PHM GHW
Item
- Title
- PHM GHW
- extracted text
-
PHM _23_A_GHW_1_SUDHA
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PHM Secretariat <secretariat@phmovementorg>
<ghw@hst.org.za>
Tuesday, March 02, 2004 5:37 PM
Re: [ghw] Comments from Paula Braveman
Dear Patricia,
Greetings from PHM Secretariat (Global)!
As I have been reading some of the comments, I am begining to feel we are reinventing the wheel. A
group of us in the late 1990s began a process to look at the concept of a Global Health Watch. It started
as an offshoot of a WHO dialogue with NGOs and the NGO Forum for Health coordinated the
process. There were several small meetings, a study of all the current watches and then an extensive
dialogue in India organized by CHC and in other parts of the world.
Eric Ram of NGO Forum (eric_ram@wvi.org) coordinated all this as a NGO Forum project, produced
a small organge booklet on the idea, but because it proved to be an initiative requiring lot of technical
competence and access to datev the NGO forum gave up. But we can build on it. I shall try and send
you hard copies of all that we have through Amibon this. Soft copies for circulation can be traced from
the NGO Forum for Health in Geneva. Eric has moved on but perhaps Manoj Kurien of WCC
(mku@wcc-coe.org) or Ann Lindsay (roger.cashmore@cern.ch) may be able to track the soft copies. The
clarity between a process of watching and the role of alternative reports will emerge if we also link into
this historical process and dialogue.
Best wishes,
Ravi Narayan
Coordinator, People’s Health Movement Secretariat(global)
CHC-Bangalore
#367 ’’Srinivasa Nilaya”
Jakkasandra 1st Main, I Block Koramangala
Bangalore-560034
Tel: 00 91 (0) 80 51280009 (Direct) Fax: 00 91 (0) 80 25525372
Website: www.phmovement.org
Join the ’’Health for all, NOW!’’ campaign in the 25th anniversary year of the Alma Ata
declaration visit www.TheMilhonSignatureCampaign.org
3/3/04
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Patricia Morton <patriciamorton@medact.org>
GHW mailing list <ghw@hst.org.za>
Monday, March 01, 2004 4:04 PM
[ghw] Comments from Paula Braveman
Dear All
A few comments re ideas for GHW being circulated:
General comments:
This is a ver/ exciting and important effort. But I think it needs to come through better exactly what the Watch
is. The name makes it sound like an ongoing monitoring and advocacy effort. But then the description
sounds like a book. And a good book takes more than 2 years to generate.
I think it would be more valuable to propose a monitoring + advocacy effort. And to use the monitoring data
to stimulate debate/discussion about policy implications. So the Watch would include support for a series of
forums to do that. Then people could publish the dense analytic pieces (which I think are crucial) as
separate articles in journals. Maybe the Watch could summarize and translate for the public one analytic
paper per issue. But to do that with several analytic papers strikes me as creating something so dense that
only academics will want it.
Approximate size of the report 100,000 words is 200 pages and this seems very long. Does this need to be
the case? Fewer people will download it from the web and/or pick up a copy if it is so long.
Chapters and structure of the report My reaction to the list of topics is that this is a book, not a report. If the
point is advocacy, I don’t think what’s needed is more dense analytic writings. What is required is very crisp,
simply presented evidence with minimal and very clear discussion. It’s the evidence that people need for their
advocacy. They have the theoretical arguments and the generalities. They need timely information with good
examples.
Gender
I would be careful about ’’mainstreaming gender”. Many activists for gender equity have seen being
mainstreamed really means being swept under the rug. If gender is taken seriously there should be a chapter
on it, given the topics for the other chapters. (SIDA has a major focus on gender and people experienced with y
the struggle for gender equity).
-best wishes,
P^ula Braveman
Y
V'
Patricia Morton
Global Health Watch
env ron
Medact
The Grayston Centre
28 Charles Square
London N1 6HT
United Kingdom
T +44 (0) 20 7324 4739
F *44 (0) 20 7324 4734
www.medact.org
Registered Charity 1081097
Company Reg. No. 2267125
// / u?
Jte f'
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PHM Secretariat <secretariat@phmovement.org>
<patriciamorton@medact.org>; <david.mccoy@lshtm.ac.uk>
Tuesday, March 02, 2004 5:43 PM
some clarrifications
Dear Dave and Patricia,
Greetings from PHM Secretariat (Global)!
Please let me know urgently
(a) What are the dates of the GHW meeting, time, venue and other details, since there may be a
possibility to suggest a smaller PHM discussion on other than GHW matters, as follow up to Mumbai
discussion. If possible, also met me know who all have confirmed.
(b) You had mentioned some meetings in South Africa in June 2004, when GHW group may be able to
meet again. Could you send further details of those Equinet and other related meetings - dates and
venues, since I need this urgently for some PHM coordination.
Ravi Narayan
Coordinator, People’s Health Movement Secretariat(global)
CHC-Bangalore
#367 ’’Srinivasa Nilaya"
Jakkasandra 1st Main, I Block Koramangala
B angalore-560034
Tel: 00 91 (0) 80 51280009 (Direct) Fax: 00 91 (0) 80 25525372
Website: www.pihmovement.org
Join the ’’Health for all, NOW!" campaign in the 25th anniversary year of the Alma Ata
declaration visit www.TheMillionSignatureCampaign.org
3/3/04
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PHM Secretariat <secretariat@phmovement.org>
<ctddsf@vsnl.com>; <amit@phmovement.org>
Tuesday, March 02, 2004 3:05 PM
re: Mumbai Declaration & GHW
Dear Amir,
Greetings from PHM Secretariat (Global)!
Total silence since IHF - WSF! I had sent you all the Mumbai Declaration for comments, but no
response. Will send a report on IHF for JSA including accounts etc, through Prasanna, who will attend
Delhi rally and meetings.
Please let me know when you will be leaving for London for GHW meeting. I need to send some papers
through you for Dave McCoy and Patricia. I do not have soft copies, so the material is being
photocopies and will be couriered to you before you leave. You must have been tracking all the dialogue
about GHW and PHM. Hope you have recovered fully from WSF.
Best wishes
Ravi Narayan
Coordinator, People's Health Movement Secretariat(global)
CHC-Ban galore
#367 "Srinivasa Nilaya"
Jakkasandra 1st Main, I Block Koramangala
Bangalore-560034
Tel: 00 91 (0) 80 51280009 (Direct) Fax: 00 91 (0) 80 25525372
Website: www.phmovement.org
Join the "Health for all, NOW!" campaign in the 25th anniversary year of the Alma Ata
declaration visit www.TheMillionSignatureCampaign.org
4
bl’
102 , ^.4 i\<
f
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Patricia Morton <patriciamorton@medact.org>
Dave McCoy <dave.mccoy@haringey.nhs.uk>; <david.mccoy@lshtm.ac.uk>; PHM Secretariat
<secretariat@phmovementorg>
Tuesday, March 02, 2004 7:07 PM
GHW Discussion Listdoc
Re: some clarrifications
Dear Ravi
Information as follows:
a- GHW meeting is on the 18th and 19th March from 9am to 5pm at the Medact office (The Grayston Centre,
28 Charles Square, London N19 3RE- Old Street tube). So far Amit Sengupta, Armando de Negri Filho,
Samer Jabbour, Olle Nordberg, David Sanders, Andy Rutherford, Andy Chetley, David McCoy, Mike and me
from PHM are coming to this meeting. Maybe Marjan and Jose from Wemos also (not confirmed yet).
b- Equinet, ISeQH and GEGA/GHW meetings will be held between the 8 and 15 of June in Durban. GHW
meeting will be over 14 and 15. Dave or Lexi will have to give you more details on these meetings.
Regarding who is on the GHW list- see attached document.
Regards
Patricia
pprt- Pf
S/'Vcm
PPM
Q^/Crf)3/3/04
GHW Discussion List
>>>>>>> abaysema@pn3.vsnl.net.in Abhay Shukla
>>>>>>> lexi@qeqa.orq.za Lexi Bambas
>>>>>>> fran.baum@flnders.edu.au Fran Baum
>>>>>>> pbraye@itea.ucsf.Sdu Paula Braveman
>>>>>>> chetiey.a@healthlink.org.uk Andrew Chetley
>>>>>>> ant@hstprg.za Antoinette Ntuli
>>>>>>> maria@iphcglQbal,org Maria Zuniga
>>>>>>> LMARTlN@uwc.ac.za David Sanders
>>>>>>> David.McCoy@lshtm.ac.uk David McCoy
>>>>>>> glte.nprtberg@dhf.uu.se Olle Nordberg
>>>>>>> phmsec@touchtelindia.net Ravi Narayan
>>>>>>> mikerowspn@medact.org Mike Rowson
>>>>>>> arutherford@oneworida.ction.org Andy Rutherford
Marjan Staffers ctddsf@.vsnl.com - Ami I Sengupta-
sjabbpur@aub.eduJb - Samer Jabbour-
Patriciamorton@medact.org- Patricia Morton
anpandp@hmYiprg.br; armandpn@pprtowebpprn.br - Armando de Negri Filho-
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David McCoy <David.McCoy@lshtm.ac.uk>
<dave.mccoy@haringey.nhs.uk>; <patriciamorton@medact.org>;
<secretariat@ph movement. org>
Tuesday, March 02, 2004 11:27 PM
Re: some clarrifications
Ravi
This is the timetable for the confluence of meetings happening in
Durban.
Equinet writers' workshop: June 5-7
PITAS A/IAPHA (international association of public health associations):
June 6-8
GEGA Research to action course: June 7-9
Equinet meeting: June 8-9 (equity, health and southern africa)
ISEqH conference: June 10-12
GEGA conference: June 13-14
GEGA business (CC) meeting + GHW meeting: June 15-16
GEGA Research to Action Course (2nd presentation): June 15-17
I will be in the medact office together with Mike and Pat on Thursday.
Let us know if you would like to speak by phone!
Dave
3/3/04
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<rene@tarsc.org>
PHM Secretariat <secretariat@phmovement.org>
<lmartin@uwc.ac.za>; <david.mccoy@lshtm.ac.uk>; <masaigana@africaonline.co.tz >
Saturday, March 06, 2004 4:13 PM
Re: Fw: some clarrifications
Hi Ravi and all
Thanks for your email. Im not sure what die LAI-IP or GEGA folks have planned and
they will no doubt gel back to you directly. In the EQUINE!’ conference June 8-9
in Durban we have agreed in our southern African civil society workshop in
November to hold a special session on health civil society and have provided
for a plenaiy report back on that session. That will take forward the planning
for the regional conference on health civil society planned for November 2004
(hosted by our organisations collectively including PHM), and bring the
priorities of health civil society to the wider health equity community. We had
a chance to discuss it a little further with Mwajumah in Dar in Feb and will be
taking forward some planning for it. We have some funds to bring the southern
Africans in lire health civil society planning group together so we will have a
number of the health civil society delegates at the conference. If you are able
to attend we'd be delighted and in the plenary feedback you may be able to give
an input on the global PHM. If you can meet your travel costs we could meet
your local costs for the days of the conference.
Mwajumah and Dave Sanders with whom this southern /east African process is being
planned may comment further. I hope you got the report of the civil society
meeting in November - let me know if not and Hl forward it to you.
Regards!
Rene
3/8/04
3/8/04
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hari_krishna4u <hari_krishna4u@indiatimes.com>
<secretariat@ph movement. org>
<hari_krishna2@rediffrnail.com >
Friday, March 05, 2004 10:10 AM
Re: fare
"hurt krishnaJti" wrote:
Dear Dr. Ravi
I
Kindly find enclosed fares and flight details as per your requirements
1. Routing
Fare valid for 14 days
Valid for 45 days
:-Chennai-Mauritius-Chennai
__ i
:-Rs. 17500 +Tax 1800 on Air Mauritius
Rs.21600 + tax
Flight Operates
:- Every’ Tuesday
2.Routing
:-Mumbai-Nairobi-Mauritius on Kenya Air
Fare
:-Rs.39470 plus taxes Rs.3000 Approximately
Flight Operates
:- Daily
3. Routing
:-Bangalore-Frankfurt-Newyork-Frankfurt-Bangalore
Fare on Lufthansa
Rs.67500 plus taxes Approx re.4.500
Flight Operates
Daily via,Mumbai-Chennai and thrice weekly from BLR
4. Routing
:-Newyork-Quito(ecuador)-Newyork
Fare
:-Rs.29300 Plus taxes Approx is rs.3000
Airline
^Continental Airlines
I
22.0$°
Please Feel Free to call for Further clarifications.
N.Harikrishna
3/8/04
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PHM Secretariat <secretariat@phmovementorg>
<imartin@uwc.ac.za>; <rene@tarsc.org>; <david.mccoy@lshtm.ac.uk>
Friday, March 05, 2004 4:07 PM
Fw: some clarrifications
Dear David, Rene, Dave,
Greetings from PHM Secretariat (Globabl)!
I just saw the interesting confluence of meetings in Durban between 5th and 17th June that Dave sent
me. Are you planning something related to PHM South Africa or PHM Africa? We are all keen about
regional capacitation all. over rest of Africa and the paradox of such strong and relevant capacity in
Southern Africa and the need to explore how it support further evolution of PHM circles in rest of
Africa needs dialogue and strategic planning. Everyone in PHM talks about PHA — III in 2008 / 9 in
Africa, but perhaps we should all be doing something collectively about the mobihzation at country level
first and your networks have probably the widest connections in Africa. If you have any definite ideas I
am willing to mark it into my schedule, perhaps around GEGA conference or around PHASA / IAPHA
conference. To be there, the whole period is too much, but one is tempted to join and leam more from
oil of you and begin to appreciate the nuances of Africa networking. I have been so deeply involved in
South Asia and know about what you are all doing only peripherally. So this may be an opportunity to
share Asian experience, but learn from Southern Africa as well.
Best wishes
Ravi Narayan
Coordinator, People's Health Movement Secretariat(global)
CHC-Bangalore
#367 "Srinivasa Nilaya"
Jakkasandra 1st Main, I Block Koramangala
Bangalore-560034
Tel: 00 91 (0) 80 51280009 (Direct) Fax: 00 91 (0) 80 25525372
Website: www.phmovement.org
Join the "Health for all, NOW!" campaign in the 25th anniversary year of the Alma Ata
declaration visit www.TheMillionSignatureCampaign .
3/5/04
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David McCoy <David.McCoy@lshtm.ac.uk>
<secretariat@phmovej-nent.org >; <rene@tarsc.org>; <lmartin@uwc.ac.za>
Sunday, March 07, 2004 12:34 AM
Re: Fw: some clarrifications
Dear Ravi,
There has been a day and a half set aside during the GEGA meeting for the Global health Watch. Although
organised under the banner of GEGA, this would essentially be a platform jointly for GEGA, Medact and PHM.
Mike Rowson will be there from Medact. And I hope you will be able to be there along with others from PHM.
There is definitely an opportunity of developing southern african involvement in PHM, through the GHW. As you
know we need to PHM to actively support the global health watch and give the watch its legitimacy, but we also
see the watch as a vehicle for developing the PHM networks in different parts of the world.
What we organise and arrange for the June meeting will be discussed at the march meeting in London.
In short, please come to Durban and please arrange to overlap with the GEGA / GHW meeting.
Hope this helps!
keep well
Page. 1 aT I
dave
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David McCoy <David.McCoy@lshtm.ac.uk>
<secretariat@phmovementorg>; <rene@tarsc.org>; <lmartip@uwc.ac.za>
Sunday, March 07, 2004 12:53 AM
Proposal for GEGA org mtg in June 3.3.04.doc
Re: Fw: some clarrifications
See attached for draft programme of GEGA meeting
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!Pir©[p)©sgiO tiw GEGA ©rgjgi!n)DSgittD©oDal]
Jum®
"\~c3se: Strengthen the work of the Alliance through building coalitions and sharing!
^S' ©XPS^wHCSS
Objectives:
1)
Promote the Health Equity Gauge Approach as an effective country-level
strategy for evidence-based, pro-equity change;
2)
Develop the Global Health Watch by expanding a coalition of partners; and
3)
Provide a forum for exchange among those working at the country level.
Desired outcomes:
o a stronger coalition for the GHW
o a defined advocacy focus for the GHW
o Sharing of lessons for promoting equity through the Equity Gauge Strategy
o Presentation of work of possible new Gauges
o strengthened interface between national and international processes and'
health equity in country-ievei work
o Networking between Gauges and NGOs for national/loca! level work and
for regional priorities
iD)®^ ©GD®°
Pro!tn)©fjini«j GEGA ®n<dl GHW: presentation on GEGA, the Equity Gauge Approach,
and what we’re doing; open discussion of GHW (the purpose, focus,
plans), strengthening ties with coalition partners, and defining an
advocacy platform and strategy.
Target ipartoeoipgUDte: GEGA, PHM, MedAct, and national level and international
partners; donors
0®^ ftw©:
Strw.gttenmg MfcraMiwei! ^rom©£o©in) ©ff
full day for meeting of Gauges
and potential Gauges/partners for exchange, networking and planning;
Target jpgiirftDCDjpsioDtt®: current Gauges, potential new Gauges, and similar groups
GHW Steermsj Commita Kteetmgj: (smaller) parallel morning meeting of GHW
partners and key players for planning an advocacy strategy (as
described by Dave)
Tgiirgjoft partfeopjacm: GHW steering committee, donors and key external partners
PROGRAM
Morning
Session 1
Morning
Session 2
Afternoon
-Session 1
Afternoon
Session 2
Day 1
Intro/Welcome/etc; intro
to GEGA, EG Strategy,
what we’re doing;
Day 2
Introduction to the day’s
focus: national level work
Regional discussions on
current pro-equity work
(short presentations by
Gauges and potential
Gauges, partners, grouped
by region)
Exchange panels (paralie!
Overview of GHW
sessions) on these topics:
purpose, focus, and
plans, as well as the
o Breadth vs. depth of
global decisionmaking
equity research for
environment
advocacy
o Building local and
national networks and
alliances
o Working with/within
government
Exchange panel (parallel
Small group (parallel)
discussions on advocacy sessions) on these topics:
and action responses to
o Linking health equity
specific topics within the
to the macroGHW, e.g.:
economic policy
context and PRSPs,
o Health systems
PPIs
o Health financing'
o
Exploring the linkage
o Determinants of
between
ministries of
health
health
and
ministries
o Monitoring needs
of finance
o intersectoral
interventions
Plenary:
Plenary discussion on how
national level work could
short presentation on the feed into the GHW advocacy
role of Civil Society in
campaign and into future
this work (15 minutes);
Watches, and how the
campaign might best support
presentation of small
national level work of
group discussions from
Gauges and partners
previous session;
identification of priority
issues and strategies for
an advocacy campaign
centered on the GHW
(Day 2 Parallel)
Planning
meeting for
GHW advocacy
strategy (ask
GHW
secretariat to
coordinate this)
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David McCoy <David.McCoy@lshtm.ac.uk>
<secretariat@ph movement org>
<abaysema@pn3.vsnl,net.in>; <rene@tarsc.org>; <lmartin@uwc.ac.za>
Tuesday, March 09, 2004 2:05 PM
Re: Fw: some clarrifications
Dear Ravi
It’s a long stretch of meetings and it will be difficult for many people
to spend the whole time there. Basically a PHM input from the global
secretariat would be useful at both the GEGA / GHW and Equinet meetings.
The GEGA / GHW meeting will be to some extent strategic and more global,
and I think the equinet meeting will be more open and regionally
focussed. I would encourage you to try and attend the GEGA / GHW meeting
as much as possible. Rcnc, how crucial wall ravi’s presence be at the
equinet meeting?
Dave
PS. In terms of travel arrangements, these are being coordinated by lexi
and rene as I understand.
PPS. what is the programme for WHA - Geneva? Is there a possibility for
having a time where we can use GHW as a platform?
3/10/04
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PHM Secretariat <secretariat@phmovement.org>
David McCoy <David.McCoy@lshtm.ac.uk>
<lmartin@uwc.ac.za>; <rene@tarsc,org>; <abaysema@pn3.vsnl.net.in>
Tuesday, March 09, 2004 1:15 PM
Re: Fw: some clarifications
Dear Dave,
Greetings from PHM Secretariat (Global)!
Just this morning Abhay called about the same matter, requesting me to keep tlie period ll1^1 to 15th June
for joining the GEGA conference. With PHMs funding position still quite precarious, I will need to
explore some travel support, so if you need to have one report on Global PHM or IHF — WSF and follow
up etc. at any of these events to qualify for travel support, just add it to the programme and confirm at the
earliest.
Its possible that David and Rene and others may meet up at WHA - May 200-4 in Geneva, in which case
we can explore other possibilities of how to use these events to also build PHM networks in the region. I
look forward to getting any suggestions you all have on this. I too shall summarize the situation from the
secretariat.
Best wishes
Ravi Narayan
PS: I just saw Rene’s suggestion about joining the Equinet conference on 8^ / 9tn and making a input on
Global PHM. 8^ to 15^ June seems a long haul. While I think about it, perhaps you all may need to
dialogue what is tlie best time of input if I need to reduce the duration of stay.
Ravi Narayan
Coordinator, People’s Health Movement Secretariat(global)
CHC-Bangalore
#367 "Srinivasa Nilaya"
Jakkasandra 1st Main, I Block Koramangala
Bangalore-560034
r
Tel: 00 91 (0) 80 51280009 (Direct) Fax: 00 91 (0) 80 25525372
Website: www.phmovement.org
Join the "Health for all, NOW!" campaign in the 25th anniversary year of the Alma Ata
declaration visit www.TheMillionSiqnatureCampaiqn.org
EQUINET/ IPHC/PHM / CWGH REGIONAL MEETING OF CIVIL
SOCIETY ORGANISATIONS ON HEALTH
November 26 2003
1. BACKGROUND
~he proposal to hold a southern African meeting on civil society and health was made in
'.ate 2002, to exchange experience and information and strengthen health civil society
networking. The initial discussions held between EQUINET, PHM, 3PHC and CWGH
identified the need for dialogue between civil society to shares evidence and increase
knowledge, awareness and analysis within civil society and health professionals on key
health challenges and on options for policy responses. This took note of the existing
strong civil society responses on issues such as health rights, treatment access,
gicba’isation and health, privatisation, and economic policy and health. In the
background discussions a need was Identified to
o prepare, synthesise and present background documentation by and for civil
society on these and other challenges to health
o review the major civic responses to the challenges
o better understand individual civic platforms and build combined platforms on
common concerns.
o propose a co-ordinating mechanism to enhance ongoing information flow and
analysis and strengthen networking and strategic action
?: was agreed that a planning meeting be held to review with representatives from the
major civil society networks working in health these aims and the approaches to
strengthening health civil society in Africa, particularly southern Africa. The planning
meeting was held on November 26 2003. The programme and delegates are shown in
Appendix 1 and 2 respectively. A background document of the much wider number of
civil society organizations prepared by the hosts indicated the significant number of
organizations working in health, many networked with or known to the participating
organizations in the meeting.
EQUINET, IDRC, Dag Hammerskjold and PHM South Africa contributed Wards the
planning meeting. This report has been prepared by Rene Loewenson, TARSC with
input from Bridget Lloyd PHM (SA).
ChzoE t>©©te^
Nownte ^@©3
©m
Page 2
2. INTRODUCTIONS
The delegates introduced themselves, their organizations and the work they do. The
information is summarized in the Table overleaf:
CMC
©©rosW&oeirocy
Goafe
Southern African
Regional Network
on Equity in Health
(EQUINET)
Researchers, civil society,
professionals, students,
parliamentarians, government,
academic, regional institutions
and networks in the Southern
African region
Ir.ternauona:
Small group of activists
working globally
To advance equity and social justice
in health through production and
exchange of knowledge, shared
analysis, networking, informing policy,
advocacy and support of actions.
Working in all areas of health equity,
especially trade, economic policy and
health, equity in health financing and
health personnel, equity in treatment
access and HiV/AIDS; governance
and community participation in health;
health rights.
Health development taken up during
political struggle
Ftct:tc tctctct
Council (IPHC)
Peoples Health
Movement (PHM)
Civil society and community
based groups, academics,
research and networks of
existing civil society groups
working In health. In South
Africa draws from the history
of NPPHCN and SAHSSO
and now networking wider civil
society organizations (CSCs)
©ff wrt
A global social movement for health
as a people’s alternative to the
intergovernmental WHO. Taking up
health as a human right, equity and
justice. A voice for the unheard and to
make authorities accountable
Advancing Primary Health Care
(PHC), health for all, a million
signature campaign for health for all,
and the People’s Charier for Health
Lobby at World Health Assembly, link
'CT ct'/CT; FtCTCT "CTCTCT.
ct: GF. CTrCT^'CTCTurCT ctuCT'o t?ct
society to take forward the peoples
charter, and specifically addressing
issues of
-Globalisation-GATS, privatization
-Poverty related health issues -eg
water
-HIV/AIDS-equity, health personnel
-Human rights, gender and poverty
Making input to policy issues
Advocacy, networking, informing
CovsG s©©!®^ meeting on heatth
Stovember
Page 3
South African
Municipal Workers
Union (SAMWU)
An affiliate of COSATU in
South Africa. Covers workers
in municipal services. Has 120
000 members. Networks with
other Community Based
Organisations (CBOs) and
Non government organizations
(NGOs)
Anti Privatisation
Forum
(APF/SECC)
Community members, SECC
especially in Soweto South
Africa
Community
Working Group on
Health (CWGH)
Civic organisations (not just
those in health) and
community based
organisations organized
nationally and at district level
in Zimbabwe
Malawi Health
Equity Network
(ATEN)
Networks Community Based
Organisations (CBOs)
academics, professionals,
health professional
associations, trade unions,
health providers, government
representatives, CBOs and
NGOs, nationally in Malawi
Treatment Access
Campaign (TAG)
Activists, Civil society
organisations (CSOs),
communities, more focused in
urban areas of South Africa
but widening to rural areas.
■
. ADA
Network of Nurses
and Midwives
(SANNAM)
SADC countries (14) nurses
(working on AIDS); nurses
associations
CoviB s©©My m@8fcg ©iro Ihss’llto
Nomte 5ms
Advancing the interest of workers
-incomes (living wage)
-resist privatization of services
especially water
-work on public-public partnerships in
water
-watchdog of government
performance
-with TAC/COSATU on treatment
access
Mobilize on rights to electricity, water
Taking up HIV/AIDS
Giving community voice on service
provision
Enhance community participation in
health; Strengthen networking, voice
of communities in health policy
Negotiate with authorities in health,
including parilarnent; DAcguyyA;
health worker organisations
■Join mobilization with trade unions on
workers health; taking up issues of
PHC, drug access, watchdog on
public funds and HIV/AIDS funds
Voice on people’s health, equity
issues. Monitor budgets and
pressure on budgets; Monitoring
Health care, particularly the essential
health care package. Also taking up
issues of health worker training and
retention, HiV/AIDS; trade and health.
Use evidence for policy pressure on
equity, especially sinking to parliament
Pressure for treatment access as part
of TA'
government policy and national
response; Monitoring performance at
primary care level as well as drug
prices; Support building the public
health system; Community treatment
literacy. Have joined inside the
broader coalition for a basic income
grant
Taking HIV/AIDS as a national and
regional concern and supporting the
nursing response to AIDS; Building
nurse capacities and systems for
dealing with AIDS through training;
taking up the issue of brain drain from
Page 4
Fan African
Treatment Access
Movement
(PATAM)
Equity Gauge
Zambia (EGZ) &
the Centre for
Health, Science
and Social
Research
; -ETTTRE)
TAC/COSATU and African
country NGOs working on
AIDS and treatment access; .
African activists on treatment
access
Researchers, civil society,
professionals, students,
parliamentarians, government,
academics, Other NGOs and
CBOs in Zambia.
SEATiNI
Professionals and activists
working with government,
parliament, civil society and
the public
Gender and Trade
Network (GATN)
Researchers, activists,
communities
Clvol! sociieftjf meeting] ©bd teatl®!
2©©3
health services; Government support
to nurses activities on AIDS; Caring
for carers
Care of carers; Strengthen networks
and focus on access to treatment
within the wider environment of health
system and governance issues
To advance equity and social justice
in health through production and
exchange of knowledge, shared
analysis, networking, informing policy,
advocacy and support of actions, esp
with parliament. Work on health
equity, especially economic policy and
health, health financing and health
personnel, in treatment access and
HIV/AIDS; governance and
community participation in health;
health rights. Equity monitoring and
accountability on the health budget
Strengthen African’s position in world
trade by taking up the governance,
social and imperial factors in trade.
Particular current focus on GATS,
TRIPS, Trade impact on water
services and on trade agreements
such as Cotonou, AGOA
Seek to build policy alternatives and
to set a political economy framework
for evaluating differences
Aim to advance gender equity in world
trade and in economic systems. Carry
out research, dialogue, policy
intervention and public literacy on
WTO agreements and the impacts
and alternatives in relation to women;
Promote rights to participate in
decisions on trade and build public
opinion, analysis, literacy and voice
on gender equity in trade. Aim to take
trade in services out of WTO and to
give visibility to the informal economy
Page 5
30 COMMON GOALS AND SCOPE
After hearing from each groups the meeting explored the common nature of the
constituents, goals and scope of their different areas of work.
in terms of
there is a common overlap in the networking of progressive
researchers, academics and professionals with disadvantaged communities, people,
workers, and the civic organizations that represent or service them. The interface
between these 'two groups is generating activism and activists who come from both the
research/ professional and from the worker/ community level The common target of
both is primarily the institutions of the state and government, including parliaments.
While the specific areas of work and advocacy targets differ, the meeting was able to
identify common underlying goals and values informing the work of civil society
organizations in the region.
o
o
o
o
o
We ail aim for various forms of equity and justice and to realize the right to
health
We all seek to bring power to the people and to strengthen people’s voice in
decision making at various levels. CSOs organize, unite and build public
consciousness in support of these aspirations.
We all work within an area that has an impact on health, and that touches on the
wider health system
Many of us seek to define and shape an alternative vision of a system based on
solidarity, equity and justice, including global justice, in contrast to the current
neoiiberal system
Many of us act as a people’s watchdog and monitor government and private
sector performance, and hold government and private sector accountable for
rights and policies
The civil society organizations identified that while we do have to resist policies that
threaten communities and members, we also seek to proactively build an alternative vision
guided in health by goals of
o
o
o
health for all
health as a right, and
equity and social justice
Within these common areas of action, the range of health related concerns covered varies.
The diagram overleaf summarises the huge range of issues covered by those CSOs at the
meeting. These are at different levels of engagement around health, from direct health
concerns, to issues within the national political economy, to global level policies and
processes. All levels of engagement are however all informed by similar common goals of
equity, justice and health rights.
Page 6
l^©v@mlb@r 2@©3
CMI s©d@ty msoftmg) ©mi h@d®i
Irtovemhsr 2(OT3
Page 7
4. REGIONAL MEETING OF CIVIL SOCIETY IN HEALTH
The meeting proposed to consolidate civil society dialogue and linkages on health and
strengthen joint analysis and action, including towards shaping policies that better reflect
olz values and goals.
?; was proposed to hold a regional meeting in late 2004 with wider representation of CSOs
from east and southern Africa as one target activity within this longer term process.
Each of the OSO delegates identified what they expected to have achieved through the
meeting, with common interest in
o
o
o
o
o
o
Strengthening action networks, building solidarity and sharing experience
Strengthening the visibility and recognition of the role of civil society and people’s
voice and evidence in health
Building evidence, analysis and positions on health issues
Debate, review of and support for the People’s Health Charter
Identifying the issues around which to strengthen civic monitoring and watchdog
activities
<
Taking up specific issues of trade and health, resistance to privatization of services,
equity in health services, treatment access, youth and health and primary health care
but within wider civic platforms.
Accordingly, the goals of the regional meeting ware proposed, ie to
o Strengthen civii society linkages and dialogue
o Build shared analysis, vision and goals
o Widen and deepen participation of civil society in health
o Focus on particular strategies for civil society to take forward health goals
o Strengthen supporting linkages and resource sharing between CSOs
o Define a clear common message and strategy that unifies health civil society in
east and southern Africa
h was proposed that we hold the meeting in late 2004 so that the outcome feeds into
national and regional processes, but also into the January 2005 World Social Forum.
it was suggested that
o Before the meeting in 2004 background papers be prepared in the core areas
led by the OSO with direct work in that area working with relevant
professionals
o The papers and issues be discussed at country level meetings and through
email networking and website postings to enable wider public and OSO
inputs
o The meeting itself include a range of inputs from analytic presentations to
testimonials, debate of resolutions and positions and more focused
discussions of strategic goals and actions
o The meeting aim to define at least one common goal, message and
campaign that can unite all health civil society across each different
campaign
Civil ^©©iefty
Mov®mbeir 2©03
©tm hoaUfth
Page 8
The meeting will be hosted by all the CSOs in the planning group, once their
executives approve. An organizing committee comprising
o Equinet
O PHM SA
o TAO
o CWGH
volunteered to co-ordinate the follow up work towards the regional meeting. This
includes:
o Setting up a Mailing list for the organizations
o Adding to the background document on CSOs to provide the organisation profiles
o identifying critical groups not yet included to bring into the process and meeting
o Ensuring the pre conference papers and processes are prepared and
implemented
o Fundraising
o Identifying a suitable venue
o Setting up the programme, facilitators/presenters, theme activities
o Setting up the meeting logistics with the local organizers.
?c
The meeting agreed that an important step had been taken to consolidate and
strengthen the influence of civil society in health towards advancing health equity, justice
and health rights. It should be an irreversible step in a process of persistent focus and
strengthening of CSOs. Ths experience and victories of the CSOs in the room indicated
that vision, persistence and strategy were all needed to achieve these goals. Delegates
thanked for their participation and inputs and wished a safe journey home.
CmO
meetog) ©mi tegiUtt)
Page 9
Network for
Equity in Health
in Southern Africa
People 1s Health Movement
ileetog Off Civil S©©feff^ b Health
J©hanh@sfeorg, H@ve.mber Id
Agenda
> 8.30-10.45AM Introductions and common issues/ goals
Background and introductions
Introduction from civic groups on their goals and work
Discussion on overlaps, common positions, differences
> 11.15AM-3.00PM Proposed civil society health meeting in 2004
Objectives
Programme and processes
Hosting organisations
Participating organisations
Documentation
Linkages to other processes and events
Timing, venue
Financing and resources
> 3.45-4.45PM Follow up
Actions and roles
Co-ordination
Information sharing and documentation
CmO ^©©tety
Mowmber
©tro
Page 10
AF^E»K 2: LUST OF
ADDRESS
delegate'
InstKyticm
Rene
Loewenson
EQUINET
Programme
Manager
rene@tarsc.orq
David Senders
uwc
dsanders@uwc.ac.za;
lmartin@uwc.ac.za
Adamson
Muula
Malawi Health
Equity Network
amuula@medcol.mw
Siphiwe Secodi
Joyce Mkhonza
Eunice
Mthembu
Mwajuma
.viasaiganah
Anti Privatisation
Forum APF
c/o trevorngwane@hotmaii.com
PHM
masaiqana@africaonline.co.tz
■xjocu Morgan
TAO Gauteng
nioqu@tac.org.za
Winstone Zulu
PATAM
zuiuwin@zamnet.zm;
hopekara@zamnet.zm;
kara"zamnet.zm
Bridget Lloyd
bridqetl@mweb.co.za
Soraya.EBoker@capetown.gov.
za
Soraya Elloker
Leslie London
PHM
SAMWU (SA
Municipal
Workers Union)
UCT
Riaz Tayob
SEATINI
riazt@iafrica.com
Itai Rusike
CWGH
cwgh@mweb.co.zw
Brenda Ndlovu
Makhabiso
Ramphoma
Gender & Trade
Network in Africa
Secretariat
SADC AIDS
Network of
Nurses and
Midwives
CMS s©c5®£j/
!Wy@mliw 1003
ll@cormack.uct.ac.za;
ll_pph_staff_health_med_uct@
mail.uct.ac.za;
london@telkomsa.net
brendandlovu@sn.apc.org
Sannamco”denosa.orq.za
©sn hsaOth
TARSC, 47 Van Praagh Ave,
Milton Park, Harare, Zimbabwe
Ph 263-4-708835 Fax 263-4737 220
UWC School of Public Health
P Bag X17, Belleville 7535, SA
Ph 27-21-95932132
Dept Community Health,
College of Medicine
Ph 265-1-671911
’
Fax 265-1-674700
28-822576936
Ph 27-11-3394123
Fax 27-11-3394121
PHM, Box 240, Bagamoyo,
Tanzania
Ph 255-23 2440062 / 2440316
255 744281260
135 Smit street, Braamfontein
Jbg
Ph 27113398421
Fax 27114031832
Box 37559 Lusaka Zambia
260-5-221718
47 Beverley Road, Athlone CT
Ph 27 21 6332002/2050
UCT School of Public Health
and Family Medicine
Rondebosch, Cape Town
Ph 27-21-4086524
Fax 27-21-406 6163
SEATINI Box 1558, Crown
Mines 2025 SA
27-8377787222
114 McChlery Ave, Harare,
Zimbabwe
Ph 263-4-776989 Fax 263-4788134
Ph: 27-11-8380449
27-11-8322665
605 Church St, Pretoria 001
27-12-334 6135
Page 11
TJ Nguiube
CHESSORE
CHE$SORe@zamnet.zm
Olle Nordberg
DHF
Oile.Nordberg@dhf.uu.se
CHESSORE Sox 320168
Woodlands, Lusaka
Fax 260-1-228359
Dag Hammerskjold Foundation
Ovreslotsgatan2 75310,
Uppsala, Sweden
Ph 4618127272
Mob 46-18-5673051
Page 12
Wlain Identity
From:
Sent:
Attach:
Subject:
_________________
Samer Jabbour <sjabbour@aub.edu.lb >
Global Health Watch <ghw@hstorg.za>
Tuesday, March 23, 2004 2:13 AM
Concept document-Feb 27 2004 with edits by Samer Jabbour.doc
[ghw] Concept document
Friends. I have done some minor editing of the concept document of Feb.
27.1 am sure many of you will also have edits to add after our meeting.
Let us all contribute and have a final (contributed to and approved by
all) version for dissemination. Please see attached. What is most
confusing is when to report to what we are doing as the "report” vs. the
"watch." S
Samer Jabbour, MD, MPH
American University of Beirut
Van Dyck Hall
Beirut Lebanon
Tel: +961-1-374-374
x4640 (Sec.) x4642 (Direct)
Fax: +961-1-744-470
http://www.aub.edu.lb
Global Health Watch discussion list
List address: ghw@hst.org.za
List information page including list archives:
http ://akima.hst. org. za/mailman/listinfo/ghw
This list is hosted by the Health Systems Trust: http://www.hst.org.za
3/23/04
3/16/04
Page I of 1
Main Identity
From:
To:
Sent;
Subject:
Samer Jabbour <sjabbour@aub.edu.lb>
<ghw@hstorg.za>
Monday, March 15, 2004 7:02 PM
[ghw] Arriving in London
Dear Patricia, after 5 visits to the British consulate and the usual
dose of humiliation in consulates I got the visa today. If there is a
need to meet again, I hope we can do that in a place where we can all
get to without as much difficultly. Can you please inform me how to get
to the hotel and the meeting place from the airport? Very much looking
forward to the meeting. Regards, Samer
Global Health Watch discussion list
List address: ghw@hst.org.za
List information page including list archives:
http:Z/aldma.hsLorg.za/mailmaii/listinfo/diw
This list is hosted by the Health Systems Trust: http ://www. hst.org.za
(pH q
3/16/04
Pagft 1 of 1
Main identity
From:
To:
Sent;
Subject:
Dr Ashtekar Shyam <ashtekar_nsk@sancharnet.in>
PHM Secretariat <secretariat@phmovement.org>
Thursday, March 11, 2004 11:27 AM
Re: is15th fixed?
thaks ravi
I will do bookings accordingly, but 3 days wil be rather tough
shyam
— Original Message —
From: PHM Secretariat
To: ashtekar nsk@sancharnet.in
Cc: chc@sochara.org
Sent: Tuesday, March 09, 2004 2:38 AM
Subject: Re: isT5th fixed?
Dear Shyam,
Greetings from PHM Secretariat (Global
3/10/04
Pftgp. 1
Main Identity
From:
To:
Cc:
Sent:
Subject
___ _________
UNNIKRISHNAN P.V. (Dr) <unnikru@yahoo.com>
<phmsec@touchtelindia.net>
Chandran P <pchandran2000@yahoo.com>
Wednesday, March 10, 2004 9:48 AM
Accounts- IHF press meeting
Dear Ravi/ Prasanna
Greetings from Bangkok I
Mr. Chandran is the person who organised the press meetings in Mumbai. He works with SSP. In my mail on
January 9th, I have indicated to you and Sarojini that a non-PHM person is taking care of the logistics
involved in booking the press club , sending out the invitations, making the follow-up calls etc to ensure
media participation on the press meet on Jan 13th.
Chandran did an excellent work of doing all of the above.
He will be visiting you to settle the bills. The cost of booking the press club, sending out fax invitations and
alter three press releases through press club, local transportation etc needs to be reimbursed. Chandran paid
it directly from his pocket.
He is in Bangalore and will come and submit the bills for reimbursement. I hope you can do the needful.
ATTN: Chandran, pelase call Dr. Ravi Narayan I Mr. Prasanna before you visit them. Pelase carry all the
receipts and bills and kindly prepare a short note explaining the details. You can reach them at PHM at 5128
0009.
Regards
Unni
Dr.Unnikrishnan PV
Fellow: Humanitarian Action
ActionAid - Asia Regional Office, Bangkok, THAILAND
Tel: +66 2 651 9066-9 ; Fax: +66 2 651 9070
E-mail: unni@actionaidasia.org (office) / unnikru@yahoo.com (personal)
Yahoo messenger: unnikru@yahoo.com / MSN Messenger: u n n i kru@ h otm a i I.com
Website: www.actionaid.org
fighting poverty together
actionaid
+++++4.+4.+++++++++++ |N
NEXT 24 HOURS, OVER 30,000 CHILDREN WILL DIE world wide from
preventable diseases. Join www, TheM i 1I ionSiq natu reCampaLqn_.org a campaign
demanding Health for All Now !
++++++++++++++++
3/10/04
1
Page 1 af1
Main identity
From:
To:
Cc:
Sent:
Attach:
Subject
Rene Loewenson <rene@tarsc.org>
’PHM Secretariat <secretariat@phmovement.org>; 'David McCoy1 <David.McCoy@lshtm.ac.uk>
<lmartin@uwc.ac.za>; <abaysema@pn3.vsnl.net.in>; <masaigana@africaonline.co.tz>
Tuesday, March 09, 2004 1:51 PM
civic mtg nov 2003 reportdoc
RE: Fw: some clarrifications
Hi Ravi and all
Yes, 8-15 is a long haul with a lot of time in between.
The wider global process will as Dave indicated come through the GEGA meetings so you will not find this on
8-9 June and if you need to engage with this its better to be there for the GEGA meeting 11-15 June. This will
no doubt link with the Global Health Watch and other PHM support processes that Dave describes.
The southern and east African civil society process is being organized on the 8-9th so if your intention is to get
a better sense of that specific aspect then that's the time when it will be happening. The workshop in the
EQUINET conference is when the issues, proposed themes and planning of the work for the Nov southern and
East African PHM meeting will be consolidated. (See report of the Nov meeting) and consolidated within the
wider regional processes
I have copied this to Mwajumah Masaiganah and Dave Sanders who are involved in both and represent the
African PHM as it seems they can best comment on where the wider PHM input and networking would be best
gained. Its difficult for me to comment so I leave this to them.
Regards
Rene
3/10/04
Pnor, I nf 1
Main Identity
From:
To:
Sent:
Subject:
PHM Secretariat <secretariat@phmovement.org>
<derek.yasmin@wanadoo.fr>
Saturday, March 27, 2004 12:05 PM
Global Health Watch
Dear Derek.
Greetings from PHM Secretariat (Global)!
It was great to hear from you and glad to find that you have noted the launch of GHW. I recall all the
discussions with you and Erie and others, years ago but it needed the development of PHM and then the
partnership with GEGA to get it off the ground. There's still a lot of conceptual work to be done around
reports / watches and their processes, so we would be very glad to have you join the advisory group.
Some of us hope to be in WHA. This May (17th — 24th). Will you be there? Are you arranging any
session, where PHM could input and that would also be an opportunity’’ to link you in with PHM Geneva
for now and then PHM USA, when you move to Yale?
I think exposing embedded bureaucrats and making Member States accountable to pledges are important
challenges and we should discuss this further as soon as possible. Your experience with FCTC will be a
great source of understanding, I am sure. When can we meet?
Incidentally, would you, by any chance, have access to some of the documents that a researcher produced
on GHW with your unit in cooperation with Eric? I am trying to trace soft copies to help newcomers
understand the post dialogue. Eric has moved to USA and so does not have access to these. Do you? If
so, can you forward them to me?
Actually its your invitation to present perspectives from the Charter to a Research meeting of NCD unit
— then set me going on this evolving. WHO - PHM dialogue and there are some new openings
developing. Lots to discuss, when we meet.
Best wishes
Ravi Narayan
Coordinator, People's Health Movement Secretariat(global)
CHC - Bangalore
#367 "Srinivasa Nilaya"
jakkasandra 1st Main, I Block Koramangala
B an gal o re 560034
Tel: 00 91 (0) 80 51280009 (Direct) Fax: 00 91 (0) 80 25525372
Website: www.phmovement.org
Join the "Health for all, NOW!" campaign in the 25th anniversary year of the Alma Ata
declaration visit www.TheMillionSignatureCamp aign.org
<!—[if.HvfAIL gic msu 10]>
from-
J
"ysch' <derek.yasmin@wanaaoo.fr>
DATE;
TO:
r-secretariat@phmovement.org>
RE: Globa! Health Watch
Just to aOjU... tj&st to us& my WHO Qticir&ss
w&Si iu
—Original Message—
From: yach [maiito:derek.yasmin@wanadoo.fr]
^p
Sent: Thursday, March 25, 2004 11:11 PM
To: 'secretanat@phmovefnent.org'
Subject*. Global Health Watch
Dear Ravi
Congrats on the launch of the Global Health Watch...you may recall I called for just
an entity in my AJPG reviews of giobaiizaiion. Now. on the eve of leaving WHO. I am
even more convinced that we need a strong GHW that keeps WHO and others
accountable. I would be very keen to provide input to the work as you move ahead
from a new base initially in Geneva but later from Yale, i leave WHO at the end of
May. i have seen so many good ideas and plans be killed by embedded
oeaurocrats. .Time this was exposea...ano rime Memoer States were also neia
accountable for pledges made In resolutions.
With regards, Derek
Page 1 of 1
Main identity
From:
To:
Sent:
Subject:
David McCoy <David.McCoy@lshtm.ac.uk>
<ghw@hst.org.za>
Friday, March 26, 2004 10:05 PM
[ghw] post london meeting
Dear friends,
The minutes of the meeting from the london meeting will be posted to you all today by Pat. For those who
weren’t at the meeting in London, the minutes will hopefully reflect the positive nature of the meeting including
the very positive response to the Watch from the UK-based NGOs.
We have been working hard on a number of follow-up issues. The most important tasks are:
1) identify individuals/institutions/projects to lead on each chapter - Pat will be circulating the structure of the
report which includes a list of the people who have already been approached. We need your suggestions on
filling in the gaps. We have to finalise this in the next two months
2)
Identify individuals who can represent the following regions on the coordinating committee:
Eastern Europe
South East Asia
China / Far East
Central Asia
West Africa
East Africa
North Africa
Caribbean
Please can you think of people we can approach. We will also be putting out a message on PHAexchange.
3) It was decided that we need to maintain the communication and discussion between individuals on the CC.
We will have an opportunity for some face to face meeting in June in Durban, but I would like to propose that
we try and organise 2-3 telephone conferences before then.
• suggest that the secretariat will set out some possible dates and times - if you can respond with a phone
number and your preferences, we will take it from there.
...<^UCC>
Page 1 of 2
Main identity
From:
To:
Sent:
Subject:
Mike Rowson <mikerowson@medact.org>
Global Health Watch <ghw@hstorg.za>
Friday, March 26, 2004 10:14 PM
[ghw] British Medical Journal piece on Global Health Watch
News roundup
New regular report will monitor global health
issues
3MJ Vittai Katikireddi
A new regular report will monitor important global health issues and the actions
of international health institutions, a coalition of three global health networks
announced last week.
The scheme to produce the reports, called Global Health Watch, is being
coordinated by the People's Health Movement, the Global Equity Gauge Alliance,
and Medact, all non-profit organisations working to improve health across the
world. The scheme will recruit authors and organisations from developed and
developing countries to write the reports, which are planned to be published
every two years. The first is due in May 2005. The reports will cover a range of
international health issues, including the health needs of indigenous peoples,
the ‘’brain drain” of health workers from poor to rich countries, the
privatisation of health care, and the role of global organisations in health,
including the World Health Organization, the World Trade Organization, and the
World Bank.
David McCoy, a member of the scheme's steering committee, said: ’’Health is
influenced by many institutions, at the national and global level. The GlobaHealth Watch, because it's a global level report, will primarily be aimed at
trying to highlight some of the key issues arising from the policies and
agreements made by some key international institutions, like the World Trade
Organization. The policies of those institutions have to be monitored.
"An important feature of this report is that it deliberately brings a number of
organisations from other sectors to discuss the problems of poor health. The
report includes contributions from development groups on the state of global
poverty reduction and from environmental campaigns on climate change.”
The director of Medact, Mike Rowson, said: ".Many parts of the world have seen
health reversals rather than improvements in the last 20 years. We decided to
launch this initiative to get decision makers to confront the issues that keep
people poor and unhealthy."
The reports are aimed at national healthcare policy makers and systems. Mr McCoy
explained: "We're not trying to reach policy makers sitting in existing global
health institutions. We are trying to educate, inform, and mobilise the health
community about the alternatives that exist in the health policy debate."
3/30/04
Page 2 of 2
The scheme plans to obtain support from a wide alliance of independent groups and
charities to help write and fund the reports. Fund raising is still in progress
for the scheme, which has been budgeted at $200 000 (£110 000; €160 000).
’’we're hoping to get smaller donations from a wide variety of non-governmental
organisations to avoid being compromised by funding coming from only one or two
sources,” Mr McCoy said. He added: "This budget is tiny in comparison to the
production of other major reports on global health, such as the Human Development
Report or the World Health Report. Part of the reason why it's relatively small
is that we are relying on the work of people who are already working on these
issues."
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<ctddsf@vsnl.com>
<secretariat@phmovement.org >
<abhayseema@vsnl.com>
Friday, March 26, 2004 2:49 PM
BMJ.DOC
Global Health Watch meeting in London
Dear Ra\i Abhay,
Attached is a small report in this week's BMJ on the GHW meeting.
Amit
3/30/04
BMJ 2004;328:728 (27 March),
doi:10.1136/bmj. 328.7442.728-b
News irocnimdlunip
New iregunHsiir irejwirt wfflU
iniwimntoir global health issues
BMJ Vittal Katikireddi
A Lew regular report will monitor important
global health issues and the actions of
international health institutions, a coalition of
three global health networks announced last
week.
Abridged text of this article
‘ PDF [abridged] of this article
' Email this article to a friend
• Respond to this article
I I* Download to Citation Manager
■ ► Search Medline for articles by:
Katikireddi, V.
; r Alert me when:
New articles cite this article
' Collections under which this article appears:
Medicine in Developing Countries
.......................................................
The scheme to produce the reports, called Global Health Watch., is being coordinated by
the People’s Health Movement, the Global Equity Gauge Alliance, and Medact, al! non
profit organisations working to improve health across the world. The scheme will recruit
authors and organisations from developed and developing countries to write the reports,
which are planned to be published every two years. The first is due in May 2005. The
reports will cover a range of international health issues, including the health needs of
indigenous peoples, the "brain drain" of health workers from poor to rich countries, the
privatisation of health care, and the role of global organisations in health, including the
World Health Organization, the World Trade Organization, and the World Bank.
David McCoy, a member of the scheme’s steering committee, said: "Health is influenced
by many institutions, at the national and global level. The Global Health Watch, because
it’s a global level report, will primarily be aimed at trying to highlight some of the key
issues arising from the policies and agreements made by some key international
institutions, like the World Trade Organization. The policies of those institutions have to
be monitored.
