy in Wemos all day on the 20th and then am
with the Dutch evaluation team on the 21st and 22.
See my ietter of Tuesday 14 October 6:59 am.
4. You will receive a report from the special sessions being held with IPHC and PHM in Cuenca after the
event I expect a report by the 20th from Arturo with the conclusions of the sessions.
5. I arrive Rome via Amsterdam at noon on the 23rd. I leave Rome very early on the 27th flying to
Amsterdam and on to Ottawa. I do not require a visa for Italy.
6. Acceptance speech. I received a letter from AIFO on 22 September requesting that I prepare a 10 minute
speech on the PHM objectives in Central and South America. I prepared the speech and sent it for
translation on 13 October. The final part is to include the conclusions from the Cuenca meeting which I must
bend for translation by October 20th.
i have attached the paper so you can see it. It will probably be cut back before I present it at the AIFO
conference. We can discuss that in Rome.
7. I am not in Cuenca but in Managua with one of the evaluation team. We finish tomorrow morning and I
leave on Friday for Europe.
The meeting is going well and we will have a good report as I mentioned above. There will be an attempt
toward clarity on PHA II.
8. Indeed there is a great deal to discuss in Rome. I just hope we will have sufficient time.
./£_
/(j2.
fa-
9. IRAN: 1 must have an answer about the visa BEFORE I purchase my ticket for Iran. Please advise. It is
very late for making trips because of the December holiday season. I must take care of this no later than
next week.
Good luck in London, i hope that Pam, Mike and Andrew will be present.
6^7
Regards,
Maria
fl/r=a
—Mensaje original
De:
Secretariat [rna'lto:phmsec@touchte!india.net]
Er.viado el: martes, 14 de octubre de 2003 15:07
Para: Hana riamhn Zuniga
CC: A-.nc
As uh to
^-^5
di'
*r
tsxxl'
n ■
Pagina 1
10/16/03
-;a \ for the ajfo awards
THE PEO’T l”S HEALTH MOVEMENT IN LATIN AMERICA
<'n
o< ihe PRM m America we wish to thank AJFO for this award. This is really a tremendous
-“.'.Merge Or < -;i of us in die Americas to continue our struggle for the right to health and health
seivic?s f
•• e:?p]e throughout the region.
Historica IBackgrouiid
For cv,.r fcr;y years groups and organizations in Latin America have been active tn promoting ihe
imary Health Care and the concept of Health for All Somet 'the nitial
id the promotion of community health through the
luvoivemeih ui community based health workers were in our region of the world.. Since rhe mid
sixties these programs were providing health care as part of integrated community development
rir
■
. ■
.
Ifd
'
wh<
• ■
he Directoi
in ‘Central .America such non governmental programs came together' to establish the CRPSC in 1975.
tiiree ye?
*,
s before the Alma Ala Conference and the Declaration of HFA. These programs were based
i xtof
ity develoj
integrated approach allowed for meeting ihe needs of indigenous communities in ihe region »hat were
neglected or ignored by ihe official government programs m most of our countries.
» level
.
America
f distances
1
u. commuitieatioii there was nut ihe same kind of network development as that of Central America.
In South America however, the Base Christian Communities were active in pastoral work in health
c .'"-? in their communities. Other churches followed that lead mid were also instrumental in
stimulating PHC concepts in South .America.
M-. st of ihu.se programs had little acceptance from the governments in die regions, given that in the
“•fs and even in the 80’s many countries in Latin America were governed by military dictatorships
thcJ ww e adverse to citizen’s initiatives, looking upon them ss subversive.
’. i;e uwih is that during ihe decade of ihe 70's and Sv's hundreds of community based health workers
were detained, assassinated or disappeared as a result of their work in the promotion of community
.
'the
nscienti
■
.
.
>f
' ■
They were much more than health workers, they were actirists committed to social justice and to
peace.
During ’he decade of the 90's. with e Oorts at bringing about an end to conflict, there was recognition
of fw Aipsrtance of and the conU ibuticr. that bad been made by cuvununily health programs.
egai
> dialog
ke into accoi
in p
ting foi
decentralization of Health services.