"An important feature of this report is that it deliberately brings a number of
organisations from other sectors to discuss the problems of poor health. The report
includes contributions from development groups on the state of global poverty reduction
and from environmental campaigns on climate change."
The director of Medact, Mike Rowson, said: "Many parts of the world have seen health
reversals rather than improvements in the last 20 years. We decided to launch this
initiative to get decision makers to confront the issues that keep people poor and
unhealthy.”
The reports are aimed at national healthcare policy makers and systems. Mr McCoy
explained: "We’re not trying to reach policy makers sitting in existing global health
institutions. We are trying to educate, inform, and mobilise the health community about
the alternatives that exist in the health policy debate."
The scheme plans to obtain support from a wide alliance of independent groups and
charities to help write and fund the reports. Fund raising is still in progress for the
scheme, which has been budgeted at $200 000 (£110 000; €160 000).
"We’re hoping to get smaller donations from a wide variety of non-governmental
organisations to avoid being compromised by funding coming from only one or two
sources," Mr McCoy said. He added: "This budget is tiny in comparison to the production
of other major reports on global health, such as the Human Development Report or the
World Health Report. Part of the reason why it’s relatively small is that we are relying on
the work of people who are already working on these issues."
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<ctddsf@.vsnl.com>
<secretariat@phmovement.org>
<abhayseema@vsnl.corn>
Friday, March 26, 2004 2:42 PM
Global Health Watch meeting in London
Dear Ravi/' Abhay,
The Global Health Watch meeting in London (18th-19th March) was very useful.
I am sending a brief report - a detailed report will be circulated by
Patricia. The meeting was attended by:
David Sanders
Samer Jabbour (American University, Beirut)
Armando Di Negri (from Brazil)
Dave McCoy (Medact)
Mike Rowson (Medact)
Patricia Morton (Medact)
Antoniette Ntuli (GEGA)
Amit Sen Gupta
>From the PHM family, Olle Nordberg (Dag Hammerskjold) and Marjan Staffers
(WEMOS) were also present in the interaction with funders/partners.
In addition to this group meeting involving Medact, GEGA and PHM, there were
two sessions of interactions with: 1) Potential funders/ partners 2) British
NGOs who would be interested in the endeavour.
There was extensive discussions, mainly centred around :
1)
2)
3)
4)
5)
the structure of the Report and the authors.
who "owns” the report
target audience of the report
Structure of editorial group, co-ordinating group
Publicity and dissemination of the report
\
*3 *15 1
Based on the discussions a revised structure of the report was finalised. It
was also decided that this structure would be circulated and suggestions
would be sought about possible contributors (Patricia from the GHW Sectt.
would be circulating this). Only a lew contributors have actually been
approached, so that there's a scope for suggestions to come in. The report
will need to be ready to go to the publishers (Zed Books) by December 2004.
for it to be read}' for publication by March/April 2005, around the time that
the World Health Report is published.
Medact would continue to act as the Sect!, and GEGA and PHM would be the
other sponsoring organisations. But the idea would be to ensure that this is
r Cn^VA)
3.30/04
Page 2 of 2
seen just as a report that is being brought out by three organisations.
There should be a small editorial group (3-4) and a slightly larger
co-ordinating group (this already’ exists) formed by people from Medact, Gega
and PELM. '
The earlier proposal was to have 3-4 authors for each chapter, and a
referring group for each. It was felt in the meeting that this would not
work and a lead author or authors who have collaborated before would be
given responsibility for a chapter. The referring group can be larger.
It was also felt that the Report would be enriched and generate larger
interest if countiy/regional experiences and reports formed part of the
report. This, it was felt would help activists find "themselves in the report".
The main points which PHM needs to consider are the following:
1) Elow do we, as PHXL get involved in the ownership of the report. PHM needs
to follow up on the suggestion that the report also contain country/region
reports health watch. It is possible that all PHM regions (circles) may not
be able to organise such reports, but we can start with a few. We can
definitely do this for India, and Armando has promised that it can be done
for Brazil. We need to explore othere regions who can put together Regional
Reports. For this PHM may need to put together a separate circle for the GHW.
2) Once the list of chapters is circulated, the PHM needs to respond with
our suggestions for authors.
3) Decide who from PHM would be on the editorial group (1-2) and who would
be on the co-ordinating group (2-4). The people can be common or different.
We need to discuss the GHW in the PHM and the JSA i guess. Any suggestions
how we go about it?
Best,
Amit
3/30/04
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Patricia Morton <patriciamorton@medact.org>
Maria Hamlin Zuniga <iphc@cablenet.com.ni>; Maria Zuniga <maria@iphcglobal.org>; Baum
<fran.baum@flinders.edu.au>; HST <ant@hst.org.za>; Braveman <pbrave@itsa.ucsf.edu>;
Armando De Negri Filho <armandon@portoweb.com.br>; Samer Jabbour
<sjabbour@aub.edu.lb>; Lynette Martin <LMARTIN@uwc.ac.za>; McCoy
<David.McCoy@lshtm.ac.uk>; PHM-Ravi <phmsec@touchtelindia.net>; Rowson
<mikerowson@medact.org>; Amit Sengupta <ctddsf@vsnl.com>
Monday, March 29, 2004 6:30 PM
Teleconference calls for the Global Health Watch
Dear All
Here are some dates that I propose for tele-conference calls:
22/23 April
6/7 May
27/28 May
To accomodate time zones and availability I have included two dates for each session. Could you please let
me know, in the next week, whether you are available for teleconference calls on these dates.
Thanks and best to all
Patricia
Patricia Morton
Global Health Watch
Medact is a UK charity for global health, working on issues related to conflict, poverty and the environment
Medact
The Grayston Centre
28 Charles Square
London N1 6HT
United Kingdom
T +44 (0) 20 7324 4739
F +44 (0) 20 7324 4734
www. medact. org
Registered Charity 1081097
Company Reg. No. 2267125
3/30'04
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___ ___________________________________
Antoinette Ntuii <ant@healthlink.org.za>
Global Health Watch <ghw@hst.org.za>; <ghw@hst.org.za>
Monday, March 29, 2004 4:32 PM
Re: [ghw] Concept document
Dear Sameer and others.
Many thanks for the time you took to edit the GHW concept
document. I agree with your changes!
Re the confusion between the ’Report' v. the 'Watch' - we had
exactly the same confusion in the Equity Gauge Project - we call
ourselves an Equity Gauge, and we also publish 'Equity Gauges'.
We have got around this by referring to the work in its entirety- as
the Equity’ Gauge Project - I’m not sure what would be tlie
appropriate distinction for GHW work - perhaps the entire strategy
and its work is the GHW and the document is the GHW report?
Antoinette
On 22 Mar 2004, at 22:43, Samer Jabbour wrote:
I'rsJt C'"C'2~ 2 of Chapter C< COtaaC® clbamge/ Carbosn depena^e-sice
Purpose
Zt is proposed that the Environment chapter in this first report addresses carbon dependence as
the underlying driver of climate change and current greatest environmental challenge to human
health.. The relationship between current trading ruies/systems and global transportation
patterns as major contributing factors to climate change will be an important focus within the
chapter.
Lsy-onat of chapter
EeaEtih tapaclts
-
-
health impact of current dependence on fossil fuels to include near/ intermediate/ long term
including impacts of air pollution/ transportation I accidents /global warming/ violent
conflict associated with fossil fuel resources.
inequity in access to current energy technologies -2 billion people still without access to
modem energy forms such as electricity.
health benefits of accelerating towards low carbon economies and the health impact of not
doing so.
AnnaEysis of anderllynnig causes
address political and economic systems perpetuating carbon dependence , including scrutiny
of relationship between current trading ruies/systems and unsustainable/ unhealthy
transportation patterns.
- address barriers to rapid uptake of alternative technologies/ include oil hegemony/ role of
US/ China/ resource wars/ World Bank invests much more in conventional energy
techoiogies etc
- renewable energy technologies have potential to meet world energy demand many times over
but society still locked into conventional energy by reasons above.
f *
Wfeat es b®Ezng dome amdl wfoat Eeveirs exnsti waftEm ttfine DiBtieirm^&nDaD feeaDttEu coiminniiinmiiy?
V;
how to unlock - need to recognise health/ environment/ economic (including job creation)
benefits of investing in renewables. Roles of protocols/ policies/ targets/ what has worked
elsewhere (Germany)/ need to find good egs where renewable technologies are being
promoted in developing countries/ links with civil society initiatives etc.
- what is the current position of WHO and other international health agencies in terms of
mitigating the effects of environmental problems on health and in terms of underlying
paradigms, ideologies and political-economic systems. What action needs to be taken now to
protect communities most vulnerable to climate change?
-
-
how can health communities aswell as civil society influence political processes?
ConacSuscom/ IRecoinniimenLdafeins
LesgtHa of chapter
4,000 words
Aaittoirs
RevDewors/ IReffesrenDc© Gdwjp Edtoiriiafl
Lead: Ian Roberts, Professor
of Epidemiology and Public
Health, Department of
Epidemiology and Population
Health, London School of
Hygiene and Tropical
Medicine
Charlie Kronick, Greenpeace
UK
One or two co-authors from
southern institutions to be
identified.
Others to be identified from
WWF/ FoE / policy, academic
community
Cathy Read, Medact
Chapter ©2 : Waite - The ©©mm©difffcaa©iro off a Brno© ir9®M ffo? aOI
{p^rpot;® off ®fc ©tapff®7
Access to clean and safe water has been a well established public health issue for centuries, and became
further codified in public health by John Snow’s treatise on the cause of cholera in London. Millions of
people across the world, however, do not have access to water, leaving them vulnerable to disease,
malnutrition and high rates of mortality.
There are many reasons for the failure to ensure universal access to water. Some of the threats to
sustainable and equitable access to water facing us over the next few decades include climate change
induced by global warming; deforestation and the resulting disruption of micro-climates and loss of water
catchment areas; human interference of water eco-systems such as the construction of dams; growing
levels of water pollution; and the effect of heavy industrialised agriculture. These causes of reduced
accessibility and availability to clean water are all serious in their own right, and need to be considered as
priority public health issues.
This chapter however will highlight another phenomenon threatening the accessibility and availability of
water for ail, especially the poor. This is the growing commodification of water and the control of water
rights to unelected and unaccountable private sector companies. The purpose of this chapter is to
highlight this growing trend and to describe the mechanisms by which this affects health. The chapter is
also designed to raise issues related to the corporatisation of state functions; the neo-liberal
contradictions between the marketisation of water and the right of al! citizens to water; and the negative
effect this nas on notions of democracy and citizenship.
Lay-omiff ©ff ©tepff® r
Importance of water to health
Current state of access tc water globally
Go/w ©ff
causes
water mavaSSahSIliity and
tfo further inaccessahollSt^
This chapter will not be covering all these issues in depth, but should be able to highlight the key issues
and provide some reference to other materials to read.
The (prsvatssatSam and condrmodifiicatioin) ©tf water
o
Trends
c
What and who is behind this trend and what is the rationale given
o
What is the reality on :: e ground - case studies from Africa, Latin America and Asia highlighting the
effects on health, democracy and citizenship. This would include unmasking the truth about
corporatisation - for example, contracts with private companies that are designed to guarantee
profits; safety nets that do not work; etc.
o
Which UN agencies are responsible for promoting the principle of universal access to water as a
human right, and what are they doing it about this?
Which NGOs are campaigning on this issue and what are their positions and recommendations?
What should socially aware health professionals be doing in keeping with the principles of the Alma
Ata Declaration?
to
o
o
Ms
te doing?
soMy aww® ImbsMi
LMgtt ©1? stator
4,000 words
Pir©dliu)©4o©in)
Authors
reviewers / Reference group
Editorial
Lead: Municipal Services Project
(Greg Ruiters, David Macdonal,
Patrick Bond)
Dr Mira Shiva
??
??
??
David McCoy
Contributors from Latin America
and Asia
ChapW F©©d! gjoudl
FkTpOSO ©ff 1M® Chfflp^r
Malnutrition remains the most important single cause of morbidity and mortality globally, accounting for
12% of all deaths and 16% of disability-adjusted life years lost. Approximately 175 million children under
five are estimated to be underweight, 32% of preschool children are stunted, 16% of births are below
2,500g (which is associated with a ten fold increase in mortality') and 243 million adults are severely
malnourished (BM; <16). if one considers micronutrient deficiencies as well the figures are even more
alarming: 2 billion women and children are anaemic, 250 million children suffer from vitamin A deficiency
and 2 billion people are at risk from iodine deficiency. Furthermore, despite global reduction in the
numbers of children suffering undernutrition this decrease has been disappointingly slow and in subSaharan Africa the prevalence has actually increased. At the same time increasing number of adults in
the developed and developing world are suffering from the consequences of over-weight and obesity.
There are many reasons for the failure to ensure optima! nutritional outcome. These range from
concomitant disease and/or poor water and sanitation through to poor diets._This chapter however will
focus upon a few key issues concerning food security and nutrition:
o
the changes to food production and consumption as a result of increasing globalisation two aspects
will be "igh’ighted;
o
how global trade ir. agriculture is affecting poor farmers (a case study within this will be the issue of
genetically modified crops);
how globalisation is influencing diet and the health impact of this;
more specifically for nutrition will be an examination of the impact of reforms within the social sector
that are leading to the downplaying, narrowing and verbalisation of nutrition interventions
o
o
The purpose of this chapter is to highlight how the increasing commodification of food and diet is leading
to deterioration in the household food security of many and worsening diets and health for large section of
the population. The response to the health impact of these changes has become narrowed and limited,
located as it is within the paradigm of health sector reform, an approach driven by cost and efficiency
concerns and overwhelmingly focused on technical rather than social aspects of health.
L.g)^-©U)R ©f ©tapfcsir
Importance of nutrition to health and development
Current state of nutrition and food security globally
Ov&irw®w of tfw undtetrfying causes of/poor nutrition/foodl security
This chapter will not be covering all these issues in depth, but should be able to highlight the key issues
anc provide some reference to other materials to read, it will be based upon a conceptual framework
based upon the one commonly used by UNICEF.
Th® impact of increasing globalisation of trad)® and) services on toe? security
o Trends
o
o
o
What and who is behind this trend and what is the rationale given
What is the reality on the ground - case studies from Africa, Latin America and Asia highlighting the
impact of current trade relationships and rules on household food security especially amongst the
most vulnerable
Case study of genetically modified crops
Th®
©f increasing globalisation of trad)® and) services on diiet
o How the concentration of food production by globalisation is changing the food supply chain
o Documenting the increasing influence of food retailing supermarkets across the globe
o How the above two combine to influence marketing of food and diets
o Brief description of the public health consequences of this dietary transformation
fflutedl Responses
o
o
How social sector reform is leading to a demise in importance of broad based nutrition interventions:
supplemented instead by technical, vertical approaches (eg. Vit A supplementation)
Identify possible strategic oppportunities to promote food and nutrition interventions
Conclusion
5,000 words
Authors
Reviewers / Reference group
Lead: University of the Western
Cape ( Mickey Chopra, David
Sanders)
Peter McMichael
Tim Lang
Contributors Tor. Latin America
and Asia (Vandana Shiva, Raj
Pate;, Fkavio Valente, Gopalan ....
Editorial
The Gemome: WcrMl Utenttfo, EtqcunSy and Jhnsfce
Up to ? 5000 words. The article will be fully referenced.
Chan Chee Khoon, Citizens’ Health initiative, Malaysia
Gilles de Wiidt, People’s Health Movement
The authors presented evidence on this subject at the hearing of the Advisory Committee on Health
Research of the World Health Organisation in Geneva 2001 on behalf of their organisations. They
continue to work on this subject
The policies of States and blocks such as the European Union and its Commision vis-a-vis
human genome research and its applications are very much led by considerations of
competitive technological development and possible market shares. They fail to adequately
address a number of issues:
- The risks of tampering with nature;
- direct discrimination of individuals and groups on the basis of genetic
diagnostics and perceived imperfections, and income based discrimination,
when costs for diagnostics, prevention and treatment options are expensive
- Ethical problems related-to trustworthiness of health professionals, when they
hold genetic information about their patients which can be damaging if
disclosed to insurers and employers.
- Moral issues related to cloning and the use of embryos for stem ceil research
- The commercialisation of life in general, as shown in allowing patents on
human genes, and biopiracy of non-human genes.
- Global and equitable access to useful pharmaceuticals. Current international economic
and trade policies, including intellectual property rights, mean that preventative and
therapeutic applications are likely to be extremely expensive. They will not benefit poor
people and poor countries unless governments intervene.
- “Genohype”, resulting in the drawing away of attention and resources for controlling
diseases in poverty, including societal interventions. Genohype also encourages
policy makers and the public to believe that many health problems can be solved by
magic bullets derived from genome research. In reality, public health interventions,
including societal measures will probably remain much more important. If useful
genome applications are invented, they will be far more effective if embedded in
equitable societies with equitable health systems and high levels of education.
Examples from South and North will be given. These will include issues related to insurance and
for-profit health care in Hong Kong, insurance issues in the UK, and industrial policy regarding
pharmaceutical companies in South Asia.
GOobaO governs suee aiadl juastDee
Instruments to try and address these issues include internationally agreed human
rights in the field of health and health care, codes of conduct for health professionals,
and statements by organisations such as UNESCO and the Association of European
Medical Associations.
/
RecoEBinneiEdlsitiioEDS for aciiaom
- Organisations focussing on health and equity should insist that national and global
equity, human rights and medical ethics become core principles for genome
technologies and their applications. Civil society should demand that States and
international organisations such as WHO carry out health and equity impact
assessments and risk assessments. These assessments should use yardsticks including
internationally agreed human rights in the field of health and health care. They should
be participatory in nature and include genuine representation of civil society, and be
free from pressures arising from international economic and donor policies.
Assessments should include the potential effects of different scenarios of genome
applications on health and equity, both nationally and internationally, under different
social and healthcare systems. If states and international organisations are reluctant to
do so, civil society and international groups of interested scientists could initiate this
themselves. Regarding risk assessments and the precautionary principle, expertise and
experience from environmental campaigns can be taken.
-States and research funders should develop ways by which researchers give up patent
rights or selectively forego patent rights to help make useful inventions cheaply
available for all.
-Organisations focussing on health and equity should monitor governments and
international organisations such as the World Health Organisation that they are not
used to lend legitimacy to the commercialisation of human (and other) life and to
“genohype”, which draws away resources and attention from addressing diseases in
poverty and global equity.
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Patricia Morton <patriciamorton@medactorg>
GHW mailing list <ghw@hst.org.za>
Tuesday.. March 30, 2004 10.34 PM
Chapter headings and authors, March 25 (2).doc; Chapter B7- Genome.doc; Chapter C1Nutrition.doc; Chapter C2 - Water .doc: Chapter C4 -Environmentdoc
[ghw] Author's list and some briefs
Dear All
Here is the author's list which we would like your comments on by April 14. Please provide your comments
directly on the spreadsheet in the column provided.
i have also attached a number of briefs for your comment.
1.
2.
3.
4.
Gene Technology and the attainment of health for all
Environment
Water and Sanitation
The Right to Food: Land, agriculture and household food security
Several of the other briefs have to be amended after our Coordinating Committee meeting. Others are still to
be drafted. I will send them out to you for your comment once they are drafted.
Also, we are urgently looking for people to fill the Coordinating Committee regional gaps we identified. They
are: Eastern Europe, South East Asia, China / Far East, Central Asia, West Africa, East Africa, North
Africa, Caribbean, if you know of people who could be potential members for this committee please let me
knew.
Thankyou and greetings to all
Patricia
Patricia Morton
Global Health Watch
Medact is a UK charity for global health, working on issues related to conflict, poverty and the environment
Med act
The Grayston centre
28 Charles Square
London N1 6HT
United Kingdom
T +44 (0) 20 7324 4739
F +44 (0)20 7324 4734
www, m ed a ct o rg
Registered Charity 1081097
Company Reg. No. 2267125
4.1 04
4 1/04
Passe 2 of 2
%
Authocs
Foreword by eminent global personality
Nelson Mandela
Grace Machel
Desmond Tutu
Arundhati Roy
(Introduction
A description of the rationale behind the GHW and what makes it
an alternative worid health report. It will explain the underlying
values and political perspective of the report, including the
principles of equity, social justice; redistribution and human rights.
It will also promote the principle of global health institutions being
more open to public scrutiny and accountability. Finally it will
explain the structure and lay out of the report, and the reasons for
the chapter headings etc.
Modact
Gega
PHM
SECTION A: The pcliiticc and economics off health in the era off
globalisation
MartiiTKfiWKoIrPeRg (A political
economist and campaigner - very
well known - is head of Third World
Network)
Ron Labonte (North-South Institute,
Canada - has been working on
globalization and health as well as
on G8 commitments to
development assistance)
SECTION B: Health car® sector
Approaches to health and health car®
This is a central chapter that discusses and explains the key
principles related to a number of health policy and health systems
themes including:
o
The design and effect of health systems,
o
the role of government and public sector stewardship
o
An overview of the relevance of the PHC approach today, and
how health policies are influencing the shape of health care in
ways that diverge from the principles of Alma Ata
□
An explanation and critique of health sector reform
o
Commercialisation and privatisation of health care
o
Threats to equitable health care delivery (medical technology
complex: commercial companies; and widening socio
economic disparities creating a demand for segmented health
©©otffErrosafeiri’
Morens® ’
37 ©ff
800
3-4%
30004000
Both approached.
Ron has agreed and
confirmed but not
Martin.
6-8%
60008000
Maureen Mackintosh
(Open University, UK has been writing a lot
on privatisation and has
a good working
relationship with
Medact) and
Imrana Qadeer (based
in India; collaborates
with Maureen)
have been approached
to write on
commercialisation
12%
12,000
Your suggestions
for coordinators,
authors and
reference group
systems)
NOTE: This is a big chapter covering a number of themes - it may
be better to separate out into different chapters.
Beg pharma, access to medicines and IPRs
Describes the multi-billion dollar pharmaceutical industry in relation
to global health and world poverty and the influences of this
industry on health policy. Sets out an argument about the need for
more fundamental reform R&D and the need for profits to be
regulated. Cross-subsidisation through differential pricing is not
sufficient.
Muman resources: the IWe&iood of health systems
Describes the effect of migration of health personnel and suggests
ways to address the problem. Critiques the lack of attention to this
urgent health priority
Responding to HIV/A1DS
A critique of 3x5, the global fund and the world bank's treatment
programmes
Gene technology and the attainment of health for add
The unraveling and exploitation of the human genome leads to
important questions in the health sector from an ethical and equity
perspective. Emphasis on commercial influences and patents.
Jamie Love (CPTech, USA • big
name in the field of patents, IPS
etc)
Zafrullah Chowdury (PHM,
Bangladesh)
3%
3,000
Rene Loewenson (Network on
equity and health in southern
Africa, Equinet)
Kwadwo Mensah (Ghana)
Eric Friedman (Physicians for
Human Rights, USA)
Rita Priya (Jawarhlal Univ, India)
Paul Farmer (Partners in Health,
1 laiti)
Robert Carr (Jaimaica AIDS
Support)
Chan Chee Koon (Univ. Sains,
Malaysia)
Gilles de Wildt
3%
3,000
3%
3,000
3%
3,000
4%
4,000
4%
4,000
4%
4,000
Approached and
confirmed
SECTION C: (Beyond health care
Environment
This chapter will focus on carbon emissions and fossil fuel
dependence, highlighting the issues of inequity as well as the need
to consider this a public health issue
Cathy Read (Medact)
Ian Roberts (LSHTM, UK - lecturer
with an interest in transport and
environmental health)
Militarism and conflict
Ron McCoy (Int. Physicians for the
Prevention of Nuclear War)
Vic Sidel (Int. Physicians for the
Prevention of Nuclear War)
Antonio Ugalde (Department of
Public Health, El Salvador)
Water
Municipal Services Project Greg
Cathy Read (public
health specialist and
board member of
Medact has agreed to
coordinate this chapter
on behalf of secretariat.
Ian has been
approached to
coordinate, and has
agreed
IPPNW (former Nobel
peace prize winners)
have approached and
have agreed.
Municipal Services_____
Charlie Kronick
(Greenpeace
UK) has
agreed to
provide
technical input
Covers the commodification of water and controi of water rights by
private companies, looks at case studies from around the globe,
discusses responses from UN and recommendations from water
NGOs.
Ruiters (Rhodes University, SA),
David Macdonald (Queens
University, Canada), Patrick Bond
(Wits University, SA)
Belinda Calagulas (Water Aid)
Tfii® righf to food: Land, agriculture and household food
security
Vandana Shiva (Research
Foundation for Science,
Technology and Health)
Raj Patel
Flavio Valente
Project have been
approached to take the
lead on this chapter.
They have agreed and
have also been asked
to link with collaborators
in other parts of the
world. WaterAid have
expressed a desire to
work on the chapter
together with MSP.
Need to ask David
Sanders and Mickey
Chopra to provide more
detail.
Education
SECTION D: Special Chapter focussed on marginalised
groups
Introduction to this section
Indigenous peoples
Describes the relationship of indigenous people to land and
discusses the underlying health effects of displacement of these
communities.
Survival International (UK-based
rights group for indigenous people
- well established and highly
respected)
Health Unlimited (UK-based NGO
who provide health care to
indigenous groups in various
countries)
Indigenous peoples groups from
Peru, Brazil and Australia
Both HU and SI have
been approached, and
they have been asked
to coordinate the
production of this
chapter in collaboration
with indigenous peoples
groups from various
countries.
Ocsabled people
SECTION E: Watching
This section will highlight a few key institutional case studies (we
want a report that is monitoring the performance of key actors) and
policy recommendations related to the earlier chapters. The
purpose of these sub-sections will be to affirm the notion
accountability to civil society, and inform the advocacy of a global
progressive health movement committed to a just world and health
for all
WHO report card
World Bank /IMF/WTO report card
ODA quantity and quality
Fran Baum (Flinders University and
PHM)
Bretton Woods Project
Development Initiatives (Reality of
4%
4.000
4%
4,000
4%
500
4,000
4%
4,000
Fran has expressed an
interest in writing this
_______ L
Aid)
ODA Monitoring donor programmes (case study of either DflD or
USAID)
Debt cancellation
Gates Foundation watch - include a general introduction on the
growing role of philanthropic foundations
Global Fund
Pepfar
Jubilee Research
Corporations: a prominent drug company
SECTOR F: Summary and Strategies for Action
10%
Page 1 of 1
MainIdentity
From:
To:
Sent:
Subject:
Community Health Cell <chc@sochara.org>
<secretariat@phmovement.org>
Tuesday, March 30, 2004 9:31 AM
Fw: Global Health Watch
— Original Message —
From: yachd@who.int
To: sochara@vsnl.com
Sent: Tuesday, March 30, 2004 7:50 AM
Subject: Global Health Watch
Hi Ravi...hope all goes well.
Was very pleased to read about the Global Health Watch idea becoming reality'. You may recall
I raised the need for this in an AJPA article way back in 1998...now that I am leaving WHO I
would be very keen to work on this with your colleagues with emphasis on monitoring WHO
accountability in a few areas...
Look forward to hearing more and how I could help.
With regards, Derek
Page 1 of 1
Main identity
From:
To:
Sent:
Subject:
Community Health Cell <chc@sochara.org>
<secretariat@phmovement.org>
Tuesday, March 30, 2004 9:31 AM
Fw: Global Health Watch
— Original Message —
From: yachd@who.int
To: sochara@vsnl.com
Sent: Tuesday, March 30, 2004 7:50 AM
Subject: Global Health Watch
Hi Ravi...hope all goes well.
Was very pleased to read about the Global Health Watch idea becoming reality. You may recall
I raised the need for this in an AJPA article way back in 1998...now that I am leaving WHO I
would be very keen to work on this with your colleagues with emphasis on monitoring WHO
accountability in a few areas...
Lock forward to hearing more and how I could help.
With regards, Derek
3/30/04
Page 1 of 2
Main identity
HMHIW!
From:
To:
Sent:
Subject:
---- --------------------------------------------------------------------------------------------------------------------------------------------------------- -
Patricia Morton <patriciamorton@medactorg>
<PHA-Exchange@lists.kabissa.org>
Thursday, April 01, 2004 8:24 PM
PHA-Exchange> Global Health Watch - an ALTERNATIVE World Health Report
Dear colleagues and friends,
We are announcing the forthcoming production of the Global Health Watch - a bi-annual
production that will represent an alternative World Health Report. The report will be launched
at next year’s World Health Assembly in May 2005 and at the People’s Health Assembly in
June 2005.
The report is aimed to provide an alternative perspective on health that places equity, human
and social rights; the politics and economics of development; and the centrality of health
systems development at the forefront of international health debates. In addition, the report
aims to act as a monitor of the performance of global health institutions such as WHO and
Global Fund; development and multi-lateral agencies such as the World Bank and WTO;
multi-national corporations; and the nations of the G8/OECD.
The Global Heath Watch is also being seen as an opportunity and vehicle to strengthen links
between different regional health networks (both north-south and south-south links) as well
as between progressive health networks and other social and political networks.
The production of the report has been initiated by the Peoples Health Movement, Medact and
the Global Equity Gauge Alliance. More detail on the purpose and structure of the report can
be found on the PHM, Gega or Medact websites.
This is a call to all individuals and NGOs who share our perspectives and values on health to
participate in the production of the report, as well as in the development of advocacy
processes in different parts of the worid. This includes using the Global Health Watch to
strengthen YOUR own campaigns for equitable health and social justice.
In order to ensure that the production of the report reflects a global perspective and results in
global ownership, we are calling for partners from different parts of the world to contribute in
the following ways:
□ Raise the profile of the Global Health Watch as an alternative perspective on current
health debates, focused around the strengthening of equitable and inclusive health
systems, the accountability of global health institutions, and bridging health concerns
with the politics and economics of development;
® Contribute to the production of the Globa! Health Watch through the submission of
testimonies and case studies from different parts of the world (guidelines for writing
these will be developed soon)
® Contribute to the Global Health 'Watch by reviewing and contributing to chapters
y o Organise the simultaneous launch of the report in different parts of the world in
r
May/June 2005
4/2/04
Pa<>e2 of 2
* We are especially looking for individuals and organisations from Eastern Europe,
\South East Asia, China / the Far East, Centra! Asia, West Africa, East Africa, Worth
Africa and the Caribbean.
if you have any interest in supporting this initiative, please send an e-mail to:
gmv@medact.org
Patricia Morton
Giobal Health Watch
Medact is a UK charity for global health, working on issues related to conflict, poverty and the environment
Medact
The Grayston Centre
28 Charles Square
London N1 6HT
United Kinadom
T -44 (0) 20 7324 4739
F 4-44 (0) 20 7324 4734
vvww. medact.org
Registered Charity 1081097
Company Reg. No. 2267125
PHA-Exchange is hosted on Kabissa - Space for change in Africa
To post, write to: PHA-Exchange@lists.kabissa.org
Website: http:' lists.kabissa.org/mailnwn/ltslin.fb;‘pha-exchange
4/2 • 04
Page 1 of' 1
Main Identity
From:
To:
Sent:
Attach:
Subject:
Ciaudia Lema <claudialema@medact.org >
GHW e-list <ghw@hst.org.za>
Thursday, April 01, 2004 8:35 PM
Globa! Health Watch, March 3O.ppt
[ghw] GHW presentation
Dear friends,
Please find attached the power point presentation of the GHW.
With kind regards,
Claudia Lema
Global Health Watch
Medact is a UK charity for global health, working on issues related to conflict, poverty and the environment.
MEDACT
The Grayston Centre
3rd Floor
28 Charles Square
London N1 6HT
Tel: +44 (0)20 7324 4736
Fax: +44 (0)20 7281 5717
E-mail, info@medact.org
Web: vavw medact.org
Registered charity 1081097
Company registration no. 2267125
Global Health Watch discussion list
List address: ghw(@hst. org. za
Lisi information page including list archives:
http:7akiina.hst.org.za/maihnan/listinfo/ghw
This list is hosted by the Health Systems Trust: http:/ 'www.lisl.org.za
47
4.2 04
Page 1 of 1
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Sent:
Subject:
Antoinette Ntuli <ant@healthlink.org.za>
<ghw@hstorg.za>
Thursday, April 01. 2004 6:52 PM
[ghw] (Fwd) Advocay strategy
From:
To:
Subject:
Date sent:
Antoinette Ntuli <ant@healtlilink. org. za>
ghw@hst.org.za
Advocay strategy
Wed, 31 Mar 2004 09:16:08 +0200
From:
To:
Dear Colleagues.
As we develop the Global Health Watch, an integral pail of which is
the advocacy strategy and the activities linked with this. I want to
ask us to keep in the back of our minds the need to monitor the
balance of our own activities. Given the imbalance of resources (of
all kinds) between the North and the South, we are going to have to
be
sensitive to the possibility that Watching could fly in the North and
limp in the South. Since many of the target institutions are
North-based I am definitely not suggesting that there is no need for
us to be ven' active in rhe North. I am concerned though, that this is
balanced with appropriate concentration of resources to die South
for
awareness and consciousness raising, skills building, and facilitation
for the South to speak for itself. We know that those who arc active
in the South are often incredibly overstretched so we will have to be
very strategic as to how we strengthen capacity and bring in new
people to this important work. What do others feel about this issue?
Antoinette
------- End of forwarded message-------.Antoinette Ntuli.
Director, HealthLink
Chair. GEGA Co-ordinating Committee
2731-307-2954 (tel)
2731-304-0775 (fax)
anVg1ist.org, za
www.hst.org, za
Global Health Watch discussion list
List address: gliwgdist.org. za
List information page including list archives:
http://akima.hst. org. zamailman/listinfo/ghw
This list is hosted by the Health Systems Trust: httpiiwvy^hst.prg.za
Page 1 of 1
Majp Identity
From:
Sent:
Subject
Mike Rowson <mikerowson@medact.org>
<ghw@hst.org. za>
Friday, April 02, 2004 9:39 PM
Re: [ghw] Advocay strategy
Agreed. Let's try and think how we could strengthen Soulhem advocacy
processes in this. PHM has a very important role to play as well as some of
Gega’s partners. If we need to build some money into the budget to
strengthen their role then let’s think about, activities and financing.
mike
----- Original Message-----From: ’’Antoinette Ntuli" <ant@healtidink.org.za>
To: <ghvv(Shst. org. za>
Sent: Wednesday53.1arch 31, 2004 8:16 AM
Subject: [ghw] Advocay strategy
> Dear Colleagues.
SA
1A
r AkuJ
4'5 04
Page I of I
Main ^entity
From:
To:
Sent:
Subject:
<yachd@who. i nt>
<secretariat@phmovement.org >
Wednesday, April 07, 2004 2:37 PM
RE: Global Health Watch
Hi Ravi
Will be here between 16th and 19th May and stiil at 791 2736 or on mobile 41 79 217 3404 but traveling late
April.
Move to Yale from about September where my focus will be global health governance issues...and would oe
able to intellectually support GHW as part of that mandate; and also chronic diseases and risks (tobacco,
diet alcohol) from an international perspective.
Superb human rights law., and environmental law experts who will be very useful as resources for GHW too
at Yale.
Derek
From: PHM Secretariat [mailto:secretariat@phmovement.org]
Sent: 07 April 2004 09:42
To: yachd
Subject: Re: Global Health Watch
4 8 04
4/8/04
Pnor. i nt A
Main Identity
From:
To:
Sent:
Subject:
David McCoy <David.McCoy@lshtm.ac.uk>
<ghw@hst.org.za>
Wednesday, April 07. 2004 1:41 PM
RE: [ghw] Advocay strategy
Dear all.
Thankyou for the comments paula and ant
I am sure all the communis strike a chord with all of us who continue to
see broader social and political inequities perpetuated in the health
sector - witness the lack of ..Africans presenting papers at the Barcelona
AIDS conference.
It is essential that we quickly identify individuals, organisations and
networks in west, north and east africa; central asia; the far east; and
the carribean and ... pro-actively engage with them and invite them into
the GHW tent.
We have started making some inquiries into possible contacts, but your
suggestions and especially your personal contacts will be really
helpful.
We will let you know the outcome of this in due course.
I hope we can all conned soon by phone
have a good easter break everyone!
Dave
Braveman@fcm.ucsf.edu 04 06/04 10:06 PM »>
Antoinette, it is so important that you called attention ro this. It
illustrates how easily it can happen— that inequities could get
perpetuated even within initiatives dedicated io eliminating them!
I doubt there is an easy answer, however. Because the idea of GHW. if I
understand ii correctly, is to add something that isn’t currently part
of organizations like, e.g., PITM. whose mandate clearly is to empower.
1'he added clement is creating and disseminating information and
analysis from an equity perspective, that will be a useful tool in the
hands of PHM and other organizations focused on empowering'giving voice.
I oleo vitidoroland iliat GIJVV
to ngiw vtuo»>!’ i-o rfiv
also, including these voices with quantitative and more traditional
information.
Il seems that wherever it is possible io have organizations in the South
<ttke the lend in producing nnd dissvininoling ihi.'> infbmicUtvn and
4 8/04
Page 2 of 3
analysis, that should have highest priority. But arc there some
functions that can be performed by NGOs whose focus is on equity for the
South, but who are located in the North, that can’t be performed by
those in the South, al least not right now? If so. in those cases, it
seems justified to depend on those organizations as an interim approach.
But there should always be an energetic search for an organization
based in the South that could perform a given function, before falling
back on the "old boys' networks".
Do these remarks make any sense?
—Paula
-----Original Message----From: .Antoinette Ntuli [mailto:ant@healtiilink.org.za]
Sent: Tuesday. March 30, 2004 11:16 PM
To: ghw@hst.org. za
Subject: [ghw] Advocay strategy
Dear Colleagues.
As we develop the Global Health Watch, an integral part of which is
the advocacy strategy and the activities linked with this. 1 want to
ask us to keep in the back of our minds the need to monitor the
balance of our own activities. Gi ven the imbalance of resources (of
all kinds) between the North and the South, we are going to have to
be sensitive to the possibility that Watching could fly in the North
and limp in the South.
Since many of the target institutions arc North-based I am definitely
not suggesting that there is no need for us io be very active in the
North. I am concerned though, that this is balanced with appropriate
concentration of resources to the South for awareness and
consciousness raising, skills building, and facilitation for the South
to speak for itself. We know that those who are active in the South
are often incredibly overstretched so we will have to be very
strategic as to how we strengthen capacity and bring in new people
to this impoilant work.
What do others feel about this issue?
Antoinette
Antoinette Ntuli.
Director. HealthLink
Chair, GEGA Co-ordinating Committee
2731-307-2954 (tel)
2731-304-0775 (fax)
ant ffhst.org.za
www.hst.org. za
Global Health Watch discussion list
List address: ghw@hst.org.za
List information page including list .archives:
4-8 04
Page 3 of 3
http '-•akima.h s t. org. za /mailman/hstinfo/ghw
This list is hosted by the Health Systems Trust: http:.4\vwvv.list, org. za
Global Health Watch discussion list
List address: ghw@hst.org.za
List information page including list archives:
http ://alcima. hst. org. za/mailman/listinfo/gliw
This list is hosted by the Health Systems Trust: htip:/Avww. hs t. org.za
Global Health Watch discussion list
List address: ghw@hst.org.za
List information page including list archives:
http://al<hna.hsr.org.za/mailman/lisfinfo/glivv
This list is hosted by the Health Systems Trust: http:// wvvw.hst.org. za
4<04
Page 1 of2
Main Identity
From:
To:
Sent:
Subject:
PHM Secretariat <secretariat@phmovement.org>
Patricia Morton <patriciamorton@medact org>
Monday, April 05, 2004 5:29 PM
Re: GHW Teleconferences
Dear Patricia,
Greetings from PHM Secretarial (Global')!
I am available in Bangalore on all three days at 3pm London time (8.30pm 1ST) to participate in the
teleconferencing and have noted in the dairy. This is also advance information that I may be in London
twice in the next two months both times at One World Action, ie,. 27 th / 28th April and 14th - 15th
Mav 2004, working on PHM funding and related issues - but it will also be possible to meet Dave, Mike
and you at least during the earlier visit. I await confirmation of a research meeting tiiat will make this
visit possible. But keep the opportunity marked in your dairy.
Best wishes
Ravi Narayan
Coordinator. People’s Health Movement Secretariat(global)
CHC-Bangalore
#367 "Srinivasa Nilaya"
Jakkasandra 1st Main. I Block Koramangala
Bangalore-560034
Tel: 00 91 (0) 80 51280009 (Direct) Fax: 00 91 (0) 80 25525372
Website: mxvv.phmovement.org
Join the ’’Health for all. NOW!" campaign in the 25th anniversary'year of the Alma .Ata
declaration visit www.TheMillion8ignatureCampaign.org
..... Original Message
From: Patricia Morton
To: PHM-Ravi: a bay : Armando De Negri Filho ; Lynette Martin ; Samer .Jabbpur: Am it Sengupta
Sent: Thursday, April 01, 2004 4:58 PM
Subject: GHW Teleconferences
Dear All
; Could you please confirm your availability for a GHW teleconference for the following times and dates:
; 3pm London time on 22 April, 6 May and 27 May.
The teleconference will be well structured so that they can be finished in 30 minutes.
Please let me know as soon as possible.
Thankyou and Best to all
Patricia
Patricia Morton
Global Health Watch
4 3. 04
Page 1 of 1
Main Identity
From:
T/v
<
Sent:
Subject:
Patricia Morton <patriciamorton@medact.org>
pwiyLPavi <phmsec@touchtelindia net> ebay <abaysema@pn3.vsn! net.in>‘ Armando De Negri
Filho <armandon@portoweb.com.br>; Lynette Martin <LMARTIN@uwc.ac.za>; Samer Jabbour
<sjabbour@aub.edu.lb >; Amit Sengupta <ctddsf@vsnl.com>
Thursday, April 01, 2004 4:58 PM
GHW Teleconferences
Dear Ail
Could you please confirm your availability for a GHW teleconference for the following times and dates:
3pm London time on 22 April, 6 May and 27 May.
The teleconference will be well structured so that they can be finished in 30 minutes.
Please let me know as soon as possible.
Thankyou and Best to all
Patricia
Patricia Morton
Global Health Watch
Medact is a UK charity for global health, working on issues related to conflict, poverty and the environment
Med a ct
The Grayston Centre
28 Charles Square
London N1 6HT
United Kingdom
T +44 (0) 20 7324 4739
F +44 (0)20 7324 4734
www.medact.org
Registered Charity 1081097
Company Reg. No. 2267125
1 eA 1
Main identity
From:
To:
Sent:
Subject:
Patricia Morton <patriciamorton@medact.org>
<secretariat@phmovement.org>
Thursday, April 08. 2004 2:51 PM
automated response
I will be on holidays from 2nd to 12th of April. I will be checking my mail periodically but may not
reply as often. I will reply to your message on my return to work at the very latest.
Main identity
From:
To:
Sent:
Attach:
Subject:
Lynette Martin <lmartin@uwc.ac.za>
< P H M_Stee r i n g_G ro u p_02-03@ y a hoog ro u ps. co m >
Thursday,. April 08, 2004 5:47 PM
RE [ghw] Advocay strategy.eml
[PHM_Steering_Group_02-03] Fwd: RE: [ghw] Advocay strategy
Dear All,
1 am forwarding this to the PHM e discussion list, so that contacts in "the South” may be identified.
Unfortunately; PHNFs network in Africa and the far East are poorly developed.
David
Prof David Sanders/Lynette Martin
School of Public Health
4/12/04
Pnsr 1 af9
Main Identity
----------------------------------------------------------- —----- —----------- —------------------------- - ------------------------------- -———
From:
To:
Sent:
Subject:
PHM Secretariat <secretariat@phmovement.org>
<yachd@who.int>
Wednesday, April 07, 2004 1:11 PM
Re: Global Health Watch
Dear Derek,
Greetings from PHM Secretariat (Global)!
We will definitely meet up between 16th - 19 th May 2004. On 29th ' 30th April, I may be in Geneva for
some discussions with COHRED / PHM Geneva group in preparation tor WHA input. Will you be
there? Some coordinates - telephone number etc would be helpful, so that we could at least meet for a
short discussion. What will you be doing when you move beyond WHO? New base Geneva? Yale?
Looking
e forward to meeting
<—
Best wishes
Ravi Narayan
Coordinator, People's Health Movement Secretariat(global)
CHC-Bangalore
#367 "Srinivasa Nilaya”
Jakkasandra 1st Main, I Block Koramangala
B angalore-56.0034
Tel: 00 91 (0) 80 51280009 (Direct) Fax: 00 91 (0) 80 25525372
Website: www.phmovement,org
Join the ’’Health for all. NOW!” campaign in the 25th anniversary year of the Alma Ata
declaration visit www.TheMillionSignatureCampaign.org
1---- Original Message----j From: yrechd@who.int
To: secretanat@phmcvement.org
Sent: Tuesday, April OS, 2004 12:04 PM
Subject FW: Global Health Watch
|
j
,
p
‘'Zp
j I will be at the WHA except for 20th arid 21st. Could meet before if possible.
< Very keen to join your advisory group am will search for the piece we commissioned on a GHW way back!
j Than
*
for reminding me ..
•! Bast regards, Derek
From: yach (mMtQjderekya^^
Sent: 05 April 2004 21:53
j To: yachd
i Subject: PA: Global Health Watch
i
Page 1 of 1
Main Identity
From:
To:
Sent:
Subject:
<yachd@who.int>
<secretariat@phmovernent.org>
Tuesday, April 06, 2004 12:04 PM
FW: Global Health Watch
Hi Ravj
’ will be at the WHA except for 20th and 21st. Could meet before if possible.
Very keen to join your advisory group am will search for the piece we commissioned on a GHW way back!
i hanx for reminding me. .
Best regards, Derek
From: yach [mailto:derek.yasmin@wanadoo.fr]
Sent: 05 April 2004 21:53
T o: yachd
Subject: FW: Global Health Watch
I-
1
(dentil1
From;
To:
Sent:
Subject;
Braveman. Paula <Braveman@fcm.ucsf edu>
<ghw@ nst.org za>
Saturday, April 10, 2004 2:51 AM
[ghw] possible contacts for GHW in other regions
4 12.04
Hi. Some contacts who may either be appropriate to participate in GHW or who could at least
suggest appropriate contacts in the regions where more participation is sought:
North and West Africa:
Adriano Cattaneo
(directs an Italian NGO that supports a large
network of equity-oriented projects in a range of AFrican countries, including in North and West
Africa. Their contacts may be primarily clinical.'service types, but I think it’s worth asking if there
are any activists with interests in GHW themes)
SE Asia:
Supasit Pannarunothai, Bangkok. Thailand
supasitp@nu.ac.th
has been studying health equity for many years; action-oriented
founded a center on health equity research several years ago: knows the networks in SE Asia
Eastern Europe:
I gave a couple of possible contacts in Lithuania (who will know others in other countries) to Dave
.McCoy;
I would also suggest asking Stig Wall in Utnea, Sweden (stig.wallepiph.umu.se): and Finn
Diderichsen of Karolinka Institute in Sweden (finn.diderichsen@phs.ki.se) for suggestions re
people in eastern Europe because I think they both have collaborated with colleagues in eastern
Europe
Caribbean:
Elsie LeFranc— U. of West Indies, Kingston, Jamaica (sorry 1 don’t have e-mail — hopefully could
find her on the web)
A range of regions:
ask Yvo Xuyens of COHRED yvo.nuyenstglfree, fir
COHRED has a vast network — Yvo
would know who would be relevant to GHW, if you give him the necessary background. He is
very interested in work on equity himself.
put out a specific call to all GEGA members to suggest contacts OR people who would know the
right contacts
that’s all for now.
—Paula
sjrsjc
;js
&
Paula Braveman. AID, MPH
Professor of Family & Community Medicine
Director, (’enter on Social Disparities in Health
University of California, San Francisco
telephone 415-476-6839
fax 415-476-6051
e-mail brawmanzid^
hl! p N'www.ucsfedtycsdh
4 1204
Page 2 of 2
4 13/04
Pjiar. 1 of I
Main Identity
From:
To:
Cc:
Sent:
Subject:
Patricia Morton <patriciamorton@medact.org>
PHM Secretariat <secretariat@phmovement.org>
Dave McCoy <dave.mccoy@haringey.nhs.uk >; <rnikerowson@medact.org>
Tuesday, April 13, 2004 7:26 PM
Re: GHW Teleconferences
Dear Ravi
i forgot to mention that we will be at the WHA this year to hold a session on the GHW. Will you be going? li
would be good to have you present this session.
Best Regards
Patricia
c CPyVJ.V
□sin Identity
From:
To:
Cc:
Sent:
Subject
Patricia Morton <patriciamorton@medact.or0>
PHM Secretariat <secrets.riat@phmovemenii.org>
David McCoy <davidmccoy@xyx.demon.co.uk>; Dave McCoy <dave.mccoy@haringey.nhs.uk>;
< mikerowson@medact.org>
Tuesday, April 13, 2004 7:16 PM
Re: GHW Teleconferences
Dear Ravi
it would be a good idea to meet up with you when you are here later this month. Let us know when this trip is
confirmed.
Best
Patricia
..... Original Message —
j From: PHM Secretariat
i To: Patricia Morton
I Sent: Thursday. April 08, 2004 10:09 AM
’ Subject: Re: GHW Teleconferences
i _
j Dear Patricia,
—-------------f’Url-'U K-
414.04
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Antoinette Ntuli <ant@heaithiink.org.za>
<ghw@hst.org.za>
Tuesday, April 13, 2004 1:12 PM
Re: [ghw] Advocacy strategy
Dear Abhay,
Thanks for your thoughts on this - no one has suggested launching
the GHW simultaneously in countries on the day that it is released
internationally' - and I tltink this is an excellent suggestion.
With regard to country fact sheets - I like this idea too - especially if
we can do it with maps or pictorially somehow. For us in South
Africa, and I suspect many others - the critical issue is distilling
information from the enormous amount of facts and figures that are
available in a persuasive and compelling way. I guess the question
for us is if we plan to do this, is do we by to do so for e very7 country
or do we provide these fact sheets for countries where we have
links and contacts with group and organisations who can assist in
compiling and/or checking the fact sheets, and where we anticipate
some ac tive use of the report?
Finally with regard to the need for ’ammunition’ for countries -1
agree that it is critical that we dont just analyse but also have some
clear ’recommendations’ in the form of policy demands and this was
discussed and agreed al the meeting we had al the end of > larch.
Antoinette
On 12 Apr 2004. at. 0:39, Abhay Seem a wrote:
> Dear Friends,
> I have been following the discussion on advocacy strategy with some
interest. Some observations and suggestions:
-- a. Our response lo US-'Euro centrism need not be any kind of ’Southern
•• essentialism’, wherein only persons from rhe South are considered as
■ valid spokespersons for an Equity oriented perspective. Nor should
■ activists based in the North suffer from guilt in this regard (though
they do need to remain sensitive to the need to give space and
- representation to activists from the South.) Equity can be achieved
- only by attacking the problem from both ends - organising the
-> underprivileged for their rights and sensitising sections of the
- privileged io support a more equitable order.
b. However, we need a healthy, equitable and strategically effective
affiance of activists from both North and South, each of whom have
their unique roles to play in an activity like GHW. As Paula has
- pointed out, those who are working in the ’Belly of the beast’ may
have greater access to information, contacts in global institutions
■ • and involvement in global networks. Ou the other hand, those from the
South have not only first hand and continuous experience of the
problems and issues, they may be involved in more direct struggles.
campaigns or alternative efforts involving affected people, winch can
give an ’edge’ and direction to the whole effort. Alone, neither of
these is sufficient, but together, they can be a winning combination.
The ’birds eye view’ and the ’worms eye view' can complement each
other in the process of watching the global health scene.
c. To move towards suggestions. I feel that a major danger in such
> global efforts is the tendency to universalism, and the loss of local
relevance. 1 would ask myself - "how could I concretely use this
report to advocate for health rights and greater health equity in my
- country?” The critical analysts of global processes and institutions
- is of course one important angle. Bui country' case studies
> exemplifying the impact of particular processes in certain individual
> countries should strongly complement this, and would give activists
> from those countries a direct ’link’ between the report and their
situation. They could release the GHW report in their own country,
> with a complementary couniiy press release saying for example ’’Global
report notes adverse impact of user fees on utilisation of health
> services in (their country)" etc. (Perhaps it has already been planned
> that the report be released in as many countries as possible on a
single chosen date, by the PHM or GEGA countiy units, besides some
• kind of global release.)
> d. .Also, since ibis is like an ’/Alternative World Health Report’ can
- we move towards publishing certain summary couniiy health indicators
> (similar io the annexures in rhe World Health Report) or series of
> short country fact sheets (a few countries could be covered from each
region)? This could have information on areas such as health equity.
> public health expenditure, critical health services coverage and
utilisation indicators, health vs. military expenditure. Fact sheets
could include a section on "issues of concern” or ’’policies under rhe
> equity tens” which could highlight certain critical issues in each
• country. The ‘Social Watch' report is a good example of how tills can
> be done very effectively. An even simpler way is to have in the end of
■ the report, a set of colour coded world maps (like the State of the
- world atlas) which show how various countries on the globe- fare with
respect io health equity, public health vs. militaiy expenditure etc.
• Maybe we can think about this idea not for the immediate issue but for
-> subsequent issues of the GHW. Such ideas could significantly boost the
country-level relevance of the report.
• e. Finally, the GHW should give couniiy level activists ’ammunition'
> while dealing with policy makers and international agencies operating
> in their own countiy. So critiques of global processes should be
accompanied by specific policy demands that have been raised or can be
> raised, with actual countiy examples of struggles or initiatives
> wherever possible. Such cross fertilisation of ideas io support
struggles could be a valuable contribution of the GWH report, helping
4 14 04
Pag &
to ’scalier ’he seeds of resistance1 far and wide.
’ ■ Wid;
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NTIgiri Apartments, Katvenagar. Pune 411052 Maharashtra, India Phone:
020-2546 5936 e-mail: abha'v^e.s^^^2^P1^2on3 "None of us is as smart as
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<;
f;:j
>■.
■; :L- ’'■ ■•.’•<•
•/. <;>•; :ks-tf: A >j< A A A :;t sj;•,,< f: »>.>•: >■: 5-t >’< :•{
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Main identity
From:
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Cc:
Sent:
Subject:
PHM Secretariat <secretariat@phmovement.org>
Patricia Morton <patriciamorion@medact.org>
<david.mccoy@lshtm.ac.uk>; <mikerowson@medact org>; <ctddsf@vsnl.com>;
<cehatpun@pn3.vsnl.net.in>; <narendra531@rediffmai!.com> ’
Saturday, April 17, 2004 3:04 PM
Re: GHW Teleconferences
Dear Patricia,
Greetings from PHM Secretariat (Global;!
Just a few points of follow up.
1. My trip to London in the last week of April is still not definite. But if I do make it. it will be on 27th /
28th of this mouth, with ■?. late evening meeting with all of you on 2?th more feasibie.Just an alert.
2. Maria. Olle, Andy and myself will be meeting as’a PHM Funding group at One World Action on
14th / 15th May for sure. So there may be another opportunity to meet then.
3. 1 got your request about WHA. My first detailed communication -about WHA must have been
received by you all by now. Are you planning a presentation at WHA? Or with PHM team members
outside WHA? Please clarify.
4. Narendra Gupta (narendra.531 J^rediffmaii.com.. a very active member of PHM India, working in
Rajasthan and a long time CHC associate. was with us at a CHC workshop this week. He will be
attending the World Public Health Congress next week in London. I saw vour mail to him. He is an
excellent PHM resource with years of experiecen of confrontation provoking md cHricMly collaborating
with a state government leading to people oriented health reforms. I am glad you arc involving him.
Best wishes
Ravi Narayan
Coordinator. People's Health Movement Secretariat(global)
CHC-Bangalore
4367 ’’Srinivasa Nilaya”
Jakkasandra 1st Main. I Block Koramangala
Bangalore-560034
rd: 00 91 (0)80 51280009 direct) Fax: 00 91 (0)80 255253 2
Website:
Join the ’Health for all. NOW’" campaign
-z
r
~ i
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^ainldentity
From:
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Sent:
Attach:
Subject:
Narendra Kumar <narendra531@rediffrnail.com>
Patricia Morton <patriciamorton@medaci.org>
<david.mccoy@lshtm.ac.uk>; <mikerowson@medact.org>: PHM Secretariat
<secreta riat@ ph movement. org>
Saturday, April 17, 2004 3:10 PM
ATT00065.txt
Re: Re: GHW Teleconferences
Dear Patricia:
Many thanks for your all the mails. I have to very regretfully tell you that owing to inordinate delay in
issuing visa I will not be able to participate in the Brighton conference. I do not know for what reason.
rhe U.K. Dy. High Commission in Mumbai put my visa application in the interview category and the
nearest date given for ii was 6th May inspite of my all the requests.
I was really looking forward to meeting with you and join you in the session on GHW. I had however
discussions with Ravi and contribute in GHW as suggested.
Ravi. I am sooty.
Best regards.
Narendra
On Fii 16 Apr 2004 Patricia Monon
20 04
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From:
To:
Oc:
•Sent:
Subject:
Patricia Morton <patriciamorton@medactorg>
PHM Secretariat --secretariat© ph movement org>
<david.mccoy@lshtm.ac.uk>; <mikerowson@medactorg>; <ctddsf@vsnl.com>;
<cehatpun@pn3.vsnl.netin>; <narendra531@rediffmail.com>
Friday, April 16, 2004 9:23 PM
Re: GHW Teleconferences
Dear Ravi
Greetings from a gradually getting warmer London.
1. Dave. Mike and myself have your (and Maria’s) London dates in our diaries, we will be ready to meet with
both of you.
2. .We wH: be doing a GHW presentation at the WHA (with the support of the PHM members attending). We
have not discussed it much but when we have we will let you know (we could talk about it when you are
here).
3.
Thankyou for your information about Narendra, he will definately be a great asset.
Besi
Patricia
..... Original Message -■
From: PHM_Secretari.at
To: Patricia Moron
4 20.04
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Claudia Lerna <claudialema@medact.org>
GHW e-iist <ghw@hst.org.za>
Wednesday, April 14. 2004 3:48 PM
[ghw] GHW Autors List - Reminder
Dear ail,
Some days ago Patricia Morton sent the updated Authors List for the GHW report.
It is very important for us to get your suggestions for potential authors as soon as possible.
Sc please read through the Authors List and send us your commends.
Thank you and best wishes,
Claudia Lema
Global Health Watch
Medact is a UK charity for global health, working on issues related to conflict, poverty and the environment.
MEDAC T
The Grayston Centre
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-i 14 04
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From:
To:
Cc:
Sent:
Subject:
Patricia Morton <patriciamorton@medact.org>
PHM Secretariat <secretariat@phmovement.org>
David McCoy <davidmccoy@xyx.demon.co.uk>; Dave McCoy <dave.mccoy@haringey.nhs.uk>;
<renef|tarsc.org>; <cfischer@bukopharma.de>: <wulf@medico.de>; <genejour@hotmail.com>;
<halfdan.mahler@bluewin.ch >; -woodwarddavid@hotmail.com>; <mikerowson@rnedact.org>;
<sunil.deepak@aifo.it>; -mku@wcc-coe.org>; <g_upham@club-internet.fr>; <villare@who.int>;
<Katza@who.int>; <judith.richter@attglobal.net>; <lida. Ihotska@gifa.org>
Wednesday. April 14, 2004 5:36 PM
Re: PHM evolving Agenda at the World Health Assembly - May 2004
Hi PHM Secretariat
I he GHW team is certainly going. Dave McCoy, Mike Rowson and I will be attending and we will have a
session on the GHW. We have just started to plan the session. Your assistance (all PHM people attending)
will be most appreciated.
Also Medact together with Wemos will be launching a paper on PRSPs.
Regards to all
Patricia
— Original Message —
From: PHM Secretariat
'
To: ljdajhptsjca@gjfe.prg ; judith.richter@attglobai.net: kafea@whip.jnt; yilIare@who. iint; g uoham@.clubinternet.fr; mku@wcc-coe.org ; sunil.deepak@aifo.lt • mikerowson@medact.org :
patrician orfon@medactorg ; woodW8rdd^> D ' Qm h yfgao
e:@jlyewirLph ;
qeneicur@hotmail.com ; wulf@medico.de ; cfi^ej^^op.harmade ; rene@ta_rsc_oig
Sent: Tuesday, April 13, 2004 1:33 PM
Subject: PHM evolving Agenda at the World Health Assembly - May 2004
Dear Friends,
WHA - May 2004
Communication - I
j Greetings from PHM Secretariat (Global)!
| Ref: The PHM evolving Agenda at die World Health Assembly — May 2004.
| Greetings from die PHM Global Secretariat and the WHO - WHA Circle. I his communication is the
, first announcement of some evolving PHM strategy for the World Health Assembly May 2004. It
follows a lot of informal communications that have been going on between many of us and the PHM
Geneva group. I
1. The World Health
4'14/04
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rrom:
To:
Sent:
Subject:
Samer Jabbour <sjabbour@aub.edu.!b>
Global Health Watch <ghw@hst.org.za>
Tuesday.. April 20, 2004 7:41 PM
[ghw] FW: [EQ] UNDP: eForum on Match or Mismatch?: Global Reportsand Global Policy
•hailenges on global public goods Network
Friends, J just received this and it relates to our own work. In peace, Samer
----- Original Message—
From: Equity, Health &. Human Development [mailto:EQUIDAD@LISTSERV.PAHO.ORG] On Behalf Of
Ruggiero, Mrs. Ana Lucia (WDC)
Sent: Tuesday, 20 April, 2004 2:43 PM
To: EQUIDAD@USTSERV.PAHO.ORG
Subject: [EQ] UNDP: eForum on Match or Mismatch?: Global Reports and Global Policy Challenges on global
public goods Network
From: Vikas Nath [mailto:vikas.nath@undp.org]
Sent: Monday, April 19, 2004
Dear Equity Colleagues,
We invite your participation in the e-discussion forum ’’Match or Mismatch?: Global Reports and
Global Policy Challenges” to be held on the global public goods Network (gpgNet) platform from 26
April to 10 May 2004.
Global reports are defined as: studies that present and analyze issues of global concern and
reach. Examples of global reports, for instance in the health sector, include the World Health Report,
the infectious Diseases Report,the. WeekKi.Epi.demjplog.icc4
the State of .the WprkKs
Vaccjng§gnd Immunization
the AID§_Egi^ernic w:?w. .w - Rgporton tfaejOigbal
HiV/AIDS Epidemic.
Looking at global reports over time gives us a sense of the various issues that have captured
sufficient attention from policy makers and civil society to justify the effort to produce and diffuse a
global report. A recently released study shows that not only has the number of global reports
increased, the range of issue areas addressed has grown too. One way to interpret the growth in the
number and widening range of issues covered by Global Reports is to suggest that this growth in
global reporting reflects the fact that an increasing range of Global challenges has emerged.
The point up for debate is: Has there been a match or a mismatch between the two?
To the extent that global reports influence [and are influenced by) policymaking, addressing this
question would contribute to giving us a better sense of where the world is headed, where the
shortcomings and problems lie, where progress is being made and what needs to be done to ensure
a better future Read the complete background paper at http:/A^
To subscribe to this debate, and to share your views with over 350 people who have registered
,
with this e-discussion forum, send a blank email to:
reports@gro
gps.und
p.org
P y subset]
su bsqrjbbg-g
g-gpg netnet-reports@g
roqp
s.undp.prg
f Ui Join us for this debate and share with us -and the g!<
global public- your observations on this topic. We
* would very much appreciate it. if you could also forward
p
this message to colleagues within your
foiw
organization who may be interested in this debate.
4 20 01
Pagu 2 of 2
Yours sincerely.
inge Kau.. Director
Office of Development Studies
Vikas Nath, Manager global public goods Network (gpgNet) Forum
United Nations' Development Programme
336 East 45th Street, Uganda House
New York, NY 100'17, USA
Email: info@gpgnet.net or vikas.nath@undp.org URL: Ittip7/wwz,g.pg.net net
gpgNet.net intends to ser/e researchers, policymakers, business and civil society as a platform for
information exchange and discussion on issues concerning the theory, policy design and practice of
providing global public goods.
26 April to 10 May 2004: e-discussion forum "Match or Mismatch?: Globa! Reports and Global
Policy Challenges."
To join this debate, send a blank email to: subscribe-qpgnet-reports@groups.undp.org
This message from the Pan American Heaith Organization. PAHO/WHO. is part of an effort to disseminate
information Related to: Equity; Heaith inequality; Socioeconomic inequality in health: Socioeconomic
health Differentials; Gender; Violence: Poverty; Health Economics: Health Legislation: Ethnicity; Ethics;
Information Technology - Virtual libraries; Rososrch & Science issues. [DO/ I KM Area]
'Materials provided in this electronic list are provided “as isMJnlGss expressly stated otherwise, the findings
and interpretations included in the Materials are those of the authors and not necessarily of The Pan American
Health Organization PAHO/WHO or its country members"
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EQUIP' List - Archives - Join/remcve: :jHoj#istsentpahoj:rg/A^
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4/20/04
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From:
To:
Sent:
Subject:
P’-iM Secretariat <secretariat@phmovement.org>
Patricia Morton <patriciamorton@medact.org>
Wednesday, April 21, 2004 4:08 PM
Re GHW Teleconference- 22 April, 3pm (London time)
De-.ir Pa t ficid.
Greetings from PH.\l Secretariat fGlolxily
My telephone number contact at London time. 3.00pm will be 91-80G5533064. which is my residence
number
IncicL. .-a.. i.i the minutes of the London meeting. the section on pavement of authors - the second line.
I ■ • : :pos: refers to case study compilations and not 'complications
*.
I am very uncomfortable with
pavement to authors^ especially, if il is a collective exercise. where solidiintv is more important than IPR.
bur we can leave it to rhe group dialogue. 1 am open to other interpretations but this definitely will put
up die costs (:j.
Raw; Narayan
Coordinator, People's Health Movement SeciMariat(global)
CHC-Bansalore
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Cc:
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Subject:
----------- ———— ------- —..... . ........... . ............
- -~ ------- — • ■■ ■■■-■ — ..——■-------—
--
„.—------------ —... —.... .—-- -------------
Patricia Morton <patriciamorton@medact.org>
PHM Secretariat <secretariat@phmbvement.org>
McCoy Dave <Dave.McCoy@haringey.nhs.uk>; 'Mike Rowson
*
<m’ikerowson@medactorg>
Wednesday, April 21, 2004 3:16 PM
Re: London Visit
; am also free on the '13th.
Can you please send me your phone number so that we can ring you tomorrow for the teleconference.
I hanks
Best to al! in Bangalore
Pat
|
Original Message
I From: McCoy, Dave
; To: ‘Mike Rowson’; PHM^ecrejteriat
j Cc: McCoy Daye ; Patrjcj.a_Mortoo
i Sent: Wednesday, April 21; 2004 9.46 AM
’ Subject: RE: London Visit
4 21.04
Page 1 of i
From:
To:
Sent:
Subject:
Samer Jabbour <sjabbour@aub.edu.lb>
<ghw@hst.org.za>
Wednesday, April 21, 2004 4:35 PM
RE: [ghw] FW: [EQ] UNDP: eForum or, Match or Mismatch?: Global Reportsand Global Policy
Challenges on global public goods Network
Helio Dave, I have already joined the discussion list. However, I think we can, and should, do more to
increase the profile of GHW. I would like to propose that we put together a brief piece about GHW for a peerreviewed journal on what GWH is all about in light of the recent report on reports. Considering that BMJ has
already had a small news item about GWH, it would probably be interested in a foilow-up article. Once the
actual GWH is out next year, a more extensive article can be put together. The piece can serve multiple
purposes: inform a constituency that we haven't reached so far (especially considering the wide readership of
BMJ). help us present focused summary of what we are doing, and set the stage for future publications on
the subject You and Mike are best suited to take the lead on this although it can also be a collective
contribution and sent to BMJ as an output of the CC with names of CC members listed at the end of the
piece. What do ali think? S
----- Original Message----From: ghw-bounces@hst.org. za [maiiro:ghw-bounces@hst.org.za] On Behalf Of McCoy Dave
Sent-; Wednesday, 21 April, 200-1 11:39 AM
To: 'ghw@hst.org.za‘
Subject: RE: [ghw] FW: [EQ] UNDP: eForum on .Match or
Pn???. 1 of ■
Mair. Identity
From:
Sent:
Subject:
margaret reeves <margreeves@yahoo.co.uk>
< g hw@ h st. org. za >
Wednesday, April 21, 2004 10:44 PM
[ghw] francophone contributions
Dear all,
I agree with Marjan’s comment that there is a lack of
Francophone authorship (?and ownership) in the
report’s author’s list as outlined. Tllis message is
just to lei you know-that I have circulated a request
and ihe concept document to contacts and NGOCBO
letw orks in Central and west Africa. I stiD have had
no responses and am now going io chase them all
again... Additional suggestions of francophone
contacts would be most welcome, and I would contact
them.
Best wishes
margaret
?. largaret’s address remains
4 Church Street,
Shipton-under-Wyohwood.
Chipping Notion,
0X7GBP
tel: 01993 830745 or 0794] 077483
,\o^
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From:
To:
Sent:
Subject:
McCoy Dave <Dave.iVicCoy@haringey.nhs.uk>
<g hw@ hst org. za >
Wednesday, April 21, 2004 3:08 PM
RE: [ghw] FW: [EQ] UNDP: eForum on Match or Mismatch?: Global Reports and Globa! Policy
Challenges on global public goods Network
Dear Samer
; narks for forwarding this. I’ve had a quick look at the background paper and it makes interesting reading.
It shows that there has been a proliferation of 'global’ reports, especially since 1990. The reports address
both fnter-national (between-country) issues, at-the-border issues (e.g international peace or trade), and
behinc-the-border issues, such as the translation of economic growth into improved well-being of people
(human development) on a country-'oy-country basis; human rights; the status of women, good governance
and economic policy reforms. Initially most reports focused on presenting data, but over time, reports have
startyed to analyze data, and to present arguments, alternatives and solutions. Civil society organisations
have been involved in producing these reports increasingly in the 1990s. often to perform a watchdog role
Given that communicating the rationale and motive behind an alternative world health report will be crucial
(and wili almost be half the message of the report), and that perhaps we ourselves need to be clearer about
what sets GHW apart from other reports on health, it could be useful to have someone from the secretariat or
CC joining the e-discussion.
Any volunteers?
w.
4 21 04
Pnge 1 of I
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___________ _______ —---------------------------------------------------------------------------------------------------------
From:
To:
Sent:
Attach:
Subject:
Patricia Morton <patriciamorton@medactorg>
AmitSengupta <ctddsf@vsnl.com>; PHM-Ravi <phmsec@touchtelindia.net>; HST
<ant@hst.org.za>. Armando De Negri Filho <armandon@portov/eb.com.br>; Braveman
< p brave@ i tsa. ucsf. ed u >; a bay < abaysema@pn 3 .vs n I. n et. i n >
Tuesday,. April 20: 2004 11:19 PM
Teleconference agenda 22nd April.doc; Minutes.doc
GHW Teleconference- 22 April, 3pm (London time)
Dear Al!
Please read the attached document in preparation for the teleconference at 3pm (London time on 22 Aoril)a small update of what we have been doing and the agenda.
This teleconference will be attended by Amit, Ravi. Armando, Paula.. Abhay, Mike David McCoy and myself
oniy. Anr/or7ene - you haven’t confirmed yer (please confirm if you can make it). A little time will be set
aside at the end for clarification of the minutes of the last meeting, for those of you who weren’t there
[minutes attached).
Someone from Meetingzone will call you at the specified time, i hope everything is clear.
I need your phone numbers. Please send to me asap.
Best Regards
Patricia Morton
Global Health Watch
Medact is a UK charity for global health, working on issues related to conflict, poverty and the environment
•
Med act
i he Grayston Centre
28 Charles Square
London N1 6HT
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_________ •___ <_______ _ __ —___-________ __ ____ ___ __ ______:____ _____ .--____ _________ 2____________ •________ 1.21____________________ __________ ;_______ _______ i________ _____ '.______
I
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• Editoroal bearo'l
• C©©rdm®ffing commoffi®®: IRegtenall represenMton
• Chapter based forums and n®tw@rte
:„c_-___,. ■____ -- ______
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I
PossSfeS® Q^esSfcims
Ss tosr® ‘©mi®’ cM8 sodefty voice tat w® ©ami r@[pres®3Dft through
@HW? Surety to®r@ ar® a
mumbsr, how ws08 w® mamiag® to® tension bstwesn fth® voices?
I replied that there isn’t cne voice but nevertheless, we need to bring together the progressive
voice of the public health community. As we have a number of collaborators for each chapter, we
aim tc stimulate debate around the issues and provide chapters that hopefully consider opinions
from a variety of voices from the progressive side of the health community. We realise that not
every one will agree with everything in the report. But hopefully they will agree with and endorse
the broad recommendations that will come out of the report.
Th® (progressov® h®a8th community tendls to domonos® SnstitiBtions Hoik® to® WoM Banik. This
cs TOft useful).
This report does not want to demonise these institutions. However, there needs to be a critique of
them in order to keep them in check.
Th® word [politics does not seem to mentioned bod to® presentation. God toe current cUfimaft® of
worBd steers, toeir nesdls to lb® politocaG action.
This is a political document. The opening chapter is concerned with the politics and economics of
health globally. We see this document being used to influence poiicy at an international and
national level.
Th® GHW sfoouGd) not get on ©omipstitoon woto commerciaB Gobbyong groups when 'lobbying
WHO. Th® GHW shoufld have a technocafl and) scientiftic background).
The report will be a technical report written by well-reputed academics and activists. It will provide
the technical background for campaigning and lobbying.
WTO/8R®F/Wor8d Bank ar® associations of governments. GHW shoufld make d)6a3ogu® aS a
national as w@GG as gGobaC levefl.
The issue of working at a national level has been discussed and we realise the importance of
lobbying at a national level However, this report is a global report which will be concerned with
international policies. We will endeavor to include regional and national issues where relevant and
particularly important, however, there is a limit to how much can done at these level in one report.
We hope that in the not too distant future there will be national groups willing to work on national
health watches who can Hase and inform us.
KedtaO amid) heaflto students, being to® fetor® Headers of tomorrow, shoufld! b® included as
pari ©If to® audience, how will you ensur® this?
The report will be made accessible to a wide health audience. It will have a technical and scientific
background but will be written in language that is accessible for students, people where English is
a second language and for grass roots health workers.
What about to® Dogcstics of to® report? How beg os it? How wiflfi you distribute oft?
The report is 100 000 words. It will be made available on the web for free. The individual chapters
will be easily downloadable as will the whole report. The first and last chapters of the report (as a
minimum) will be available in Spanish and Portuguese.
Section © dealing with fth® determinants oft heaflto which ar® so crucial ft© health and need ft©
be mad)® mor® prominent sfooufld) fe® bsftor® Section IB (heaflth system issues}.
We have debated and discussed this issue. Although the order of issues is a little convoluted, we
decided on the current structure because the health systems issues that wiil be covered are of
crucial importance. Also, this report is an ‘alternative’ Health report, and health is the primary
issue.
Heed ft© define what 6s ipubfloc h®aflto.
This will be covered in the section concerned with approaches to health and health care.
Why d© w® mieedl aim ‘alltemaW®’ to to® Wwlldi G-teGto jpoirfc
Because we need an avenue to say the things that the World Health Organisation cannot say,
because the WHR does not consider the increasing role of the WTO/IMF/WB and national
governments on its WHO policies and because there needs to be a critique of the WHO to keep it
in check.
Tim®
$©®s im©t toOk abowft gs©safow amd! wccessful aip.proash®© to achoevilircg
The report will have a big fccus on putting forward positive examples and alternatives. And there
will be a whole chapter (the last chapter) which will articulate a way forward in promoting the
recommendations of the report for health workers on the ground.
3HW T®l®cosDferemic®-22 AtproO 2004
R©te ©? 'th® ©©©ir^mgiairiig CojnmlStee
CC members will:
o Help ensure that the issues of the region they are representing are reflected in
the report
o Coordinate efforts to publicise the report in their region and if possible
organise and fundraise to help with translation of report into local languages
o Help organise national and regional launches of the report, building up list of
coniacts/MGOs to assist with the launch and distribution of report etc.
o If possible, facilitate the development of regionai/country papers to
accompany the main report
o Advise and guide the secretariat in the development of the broader GHW
o Participate in the development of the concluding remarks and
recommendations of the report and the proposed strategy for the way forward.
in addition, CC members can volunteer to assist the secretariat with the actual
production and technical review of individual chapters.1
"here is potentially a lot of work to be done at the national and regional level to
prepare for the launch of the report, and to be able to effectively use the report as
a platform for local advocacy and campaigning. It is hoped that there will be
networks at the local and regional level created to sustain this activity, and that
these networks will connect with the CC through the regional representative.
2. Size and composS&ion of th® Coordinating Committee
The number of people on the CC (20) is good and necessary to ensure regional
representation. However, the number is too big for efficient decision-making. It
was suggested that the CC has a smaller executive committee whose role is to
steer the secretariat.
3. F^midirafejfiigj
The GHW secretariat will coordinate fundraising activities with the PHM
Secretariat. Mike Rowson is in regular contact with Andy Rutherford to ensure this
happens.
There was support for regional fundraising efforts. Armando has already been
making efforts to find funding for translation (to Spanish and Portuguese) for
editing, dissemination and for the production of a South American regional report
to accompany the GHW. Fran mentioned that there are opportunities for
fundraising in Australia. Abhay mentioned that he could look into raising funds in
’ Maria Zuniga pointed out that one of the reasons a previous attempt io launch a Global Health
Watch failed was because busy people were expected to volunteer time. Volunteers must
therefore be sure that; they can deliver, especially given the tight timeframes.
India for re-printing. Paula (US), Maria (Central America), Antionette (SA) said
there were less opportunities in their regions for fundraising.
There was general endorsement of the strategy of seeking small amounts of
funding from lots of NGOs and networks (rather than a iarge grant from a smaller
number of funding agencies). This facilitates broader ownership of the report and
prevents power by one donor over the production of the report. It was felt that it
would be inappropriate to seek funding from UN agencies.
There were suggestions to approach Oxfam International and Scandinavian and
Dutch agencies. We have already approached SIDA.
There was also a suggestion that fundraising could be targeted to certain themes.
For exampie, Greenpeace has expressed interest in putting funding towards the
environment chapter. However, we need to be wary of funding of a whole chapter
by one organisation in terms of editorial independence. We will have to make
clear terms for donors of themes.
Three was a suggestion that GHW produce a brochure and other publicity
material to assist fundraising efforts.
There was a suggestion that we consider pre-publication orders as another
mechanism for fundraising.
4. Shags® of the Report - MonitoringI Wchdog SecttSoo
It was suggested that we limit the number of agencies to five. However, it was
a-so pointed out by Fran that the design of any institutional critique would depend
in part on what was presented in the thematic chapters. There was also a
suggestion that we decide on particular aspects to monitor in each of these
organisations.
It was siso suggested that we make the development of this section a little more
organic and rely upon what other people are already doing and what people can
offer.
There was general consensus that there needs to be a focus on WHO and the
WB. Other institutions that were mentioned were: WTO; Global Fund; UNICEF
(David Sanders and Ravi have been doing some work related to EPI and WHO).
Ideas about the WHO-watch will be circulated in due course.
There issue of monitoring country governments came up again, it was agreed that
we encourage the production of such reports, but that we consider how this would
be packaged with the GHW report whose focus is on the watching of international
agencies and processes. Country reports could be published as accompanying
documents.
OTw ©©JinraenSs
There was some comment on the difficulties of working with people of different
cultures and languages. Hopefully the Coordinating Committee being made up of
representatives from most regions of the world will be able to provide the global
initiative with access to these various cultures and language groups.
“here was a suggestion to put together a timeline/gantt chart for authors. See
attached.
There needs to be some clarity on honorariums. Currently we have budgeted
$500 per chapter. We suggest that the lead author/coordinator would be
responsible for disbursing this money. However, it was also stressed that we
should promote voluntary contributions.
There was decided that the executive summary and concluding sections of the
report wouid need a more collective approach, with the involvement of the authors
and the CC. It was suggested that this could be done at the next International
Health Forum at Porto Allegre in January.
Page I of I
From:
To:
Sent:
Attach:
Subject:
Patricia Morton <patriciamorton@medact.org>
Dave McCoy <dave.mccoy@haringey.nhs.uk >; abay <abaysema@pn3.vsnl. net. in>; Baum
-Han.baum@f'inder$.edu.au>; Braveman <pbrave@itsa.ucsf.edu>; Paula Braveman
< braveman@fcrn.ucsf.edu>; Armando De Negri Filho <armandon@portoweb.com.br>; HST
<ant@hst.org.za>; Samer Jabbour <sjabbour@aub.edu.lb>; Martin <lmartin@uwc.ac.za>; PHM
Ravi <phmsec@touchteiindia.net>, Amit Sengupta <ctddsf@vsnl.com>; Maria Zuniga
<iphc@cisas.org. ni>; Maria Zuniga <maria@iphcgiobal.org>; < rnikerowson@medact.org>;
<armando@hmv.org.br>
Friday,. April 23,. 2004 7:46 PM *
Teleconference minutes - 21 and 22 April.doc; Possible Questions al GHW presentations.doc;
Global Health Watch- April 23. ppi
Teleconference minutes and other things
Dear AH
Thar.icyou for your cooperation on our recent teleconference, we were very happy with how it went. Although
it was very expensive to run, it was very useful. Attached are the minutes. We welcome comments,
especially from Samer and David Sanders (and Mike) who were not with us. My apologies for not being able
to include you this time Samer and David.
■ am also attaching the GHW presentation (with a few amendments after the test run at the World Congress
of P’HA.s at Brighton on Monday), i am also attaching a list of questions and responses from this
presentation. They may or may not be helpful to those who have kindly agreed include GHW in presentations
at future conferences.
Regards to ail
Pat
Patricia Morton
G’obal Health Watch
Medact is a UK chanty for global health, working on issues related to conflict, poverty and the environment
Med a ot
"ne Grayston Centre
28 Charles Square
London N1 6HT
United Kinadom
T +44 '0) 20 7324 4739
F +44 (0) 20 7324 4734
www mgdactorg
Registered Charity 108109/
Company Reg. No. 2267125
4.26- 04
Main Identity
PHM Secretariat <sectetariat@phi7iovement.org>
<aviva@hcrnc.netnarn.vn>
Friday, April 23, 2004 2:50 PM
Fw: Claudio in Ho Chi Minh City
From:
To:
Sent:
Subject:
Dear Claudio.
Greetings from PHM Secretariat (Global;!
The enclosed letter is self-explanatory. I hope yon ’’’ill agree to be the PHM member of the Editorial Board. We
need your type of skills. Did you get my last SOS of 21” April? Are you likely to be able to join in
.'i~ ; - 24 ' i\Liv dils year and anv
-’Durban meetings f7"1 - 15“ June; of ISEqh;, Equine I; G.EGA.'
Bes; wishes
Ravi Xata van
Coordinator, People's Health Movement Secroianalfpiobal;
CI IC-Bangalore
367 "Srinivasa Nilaya"
I akka sandra 1st Main, I Block Koramangida
B migalo re - 56003' ’
Teh 'Ji..
* 91 -‘.y 80 51280009 ’'Direct; rax: 00 91 .u; 81 J 25525372
C'ebsiD: \vvav.phmovement.org
Page 1 of 2
From:
To:
Cc:
Sent:
Subject:
PHM Secretariat <secretariat@phmovernent.org>
<davia.mccoy@lshtm.ac.uk>; < patriciarnorton@medact.org>: <mikerowson@medact.org>
<aviva@homc.netnarn.vn>; <abaysema@pn3.v^nl.net.in>; <ctddsf@vsnl.com>
Friday, April 23, 2004 2:36 PM
Fw: Claudio in Ho Chi Minh City
Dear Dave. Patricia and Mike,
Greetings from PHM Secretariat {Global;!
Thanks for die opportunity (o be pan of the tele-conference. I enjoyed the interaction and I must compliment
the facilitator, who did an excellent job of coordinating the discussion-.
'1 his i-- just a follow up on the sugg.esnon made by A briny. which both Am.it and I strongly endorse and that is of
requesting Chude Schutum, presently based in Vietnam and the facilitator of die PHM Exchange, to be a
member of the editorial board of GHW (•avivaT/.hct rjc.nctiL.ini.cn' Claudio is a professor activist with a strong
public health , pAnny health cure / nutrition background excellent editorial and computer skills; regularly whets,
edits, reviews ill PHM publications and reports; and probably is the most well informed of us all - about
reflections. studM. reports from PHM members ;i:M related source?, because he lias been technically facilitating
die PHM Exchange, which is a sort ofc-group dialogue that keep; the larger PHM network together.
.1 am copying iris mail to niiri as well. Actually 1 notice in mt file • that he did write to Patricia on
2 1" April
volunteering to contribute and review Chapters., but I think he is best suited for the editon-.d committee role. As
PHM Secretariat. I .rm endorsing this and I am sure von will follow this up with him.
A.s requested at the end of die teleconference, I ,un reviewing the threw.-. .vid -authors list and will .-end
suggestions.
incidentally, Mano.i AVCC • Geneva; conrimied that John Knox Center has been booked on Saturday 15'’ May
and Sunday 16~' May for an informal PHM get together of all PHM early arrivals for \VH A, but we need to
somehow’ get into the WH-A programme - some session, in which a GHW .uiiiouncciucm can be made. Pk-is-c
check urgently with David Vvoodward, whether SCF k facilitating a woMhop. Wc will get an opportunity ui die
XGO Forum session, but we must aim to make announcements or short iupuv' into a? m.iny :is pocuble. Do \X'U
knew of aiiy other sessions where this input on GHW could be negotiated1
Best wishes
Ravi Narayan
Coordinator, Peopled I leaith Nlovement Secretarial (global.)
CI IC-Bangalorc
-•367 ’’Srinivasa Nilaya”
Jakkasandra 1st Main, I Block Koramangala
B angalore-560034
Tck 00 91 (0) 80 51280009 (Dirccl) Fax: 00 91 (0) 80 25525372
M'el^iic: yAyw.phmo• emcnkcirg
Join the ’’Hcahh for ail. NOW!” campaign in the 25th anniversan year of the Alma Aia
dcvlaraiiot; \is:: vrwiv.ffhcMillicjnSigM
.... - Oncnn&J t-.Ave;-- - ■
Dear Dave, Patricia and Mike,
Greetings from PHM Secretariat (Global)?
Thanks for ’he opportunity to be part of the tele-conference. I enjoyed the interaction and I. must
compliment the facilitator, who did an excellent job of coordinating the discussions.
This is just o follow up on the suggestion made by Abbay, which both .Amit and I strongly
endorse and thc£7s of requesting Claudio Schuflart presently based in Vietnam and the .facilitator
of the PHM Exchange, to be a member of the editorial board of GHW^Claudio is a professor 7
activist if: a strong public health / primary health care / nutrition
^xAfo?xcdient
cdltoriai ami computer skills; regularly whets, edits, reviews all PHM publications and reports;
and probably is the most well informed of us al) - about reflections, studies, reports from .PHM
members and related sources, because he has been technically facilitating the PHM Exchange.
which is a son of e-group dialogue that keeps the larger PHM network together.
I am copying this mail to him as well. /Actually I notice ir my file
vol nteering to cont
i
1 re^
n
that he did write to Patricia
ini
i
sest >uit< 1 for tl
editorial committee role. As PHM Secretarial.. .! am endorsing this and I am sure you will follow
this up with him.
As requested at the end of the teleconference, 1 am reviewing the themes and authors list and will
send suggestions
Incidentally. Manoj (VVCC - Geneva) confirmed trial John .Knox Center has been booked on
Saturday 15‘h May and Sunday 16th May for an informal PHM get together of all PHM early
arrivals for WHAj but we need to somehow get into the WHA programme - some session in
whicn a GH’.V announcement can be made. Please check urgently with David Woodward.
whether SCF is facilitating a workshop. We will gel an opportunity in the NGO Forum session.
m t m ike an > i c m ents >r >hot input
nan] ■ *
ible. D > y c i
ci any other sessions where this input on GITA could be negotiated?
Rest wishes
Ravi Kan-ivan
Dear Claudio.
Greet mgs from PHM Secretariat (Global)!
The enclosed letter is self-explanatory. 1 hope you will agree to be the PHM member of the
Editorial Board. We urgently need your type of skills. Did you get my hist SOS of 2 " April? Aie
you likely to be able io join in WHA (17dl - 24’h May) in;.-. year and any of Durban meetings (/" i
' •;
j ■ quincyl: ■ ■ -$2
Best wishes
Paqe 1 of 1
f-Lx o
Main identity
From:
Claudio <claudio@hcmc. netnam.vn>
l>c;
P'HM - Secretariat <seCieiariac@phrnOvemeni.Org>; <patricianiorion@medact.org>
Friday, April 02, 2004 9:19 AM
Claudio in Ho Chi Minh City
Sent:
Subject:
Dear Patricia,
Great news about the Alternative WHR!!
I volunteer for anything needed including contributions and review of chapters.
Cordial?
Claudio
He
GE-C.^
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rr
K-&.
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Main identity
From:
To:
Sent:
Subject
ctd d sf < ctddsf@vsn I. com>
<ghw@hst.org.za>
Friday, April 23, 2004 4:52 PM
[ghw] suggestions for authors
Dear Friends,
1 am putting down some suggestions regarding authors for the Global Health
Watch.
Foreword
Naom Chomsky is another person we can think of
.Approaches to health and health care
D.Baneiji (Prof.Emeritus, Centre for Community Health and Social Medicine.
Jawaharlal Nehru University. New Delhi, India) — reference group
Hafden Mairler - reference group
Claudio Schuftan - reference group (good to have Claudio on board, also as
possibly part of the editorial team)
Big Pharma, access to medicines and IPRs
Ellen ‘t Hoen (the MSF Access Campaign group, of which Ellen is a part,
could take responsibility and co-ordinate) — lead author
K. Balasubramaniam (formerly with UNCTAD, IOC I J. now co-ordinator of Health
Action International - .Asia Pacific) — Reference Group
I luman Resources
Someone from Philippines should be involved given the huge problem of
migration of health personnel that this region faces. Deien de la Paz, PHMPhilippines can be asked io suggest or possibly contribute herself.
Responding to HIV-AIDS
Alison Katz (with WHO, and very active in PHM-Gcneva) - lead author
Waler
Maude Barlow (chair of the Council of Canadians, a citizens' group with
100,000 members. She’s the author of an excellent book on waler
privatization — Blue Gold) — Reference Group or lead author
Right to Food
Prof. Ursa Patnaik (Professor of Economics. Jawaharlal Nehru University, New
Delhi, India. She’s possibly the regions foremost agricultural economist.
Mr
Slw works closely \\i;n peoples movements, mcjtiding PHM-India) — lead author
I haw circulated the concept note and the authors list to the PHM-India
comact ast and die Health Action International - Asia Pacific (HAI-AP)
Um ciHtl shwH Liut
mwe &uug«s
*tiwns
tn the- ne
it
*
few dtryrj.
• IAI-AP can also be involved in advocacy' in the Asia Pacific region especially SE Asia.
With best wishes to all.
Amii Sen Gupta
4/26/04
Page I of 2
Main identity
From:
To:
Cc:
Sent:
Attach:
Subject:
ctddsf <ctcidsf@vsni.com>
<pha-ncc@yahoogroups.com>
<ekbal@vsnl.com>: <sundar2@123india.com>; <samasaro@vsnl.com>;
<chaukhat@yahoo.com>: <amitava45@vsnl.net>
Friday, April 23, 2004 4:17 PM
GHW_AUT.DOC; GHW_CON.DOC
[pna-ncc] Global Health Watch
Dear Friends,
Some of you would be aware about the initiative called ’’Global Health Watch"
— a bi-annual production that will represent an alternative World Health
Report. The report will be launched at next year’s World Health Assembly in
May 2005 and at the People’s Health Assembly in June 2005.
I had attended last month a meeting of the GHW. I am appending the concept
note of the GHW and the list of chapters with some suggested authors.
The report is aimed to provide an alternative- perspective on health that
places equip; human and social rights; the politics and economics of
development; and the centrality of health systems development at the
forefront of international health debates. In addition, the report aims io
aci as a monitor of the performance of global health institutions such as
WHO and Global Fund; development and multi-lateral agencies such as the
World Bank and WTO; multi-national corporations: and the r ations of the
G8/OECD.
The Global Heath Watch is also being seen as an opportunity and vehicle to
strengthen links between different regional health networks (both
north-south and south-south links) as well as between progressive health
netw orks and other social and political networks.
The production of die report has been initialed by the Peoples Health
Movement. Medact and the Global Equity Gauge Alliance. More detail on the
purpose and structure of the report can be found on the PHM, Gega or Medact
websites.
People can contribute in the following ways:
. Raise the profile of the Global Health. Watch as an alternative
a.
perspective on current health debates, focused around the strengthening of
equitable and inclusive health systems, the accountability of global health
institutions, and bridging health concerns with the politics and economics
of development;
. Use the Global Health Watch to develop south-south and nonh -south
b.
links and links between health networks and other social and political networks
. Contribute to the production of the Global Health Watch through the
c.
sHlWnsQl:' fi
KftQr.
fiVHtt diHhrftiU JWh fli tier
*
WfM'lfl
4/2v (jJ.
of 2
■*
; ; lines lor writing these will be developed soon)
47 ( on tribute to (he Global Health Watch bv rcvic-winp. and contributing 16
chapters
c.. Organise the simultaneous launch of the report in different parts of
the world in May June 2005
L. Develop regional and national health watches to complement the
produc tion of the Global Health Watch
We are especially looking for individuals and organisations from Eastern
Europe, South East Asia. China / the Far East Central Asia. West Africa.
East Africa, North Africa and the Caribbean,
Do respond if you think you could contribute. Especially, respond by month
end (I!!!) about any suggestions regarding authors.
In solidarity,
xXmit Sen Gupta
4-26.04
OotaH EioEtB WafcDn
Mtsibffismg One gikutaH ihieallttEii amid! soenaE juisttnee imovemneiffiC summed!
am
WoirM E-HeafltlEm Wjpoirtt
ImUirodliiocfcnD
Global civil society does not participate strongly and consistently in international health advocacy.
Whilst there have been some high-profile successes due to pressure from civil society (for example
with campaigns to improve access to medicines and to regulate the promotion of infant formula),
there is a striking lack of involvement and pressure from civil society on broad health and health
system issues.
With the failure of the global community to achieve “Health for All by the Year 2000”, new targets such as the Millennium Development Goals - have come to the fore. However, whilst overseas
development assistance declines and the trade and investment environment becomes even more
unfriendly to poor countries, there is a great danger that these objectives too will not be met,
increasing cynicism and discontent in the world.
A fragmented, disease- and issue-specific approach to health dominates advocacy as well as research
and governance agendas, under-emphasising the underlying causes of ill-health. Meanwhile,
disparities in health care consumption between the rich and the poor are growing alarmingly within
and between countries, leaving societies with major political, social and moral challenges.
The values that underpin the goal of health equity and the primary health care (PHC) approach are
often undermined by development policies emphasising efficiency at the expense of fairness; market
forces at the expense of planning based on population needs; and selective approaches to disease
eradication at the expense of more comprehensive strategies for achieving health. In addition, the
diminished capacity and role of national governments, particularly of poor countries, has further
undermined the notion of social solidarity and inclusive health systems.
Although there has been a recent and welcome shift by the 'World Health Organisation (WHO) to
highlight global inequity and reassert the principles of the PHC approach, constant pressure from civil
society is needed to hold national policy-makers and international organizations accountable to
declared values and to address the fundamental causes of ill-health and failing health systems. To be
effective, civil society voices must be well informed, evidence-based, and united on fundamental
issues.
In response to this, the People’s Health Movement, with the support of the Global Equity Gauge
Alliance and Medact, propose to mobilise the global health community around values which stress the
need to tackle more effectively the fundamental causes of ill-health and health inequity in our
societies and global community. This mobilisation will be done through the production of a GibM
HesHClh WattA This initiative promises to combine outstanding research and policy analysis with a
I
commitment to bringing the views of poor and vulnerable groups to the attention of international and
national policy makers and a more effective civil society advocacy movement.
The Watch is an initiative that:
o
Amplifies the calls for a broad, multi-sectoral approach to health by explicitly and concretely
linking health concerns to the environment, international finance, agriculture and food
security, war, housing, land rights, conflict and education.
o
Strengthens the capacity and accountability of the world’s global health institutions to provide
technical and value-based leadership in the struggle to attain adequate health for all.
o
Creates a more vibrant global civil society in health by strengthening the links between
socially conscious non-govemment and civil society organisations across all regions of the
world, based on shared values.
o
Provides a forum for magnifying the voice of the poor and vulnerable and those who advocate
for them;
o
Shifts the health policy agenda away from technocratic approaches, to one that also
recognises the political, social and economic barriers to better and more equitable health; and
o
Promotes human rights as the basis for health policy, as a corrective to the market-led policy
agenda which tends to fragment and exclude.
HnastitaiiDonDaiD tanunewoirlk of
Watefe
The People’s Health Movement (PHM) is an organised network of civil society and grassroots
organisations that developed out of the first People's Health Assembly in Bangladesh in December
2000. At that meeting, delegates from all over the world reaffirmed their commitment to addressing
the social, political and economic determinants of ill-health and to strengthening of health and health
care systems that are equitable, sustainable and locally appropriate. This is based on the the view that
health is a human right. This has since been encapsulated in the People’s Health Charter, which has
been translated into several different languages.
As a global network, with its base firmly rooted in developing countries, the PHM is a vehicle that
can act as a unifying umbrella for a wide range of individuals, organisations and community-based
organisations engaged in struggles and efforts to improve health and social justice globally.
Medact is a UK-based charity with a health professional membership that has been active in
highlighting the harmful effects of globalisation, poverty, environmental degradation and war on
2
health and equity. GEC-A, a network of projects mainly in the South that primarily addresses in
country health inequities, has committed itself to tackling the global determinants of health disparities
within and between countries. Together with PHM, they have helped to provide the impetus around
the development of the Global Health Watch.
In keeping with the philosophy of the PHM, the involvement of as many NGOs and individuals as
possible in the development and use of the Watch as an advocacy tool is seen as a priority. The efforts
to ensure this widespread involvement and the shared ownership of all those who participate in the
development of the Watch and / or endorse its contents will strengthen global civil society’s
engagement with global health policy, and are as important as the actual production of the Watch.
A central feature of the workplan to produce the Watch is therefore the process of forging and
strengthening linkages between spell out what CEO is (CBOs), NGOs and academics; between
constituencies in the South and the North; and between the progressive health sector and other
progressive social and environmental movements and organisations.
Atas M ifcie Watciu
1) The regular production of an alternative world health report
The Global Health Watch will be regularly produced as an alternative world health report that is
coherent, rigorous and written to support civil society’s capacity to promote a more socially conscious
and equitable health agenda. To be effective, the Report’s credibility as a reliable source of sound
evidence is crucial. At the same time, the Report will serve as a forum for presenting civil society
perspectives, testimonies from the ground and the voices of people who are traditionally unheard.
The Report will consist of a compilation of chapters on various health issues. Generally, the Watch
will not commission new research but will rely on research and analyses already done by NGOs and
academics, providing a platform for the further dissemination and popularisation of prior but essential
work. The opening chapter will draw out the main themes of the Report and put forward over-arching
concepts and values. Each following chapter will include a set of recommendations for further action.
The concluding chapter will draw strategies for promoting health for all based on material discussed
throughout the Report.
Chapters will be written by different authors from various regions of the world. Each chapter would
also have reviewers, thus expanding the network of contributors to the text. An editorial committee
will oversee the Report production, ensuring the overall quality of the material, the coherence of the
Report as a whole, and that it reflects the ‘voices of the unheard’ from different parts of the world. A
dedicated editor will be hired to support individual contributors in producing material of adequate
quality, and finalising and copy editing the Report.
The approximate size of the Report will be 100,000 words and the suggested structure and chapter
headings are shown below. It is envisaged that the scope and size of the Report will change each time
3
it is produced to accommodate emerging issues while preserving a critical core that remains consistent
over time.
2) Advocacy
In addition to the production of a report, the Watch incorporates an advocacy strategy that aims to:
o
o
o
Increase the responsiveness of global health institutions to the opinions and ideas of global civil
society;
Legitimise and strengthen the core messages of the Watch: equity, centrality of effective and
inclusive public health systems, and broad public health issues need greater recognition in both
global and national health and development policy agendas; and
Encourage greater involvement of civil society organisations in the determination of international
health policy, with a particular emphasis on strengthening representation of the poor and their
advocates.
The activities planned to realise these goals combine a mixture of activities at national and global
level.
Theprocess ofproducing the Watch. By involving a diverse range of NGOs, civil society
organizations (CSOs) and individuals from both developed and developing worlds in the writing the
Report, the core messages of the Watch will be filtered and communicated through a 'wide range of
forma! and informal networks and information channels.
Pre-launching the Watch. In order to raise the level of expectation and demand for the Watch, it will
be ‘pre-launched’. The idea for the Watch was presented and discussed at the World Social Forum in
Mumbai in January 2004, and will be presented to a broad group of health, development NGOs, CSOs
and trade unions as well as the press at a meeting in London in March 2004. In addition various
notices about the Watch have already been disseminated through different list-serves, websites and elists.
Simultaneous launch of the Watch. We plan to launch the published Watch at the time of the ‘World
Health Assembly in May 2005. We will also be asking local NGOs, CSOs, academics and others to
help organise a simultaneous launch of the Watch in as many countries as possible. Through PHM
and GEGA, networks of country-based individuals and organizations that are capable of covering a
large number of countries can be reached.
Campaign around central! recommendations. Apart from encouraging advocacy around the
recommendations made in specific chapters of the Report, a campaign around a number of the cross
cutting recommendations will aim to exert influence on global and national health institutions through
national governments and a broad coalition of NGOs/CSOs. Organisations at the national level will be
encouraged to take the Report to representatives of their national governments and to use it to
strengthen their own positions in advocating for equity in the areas of health and development that
they work in. A key global health institution that the Watch will engage is the World Health
4
Organisation, and participating organisations will be encouraged to raise the main and chapter
recommendations from the Report with vw&J’3^dnoj33u!J33’S-S3’nu!W<io>’iss®SMOaNlAV3
IDtesewrinatton. In addition to hard copy distribution of the report, the Watch will also be available
without charge on the World Wide Web. The report, as a whole and as individual chapters, will be
available in easily downloadable format to facilitate dissemination.
different language groups. Shortened versions of the Watch will be initially available in
Portuguese and Spanish for dissemination to grassroots organisations and other civil society
groupings. Translation of the Watch into other languages will also be explored.
Proposed sfrictae amd iay-ouat ©f tfh© WaCcfe
TorevYordi
BteiECnve §®iE)Bmary amd OvetrviteTy
A summary of the report, linking the chapters, drawing out the main themes and ending with major
recommendations.
Seeinca A: UMfoks annd Itewk' of HeaHCh
AS: ^oDiiics arid econoanacs of poverCy - a global ptablac IheaEttlhi praoraiy
Describes the mechanics of the global political economy that keeps people and countries poor; covers trade, global
financial systems, debt and their linkages to health
A2: Approaches io healih care
An overview of the relevance of the PHC approach today, and how health policies are influencing the shape of
health care in ways that diverge from the principles ofAlma Ata. This includes some commentary on the role and
effects of GPPPs.
A3: HeaSih Policy: the prlvaClsainom agenda
Describes the processes of commercialisation and privatisation of health care, the resulting problems and the
appropriate government and non-government responses. Describes the weaknesses and shortcomings of the
marketisation and commercialisation of health care.
A4: The gEobal braaci dralia of healtta persenEeC
Describes the effect of migration of health personnel, the underlyingforces of economic and political globalisation
and suggests ways to address the problem. Critiques the lack of effective action to tackle this urgent health priority.
AS: Sig PSaarmraa aoad Che ftamdmg of R&D for rEedacaaaes
Describes the multi-billion dollar pharmaceutical industry in relation to global health and world poverty and the
influences of this industry on health policy. Sets out an argument about the needfor more fundamental reform of
R&D and the needfor excessive profit-makingfrom medical care to be regulated.
A6. Respomdlinag Co CreataeraC access amid beyond
A critique of 3x5, the Global Fund and the World Bank's treatment programmes, in the context of the overall
progress towards combating the HIV/AIDS epidemic.
kit Gemomes and health
The unravelling and exploitation of the human genome leads to important questions in the health sector from an
ethical and equity perspective. This chapterfurther explores the unclear inter-face between commercial health care
and public health, andfor accountable governance of the future development of this industry at the international
and national level.