The process of the PHA
During the period leading up to the PHA many local and national events v, ere held in Latin America.
fhe purpose of these events was to analyze and question the reasons for die failure to reach to goal of
HFA.. This exercise resulted in many testimonies, stories, and also declarations, which were shared at
the PI !A and have been published for use in the region.
Delegates were selected to represent the region at the PH A. This was quite an achievement given ihe
distances, languages. cultures and financial restraints that existed. Twenty nine representatives from
eleven Latir American countries participated in fhe PHA ' Especially important was the participation
f• ’mxms in rhe delegation. Cuba is the only country in the .Americas where IIFA is a reality.
12
Hamlin Zuniga
Pagina 2
nabou -
w
■ . :
erncys heifr’h
ties that are rhe envy of developed
4
:
-
i group an
bi
h-speaking delegate
- set up an hiierne; ■>; serve which is called REDLATlNQAbJERIC’ANASALUD. Today
serve ;:<•-< •< ? ->
z ••: I-, irkials mid groups to maintain communication and share
•. be ;.? y - •. ?r>: eii•, ,ni seventeen countries on that list serve.
. 'le r
s Chare -hr i ieakh has become a basic tool for creating awareness and for making
demands revved health. sendees. basic public services such as water, and to demands that violence
■rd
:'fr owe w car regiru. The Charter has been distributed widely in English, Spanish and in
Portuguese.
The X tevemerir iw.s grown throughout Latin America with leadership in Central America from the
RCPCH :.sd m Souil- America with the work being carried out in Brazil, Ecuador and Argentina,
v. hici: is having .in rmpac: on neighboring countries as well.
r.sveciA.v no; a vie is the work being done by the University ofCuenca in Ecuador where Forums on
rbm across the ret
widi
analyze die
rn of health and propose concrete v. ays of moving forward as a movement.
1 were •> a re^j-er ■•'vbiiemion of a grassroots bulletin Red de redes' which is produced in Argentina
. •
thprogr
■
' ■' ■ Paraguayan
iguay
’ teccmly el: excellent bookie I on the experiences of Pt 1X1 delegates a the W< rid Social Forum 2003
.as d.:'.■
Challenges faced by the PIIM
The unipolar vxrld economic order and the iitecrcecoiiouite policies set forth by Lite richest and
Dvwernil cs -miu -es and the International;Financial institutions arc having a devastating unpact on the
hen-m of-'ur people.
j. Aan America, die gap between the rich and the poor is greater ’han M any otliei region of the
A .-..nd .:io‘ gap- is glowing- According .'o me Economic i ommission for Ludn America ana the
Cjiiobeor ■. EC! -AU ) progress toward overcoming poverty has ground to a halt in ihe las! five years.
’ :wi:g cemiA?ns remain without significant change.
ho conccviiikion of weaiih. by a lew means thal ihe actual number of poor people is greater
e'/er.where m cur region, even in the richer countries. More women than men live m poverty, despite
vomen
school
scondar poverty
households is nor even mentioned in die statistics, when it has been documented tha: diose women
.mJ Meir clmdrcn frequently sufiA bigger bepriwiimn than women unci ciiLidrcii twin households
headed by women, even with their with, lower income
ervic
c ntracting out of service
he pi
leal
While
arc wea-iiny have the op-porruiur\ io access health care, the distribution of risks is iaLtnenseiy greater
for the poor.
of me greatest challenges lacing the PI:M in La’Jn America is the Free Trade /Agreements wliich
< ir counuics are mygAiaiing vid; die USA. Wirl; the implementation of the CAf-'i A Centrai
. 'j.i'.encan Free I r/de Acreerneul end the !• !'/\A Free Trade Agreement for the •\mericas many basic
• id ’:c sciMce> including iteald: ser.ices and water will be open to privatization by !brwmi.
“A--™
■ so '.".whies ?: poem
10/16/03
P>na 3
you
the regulations of national governments It
A" ’Tans national pharmaceutical companies and places «?ssenliaj. drugs.