Sw'dois B: Bsyomd Ch® IHIea&fe Sester
31. Nutrition
rigM to flbod
Focus of this chapter is still to be defined
32: Water azd Satr’lalsoz:
Covers the commodification of water and control of water rights by private companies, looks at case studiesfrom
around the globe, discusses responses from UN and recommendations from water NGOs.
33: War, the sew miDitarisra and public iieailth
Focus of this chapter is still to be defined
SKvsronanent
Focus of this chapter will be on making the connections between health and global warming; and thereby between
politics, economics, development paradigms and environmentaljustice with health.
35: Educate
Focus of this chapter is still to be defined
SjpOfeB efc'S^t-53"?
Oannd aiffid h®a!!th
Describes the relationship of indigenous people to land and discusses the underlying health effects of displacement
of these communities.
c&s&te: iKsafedlrfigDntesrod
Focus of this chapter is still to be defined
Sssfes C: Rte&airaEg
This section will highlight afew key advocacy targets and institutional case studies, so that the Watch evolves over
time into a tool that monitors the performance ofkey actors, institutions and policy processes.
Debt cancellation / HIPC process
ODA quantity and quality - include an in-depth case study of one bilateral donor
World Bank monitor - what are the strengths and weaknesses of the World Bank and the key recommendations for
change.
IMF monitor- - what are the strengths and weaknesses of the IMF and the key recommendations for change.
V/70 monitor - what are the strengths and weaknesses of the IMF and the key recommendations for change.
WHO monitor - what are the strengths and weaknesses of the WHO and the key recommendations for change.
UNICEF monitor - what are the strengths and weaknesses of UNICEF and the key recommendations for change.
FAO monitor - what are the strengths and weaknesses of FAC and the key recommendations for change.
Foundation monitor - private philanthropic foundations have been playing a greater role in the development of
health policies and programmes in recent years. In order to develop some assessment of their role and effects, it is
oroposed that an in-depth case study of one Foundation be developed.
CrGss-easfllaEig Ubeimes
o it is expected that the ‘voices of the unheard’ will be incorporated throughout the report in the form of short
case studies and testimonies.
o It is expected that the issue of gender will be mainstreamed throughout the report.
6
Approach smfl
Acotira
Foreword by eminent global personality
Nelson Mandela
Grace Machel
Desmond Tutu
Arundhati Roy
introduction
A description of the rationale behind the GHW and what makes it
an alternative world health report. It will explain the underlying
values and political perspective of the report, including the
principles of equity; social justice; redistnbution and human rights.
It will also promote the principle of global health institutions being
more open to public scrutiny and accountability. Finally it will
explain the structure and lay out of the report, and the reasons for
the chapter headings etc.
Medact
Gega
PHM
SECTION A: Ths pcSificG airsrJ economics
globalisation
head'll in the era of
SECTION 8: Health care sector
Approaches to health and health care
This is a central chapter that discusses and explains the key
principles related to a number of health policy and health systems
themes including:
o
The design and effect of health systems,
o
the role of government and public sector stewardship
o
An overview of the relevance of the PHC approach today, and
how health policies are influencing the shape of health care in
ways that diverge from the pnnciples of Alma Ata
o
An explanation and critique of health sector reform
o
Commercialisation and privatisation of health care
°
Threats to equitable health care delivery (medical technology
complex; commercial companies; and widening socio
economic disparities creating a demand for segmented health
Martin Khor Kok Peng (A political
economist and campaigner - very
well known - is head of Third World
Network)
Ron Labonte (North-South Institute,
Canada - has been working on
globalization and health as well as
on G8 commitments to
development assistance)
%
■; ■/
800
3-4%
30004000
Both approached.
Ron has agreed and
confirmed but not
Martin.
6-8%
60008000
Maureen Mackintosh
(Open University, UK has been writing a lot
on privatisation and has
a good working
relationship with
Medact) and
Imrana Qadeer (based
in India; collaborates
with Maureen)
have been approached
to write on
commercialisation
12%
12,000
Your suggestions
for coordinators,
authors and
reference group
systems)
NOTE: This is a big chapter covering a number of themes - it may
be better to separate out into different chapters.
Big pi'uSEroa, access to medicines and IPR»
Describes the multi-billion dollar pharmaceutical industry in relation
to global health and world poverty and the influences of this
industry on health policy. Sets out an argument about the need for
more fundamental reform R&D and the need for profits to be
regulated. Cross-subsidisation through differential pricing is not
sufficient.
Human resources: toe lifeblood of heaOto systems
Describes the effect of migration of health personnel and suggests
ways to address the problem. Critiques the lack of attention to this
urgent health priority
Responding to HiV/AIDS
A cntique of 3x5, the global fund and the world bank's treatment
programmes
Gene technology and toe attainment of health for all
The unraveling and exploitation of the human genome leads to
important questions in the health sector from an ethical and equity
perspective. Emphasis on commercial influences and patents
Jamie Love (CPTech, USA-big
name in the field of patents, IPS
etc)
Zafrullah Chowdury (PHM,
Bangladesh)
3%
3,000
Rene Loewenson (Network on
equity and health in southern
Africa, Equinet)
Kwadwo Mensah (Ghana)
Eric Friedman (Physicians for
Human Rights, USA)
Rita Priya (Jawarhlal Univ, India)
Paul Farmer (Partners in Health,
Haiti)
Robert Carr (Jaimaica AIDS
Support)
Chan Chee Koon (Univ. Sains,
Malaysia)
Gilles de Wildt
3%
3,000
3%
3,000
3%
3,000
4%
4,000
4%
4,000
4%
4,000
Approached and
confirmed
SECTION C: Beyond health care
Environment
This chapter will focus on carbon emissions and fossil fuel
dependence, highlighting the issues of inequity as well as the need
to consider this a public health issue
Cathy Read (Medact)
Ian Roberts (LSHTM, UK - lecturer
with an interest in transport and
environmental health)
Militarism and conflict
Ron McCoy (Int. Physicians for the
Prevention of Nuclear War)
Vic Sidel (Int. Physicians for the
Prevention of Nuclear War)
Antonio Ugalde (Department of
Public Health, El Salvador)
Water
Municipal Services Project: Greg
Cathy Read (public
health specialist and
board member of
Medact has agreed to
coordinate this chapter
on behalf of secretariat.
Ian has been
approached to
coordinate, and has
agreed.
IPPNW (former Nobel
peace prize winners)
have approached and
have agreed
Municipal Services
Charlie Kronick
(Greenpeace
UK) has
agreed to
provide
technical input
Covers ths commodification of water and control of water rights by
private companies, looks at case studies from around the globe,
discusses responses from UN and recommendations from water
NGOs.
Ruiters (Rhodes University, SA),
David Macdonald (Queens
University, Canada), Patrick Bond
(Wits University, SA)
Belinda Calagulas (Water Aid)
Ths right to feed: Lamdl, agricul&ure amefl household food
security
Vandana Shiva (Research
Foundation for Science,
Technology and Health)
Raj Patel
Flavio Valente
Project have been
approached to take the
lead on this chapter.
They have agreed and
have also been asked
to link with collaborators
in other parts of the
world. WaterAid have
expressed a desire to
work on the chapter
together with MSP.
Need to ask David
Sanders and Mickey
Chopra to provide more
detail.
4%
4,000
4%
4,000
4%
500
4,000
Disabled (people
4%
4,000
SECTION E: Watching
This section will highlight a few key institutional case studies (we
want a report that is monitoring the performance of key actors) and
policy recommendations related to the earlier chapters. The
purpose of these sub-sections will be to affirm the notion
accountability to civil society, and inform the advocacy of a global
progressive health movement committed to a just world and health
for all
WHO report card
26%
3(W
Education
SECTION 0: Special Chapter focussed on marginalised
groups
introduction to this section
indigenous peoples
Describes the relationship of indigenous people to land and
discusses the underlying health effects of displacement of these
communities.
World Bank /IMF/WTO report card
ODA quantity and quality
Survival International (UK-based
rights group for indigenous people
-well established and highly
respected)
Health Unlimited (UK-based NGO
who provide health care to
indigenous groups in various
countries)
Indigenous peoples groups from
Peru, Brazil and Australia
Fran Baum (Flinders University and
PHM)
Bretton Woods Project
! Development Initiatives (Reality of
Both HU and SI have
been approached, and
they have been asked
to coordinate the
production of this
chapter in collaboration
with indigenous peoples
groups from various
countries.
Fran has expressed an
interest in writing this.
Aid)
ODA Monitoring donor programmes (case study of either DflD or
USAID)
Debt cancellation
Gates Foundation watch - include a general introduction on the
growing role of philanthropic foundations
Global Fund
Pepfar
©orporations: a prominent drug company
-^ECTHO^I F: Summary and Strategies for z^ction
Jubilee Research
10%
-3©,©©®
0
Page 1 of 1
Main identity
From:
To:
Sent
Attach:
Suoject:
Patricia Morton <patriciamorlon@medact.org>
<ghw@hst org.za>
Friday, April 23, 2004 4:59 PM
Chapters, briefs, authors, March 30.xls
Re: [ghw] suggestions for authors
Dear AU
i hanAyou very much Amit. Other suggestions welcome (have attached rhe list
again).
Also. your suggestions for people to fill the CC gaps is needed urgently
(fi
rose who ha ■.
«
ia<de th .. g
ips are: Chi la a . .
the Far East; SE .Asia. Central Asia, West Africa, East Africa. North Africa.
Carribean.
/
Best Regards
Patricia
4 26 04
' 9m ■©foairg® ©f
rF
2'«-Afp5
r zzzz..zzzz
Nelson Mandela, Grace Machel,
Desmond Tutu, Arundhati Roy
Foreword by eminent global personality
r
-
--
-
I
Introduction. A description of the rationale behind the
GHW and what makes it an alternative world health
report. It will explain the underlying values and political
Medact, Gega, PHM
SECTION A: The psSstics and economics of health on ??
the era of globalisation
Both approached. Ron has
Martin Khor Kok Peng (A political
agreed and confirmed but
economist and campaigner - very
well known - is head of Third World not Martin.
Network); Ron Labonte (North-
SECTION B: Health ©are sector
BU: Approaches to health and health car®. This is a
central chapter that discusses and explains the key
principles related to a number of health policy and
health systems themes including:
□ The design and effect of health systems,
□ the role of government and public sector stewardship
□ An overview of the relevance of the PHC approach
today, and how health policies are influencing the shape
of health care in ways that diverge from the principles of
Alma Ata
□ An explanation and critique of health sector reform
□ Commercialisation and privatisation of health care
□ Threats to equitable health care delivery (medical
technology complex; commercial companies; and
widening socio-economic disparities creating a demand
for segmented health systems)
NOTE: This is a big chapter covering a number of
themes - it may be better to separate out into different
chapters.
To be completed
by Mike
Maureen Mackintosh (Open
University, UK - has been
writing a lot on privatisation
and has a good working
relationship with Medact)
Imrana Qadeer (based in
|B2: Big pharma, access to medicines and IPRs.
| Completed
1
Jamie Love (CPTech, USA - big
name in the field of patents, IPS
etc), Zafrullah Chowdury (PHM,
Bangladesh)
To be completed
by Equinet
I Mike
Rene Loewenson (Network on
equity and health in southern Africa,
Equinet); Kwadwo Mensah (Ghana);
Eric Friedman (Physicians for
Human Rights, USA)
Dave
Rita Priya (Jawarhlal Univ, India);
Paul Farmer (Partners in Health,
Haiti); Robert Carr (Jaimaica AIDS
Support)
| Describes the multi-billion dollar pharmaceutical
industry in relation to global health and world poverty
and the influences of this industry on health policy. Seis
B3: Human reec-urcec: toe Hiffebtood of health
systems. Describes the effect of migration of health
personnel and suggests ways to address the problem.
Critiques the lack of attention to this urgent health
priority
Rita Priya
.critique of 3x5, the
global fund and the world bank’s treatment programmes
Chan Chee Koon (Univ. Sains,
Malaysia); Gilles de Wildt
Approached and confirmed
Completed
Cathy Read (Medact); Ian Roberts
(LSHTM, UK - lecturer with an
interest in transport and
environmental health)
Cathy Read (public health
specialist and board
member of Medact has
agreed to coordinate this
chapter on behalf of
To be completed
by Mike
Ron McCoy (Ini. Physicians for the IPPNW (former Nobel peace
prize winners) have
Prevention of Nuclear War); Vic
approached and have
Sidel (Ini. Physicians for the
Prevention of Nuclear War); Antonio agreed.
Ugalde (Department of Public
Health, El Salvador)
Completed
Municipal Services Project
have been approached to
take the lead on this
chapter. They have agreed
and have also been asked io
link with collaborators in
wnrlrL- ...
Need to ask David Sanders
Vandana Shiva (Research
Foundation for Science, Technology and Mickey Chopra to
provide more detail.
and Health), Raj Patel, Flavio
Valente
B5:Geirae techinefogy arcd toe attainment of health for Completed
all!. The unraveling and exploitation of the human
genome leads to important questions in the health
SECTION C: Beyond health care
CD: Environment. This chapter will focus on carbon
emissions and fossil fuel dependence, highlighting the
issues of inequity as well as the need to consider this a
public health issue
C3: Water. Covers the commodification of water and
control of water rights by private companies, looks at
case studies from around the globe, discusses
responses from UN and recommendations from water
NGOs.
C4: The right to food: Land, agriculture and household Completed
■food security
Municipal Services Project: Greg
Ruiters (Rhodes University, SA),
David Macdonald (Queens
University, Canada), Patrick Bond
(Wits University, SA); Belinda
Calagulas (Water Aid)
1 OS: Education
John Welton (Prf.
International
Education, loE)
SECTION D: Special Chapter focussed on
marginalised groups
Am it
IntrQduction to this section
D1: Indigenous peoples. Describes the relationship of To be completed
indigenous people to land and discusses the underlying by Pat and Scott
health effects of displacement of these communities.
D2: Disabled people
Pam Zinkin
Mike to contact
Pat to contact
Survival International (UK-based
Both HU and Si have been
rights group for indigenous people - approached, and they have
well established and highly
been asked to coordinate
respected); Health Unlimited (UKthe production of this
Pat to contact
SECTION E: Watching. This section will highlight a few
key institutional case studies (we want a report that is
monitoring the performance of key actors) and policy
E1: WHO report card
Fran Baum (Flinders University and Fran has expressed an
interest in writing this.
PHM)
Bretton Woods Project
E2: World Bank, WTO, IMF
David Woodward; Mike to contact
Bretton Woods
Project
E3: ODA quantity and quality
Reality of Aid
Development Initiatives (Reality of
Aid)
E4: ODA Monitoring donor programmes (case study
of either DflD or USAID)
E5: Debt cancellation
Jubilee research
Jubilee Research
ES: Gates Foundation watch - include a general
introduction on the growing role of philanthropic
foundations
E7: Global Fund
E8: Pepfar
EO: Drugrs companny: corporate responsibility
SECTION F: Summary and Strategies tor Action
Eva...
Oxfam/ VSO
Mike to contact
—,------ —
3-4%
3000-4000
6-8%
3000 '
12%
......
.
: ______
800
|
.... - - - —
' _ .
L------’ 1 " ... ... — ■■■■■ ..
12,000
■■■„—
■
mi.i.
.i.-.-.
I-.
..
■
r-—------- —*
Charlie Kronick
(Greenpeace UK)
has agreed to
provide technical
input
3°/<
3.00C
3°/c
3.00C
3%
3,000
3%
3,000
4%
4,000
4%
4,000
4%
4,000
4%
4,000
I
4%
4,000
4%
500
4,000
4%
4,000
26%
30,000
10% 10,000-
.
el 6i .
Main Identity
From:
To:
Sent:
Subjex:
Ffan Baum <fran.oaum@iiinders.edu.au>
<ghw@hstorg.za>
Thursday. April 29, 2004 4:17 AM
[ghwj SmaH Steering Group
De r- •' •1 i ke and rrie r >. \ Is
Che small
like a really good idea. T1
ri
i
[ mentioned tl
;I •;/ in our session on the PHM at the World Congress on ' DC - a couple of people come up for
put your
Q. a<
ss uj
wer s te enquiri
. will .w'.v cn xour guys io cunk-U fuc t reader group as and when you need some feedback comment
Al • i:v' AM 28'04 2004 4)100. you wrote:
Dear -rienes -
4 29 04
4 29.94
Page I of 1
Main Identity
From:
To:
Sent:
Subject:
AbhaySeema <abhayseema@vsnl.com>
<ghw@hst.org za>
Wednesday, April 28, 2004 5:55 PM
[ghwj Re:GHW Secretariat meeting with Christina Zarowsky (ORC)
□ear mends
onset
DF
I
i be able to use this as core fundir :c attr<
further funds from other donors too.
; on-iiei/ agree wtih Mike's suggestion of a smaller steering committee., ana fully endorse the names of Arnit
and ail others, i feel that the term 'secretariat' should probably be used in reference to those directly
cooram?t!ng rhe day to day work (such as David. Mike and Patricia) and the steering committee can give
regular inputs and suggestions to them
With regards.
A bn ay
1
Original Message
’ From: Mike Rcwson.
*
• w n s?. o rg. z a
■ Sent Wednesday.. Aoril 28, 2004 3:37 PM
Subject: F
(
-ft
eeting wit
Christina Zarc
(IDRC)
, Dear Frienas - just a couple of addenda to Pat's note.
• The range is Canadian dollars 350-360..000 (no not 36012 .. hich is around USS35-40,0CC It is certain!y the
i the W
..
:
.
oint fr our fundraising
j The publishing deal is in fact something we are still exploring, and we:ll get back to you on that
; Given mat the admin and financial aspects of the programme are getting more com plicated, ana we at a:
■ the secretariat are making decisions on prioritisation of expenditure. I wondered whether we could formally
, set up a small steennp committee, separate from the co-ordinating group, who we would o-scuss things
: wim and wnc would oversee our decisions. I think this is important for accountability Would the original
■ “steering group” people who came to the meeting in March - i.e. Armando. Amit, Samer Antoinette and
• David be wiiling to ac. t vs capacity? it wem t be too much work • just responding to an e-ma.:! fro?;? myself
I or Pat once every few weeks probably.
1 Sorry, I know this provokes another discussion on structure, but this question was, I understate, also
j brought up on the telephone conference the other day. 1 think we need a smaller designated group to do
■ mis ;cork if there are others who wish .o be in roh-ed .n this, then let me know. Alternatively :f any of the
l above don': warn to Pci.-oi themse/ves with, tiresome admin and financial worK, then by a.: means come off
i the group.
■ ■■
i mike
./
A-kLi identity. •--------------------------------
7::
From:
crddsf <ctddsf@vsnLcom>
To:
<ghw@hst.org.za>
Sent:
Wednesday, April 28. 2004 6:35 PM
/Re: [ghw] -3HW Secretariat meeting -.'-/ith Christina ZarovvskyGDRC)
Dear Fnends,
■ . . .
whatevci manner useful.
•.U ing
> .. ntribufc
. some
ih
Best
Amit
.> ;.?a: ; '.rk-nds - just a couple of addenda to Pat’s note.
bv
is
dollars S50-S60,000 (no not S60’). v/ifc’ii is arov.nd
> •SS35-4O.GGO. it is certainly
4 29 94
age I
I
Mi:. Henfo
P H ?/. Sec retard • -secre iariat© ph movemeh t org>
<cia uci ia lema@ med act. org>
<ghv.-@hst o’c
Monday, Apr;! 26, 2004 11:58 AM
[gh\<j GHVP Time line
To:
*?-?
rtm
Hope vou
from PHM Secrevuw GlobA 1
;o« >ne tcPecnnlcrence. 1 Aim-; v.e need to follow up on the idea -.-i meeting
Intei
.
' • .
■
t
il
, [
...........................
co
eady
i
ndo.
nie-.ve be h? touch. AT r?.n Piot it ir rhe ti:w ’me ns
we hn'/e
mid some contidciice of
travel suppovl for s fow people, alien;t.
j shn.tl be in 1 on.don -hi 12th - i4th fow. Ped-.-;'- • < nn rru ef o”. 12th or •.hb ro explore th/s idea
:
’ ■
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Maria, Oue.
AuGV .Uld i ’.Ci.l Oc
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*
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.<avi .\aray;rn
'. '• H?rdiiKPGr? People's Health ?\ lovemeni Secretaria I (global)
CHC-Bangalore
•■-■367 ’’Sfoiivasa ?<ijaya"
Jakkisandra Hi Main. 1 Bloc!-. Koramangala
4.26 04
■
From:
To:
Sent
Attach:
Su bject:
Claudia Lerna <ciauuiaiema@medactorg>
GHW e-list <gnw@hst.org za>
Thursday, April 22.. 2004 6:00 PM
GHW timeframe. April 22.xls •
[ghw] G HW Ti r ie : i ne
Please '.'nd attached the -..me line for the GHW.
This induces me most levant deadlines for our way forward
With Kind regards.
• Hob?.! Health Watch discussion list
Lisi address: gliv. (ihsi.org.za
List miot million page including list aimiu ves:
1
\ ids list is hosiud by die Health Systems 1 rm:.: hdp:
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Commission authors
Authors involve others
Authors start writing
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Send to the publish
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Main Identity
r fo:n;
To:
Sent:
Subject:
- Hi/ Secretar ;a- <secretariat@.phmovement.org>
Pat-if’a Morton <p9tncfamorton@medact.org >
Ssturdav May O'
*. 200/ 3:58 PM
Re: London '/ sit
Drw P:-r
>
k
p< from PHM Sec a .w- :
GMwj •
I have seen all the news
G1 M’ <a co Gough 1..0 l.i - c weeks have been hectic. [ suggest that since we
.?*•? •:■•••?!n2 tc reen-w- whole dav •”. the London School on 13th. we should just meet there and discuss
■'.11 that we want to about Grffi' you. Mike. Dave, Pam and Patricia. Tell me what time is suitable for
ere.
■•
•
?p’<
cu ss
he eomn
ind the refectory.
In case anv student
. .
. .
’p.'forrr.iil. So wv-
staff session is possible, then vou can jetn w !ohr. Porter
■ .
.
med. f
m
)rgani
wid adevpaate time. Imp. w • ■ -x - e!'
< -w. :O i/Tn *s
11 vei y
bos:, option.
scend more time wim you ah.
iangkol
.......
inec vmg yo v. M.
■
11 send at
7 th.
1
■
.
■
■
■'■■■
PS: ! lope you go; ihe WHA Communication - :L i hat voh he another opportunity. Maria. OUe,
,
. .
.
. .
. .
; Jooi uinaior. People’s Health Movement Secretariat(gtobal)
CL M'-Bangalore
C367 ’’Srinivasa Nilaya"
Midcasandra 1st Alain. ! Block Koramangala
B angaIorc-560034
Ld: do Si (6} ki> 51280009 uhrect) Fax: 00 9.1 (0) 80 25525a72
Join me "Heahh fci ali. NGvB campaign in the 25ih aniilx'Ci'san \cai
*
of ike Alma ..Ata
dcvk:ranon visit y.w-v. 15 C\joH-'nSigpaPw./ Anyyiwp.org
Origins. Message
Freer. FwAcw
T'->■ ■ EHL' 3pc■
Ge: cecmyxi^nctgate.covn,-y .
/-q.wQcqy^lsntqi.ac.dk . rvi J<efov;soi;@jncd$sct.crg . Andrew Cneltey .
«ruTh»ilrVf:@nnA:A>-'’.. ?rrj • a;,.?- r.kvdr.^r.j@dr.f ui;■ maria@iphqgiqhAi
:
TLAS:1<vy ApHJ 2"7. 200-’- ? 04 PM
5 1 04
Pnos 1 of 1
Main Identity
From:
To:
Sant:
Subject:
A n to. r. e ite . ■, xu: i < a r; s s n aa. !*• s t. o rg. z a>
* w-§>hst org <?> Fran Baum <frar» oaum@flindens edu au>
<:?'■
FndayTApril 30. 2004 9:30 AW
“
Small Steering Group
Dear .\hke. P:u. Fran.
.
’
■
- and I
for a Sinitll *-.evoag group, aud <un wiiiiag U> be purl o.i ibis.
Ant
Quoting
-
Baurn
iu\’J Ui?vi ruClitiS
Lbainn-r? Hinderr;.■
ith the
P.'K'e i of 1
From:
To:
SentSubject:
Patras ■ .Aorco/: <patricianiorion@medact.org>
GHVv maiiinc list <ghw@hst org Z3>
"ridayj
JO, 2C
9PM
[ghw] Mew me. nber on the cc
7: ear aii
'
T:? ■/ e ccir.e a
v re.’.-ber or. ihe CG,. Chee :Goom Chan from Gmaysia. He is part cf PHM and
runs C.dzen s Health ir,.if:at:ve m maiaysia. He s wiping me chapter on Gene Technology.
'*■? ?r~ :??~y contacting paonle from' other -egicns cf the world, an/ they '•.:!! hopefully ‘rejoining us soon
bes;
C:S ?c aii
Pat
Patricia Morton
' ?, -rs
’o
• j • / *v-/-
i.ieca;, -s a u.\
for .^opa.
. ..
c .
rues reared ■?; con.ji\, povefty and u.e environment
Medact
i me Gra.ys‘iC!'"i c-entre
23 Cnames Square
London .\1 cnT
United Kingdom
•r _ •■ / .'r>; -go 7394 4739
F =- 4 4 • C' 20 7324 4^:34
.v.'.’".- rec.aoi.org
egisie.'-co Charity 1 •“ 3297
Globa! Health Watch discussion list
Lisi address: ghr, z; h. i.org.za
I.i<t hdbrmadc.n page inchkhng ihi archive:
htlp: ulJau.hsLjag./.? mGbnon'’isdnlb ghw
; his list is hosied by the i [cahh Systems Trust: hhu:- wv/vv.hsl.org.Zu
Page 1 of 1
Main identity
From:
To:
Sent:
Subject:
<marjan.stoffers@wemos. nl>
<ghw@hstorg.za>
Monday, April 19, 2004 8:37 PM
Re: VERY URGENT' Re: [ghw] Author's list and some briefs
Dear Particia.
A. I do have some thoughts about the author’s list:
- There is nobody from a Frenchspeaking country. To be honest, I don’t have
I think it is important to include the Francophone world to
tiglitz to co-write a section (f.e. section A).
I lil
.
■ '■
ex ■
in tl
'
pharma, access to medicines and IPRs.
- .Another author I would like to suggest is Jan Pronk, former minister of development
cooperation and former minister for enviroiunent in the Netherlands and former
* urrenti
i a professor at the Institute of Social
Studies in the Hague. He could write on secfon A, environment and militarism and
conflict.
B. Furthermore I would like to give some specific input on rhe chapter on food and
nutrition:
- Introductory paragraph: don't forget to mention trie children. They are also suffering
from overweight and obesity.
First bullet point, unclear.
T he part on lay-out of the chapter:
.Attention should be paid to gender and the decreasing role of women in the food
chain.
Muted resposes: don’t forget interventions in the field of prevention.
C. Maybe it is overdone, but I would again like to stress the need to include voices
from the poor, perhaps in rhe form of boxes or otherwise. Good qualify research and
autor’s with authority is one way to write a report that makes a difference. Letting the
affected speak lor themselves is another way. If we succeed in combining the two, it
would be great.
Marian
20:04
Front:
To:
McCoy Dave <Dave.?dcCoy@haringey.nhs.uk>
<ghw@hstorg.za>
Subject:
[ghv-j authorship
Sent
Friday, April 30, 2004 6:20 PM
Dear all.
.
•........................ -.............. on ■ ........... ' .
chapters to indhikiM aud xshin.
On the one hand n.-e need. yo dn better to ensure a red hdobad
.■... rose;
.
• . .■•. i /
hi the other ha
time and c*
’
c> do t
■ ■
.
.
.
uineiraines.
n ......... ■ - •" ■ -...... ............
anyone Vviic is picpuxj io do the main dluK oi hx
• ••••
......
.
.
‘jVc Cdi’i ensure
.g ;
£’ob:d pers,%?-.ev? nbe siv.nilicr?r: -•.■Mh.n.? ev:.--. ?v
list ib ad J-./V:x..he
■
nappy vuu; h. M riai iinj
•»-.uieu 'lik-v to
•
.
iCGuCjn'/r
.
..
j
Page 1 of 1
From:
To:
Sent:
Subject:
Fran Baum <fran.baum@fiPiders.edu.au>
<g hw@hst.org za>
Wednesday, Avril 28., 2004 3:32 AM
Re: [ghw] GHW Secretariat meeting with Christina Zarowsky(IDRC)
Good news assuming it is more than S60;!!
At G4:4x PM 27/04 2004
0100. you wrote:
vVe had a meeting w>in Christina from 1DRC yesterday They have basically agreed to grant us
t be
ny particular line iter
.
advocacy. The priorities for I
speiiec
by Christina are.
“he Global Health Watch is a long-te-m project end encompasses a report as well as
advocacy activities tc promote r.e report wA ts recommendations. The first report
should be seen as a pi'o:: in the o.icnge; ^erm initiative.
2. Research for the report should oe < Tdence bc.sed and pse; reviewed.
3 C vu society organisations should be c. -gaged :o endorse the report ana participate in
various ways
4. There should be ongoing evaluation ano recording of the process of the Global health
Watch initiative
5. The Global Health Watch shculd air • to PWu meci'anisms tu hold global institutions to
account
.
into <
From:
To:
Sent:
Subject
McCoy Dave <Dave.McCoy@haringey.nhs.uk>
;PHM Secretariat <secretariat@phmovement org>
Tuesday. Ap<: 27 2004 3:53 PM
EE. London Visit
Ccuid we set aside some time to discuss GHW amongst ourselves, don't see this in your agenda and 1
think it would be ver/ helpful to have an hour discussing progress to date.
Dave
----- Original Message—
From:
Semre^rist [mailtois&cretariat^phri'ovement.erg]
Ssrrt? 23 April 2t04 14:04
Fo; Arc;e-A< Chetiey; arutnerford@oneworldaction.org: olle.nordberg@dhf.uu.se;
ma r:e p ncc ioba i. org; pamzi n ki n @c n. a pc. orc
x @netgai .cor }
p r.r' .. u J.'.’.- r. /-.' r -l ■'/
nccoy@ls
c.i ;
son@rne
store
Subject: Re: London Visit
r/- 6 H’
4 28.04
Main Identity
From:
To:
Sent:
Subject
Patricia Morto:i <patficiamcr'1.on@medact.org>
GH'vV mailing list <ghw@hst org.za>
Tuesday, April 27. 2004 9.18 PM
fghw] GHW Secretariat meeting with Christina Zarowsky (IDRC)
□ear a'..
We had a meeting
Chnsdna from ORC yesterday. They have basically agreed to grant us 850-60
Canadian vm.crn v,:: ce no: oe earmarked to any pamcuiar line item. They see this as seeding funding for tr
first edition of ~ne report and advocacy The priorities foi 1DRC as speiled out by Christina are
The Global Health vVaich.:. a lor.g -term project ar.c encompasses a report as well as advocacy
activities
c
the report and its
idatior
rst report
■
the overall longer term initiative.
Research for the report should be evidence based and peer reviewed
anisatio
c
tg
se the report and partk
.
F the |
’
Health V
tch s
im to buil
ihanis
h
global ins
ount
1
2
?DRC
?“ter into ?• co-p'jblish'ng "rr?".r.7-7 -■ —*“ 'ncthe:-
act is a U
charity
~he Graystcn Centre
23 Charles Square
London N1 6HT
United Kingdom
■r
z, /0-. 2-j 7324 473g
F -:-44 (0) 20 7324 4734
'a-vav. medact.orq
Registered Charity tCc 1327
Company Reg No. 2267125
ob
i
<
t’cr the the Global Health Watch.
:ed toconfl
/erty an
ivironment
P;te.- 1 c,'i' ?
From.
To:
Sent:
Subject:
Patricia Morton <patriciaiTiorton@medact.org>
PnM-Ravi <pn msec@touchteiindia.net >
Tuesday. April 27.. 2004 633 PM
Minutes for Global Health Watch
Dear Ravi
. '..'••' •.yoL for the bii about the Global HEalth Watch in the minutes. It looks fine except that the name of the
project is tne Global Health Watch NOT the Global Health Equity Watch.
Sest Regards
Patricia Morton
3;oca I Hearth Watch
Medact is a UK charity for global heartn v.'or’dng on issues routed to conflict, poverty and the environment
ivied act
The Grayston Centre
?■? Charles Square
London N1 6HT
United Kingdom
T +44(0)20 7324 4739
~ -.-44 (0) 2G 7324 4734
y;Ayw redacto_rg
Registered Chanty 1081097
Company Reg. No. 2267125
i
i of 1
lUain Identity
From:
To:
Cc:
Sent:
Subject:
David McCoy <Dav;d.McCoy@lshtm.ac.uk>
<m>kerowson@medact.org>; <patriciamorton@medact.org>; <secretariat@phmovement.org >
<avi\'3@hcmc. netnam.vn>; <abaysema@pn3.vsnl.net.in>; <ctddsf@vsnl.com>
Saturday, April 24, 2004 8:21 PM
Re: Fw: Claudio in Ho Chi Minh City
Thanks for this Ravi
Claudio, your help will be very welcome?
\'. d are st: J unsure of exactly how the editorial process will work - it's something we still need to plan in more
detail and it's likely to be a headache. In the meantime, Patricia will share with you the timelines that we have
set for the production of the report. I am sure you have seen ail other documentation related to the GHW
ClauJo, we are also looking for southern actp:sts who can represent different regions of the world. Is there
anyone you can recommend from the Indochina region and from China itself (this might include someone
cased in Hong Kong)?
>>> ’■‘PHP
*
Secretariat" <secretariat@
I of 2
Main Identity
..
To:
Sent:
Subject
<ghw@ n st org za>
Surety, M?y 02: 2004 12:51 PM
Re:
authorsr.ip
Dear Dve
msibl
enon is jeknnvdcWcd
.
s
00
?
OU
ou
rote:
Dear all.
c 11
- s.?i<:p<vzs
ki
■
pinion oi
juicl issi
• that (
ir-drvmuui auihoiship.
■ On ike one hand ve need to do belle; te* ensure a good ’global'
-repretenration of avihe?
*
and pcrspeciu ■■>. ■ )n dr- om-.r band
.
.
.
peed to
.
- nmOrames.
orry is mat we arc riming out oi lime. and •-.e !.■..■ ikO io -imp? grab
who is prepared to do
propose that i
li
y
:h chapter
] people (saj
etical o ei
oh
de a
tributi to an; pa
he i
o
le <
• ' •
■
ing
■ j'.jL perspeed■.< - .’0: skmhuml souuciw Op‘-w b? ha\ mg aone long
* fn ah contributors .-<• the end.
-hs
* .\ c asked Ron Labonte about ;w lie would reel about this, he said he
■ would be happy hw;
*
in What arc your troughs?
fhis communicat? <n may cor.iain huorrnation iba> is cGiuidcniial and legally
’ pmikgw!. It is for th? exclusive use of the intended !v>:ipicnt(s). If you
arc ool
inknku . vvipicni(sL pkase note iliai any lonn of
- disiribviion. copying or use oi ibis communication or th? information within
is
piohibiicd and nuy be unLnvfiu. Ifyou have ivcei\.;d this
^•commutucaiion in error, pfease remni it io the sender, then delete and
• d-'str;>y ncy copies •-■: it. The Ilcakh Informatics Sen-ice dr-claims any
- liablurv Lx acuoii ;akc;i idiant un Ihc- content ol ibis message. Lilis
.
is iyom the Licalth Informatics Service serving Barnet ErTeld
5-1 04
2 oi ?
-. ,.,t
t\\dch discLS^uii
./i
Informal! . )age including ' ; ircM ?es:
;
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/■'- ' Jtel
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. .
from:
To;
Sent:
Subject:
cidesf <ctddsf@vsni com>
<ghw@hst org za>
Tuesday, May 04, 200^ 6:36 PM
Re: ;gh,v] Re: chapter on privatisaiton and approaches to health care
Dear a’L
Commenting briefly on some ox Hie noves circulated.
COOMERCIAUSA1ION. PRIVATISATION
”Coi
ialisati
’
.
it would be appropriate that we also mention that the chapter will examine
111
'
ing"
"1 1th i
mce”. T1 • i
push
move (awards a ’’pubtic/priwu-j' mix !:■ iinancing through
n in :ing : c.
lea that i
moted is that health financing should include private financing
(thR i- not the same as private sector being involves in health care
fheal
coimnunuy. fltis is a dilution oflhe notion that the slate lias the
1 j y
*ovi
alt]
it
>tion thestal
expee-ied :<■ raise finances through taxation, and :his was apportioned to
finance health care. Now wo are starting to talk oCupyon!” contribution
in to.
POVER FY FIGI KES
Reading me issue r?i poverty figures. there is an interesting issue here.
■\
i in-dcptl itiq
i
bv d»c V.’T. bui pos.'.ibiy some alternate views should com~ in (may he as box
idiaforexam
i
i
■
'
abom tiic poverty figures in hie counay. In iac< some (prominent among them
being Prof, \bhijit Sen in JNt hm e gone on io argue ihai poverty figures
idi
?re doctored i
ler to si
global reducti
y. A
ibe weighiuge lor India and China arc huge dWe arc looking ai global
ble n
hi
:
us also remembe
j;al < iih.as poverty ligurcs also merit a pretty close k-ok and cannot be
taken at face value.
REFEREM ’E GROUP FOR. POLlTfCS AND ECONOMICS
Regarding Dave's suggesHon that we ask some select NGOs io review the
chapter on ‘and Economics” I •'.•ouk’ suggest that w .• identify
Sp’J v. Law pC'Jill ii;CSv
z.'i iG
dS liiC IViCIvtlCC gj OUp cli td ICViCw the
?:yept-A -- c.g. V:fider 1 ■ Jlo in Focus. Martin Kror in TV;N. etc.
'■
5 6 04
Pas>e 2 of 2
A
mid \uidlicj;.' a close look -<■ South .Asia is
ie UNICE]
■
‘
'
■ ■
he ;gi
.
1
le 2
h- Si.; work - including Sub-Saharan Africa (5o% in India ano 63% in BTksh),
. .. ....... i
...........
.
a': ?ny of the issues (subsidies by the Nonb, etc.) ar? linked to the AoA. If
■ • also unponaiit given ilia: the South in Cancun. dug its heels in. ilnaily.
on the issue of AoA in the WTO.
. .
IL,-: fhe SLA shaggy on inununisation — there is an interesting parallel in
that durin
.....
duoocii % he cauipalgio the ir.uuunisacon aa.;> for oilier diseases (rotine
DPT; Measles) has gone down.
h care is ve
.
; sentials.
••‘nally I’d like to ditto Samur’s p(%'
-,.a-c.ikiivib.s (acirbaic Gie (invcl/on-. •
p<-licies.
\
•%• ihc iv^ori tns a global
%%;>« institutions anil
3rs? hv-A’i .-•:
Amit
J:
Hmhh Watch discussion list
I >sf address: :?hVA<y-?-eo’-g.7a
i;;l: 1: ;«kip:a .;za• maiji 1 %%uo gb\y
k'his b< i-'
y: .H..vbh 05 skins Tins1: hyp:
Alain Identity
Frorr.:
■y
Sent:
Subject:
___
PHM Secretary <secretariat@phmovement.org >
Patricis Morton <patncjarnorton@rnodact.org>.
* Dave McCoy <dave.mccoy@haring6y nhs.uk>’
< ~ > ke rev- sc r,@ medact org>
Friday, May 07, 2004 4:52 PM
Re London Visit
Dear Paideia, Dave and Mike.
Greetings liom PH7 » Secretariat (Global)!
..
• n;«{ rciurned after a ■ ■reiic. four «:';\v brainstorming at • .■NESCAV in Bangkok, where I have
nwpC’vJ th:- (be Regional DM
I 7.? i .Dex .Dpn:w' Rn ESCAP's new division of
lleai.o and Develops wn; -MU be
-.j. on Ge nsm?- and perspectives oi the Charier (ihis
nformatiozi is n
). The two
■
r the process will b I
;w-.. of our travel ageiv. (Mima managed to gel the
2 -nv to an unfortunate hpsu *.
lane and you all v. i.u nave to cater? up with, her m Geneva omy,
.:
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■ G • -.7 • .wu. so |G- w ieasi all those who a»interested can
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...;’. c 'i-IV-k v' ,:ih AiiW- ,i W.-ilvS ...v.
Asues related lo WHO Task ror. :- on b.'.-'
* ’*. • S .-terns and the Commission on. Social
)etenn
■
. . .
. .
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. ■
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:
.
srs in the
^arly eveni it )WA.
......
noon or if you h
.
.
.
. .
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■;r as we iueel up.
6. .Any fhcughis of how vv-e can present GHW a! WI L\. other than at PILE! events?
Ravi Narayan
I
.
riat(global
CH< 'Bangalore
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5 7 04
From:
To:
Cc:
Sent
Subject
Dear R37.
Patricia Morton <painciamorton@medact.org>
PHM Secretariat
•oro>
D;
>; ■ ‘m;kerowson@medact.orq>
*e. London Visit
•Pn&r-. : of?
Main identity
From:
To:
PH-V Secretari
*:
’Sscreiarjat@phmovernent.org>
<gnw@nstorg.za>
Sort:
RAr/ tWyO7 2004 5:46 PM
A:
O'?.;?/::
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■ A: 00 9« (0) 80 51280009 (Direct) W':: 00 91 (0) 80 25525372
. boi’c: ww Vv. yliiTiovemeh t. o rg
/.•in the "Health for all, NOW!' campaign in the 25lh anniversary year of the
Alma \72
visit y
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latureCai
gn.org
----- Original 2, lessage-----. : . .
.
.
. , 1( . . .
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’io: ghw/ybs?.org.za
•?. ii.: Fikby, April 30. 2003 6:20 PM
?•; ii, t: ec i: .!.»: 1'- v: u (ij; 1 ors11 s■;j
Dear ah.
’< Vyfiuki like lo ask your opinion on a quick issue - that of atirilmling
k:- individual authorship.
-*n the one hand \vc need to do better to ensure a good ’global’
rGpicsuWa’icn >i auihoib and peispeurivcs. On the oilier hand we need m
identify people who have the time and capacity -o do the work m the short
i'-iicr.’j •;•».
n ..
^at r. e are- runing out of dine, and wc may need to simply gnth
WjU is Giupjiud i-.; do the ilKiiii blim O1 the Wofk. 1 Wolkd like IC
- nf;- A/'!:’/-, ip- atuhorship !:ir each d/mlor. thui
_rr .
-:.v.
To:
*
Sent
Subject
SI i.C
5
ghw^hst org.za>
30 ?gg.< y.pp
■x e: [ghvv! authors!-. ''
Dear Ail.
i agree wifn Dave's proposal, instead of assigning
auihorship lo individual
chapter7 ”.•? car h.'\v ? -ist ot al) tbo-.c v.t.o
contributed, and also
■■
A our opinion .
................
•
5 7 01
Page I of 1
Plain identity
.Bcm:
To:
PHM Sec:etariat <sec re ia ri a t@ p h move m e nt. o rg >
p
< citric??.morion^ medact.orcp
V$y07 ?'?04 5.65 Pi‘<
Re: Teleconferences
I >ear Patricia.
Greetings from PrlXI Secretary.! .'Global;!
kins? fo rwax.................. s vou;
-SH
1 h
11.
east G' Europe G’!i op 2~rb
-y. Should be back in Bangalore and it will be Indian rime 1.30pm so call
home m.-nber C :-91 / 2~533'.;6 I,.
w idles
Coonliiiaior, People's Health Movement Sccrelariat(global)
( HC ’ -B a ng a i ore
;'367 "Siim asa Xibya”
Jakkasandca Gi ivlain. I BiociK KoramangaLi
B 7. ■ ig7 ■. o re -56003
del: jj 91 (J) of- 51280009 (Direct
5 Z Q4
Pnw5. 1 hf I
Mac:- aLc'c.W
From:
Vo:
Sent:
•Subject:
Patricia Worton <patriciamorton@medact.org>
Dave McCoy <dave.rnccoy@haringey.nhs.uk>; Maria Zuniga <maria@iphcgiobal.org>; Maria
Zumga <iphc@cisas.org.ni>; Amit Sengupta <ctddsf@vsnl.com>: PHM-Ravi
■secreta.'iat@phiYiovement.org>; Lynette Manin <LMARTIrI@uwc.ac.za>; Samer Jabbpur
-sjabbour@aub.edu.lb>; iPHC Mphc@cabienebsorn.ni>; HST <ant@hst.org.za>; Armando De
Negri Filho <armandcn@ponoweb.com.br>; Chee-khoon Chan
<cnan_ chee_khoon@hotmaii.com>. Braveman <porave@itsa.ucsf.edu>: Paula Braveman
<braveman@fcm.ucsf.edu>: Baum <fran baum@fiinders.edu.au>; abay
<abaysema@pn3.vsrd. net in>
Thursday, May 06. 2004 4.55 PM
Teleconferences
Dear Ail
probably g
h of I
; .jwe/er. have one on tne 27th. It witi be a 30-40 minute cal: and we will sena you the agenda beforehand.
We will have two calls on 27 May
- one for •'Vest of europe- 5pm London (GM, time
- one for east of europe- 9am London. (GM) time
Please let me know if you will be able to make one of these times and if so which one. And please send a
...
f'nanks very much
Ch eel’s to a’i
i'.' e? UK chority ror globe?! hocUth, working on iocuoo nclotod to conflict pov-ortw one! rho onvircovnont
> ne Usrayston Centre
28 Charles Square
London N1 6HT
United : gdo y.
7 +44
20 7324 4739
F +44 .'0; 20 7324 4734
vVvWy.meaaci.ora
r?c.n;c:tarc>H m pesrih/ *1 GX’S fiQ7
C ................ y
ctddsf <ctddsf@vsni.com>
<gnw@hst org.za>; GHW mailing list <ghw@hst.org.za>
Wednesday. May 26, 2004 12:14 PM
Re: [gh.v] New CC members and Brief for Medicines chapter
From:
To:
Sent:
Subject:
y .'-.tb: k> see that we are now moving towards a C( that has on board
swathes from most parts of ’be world.
•. j-^vv brief surges lions on the Chanter on Medicines, which is generally well
1) Some elaboration in the Chapter • ICrI (Ini’. Convention on
. .
.
. .
.
it thi
■
....
! I
c.nd Japan. many see the attempt to hike tandards as a "fidI back option"
...
I H is ;lea
lanufactui’ers, espe< ly from
de\ el op mg count ncs.
■
irch
.
bet
lost
jdevelopi
This is true even in the US where much of rhe basic research continues to be
supported by the XU 1.
3) S’.‘Hi’v elaboration on pwsoL‘ nnC-ir/rs? w hovu v of public lundcd research..
csncviahcor neXecied diseases vvOG-.-.i aTo ue usciw. In diis coiiiexi
■
.
-; Some dis--ussion wouk‘ also be wchu on drug pricing mechanisms —
/
’
‘
>tate is not
provider of health .services.
.
.
V
.:...
(Thu
OM
Page i ol 2
Main identity
From:
To:
F?nt:
Subject:
ctddsf <ctddsf@vsni.corn>
< g hw@ hst.org. za>
Wednesday, May 26 2004 5:19 PM
Re: [ghw] Brief for Medicines chapter
Dear Dave.
1
uy io explain this point in some detail.
In geiicrd drug price?; arc better regulated in developed countries (except
me I S) ihan in. developing countries. One reason why developed countries
is the larges
provider of health services and hence the largest buyer” of
’
■
an
inductive. but essentia ily its a question of a very large buyer negotiating
cheaper prices a! least for
w:y.
t *n the other hand in developing countries because the state is a much
x.'.rb;' player, out of pocket w;. ,.;■■• zs ’ .mwe ug rales — largely from
rcia;l outlets, 1 hus control ol drug prices becomes a more complex issue —
■
. . .
•.
...
.
drugs. Paradoxically. thus. the “iruc riiurkcf’ ibr drugs ?; much larger (as a
p
a sale
*
. ..' . i 2
'
li
I
adignu there has been a
,-.f pd.:< comvoN b,^cd or- ibe assumpdori iba; .ompemion in the
. happens^ especially given the
-acL dun driig sales
Docd on drug oroiooduu and raici-r du^s cvn^i.i'O'
. . . . :. ,... ■ . . ......... . ... .
. .
d;ig;> ur.de/ price coiiiiol have come dmra rom .2f3 io 25. and mmk ny
(nforid-vb'y
’•■cton7 cost) awv/cd
riven from 4(j-75’D to • op-: g;.
I hv.
ic.:i;V ;he can-jOi ihal I and .aik^u about.
I3csi I’tcg.arcij,
Amit
. . .
...
>uwn
Main Identity
From:
To:
Sent:
Subject:
Patricia Morton <patric;amorton@medact.org>
Maria Zuniga <maria@iphcglobaLorg>: Maria Zuniga <iphc@cisas.org.ni>: Amit Sengupta
<ctddsf@vsni corn
*;
BakhytSarymsekova <bakhyts@yandex.ru>; Abdulrahman Sambo
<samboa@nuc.edu ng>; Rowson <mikerowson@medact.org>; PHM-Ravi
••secret:iat@phmovement.org>; McCoy <Da,id.McCoy@ishtm.ac.uk>: Lynette Martin
iARTW@uwc.ac.za>; Samer Jabbour «sjaoeour@auD.edu.lD>; Armando De h.egn Fi no
<armandon@oortoweb.com.DP . Chee-khocn Chan <c>!an _chee_khoon@hotmaii.com>: Paula
braveman <braveman@fcm ucsf edu> Braveman <obrave@itsa.ucsf.edu>-; Baum
<fran.baum@flinders edu.au>: abay <abaysema@pn3.vsnl.net.in>
Tuesday, May 25. 2004 7:19 PM
Teleconference 27 May cancelled
. ■ ::;vM cc.isme of our resources and G HW act vities over the next montn, we have decided to
ssipone this weeks teleconference.
Ow coming meeting in Durban w:!! further develop chapters 'we are setting up meetings of authors who will
*
be r'e'-e) and will .oc • cios
•:
w regies imwncvona'U and .a: regional and country levels. We
Mougin that;; may oe more .: .c. .icid a ;e-6cc. .rere:':oe a.Ter the Durban meeting .vhen could discuss
znese issues lurtner
shedule the teleconfere
i
•■•'nd
ftertl
>urfc
eetihg
.
*
Regard
Morten
G<bu. health Watch
Med?ct is ? UK charity for global health working on issues related to conflict poverty and the environment
iVledact
The Grayston Centre
2F Charles Square
London N1 6HT
Unite:; Kingdom
T +44 (0) 20 7324 4739
F +44 (0) 20 7324 4734
v-vav medact. Qf9
Registered Charity 1081097
Ccmpar;- Reg Mo. 2267125
V'iawTr-nv
From:
To:
Sent:
:
............
______________________________________________ _______________________
McCo, Dave <Dave.McCoy@haru.gey.nhs.uk>
< g rv /@hst org za>
Wednesday May 26, 2004 3:32 PM
83
.
. . ?;
. . _ ........... . .: .
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point at
govern
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for si
B:
PURPOSE OF TH8S CHAPTER
To inform the general health community about:
o
inequitable access tc medicines and current bias in pharmaceutical research and development
towards the higher income medical care market
o
Existing trade and I PR-related barriers to accessing medicines
c
The inefficiencies of the pharmaceutical industry and the current regime of intellectual property
o
The lack of transparency and concerns about safety and ethics with private sector pharmaceutical
rights
research
Describe the policy positions and actions of the donor community, WHO, WIPO and WTO
Propose an alternative vision as well as recommendations and demands that we want health
associations and civil society to direct at WTO, WIPO, WHO and national governments to ensure
more equitable access to essential medicines, more effective regulation of the corporate
pharmaceutical sector and- alternative mechanisms to fund pharmaceutical research and development.
RM®: This chapiter woOB not cover aBB important issues such sis irrationai prescrihong andl th®
cfi drug resostanc®
[ToteJ Deirogfth off chapter:
woiraJsJ
SUGGESTED LAY-OUT OF CHAPTER
meopQtebte access Ro mediocmes
For example
WORLD DRUG MARKET
(USS406 billion in 2002)
WORLD POPULATION
(Six billion people in mid-2001)
□
a
Europe
Japan
E3
£□
Africa, Asia and the Middle East
Latin America
Sources- IMS Health/Population Reference Bureau
Also highlight how bulk of R&D is focussed on medicines targeting high-income population groups.
■Tfis_jEo.bte.ms of uMm trad
*
regutetitons and th
* MPR system
Describe existing closed commercial system of drug development and intellectual property protection.
Describe what TRIPs is, how it works, how and when medicines got incorporated into this IP regime
and the effects on medicine prices and accessibility to chap and effective drugs. Include the
breakthrough with the Doha declaration, but the inadequate progress since then. Include some
elaboration of the International Convention on Harmonisation (while at present this involves the US,
EU and Japan, many see the attempt to hike standards and keep cut generic manufacturers,
especially from developing countries), as a "fall back option" being promoted by Big Pharma in case
TRIPS becomes impossible to sustain.
ta: Case stody ©cd to® worlk ©IF TA© to bctogjitog Uh® [pharmaeeMtccafl compgmies to ©©Miri to SA
Describe the main arguments used to promote and defend the patents regime on pharmaceutical
research and development (e.g. that it creates a fertile ground for innovation)
Sox: Who [pays amcfl who b@ini®ffte
Box to explain that in fact a lot of private research is subsidised by the public sector, both in terms of
‘nance as well as in terms of publicly-generated knowledge. Publicly funded research is in fact the
basis of most new drug developments, even in the US where much of the basic research continues to
be supported by the NIH. However the commodification, marketing and commercialisation of this
research is privatised.
Also describe the excessive profits being generated by the drug companies and the salaries of top
executives. Describe their significant tax breaks (and tax evasion) and their capacity to lobby and
influence politicians and international trade policy.
©ff th® ©wtretroft HF system
o
wasteful and harmful 'rent seeking behaviour' within the pharmaceutical industry:
o
over-emphasis on the production of copycat drugs, which add little value to health outcomes
because companies are forced to compete with each other.
o
huge expense on sales and marketing
o
effects of secrecy and non-sharing of information
o
legal costs associated with securing and enforcing patents
o
the existence of large patent mark-ups
in addition to the inefficiencies of the current system, there are also problems related to the lack of
effective regulation of companies and the ability of public regulators and consumers to ensure that
safety and public health is kept paramount during the pursuit of wider and wider profit margins.
Many of the issues are covered in the book ‘Medicines out of Control’
B©x: Casa sMy ©mi SSR!)s?
Alternative
©ff
<wdl E)
Use example of Human Genome Project and open software production to a) emphasise the value and
benefit of cooperation and open intellectual property to innovation and scientific development; b) a
public service model to promote social fairness and keep public goods out of private hands and
monopolies. Another mode! is the Drugs for Neglected Diseases Initiative (DNDi).
New methods of research - such as non-profit collaboration or prizes for exceptional ideas - would
allow innovation to be rewarded directly, removing the need for marketing monopolies, and allow
competition. Drugs could then be sold ciose to the cost of manufacture.
New methods of research - such as non-profit collaboration or prizes for exceptional ideas - would
allow innovation to be rewarded directly, removing the need for marketing monopolies, and allow
competition. Drugs could then be sold ciose tc the cost of manufacture.
Rh® !pwib!l®ms
The problems of high drug prices,, excessive profits and inefficient R and D are challenges that need to
be addressed by a number of key institutions. This section will describe and critique what is being
done by:
o
WHO
o
WIPO
o
WTO
o
Drug regulatory authorities
?• should also describe what actors and institutions are blocking progress towards more progressive
and equitable reforms. The commentary on WHO should reflect on the influence of pharmaceutical
industry on WHO policy.
ffor wtaR gwfeloc hoaURfo associaRoons amd) fo®a3Rfo (professootnaS o^amsaRiicms □■houOdi
asudl
Rh® ffoiBowmg aetors
o
Governments - rich / OECD nations
o
Governments - LMICs
o
WTO
o
WIPO
o
WHO
31% H@aO®h) sj/stems ftltaS [pr©m©te
OF TQ
*30S
anmd! ©©©W jy©fto©@
CHAPTEK
?\c :e that the introductory chapter wiii have explained the view that health is more than just the mere
absence of disease, and that good health care entails the prevention of illness, the active promotion of
heaith and an appropriate population-based approach to interventions (i.e. public health versus personal
neaT services). The introductory chapter will also have explained our view on access to health care as a
right, as well as our perspectives on health in reference to equity and social justice. These will be
important principles under-pinning our discussion about health systems and approaches to health care,
which is the focus of this chapter.
The chapter will also be used critique the positions and policies of the World Bank and WHO, with respect
to approaches to health care and health systems. It should also reflect upon a variety of other significant
giobai ~ea:th institutions such as UNICEF, the Global Fund and GAVI, and their effect on approaches to
r.eaiT care. kn addition, it may need to reflect on the effect of donors on poor country health systems.
i ogether with the arguments presented in the introduction and in Chapter A, this chapter will contribute to
the reaffirmation of the principles of the Alma-Ata declaration, and our own updating of the Alma-Ata
Declaration. One aspect of the original Alma Ata Declaration that needs to be strengthened and updated
is on health systems.
*50,000 worchj
SECTLOH A: VALDES,
TO3HC0PLES Al® FOLIT5CS OF HEALTH CAKE SYSTEMS AHO
A^FKOACHES TO HEALTH CAKE
Take reference to Chapter A about macro-economic considerations being very important. in many
countries, the health system as a whole remains impoverished and under-resourced. Phis section
however w:". discuss a number of principles that describe the GHW position on health care and health
care systems.
c
systems ss am sx/pirssssm aft social values. Approaches to health care and the design of
health systems are more than about engineering an efficient system for the delivery of health and
medical technologies, but are also manifestations or expressions of social values. Health systems and
‘approaches to health care’ reflect ano define important social relations within human society: for
example, between members of a community; between the rich and the poor; between governments
and its citizens; and between health workers and patients..These relationships are under-recognised
in much bio-medical discourse on health systems - relationships between people and systems, and
the political and socio-economic underpinnings of these relationships, need more attention if policy is
to tackle the problem of exclusion from health care.
Health systems are therefore important in mediating people's rights to access health care and in the
promotion of social cohesion and social justice through promoting equal entitlements to health care.
l-eaith systems can either aggravate existing social and economic disparities, or seek to mitigate their
effect, through for example, a health financing system that is based on progressive financing, and
which allocates a disproportionate amount of health resources to the poor, (it may be useful to lift out
what is good from the WHR 2000, especially around principles of progressive financing, and to include
examples of inequitable and segmented health care systems).
These views and perspectives are largely normative and philosophical, but are in keeping with ths
idea of the GHW being a value-led report.
o
M&aM
detiveiiy ©ff
c&rv -
fpmsiilissiiiioini
©©mn)m®ir©o3illoza^©BTi.
Another important Influence on the design of health systems is the inherent characteristics of health
care. For example, the properties of health care provision and consumption make it susceptible to
market failure (e.g., information asymmetry between supplier and consumer; lack of real choice in the
market place; etc). Such market failures can result in a number of inefficiencies (such as supplier-
induced demand, over-servicing and poor quality care). Of concern is the fact that many health
systems are not just seeing a growth in the private sector, but a growth in commercial, for-profit health
care - demand driven care, rather than needs-based care. This marketisation of the health sector and
the growing existence of monetary incentives resuits in health care systems that are prone to abuse,
inefficiencies and exploitation (especially given an absence of a strong culture of ethical practice; an
inadequately informed and empowered public; the lack of opportunities for consumers to 'punish' bad
providers; and the lack of an effective regulatory framework for the private sector). This type of health
care can negatively affect both the poor and the rich.
In addition, the commercialization and privatization of health care can influence the way in which
health care :s conceived. For example, commercialization and privatization tends to be biased towards
the commodification of health care and personal health services, which can be packaged, priced and
sold to consumers. One consequence of this commodification is an emphasis on curative care and a
relative under-emphasis on public health interventions aimed at prevention and promotion. This part of
the discussion might include an explanation of how the biomedicalisation of health care and the
development and commercialisation of medical technology (represented by powerful and wealthy
lobby groups) pushes both the privatisation of health care systems, as well as the bias towards
individual, curative care. Advances in medical science and growing socio-economic disparities are
also a force that is driving the creation and development of segmented systems - the rich, with their
economic capacity and the allure of advances in medical science, want to be unemcumbered from an
inclusive but resource-constrained, public health system that is constrained by the need to deal with
the more ‘basic’ and public health priorities of the poor. Cross reference to chapter on gene
technology
The commercialisation of medicine can also have negative social consequences (over and above
those related to efficiency) creating a breakdown in trust between patients and providers, and social
unease about the existence of inequities within the health care system.
Following on from these points, we want to affirm and discuss the central role of governments and the
state (as the source of legitimate, democratic and centralised authority) to enable and ensure
redistribution and coordinate cross-subsidisation, promote equity and ensure social security.The
public sector is also important in the delivery of health care because of its role in the delivery of public
and merit goods, as well as because of the market failings described earlier.
Although state bureaucracies can be dysfunctional and inefficient; and while many governments and
democracies are imperfect, abusive and corrupt, we want to explain why ‘government’ as a generic
concept is good. The public sector is not inherently ineffective and inefficient. It should not be
portrayed as a ready-made solution, but the effects of decades of ideological and economic assault on
the roie of democratic governments in the health sector needs to be corrected.
This should follow with a discussion about the appropriate role of the public health care sector - the
role of ministries of health and the civil service; the advantages and disadvantages of organising
health services bureaucratically; and the advantages and strengths associated with the public sector.
There also needs to be a clearer distinction made between the non-private private sector, and the
commercial, for profit private sector. NGOs and CBOs can be constructive and important elements of
a health care system, in sc much that they add to social capital, strengthen democracy and
complement government.
However, we recognise that many health systems have undergone a process of mixed ‘active’ and
'passive' privatisation over the last 20 to 3C years. The question of how government can work to
constrain the development of health care markets is crucial, in the interests of creating equity, social
:nclus:on and universa-ly available health services. The solutions will differ according to the different
co -“try contexts, rteferto next chapter on ‘responses to commercialisation'.
o
X'esStih systems Md
■-'?
MNwsiry off
osiir® ~
or^sumozaiSosm
w®
heaM system. In the face of the growing commodification of health care, rapid developments
in the field of medical technology and health systems inequities, the notion of 'appropriate' health care
has become ever more important. Four of the underlying principles of the Alma Ata Declaration were
its emphasis on ensuring appropriate balances between
promotion,
prevention, cure and
rehabilitation; the use of appropriate technologies; community involvement and participation; and
ensuring multi-sectoral action.
3ive brief explanations of the underlying rationale each of these four principles in practice. Illustrate
how the design of health systems can play an important role in facilitating the application of these
principles, m particular, the WHO health systems 'policy' that was intimately linked to the vision of
Alma Ata was the District Health System. The DHS is an organisational framework that provides the
building block for rational, needs-based health care planning as well as the provision of integrated and
holistic health care.
Explain how the DHS stands in contrast to disorganised and fragmented health care markets; health
systems that are segmented horizontally by socio-economic class; the delegation, devolution and
administrative
disintegration
within
health
systems
and
health
bureaucracies;
new
public
management' reforms and the new mantra of 'individual choice’, which places the individual at the
centre of decisions on health care provision within the health system (i.e. how do these reforms affect
rational, needs-based and equitable health care delivery).
[ he promotion of the DHS is designed to promote the idea of organising health systems in a way that
strengthens bottom-up, population-based and area-based planning and resource allocation. It does
not emphasise 'choice', but rather emphasises local accountability, local access to good health care
for a.\ and the roie of the health system in engendering public trust and security on the health system.
o
systems find tih® Mowery off h®$Mi car® - mtegrated amd comprshensiv® IheaM csr®.
This section is designed to discuss and critique the approach towards selective PHC and vertical
programmes, especially in developing countries. It needs to explain the strengths and weaknesses of
'essential packages’, 'cost-effectiveness analyses', 'economic rationalism’ and the resurgence of
vertical, disease control programmes. Explain the shortcomings of these approaches and how they
are a consequence of under-resourced health systems; evidence of inappropriate and inequitable
health care; donor-driven agendas to achieve quick and visible results; the bias towards technological
quick-fixes; and public health sectors.
Remedies to the shortcomings of these problems include a recognition of the limitations of cost
effectiveness analysis; more integrated health planning; support for the SWAp principle; and the use
of the CHS model to allow more holistic, context-based, bottom-up planning. Cross reference to
chapter on AR 1.
swornr case stoooes t© be iimserte© not© text ©f secti©^ a
3 eas
o
©©mmotro mfeusMSemstandilirog® / mosmises ©If Be term EIH1©
< ^srirDm^in) mfeuimidiemtemflbgis / mosofl©®© ©If Be t@rm dlecemitallosaltomi J si IboC dl©M Mui ©mi Be mieedl
fem BUS, slh©iui2dl fee ©Earned! m Be te^J
Data on showing relationship between health outcomes and greater private sector involvement (from
MM)
o
■I'.oaafih Aifirfica’s iprogjires© with Be ireguMoini amid) ©©miftiroO ©If Be pi/wate ©ester (reform of the
medical insurance industry; banning of individual rating; implementation of a certificate of need
scheme aimed at rationalising investment)
o
Xeralla, Coste ^oe§i, Sri Lsimta amid) ©©mmm^-©mtemitedl IhiesiB ©am® (©©FCJ..... still relevant after
all these years?
o
Coymittijy ©as® ©tedloes tfmrn
o
USA's heavily market-oriented health care system, which accounts for 50% of total annual global
health care expenditure on 5% of the world's population still excludes many of its citizens (while
claiming to be a standard to which others should aspire), needs to be questioned and contested.
o
CIS states - collapse of Soviet, centralised system and replacement with market-oriented
reforms
o
Malawi - typifies a system fragmented by donors, NGOs, government and unregulated private
sector
o
China - health care system in trouble despite rapid economic growth
o
Mexico - its efforts to deal with segmentation
o
United Kingdom - the founding principles of the NHS and the subsequent reforms of new
public management
o
Canada - its system of universal health care and the threats posed by pro-market and pro
private reforms
o
Thailand - its positive attempts to implement universal access to health care
o
Malaysia - the corporatisation of public sector hospitals
A-n'.:
3: GLOBAL AXD INTERNATIONAL O^STOTOJTOOIMS
Werl: Bank
"his section wii; provide a description of what WB policy has typically consisted of, and what current WB
policies are in the health sector. It will describe the development and evolution of the health sector reform
agenda, the policies and perspectives of WDR 1993 and 2004 in particular. Illustrate the ways in which
‘decentralisation’ (promoted by WHO and the Alma Ata Declaration) has been used as a Trojan horse for
neo-liberai reforms.
V-/-i T and the oroader i.J?J / muiti-iaterai system
"."here wouid then be a brief description about the current position and policies of the WHO (especiaiiy a
comment on of WHR 2000, 2003 and 2004). It should incorporate a constructive analysis of WHO’s recent
change in leadership and direction, and the changing environment within which WHO is operating - e.g.
f-.e emergence of the WB’s and WTO’s influence as a key player in the social sectors (1980s and 1990s),
and :he emergence of new global-level level mechanisms for health financing such as the Global Fund
and GPPIs.
7-c-ncr agencies
We win invite critiques of the health policies (in relation to health care systems and approaches to health
care) of donor agencies.
SECTON
C:
RECONSWTIimNG
AL^A-ATA
AHO
REOORECTOHG
GLOBAL
STEWARDSHIP TOWARDS CLEARER HEALTH SYSTEMS PRINCIPLES
Alma-Ata emphasised the following:
Equity in the provision of services, with priority being given to those most in need.
o
Participation and community involvement in health care
c
Emphasising health promotion and the prevention of disease
o
Provision of integrated services, with good referral from primary to tertiary levels
o
Multi-sectoral activities
c
Appropriate technology and due regard to socially and culturally appropriate health care
HEALTH
Our agenda sets out to reaffirm these key principles as well as to update the declaration to meet the
pr’ohty needs of the present. In terms of the health care system this includes:
>
Emphasising that equity in the provision and financing of services should be achieved in a way that
does not simpiy focus public sector resources on the poor. The universalisatio.n of fragmented anc
messy health care markets is a responsibility of whole societies, and the prime responsibility of
national governments.
>
Emphasising the importance of private sector regulation
>
Emphasising the need for institutional arrangements and codes of practice that promote integration.
and ensure that disease control programmes do not harm the development of health systems. The
District Health System approach can act as the vehicle for promoting equity as well as effective and
efficient health care delivery.
>
Emphasising that while bureaucracies are not perfect, they serve a political and social function and
can be made to work more efficiently and justly. This need not imply monolithic, inflexible and
inefficient hierarchies. Decentralisation and multi-actor systems are possible, but can operate within a
value system of social solidarity, and trust-based non-competitive relationships.
>
Exploring alternative principles in the case of undemocratic and oppressive governments
GQJEMCl TO TOE COHCLUIOfl^G SECTORS OF TOE t^ETO^T
Sections B and C will be contribute to the final section of the report which will advocate an updating of the
Alma Ata Declaration, and point to key strategies and recommendations aimed at a number of different
constituencies and institutions:
o
National governments
WHO anc multilateral system
o
World Bank
.-earth workers associations at the national level
Recommendations, with concrete mechanisms to monitor progress over time might include:
Health professional associations signing up to broad principles and values - nice idea.
Agreement or. minimum resource requirements for health systems, and novel ways to raise global
finance for health (over and above corporate social responsibility agreements and development
assistance).
Greater debate at the national level about the setting of minimum standards, and legal obligations
G)
to fulfil those standards.
"eater commitment to SWAps
O
odes of practice for doners, NGOs and Global Public-Private Partnerships
3: 'Mecloduws for sOII
GF THIS CHAPTER
To inform the general health community about:
inequitable access to medicines and current bias in pharmaceutical research and development
towards the higher income medical care market
o
Existing trade and I PR-related barriers to accessing medicines
The inefficiencies of the pharmaceutical industry and the current regime of intellectual property
rights
o
The lack of transparency and concerns about safety and ethics with private sector pharmaceutical
research
Describe the policy positions and actions of the donor community, WHO, WIPO and WTO
Propose ar. alternative vision as well as recommendations and demands that we want health
associations and civil society to direct at WTO, WIPO, WHO and national governments to ensure
more equitable access to essential medicines, more effective regulation of the corporate
pharmaceutical sector and alternative mechanisms to fund pharmaceutical research and development.
ftoter
chapter woN mrt gqvst alS wnpoiriiainli Issues such as oinra^mai} preseriilbimg) amol the
tfevelliDpimeinrt
dwg 'resssHaniiGe
[Tote] tengto ©T chapter: 3,@@© worcOsl
^GG©ESTESD LAY-GUT ©F CHAPTER
For exampie
WORLD DRUG MARKET
(USS-406 billion in 2002)
WORLD POPULATION
(Six billion people in mid-2001)
£3
North America
E3
a
Europe
Japan
G3
Ea
Africa, Asia and the Middle East
Latin America
Sources IMS Health/Population Reference Bureau
Aisc highlight how bulk of R&D is focussed on medicines targeting high-income population groups.
sKfcfes; tedte
to
system
Describe existing closed commercial system of drug development and intellectual property protection.
Describe what TRIPs is, how it works, how and when medicines got incorporated into this IP regime
and the effects on medicine prices and accessibility to chap and effective drugs, include the
breakthrough with the Doha declaration, but the inadequate progress since then, include some
elaboration of the International Convention on Harmonisation (while at present this involves the JS,
EU and Japan, many see the attempt to hike standards and keep out generic manufacturers,
especially from developing countries), as a "fail back option" being promoted by Big Pharma in case
TRIPS becomes impossible to sustain.
We will need to incorporate some discussion about the use of bilateral trade agreements to strengthen
the 5PR regime over and above what is in TRIps.
Box: Case siitocly ©ud to worlk of TAC 5m: biriiinigjmg Uh® phamDacsiaftocall compamiSss Co couirti in SA
Describe :he main arguments used to promote and defend the patents regime on pharmaceutical
research and development (e.g. that it creates a fertile ground for innovation)
®ox: Who pays aircd who feeoiefJfts
Box to expiain that in fact a lot of private research is subsidised by the public sector, both in terms of
‘nance as weli as in terms of publicty-generated knowledge. Publicly funded research is in fact the
basis of most new drug developments, even in the US where much of the basic research continues to
I be supported by the Nli-i. However the commodification, marketing and commercialisation cf this
research is privatised.
Also describe the excessive profits being generated by the drug companies and the salaries of top
executives. Describe their significant tax breaks (and tax evasion) and their capacity to lobby and
influence politicians and international trade policy.
.nsmotenotes -of Ch® ©usrontt Iff system
o
wasteful and harmful ‘rent seeking behaviour’ within the pharmaceutical industry:
o
over-emphasis on the production of copycat drugs, which add little value to health outcomes
because companies are forced to compete with each other.
o
huge expense on sales and marketing
o
effects of secrecy and non-sharing of information
o
legal costs associated with securing and enforcing patents
o
the existence of large patent mark-ups
:n addition to the inefficiencies of the current system, there are also problems related to the lack of
effective regulation of companies and the ability of public regulators and consumers to ensure that
safety anc public health is kept paramount during the pursuit cf wider and wider profit margins.
Many of the issues are covered in the book ‘Medicines out cf Control’
B©x: Gass study ©m SSIROs?
AStemafciw m©dteh ©If !R amd) D
Use example of Human Genome Project and open software production to a) emphasise the value and
benefit of cooperation and open intellectual property to innovation and scientific development; b) a
public service model to promote social fairness and keep public goods out of private hands and
monopolies.
Ar.orer mode’. is the Drugs for Neglected Diseases Initiative (DNDi), which aims to take the
development of drugs for negiected diseases out of the marketplace and encourage the public sector
to assume greater responsibility, it aspires to meet a needs-based research and development agenda
for drugs for neglected disease.
.\ew methods of research - such as non-profit collaboration or prizes for exceptional ideas - would
allow innovation to be rewarded directly, removing the need for marketing monopolies, and allow
competition. Drugs could then be sold close to the cost of manufacture.
New methods of research - such as non-profit collaboration or prizes for exceptional ideas - would
allow innovation to be rewarded directly, removing the need for marketing monopolies, and allow
competition. Drugs could then be sold close to the cost of manufacture.
Although the focus of this chapter is to promote the different and alternative models of pharmaceutical
R and D, another important issue relates to the capacity of governments and countries to exert
downward pressure on the price of medicines. These include legislative mechanisms to limit profit
mark-ups (SA); buying in bulk; parallel importing; etc.
Ad diosognsi fee OTibtems
: ne problems of high drug prices, excessive profits and inefficient R and D are challenges that need to
be addressed by a number of key institutions. This section will describe and critique what is being
done by:
o
WHO
o
WIPO
o
WTO
o
Drug regulatory authorities
t snou.d also describe what actors and institutions are blocking progress towards more progressive
and equitable reforms. The commentary on WHO should reflect on the influence of pharmaceutical
industry on WHO policy.
four whali putolic health associations and health professionail organisaiiooin)^ $rn©uile!
and Hobby tihe ffollowang actoirs
Q
overr.ments - rich / OECD nation
Q
ovemments - LMICs
WTO
WIPO
' of ;
f’i'Oiiu
D&viC. i\iGL/Oy 'Dsv’iG. iViCCoy@.iS!Tu Ci.aC.Uk^-
To:
<g hw@hst.org. za>
Sent:
Monday, M?y31 2004 11:04 PM
Attach:
Chapter B3 - medicines.doc
j~fiapi’Sf on meciicii'ies - secono version or brier
Dear friends.
Here ?•• ihe seeOitd drjft of ’he rnnedicin-s bnef-• th-rnks for the
1C 0 _i v .
nber of
)pl
ributc
tlii cl
Dear Andrew and Charles,
Greetings. We hope you are both well, and have the time to read this short note.
You may have heard of an initiative being coordinated by the Peoples Health Movement, Medact (UK) and
?■ e G oca' Equity Gauge Aiiiance to produce an ‘alternative world health report’. The report is designed to
put forward an equity-oriented and rights-based perspective on global health and health policy, with the
intention o" revivi: g the ethic of Alma Ata. implicit in this is a desire to provide a counterweight to the
dominance of pro-market, neo-liberal poiicy in the health sector.
"h:s report is being called the Global Health Watch and is also distinct from WHO’s World Health Report
in mat it aims to aiso monitor the performance and actions of relevant global institutions. These include
W -O, the World Bank and influential donor agencies such as USAID and DflD.
"he target audience of the 'eport is the wider global health community (e.g. ordinary health workers,
; uciic neaith associations and health professional organisations) whom we want to educate, inform and
mobiiise. i? other words, this is not intended primarily to reach an academic audience, rather to inform and
educate the broader health community and provide it with a critical assessment of the performance of the
key p ayers, as well as to provide practical suggestions on ways forward.
Yore detail about this initiative can be found in the attached flyer, and on our website (www.ghwatch.org).
We are writing to ask if you would be able to contribute to the central chapter on health care systems.
Attached is a very rough outline of the different issues we would want to cover in this chapter, and we
rope it is something that you would be interested in being pari of.
We are aiso approaching a number of other people from around the world who, we believe, share a
cimiar vision and perspective on health care. These include:
Malcoim Segall
o .Vaureer Mackintosh
. mrana ^aueer
o Vincent Navarro
o Abhay Shukla
c Halfdan Mahler
o David Sanders
o Ravi Narayan
Armando de Negri
o Maria Zuniga
o Chan Chee Koon
o Eieuther Tarimo
Charles Waitzkin
o Lucy Gilson
o Andrew Haines
o Jack Geiger
o Fran Baum
Debabar Banerji
O GT Walt
Fouad M. Fouad
o Alar: weather
c Rita Giacaman
• ucditior, we are ^tending to commission sma.i case studies (as suggested i:: the outline attached).
Yea.iy we would like to produce a chapter that would represent the collective output of as many
individuals as possible, as this would strengthen the advocacy potential of the chapter. We are still a t:!e
unsure as to how such a collective approach to developing the chapter would be actually coordinated. It is
h;e'y that someone w;:: need to volunteer to act as a central coordinator and primary author. However-, for
/•.e t’rne being, we are writing to ask if you would be interested and able to participate in developing this
chapter by agreeing to any or alt of the following:
o Comment on the outline and make suggestions for existing material that can be incorporated into the
chapter
o Suggest any other individuals who may be able to participate
o Write on sections of the chapter
o Critically review drafts of the chapter
o Coordinate the production of this chapter
. he aim is to .aunoh this report in May 2005 in the time of the World Health Assembly, and for the second
People’s Health Assembly which will follow shortly afterwards in Ecuador.
Although PHM, Medact and GEGA are providing the secretariat for the Watch, we are intending for the
Watch to be launched and produced as a collaborative output of as many organisations and individuals
who are prepared to support and endorse it.
We icok forward to hearing back from you.
W:th best wishes,
Ravi Narayan
People’s Health Movement
Mike Rowson
Medact
David McCoy
G.'oba.' Equity Gauge Alliance
ri orn:
T o:
■'?» ■
cjfsv&i nan. Pauia ^Bravernan^fcrri.ucsz.ec:
<gnw@hst org.za>
Wednesday. June 02 20CJ-10:33 AM
RE: fcM Rs. official letter to WHO
: Jv-4: this is basicity pooe but could' ; ".<d a little editing, mostly for clarity, '.’an we give you
■
. ...ar, E\a ?.';di.-seua w i..\.J..,.
....
.
■
j Jvih v,:..u :o ask ihem for mpiu on die leltei iiseli
.
.
■■
....
I'Cair. idsi’stjty
. ’I’tjaZ
To:
Sent:
Subject
HriiVl Sscretarist ■
*secr©' i3fi8t@phrnovsrrient.or0>
<ghw@hst org.za
*
Tuesday. June 01, 2004 5:43 PM
Rs: [gh v] Re: Chapter B1 - second version of brief
Dear .Dave. A-.rke. Patricia.
Grecimys iron) PH Xi Secretarial (Global)!
antiit i . to he < rHV\, do ilot include i in .
list ofinose you are approaching (mentioned in the invitation letter).
he signaled
itation. So it d
’
.............. • • .■ •
Other.'isc. it read?; wd’ J I confiim my approval.
i
. ii -oihiLiaiOi’e
ri
■
3
■. -7X
To:
Sent:
Attach;
See; ecu
________ ______________ -—-------
De.McOoy
avid.McOoy@lshtm.ac.uk>
<<?nw@hst O'g za>
2004 "0:30 PM
• . '
ghw] Re: Chapter Bl - s
ers
’. :’rn rains with the reused version of Brief B2. This has taken into account the feedback received
avid and
eedb;
his chi
ill i
cox ero’.i in the introduction as well as Chapter A (politics and economics of health).
i better now. and fl
tplanati
rvalues an
c:nmrica: /’ridcrcc from countries. to institution yratching. to recommendations.
■
CA are now in die process of inviting individuals to participate in the final production of this chapter.
j
y aski
ividi
:
nake
nent t
.
.
.
more specific briefs.
(o. aside of the CC) whom we are approaching include:
■ Malcolm Segall
■ Maureen Mackintosh
• Imrana Qadeer
• Vincent Xavarro
• Halfdan Mahler
• E-etuher Tarimo
- CjMcs W'aitzkiii
Lucy Gilson
• Andre Haines
• 5 a ok Geiger
• Dcbabar Bancrji
• C.1U vv ait
............................
■ . liaii i.ii i z i
• RiM Giacaman
reel free -o comment further on me brief. 11 you i-now of -.’ly gc-' -:! existing
contribu
m
tudies, please let us 1
»
also need to identii
itiqueofWHOrs and the WB'spolicies an
Uave
i
ihealth
tei s.
thr/ vo? can
‘.lain Identity
From:
To:
Sent:
Subject:
-------------------------------------------------------------------------------------------------------------------------------------------------- ------
Chee-Khoch Chan <cnan_chee_khoon@hotmail.com >
<ghw@hst org za>
Thursday. May 27, 2004 3:45 PM
Re. (ghw] New CC members and Brief for Medicines chapter
f )ear Amii. colleagues
un gla<t you m\>nyhi up i A’Di too. ’i heir website states that the DNDi aims
k- ”mkcdevelopment of drugs for neglected diseases out of the
markvipiace anc. encourage the public sector to assume greatei
rmoonsibmty. h aspires to harness public and private sector resources
v sci
> i icn
b^ .uiid
yield
c
'
' .
rugsfo leglected disease". If ifsnot
:
lu
’
I
e further question;
of production and distribution? 1 tliiiik DNDi itself is
ig results: norexclusive licensing
effect. getting pharmaceutical companies to compete as generics producers),
.
'................. I o
•' . . . :
’
V. g aC . V Ui
*
ijiij;;.( .k (pimdc . Ji’ick:-. ,-kdj»?•: in 3S pfoduCc’/S (and
itjutor
:t Itwoi
sj
i
1
: )1
thisfr m the
v.c.... . p...- n '.ia' — p.m-.zakui.c ; v>>pcciaiiy since the fimnc operating
Chee Khenn
) identity
tJi’c? C' ’'<?./>. “'S'JiO ~ O
8; r.c: fiitviG;’ .’•• JCS.
*.
;•-•■
<cnw'u>hst ora za>
Wednesday, June 02, 2004 10:33 AM
.
. [
j
. .
tic suggestions rc wording next w wk in Durban?
dblin
■.
rfthe letter be;sent (
fii ids”msid
i «Tim
*
I ug 3 no
; lb a V koadan;. .n
bai assuming
don't warn to ask diem for input on the lettei itself
!>c
nrc'bao;4.newl it ana tiia
* wonk
*
pni Tf-errt in an awav/ard oosiunn bu? fm not lOO^o
i .iizc:
'T...GD
From:
To:
Sent:
PHFZ Secretariat <secretariat@phmovement.org>
<gnw@hsr org za>
Tuesday June 01 2004 5:43 PM
Subject
Re: [ghw] Re: Chapter B1 - second version of brief
Dear Dave. X-iike. Panina.
Gramas num Pi-'lu Secretariat (Giobai):
et
.
3H
inc
list of inose you art approaching (mentioned in the imhation letter).
he sig
s
i
it d
.
jessary modification in the letter.
y approval.
V
V.in
c
C i X-Bangaiore
-■-S'7 '"Srinivasa Nilaya"
i
9
1
Gl
a
Pauu » of 2
.
...
To:
S-snt:
David .McCoy <David.McCoy@lshtm.ac.uk5
•- g h w@ hst. org. za>
Monday. Msy3i 2004 "0 30 PM
Attach:
Subject:
Dear Andrew and Charles.doc; Chapter B'i .doc
icnwi Le: Chapter Er. - second version 01 brief
Dear friends.
the wise
mt the!
hast
red in the introduction as well as Chapter A (politics and
ni
?ack received
in fact be
fhea
bi-:vi ivads much better now. and ho vs mcely from an explanation of our values and principles, lo
'•"me empirical e-videnee from countries, to institution watching. to recommendations.
pecific coni
iVe are now in the pi•< ce
•
ticipate in th
At the 1 n si t w j a x nerely asking individual if t! j v ulc
roducl
prepared . nake
swil
:towar<
more specific briefs.
isac
aninvifc ion letter to two such people. The list of people
«outside of the CC) whom we are approaching include:
• A lakolrn Segall
urour; hfackinlosh
• Irrrru.? Qadccr
Vincent Navarro
• Haifdan A lahler
• EleuJicr Tarimo
• Chari es Waiizkin
• Lucy Gilson
•.Andre v Haines
• Jack Geiger
■ Dvbabar Daricrji
• Gill Walt
■ F(. :r.d M. Fouad
■ . L.i.i; j
• Rita Giacaman
free to comment further on loe brief, fi vou know of e.ny goc-o existing materE
*
ih;--: we - an
f, id
lies, pl
Also, if
hink of an]
contributors we should rope in. ier us know as veil. Vs e also need 10 identhy people v. ho van w. kc up
r. cri'iouj G'V LOL
thv; WB's policies and positions on health o --Lms.
Please
...................... - •
i javc
•
~sres-.'-.J?!®--------------------------------------------- -----------------------------------
?rom:
Cnee-khocn Chan <chan_cFiee_khoon@hotmaiI com--
To:
Sent
<ghw@hstorg.za>
“rursday. May 27, 2004 3.45 PM
Dear Am.it colleague
*
.
Di too. Their webs
. .
he developmen
...larketpiuce and encourage i?-e public sec lor tc assume greater
resnonsihilitv. »• aspires to harness public and private sector resources
•
jience anc echn<
g
.
s* ba .' res e< rch a
■
i)<yond K&D. or production and distribution? 1 think DXDi itself is
>ti........ i : cvci
anufacturers (in
gettingJ
ia<
il com tie oct
a get
| •
looking
lobal
1
’
le addition;
.r.H‘cL-.iir fiowct. non-i/fci;; ii;i as producers (and
r.
•. •. ’■
'•:•.? .. . t.'
cxolcr: -hi-, from the
perbpvciivc oi‘popular Grgunizaiioks ;cspeciali% since ilie future operating
-.‘B• Kon.meni for genencs rnanvv’c!ur.;rs is v.nevrkrin. v' ;‘h the ongoing
siniggles over 1RIPS).
Best,
Chee Khoon
^•uy -u>av;G .'ic<zCy@.shtm.ac.uk>
•-gnsr orc za>
■A'g - - ssd?-
-------
gj
. _
June 02. 2004 4:35 AM
-
_
We are writing to inform you of an initiative to produce a bi-annual Global Health Watch, the
first version of which will be launched in 2005.
One production of the Watch is being coordinated by three non-governmental organisations, and
is involving networks, academics and activists from around the -world. Our aim is to put forward
an independent, equity-oriented and rights-based analysis of global health and health policy. In
addition, we seek to use the report as a vehicle for promoting civil society’s capacity to monitor
the global institutions that are important to health. A major thrust of the report will be to provide
a strong critique of international policies that undermine government ownership and
accountability and damage the sustainability and fairness of health systems.
We believe that the Watch will enable a stronger monitoring of global health governance by civil
society, especially in the South, and that this can only strengthen WHO’s engagement with civil
society. In addition, we hope that the Global Health Watch will support the voice of WHO in the
sphere of global governance, in particular in relation to the international trade and financial
institutions. We will seek to ensure that the report, which will include a degree of WHO
performance assessment, strikes the right balance between constructive criticism and support of
WHO’s noble mission.
We hope that WHO staff will support the principle behind this initiative and we look forward to a
constructive engagement, for the betterment of global health and social justice. Further
information on the Global Health Watch is available on our website, www.ghw.org.
Yours sincerely,
co. All ADGs in WHO
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Main Mail: secretariat@phmovement.org
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from:
"David McCoy" <davidmccoy@xyx.demon.co uk> | Save
Address
date
Fri, 18 Jun 2004 08:15:59 +0100
"Pam Zinkin" <pamzinkin@gn.apc.org>,"'PHM Secretariat'"
<secretanat@phmovement.org>,
<mikerowson@medact.org>, <david.mccoy@lshtm.ac.uk>,
<patriciamorton@medact.org>
to:
subject.
RE: London Visit
Dear Ravi
Thanks for the update. My eye caught the apppointments you have made with
Christian aid and action aid. Both these NGOs need to be persuaded to come on
board with the GHW, and if it would be appropriate I'd like to suggest that either
pat, Mike or I accompany you for this reason.
It would also be good to meet to update you on the Durban meetings. But my
time is very limited next week!
I'm sure we can finalise things over the phone after you have
arrived back here in london
dave
Dear Pam, Mike, Dave, Patricia,
Greetings from the PHM Secretariat! Just a quick note to let you
know that I shall be back in London from 20th late evening till 24th
early morning in connection with some PHM fund raising with
Andy (OWA) on 21st June and the pre commission (Social
Determinants in Health) meetings organized by Michael Mormat for
the WHO equity unit on 22/23 rd June. David Sanders Rene,
Lowensen, Lexi Bambas will also be at this pre commission
brainstorming and Andy Haines at LSHTM has arranged an
interactive dialogue with faculty and PhD student from 2-3.30 pm
at Room 101, 50 Bedford Square with all these potential
commission members as well.
On 21st June I am with Andy (OWA) and have appointments with
DFID, ActionAid and Christian Aid. On 22 nd Junel have suggested
to Andrew Chetley that we meet in the morning to finalise the
evaluation report and I have lunch time appointments at the
http://63.99.209.85:8383/Xafafcecc9a9292cec961cf9a95/rmail.41797.cgi?&mbx=Main&ms... 18/06/04
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subject
"Mike Rowson" <mikerowson@medact.org> | Save Address
Fri, 18 Jun 2004 09:23:13 +0100
"PHM Secretariat"
<secretanat@phmovement.org>, <pamzinkin@gn.apc.org>,
<patriciamorton@medact.org>, "Dave Work"
<Dave.McCoy@haringey.nhs.uk>
Re: London Visit
From today's Lancet. See reference to PHM next footnote 30. More signs of
influence?
m
-----Original Message —
From:
PHM Secretariat
To:
pamzmkin@gn.apc.org ;
mikerowson@rnedact.org ;
david.mccoy@lshtm.ac.uk ,
patri ci amorto n @ rned act org
Sent: Tuesday, June 15, 2004 2:29 PM
Subject: London Visit
Dear Pam, Mike, Dave, Patricia,
Greetings from the PHM Secretariat! Just a quick note to let you know that
I shall be back in London from 20 th late evening till 24 tJ1 early morning in
connection with some PHM fund raising with Andy (OWA) on 21 st June
and die pre commission (Social Determinants in Health) meetings
organized by Michael Mormat for die WHO equity unit on 22/23 June.
David Sanders Rene, Lowensen, Lexi Bambas will also be at this pre
commission brainstorming and Andy Haines at LSHTM has arranged an
interactive dialogue with faculty and PhD student from 2 - 3.30 pm at
Room 101,
50 Bedford Square with all diese potential commission members as well.
On 21 st June I am with Andy (OWA) and have appointments with DFID,
ActionAid and Christian Aid. On 22 n(^ Junel have suggested to Andrew
Chedey that we meet in the morning to finalise the evaluation report and I
have lunch time appointments at die LSHTM
from 12 noon.
It would be a good idea inspite of the busy schedule to try and meet for a
http.7/63.99.209.85:8383/XafB3cf9e9a9e999f9861cf9f0f/rmail.32672.cgi?&mbx=Main&ms...
18/06/04
1 Of .
.V. Communications" <prssanna@phmovernent.org>
ri:, Prof." <nhop@boLnet.in>
29, 2004 5:35 PM
•obal Health Watch
Greetings from PHM Secretariat (Global)!
- was really glad to find that you support GHW and are finding the process we have started stimulating. Thanks for all your
suggestions and solidarity.
. hernia mentioned that you had also commended her statement on HIV / AIDS. Slowly and surely PHM is engaging with
the tigers and inspite of the dangers of claws,making some headway. Recently I attended the planning meeting of WHO's nev
Commmision on Social Determinants of Health and was surprised that inspite of it being a good initiative, especially in the
context of the myopia of jefff Sach’s report. I was shocked at the overall loss of memory. David Sanders, Rene Lowensen
(Eq uinet), Lexi Bambas (GEGA) and I had to strongly endorse and reiterate the political vision / process of Alma Ata
urasanr.a Sargram
Communications officer, People's Health Movement Secretariat(global)
G^nl-Bangalore
#367 "Srinivasa Nilaya”
■akkasandra 1st Main, I Block Koramangala
Bangalore-560034, India
Tel: +91 80 51280009 (direct) Fax: +91 80 25525372
Website: www .phmovement.org
Join the Health for all, NOW” campaign in the 25th anniversary year of the Alma Ata declaration visit
www.TheMillionSignatureCampaign.org
29/06A
-Mail
rageioi
FRCV:
"Community Health Cell" <chc@sochara.crg>
DATE:
Xton, 28 Jun 2004 11:01:10 +0530
TO;
<secretariat@phmovement.org >
SUBJECT:
Fw: Global Health Watch
PLEASE NOTE THS CHANGE IN OUR EMAIL ADDRESS TO
chc@sochara.org
Dr.Thelma Narayan,
Coordinator,
Community Health Cell,
357, Srinivasa Nilaya,
Jakkasandra,
1st Main, 1st Block,
Koramanagala,
BANGALORE - 560 034.
?h.: 25525372 / 25531518 / 25505924(D) / 25533064 (R)
— Original Message —
From:
Ipsita Banerji
To:
David McCoy
Cc: Ravi Narayan
Saturday, June 26, 2004 11:10AM
SwfcHeeR: Re: Global Health Watch
Dear Dr McCoy
you very much for your letter.' nave carefully gone through the chapter outline. It gave
me considerable joy to read such a stimulating public health document; it gives a refreshingly
' <• ■;
' -t
x.x'x x i : rs. 'fix
xxiic xxxx. ■ ‘ X;X.t x xxxy xy xxx
felicitations to you and your group for bringing out such an exellent document.
I am grateful to GHW for giving me such a wide latitutude to contribute. As I might have written
to you earlier, my approach to the area(s) of my contribution will be very flexible,there are
suitable contributors, I will have no hesitation in staying out. If, however, i am to contribute,i
wi!i list out the following areas:
1 .Giving an operational form to ways of implementing Health For All/PHC, under different
political, social, cultural and epidemiological conditions in the poor countries of the world.i
foily endorse the philosophy of District Health System/Organization. However, a 'district' has
different form in different countries. In India, for instance, it covers a population of 2-5 million
ax: h s considered as the sheet anchor of the public health system.
2.Botr: the components of 'Health systems and delivery of health services' - i. appropriate
health care and organization of health care system and, ii. integrated and comprehesive
hepith care. Incidentally, ONE OF MY SUGGESTIONS WILL BE TO CONSIDER
'
- E TWO!
3.1 had written an article in the International Journal of Health Services (no2,1999), under the
title: A Fundamental Shift in the Practice of International Health by WHO, UNICEF and the
World Bank.
As ! might have mentioned earlier, the report need not be comprehensive. The following
suggestions may be considered in that context:
1.Health manpower development.
2. Health systems research.
3. Critique of thinking on Macro-economics and Health and the dominant school of health
economics, health sector reforms and health financing. This will include critical analyses of
. :h newly developed concepts as DALY, Burden of Diseases and Evidenced Based
Meidicine..
W
. - Hdemiological approaches to public health probelms, as propounded by Hugh Leavell and
Edward MacGavem.
5. Social science dimensions of health, including politcal economy of health.
an also assure you that I can provide back up support to make critical review of
drafts and coordinating the production of the Chapter.
With regards,
Sincerely yours,
D Banerji
— Original Message —
[From:
David McCoy
•
I To:
Ipsita Banerji;
Patricia Morton
PHM Secretariat;
CHC
, Serfu Wednesday, June 23, 2004 3:12 AM
Swbjecl:: RE: Global Health Watch
Dear Professor Banerji
Thankyou for your response and your willingness to participate. Could we ask you as a next step to please
consider the chapter outline very carefully and send us any comments on the structure and outline of the
chapter. Then could you make any suggestions on which of the different sections you feel able and comfortable
to contribute towards?
We look forweard to hearing back from you soon
Kind regards
http://63.99.209.85:8383/Xaea0989c92cccb9ccb9997f56a52/print.20566.cgi?mbx=Main&msgsort=20&msg ...
28/06/C-
EMail - --x
Page 3 of
David McCoy
Dr Davie McCoy
Giooai Equity Gauge AUiar.ce
Gleba; Health Watch secretariat
Tel: (44)-(0) 795 259 7244
Fax: (44)-(0) 20 7324 4734
—Original Message—
Rm Ipsita Banerji [mailto:nhpp@bol.net.in]
Ssmfa 04 June 2004 14:34
T®t Patricia Morton
©cs PHM Secretariat; CHC
Re: Global Health Watch
Dear Ms Morton
A quick reply.! am very happy to note the initiative taken by your group. Because of my
.ixtso capacity f have severely cut down on my academic work. But so apt and
attractive are your proposal that I hasten to inform your group that I am willing to
mobilise my effort to repond positively to you suggestion. I have the following
observations:
1. It is commendable that you have fixed a time shcedule and fixed the size of
contribution.
i
X i'.X X/X: Yx \'Y'y X/Y'-X ths raSCUCSS avsitebia, X'XX ■ Y.
what WHO spends on its publication. Yet we will have to be much more forceful and
convincing if the alternative report is to make the expected impact. The contribution s
xa Y 1 - x xx qxxty.Y..Txx xs x ix xx xrex' x xxxxg the
contributors and you should be able to turn down any contribution (including mine), if it
does not attain the standard.
3. Cosidering the constraints under which we work, we need not necessarily aim at
being comprehensive, if it not possible to have quality inputs.
4. t would very much like to have co-authors and I am willing to be a second autthcr or
just be acknowledged for my contribution. The trouble is that if you ask me to choose
my co-author or assistence, I will say that I do not have anybody in mind.
4. : xY sxxxg’ x; tonxx: the material sent by Dr max Mxxyrx smi x: yx have my
additonal observations, if any.
With regards,
Sincerely yours,
D Banerji.
Professor Emeritus,
XWX.XX Y
' XIXXX',
New Delhi, India.
— Origins; Message —
http://€3.99.2C5.35:?383/Xaea0989c92cccb9ccb9997f56a52/print.20566.cgi?mbx=Miain&msgsor*=20&msg..,
28/06/1
Patricia Morton
To:
Debabar Banerji
Ss.’Wednesday, June 02, 2004 9:59 PM
Global Health Watch
Dear Debabar Banerji
Please see the attached letter inviting you to participate in the Globa! Health Watch.
Best Regards
Patricia Morton
Global Health Watch Secretariat
Medact is a UK charity for global health, working on issues related to conflict, poverty and the
environment
Medact
The Grayston Centre
28 Chares Square
London N1 6HT
United Kingdom
T +44 (0) 20 7324 4739
F +44(0)20 7324 4734
www.medact.org
Registered Charity 1081097
Company Reg. &o. 2267'25
.209.85:8383/Xaea0989c92cccb9ccb9997f56a52/print.20566.cgi?mbx=Main&msgsort=20&msg...
28/06/0z
Page 1 of 1
Mo.v
"Mike Rowson" <mikerowson@medact.org>
DATE: Wed, 30 Jun 2004 14:28:19 ->0100
to:
subject:
<a.t.green@leeds.ac.uk>
Global Health Watch
Dea- Andrew
- ir.v -hanks for your letter of 14 June regarding the Watch, and the enthusiasm of Charles and yourself. We just
wanted to re-assure you that the Watch has already got quite considerable support from both Northern and
uj-f.sr.r academics and activists and that it is going ahead - your involvement will not be a wasted effort and
certamiy we would :ke you to be involved in the technical review of one or two key chapters.
Malcolm Segall has in fact agreed to lead on the writing of the chapter tentatively titled "Health systems that
promote social justice", and would like to convene a meeting with people based in the UK who are involved in the
writing/reviewing of this and a couple of the other key chapters. This will be a day-long meeting in London, either
at Medact or the London School. The people who will be involved are a mix of people writing and reviewing or
contributing case studies including: Gill Walt, Maureen Mackintosh, Jane Lethbridge and Alex Scott-Samuel.
Would yourself or Charles be available to come? The suggested dates are as follows
16 July
26/27/28/29 or 30th July
A'co - would just like to let you know that we have taken up your idea about a code of practice for global funds
and have been trying to promote it in various fora - not with any noticeable success so far, but people are
definitely interested!
_et me know on the dates. We will of course pay your travel expenses.
best wishes
Mike
Mike Rowson
Executive Director
Medact
Tne Grayston Centre
28 Charles Square
London N1 6HT
|LUnited Kingdom
T: +44 (0)20 7324 4735 (direct)
T: +44 (0)20 7324 4739 (main)
F: +44 (0)20 7324 4734
Mb: +44 (0)7703 214469
www.medact.org
Medac: :s a UK charity for global health, working on issues related to conflict, poverty and the environment
:(egfared Charity 1081097
Company Reg. No. 2267125
Flyer.pdf (Binary attachment).
(ofc
83 83/Xac2b999b99929dce9c9d97f56f51 /print.23051 .cgi?mbx=Main&msgsort= 17<&msg...
Global Health Watch Project
how to get involved
It is hoped that the Watch will be used as a catalyst for the
development and strengthening of existing campaigns around the
world to improve the health of the poor. The Watch aims to involve
civil society networks, organisations and individuals from
developing and developed countries.
Regional and national groups are being encouraged to publicise
the Watch, and to develop their own accompanying national and
regional watches.
We are still looking for participation from interested individuals and
organisations.
Global
Health
Watch
You can help us by:
• Endorsing the Watch
• Creating demand for the Global Health Watch
in your region
• Launching the Watch in your region
• Initiating local national and regional health
watches
• Submitting testimonies and case studies
Mobilising civil society
around an alternative
World Health Report
• Volunteering to help with technical reviews
Contact details and information
Find out more: visit the Global Health Watch website www.ghwatch.org
Or e-mail us at ghw@medact.org
www.ghwatch.org
Why do we need an alternative
World Health Report?
The Global Health Watch the Report
The Global Health Watch is a new project led by the People’s Health
The Global Health Watch will be written by NGOs, academics and
Movement which articulates civil society’s vision for global health.
campaigners from around the world. The first report will be launched
It is a platform for the strengthening of advocacy and campaigns to ■
at the time of the World Health Assembly in May 2005 and at the
promote equitable health for all.
People’s Health Assembly in July 2005.
The global community has failed to achieve ‘Health for All by the Year
2000’. New targets such as the Millennium Development Goals look
increasingly unattainable. Questions need to be asked about whether
current policies in global health are working. The Global Health Watch
Global Health Watch - 2005 Report
Section A: The Politics and Economics of Health
in the 21st Century
for 2005 will look at some of the most important problems, suggest
solutions, and monitor the efforts of institutions and governments
concerned with promoting health worldwide.
Section B: The Health Care Sector
• Health systems that promote social justice
• Responding to the commercialisation of health care
The Watch will:
• Promote human rights as the basis for health policy
• Shift the health policy agenda to recognise the political,
social and economic barriers to better health
• Suggest alternatives to market-driven approaches to
health and health care
• Improve civil society’s capacity to hold national
governments, global institutions and corporations to account
• Big pharma, access to medicines and IPRs
• Human resources: the lifeblood of health systems
• Responding to HIV/AIDS
• Gene technology and the attainment of health for all
Section C: Beyond Health Care
• Environmental challenges
• Militarism and conflict
• Water
• The right to food: land, agriculture and household
food security
Section D: Marginalised Groups
• Indigenous peoples
• Disabled people
• Strengthen the links between civil society organisations
around the world
Section E: Monitoring of Institutions and
Resource Flows
Provide a forum for magnifying the voice of the poor and
• WHO
vulnerable
• Global Fund and Pepfar (US fund for AIDS)
• World Bank
• WTO and trade agreements
• Monitoring of international promises on aid and debt relief
Section F: Summary and Strategies for Action
-sew
"^atricia Morton" <pamciamorton@medact.org>
DATE: Fri, 2 Jul 2004 13:08:02 +0100
to
subject:
"GHW mailing list" <ghw@hstorg.za>
tohw] Minutes to Durban meeting and new CC members
Dear AH
I woUd Ae to welcome some new CC members. They are:
;
Otto from Paiau representing the Pacific;
.