' a-;r PXhv •; j f S.?u V. America's Mercosur trade bloc have condemned the FTAA cis a
r. r.<aof la IaLl of •xifehered nec=-liberalism on die entire region ... with a negative impact
' .oc eoViU-.’A..a tine process of integration in the Americas should be based on a continent-
jounthumai
. •
ms”
•
ncip
emei
v
i
■ ■
ese regional trade agreements actually go beyond the WTO and its
v.
regulate trade in both commodities and intellectual property, as well the CiATS
Giohj] Agieeinei’.i on Trade in Services) convention.
The
is v.vv actively to create awareness among the population and decision makers about
Ao ww.heim-ng danger oi these agreements
A.av wvt. . from Gie Forum in Cuenca
IRANSLA iiO\
TO BE SENT OX 20 Of A OBER FOR
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PHM-Secretariat
From:
To:
Cc:
Sent:
Subject:
"Maria Hamlin Zuniga" <maria@iphcglobal.org>
"Iphcworldwide" <iphcworldwide@yahoogroups.com>; "Claudio" <claudio@hcmc.netnam.vn>
"PHM - Secretariat" <secretariat@phmovementorg>; "PHM_Steering_Group_02-03"
<PHM_Steering_Group_02-03@yahoogroups.com>
Friday, August 06, 2004 8:54 PM
FW: Women's Health in a Free Market Economy
---- Original Message----From: notification4-boiinces@thecomerhouse.org.uk
[mailto:notification-l-bounces@thecomerhouse.org.uk] On Behalf Of
notification-l@thecomerhouse.org.uk
Sent: viemes, 06 de agosto de 2004 8:48
To: notification-l@thecomerhouse.org,uk
Subject Women's Health in a Free Market Economy
~ Please circulate to your networks -
"A Decade After Cairo:
Women's Health in a Free Market Economy"
by Sumati Nair and Preeti Kirbat with Sarah Sexton Comer House Briefing no
31 June 2u04 http.7/www. thecomerhouse. org.uk
It is now ten years since the UN held its International Conference on
Population and Development in Cairo. Its Programme of Action was the first
and most comprehensive international policy document to promote the concepts
of reproductive rights and reproductive health.
Its major recommendation - that population programmes should provide
integrated reproductive health services rather than just family planning reflects the organising and lobbying of women's groups.
One decade later, however, some 600,000 women die each year
(95 per cent of them in sub Saharan Africa and Asia) while 18 million are
left disabled or chronically ill because of largely preventable
complications during pregnancy or childbirth. These figures indicate that
many women do not have access to essential and emergency obstetric care, let
alone access to more comprehensive reproductive health services.
Indeed, health services in many countries are in terminal decline. The
underlying conditions that determine women's health and their ability to
make decisions about their childbearing are deteriorating. Fundamentalisms
opposing women's rights are on die rise. And Malthusian flunking is as
ingrained as ever in many development institutions, donor agencies and
government departments.
9
These four trends can be attributed in large measure to the implementation
of neo-liberal economic policies over the past two decades, first by means
of structural adjustment programmes and more recently by international trade
agreements. Such policies have helped to prevent die more progressive
aspects of the Cairo Programme of Action from being implemented.
More critically, however, the Programme of Action, and the political
organising that accompanied it, did not challenge this neo-liberal framework
sufficiently. ni fact, it endorsee! it m several respects.
8'904
Page 2 of 2
A closer look at the ways in which neo-liberalism has impacted upon women's
reproductive rights may suggest avenues for more fruitful alliances with
other social movements in the future.
Comer House Briefing 31, "A Decade After Cairo: Women's Health in a Free
Market Economy" is now on the Comer House website,
www.thecomerhouse.org.uk, in html and PDF formats.
Please contact us enqiiiries@tliecomerhouse.org. uk if you would like a
printed paper copy or to receive an electronic copy directly rather than via
the website.
best regards
Sarah Sexton/Lany Lohmann/Nicholas HildyardThe Corner House
http://www. thecomerhouse. org ,uk
The Comer House notification mailing list http://www. thecomerhouse.org.uk
To edit subscription details or unsubscribe, visit
http://mailman-new.greennetorg.uk/mailman/listinfo/notification-l
To unsubscribe from this list via email, send a blank email to:
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8/9/04
- Media
PHM _18_FG_5_SUDHA.pdf
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