■ erag from Egypt (from the Association for Health and Environmental Development and the PHM)
.■ . -■: ■•.ling North Africa;
sn Chaffer from US (Centre for Policy Analysis on Trade and Health) representing North America;
Alan Ingram from Nuffield Trust (a funder).
T:w have 29 people on this list (see attached spreadsheet). We are looking for people from East Africa,
Francophone Africa and China.
Uco, pi ease see attached the minutes to the last meeting in Durban and a spreadsheet of where we are up to
7 eac7 chapter, the first page shews clearly al! the authors we have commissioned sc far.
i- naiiy, below are the jobs promised by people in Durban
;r AH:
- .Suggestions for peopie to write case studies for Bi chapter and all other chapters
Air.it
ic fo/.cw up Action Aid Asia for fundraising opportunities
Chee-koon
■ io fbiiow up Nippon Foundation for fundraising opportunities
- report back from Bangkok Aids conference
Abhay
- find case material from India on the deficiencies of the private sector
- contact Chinu Srinivasom at Low Cost medicines for medicines chapter
Fran
- chase up David Legge and Judith Dwyer about case studies from China for Commercialisation of health chapter
Best Regards to all
Patricia
h
i.icia Morton
..I Health Watch Secretariat
v7 :7;/: s a UK charity for globa’ health, working on issues related to conflict, poverty and the environment
Medact
I ne Grayston Centre
28 Gnaries Square
London N1 6HT
United Kingdom
T ••£•<• (0) 23 7324 4739
- +<4(0)20 7324 4734
www medact.org
i ’ u.//Lj 9? 239.25:8383/Xaebd99c8989d9ac99fc997f56cc2/print63675.cgi?mbx=Main&msgsort=19&msg...
02/07/
.e.ec Charity 1081097
•eny Keg. Ko. 2267125
Global Health Watch Business Meeting Minutes.doc (Binary attachment)
Chapter charts.xls (Binary attachment)
Coordinating Committee and Regional Reps, June 28.xls (Binary attachment)
Clobal Liea’.th Watch discussion list
List address: ghw@hst.org.za
List information page including list archives:
http://akima.hsl.org.za/mailman/listinfo/ghw
...s ns! is hosted by the Health Systems Trust: http://www.hst.org.za
■-,//■ 3 9$.209.85:8383/Xaebd99c8989d9ac99fc997f56cc2/print.63675.cgi?mbx=Main&msgsort=19&msg.
02/07/
from:
"Patricia Morton" <patriciamorton@medact.org>
□ATE: Fri, 9 Jul 2004 13:10:20 *0100
70; ,'HSTi <ant@hst.org.za>,"PHM-Ravi" <secretariat@phmovernent.org>, "Prasanna - PHM
Communications" <prasanna@phmovement.org>
subject:
fetter to WHO from the GHW
Dear Ant and Ravi
Greetings from London. Don't know what happened to the summer here- apparently its warmer in Australia at
the moment!
Please see attached the final version of the letter we sent to Dr Lee.
Best Regards
Patricia Norton
G-oba. Hearth Watch Secretariat
Uedact is a UK charity for global health, working on issues related to conflict, poverty and the environment
Medact
~he Grayston Centre
28 Charles Square
London M 6HT
United Kingdom
T *44 (0) 20 7324 4739
F *44(0)20 7324 4734
'www.medact.org
Registered Charity 1081097
Company Reg. No. 2267125
letter to WHO- July 5.doc (Binary attachment)
//63.99.209.85:8383/Xaebl9b93cf9fc8c8c&7i56e66/prmt.52091.cgi?mbie=M^n&^sgsort=7&z:.s^
:: ->c-llo
ba-i c s "O
People1s Health Movement
Global huity Gauge Alliance
GU©M Jtalth Watt
j ini® waysucm Uemre
28 Charles S^war®
(LoruolOTC
BHT
WW l&mgdom
T®0: -M4 2© 7324 473©
Fax: <44 2© 7324 4734
Vc/~tjJVW 0 L JI &
<1A a k/ J' £;
S July 2©©4
?(azem Behbehani
Assistant Director-General - External Relations and Governing Bodies
World Health Organisation
Avenue Appia 20
1211 Geneva 27
Switzerland
Dear Dr Behbehani,
We are writing to inform you of an initiative to produce a bi-annual Global Health Watch. The
Watch intends to be the equivalent of a report on global health issues taken from the perspective
of civil society, and is designed to support civil society campaigns and actions on health ano
inequity. The production of the Watch is being coordinated by three non-government
organisations, and involves the participation of a variety of networks, academics and activists
from around the world. The 'first edition of this report will be launched in 2005. Further
information on the Global Health Watch is available on our website, www.ghw.org.
Our aim is to put forward an independent, equity-oriented and rights-based analysis of global
health and health policy, especially from the perspective of poor countries and poor
communities. 'n addition, the report will promote civil society’s capacity to assess and monitor
the performance of global institutions that are important to health.
h this regard we hope that the Watch will help strengthen WHO’s voice and role in the sphere of
global governance, in particular in relation to international trade and financial institutions, and in
relation to the more powerful governments of the world. The Watch will include a section that
critically assesses the World Health Organisation from a number of perspectives. Hnweve
*
w®
win seek to ensure that the report strikes the right balance between constructive criticism and
support of VVHC’s noble mission.
We look forward to hearing your initial thoughts about this initiative and hope we can discuss
more concrete ways in which we can have a dialogue with WHO.
Yours sincerely,
Mike Rowson, Medact
David McCoy, Global Equity Gauge Alliance
'from: "Patricia Morton" <patriciamorton@medactorg>
DATE: Mon, 5 Jul 2004 13:02:53 *0100
to:
subject:
"GHW mailing list" <ghw@hst.org.za>
Fw: [ghw] Conflict chapter brief- Dave McCoy's comments
Thanks Mike
see attached with some comments inserted
dave
—Original Message—
Fmm?
ghw-bounces@hst.org.za [
mailto:ghw-bounces@hst.org.zaj ©fi)
25 June 2004 13:22
Global Health Watch
[ghw] Conflict chapter brief
©(F Mike Rowson
Comments when you can, please.
mike
Mike Rowsen
Executive Director
Medact
The Grayston Centre
23 Charles Square
London N1 6HT
United Kingdom
T: +44 (0)20 7324 4735 (direct)
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F: +44 (0)20 7324 4734
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www.medact.org
Vedact is a UK charity for global health, working on issues related to conflict, poverty and the
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Company Reg. No. 2267125
Chapter - Conflict brief.doc (Binary attachment)
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tts //€3 ..9 9.209.85:8383/Xa7979b9bc9cb9ccf9397f56d68/print.41910.cgi?mbx=Main&msgsort=38&ms. ..
10/07/04
Violent coraflact and! health
This chapter should focus on three areas
(a)
(b)
(c)
the health implications of conflict
the disarmament agenda
responses from the health sector
Section A: EHiealtlhi inniplications of conflict
This should include an aggregate accounting of mortality/morbidity from conflict during
the twentieth century. It should then focus down on the changing nature of conflicts over
the past twenty years, and give an account of the different health risks arising from the
different types of conflict. We could commission case studies on different types of
conflict... e.g. Iraq, DRC...
| L he underlying causes of conflict should also be addressed.
I 1 think we should use Iraq and Afghanistan as case studies, and perhaps the Congo.
Section B: The diisarirnament agenda
What progress has been made on disarmament of nuclear and CBW as well as other
weapons, landmines, small arms etc.
Spending on military v. health spending could be emphasised here. Also military
expenditure as a proportion of GDP.
What is the correlation between ODA, debt relief and WB loans with military
expenditure?
We should have a box of the major arms suppliers. Should we explore the link between
government and militaiy industrial complex - in keeping with the theme of regulation
and transparent government?
Highlight Costa Rica!
T
..........
Section C: The iheaith sector response
_.. - {©s-sisd:
How can the health sector respond to the health and other social problems caused by
conflict, and work towards prevention? What positive examples are there of this
happening already? We could draw from historical experiences of the role of the health
community in reducing conflict - the history of IPPNW: ceasefires caused by
immunisation campaigns, etc.
What is the role of the World Bank? What is the role of governments and civil society?
Mow do we regulate the arms industry?
What is the role of the ’World Health Organization in responding to and preventing
• violent conflict?
Length: 5000 words
-ead author: Ron McCoy
“ -"o
from:
••
prayas <prayasct@sanchamet.in>
DATE: Mon, 12 Jul 2004 16:43:24 +0530
to:
SUBJECT:
<pha-ncc@yahoogroups.com>
[pha-HCC]
Dear friends:
- .ease fine attached GHW newsletter.
Narendra
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elefex: +91.1472.243788/250044
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Newsletter_l
June_lst_2004.doc (Binary attachment)
4
99.20-9.85:83 83/Xaebe9b9ac99a9§c89fc997f56dcl/print.909C.cgi?inbx=Main<&msgsort=2'hfc.s... 13/07/04
Mobilising ©ovoD Society urouBid
Watch
/OwrtV® World! Health ^epsotrt
BMW Newsletter i ■= Jim® 1st,
Welcome to the first @toM
W®te^
Our aim is to keep you updated
on the latest developments of the Watch work and the report production. For any further
information please contact us at ghw@medact.org
Piaas® pass on SSsis ar#®w®tott®r to anybody Shat might be interested in th® GHW
What fe tih® @0©lba[l
Wateh?
The Global Health Watch (GHW) is a new project which articulates civil society's vision
for global health. It is a platform for the strengthening of advocacy and camoaigns to
promote equitable health for all.
The global community has failed to achieve ’Health for All by the Year 2000’. New
targets such as the Millennium Development goals look increasingly unachievable.
Questions need to be asked about whether current policies in global health are working.
The Global Health Watch for 2005 will not oniy look at some of the most important
problems such as commercialisation of health and access to medicines, but also
suggest solutions and monitor the efforts of institutions and governments concerned
with promoting health world-wide.
Tte itet? @S©lb®[l
in ifefey %(M)5
Waited
mil b® ll®WKlrii@<£l]
W&M ln]®gMn
New!! Tte (GHW tetmetes ire®w Wetoete
Wvm.ghwatch.org
We are pleased to announce the launch of the GHW Website. It contains all the basic
information about this initiative: its origins, aims, co-ordination organisations, as well as
an outline of the structure of the 2005 GHW Report and the ways in which individuals
and organisations can become involved.
New!! Jitosfl: chapters (haw, been ©©mmisstoowd - auStem are
th® <3HW 2©©5 R©p©rt8
w©trikoit?gi ©in
All of the main authors have been approached. But there is still a great need for case
studies and testimonies from the various regions around the world. Please contact us at
qhw@medact.org .. you are interested it. SuM/ruuing a
.ai
i successful experiences.
Ptease pass on this newstetter to anyfoody that might be interested in the GHW
?' you co not wish to continue receiving this newsletter, please e-mail qhw(a>medact.orq putting Unsubscribe in the
subject box.
from:
"Mike Rowson" <mikerowson@medact.org>
date:
Wed, 14 Ju? 2004 15:10:48 +0100
TO; "Ravi Narayan" <phmsec@touchtelindia.net>
suBjtCi: images
Dear Ravi and Unni - I'm afraid I need two images (for GHW article to be available at
www.plos.org) quite urgently. The PHM logo and the image at this webpage
http://www.phmovement.org/images/photos/people gif. ’ need them both as HIGH RESOLUTION files.
sorry to disturb you.
best
mike
Mike Rowson
Executive Director
Medact
“The Grayston Centre
28 Charles Square
London N1 6H7
J-.Led Kingdom
+44 (0)20 7324 4735 (direct)
j +44 (0)20 7324 4739 (main)
.-. “44 (0)20 7324 4734
Vc: +4<- (0)7703 214469
www.medact.org
.
IER
rrternet communications are not secure and therefore Medact does not accept
iegai responsibility for the contents of this message. Any views or opinions
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+.cse of Medact, unless otherwise specifically stated. If the content of
emaii is to become contractually binding, it must be made in writing &
signed by a duly authorised representative of Medact.
.VedacJ: is a JK charity for global health, working on issues related to conflict, poverty and the environment
Registered Charity 108:037
Company Reg. No. 2287125
.'..Tp :/763.99.20 ?.§5:2333/Xaea59b93cf92999e9ec997f56d22/prmt. 1225.cgi?mbx=Main&msgsort= 1
15/07/04
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15/07/04
Mail: secretariat@phmovement.org
-ear Mike.
Greetings from ?HM Secretariat (Global)!
-’.ease '2nd attached the images you requested. They might not be to the quality you expected but hope this would be sufficient
Test wishes
--------- Original Message-----------------------------------From: ’’Mike Rowson” <m ikerowson@medact.org>
□ate: Wed, 14 Jul 2004 15:10:48 +0100
□ear Rawi and Unni - I'm afraid I need two images (for GHW article to be available at www.pios.org) quite urgently. The PHM logo and
the image at this webpage http://www.phmovement.org/images/photos/people.gif. I need them both as HIGH RESOLUTION files.
sorry to disturb you.
best
mike
cTp.7/6J.99.209.85:£383/Xaead9f9d9a9ccc999897f56376/rmail.29131 .cgi?&mbx=Sent&msg=6&msgsor... 23/07/04
■— - /-a:.: secretariat@phmovement.org
■ - •/-“L
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Mssssge 20 of 348
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from:
’’Alan Ingram" <Alan.Ingram@nuffieldtrust.org.uk> | Save Address
date
Thu, 15 Jul 2004 15:12:34 +01OC
to.subjeci:
<ghw@hst.org.za>
cici: [ghwj Gender perspective on tne watch
I found these comments very helpful and strongly agree with including the chapter on sexual
and reproductive health; the more so since it is often referred to as the "missing MDG”.
As I remember from earlier discussion of the structure there was a consensus that gender
must be an integral part of the framework; this can be made more explicit in the outline and in
the chapter briefs (at least via a statement on regard to differential implications for men and
women or something similar); e.g. I don't detect it in the conflict brief. Sorry for not keeping
up with that more actively.
Alan
—Original Message—
ghw-bounces@hstorg.za [mailto:ghw-bounces@hst.org.za] ©jd IBeWIW
Mike Rowson
15 July 2004 14:36
?©□ Global Health Watch
[ghw] Gender perspective on the Watch
Dear Friends
Please see below some comments from Lesley Doyal - who has been one of the
main advisors for WHO on gender over the past few years, and is well-known to
some of you - on gender aspects of the Watch. The overall comments are quite
critical but 1 do think her points are valid. Neverihe’ess, ’ do
w®
Hoai Wi->h
some of the issues she raises. Lesley has very helpfully given comments on chapter
briefs and suggestions for references, which I am going to forward shortly to different
authors. Her major suggestion, as you will see, is to include a chapter on sexual and
reproductive health. I'm in favour, but would like your comments.
Best wishes
Mike Rowson
ii
Comments ©in IHfealhB Watted ©onifee (largely
ffr©inm a gemdleiredi jDersjpeslnve)
LesDey HMyall
.Lp7/63.99.209.85:83§3/Xaed59f9299cccb93ce97f56b9c/rmail.l7174.cgi?<&mbx=Main&msg=329&ms...
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from:
Marla Hamlin Zuniga <maria@iphcglobal.org> | Save Address
date.
Thu, 15 Jul 2004 08:47:49 -0600
TO:
subject-.
.<6
<ghw@hst.org.za>
RE: [ghw] Gender perspective on the Watch
Dear Friends,
I agree with Lesley and with Alan
CISAS and IPHC is doing a critique of the MDG's from a gender perspective as well. It will
be available soon as it will be published in the Bulletin of the WGNRR
Absolutely there must be gendering of the conflict brief.
Regards,
Maria
ghw-bounces@hst.org.za [mailto:ghw-bounces@hst.org.za] ©at MhaOff ©If Alan
Ingram
jueves, 15 de julio de 2004 8:13
W ghw@hst.org.za
Bwlbjjecte RE: [ghw] Gender perspective on the Watch
I found these comments very helpful and strongly agree with including the chapter on sexual
and reproductive health; the more so since it is often referred to as the “missing MDG".
As I remember from earlier discussion of the structure there was a consensus that gender
must be an integral part of the framework; this can be made more explicit in the outline and in
the chapter briefs (at least via a statement on regard to differential implications for men and
women or something similar); e.g. I don't detect it in the conflict brief. Sorry for not keeping
up with that more actively.
Alan
—Original Message—
Fdw ghw-bounces@hst.org.za [mailto:ghw-bounces@hst.org.za] ©^ ®<gta[i|f ©If
Mike Rowson
15 July 2004 14:36
Global Health Watch
[ghw] Gender perspective on the Watch
Dear Friends
Please see below some comments from Lesley Doyal - who has been one of the
main advisors for WHO on gender over the past few years, and is well-known to
some of you - on gender aspects of the Watch. The overall comments are quite
critical butI do think her points are valid. Nevertheless, ’ do feel that we can deal with
some of the issues she raises. Lesley has very helpfully given comments on chapter
briefs and suggestions for references, which ‘ am going to forward shortly to different
authors. Her major suggestion, as you w»ii see, «s to include e cheder
wwai
reproductive health. I’m in favour, but would like your comments.
Best wishes
Mike Rowson
209.85:8383/Xaed59f9299cccb93ce97f56b9c/rmail.l7127.cgi?&mbx=Main«&msg=330&ms...
16/07/04
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Message 16 of 348
from:
Caleb Otto <calebotto@yahoo.com> | Save Address
DATE.
Thu, 15 Jul 2004 14:05:10 -0700 (PDT)
to:
subject
<ghw@hst.org.za>
RE: [ghw] Gender perspective on the Watch
DearFriends,
I have read all of your comments with great interest.
I agree with Lesley Doyle's comments and the need to
discuss further the gender issue.
The Pacific Islands still have a lot of gender issues
to grapple with ranging from those related to equal
rights of the girl child to rights in the poiical
arena. I think the point I wish to make her is that at
each step of the way, we need to examine the gender
issue. For instance, in Palau, since we are a
matrilineal society, the women hold various powers in
our traditional practices. For instance, they are the
ones who have the sole power in the selection of the
clan head or the chief. I once mentioned this fact at
a special lunch session during a World Health Assembly
PTIC
a
<=
r*
r' cc'4 r
■-'■s c-'-T- •" ■'—
"that's very commendable, Dr. Otto, but the women
would also like to be chiefs, not just selecting
chiefs". This underlies the kind of thinking that
can put barriers in the political and democratic
society. So, while traditional the Palauan women are
powerful, we have had only a handful in the elected
offices. The point is, we need to examine all
traditional and cultural issues relevant to the gender
topic and ensure that they are clarified in
discussions.
Secondly, in health, the gender issue is of paramount
importance. Our traditional thinking has been that
child rearing is the role of the mother, the women and
the girl child and, consequently, we find very few
fathers involved in issues of safe pregnancy,
breastfeeding and the rights of the child to be reared
by his/her PARENTS (NOT BY HIS/HER MOTHER). These .are
issues that are in focus in the Global Strategy for
Infant and Youth Child Feeding, the Cairo+5 and the
Convention on the Rights of the Child.
So, thank you for bringing this issue up. In whatever
way we can insert or integrate the gender issue, it
should be done.
Warmest greetings,
9.209.85:§3S3/Xaed59f9299cccb93ce97f56b9c/rmail.l6955.cgi?<&mbx=Main&msg=333&ms...
16/07/04
rim
from:
"Mike Rowson" <rnikerowson@medact.org>
DATE:
Thu, 15 Jul .2004 14:35:33 +0100
to:
subject:
"Global Health Watch" <ghw@hst.org.za>
[ghw] Gender perspective on the Watch
Dear Friends
Please see below seme comments from Lesley Doyal - who has been one of the main advisors for 'WHO on
gender over the past few years, and is well-known to some of you - on gender aspects of the Watch. The
overall comments are quite critical but ’ do think her points are valid. Nevertheless, I do feel that we can deal
with some of the issues she raises. Lesley nas very neipfutty given comments on cnapxer oners ana
suggestions for references, which i am going to forward shortly to different authors. Her major suggestion, as
you will see, is to include a chapter on sexual and reproductive health. I'm in favour, but would like your
comments.
Best wishes
Mike Rowson
Comments on Health Wsteh outline (largely from a gendered
perspective)
LesOey EMyal!
UndversUy ®f Bristol
JMy 2@©4
1.
OverfflM
©il the aiwiroadho
It seems that at present the conceptual framework for the book has a rather narrow and ‘macro’ feel
to it, which I think causes problems in relation to gender sensitivity and (probably) a number of other
things too. This means that it is hard just to add on gender in any simple way.
The main focus of the analysis is on the ways in which (poor) people in poor countries are oppressed
and how thi§ affects their health but little attention is paid to the differences between these people
themselves in their own settings. Of course gender is only one characteristic that differentiates such
people but it is a very important one. Even the semantics are critical here. You always refer to ‘the
poor’ or sometimes ‘poor people’ but almost never to poor men and poor women. Of course the
effects of poverty on the health of males and females are often the same but by no means always anc
being much more open to that possibility both conceptually and linguistically is very important.
In part this reflects the fact that the philosophy behind the current outline is probably a little too
narrowly materialist.
Of course 1 am net saying that political economy in the traditional sense is not important here
because clearly it is crucial. But I think more complex issues relating to the culture, ideology and
values are not taken seriously enough. In the case of gender for example, if a health care system
offered women equal access to care that would be an important step forward but it wouldn’t
necessarily make it gender sensitive (for either women or men)...look at the NHS for example. And
paradoxically of course, it is in the US that (commercial) services meeting the needs of women have
been most folly developed (at least for those for who can afford them). So I think some more clarity
is needed about the internal differentiation of the health of poor me and poor women and how these
link to wider cultural as well as material inequalities.
. 99.209.85:8 3 83/Xaed59^299cccb93ce97f56b9c/print.36426.cgi?mbx=Mam&msgsort=21 &ms...
16/07/04
Related to this is the tendency in most sections to talk only at global/national levels rather than
local/community /household ones. That inevitably creates a framework in which gender inequalities
in particular get written out of the picture. In the case of drugs for example, the piece talks mostly
about issues relating to the development, availability and distribution of pharmaceuticals between
countries and therefore between rich and poor. But there is no discussion of how these effects might
be gendered by the division of status and resources within households. Similarly, the paper on water
talks about national level distribution but not about how water is either collected or used at
household level. There are a number of examples like this and I think they reflect a wider pattern
relating to the overall framework.
Another aspect of this same issue is I think a tendency to use some words unproblematically that
need more deconstruction (at least from a gender perspective). Two examples come to mind here:
civil society and community. In both cases there is now a huge literature pointing out their
contestability especially as they reflect the circumstances of women and men. In the development
literature 'civil society ' has, of course, come under considerable scrutiny recently for its potentially
confusing imprecision while the vital importance of understanding the gendered dimsnsiom of
leadership and power in communities is self-evident.
2. ch®nee ®f topes for chapters
Clearly this has now been done and I wouldn’t want to start asking you to change things but I would
make one comment here. While I would not want to have a 'gender’ chapter for reasons we have
already discussed, I do think there is an argument for having one on sexual and reproductive health. I
say that because this is the area where the health of women is most clearly differentiated from that of
men (though both should be included). It is also the area that shows by far the most dramatic
inequalities between rich and poor and where the know/do gap is greatest. It is directly related to
some of the other key themes in the books such as big pharma R and D, models of health care
delivery and access to care. It also offers very important illustrations of global activities both by
international organisations like WHO and UN (through Cairo and Beijing ) and also of course by
many women’s NGO’s who have been extremely visible over the last decade in particular. The
emergence of the concept of sexual and reproductive rights from Cairo and the debate about the
gendered implications of this has also been an extremely important part of the development of the
whole human rights discourse in the health field. So for all those reasons I would put in a chapter on
these themes and there are quite a few people who could do it (Wendy Harcourt?)
Mike Rowson
Executive Director
Med act
The Grayston Centre
28 Charles Square
London N1 6HT
United Kingdom
7: +44 (0)20 7324 4735 (direct)
T: +44 (0)20 7324 4739 (main)
F: +44 (0)20 7324 4734
Mb: +44 (0)7703 214469
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those of Medact, unless otherwise specifically stated, if the content of
this email is to become contractually binding, it must be made in writing &
signed by a duly authorised representative of Medact.
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’Mail - ?sr-
Page 1 of]
from:
"Patricia Monon" <patriciamorton@medact.org>
date
Fri, 16 Jul 2004 13:25:01 -0100
"abay" <abaysema@pn3.vsnl.net.in >,''Maria Zuniga" <rnaria@iphcgiobal.org>, "Jerome
Teelucksingh" <i_teelucksingh@yahoo.com>, "ersEllen Shafferi' <ershafrer@cpath.org>, "Hani
Serag" <hserag@yahoo.com>, "Amit Sengupta" <ctddsf@vsnl.com>, "Bakhyt Sarymsakova"
<bakhyts@yandex.ru>, "Abdulrahman Sambo" <samboa@nuc.edu.ng>, "mike"
<mike_rowson@hotmail.com >, "PHM-Ravi" <secretariat@phmovement.org>, "Caleb Otto"
<calebotto@yahoo.com>, "David McCoy" <davidmccoy@xyx.demon.co.uk>, "Lynette Martin"
<LMARTiN@uwc.ac.za>, "Samer Jabbour" <sjabbour@aub.edu.lb >, "HST" <ant@hst.org.za>,
"Armando De Negri Filho" <armandon@portoweb.com. br>, "Chee-khoon Chan"
<chan_chee_xhoon@hotmail.com>, "Baum" <fran.baum@flinders.edu.au>, "Marjan Staffers"
<marjan.stcfrers@wemos.nl>, "Vuc Stamvolovic" <vstambol@sbb.co.yu>
to:
subject:
Global Health Watch- Dr Lee's letter
.... and the attachment.
Patricia Morton
Giobai Health Watch Secretariat
Medact is a UK charity for global health, working on issues related to conflict, poverty and the environment
Med act
"he Grayston Centre
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London N1 6HT
United Kingdom
" -44 (0) 20 7324 4739
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Registered Charity 1081097
Company Reg. No. 2267125
letter to WHO- July 5.doc (Binary attachment)
frm 11
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: -i.-ii.i
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People's Health Movement
Global Eouilr Gauge Alliance
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Kazem Behbehani
Assistant Director-General - External Relations and Governing Bodies
World Health Organisation
Avenue Appia 20
'
-sr.eva 27
Switzerland
□ear Dr Behbehani,
We are writing to inform you of an initiative to produce a bi-annual Global Health Watch. The
Watch intends to be the equivalent of a report on global health issues taken from the perspective
of civil society, and is designed to support civil society campaigns and actions on health and
inequity. The production of the Watch is being coordinated by three non-govemment
organisations, and involves the participation of a variety of networks, academics and activists
from around the world. The first edition of this report will ba launched in 2005. Further
information on the Global Health Watch is available on our website, www.ghw.org.
Our aim is to put forward an independent, equity-oriented and rights-based analysis of globe!
health and health policy, especially from the perspective of poor countries and poor
communities. In addition, the report will promote civil society’s capacity to assess and monitor
the performance of global institutions that are important to health.
in this regard we hope that the Watch will help strengthen WHO’s voice and role in the sphere of
global governance, in particular in relation to Internationa! trade and financial institutions, and in
relation to the more powerful governments of the world. The Watch will include a section that
critically assesses the World Health Organisation from a number of perspectives. However, we
win seek to ensure that the report strikes the right balance between constructive criticism and
support of WHO’s noble mission.
We Yok forward to hearing your initial thoughts about this initiative and hope we can discuss
more concrete ways in which we can have a dialogue with WHO.
Yours sincerely,
Miks Rowson, Medact
David McCoy, Global Equity Gauge Alliance
Ravi Narayan, People’s Health Movement
cc. Ail ADGs in WHO
Main Mail: secretariat@phmovement.org
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from:
"Chee-khoon Chan" <chan_chee_khoon@hotmail.com> | Save Address
DATE:
Wed, 16 Jun 2004 18:48:39 +0800
to
subject-
<achapman@aaas.org>, <gillesdewildt@yahoo.com>
[ghw] GHW genomics chapter
Audrey Chapman, PhD
American Association for the Advancement of Science
Director, Science and Human Rights Program
Project on Science and Intellectual Property in the Public Interest (SIPPI)
Dear Dr Chapman,
Greetings from Penang, and thank you very much for your interest in the
chapter on genomics and health for the Global Health Watch.
May I take this opportunity to introduce Dr Gilles de Wildt, a primary care
physician practising in Birmingham. Gilles and I attended the WHO
consultation on genomics and health in June 2001 in Geneva, and more
recently a conference on policy and ethical issues arising from emerging
biomedical technologies (genomics, cloning, stem cells, etc) organized by
the Heinrich Boell Stiftung in Berlin, and we will be co-writing this
chapter for GHW.
At the GHW coordinating committee meeting in Durban, I proposed that among
the themes we might want to address in the chapter are the following:
1) What can the global lay public reasonably expect (over some time scale)
from developments in genomics (human genomics? pathogen genomics ? plant
genomics?), especially in the areas of clinical medicine and in population
health. Tony Holtzman, who was present at Durban, was probably the person
who introduced the term “genohype”, and I’m sure you’re familiar with the
discussion he and TM Marteau provoked in the New England Journal of
Medicine
in 2000 [NEJM 343 (2) and NEJM 343 (20)], as also the earlier article and
exchanges of correspondence related to Richard Lewontin and Ruth Hubbard’s
article in NEJM in 1996. In essence, we hope to convey a sense of an
updated debate on this first question, in a manner which is accessible to an
(educated?) lay audience.
2) A second theme would focus attention on the likely trajectories of
genomics research and product development in a market-driven setting,
bringing in IPR issues, the likely priority given to lifestyle drugs and
other priorities of the major pharmaceuticals markets, genetic screening
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17/06/04
Main Mail: secretariat@phmovement.org
Page 2 of 3
tests with large volume market potential, “prophylactics” for the “worried
well” identified by these screening tests, and of course revisiting the
chronically unresolved problem of orphan drugs and neglected diseases.
3) Notwithstanding the above, a balanced appraisal of genomics and human
health will acknowledge that there are clearly areas of promise and positive
potential, and the third theme will address the important pre-requisites for
an equitable harvest of benefits that are possible from a humane and
responsible development of genomic technologies. (If it is not premature, I
would venture the opinion that universal, needs-based, inclusive healthcare
systems are crucial if we wish to capture many of the positive, health
enhancing benefits from genomics, e.g. the implications of genetic testing
and the establishment of population genetic databases are very different in
a country like Iceland, where you are less likely to suffer denial of
healthcare access (or employment) on genetic grounds, compared to other
countries which are largely dependent on risk-rated health insurance systems
and other forms of for-profit medical underwriting.
All this of course is subject to further discussion with Gilles whom I’m
sure will have additional themes and perspectives to add, but I thought it
would be quite useful at this point to also bring you into the discussion as
we are quite keen on an inclusive approach.
The GHW cc is in the process of compiling lists of potential reviewers for
the respective chapters, and I’m sure the secretariat will respond further
to your kind offer to review the genomics chapter in due course. In the
meantime, I would be very grateful if you could provide some feedback on the
position papers that Gilles and I prepared for the WHO consultation in 2001.
We will be relying on these as points of departure, and we intend of
course to update the materials and to revise the emphases and perspectives
accordingly as and when indicated.
Thank you very much again for your interest, and we look forward to'
continuing this discussion.
With best wishes,
Chan Chee Khoon
GHW cc (SE Asia rep)
(attached CHI position paper on genomics and health)
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"s-ROM: "Chee-khoon Chan" <chan_chee_khoon@hotmail.com>
DATE: Sat, 17 Jul 2004 15:34:07 *0800
-Q. <davidmccoy@xyx.demon.co.uk>, <ctddsf@vsni.com>, <lmartin@uwc.ac.za>,
<masaigana@africaonline.co.tz>, <thoitz@igc.org>, <mikerowson@medact.org>,
<patriciamorton@medact.org>, <secretariat@phmovement.org>,
<armandon@portoweb.com.br>, <narenara531 @rediffmaii.com>, <prayaset@sancnesnec in>,
<cuammcoor@teledata.mz>, <abhayseema@vsni.com>, <raviduggal@vsn! com>
subject:
RE: WHO Commission on Social Determinants of Health and Article onHealth Researc
Dear Dave, friends,
The draft letter to Dr Lee JW reads quite well, no changes I can. suggest.
Re: the rights-based perspective, the international covenants (UNDHR,
ICBSCR, etc) if 2 understand them correctly, are agnostic on the precise
role of the state in ensuring that these rights are met, i.e. as to whether
the state signatory has a direct obligation to be involved in the provision
of healthcare as opposed to a looser (minimal) responsibility in creating
the enabling environment (legal, institutional, regulatory, et cetera) for
the attainment of health for all.
So for instance, New Labor in the UK can declare that the social contract
implicit in the NHS is still intact - publicly-financed healthcare (will
continue to) be provided to UK citizens on the basis of need,
notwithstanding the outsourcing of NHS services to Kaiser Permanente, import
of German medical teams, sending NHS patients to France (or India) for
treatment, etc.
in effect, the debate can be transformed into (an unending?) comparative
assessment of the relative performance and efficiencies of market-driven
healthcare versus state provision (and occasionally, the non-profit private
sector as well). (There’s already a substantial literature on this, but as
sc often happens, it’s more about power than science).
For that reason, the UNRISD volume that Maureen Mackintosh and Meri
Koivusalo are editing will be useful, in going beyond considerations of
efficiencies and equity (relevant and important) to address also the aspects
of public service ethos, ethics, and solidarity.
Pat, I’ll be in London from July 26-30 for a civil society consultation
organized by the Commonwealth Foundation (on monitoring of MDGs, and the
role of IFls in trade liberalization).
I’H try to make it for the session with Malcom Segall on July 27 (at least
for morning or afternoon), and I’ll also try to join in the conference call
on July 29 (probably the 5pm call). Otherwise, I hope we can meet up one of
those evenings (with Dave McCoy and Mike Rowson too if convenient?), when
I’ll report on enquiries with the Nippon Foundation, and possible Thai
contributors to the GHW chapter on HIV/AIDS. I’H be staying at the
Citadines Holbom-Covent Garden tel: (44) 207 395 88 00.
Best wishes to all,
ph c.
Cnee Khoon
:9.209.85:8383/Xaea49fcc9f9a99cfcf97f56a0e/print.2685.cgi?mbx=Main&msgsort=2<&msg=34..
secretariat@phmovement.org
—■—=— = —-—
Page 1 of 1
_______________ ________________________________________
-xear Patricia and others,
Greetings from ?HM Secretariat (Global)!
As of now both timings are okay for me. 9 am (1 pm 1ST) and 5 pm (9 pm 1ST). However I prefer the later one since I have an NGO
oialogue session around 2.30 pm that day at the Indian Social Institute and the earlier timing may be too close.
Best wishes,
Ravi
---------- Original Message----------------------------------From: 'Patricia Morton" <patriciamorion@medaci.org>
Date: Wed, 21 Jul 2004 i 1:45:02 +0100
j Dear All
Please let me know whether you will be free to participate in a GHW teleconference - 29 July - 9am or 5pm.
We would especially like new members and those who were not in Durban to be involved in this teleconference.
' Thanks
^^.trisia Morton
Jioba! Health Watch Secretariat
_T3i//63.99.209.85:8383/Xaead9f9d9a9ccc999897f56376/rmail.29250.cgi?&mbx=Sent&msg=9&msgsor... 23707/?/
Page 1
from:
"Patricia Morton" <patr;ciamorton@medact.org>
DATE: Wed, 21 Jul 2004 11:45:02 +0100
to: "sbay" <abaysema@pn3.vsnl.net.in >,"Maria Zuniga" <iphc@cisas.org.ni>, "Jerome
Teelucksingh" <j_teelucksingh@yahoo.com>, "ersElien Shaner" <ershafrer@cpath.org>, "Hani
Serag" <hserag@yahoo.com>, "Amit Sengupta" <ctddsf@vsnl.com>, "Bakhyt Sarymsakova"
<bakhyts@yandex.ru>, "Abduirahman Sambo" <sarnboa@nuc.edu.ng>, ' rnM-aavi”
<secretariat@phmovernent.org>, "Caleb Otto" <calebotto@yahoo.com>, "Martin"
<lmartin@uwc.ac.za>, "Samer Jabbour" <siabbour@aub.edu.lb>, "Armando De Negri Filho"
<armandon@portoweb.com.br>, "Baum" <fran.baum@flinders.edu.au>, "Marjan Staffers"
<marjan.stoffers@wemos.nl>, "Vuc Stamvolovic" <vstambol@sbb.co.yu>
subject:
GHW Teleconference- 29 July- 9am and 5pm GMT
Dew AE8
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.■'airicia Morton
Globai Health Watch Secretariat
V.edact is a UK charity for global health, working on issues related to conflict, poverty and the environment
Medact
The Grayston Centre
28 Charles Square
London N1 6HT
United Kingdom
T +44 (C) 20 7324 4739
F +44(0)20 7324 4734
www.medact.org
Registered Charity 1081097
Company Reg. No. 2267125
hup.//63.53.209.85;8383/Xaddd9b9b93c8c89b99ce975c9a84/print.2814.cgi?mbx=Main&msgsort=6&ms... 21/07/04
from:
"Patricia Morton" <patriciamorton@medact.org>
DATE:
Thu, 22 Jul 2004 15:07:56 +0100
to:
subject:
<bakhyts@yandex.ru> ,<j_teelucksingh@yahoo.com>, <hserag@yahoo.com>, <calebotto@yahao.corn>,
<marjan.stoffers@wemos.nl>, <ctddsf@vsnl.com>, <vstambol@sbb.co.yu>,
<armandon@portoweb.com.br>, <abaysema@pn3.vsnl.net.in>, <samboa@nuc.edu.ng>,
<mikercwson@medact.org>, <David.McCoy@lshtm.ac.uk>, <ant@hst.org.za>,
<chan_chee_khoon@hotmail.com>, <fran.baum@fh'nders.edu.au>, <ershaffer@cpath.org>,
<iphc@cisas.org.ni>, <sjabbour@aub.edu.lb >, "Lynette Martin" <lmartin@uwc.ac.za>
Re: URGENT! Re: Globa! Health Watch- teleconference 2S July 9amand 5pm GMT
Hi David
In response to your questions:
I. The teleconference will be held at two times in order to be able to
accomodate people from different parts of the world. I will put your name
down for the 5pm one.
2. The London meeting will be attended by several people who have already
agreed to participate in the chapter: Malcom Segall (Institute of
Development Studies- Sussex Uni)- he will possibly take the lead on the
chapter; Gill Walt (LSHTM); Andrew Green (Leeds Uni); Jane Lethbridge
(Public Services International Research Unit); Regina Keith (Save the
Children); Alan Ingram (Nuffield Trust); Cath Mosa (LSHTM); Eileen O'Keefe
(Liverpool Uni). There are others who have agreed to be involved, but who
are not in the UK- Debabar Baneiji, Lucy Gilson, Ghassan Issa. Those from
the GHW CC include: Mike, Dave, Chee-Khoon, myself. The meeting v/ill discuss
content and process of producing the chapter (ie. we have not developed a
process for the production of this chapter yet). All people invited to the
London meeting are sympathetic to the aims of the Watch.
We are assuming that a number of you from the CC will be involved in the
production of this chapter somehow, eg. through the writing of case studies.
If members of the CC have a particular interest in this chapter and would
like to be part of the large team involved in drafting it- please let me
know.
I hope that answers your questions.
p4
Best Regards
Pat
---- Original Message----From: "Lynette Martin" <lmartin@uwc.ac.za>
To: <sjabbour@aub.edu.lb>; <iphc@cisas.org.ni>; <ershaffer@cpath.org>;
<fran.baum@flinders .edu.au>; <chan_chee_khpo.n@hotmajLcom>;
<anl@hst.org.za>; <Dav id.McCpy@lshtm.ac.uk>; <m ikerowson@rnedact.org>;
<patriciamorton@medact.org>; <samboa@nuc.edu.ng>;
<abaysema@pn3.vsnl.net.in >; <armandon@portoweb.com.br>;
<vstambol@sbb.co.yu>; <ctddsf@ysnl.com>; <inarjan.stoffers@wemos.nl>;
<calebotto@yahoo.com>; <hserag@yahoo.com>; <j_teelucksingh@yahoo.com>;
<bakhyts@yandex.ru>
Cc: <secretariat@phmovement.org>
Sent: Thursday, July 22, 2004 1:19 PM
Subject: URGENT! Re: Global Health Watch- teleconference 29 July 9amand 5pm
GMT
** High Priority **
Dear Patricia & All,
Thanks for this mail and attached letter to WHO.
2 Questions:
1) Is the teleconference on 29 July at 9 am or 5 pm GMT or is it being held
twice? I car. only make the later time - which I think is 7 pm in South
Africa. Let me know when it will be and I shall send a contact number.
9.209.85:3383/Xaead9c9b99cfc9cb9c97f56882/prmt.30702.cgi?mbx=Mam<&msgsort=!3&ms...
23/07/
- rnnt
Page 1 of3
from:
McCoy Dsve <Dsve.McCoy@haringey.nhs.uk>
DATE:
Thu, 22 Jul 2004 15:31:35 +01 CO
to.
subject.
'Patricia Morton’ <patriciamoricn@medact.org>, <bakhyts@yandex.ru>,
RE: URGENT! Re: Globai Health Watch- teleconference 29 Juiy Samano 5pm GMT
Dear all.
Just a quick note to add that the meeting in London to discuss the health systems chapter will build on the brief drafted by myself and
which has incorporated the discussion we had in Durban. The meeting came about from Malcolm Segall's desire to help with writing
the chapter and his wish to have a deeper consultation with GHW about the chapter. We then invited a couple of other people who we
feel will be able to provide us with more up-to-date information about what is actually happening in policy and in terms of recent
literature.
It's an important meeting - both Mike and I will be at the meeting.
Regards to all
Dave
......Original Message---From: Patricia Morton [ mailto:patriciamorton@medact.org]
Sent: 22 July 2004 15:08
To: bakhyts@yandex.ru; j_teelucksingh@yahoo.com; hserag@yahoo.com;
calebotto@yahco.com; marjan.stoffers@wemos.nl; ctddsf@vsnl.ccm;
vstambol@sbb.co.yu; armandon@portoweb.com.br; abaysema@pn3.vsnl.net.in;
samboa@nuc.edu.ng; mikerowson@medact.org; David.McCoy@lshtm.ac.uk;
ant@hst.org.za: chan_chee_khoon@hotmail.com; fran.baum@flinders.cdu.au;
ershaffer@cpath.org; iphc@cisas.org.ni; sjabbour@aub.edu.Ib; Lynette
Martin
Cc: David McCoy; Dave McCoy; secretariat@phmovement.org
Subject: Re: URGENT! Re: Global Health Watch- teleconference 29 July
9amand 5pm GMT
in response to your questions:
1. The teleconference will be held at two times in order to be able to
accomodate people from different parts of the world. I will put your name
down for the 5pm one.
2. The London meeting will be attended by several people who have already
agreed to participate in the chapter: Malcom Segall (Institute of
Development Studies- Sussex Uni)- he will possibly take the lead on the
chapter; Gill Walt (LSHTM); Andrew Green (Leeds Uni); Jane Lethbridge
(Public Services International Research Unit); Regina Keith (Save the
Children); Alan Ingram (Nuffield Trust); Cath Mosa (LSHTM); Eileen O'Keefe
(Liverpool Uni). There are others who have agreed to be involved, but who
are not in the UK- Debabar Banerji, Lucy Gilson, Ghassan Issa. Those from
the GHW CC include: Mike, Dave, Chee-Khoon, myself. The meeting will discuss
content and process of producing the chapter (ie. we have not developed a
precess for the production of this chapter yet). All people invited to the
London meeting are sympathetic to the aims of the Watch.
We are assuming that a number of you from the CC will be involved in the
production of this chapter somehow, eg. through the writing of case studies.
If members of the CC have a particular interest in this chapter and would
like to be part of the large team involved in drafting it- please let me
know.
Vt
hope that answers your questions.
Best Regards
Pat
---- Original Message----From: "Lynette Martin" <’martin@uwc.ac.za>
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23/07/04
Page 1 of2
from.
"Lynette Martin" <lmartin@uwc.ac.za>
Thu, 22 Jul 2004 14:19:10 -:-0200
TO: <sjabbour@aub.edu.ro>,<iphc@cisas.org.ni>, <ershaffer@cpath.org>,<fran.baum@fiinders.edu.au>,
<chan_chee_khoon@hotmail.ccm>, <ant@hstorg.za>, <David.McCoy@lshtm.ac.uk >,
<rriikercwson@medact.org>, <patriciamorton@medactorg>, <samboa@nuc.edu.ng>,
<abaysema@pn3.vsnl.netin>, <armandon@portoweb.com.br>, <vstambo!@sbb.co.yu>,
<ctddsf@vsnl.com>, <marjan.stofters@wemos.nl>, <calebofto@yahoo.com>, <hserag@yahoo.com>,
<j_tee!ucksingh@yahco.com>, <bakhyts@yandex.ru>
subject: URGENT! Re: Global Health Watch- teleconference 29 July Samand 5pm GMT
DATE:
** High Priority **
Dear Patricia & Ail,
Thanks for this mail and attached letter to WHO.
2 Questions:
1) Is the teleconference on 29 July at 9 am or 5 pm GMT or is it being held twice? I can only make the later time
- which I think is 7 pm in South Africa. Let me know when it will be and I shall send a contact number.
2) Health Systems Chapter. This is probably the most important chapter. It would be nice to know who will be at
the London meeting, who will play what role in drafting this chapter, and what connection they have to any of
the 3 sponsoring organisations - GEGA, Medact & PHM.
Regards,
David Sanders
Prof David Sanders/Lynette Martin
School of Public Health
University of the Western Cape
Private Bag X17
Bellville, 7535
Cape, South Africa
Tel: 27-21-959 2132/2402
Fax: 27-2'1-959 2872/959 1224
Cell: 082 202 3316
»> "Patricia Morton" <patriciamorton@medact.org> 07/16/04 02:22PM »>
Dear All
Greetings to all from London. Thanks for your comments on gender. Please see the following important
announcements:
I
- Final letter to Dr Lee at the WHO- see attached
- Next Teleconference- We are holding the next teleconference on 29 July at 9am GMT and at 5pm GMT. My
apologies for assuming the UK is the centre of the world. Of course it isn’t but in terms of organising this sort of
teleconference - it is easier. We would like to encourage the newer members of the committee and those who
were not at the Durban meeting particularly to participate. V/e will be discussing the minutes to the Durban
meeting.
Could you please let me know asap whether you wili be able to participate ana if so wnat time. Ana indicate tne
number we can call you on.
(
^z^Health Systems Chapter Meeting- we have arranged a meeting in London (at the London School of Hygiene
and Tropica! Medicine) to discuss the chapter on health systems- on 27 July 10am - 3:30 pm. We will be
y^ ’^dicussing the contents of the chapter and the process for producing it.
Malcom Segall from the Institute of Development Studies, Sussex, has agreed to facilitate these discussions. A
number of other health policy people who are UK based are attending. V/e extend the invitation to this meeting
to al! of you on the CC- unfortunately v/e cannot pay for the flight but if you are by chance in London at the time
and would like to attend, please let me know. We will be circulating minutes to this meeting on this list and you
will be given a chance to comment on what has been discussed.
Regards to all
Patricia
pA
(Hk v
http://63.99.209.85:8383/Xaead9c9b99cfc9cb9c©7f56882/print. 10413 .cgi?mbx=Main&msgsort= 16&ms...
23/07/04
1
1
PHM-Secretariat
From:
To:
Cc:
Sent:
Subject:
Tran Baum" <Fran.Baum@flinders.edu.au>
"David McCoy" <davidmccoy@xyx.demon.co.uk>; "Lynette Martin" <lmartin@uwc.ac.za>;
<sjabbour@aub.edu.Ib>; <iphc@cablenet.com.ni>; <iphc@cisas.org.ni>; <ershaffer@cpath.org>;
<chan_chee_khoon@hotmail.com>; <ant@hst.org.za>; <qamar@hst.org.za>;
<maria@iphcglobal.org>; <patriciamorton@medact.org>; <samboa@nuc.edu.ng>;
<abaysema@pn3.vsnl.net.in>; <armandon@portoweb.com.br>; <vstambol@sbb.co.yu>;
<ctddsf@vsnl.com>; <calebotto@yahoo.com>; <hserag@yahoo.com>;
<j_teelucksingh@yahoo.com>; <bakhyts@yandex.ru>
<dave.mccoy@haringey.nhs.uk>; <mikerowson@medact.org>; <secretariat@phmovementorg>
Thursday, August 05, 2004 4:24 AM
Re: B1 - health systems
HI Dave and Mike
I have read your email and David Sanders and wonder if there is another
step we need to build in. I have no idea how and why the meeting in London
was convened. I assume (and I maybe wrong here) that the proposal to invite
new authors on to tills chapter came from the secretariat. If this
assumption is correct shouldn’t the CC have a the chance to formally
consider and endorse that position? For me part of that decision would
involve knowing more about why the new people were chosen, what civil
society activity they have been involved in and other such details.
Up to now the process has seemed very participatory and it would be shame
to lose that element at this stage. So is there a process to consider the
secretariat’s proposal in regard to this chapter?? Or did that happen on
the last teleconference?
Best wishes
Fran
8/5/04
Psge 1 of 1
PHM-Secretariat
From:
To:
Cc:
Sent:
Subject:
"Dennis Lazof" <director@ProjectEINO.org>
<webmaster@phmovement.org>
<secretariat@phmovement.org>
Thursday, August 05, 2004 8:15 PM
fraternal and very supportive project, linking up
Friends,
I have been in contact with Patricia Morton at global health watch already
about getting some collaboration going. If you take even a quick look at
our projects two websites you will see a very close convergence with the
principles of PHM . I am very interested in staying in close contact with
you and supporting your work to the best of our ability.
PLEASE include a link ASAP to our website on the "Right to Health Care".
This website while focused largely on the USA and our current struggle
includes quite a bit of international documentation already. We also host
a discussion group at yahoo on the Right to Health Care to which we would
like to invite all english speakers. The Right to Healtli Care website has
been up and running since Sept 2003. Please don't forget to establish this
link to us -1 will be establishing one to your website today.
Our other (and older) website at www.EverybodylnNobodyOut.org deals more
with grassroots organizing for universal health care in the United States
and has very little international material. It might still be a resource
in which some of your english-speaking members might be interested, as it
has a comparatively vast database of articles and reports on universal
healtli care as well as a detailed question and answer section The
information is all keyword searchable.
I hope to hear from you soon. I. have signed Project El NO up as an endorser
of PHM and requested that I be on the email and mailing list.
Very best wishes, Dennis Lazof
8/6/04
. Page 1 of 1
PHM-Secretariat
FTL-
- ------ —---- - -------
From:
To:
Cc:
Sent:
Subject:
-n
"Lynette Martin" <lmartin@uwc.ac.za>
<sjabbour@aub.edu.lb>; <iphc@cablenet.com.ni>; <iphc@cisas.org.ni>; <ershaffer@cpath.org>;
<fran.baum@flinders.edu.au>; <chan_chee_khoon@hotmail.com>; <ant@hst.org.za>;
<qamar@hst.org.za>; <maria@iphcglobal.org>; <patriciamorton@ medact org>;
<samboa@nuc.edu.ng>; <abaysema@pn3.vsnl.net.in>; <armandon@portoweb.com.br>;
<vstambol@sbb.co.yu>; <ctddsf@vsnl com>; <calebotto@yahoo.com>; <hserag@yahoo.com>;
<j_teelucksingh@yahoo.com>; <bakhyts@yandex.ru>
<dave.mccoy@haringey.nhs.uk>; <mikerowson@medactorg>; <secretariat@phmovement.org>;
<davidmccoy@xyx.demon.co.uk >
Wednesday, August 04, 2004 5:24 PM
URGENT! Re: Teleconference Agenda - July 29 9am and 5pm
High Priority **
Dear AU,
As a follow-up to our teleconference on 29 July I am commiting some of my thoughts to paper, in the hope that this will both
strengthen the content of the Chapter (B.l) and improve the process of production of GHW.
As I indicated on the phone, it is difficult to comment on the new chapter structure since it is so skeletal.
Nonetheless, I have the following comments:
(i) The chapter outline is a series of issues presented in too fragmented a fashion. It is not clear what the main thrust or theme
is.
(il) The emphasis seems to be on policy/planning/financing rather than on the functioning of health systems; especially the
implementation of programmes and the factors that have influenced these. Here the underminding of comprehensive PHC by
selective approaches soon after Alma Ata and their continuation by W.B. inspired "packages" (as a central part of health
sector "reform") should be a main thread. As indicated in my detailed comments on an earlier brief this is obviously linked
through a concern with cost-effectiveness and a mis-application of this technique. Thus, we have moved from GOBI in the
1980s to DOTS, RBM and 3 x 5 in 2000.
(iii) Unless the approach above is taken it will be difficult to raise the key issues of human resources, which, although in a
chapter of its own, needs to be raised in this "overview" chapter.
(iv) I am very concerned that, notwithstanding extensive discussion about this chapter and the briefs produced, suddenly a
new set of authors is brought in and a completely new structure proposed. Moreover, none of these authors (apart from Jane
Lethbridge) has been active in PHM or GEGA nor, as far as I am aware, in recent civil society activity although I am not
informed about their activity in Medact. And, although they may hold progressive views I need to be convinced that "30
years of experience in health policy" and decades of consulting activity are sufficient credentials to restructure and write this
chapter which is surely the most important of all chapters in GHW. In my view members of the coordinating group need to
be centrally involved in agreeing the chapter structure and in reviewing drafts.
Best regards,
David Sanders
Prof David Sanders/Lynette Martin
School of Public Health
University of the Western Cape
Private Bag XI7
Bellville, 7535
Cape, South Africa
Tel: 27-21-959 2132/2402
Fax: 27-21-959 2872/959 1224
Cell: 082 202 3316
A
\
Page 1 of 1
P H M “S ec reta r i a t_____________________________ '__
From:
Sent:
Subject:
"mikerowson" <mikerowson@medact.org>
"David McCoy" <david.mccoy@lshtm.ac.uk>; <patriciamorton@medact.org>; "PHM-Secretariat"
<secretariat@phmovement.org>
Tuesday, August 03, 2004 1:21 PM
Re: Fw. [PHM_Steering_Group_02-03] acknowledge July 27 and 30 communications
Hi Ravi
We'll contact Deien - thanks.
mike
----------Original Message..................................
—
From: "PHM-Secretariat
8/4/04
Page 1 of 2
PHM-Secretariat
From:
To:
Sent:
Subject:
"Claudia Lema" <claudialema@medact.org>
"GHWe-list" <ghw@hst.org.za>
Friday, July 30, 2004 6:59 PM
[ghw] Your contribution for the GHW Process Evaluation
London, 30 July 04
Dear friends,
Mike and I have been working on the GHW Process Evaluation and there are some points that we need to keep track of to
monitor our progress.
One of the key aspects is to keep a record of the GHW promotional activities undertaken by all our allies, but particularly our
Coordinating Committee members and the Secretariat.
We understand promotional activities as:
o
o
o
©
o
©
The presentations we have delivered about the GHW and the ones on other topics in which we included information
about the Watch.
The events/ meetings that we attend (such as the WHA) where we have actively promoted the GHW and raised
awareness about its work.
The extent to which we are including the GHW issues in our contact with students and academics
The articles about the Watch (or that include references to it) that we are publishing in the specialised and mass
media (this should also include interviews on TV and radio)
The list of individuals, organisations and networks that we are contacting and trying to get interested and involved
in the GHW
And finally the extent in which we manage to involve decision-makers and the people that influence them in the work
of the GHW
I will be contacting you periodically to collect this information, but it would be very helpful if you could bear these criteria in
mind. If you have any suggestions of additional information that would be useful to collect for the Process Evaluation, please
don't hesitate to contact me.
Many thanks in advance for all your help.
Best wishes,
Claudia Lema
Global Health Watch Secretariat
Medact
Medact is a UK charity for global health, working on issues related to conflict, poverty and the environment.
Medact
The Grayston Centre
3rd Floor
28 Charles Square
London N1 6HT
Tel: +44 (0)20 7324 4736
Fax: +44 (0)20 7324 4734
E-mail: info@medact.org
Web: www.medact.org
Registered charity 1081097
Company registration no. 2267125
8/2/04
Page 2 of 2
P39S 1 hf 1
PHM-Secretariat
From:
To:
Sent:
Subject:
"McCoy Dave" <Dave.McCoy@haringey.nhs.uk>
<ghw@hst.org.za>
Thursday, July 29, 2004 1 2:52 PM
RE: [ghw] gender issues in the GHW
To some extent Paula and Amit are expressing reasons why we originally felt that gender
should be a cross-cutting theme that appears in all relevant chapters ... which I still feel is
the right way to go.
I think we need to be careful of not making the report a compendium of all public health,
and to hone in on the global determinants of inequity and ill health, and the role of global
institutions. There needs to be some way of relating this to local and national factors, but
we risk losing focus if we tiy and cover everything. So, I wasn't completely in agreement
with Lesley's comments - not because I disagreed with her views about gender or the
importance of gender - but because I wasn't sure they gelled with the idea of what the
Watch is. But am more than happy to go with the consensus view!
In which case, what about the chapter being structured around: a) describing the
relevance and importance of gender to health (short descriptive bit to explain why a
chapter on gender (which is not about women, but the relationship between men and
women), as well as the deficit in women's health (again descriptive); then b) a focus on
the global determinants of gender inequity and the successes and failures related to
narrowing this gap over the past twenty years (this might include some analysis of WHO
and the WB from a gender perspective).
This will shift the chapter away from women's health to a discussion on gender, with the
implicit understanding that the latter affects the former, and it will build into the chapter
one of the core functions of the Watch .... which is to watch the big institutions.
There is already so much written about gender and health, that it would be good to write
about the topic with a slightly different perspective.
The other question is who will write this? Of all the chapters, this is one that I really feel
should be written by a person from the South.
regards to all
dave
ci .k
■ _
7/30/04
Page 1 of 1
PHM-Secretariat
From:
To:
Sent:
Subject:
"Mike Rowson" <mikerowson@medact.org>
<ghw@hst.org.za>
Thursday, July 29, 2004 7:37 PM
Re: [ghw] gender issues in the GHW
Just a couple of points here. The original suggestion for a chapter on sexual and
reproductive health came from Lesley Doyal (the gender expert who provided the
review), and it was meant to complement her comments on the gender aspects
of ALL the chapters. These comments have now been sent to all authors, and we
will review the chapters from a gender perspective once they come in. Lesley did
argue that the tilt towards macro issues was so strong that we should ALSO (in
addition to gender mainstreaming) include a specific chapter which focussed on
gender issues, without being a chapter on "gender and health" perse (she
thought this had been overdone). As you will be well aware, sexual and
reproductive health issues are not uncontroversial at the global level at the
moment, and it is a good time for the Watch to examine global (as well as
national) policies around these issues. Lesley herself made the suggestion for a
chapter on SRH. Whilst aware of the objections to this, I feel that given the
mainstreaming on gender issues that will take place in other chapters, and given
the high-profile of SRH issues at the global level we should go with this
suggestion. In the meantime, I have been talking to Wendy Harcourt (editor of
"Development" journal and an expert in the field - again recommended by Lesley)
about writing this chapter. If commissioned she will probably co-write it with
Khawar Mumtaz, from Pakistan. I recommend we do commission.
mike
— Original Message —
From: McCoy Dave
7/30/04
Page 1 of 2
PHM-Secretariat
From:
To:
Sent:
Subject:
“ctddsf <ctddsf@vsnl.com>
<ghw@hstorg.za>
Wednesday, July 28, 2004 4:44 PM
[ghw] gender issues in the GHW
Dear Friends,
Sorry for being late in commenting on Lesley Doyle's observations regarding
the chapter briefs and the overall structure and emphasis of the GHW.
While endorsing the points she has raised, I would also add that the problem
of the report being too "macro" in its approach is something that has a
bearing not just in the way gender is approached. Neo-liberal globalisation
affects people across the globe. But it is most severe in its impact on
those who are marginalised, not part of global, national or local power
structures. While women would definitely constitute by far the largest group
who are more severely affected, the same would be true for other
’’marginalised" sections like indegenous people, dalits in India, children,
the disabled, etc.
Unfortunately, because we are frying to take a "global” view, the "local” in
this view would tend to be overlooked at times. The need therefore is to
balance between both views and be proactive about this.
I endorse the suggestion that a chapter be added taht looks at issues
related to "sexual and reproductive health". I understand that its not
purely a gender issue, but largely is. I would like to add a small caveat.
This has to do with the particular context of the South, specifically
debates among health and feminist groups in India, for example. There is a
perception that there is an attempt to reduce women's health to just
reproductive health (there is a major critique emerging, for example, about
the Bank funded RCH programme in India). There are huge issues in the South
about women’s health that go beyond reproductive health — access to health
care, discrimnation in nutrition, issues related to sex-selective abortions
and declining sex ratios, reduced survival rates of the girl child, violence
on women, etc. I would really be much happier if the focus of the proposed
chapter is made broader, and is not just confined to sexual and reproductive
health.
Best,
Amit Sen Gupta
Global Health Watch discussion list
List address: ghw@hst.org.za
List information page including list archives:
http://akima.hsLora.za/mailman/listinfo/ghw
This list is hosted by th© Health Systems Trust: http .7/vvww. hat, org.za
P^i^'
7/29/04
Page 2 of 2
Page 1 of 1
PHM-Secretariaj
From:
Sent:
Subject:
______________________________________________
"Mike Rowson" <mikerowson@medactorg>
<ghw@hstorg.za>
Monday, July 26, 2004 3:15 PM
Re: [ghw] Gender perspective on the Watch
Thanks Fran - the other comments we received underlined the importance of
taking gender seriously. All authors have now been informed of Lesley’s
general comments and her advice on particular chapters. I agree with the
"real life” boxes, which will help us include other important aspects such
as children’s perspectives.
Hl discuss with the editor whether she thinks a style manual is necessaiy:
there is something nascent on this, but it needs a bit more work at the
moment.
best
mike
7/27/04
Page 1 of 1
PHM-Secretariat
From:
To:
Cc:
Sent:
Subject:
_____
“Lynette Martin” <lmartin@uwc.ac.za>
<sjabbour@aub.edu.lb>; <iphc@cisas.org.ni>; <ershaffer@cpath.org>;
<fran.baum@flinders.edu.au>; <Dave.McCoy@haringey.nhs.uk>;
<chan_chee__khoon@hotmail.com>; <ant@hst.org.za>; <David.McCoy@lshtm.ac.uk>;
<mikerowson@medact.org>; <patriciamorton@medact.org>; <samboa@nuc.edu.ng>;
<abaysema@pn3.vsnl.net.in>; <armandon@portoweb.com.br>; <vstambol@sbb.co.yu>;
<ctddsf@vsnl.com>; <marjan.stoffers@wemos.nl>; <calebotto@yahoo.com>;
<hserag@yahoo.com>; <j_teelucksingh@yahoo.com>; <bakhyts@yandex.ru>
<secretariat@phmovement.org>; <davidmccoy@xyx.demon.co.uk>
Monday, July 26, 2004 6:56 PM
RE: URGENT! Re: Global Health Watch- teleconference 29 July9amand 5pm GMT
Dear All,
Thanks for this information. I had much earlier indicated my interest in this chapter and made extensive
comments on the original brief drafted by Dave McCoy. I would like to continue to be involved in the
drafting of the chapter - especially since PHM has little representation.
Regards,
David Sanders
Prof David Sanders/Lynette Martin
School of Public Health
University of the Western Cape
Private Bag X17
Bellville, 7535
Cape, South Africa
7/27/04
Page 1 of 1
PHM-Secretariat
From:
To:
Sent:
Subject:
"Fran Baum" <Fran.Baum@flinders.edu.au>
<ghw@hst.org.za>
Sunday, July 25, 2004 4:28 AM
Re: [ghw] Gender perspective on the Watch
Dear Friends
Lesley’s comments make a lot of sense. I would endorse the importance of a
chapter on sexual and reproductive health. I hope her comments about the
nuances associated with many of the issues we are dealing with can be
passed on to each author and they can. at the very least note the
complexity even if they can't cover them fully in this context. Perhaps we
could ensure that some of the boxed case studies deal with "real life"
situations that highlight the impact of gender, culture and the other
myriad of factors that affect health. One perspective we should also ensure
is very evident is that of children - like women they can often be clumped
in with other interests
I wonder whether we need to develop a sort of style manual to guide authors
that would direct them about use of key language ie not to use the term
"the Poor" but to use either "poor men/women/people" or not to talk of "the
community" but to show a more nuanced understanding of the term.
Differentiating between selective and comprehensive PHC could also be
explained. Such a guide might save a lot of time for the final editor.
Best wishes
Fran
7/27/04
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A fragmented, disease- and issue-specific approach to health dominates advocacy as well as research
and governance agendas, under-emphasizing the underlying political, economic and social causes of
ill-health. While there has been a recent shift by the World Health Organisation to highlight global
inequity and reassert the principles of the Primary Health Care approach, constant pressure from civil
society is needed to hold national policy-makers and international organizations accountable to
declared values and to address the fundamental causes of ill-health and failing health systems.
To be effective, civil society voices must be well informed, evidence-based, and united on fundamental
issues. In response to this, the People's Health Movement, with the support of the Global Equity
Gauge Alliance and Medact, propose to mobilise a fragmented g'oba! health community. The veh’ole
for this is ths Global Health Watch, an initiative that will combine research and policy analysis, a
commitment to bringing the views of poor and vulnerable groups to the attention of international and
national policy makers and a more effective civil society advocacy movement. In addition, unlike with
other global reports, the Watch will include an explicit civil society critique of the governance and
performance of a variety of institutions including the World Health Organisation and the Giobai Fund,
the World Bank, IMF and World Trade Organisation; as well as the policies and positions of the G8
nations. If too little is being done, we want to know why more is not being done. If international laws
and the current form of globalisation are causing harm, we want to propose changes.
As oart of this process, we are putting out a call for country or region-specific case studies, shore
assays and testimonies on a number of key thematic areas.
Mow woDO ftbes® swbmossooinis b® tased]?
Soma of these case studies may be incorporated into the hard copy publication of the alternative world
health report, which will be launched in July 2005 at the second People’s Health Assembly in Ecuador.
Others will form part of an electronic accompaniment to the report, and be posted on the GHW
website. We also want these essays, case studies and testimonies to be used locally and regionally -
by being part of a wider, international initiative to hold policy makers and institutions to account, the
Giobai Health Watch aims to strengthen the capacity of local civil society and non-governments
activities and structures to promote health for all and equity.
cs woo’dlmartimg) ftlh® GIloM MeaUftlh Wateh?
The Watch is an inclusive initiative that already involves many individuals and organisations from
different parts of the worid. It is being coordinated by a group of three organisations / networks. These
are: the People’s Health Movement, a network of several hundred Individuals and NGOs who have
mobilised around the Alma Ata Declaration on Health for All, as well as the People’s Health Charter;
the Global Equity Gauge Alliance, a coalition of country-based projects aimed at connecting research
to advocacy and community empowerment activities in the interest of health equity; and Medact, a UK
based global health charity that has campaigned for several decades on peace, development and
environmental protection. To find out more, visit the website: www.ghwatt.oirg)
©as® ©(Maes,
auudi ft®s&fim©mes ©ro ftlh® toO8©wJinig| tiihemss
Health system
o
The effect (positive or negative) of health systems policies and actions on securing improved and
equitable access to health care. Why is your health system showing increasing or decreasing
health care inequities?
o
Examples of interventions to address public sector corruption and inefficiency. Is the public sector
inherently inefficient and self-serving?
o
The negative effects of commercialised / profit-driven health care on the quality of care; over
servicing; efficiency; and professional ethics. How can the private sector be regulated to promote
effective and equitable health care?
o
Short essays on what has happened to the District Health Systems model - the vehicle for the
delivery of integrated and decentralized health care.
o
Studies and testimonies on the effects of user fees as a barrier to access.
o
Views and studies on the relative merits of pro-poor targeting and universal systems.
o
The impact of World Bank policies and programmes on health equity and universal public health
systems.
o
The current role, effectiveness and impact of the UN and global health-related institutions - in
o
particular, WHO, UNICEF, UNAIDS and the Global Fund and GAVI.
Rhetoric or reality? The WHO’s shift to the Alma Ata agenda
o
Rhetoric or reality? The World Bank’s prescriptions for improving health equitably
o
The good and bad practices of bilateral and multi-lateral donors on public health stewardship and
on the performance of health care systems.
o
The influence of corporate / private sector interests on public health policy, and the challenge of
placing public health before private profits.
CM society
o
health
Examples and case studies of civil society resistance to the privatisation and commercialisation of
public water and electricity utilities, and their effects on equitable and fair consumption.
o
Examples of mechanisms whereby comnlunities have been ab
*e
appropriate claims on the health system.
to makp effective and
Word) LsmK asrod!
We are looking for submissions of 500 - 2000 words, written in English with no scientific jargon. These
submissions are aimed at health workers and civil society, not academics and technocrats.
P/ssss post your submissions to ghwifamedactora
In doing sc, please indicate:
your organisation
your locality/ccuntry/region
whether you want your submission to be anonymous and why
Timelines
For consideration to have your submission included in the report, please submit by 15 October 2004
To have your submission made available on the web in time for the launch of the report in July 2005,
please submit by 28 Feb 2005.
TOPICS
DESCRIPTION
1
From PHC to Health Sector Reform 1970s - 2000s
• Genesis of PHC - failures of malaria eradication, concern
about access to basic health services; seminal Rockefeller
publication on good health; experience of COPC
® Launch of PHC approach at Alma Ata 1978
o Implementing the PHC Approach
o CHWs, prevention etc - comprehensive approach
o Selective programmes versus comprehensive PHC GOBI, child survival
o Health care versus multi-sectoral approach (role of
health care system to act as engine for multi-sectoral
approach to health)
©
©
Changing agenda of 1990s: rise of health reform movement
and the introduction of market-based reforms; comment on WB
1993 report
o Economic and political factors, including the growing
globalisation of the health workforce
o Emphasis on financing; policies that promoted health
systems inequities as a consequence of segmented
health care systems or disorganized markets. This is
buttressed by the targeting the poor’ approach
o Emphasis on efficiency and medical technologies see later
Recent rise of vertical and disease-based initiatives in recent
years - see later
Call for regeneration of PHC agenda by People's Health
Movement in '2000s as a response to neo-liberal market
reforms, growing health systems inequities; fragmented and
segmented health systems; and the re-application of selective
______ PHC.____________________________________________
Decentralisation and the organisation of health systems functions
©
WHAT WE STILL NEED/WHAT MAY
USEFUL_____________________
Case studies to document the effect of health
sector reform on equity, segmentation and
changes in the role of the state.
o overview from Latin America
o China
o India
o Eastern Europe
o UK
o United States
ACTIONS
Gifl Walt to draft 1,500 2000 v/ord overview.
800 word Chnacase
study (Malcofrn)
800 wond India case
study (Ravi)
800 word UK case study
(Aileen O'Keefe)
Note: these case studies will refer to other
sections of this chapter, and at this stagejt is
not entirely clear as to how they will be weaved
into the chapter. However, they will appear as
case studies in their own right on the website
(as an electronic accompaniment to the report).
Ask GiQ to see if anyone
from the London school
can write a Eastern
Europe case study?
Need case studies demonstrating examples of
good systems (Costa Rica, Kerala and threats
posed by the new reforms)
Secretariat andGHW
CC to put outa call for
other case slides.
Need summary of the WB findings on Teachhg
tiie poor', which suggests the importance of
universalism and inclusive health care systems,
and the failures of targeting the poor
approaches.
Overview of situation in
Latin America
(Armando)
Box on the problem of
health in the Middle East
based on recent article
by Jabbour and others
We need to link decentralisation back to the earlier section - show how
it has been promoted as central planks of both the PHC Approach as
well as the health sector reform and privatisation agenda For this
reason, different people have used ‘decentralisation’ to promote
different outcomes for different reasons.
An outline would include:
b What are the origins of decentralisation and its rationale?
n What are its different forms?
° What have been the experiences of decentralization?
° What are the conditions under which decentralisation may achieve
its objectives?
3
Need some analysis of WHO’s and WB’s
position on and use of 'decentralisation', with
some specific reference to their position on the
principles of the DHS model.
Need an example of WB’s approach to
decentralisation (refer to general push towards
devolution in PRSPs).
Andrew Green and
Charles Collins to draft
2,000 words (they have
already drafted a 400
word outline).
Secretariat to pursue
volunteers on WB and
WHO analysis?
The effect of competition and privatisation on ethics and values
The deterioration of professional ethics - effect of the commercial and
market paradigm within health care systems.
Need case studies
Lucy Gilson to be
approached
Secretariat to put out a call for case studies?
Need iBustration of why values, professional standards and ethics are
important for guiding not just good quality care, but also efficient and
cost-effective care. These are undermined by: perverse market
influences and competition; as well as by various behaviours in the
public sector which will be discussed in next section.
The role of the new public management and PPPs - what is good and
bad about them. How the 'way they function is largely determined by the
culture and values of health care systems, as well as by management
capacity.
4
Public vs. private provision
To what extent is public better than private? Where is the evidence? On
what basis are consumer-led demands said to be efficiency improving?
Corruption and inefficiency in the bureaucratic public sector - discuss
the biased attack on public systems for health care delivery; while
public bureaucratic systems may contain inherent weaknesses, these
need to be appropriately balanced by their strengths. Describe ways in
which the public sector can be made to work well and efficiently: e.g.
Would a 500 word box on the recent
controversy surrounding the comparison of
Kaiser Permanente with the NHS be useful?
Case studies of what can be done to improve
public sector performance?
Jane Lethbridge to draft
2,000 words on
comparison between
public and private
provision
explicit focus on fostering professional ethics and cultures of probity;
transparent procedures to allow accountability to civil society;
encouragement of the role of non-profit NGOs; strong regulation to
detect and punish corruption and unethical behaviour; remuneration
that keeps employees motivated, and loyal to their job and the
communities they serve.
5
Underfunding and user fees
Discuss the promotion of user fees as a function of under-funding.
Discuss mechanisms for financing that are fairer.
Evidence on the effect of user fees in poor,
under-resourced countries, as well as in middle
and upper income countries.
Need someone who can
take this on.
Should we include the use of PFIs as another
‘dangerous’ mechanism for the funding of public
health care systems.
6
Prioritisation and the cost effectiveness paradigm
Critique of CE approach
Confusion caused by replacing CE witin allocative efficiency,
technical efficiency and simple population-based planning and
prioritisation activities
?? TEHIP case study - has turned cost
effectiveness on its head by looking at the cost
effectiveness of interventions rather than of
disease technologies
Malcolm to draft
Need short empirical examples of the
environment within which some countries are
operating.
Need to identify
someone who can do an
initial draft
implications for equity; alternative methods of prioritisation.
7
Decision-making at the national level (stewardship)
International actors
WHR 2000 talked about emphasising the role of national stewardship
(steering the boat, not rowing it). The truth is that in many countries the
governments are becoming increasingly dis-empowered from even
being able to do this. This is due in part to the effect of uncoordinated
donors and global initiatives as well as the continued power of creditors
to determine the basic policy framework. Although there have been
Need an overview on SWAPs — including a
description of what it is. where it has worked;
some improvements in terms of changes from an emphasis on project
compliance to budget support; but this has also been undermined by
the proliferation of JPPIs and vertical initiatives - this represents a
recent and new paradigm at the global level. Another influence is the
setting of international and global targets - e.g. MDGs.
where it hasn't worked and why
Local actors
•
Need to explain how the biomedicalisation of health care and the
development
and
commercialisation
of
medical
technology
(represented by powerful and wealthy lobby groups) pushes both the
privatisation and segmentation of health care systems, as well as 1he
bias towards individual, curative care. Advances in medical science and
growing socio-economic disparities are also a force that is driving the
creation and development of segmented systems - the rich, with their
economic capacity and the aliure of advances in medical science, want
to be unencumbered from an inclusive but resource-constrained, public
health system that is constrained by the need to deal with the more
'basic' and public health priorities of the poor. Cross reference to
chapter on gene technology
Case studies of the policy and political influence
of the private medical sector and the medical
technology complex - including American
HMOs; health tourism; etc.
Other analyses
The Global Health Watch will only fulfil its aim if it is also able to offer a critique of current policies and proposals to improve global health. There are a number
of poficy documents and proposals that may need specific analysis - these can be drawn upon in the writing of the chapter, but could also be short, s tand
alone documents that we have on the GHW website. A list of documents and proposals include:
c
•
o
©
•
©
WHR 2004
WDR 2004
World Bank report on MDGs (Rising to the Challenges) - chapters 4,5,6, and 8
Recent UNICEF reports on child health
MDG task teams on maternal health
Proposals for the use IFF funding
It would be useful to be able to draw on people and institutions who have already written critiques.
Way forward for B1 chapter
These notes follow a meeting with a number of health researchers and activists in London.
Malcolm Segall, a Research Associate from the Institute of Development Studies, University of Sussex
has agreed to heip bring the chapter together. However, this would be done on the basis of inputs
from various other people who are up on the more recent literature related to the topics of the chapter
and who are able to submit perspectives from their particular regions and countries. This will ensure
that the chapter is rigorous and backed up with recent knowledge and empirical evidence.
It should also be noted that this chapter is about building a moral and normative argument, based on
values and a vision of social justice. There are issues of choice involved in determining the way health
care systems are organised and financed. The chapter will need to reflect these principles and views
whilst providing the evidence and argument for why the neo-liberal market agenda and the selective
PHC agenda is harmful to poor people and countries, and to equity.
A process of producing policy recommendations v/iB be set up to run in parallel to the writing of the
chapter. In a sense the chapter will benefit from an early discussion as to what we want propose as
recommendations in specific and concrete terms, and what the on-going advocacy strategy for CSOs
and NGOs should be.
Malcolm proposed that inputs to the chapter be structured along 7 ‘topics’. This is a departure from the
structure of the earlier brief. However, the issues covered under the seven topics fisted below cover all
the key issues identified in the earlier B1 brief. It is likely that the final structure of the chapter will
change as it is being written. Many of these seven topics are not separate and discrete, but are inter
related.
The following table describes each of these 7 topics and includes an indication of where we need
contributions from others. The plan is that Malcolm will use these contributions to weave together a
chapter end October - November. In addition, these contributions, where appropriate, would also be
used as stand-alone submissions that we will make available on the web.
This would give the month of December for a review of a complete first draft of the chapter.
Page 1 nf 2
PHM-Secretariat
From:
To:
Cc:
Sent:
Attach:
Subject:
"David McCoy" <davidmccoy@xyx.demon.co.uk>
"Lynette Martin" <lmartin@uwc.ac.za>; <sjabbour@aub.edu.lb>; <iphc@cablenet.com.ni>;
<iphc@cisas.org.ni>; <ershaffer@cpath.org>; <fran.baum@flinders.edu.au>;
<chan_chee_khoon@hotmail.com >; <ant@hstorg.za>; <qamar@hst.org.za>;
<maria@iphcglobal.org>; <patnciamorton@medact.org>; <samboa@nuc.edu.ng>;
<abaysema@pn3.vsnl.net.in>; <armandon@portoweb.com.br>; <vstambol@sbb.co.yu>;
<ctddsf@vsnl.com>; <calebotto@yahoo.com>; <hserag@yahoo.com>;
<j_teelucksingh@yahoo.com>; <bakhyts@yandex.ru>
<dave.mccoy@haringey.nhs.uk>; <mikerowson@medactorg>; <secretariat@ phmovement.org>
Thursday, August 05, 2004 3:34 AM
B1 chapter-notes.doc; Template for case studies.doc
B1 - health systems
Dear friends,
As some of you will know from the tele conference last week and David
Sanders' e-mail, we had a meeting in London to discuss the B1 chapter. This
followed an offer from Malcolm Segall to help pull together the writing of
the chapter. Malcolm was clear that he does not feel expert in all the
issues and recent developments, and asked if we could convene a small
meeting of people with various levels of expertise to discuss how we can
ensure rigour and a good evidence base. We also saw the meeting as an
opportuntiy to rope in more like-minded colleagues from academia to support
the Watch.
At the meeting we discussed a list of seven topic areas which is different
from the structure and original format of the Bl brief However, as you will
see from the notes attached on these seven topic areas, all the issues
originally covered in the brief are now reflected in this new set of seven
headings. Please highlight any issues tliat remain missing. These seven
headings are 'topic areas', and how they get woven into a readable chapter
in a non-academic manner is yet to be determined. The underlying issues
described in the earlier brief will remain a guiding document for Malcolm.
What we now need is some concrete and firm commitments from either
yourselves, or from people in your region for the submission of specific
pieces of analyses, as well as empirical evidence and case studies that can
help substantiate this chapter. You will see in the notes attached, specific
areas where we are looking for inputs and submissions. This is the most
important chapter of tire report and we PLEASE ask you to help enrich it with
your analyses and your experiences - these will be used in the writing of
this chapter.
I will discuss with Malcolm Segall how best to manage the flow of
communication between the CC, secretariat and himself. I suspect that there
will be much discussion related to this particular chapter, prior to the CC
being invited to review and comment on the first draft.
In addition, we want to make a more general call for people to write their
own submissions, case studies and testimonies as part of the advocacy
strategy of the Watch. We will have a place on the web to house all relevant
and appropriate submissions as separate, stand-alone case studies and
analytical pieces.
We now need your help to generate some interest in the submission of case
studies, essaye and testimonies. In order to help you facilitate the
collection of case studies and testimonies that can be submitted to the
Watch, we are attaching a 'flyef that you can use. Please feel free to
8/5/04
Page 2 of 2
adapt and modify this to suit the particular features of your region Also,
we hope that it can be translated into other languages for the non-english
♦ speaking regions of the world.
Many thanks
Yours in solidarity
Dave
Dr David McCoy
Global Equity Gauge Alliance
Global Health Watch secretariat
Tel: (44)-(0) 795 259 7244
Fax: (44)-(0)20 7324 4734
8/5/04
PflgP! 1
1
PHM-Secretariat
From:
To:
Cc:
Sent:
Subject:
"McCoy Dave" <Dave.McCoy@haringey.nhs.uk>
'"Fran Baum"' <Fran.Baum@fliriders.edu.au>; "David McCoy" <davidmccoy@xyx.demon.co.uk>;
"Lynette Martin" <lrnartin@uwc.ac.za>; <sjabbour@aub.edu.lb>; <iphc@cablenet.com.ni>;
<iphc@cisas.org.ni>; <ershaffer@cpath.org>; <chan_chee_khoon@hotmail.com>;
<ant@hst.org.za>; <qamar@hst.org.za>; <maria@iphcglobal.org>;
<patriciamorton@medact.org>; <samboa@nuc.edu.ng>; <abaysema@pn3.vsnl.net.in>;
<armandon@portoweb.com.br>; <vstambol@sbb.co.yu>; <ctddsf@vsnl.com>;
<calebotto@yahoo.com>; <hserag@yahoo.com>; <j_teelucksingh@yahoo.com>;
<bakhyts@yandex. ru>
"McCoy Dave" <Dave.McCoy@haringey.nhs.uk>; <mikerowson@medact.org>;
<secretariat@ph movement. org>
Thursday, August 05, 2004 8:18 PM
RE: B1 - health systems
Dear Fran and colleagues,
Tiie people we invited to the meeting were in fact all individuals whom I had ear-marked from before the time of the Durban meeting to
help out with the chapter. I had written to about twenty people (from all over the world) to ask them if they would be interested in
participating in the development of the chapter. Many wrote back to say yes, but wanted to know how.
If you remember, at the time of the Durban meeting thvre had been no author identified to pull the chapter together - it was decided that I
should do the drafting of the chapter. When we got back from Durban w'e were able to follow up on the twenty or so people we had
approached eailier, and Malcolm volunteered a considerable amount of time, with a great deal of enthusiasm.
I was very concerned about whether I had the time to pull of the first draft (there is still so much other secretariat work) and! also know
that Malcolm has a very engaging style of writing. So I felt that it was in our interests to take him up on this.
Unfortunately we have had little other in the way of concrete commitments to the writing of this chapter. It’s also important to recognise
that Malcolm IS being guided by the earlier brief, and will need to continue to be guided by the secretariat and the rest of the CC. He will
also be guided by specific contributions (we have had only some commitments from non-CC people to write of bits and pieces from a
couple of other people). Also, an underlying strategy of die Watch has always been to draw in as many people from outside the three core
organisations to be involved.
If there are any other concrete proposals to how we pull this chapter together, I'm sure we could consider them. However, I feel that the
process outlined earlier does not throw into jeoprardy our wish to sec a good chapter on health systems, nor on the ability of the CC to
shape the chapter. What is really imporant for the Watch is that the chapter is built from as many submissions, case studies and testimonies
from different countries.
I hope tliis helps clarifies things further - and I do apologise for the fact Uiat the developments about this chapter were presented in a
clumsy way from my side.
yours,
Dave
8/6/04
Dear Dr Lee,
We are writing to inform you of an initiative to produce a bi-annual Global Health Watch, the
first version of which will be launched in 2005.
The production of the Watch is being coordinated by three non-governmental organisations, and
is involving networks, academics and activists from around the world. Our aim is to put forward
an independent, equity-oriented and rights-based analysis of global health and health policy. In
addition, we seek to use the report as a vehicle for promoting civil society’s capacity to monitor
the global institutions that arc important to health. A major thrust of the report will be to provide
a strong critique of international policies that undermine government ownership and
accountability and damage the sustainability and fairness of health systems.
We believe that the Watch will enable a stronger monitoring of global health governance by civil
society, especially in the South, and that this can only strengthen WHO’s engagement with civil
society. In addition, we hope that the Global Health Watch will support the voice of WHO in the
sphere of global governance, in particular in relation to the international trade and financial
institutions. We will seek to ensure that the report, which will include a degree of WHO
performance assessment, strikes the right balance between constructive criticism and support of
WHO’s noble mission.
We hope that WHO staff will support the principle behind this initiative and we look forward to a
constructive engagement, for the betterment of global health and social justice. Further
information on the Global Health Watch is available on our website, www.ghw.org.
Yours sincerely,
cc. All ADGs in WHO
c
I
:0
Helping with translation
Unfortunately, the Global Health Watch currently doesn’t have the funds to afford translation.
We have secured some volunteer commitments to translation into Spanish and French, but we
require more help with translation efforts. We are hoping that individuals and NGOs at the
regional and country level will be able to take the initiative to raise their own funding for
translation into local languages.
Launching the report
Volunteer to organise and host a press conference in your region or county to help us achieve
a truly global launch of this report.
Produce an accompanying country or regional paper or report
In order to give a local and regional flavour to the launch of an alternative world health report,
we are encouraging countries and regions to consider producing regional and country based
documents to accompany the global report. This can take the form of a regional report, a
critical overview of a country’s health situation or even a short paper reflecting on one of the
themes of topics of the Global Health Watch.
ADVOCACY
The most important output of the Global Health Watch will be its enhancement of existing
campaigns and struggles for health. We hope that the Watch can be used to strengthen efforts
to reduce global and national health disparities; protect vulnerable households from the
impoverishing effect of health care costs; improve the health system’s response to public
health threats; reverse the harm done by the growing commercialisation and commodification
of health care; and strengthen the capacity of the public health sector to provide universal
access to health care for all.
For more information visit the GHW website, or e-mail us at ghw@medact.org
Submit any case studies and critiques to: ghw@medact.org
Thankyou for your time and support,
GHW Secretariat
Page 1 of 1
PHM-Secretariat
From:
To:
Sent:
Subject:
"ctddsf” <ctddsf@vsnl.com>
<ghw@hst.org.za>
Friday, August 06, 2004 1:24 PM
[ghw] Health Systems Chapter
Dear Friends,
Just a small concern regarding the Health systems Chapter. The revised
format looks pretty comprehensive to me. I guess David’s concern about the
essential thrust can be taken care of, while the Chapter evolves. The
important thing is that all or most of the issues are on board.
My concern is about something different. As we have repeatedly discussed,
the Report should have a strong flavour from the South. We all understand
that this is not meant in any patronising sense, but as a genuine need felt
to foreground concerns that come from the South. My concern really is that
we do not have enough contributors fr om the South for this Chapter. I think
people wall agree that for something like the GHW, while it is important to
'•‘do the right thing", it is also important "to be seen to do the right thing".
I do not in any manner wish to question the competence of those already
contacted for the chapter. But we do need to get authors from the South
especially for this chapter - and not just to do case studies please.
Best,
Amit Sen Gupta
Global Health Watch discussion list
List address: ghw@hst.org.za
List information page including list archives:
http://akima.hst.org.za/mailman/listinfo/ghw
This list is hosted by the Health Systems Trust: http://www.hst.org,za
8/9/04
Dear Friends of the Global Health Watch,
This is a brief message to follow up on the presentation and discussions about the Global
Health Watch at the GEGA meeting in Durban. For those who were not present on the
Sunday morning at the Tropicana Hotel, the Global Health Watch is an initiative to produce
an alternative world health report, based on the values of equity, social justice and rights to
health, as well as based on the position that health care should be provided as a non
commercialised service to all. More information is available on www.ghwatch.org
We want to make, as clear as possible, the mechanisms by which you can participate and be
involved in the Watch.
INVOLVEMENT IN THE CHAPTERS
Most of the chapters now have identifiable lead authors and contributors. In addition, most
chapters have clear outlines about what the chapter will cover. We are still however, looking
for:
Country and regional case studies and perspectives
We would like to invite you to submit 800 - 1,000 word reflections and case studies from
different countries and regions of the world, linked to the various issues reflected in the
chapter. In the next couple of weeks we will be creating a set of more specific terms of
reference for these country and regional case studies. Not all submissions will necessarily find
their way into the final version of the report. However, we are planning to use the GHW
website for all accompanying material, to which we will make reference to in the report itself.
Critiques of WHO, UNICEF, World Bank, WTO, IMF and donor agencies
Part of the purpose of the Global Health Watch is to strengthen the accountability of global
health institutions to civil society. The Global Health Watch has highlighted a number of key
global institutions, which have a profound effect on health, and we are inviting NGOs,
academics and health workers to submit constructive critiques of these institutions as well as
negative and positive experiences of these institutions in the health system. Not all
submissions will necessarily find their way into the final version of the report. The GHW
website will allow accompanying material to be made accessible.
PROMOTING THE GLOBAL HEALTH WATCH
Publicity
The long-term value of the Global Health Watch will depend on there being a demand created
for the idea of an alternative world health report. We need help with publicising the
forthcoming launch of the report in July 2005. Attached to this e-mail is a set of powerpoint
slides that you can use to raise awareness of about this initiative. We also invite you to submit
articles to local health journals and to health journalists.
Page 1 of 1
PHM-Secretariat
From:
To:
Sent:
Subject:
*"ctddsf <ctddsf@vsnl.com>
<ghw@hstorg.za>
Friday, August 06, 2004 2:42 PM
RE: [ghw] Health Systems Chapter
Dear Dave,
I understand entirely that its not for lack of trying. I was just thinking
back to the discussion in Durban. We did think of Armando being centrally
involved in this chapter and you co-ordinating it.
Instead of looking from outside the CC, what about looking in the CC? Say
Armando, Samer, Abhay (just suggestions) take up the responsibility of
defined portions.
Best,
Amit
At 09:31 AM 8/6/04 +0100
p-CM -
8/9/04
Page 1 of 1
PHM-Secretariat__________________________
From:
To:
Sent:
Subject:
"McCoy Dave" <Dave.McCoy@haringey.nhs.uk>
<ghw@hstorg.za>
Friday, August 06, 2004 2:01 PM
RE: [ghw] Health Systems Chapter
Dear Am it
I agree that this is an obvious concern. This has been a problem with many of the chapters and is a failure on our part - it’s not from a lack
of trying. Inevitably, because of the lack of time we have (only Pat works on the Watch full-time; Mike is part time; and I work in my spare
time) tended to fall on UK-based people, or people we already know.
Dr Bannerji from India has agreed to contribute something. Maria has also given some suggestions of a group in LA which we are
following up on. I would like to prevail upon the CC for three volunteers to be actively involved in contributions to th is chapter. Once
agreed, I will then work out a way of carving up the work.
Volunteers?
Dave
8/9/04
Paor. 4 rtf 3
PHM-Secretariat___________________________________________________
From:
To:
Sent:
Subject:
____
"PHM-Secretariat" <secretariat@phmovement.org>
"Patricia Morton" <patriciamorton@medact.org>
Monday, August 16, 2004 11:57 AM
Re: PHA-Exchange> A view from the Secretariat - Edition 01 - August 10th2004
Dear Pat,
Greetings from PHM Secretariat (Global)!
Thanks for the response. Actually the GHW call for case studies was in the original draft but when we reduced the
size we transfered it to the next letter which will be going out on 24th. Your idea of having something about GHW
in each edition is a good one and we shall make sure of that from the next one. Please send me a complete
updated list of the GHW - organizing / advisory commrtte as of now just to track regional participation and
involvement.
Best wishes
Ravi Narayan
— Original Message —
From: Patricia Morton
To: PHM-Secretariat
Sent: Friday, August 13, 2004 9:41 PM
Subject: Re: PHA-Exchange> A view from the Secretariat - Edition 01 - August 10th2004
Hi PHM Secretariat
It would be great if you could include a bit on the GHW on each edition. Eg. We have just put out a call for case studies that
we want to circulate widely.
Thanks
Pat
GHW secretariat
— Original Message —
From: PHM-Secretariat
To: PHA-Exchanqe@kabissa.org
Sent: Friday, August 13, 2004 11:37 AM
Subject: PHA-Exchange> A view from the Secretariat - Edition 01 - August 10th2004
A view from the Secretariat
Edition: 01
Aug 2004
IO01
Dear PHM Friends,
Greetings from People’s Health Movement Global Secretariat!
We are starting this communication initiative from the secretariat to share with all of you a ‘grand stand’ view
of the growing People's Health Movement all over the world. As the hub of the PHM wheel, which has
spokes reaching to all the country and regional circles, issue circles and PHM partners all over the world, we
receive daily through email, post, and visitors and other means of communication a very special view of the
PHM activities all over the world. We are starting this new column in the PHM Exchange with an overview
of July 2004.
This is not a comprehensive report It is just a communication of some highlights since nowadays, there are
too many to include. Wc hope it inspires you to join, support and do likewise. Please keep the secretariat
Page 1 of ]
PHM -Secreta ria t
From:
To:
Sent:
Subject:
"Patricia Morton" <patriciamorton@medact.org>
'‘PHM-Secretariat" <secretariat@phmovementorg>
Friday, August 13, 2004 9:41 PM
Re: PHA-Exchange> A view from the Secretariat - Edition 01 - August 10th2004
Hi PHM Secretariat
li would be great if you could include a bit on the GHW on each edition. Eg. We have just put out a call for case studies that
we want to circulate widely.
Thanks
Pat
GHW secretariat
— Original Message---From: PHM-Secretariat
To: PHA-Exchange@kabissa.org
Sent: Friday, August 13, 2004 11:37 AM
Subject: PHA-Exchange> A view from the Secretariat - Edition 01 - August 10th2004
Edition: 01
2004
A view from the Secretariat
10th Aug
I Dear PHM Friends,
^7^
1 nf 1
PHM-Secretariat
U.——'■■■■' -:r.~ ~...------ - —i
From:
To:
Cc:
Sent:
Subject:
"Patricia Morton" < patricia morton@medact org>
"PHM-Secretariat" <secretariat@phmovement.org>
"mikerowson" <mikerowson@medact.org>; "David McCoy" <david.mccoy@lshtm.ac.uk>
Tuesday, August 17, 2004 4:51 PM
Re: meeting with CETIM
Thanks Ravi
We will get in contact with her.
Patricia
— Original Message —
From: PHM-Secretariat
To: mikerowson ; patriciamorton@medact.org; David McCoy
Sent: Tuesday, August 17, 2004 1 2:08 PM
Subject: Fw: meeting with CETIM
Dear Dave, Pat and Mike
Greetings from PHM Secretariat (Global)!
j
Page 1 of 1
PHM -Secretariat
From:
To:
Sent:
Subject:
"PHM-Secretariat” <secretariat@phmovement.org>
<kowalp@who.int>
Tuesday, August 17, 2004 4:43 PM
Fw. meeting with CETIM
Dear Paul,
Greetings from PHM Secretariat (Global)!
I have forwarded your mail to Dave, Pat and Mike of the GHW secretariat in London. You could keep in touch with
them and follow up on the issue of adult health and ageing. Keep in touch.
Best wishes
Ravi Narayan
— Original Message —
From: PHM-Secretariat
To: mikerowson ; patriciamorton@medact.org ; David McCoy
Sent: Tuesday, August 17, 2004 4:38 PM
Subject: Fw meeting with CETIM
Dear Dave, Pat and Mike
Greetings from PHM Secretariat (Global)!
I am forwarding a mail from Allison and others about another publication initiative which is also aware of GHW
process. Be in touch with them. Some of the workshops suggested could be co-sponsored with GHW.
Best wishes
I
8/17/04
Page 1 of 1
PHM-Secretariat
From:
To:
Sent:
Subject:
"PHM-Secretariat" <secretariat@phmovement.org>
"mikerowson" <mikerowson@medactorg>; <patriciamorton@medact.org>; "David McCoy"
<david.mccoy@lshtm.ac.uk>
Tuesday, August 17, 2004 4:38 PM
Fw: meeting with CETIM
Dear Dave, Pat and Mike
Greetings from PHM Secretariat (Global)!
I am forwarding a mail from Allison and others about another publication initiative which is also aware of GHW
process. Be in touch with them. Some of the workshops suggested could be co-sponsored with GHW.
Best wishes
Ravi Narayan
— Original Message —
From: kowalp@who.int
To: secreta riat@ ph move me nt. org
Cc: katza@who.int; villare@who.int
Sent: Tuesday, August 10, 2004 2:55 PM
Subject: RE: meeting with CETIM
8/17/04
Page 1 of 1
PHM-Secretariat
From:
To:
Cc:
Sent:
Subject:
<kowalp@who.int>
<secretariat@phmovement.org>
<katza@who.int>; <villare@who.int>
Tuesday, August 10, 2004 2:55 PM
RE: meeting with CETIM
Dear Ravi:
Very good to have met you here - some time ago now. Apologies for not writing sooner. I've been discussing a
number of issues with Alison, and would very much like to contribute to the Global Health Watch publication. I
would also like to pose a suggestion for a chapter or sub-chapter on adult health and ageing in low and middle
income countries. We'd need to go through the steps Alison outlines below, but I am very interested in doing this.
Best, Paul
—---------- .
* ^<K
0^
s'
.......................................................................................................................................... /
From: PHM-Secretariat [mailto:secretariat@phmovement.org]
Sent: 02 August 2004 08:13
To: katza
'
<
<
Global public health
n searcn or
ghetto blasters
With the ever-widening gap between rich and poor nations likened to driving a stretch
limousine through a ghetto, have we the tools and the will to achieve a just system for
global public health? Richard Godfrey and Linda Doull analyse recent suggestions
tor a remedial pathway.
‘The annual
expenditure on
cosmetics in the
USA added to that
on ice-cream in
Europe would
provide basic
education, medical
facilities and
adequate nutrition
lor all the world's
poor1
he ever-widening gap in
health between rich and poor
nations was likened at this
year’s Royal College of
Physicians Lilly Lecturer to driving
a stretch limousine through a
ghetto. Inside the limousine,
surrounded by luxury, sit the
inhabitants of the post
industrialised world while outside
the remainder live in abject poverty.
By chance, Churchill Onen’s
lecture was paralleled by an indepth analysis at the 10th annual
congress of the World Federation
of Public Health Associations,
where Ilona Kickbusch gave a
lecture entitled The End of Public
Health as We Know it:
Constructing Global Health in the
21st Century.
T
The disparities illustrated
Both Dr Onen and Professor
Kickbusch provide startling
illustrations of the present
disparities. The richest nations
(G8) are outnumbered nearly ten
times by the poor (G77). The
richest 20 per cent of countries
share 86 per cent of the world’s
gross domestic product, while the
poorest 20 per cent share only 1.3
per cent.
The annual expenditure on
cosmetics in the USA added to that
on ice-cream in Europe would
provide basic education, medical
facilities and adequate nutrition
for all the world’s poor.
Ninety per cent of the world’s
health resources arc spent on
medical research relating to
diseases that predominantly affect
about 10 per cent of all humanity
living in G8 countries. Meanwhile,
the great menaces to health in
poor countries go relatively
unresearched — at least until they
start to creep into the limousine of
rhe luxury world (malaria,
HIV/AIDS, tuberculosis).
The average annual expenditure
on medications per head is USS
550 in Japan and just USS 3 in
Sierra Leone. Infant mortality rate
in Canada is now down to
5.1/1,000, whereas a short plane
ride away in Haiti it is 97.1/1,000
— and much higher still in many
Sub-Saharan African countries.
What is being done?
Both Dr Onen and Prof Kickbusch
Juxtaposition:
a crippled man
begs from the
driver of an
expensive car.
© Panos Pictures/ Mark Henley
... A T.. tXCHANOl 27 AUGUST ?004
are critical of current global health
efforts, which are seen as
inadequate in monetary terms,
inept in their administration and,
more often than not, tied to
political manoeuvring. Moreover,
they perpetuate the notion that aid
is a matter of charity rather than
an urgent imperative for all.
They are also critical of non
governmental organisations, who
arc (or should be) immune from
political interference and financial
irregularity. The problems here are
of poor donor coordination,
donor-driven agendas, failure to
work with national institutions,
weak host country aid
management and poor quality of
instruments to measure impact.
Prof Kickbusch cites the case of
Haiti, where 140 NGOs working
independently in the health sector
have failed over many years to
improve population health, despite
the best of intentions.
What must be done?
‘Current global
health efforts...
perpetuate the
notion that aid is a
matter of charity
rather than an
urgent imperative
for all1
Each lecturer is strong on words,
calling for a ‘paradigm shift’ in
global public health policy. But the
practical details of what to do are
sparse.
Dr Onen has grand but
undefined new concepts — New
Universalism, New Public Health,
New Solidarity, and Wholesome
Medicine. He also advocates
sound, but hardly ground
breaking, ideas such as innovative,
affordable, effective, efficient
health services, goal-oriented
strategies and the preservation of
medical pluralism and the culture
and dignity of communities.
Prof Kickbusch urges a New
Global Social Contract on Health.
In this, health would be seen as a
public good and written into every
nation’s political and economic
agenda as a ‘key dimension of
global citizenship’. Health policies
will need to cross national
boundaries, and there will have to
be ‘increased pooling of
sovereignty’, she says.
In our view, this is likely to
prove a stormy road, judging from
the current negotiations over the
European Constitution.
Prof Kickbusch also cites health
as a key component of global
security. Here she sees need for
expanded surveillance, but
curiously there is no mention of
the existing Global Outbreak Alert
and Response Network. She
suggests that the World Health
Organization and other bodies
such as the World Trade
Organization should have
interventionist powers and be able
to apply sanctions to countries
failing to comply.
She also advocates radical
strengthening of WHO, which
should be granted ‘constitutional
capability to ensure agenda
coherence in global health’. It
should have a new kind of
reporting system able to ensure
‘transparency and accountability
in global health governance by all
international health actors’.
For this to become reality,
WHO would have to assume a
very different persona than at
present. It may be overbureaucratic and costly but it is
generally seen as helpful and
supportive. Merlin would be sad
to see WHO become a world
policeman.
She also suggests that WHO
coordinates health in crisis by
acting as the intermediate health
authority. Again it is curious that
an existing and effective
mechanism — Health Action in
Crisis — is not mentioned.
Integral to the New Global
Social Contract on Health is
acceptance of health as a key
factor of sound business practice
and social responsibilities. Here
the influence of WHO in
negotiating the price reductions for
drugs is advocated. Access to
drugs should be on a ‘global
public goods model.’ There should
be more legally binding Global
Health Conventions, for example
the Framework Convention on
Tobacco Control. The potential
market for safe nutrition products
to the poor is highlighted. There
should be a ‘Bismarckian type of
global insurance’ developed with
the insurance industry.
Frankly, this sounds to us like
pie in the sky. It would require the
insurance industry — and indeed
nearly all of us in the post
industrialised world — to become
lt£ALll< < XCfiAfiGl 28 AuOuST 2004
many orders more philanthropic
than at present. A complete change
of ethos would be required.
We also have anxiety about
schemes such as cost recovery and
user fees, which have been
introduced as part compulsory
economic restructuring in many
resource poor countries. Despite a
change of emphasis in lending
bodies such as the World Bank,
these policies persist, bringing
grave difficulties to the poor in
accessing health care.
In summary these two lectures
are stark reminders of the dreadful
inequalities in our present world.
Whether they help to find remedial
pathways is questionable. Too
many of Prof Kickbusch’s
suggestions are based on increased
legalisation backed by draconian
powers. They will excite anger and
opposition. On the other hand,
appeals to the conscience of the
rich nations seem doomed, as
nothing will stop the relentless
quest for luxury.
The BBC World service
juxtaposed two headline news
items on May 23. The first was
that 1 million people in SE Sudan
faced imminent death by shooting
or starvation. The other was that
the finance ministers of the G7
countries were meeting to urge an
immediate reduction in oil prices
‘to foster economic prosperity’.
For whom? IJT?
Resources
For the full text of Prof
Kickbusch’s speech see
www.ilonakickbusch.com
2. For a full copy of Dr Onen’s
lecture please email RCP press
and PR manager Linda
Cuthbertson:
Linda.Cuthbertson@rcplondon.
ac.uk.
3. Merlin Head Office, 4th Floor,
56-64 Leonard Street, London
EC2A 4LT. Tel: 020 7065 0800.
Email: hq@merlin.org.uk
1.
Richard Godfrey is health adviser
and Linda Dotill is health director,
Merlin.
Work7 Fe<di®™©QD ©If PubOiic Heal® Assocoafikms (WFFHAJ)
10® Msmafcrail C©(mgjir@ss ©tn PimbHc Heal®- AproD 10©4
H^b Ro Leavell LeeWre
Th imfl ©v P^o© Heal® A© W® C<(m©w OS: ©©^raetog @D©taO Heal® dots ®e
Ceirctuiiy
Professor iiona ‘Kackbuscin
Samsmsy Posiite
1. HsaGCh &s a gjBobaD jpiyMc gomfl implies ensuring the value of health, understanding it as a
key dimension of global citizenship and keeping it high on the global political agenda. It implies
defining common agendas, increasing the importance of global health treaties and increasing
pooling of sovereignty by nation states in the area of health.
2. XeaG® as a Ikey ©©mpoiro©^ ©tf gBobaO secyrafty implies an extensive global health surveillance
role and expanded international health regulations with interventionist power for the World Health
Organization and sanctions (through other bodies such as the World Trade Organization or the
international Court of Justice) for countries that do not comply - the financing of a global
surveillance infrastructure, a rapid health response force would be ensured through a new kind of
global public goods tax.
3.
health governance w omterdepiemdleBice means strengthening the
World Health Organization and giving it a new and stronger mandate. It must have the
constitutional capability to ensure agenda coherence in global health (also vis a vis ths
development banks), it must be abie to strengthen its convening capabilities and it should be able
tc ensure transparency and accountability in global health governance through a new kind of
reporting system that is requested of all international health actors. Indeed recognition of its
coordination and leadership roie should significantly reduce the transaction costs for countries and
for donors and should include a brokering role in relation to the health impacts of policies of other
agencies, it should also be the coordinator of health in crises by acting as the intermediate health
authority. Finally it should be able to take countries to the international court for crimes against
humanity if they ciearly refuse to take action based on the best public health evidence and
knowledge.
4. AcceipSms heaSRh a© a lk@y factor ©If sowdl Itooro®®© ©ractBc® amfl sooaB resgjeinisofooBBtv
means increasing the capacity of the WHO to develop a new system of access to drugs based on
a global public goods model. For example in the area of pricing, joint negotiations by 10 Latin
American Countries (together with PAHO) with global players on antiretroviral drugs led to a 92%
price reduction. Clearly legally binding Global Health Conventions such as the Framework
Convention on Tobacco Centro! must be developed and strengthened. Finally there is an
enormous scope - as the work on nutrition has shown - for producing and marketing health and
safe products to the poor - such new business models should be part of the work of the World
Economic Forum.
But it is even more important to develop a model package of a Bismarckian type of global nealth
insurance together with the insurance industry and perhaps the ILO, the ISSA and the World Bank.
'We need to work on a model that ensures access to prevention, care and treatment in developing
countries - and it cannot be piecemeal any more. Clearly health and social protection cannot be
separated - this falls squarely into the Goal 8 on global partnerships of the Millennium
Development Goals.
5. Acoepf
proBWQpO® of heaGflh a© gtoM cSteeimsIhQp
[ believe firmly that ethical norms apply to international relations - and as Nigel Dower points out “If citizens are increasingly motivated by global concerns then cosmopolitan goals enter domestic
policy in that way and people can be effective global citizens by being effective global oriented
citizens of their own states"
in particular this implies a common notion of social justice and a system of international law where
human rights constitute a legal claim.
8/20,04
1 of 2
PHM-Secretariat
From:
To:
Sent:
Attach:
Subject:
'
■
■ -
- ,
-
-■
- - - ■ - - —------ —.—- ---- ----------
"Patricia Morton" <patriciamorton@medact.org>
"GHW mailing list" <ghw@hst.org.za>
Thursday, August 19, 2004 8:40 PM
Linda Doull's critique of Ilona's speech pdf; Ilona Kickbush- The End of Public Health As We Know
lt.doc
[ghw] Update from the GHW Secretariat
Greetings to All cn the GHW CC
Here is an update of things happening at the GHW Secretariat:
1.
Call for Case Studies and Testimonies- Please pass around
We have made a new call for case studies and testimonies. Please see the attached document for information,
examples and guidelines. We are encouraging activists, health workers and academics to submit. Please pass this
around your networks.
2.
Website Expanded
We have expanded the website to create a space where we can now upload the approproiate case studies and
testimonies we receive. Case studies or testimonies will be organised into thematic areas that mirror the structure of
the report. We have already included a number of case studies, and you can see for yourself on wvAv.ghwatch.org .
Note that we also have, a version of the website in Spanish.
3.
Editorial Arrangements
Jane Salvage has been contracted as the main editor for the Global Health Watch for two months (January and
February). Jane is an independent international health consultant, writer and editor. Her background is in nursing and
her previous posts include editing the British weekly magazine Nursing Times, and several years working full time for
WHO.
David McCoy, Mike Rowson and Patricia Morton will also work on editing during this period, and Dave will be taking
one month off from his work to work full-time on the Watch in January. We also hope that you will be able to help with
reviewing chapters and helping out with the editorial process in Dec - Feb. If you can indicate how much time you can
set aside to help, and when, that would help us.
4.
Recommendations and Strategies for Action
Firstly thanks to those who have offered to help out with this chapter. We would now like to start the CC thinking about
the contents of this chapter. The Watch can’t just criticise without making suggestions.
Ilona Kickbush recently delivered a speech on Constructing Global Health in the 21st Century. This was subsequently
critiqued by Linda Doull and Richard Godfrey in the last edition of International Health Exchange. We have attached
both to this e-mail, as a way of stimulating some discussion on what we are proposong as strategies and
recommendations on the way forward. We do not suggest that Ilona’s recommendations are on the right track, but she
has at least stuck her neck out in making some concrete recommendations. We will have to do likewise.
5.
Chapters
You will be glad to hear that we have received a first draft for one chapter already (Militarism, Conflict and Health)!
Only twenty more to go!
Thankyou very much
f
r
8'20'04
Pace 2 of 2
Pat, Dave and Mike
Giobai Health Watch Secretariat
Medact is a UK charity for global health, working on issues related to conflict, poverty and the environment
Me da ct
The Grayston Centre
28 Charles Square
London N1 6HT
United Kingdom
7 +44 (0) 20 7324 4736
F +44(0)20 7324 4734
www.medact.org
Registered Charity 1081097
Company Reg. No. 2267125
8/20/04
Way foirwsairdi for B1 ©hapfor
These notes follow a meeting with a number of health researchers and activists in London.
Malcolm Segall, a Research Associate from the Institute of Development Studies, University of Sussex
has agreed to help bring the chapter together. However, this would be done on the basis of inputs
from various other people who are up on the more recent literature related to the topics of the chapter
and who are able to submit perspectives from their particular regions and countries. This will ensure
that the chapter is rigorous and backed up with recent knowledge and empirical evidence.
It should also be noted that this chapter is about building a moral and normative argument, based on
values and a vision of social justice. There are issues of choice involved in determining the way health
care systems are organised and financed. The chapter will need to reflect these principles and views
whilst providing the evidence and argument for why the neo-liberal market agenda and the selective
PHC agenda is harmful to poor people and countries, and to equity.
A process or producing policy recommendations win be set up to run in paranci io me wndhg O: uis
chapter. In a sense the chapter will benefit from an early discussion as to what we want to propose as
recommendations in specific and concrete terms, and what the on-going advocacy strategy for CSOs
and NGOs should be.
Malcolm proposed that inputs to the chapter be structured along 7 ’topics’. This is a departure from the
structure of the earlier brief. However, the issues covered under the seven topics listed below cover all
the key issues identified in the earlier 31 brief. It is likely that the final structure of the chapter will
change as it is being written. Many of these seven topics are not separate and discrete, but are inter
related.
The following table describes each of these 7 topics and includes an indication of where we need
contributions from others. The plan is that Malcolm will use these contributions to weave together a
chapter end October - November. In addition, these contributions, where appropriate, would also be
used as stand-alone submissions that we will make available on the web.
i his would give the month of December for a review of a complete first draft of the chapter.
Note: in order to keep the chapter from becoming too long, the drafting of sections and case studies
wiii have to be abstemious and streamlined without too many academic caveats. ‘Case studies in me
narrative are likely to have only one or two sentences (eg "for example in Zambia...", followed by a
source reference plus/minus a reference to a text box or a box on the website.
TOPICS
DESCRIPTION
1
From PHC to Heallto Ssetor fefoirm DSTOs - 2000s
o Genesis of PHC - failures of malaria eradication, concern about
access to basic health services; China experience critical (mass
campaigns, three tier rural health care, rural cooperative
insurance, barefoot doctors); seminal WHO Alternative
Approaches book and later / Rockefeller publication on good
health; experience of COPC.
o Launch of PHC approach at Alma Ata 1978
o Implementing the PHC Approach
o CHWs, prevention etc - comprehensive approach
o Selective programmes versus comprehensive PHC GOBI, child survival
o Health care versus multi-sectoral approach (role of health
care system to act as engine for multi-sectoral approach
to health)
o 1980s: recession and economic crises, rise of New Right and
neoliberalism; stabilisation and structural adjustment
programmes; decimation of public health services
o Changing agenda of 1990s: rise of health reform movement and
the introduction of market-based reforms; comment on WB 1993
report
o Economic and political factors, including the growing
globalisation of the health workforce
o Emphasis on financing; policies that promoted health
systems inequities as a consequence of segmented
health care systems or disorganized markets. This is
buttressed by the 'targeting the poor’ approach
o Emphasis on efficiency and medical technologies - see
later
o
o
Recent rise of vertical and disease-based initiatives in recent
years - see later
Call for regeneration of PHC agenda by People’s Health
Movement in 2000s as a response to neo-liberal market reforms,
orowinn health xvAtpmq inpniiitipq-
And wnmontori
WHAT WE STOLL HEEO / WHAT PMY BE
USEFUL
Case studies to document the effect of health
sector reform on equity, segmentation and
changes in the role of the state.
o overview from Latin America
o China '
o India
o Eastern Europe
o UK
o United States
ACTIONS
Note: these case studies will refer to other
sections of this chapter, and at this stage it is
not entirely clear as to how they will be
weaved into the chapter. However, they will
appear as case studies in their own right on
the website (as an electronic accompaniment
io the report).
India case study (Ravi)
David Sanders to draft
1,500-2000 word
overview. Gill Walt to
review and comment
upon
China case study
(Malcolm to find
someone)
UK case study (Eileen
O’Keefe)
Case study from
Ecuador (Jaimie Breilh)
Need case studies demonstrating examples
of good systems (Costa Rica, Kerala and
threats posed by the new reforms)
Ask Gill to see if Martin
McKee can write a
Eastern Europe case
study?
Need summary of the WB findings on
‘reaching the poor’, which suggests the
importance of universalism and inclusive
health care systems, and the failures of
targeting the poor approaches.
Secretariat and GHW
CC to put out a call for
other case studies.
Overview of situation in
Latin America
(Armando)
Box on the problem of
health in the Middle East
based on recent article
by Jabbour and others
growing health systems inequities; fragmented and segmented
health systems; and the re-application of selective PHC.
2
©®s®in)ta8feM8Oini amid! te ©mgamtofcmi ©If hoaOtth systom® ff&msfcmi©
We need to link decentralisation back to the earlier section - show how it
has been promoted as central planks of both the PHC Approach as well
as the health sector reform and privatisation agenda. For this reason,
different people have used ‘decentralisation’ to promote different
outcomes for different reasons.
Andrew Green and
Charles Collins to draft
2,000 words (they have
already drafted a 400
word outline).
An outline would include:
n What are the origins of decentralisation and its rationale?
° What are its different forms?
n What have been the experiences of decentralisation?
D What are the conditions under which decentralisation may achieve its
objectives?
3
©ommwmfty 5mivoDvemfii©m)R m h®aDtih
Discuss the importance of ‘real’ community involvement in health in terms
of spectrum of activities with at least three major dimensions:
o 'participation' of communities or their representatives in various
aspects of implementation, say in the form of community health
workers or community initiatives for sanitation and hygiene.
o The second is actual involvement of communities in planning and
decision-making about local health facilitites and activities.
o The third is active initiatives by the community to monitor and demand
services or conditions as a Right.
4
Abhay Shukla to draft
It would be appropriate to also distinguish between token / purely local
involvement, versus multi-level and genuine involvement with power to
influence policy and allocation of funds.
The effe sft ©if ©©m[p@ftDfti;©oD amid] privaMsaftioiro ©on echoes &imid valteo
The deterioration of professional ethics - effect of the commercial and
market paradigm within health care systems.
Need case studies
Lucy Gilson has agreed
to draft
Secretariat to put out a
Need illustration of why values, professional standards and ethics are
important for guiding not just good quality care, but also efficient and costeffective care. These are undermined by: perverse market influences and
competition; as well as by various behaviours in the public sector which
will be discussed in next section. For example, low salaries and morale
affect public sector behaviour.
call for case studies
The role of the new public management and PPPs - what is good and bad
about them. How the way they function is largely determined by the
culture and values of health care systems, as well as by management
capacity.
Public vs, private provision
Om)tediLfl©RD©HD
o
o
o
□
o
o
o
Tax based and social insurance systems often have different
proportions of public and private provision
Within tax based systems there are differences between the
provision of services paid for by the public sector and delivered by
public and private providers
The role of private providers within tax based public health
systems is increasing in many countries
In social insurance systems, one or more social insurance funds,
funded by contributions from employers and employees, pay for
care delivered by public and in some cases private providers
A separate private healthcare sector often exists alongside a
social insurance system and tax based system
Regional differences in the balance of these arrangements
Increased role of non- profit, mutual, and faith -based providers
There are changes taking place in the balance of public and private
provision of healthcare services which have the potential to affect equity of
access to healthcare. The nature of these changes needs to be
understood in order to access their impact in the future. The evidence
base for an increased role for the private sector in public provision is
limited.
Case studies of what can be done to improve
public sector performance?
Jane Lethbridge to draft
2,000 words on
comparison between
public and private
provision
Case study from
Malaysia
Changes in pimbllic (provision
Corporatisation of hospitals
o Use of business principles to healthcare management
o Introduction of user fees
o Private patients units in public hospitals
o Contracting out of sen/ices
o Changes in health worker terms and conditions
Contracting out of services
o Cleaning, catering and facilities management
o High technology diagnosis and treatment
o Clinical sen/ices
o Mental health and older care
o Hospital management
o Implications for provision
Public-private partnerships (PPPs)
o Contracts for new building/ re-building of public hospitals
o Long-terrn contracts given to private contractors for both building
and managemerit of public hospitals
o Implications for long term public provision
o Case studies - Spain and Portugal
Changes m private provision
Multilateral agency policies
o Promotion of private healthcare for middle classes
o Public healthcare for low income groups
o Implications for universal provision and shared risk within
healthcare systems
o Healthcare investment strategies of IFC for private provision
Multinational healthcare > companies (MNCs)
o Regional differences in strategies
o Europe - some csrnpanies working with public health
commissioners t > deliver services
o Asia - companies see health insurance systems key to MNC
o
o
o
o
expansion
Latin America - involved in privatisation of social insurance
Africa - expansion limited
Relationships with local private healthcare providers
Growing role of non-profit, mutual and faithbased providers
Sirengthemirog te [pylbfc sector
Public sector provision
o Universal services and shared risks - major strength
o Problems of under-funding
o Need to promote positive dimensions of public services
o Address ways of changing perceived limitations
Role of health workers
o Health sector reform often ignored the key role of health workers
o Importance of involving health workers in changes in service
provision
o Examples of successful strengthening of public sector provision
Role of health services users
o Participation within healthcare sector
o Need for information
o Critique of choice
o Importance of joint users- health worker action
Comcflusiom
o
o
o
o
6
Nature of public and private provision changing in many countries
Implications for equity of access, shared risks and continued
universal coverage
Increased role of private providers within public healthcare
pre -vision significant in short and long term
Ways of strengthening the public sector
Uimderffundmg amd miser
Discuss the promotion of user fees as a function of under-funding.
Discuss mechanisms for financing that are fairer [tax, prepayment in
various forms etc]
1
Cost-effectiveness aodl priorities:
o
o
o
o
o
Evidence on the effect of user fees in poor,
under-resourced countries, as well as in
middle and upper income countries.
Need someone who can
take issue of user fees
on.
Should we include the use of PFIs as another
‘dangerous’ mechanism for ths funding of
public health care systems.
Alysson Pollock
approached
Explore use of TEHIP case study?
Malcolm to draft
©r mteirventions?
resources are limited; health services can't do everything that
would do some good, so we must prioritise; do we prioritise
people or inten/entions, or both?
health workers now accept that treatments should give value for
money, ie, be cost effective (productive efficiency)
following SPHC and GOBI, in 1930s WB and WHO promoted
'packages' of essential low cost interventions, based on disease
prevalence and league tables of cost per DALY, that alone would
qualify for public funding; social distribution was not built into the
method and the fact that the interventions benefited the poor was
fortuitous and extraneous to the selection; poverty was relevant
only to who would pay; exclusions were irrespective of
seriousness of conditions (eg childhood meningitis, severe
trauma), availability of treatment at moderate cost (eg cataract
surgery, hernia repair) and economic impact of illness on
breadwinners; the purpose was to maximise aggregate population
health gain irrespective of who gained (allocative efficiency)',
WB/WHO applied the principles of cost utility, although they used
the term cost effectiveness in a generic way without making the
distinction
in an egalitarian approach, inter-pers >nal and inter-group
resource allocation would not be based on efficiency but on
fairness, prioritising those with greater health care needs,
ultimately to achieve equity of health outcome (and arguably of
health related wellbeing outcome); cc st effective treatments would
be used, but special consideration cculd be given to acute life
threatening conditions ('rule of rescue'); rationing would often be
by resource dilution rather than absolute denial
prioritisation docs not lend itself to a technical fix based on
efficiency formulae; it is a complex political/ethical process
involving pragmatic mixes of need and efficiency criteria; this is
the approach in most places including Oregon and the NHS
(NICE); funding decisions should transparent and arguments
reasoned ('accountability for reasonableness').
In addition to these key issues about the relationship between CE and
equity, CE also reinforces the selective PHC approach, ‘magic bullets’ and
veriicalisation - the points that are raised in earlier sections of this outline
of topics.
8
Decisioro-msikiinigj power: roafcoDaO vs StmtemaRbimsiD
WHR 2000 talked about emphasising the role of national stewardship
(steering the boat, not rowing it). The truth is that in many countries the
governments are dis-empowered from even being able to do this. This is
due to their weak position in the global(ised) economy and unipolar world,
especially following the crisis of the 1980s (debt etc). Health sector
decision making power lies heavily with international donor agencies,
especially for SSA countries. This is accentuated by effect of
uncoordinated donors and global initiatives as well as the continued power
of creditors to determine the basic policy framework. Although there have
been some improvements in terms of changes from an emphasis on
project compliance to budget support; but this has also been undermined
by the proliferation of JPPIs and vertical initiatives - this represents a
recent and new paradigm at the global level. Another influence is the
setting of international and global targets - e.g. MDGs, the more specific
HIV/AIDS, TB and malaria.targets of the G8 Okinawa summit of 2000.
Need to discuss the powerful and influencetial bio-medical industry /
medical-technology - these groups can have a vested interest in pushing
the biomedical approach to health care as well as promoting segmented,
and unequal health care markets. The rich, with their economic capacity
and the allure of advances in medical science, want to be unencumbered
from an inclusive but resource-constrained, public health system that is
constrained by the need to deal with the more ‘basic’ and public health
priorities of the poor.
Need short empirical examples of the
environment within which some countries are
operating.
Need to identify
someone who can do an
initial draft.
Need an overview on SWAPs - including a
description of what it is, where it has worked;
where it hasn’t worked and why
[Possibly Enrico
Pavangnani. He'san
Italian living in Maputo
who's written a lot about
this. Gill has his email.]
Case studies of the policy and political
influence of the private medical sector and
the medical-technology complex - including
American HMOs; health tourism; etc.
WB amfl Win!©
The Global Health Watch will only fulfil its aim if it is also able to offer a critique of current policies and proposals to improve global health. There are a number
of policy documents and proposals that may need specific analysis - these can be drawn upon in the writing of the chapter, but could also be short, stand
alone documents that we have on the GHW website. A list of documents and proposals include:
o
o
WHR 2000 and 2004 (Dave Me to do this)
WDR 2004 and recent document on Rising to the Challenges (Mike Rowson will do this)
Page 1 of 1
ecreta riat
cPHM-S
:rr~~.~
From:
To:
Cc:
Sent:
Attach:
Subject:
"David McCoy” <davidmccoy@xyx.demon.co.uk>
"Mike Rowson" <mikerowson@medactorg>; "Malcolm Segall" <M.Segall@ids.ac.uk>; "Lucy
Gilson" <lucy.gi!son@.nhls.ac.za>; "Jane Lethbridge" <j.lethbridge@gre.ac.uk>; "Eileen O'Keefe"
<e.okeefe@ucl.ac.uk>; "David Sanders" <lmartin@uwc ac.za>; "Abhay"
<abaysema@pn3.vsnl.netin>; "Andrew Green" <a.t.green@leeds.ac.uk>; "Charles Collins"
<charles.collins43@htlworld.com>
"Regina Keith" <r.keith@scfuk.org.uk>; "Patricia Morton" <patriciamorton@medact.org>;
"Armando De Negri Filho" <armandon@portoweb.com.br>; "Chan Chee-khoon"
<chan__chee_khoon@hotmail.comi>; "Ravi Narayan" <secretariat@phmovement.org>; "Gill Walt"
<Gill.Walt@lshtrn.ac.uk>
Thursday, August 26, 2004 2:10 AM
31 chapter-notes august 25.doc
Global Health Watch
Dear friends
I am sending an updated version of the Bl chapter notes. It includes some
updates on agreements from various people about writing some case studies as
accompaniments to the chapter.
It also includes some additional comments from Malcolm, particularly the
secion on privatisation (Jane) and community involvement in health (Abhay) these are tracked in blue in the document
Many thanks again for all your willingness to contribute to this chapter.
Kind regards
Dave
8 26 04
fclJWTd ~©F B1! ©tapW
"hese notes follow a meeting with a number of health researchers and activists h London.
Malcolm Segal! from the institute of Development Studies, University of Sussex has agreed to help
bring the chapter together. However, this would be done on the basis of inputs from various other
people who are up or. the more recent literature related to the topics of the chapter and who are able
to submit perspectives from their particular regions and countries. This will ensure that the chapter is
rigorous and backed up with recent knowledge and empirical evidence.
it should a':o be noted that this chapter is about building a moral and normative argument, based on
values arc' a vision of social justice. There are issues of choice involved in determining the way health
care systems are organised and financed. The chapter will need to reflect these principles and views
whilst providing the evidence and argument for 'why the neo-liberal market agenda and the selective
PHC agenda is harmful to poor people and countries, and to equity.
A precess of producing policy recommendations will be set up to run in parallel to the writing of the
chaursr. In a sense the chapter will benefit from an early discussion as to what we want to propose as
-.••mendations in specific and concrete terms, and what the on-going advocacy strategy for CSOs
ar./ NGOs shouid be.
T^coim proposed that inputs to the chapter be structured along 7 ‘topics’. This is a departure from the
c ructure o'.the earlier brief. However, the issues covered under the seven topics listed below cover ah
the key issues identified in the earlier B' brief, it is likeiy that the final structure or the chapter will
change as if. is being written. Many of these seven topics are not separate and discrete, but are inter
related.
The following table describes each of these 7 topics and includes an indication of where we need
contributions from others. The plan is that Malcolm will use these contributions to weave together a
chapter ^nd October - Tovember. in addition, these contributions, where appropriate, would also be
-ss rX
*m-alonc
-hr-inc;onu :hnt ws wifi make available on the web.
'would give tn • .. ^nth of December, for a review of a complete first draft of the chapter.
kee
. ■
mbec ning □ ong the drafting of sections and case studies
w.L.hsve to be abstemious zrti streamlined without too mc;:y academic caveats. ‘Case studies' in the
riw/ailve are likely tc have only one or two sentences (eg “for example in Zambia.
followed by a
j.yjrce reference plus/minus c reference to a text box cr a box on the weosite.
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Oavid Sanders to draft
1,500 -2000 word
overview. Gil! Walt to
review and comment
upon
j
I
China case study
(Malcolm to find
comeono)
’ idic ce >e study (Ravi)
UK case study (Ei’s-sn
O’Keefe)
Case study from
Ecuador (Jairnie Breilh)
Eastern Europe case
study (Martin McKee)
Secretariat and GHW
CC to put out a call for
other case studies.
Overview of situation in
Latin America
(Armando)
i
si .■■■ . .
j
...A. •*
!
■
.
Sox on the problem of
health in the Middle East
base d on recent article
by Jabbour and others
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•z'.ot'jr reform on.equity; sagmeniaiicZ znd
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in the rote f thes .• ;
o oyerview from Latin America ]
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Andrew Green and
Charles. Collins to draft
2,0G0 wards (they
already drafted a ^X)0
word, outline).
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involvenr.nt in ho^lth in terms
v/iS'! ?.t
iji ^s m<<ucr dim-jnsiont:
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-z
>'rf >-
nt ives in various
;; ;y in tee term of community heaiih
.wor-xors or community hiHatives te>; saniteiioh and hygiene.
/ho secersd <£ &cte#Hnyclvemsnt qi' communities In planning and
■:. .
local healthifacilitites;.nd activities.
<••-•,G-vpjfr.t'.- i'j monitored ctomrmd
'
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-.jr^Gd/Ltingufci! 7<.hvc- n
- / purely hco
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./c\-'hi?\(d r.r.d g^rji'inG- invol 'ornGi? -vith pco/erto
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; Abhay Shukia to draft
I I
■ il?
has sgrj
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•
' ..! < to put OU
I Cr.'-ij fez case
*
stochooj
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>nlis largely
.
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systems, js
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; oompi? ison
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’ Case, r.tudy from
I Malaysia
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••
1
is/:
:
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ic
the fHedfC&j .r.'
. 'Ji
J
•
•
; [Possibly Enrico ■ «• .••
I Pav^ngnsni. He’sen;
I stalian. living in Maputo
who's ‘written a lot about
this. Gill has his email.1
'
. <.
’-
:
i
I :
. ■. ■. j
; -^eeddo identify
i
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cc-.c'j'»:;c r: coj.j-7.3J
: ■
■ ■
6.?. '• j•GF'-’
■‘Uhcaordinated-donoiec-'jrid global infteiives as well as th? continued power
■ of creditors, to dot-irrnine• ths .basic policy framework. Ab hough there have
.. r- beesn^meiirnproven i^-o -jn terms of changoo from an emphasis on
:!7';7 7.
■7\t??;
': orn , . :.’ I
> conom}
yily' rithlih'd 1’3® =g
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■•’■
■ '
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usl ing *
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i?.\ privc-io medical SSCtOii
hn I gy c n ; lex ■ inciuIn .
iith tourism; etc. i
Paoe 1 of 1
.
From:
7 o:
Sent:
Subject:
......
.
- Rowalp@who. int>
<patricia morton@medact. org>
secretariat^
smentc
-kcatzs i yho.i it
rj la b@w >.int ;
<david. mccoy@lshim. ac uk- <mikerowson@medact.org>
sday, September 29 2004 2:17 PM
RE' meeting with CE*
Dear Patricia,
Thanks for the feedback and encouragement HI try co meet with Alison +/- Eugenio over the next few days to
discuss dmeiines and drafts, i think its possiole, but wiii get more to you by early next week. I'll try to get you a
one-pager, plus detailed outline by early next week.
I can think of a few echo a gees, Mined Kumar Karen Peachey, Mandy Heslopi Monica Ferreira, Martha Pelaez,
who mignt ?. .' c-
to .3. :ow.
9 3^
F rom:
To:
Cc:
Sent:
Subject:
<kowalp@who.int>
<mikerowson@medact.org>; <patriciamorton@medact.org>, <david.mccoy@lshtm.ac.uk>
<secretariat@phmovernent.org>: <katza@.who.int>; <villare@who.int>
Monday, September 27, 2004 8:56 PM
RE: meeting with CETiM
Dear D--. e, Pat and Mike,
;’d very much iike to contribute a chapter on ageing, older adults and well-being to the GHW. Or course, you must
/.now that tnis will be in my independent capacity. Ravi had suggested that I first check with you ail. is anyone
else working on this issue within the PHM - or do you know colleagues in PHM who would be interested in coauthoring/contributing?
Best Paul
From: PHM-Secretariai [mail to:secretariat@phmovement.org]
Sent: 17 August 2004 13:14
To: kowaip
Subject: Fw: meeting with CETIM
Page 1 of i
PHM-Secretanat
From:
To:
Sent:
Subject:
"Antoinette Ntuli" <ant@hea!thlink.org.za>
<ghw@hst.org.za>
Monday, August 30, 2004 3:05 PM
RE: [ghw] Call for Abstracts for 2005 Health andHuman R ightsCon ference
Dear AU,
Its great dial Maria will be going and able to present a paper on
GHW. In response to Paula's question - my discussions with Tim
were around a workshop - die third day of the meeting is set aside
for workshops - and 1 dunk it would be better for die GHW paper to
be presented as part of die programme of die first two days,
although the GEGA workshop could certainly be an opportunity to
also publicise GHW.
Antoinette
> That would be great to have someone central!}' involved in GHW give a =
> talk there. Antoinette recently negotiated uiith the conference =
> organizers tor a session on the intersection of health equity and
> human = rights, that would include a paper by me and 2 additional
> presentations = ('from 2 people) from GEGA. I don't know if you would
- like io submit a = paper on GHW to be part of that session, or if you
> would prefer to = submit it as a free-standing presentation that could
> go into anyone of = a number of other sessions. =20 Antoinette, do
> you have an instinct for what would be best, based on = your
- conversation with Tim Hollz° =-20 --Paula
FHM-Secretariat
W-Sec??:a:
cecre^r ai.2phrnovernent.org>
J....C ■.'c2c . -aav!;.r;'_:coy.a,xyx.demon.co.uk-. "mikerowson" < mike fowson@r nedaci.org>:
<-cnaid aconte@usaskca>. <oatr?ciamorton@medact.org>
Sent:
Tuescay October 05, 2004 2:52 PM
?ub’“ ? Se-rmt Gbcb7*' Health Watch
r:c.T.:
. c:
. -
..
.....
.
:r.: midi of 15;'! September. Just came across it in a pile marked 'Mexico Summit .
h c:0. I
ico S
i
k on
j
GHW i
I )a\ k1 Sanc............................................................. ifi ull«ih, 1 i<adin s
>. Perhaps Amit <
> ntial contribi
■
xn
i
icn ii he Nm ; iber meeting in L<ondo i
end
st note on tl
initi
io are evolving
uivre i< a complemented
end *ome unavoidable overlap. Have reciuested her to keep you ad m me
loop.
.
./.w o-cobc chunk Bl and 32. should we plan the discus.>ion hi January before the IMF 4 as
. [
e
v
.
ii had a
< . '
the )
ates are 13 ■ 15^ Janu uy?
— '•/r,’ for furcs. so \y-* reed to start planning it fair-y scon.
Wishes
Ra\i
< '■'.('•rd ■
.>7'.
ecret
-359 (Old No. 3d7), Srinivasa Nd ay a.
Jakkasandra
Mam. ist Block
7 '0m:
7o:
Cc:
Sent:
Subject:
”D•/ id McCoy" <davidmccoy@>: ■. >:. demon, co. uk>
"PHM-Secretariat" <secretariat@phmovement.org>
’Mike Rcwson" <mikerowson@medact.org>; ‘Patricia Morton" <patriciamorton@medact.org>;
‘Ron Labonte" -ronaid.labonte@usasK.ca>
Wednesday, September 15, 2004 2:55 AM
RE: Mexico Summit - Globa! Health Watch
hapc in the sense that chapters arc being drafted and progress has been made in terms of the
? the analysis Mike. ?-.t and I are now apply ing our minds io the drafting of the strategy and
tl
■■
We are planning to do this in two chunks?.
:i Jerms of the broader political econon.y cC: ing ?.t who: emerges mainly from tlic politics and economics chapter, the food chapter
e water chapter, a? well as from ■.•omc 'ftlie in-'itn’;; mi! case studies T:; lota!, there will be ten pieces to draw on.
in rights position uflir
mu., pon;
JWjAw: . i
diall iiV^TiV
un debt relict (aim, Jiiib
■sec.ion uii .oiIg Bink and iMI'
pre
o. Bilateral and multilateral aid thov.ard molk: - icaki, of aid)
~. Section aimed at describing the meaning of nCk iibcmhsm
S. Section on global corporate tax (Preni Sikka and Richard Murray - Tax Justice Network)
9. Food and nutrition ciiapter (fir.-M draft complete: -cco.id draft nearly ready for circulation)
io Water chapter (MSP)
■' c cfe Mlimriin
*’ a ‘■‘•oil meeting in
?t‘r,c do
Thematically we will be addressing issues such as
w or1' (in tiierci
•lions / strategy emanating from this body
- Globa! governance
- Reform of Bretton Woods Institutions
- Mechanisms for Resource Transfers from Nerth to South Rich to Poor
- Rolling back ncoliberalisn
- Fair Trade
- Democratising natural resource o-.v nership am! control
- Debt relief
-ODA
; : second chimk wi'! be to look more ;-pecifically ai rcceomniendationi did the >_ivil society strategy ‘b’. health care ?ys cn?
•cus on the Bl and B2 chapter, as well ,.s the critique of the WB and WHO. This will probably be done in December Januai
Pr;rt of the rea- on for planning to do the fifst chunk of work tn Sowmber is because Ron t.;-l
Me;!.v. and there may be an opportunity to ha'. •: <ome PHM d'scusinni ubviit the GHW rec-
V c should also discuss hov, we coordinate and
lie: gist v. uh the parallel efforts of Claudio.
-Secretariat
worn:
. p:
Sent:
’/c-tc.'. <pai7-Cis;.’.or:o:’.@.i'leQ,actorg>
GHvVmaNng list <ghw@nstorg.za>
Fnday October 08: 2004 8:52 PM
Attach:
•->—• < ' ~
roint c?i} revised dec
ihw] Global Health
t
-update
nas oeen a busy couple of montns. Here is a bit of an update of our activities:
\ 0 ? rt?r D -afts
We s’e ste?di\. rece ing copter drafts and vill continue to do so over this month. Chapters Bl (Health Systems
at promol
:
. .
. (Responding to the Comi
es
3) will be sent to you all fo
■ ent the
erst
nterest
eviewin jlease etme know.
2. Website:
nq /-.» *•- Hp ■ -
,j
picij. 3Siii.ivi’y:aSj
■c. Cc.ss
Tl C]
->r-U j-ov?®'c,
ths
US
cissays:
.
...
...... l
.
Secretariat i attacn ii for /our distribution
jo.nuy win tr.a
••’. Last chaster: Recommendations and Ctrntnpins for Action
'
'
'
First’
second I*)
2
.....
g
u; ris, C;. &.A. SIP' Z.G i '■-! J . j. .. y'Ol.'
•/.i.. C-c . .3< c ci u -i
the Mexico S
(th
.c
P _ .■ _... i3
t (Global Forum fo
x>rtunist c meeting as
.< ictic’ pldCOS 8i LI •’& L.l i'.c of I- lOSfe I
pjease contact me it would be good to nave -jou a;ong
• ,, - ,o -■. . - -
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Sc-re counts chai emerge-.: -rom Wat
.. .. .
.....
This IS
t very well, they are very
at
roncern the
r-g
............................
.
PH
.
...
about translation of GHVV nhaprerc- or shcrrenec/popular versions of the chapters as they will NOT be able
to be used if they are not in Spanish1!
*
roec^r; cpmd
• - •.
o q’scussjoh ‘*/e had -P Durban fbv ^bhay and
*
drorre.r
s that could co
a c t of
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hing
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cart ?' ihe process of d i e second People's Health Assembly and the Global Health
Watch
About us
The People’s Health Assembly II (PHA2) is a mobilisation process a
Wnrie's Health 'kvernc^t 't nmmotes pi'blic participation around health issues and
supports grass-roots struggles for the attainment of ’health for an
cover I
.
alate
sues the
civil
The PHA2 aims to
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and the rest of the '.vend
OBJECTIVES OF PHA II
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•- :d the ?■-cole's Health Mc • err?nt ?s a network chat
f the original spirit and principles of Health for All.
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= concerted c
3 the Right :
is a fundamental Hume
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. c.i■.o ct more proactive res<scance co au C;.i_ forces diac
oppose and Vio.ate cne naix to health of die people-many of them enshrined in
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*'o share experiences end practices useful for the umversal'zedon of our struggle
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health care delivery systems.
The Global Health Watch (GHW) is an initiative aimea mobilising civii society
around an alternative Wof;d Heaitr Rc-pori. “he CrW will support c;vil society to
more eHc.c
*?.
?■/ campaign and Hhby Fn- ‘health for all' and eouitehle ??oess to health
care Tne first repon to oe laun ined in uuiv 2005 at the PHa2, Will proviae a platform
for academics, activists and r.on-govemment organisations to
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alternativestoma
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to health and heaith care
See vyy/vv cnwatcn.org for more information
How can you participate?
an
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country or region-specific case studies ana testimonies These case studies will
contribute to p.; process of tne PHA2; for country and regional pre-Assembly
ac-:!'.’’ir!es and tor -oe Assernbitself and the GHW. as oart of the electronicaccompaniment to tne report
We are looking for case studies that show exampies of
effective, efficient and inclusive public health care systems
to secure improved and equable access to health care
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.
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necatr/e effects or’commerce !is(=d health care on professional ethics
the effects 0 nealth professionals migration from low/middle income countries to
high income countries
good -end b-d •'vncess^s of hcC'h sector decentralisation
posiu/c j
.^ga.Ac ofioact ci biia^ral aria muiu-iaiera. donors on puidic health
stewardship and on the performance of health care systems
positive ano negative impact of international agencies such as the World Bank.
traditional b.lateral donors, 3AVi and the Global Fund
civil sc 'if ty res s n e 1 prh <ati$ ■itior c
blic i
nation ar d h al i c an
environineihai uestruct-on and tne effect on health
food sovereignty issues and genetic?'■/ modified organisms and the effect on
health
Free Trade Agreements and their effect on health
r-egra'inn o-f
medWns mid indigenous practices in?? pub'io
health systems
-
the impact of multi-national corporations on health po’icy
/Vote d/ese a/e examp/es c;//y
relate^ topics
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-
Please subrn't your contrirr gions to ghwtmmedact org
phs, artwork, handcrafts, posters, rituals, music
Please submit your contributions to
Facultad de Ciencias Medicas de Cuenca
Av 12 de Abril junto a! Hospital Vicente Corral Moscoso
Telefax: 593-7-2841865 and 593-7-2881406
E-mail &ha2@phrnc fl
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English lai • a •
E-maB ^samb!ea05@yahoo com Spanish language
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Page 1
©taster
We have had a Peoples Health Assembly and we have a Peoples Health Charier- we now need a
people's health report to support civil society’s challenge to the on-going failure to prevent the millions
of a voidable and premature adult and childhood deaths that occur each year, in the presence of great
economic wealth and affordable interventions.
NGO delegate at the World Health Assembly 2003
The Global Health Watch emanates from one of the largest ever civil society mobilisations in health.
its roots are in the influential and lasting campaigns of the 1970s and 1980s when activists from
across the world challenged the global health divide, formulated practical proposals for change and
influenced the content of the ground-breaking 1978 Alma Ata Declaration. Community-based health
care; the essential drugs list and controls on the marketing of infant formula are just some of the
results of this advocacy, which has changed the lives of millions of people.
During the 1990s, many activists came together again to take up more of the continually emerging
challenges in global health - and to tackle some of the most intransigent, like poverty and inequality. A
People’s Health Assembly held in Saver, Bangladesh in December 2000, was the first step towards
launching a global social movement to attain the bold aim written into the Constitution of the World
.'earth Organisation (WHO): that “the enjoyment of the highest attainable standard of health is one of
the fundamenta: rights of every human being without distinction of race, religion, political belief,
economic or social condition”.
1,400 people from 90 nations attended the Assembly and agreed to a People’s Health Charter. The
Charter is a caii for action on the root causes of ill-health and the jack of access to essential health
care (see box for principles and main headings), and it set the agenda for the People’s Health
Movement which emerged after the Assembly.
This first edition of the Globa. Health Watch takes the Charter’s call for action and suggests ways in
which the global movement of people concerned with health can take its principles forward, in the
process, it has brought together health activists, health professionals and academics from around the
world to formulate an alternative world health report. It is aimed primarily at the large global health
workforce who represent an important sub-section of civil society, and who have a standing in society
t?-.-at enables them to be influential in promoting action on global health.
Some have suggested that we already have enough world health and development reports. There is,
for example, the World Health Report produced annually by the WHO; the Human Development
Report produced by the United Nations Development Programme; the annua AIDS report produced
Draft and not to be quoted
10/27/04
by UNADS; the State of the World’s Children produced by UNICEF; and the World Development
Report of the World Bank. The following paragraphs explain what makes the Global Health Watch
different and why health workers from all parts of the world have expressed a need for such a report.
7ih® P&.WHgs of
The presence of widespread poverty, hunger and ill-health in the midst of so much wealth, food and
technological capability implies that we tolerate the former by choice. Alternative social and economic
arrangements at a national and global level could change this stark situation.
The GHW therefore sets out an explicitly political critique of the
state of global health. There is nothing new in this - public
health has been recognised as a political concern for many
years, a point captured in a statement made by Rudolf
Virchow, the famous nineteenth century German pathologist,
who explained that “medicine is a social science, and politics is
nothing more than medicine practiced on a larger stage".
UNICEF’s conceptual model for explaining child morbidity and
10 million children die each year,
most of them, because of starvation
and malnutrition This number of
deaths is equivalent to 25 Hiroshima
bombs exploding every year, but
without producing a sound. These
deaths are so much a part of
everyday reality that they do not
appear on the front page, or any other
page, of any prominent newspaper in
Europe or the United States.
Meanwhile, every two seconds, a
child dies of hunger.
mortality refers to the political, social and economic systems that determine how resources are used
and controlled to determine the number and distribution of children with insufficient access to food,
child care, water, sanitation and health services (Figure 1).
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Draft and not to be quoted
10/27/04
Page 3
“he UXICE” .model ;s applicable to other aspects of health (e.g. AIDS and maternal health) and echos
. e analytical approach used by the GHW to highlight how the distribution of power, political influence
and economic resources shapes the pattern of health globally.
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ss si
h&sM Sssime
Poverty is the biggest epidemic the global public health community faces. It underlies most cases of
under-nutrition, fuels the spread of many diseases and deepens
vulnerability to the effects of illness and trauma. Poor countries
are also unable to adequately resource their health and social
WHO’s definition of health is "a state
of complete physical, mental and
social well-being, and not merely the
services, resulting in a poverty of health systems that compounds
absence of disease or infirmity”.
poverty at the household and community level
"he challenge of improving global health is therefore inextricably linked to the challenge of addressing
widespread poverty. Highlighting poverty is also important in light of the fact that that the breadth and
depth of global poverty is being underestimated by international agencies, based on flawed methods
used by the World Bank (add box to show and explain different estimates). Over the last twenty years
■he numbers of poor people living on under US$2 per day have actually risen by 285.6 million or
nearly 12%, to 2.7 billion (Pogge 2004).
However, even by the flawed measures of the World Bank, the extent of poverty demands that we
make it a centre-piece of cur health programmes and health policy analysis, that we understand the
causes of poverty and engage with the political and economic reforms required to abolish it.
Health workers also have a role to engage with the health effects of illiteracy; the lack of access to
water and sanitation; hunger and food insecurity; the degradation of the environment; and militarism
and conflict. These public health issues highlight the common challenges shared by health workers,
teachers, engineers, geographers and biologists, amongst other professional groups, in fulfilling the
universal right to health and dignity. The GHW aims to promote health as a theme that can bring
together different sectors of progressive civil society around a common agenda for human
development and social justice.
An analysis of poverty must be accompanied by an analysis of inequality. While severe poverty may
not be new in human history, the coincidence of widespread poverty (embracing over 2 billion people)
with considerable wealth (which is no longer limited to a relatively small elite but to hundreds of
rrll’cns of people) is new. Inequality has reached staggering proportions.
The Income gap between the fifth of the world's people living in the richest countries and the fifth of
. e poorest was 74 to 1 in 1997, up from 60 to 1 in 1990, 30 to 1 in 1960 and 11 to 1 in 1913. . oday,
quotcG
Page 4
10/27/04
the top qji’Te of human beings have around 90% of global income and the bottom quintile about a
? :rd of 1%, which puts the global quintile income inequality ratio at about 270.1
.-Though inequality is commonly describee in terms of differences between rich and poor countries,
20% of ths richest persons in the world come from developing countries. Similarly, poverty and
widening disparities are not confined to poor countries. While there is a divide between rich and poor
countries, there is also a divide between the rich and poor sections of giobs; society that must be
uncerstood.2
The coincidence of wealth and widespread, severe poverty suggests that the latter can be avoided, in
■act, the cost of achieving and maintaining universal access to basic education, basic health care,
adequate food and safe water and sanitation for all has been estimated to be less than 4% of the
combined wealth of the 225 richest people in the world (HDR 1998, p 30). And in many countries in
which hunger and malnutrition is prevalent, there is enough productive land to feed their populations
many times over.
An ‘equity lens’ is therefore important because it helps to unmask the way in which political and
economic institutions are shaped in ways that reinforce unfair advantage and widen socio-economic
disparities, international trade rules and regulations are stacked in favour of rich countries and multi
national corporations; and debt cancellation is stacked in favour of the creditors rather than the
citizens of poor countries who played no part in the creation of bad debt. The conditionalities imposed
upon poor governments by the Word Bank (WB) and International Monetary Fund (IMF) are in
remselves undemocratic and influence policy in ways that harm the poor. Such conditionalities have
included the harmful imposition of neoliberal structural adjustment programmes, the privatisation of
public assets and the undermining of public education and health care systems. The effect has been
to create a dynamic of widening disparities whilst eroding social safety nets (see www.ghwatch//
for a more briefing on the meaning and history of explanation of ‘neoliberalism).
Otter., however, the plight of the poor and of poor countries are put down to spurious reasons, such as
natural disasters, misfortune, laziness or corrupt and incompetent governance. While public sector
mismanagement and corruption should not be swept under the carpet, it is too often used as a
convenient explanation to deflect attention away from how the global political and economic order
sustains both corruption and widespread poverty.
Global inequality is even greater in regard to property and wealth. The world’s 200 richest people more than
doubled their net worth in the four years to 1998, to more than $1 trillion. The assets of the top three billionaires
are mere than the combined GNP of all least developed countries and their 600 million people (HDR 1999).
2 Take the huge quantities of natural resources imported from poor countries and consumed largely in rich
countries, if we strip this transaction to its bare essentials, it involves the entitlement of a relatively small global
elite (multinational corporations, the citizens of rich countries and the holders of political and economic power in
t‘s poor but resource-rich developing countries) and the dispossession of millions of people who are poor.
□ raft and not to be quoted
Page 5
10/27/04
"he GHW therefore emphasises not just poverty, but an analysis of the relationship between poverty,
~fca;th and the distribution of resources and decision-making power. ]n this way, the characterisation
of me relationship between the rich and the poor in terms of ‘aid’, 'development assistance’,
'humanitarian relief
*
and ‘charity’ is re-examined in terms of unfair structural inequalities. Health
professionals can play a part in generating the decisions that will lead to a distribution of wealth and
that will allow all people to attain their basic human rights, and all children to be given a more equal
start in life.
Article 25.1 of the Universal Declaration of Human Rights states that “everyone has the right to a
standard of living adequate for the health of himself and of his family, including food, clothing, housing
and medical care and necessary social services”. Article 12.1 of the International Covenant on
Economic, Social and Cultural Rights recognises the "right of everyone to the enjoyment of the highest
attainable standard of physical and mental health”.
Such declarations are important in reminding us that human rights encompass more than first-order
political and civil liberty human rights, but also incorporate social, economic and cultural rights.
Universal human rights are not limited to a vote, free speech and freedom from oppression, but also
include a right to household food security, access to essentia! health care and the other requirements
for human dignity. While this is not contested and is frequently mentioned in various UN reports, an
aim of the GHW is to examine the causes for the non-fulfilment of rights and the question of
responsibility for the fulfilment of human rights.
Often, human rights discourse :s centred on the duties of states and governments. Violations
committed against people by governments, under the guise of officialdom and the iaw, or with the
complicity of the state, are quickly condemned because they not only deprive people of the objects of
their rights (e.g. food and essential health care), but also attack and subvert the very notion of rights
and justice.
"here is also an acceptance that governments are in breach of their duty if they fail to reasonably
ensure the progressive realisation of human rights through the use of resources under their control cr
by failing to implement enabling policies. Governments that allow, for example, corruption and fraud or
inappropriate public expenditure on armaments when large sections of the population iack access to
the basic means of survival and dignity, are committing human rights violations.
Governments are therefore important and citizens must hold them to account. The GHW documents
numerous examples of civil society holding their governments to account for their actions.
However, a moral conception of human rights dictates that our social, political and economic
institutions must also be held to account. This is enshrined in Article 28 of the UDHR, which states that
raft and not to be quoted
Page 6
10/27/04
“everyone is entitled to a sociai and international order in which the rights and freedoms set forth in
Declaration can be fully realized". In other words, social, economic and political arrangements that
keep people living below the poverty line when there are reasonable alternative arrangements that
would lift people cut of poverty, are violating human rights. The right to live in a sociai institutional
order that promotes and maximises the fulfilment of human rights raises obligations on governments
as we// as upon citizens and non-government actors and institutions to design the basic rules of
society in such a way that, at the very least, they cause no harm and deny people of their basic rights.3
Given the trans-national causa! pathways that lead to poverty and ill-health, governments, corporate
actors and civil society (especially those belonging to the rich and powerful countries of the world)
have global duties and responsibilities towards the fulfilment of universal human rights. At present, the
emphasis in human rights discourse is heavily slanted towards the duties of national governments
towards their own citizens.
Trans-national responsibilities for the fulfilment of human rights tend to be limited to avoiding or
preventing direct violations of the civil liberties of citizens of another country, or merely invoke a weak
humanitarian response to help out with aid and other forms of assistance. Economic cooperation with
corrupt and undemocratic governments is rarely considered a human rights transgression; neither is
the sale of military equipment to repressive regimes, nor the maintenance of trade rules that
perpetuate or even deepen severe poverty.
L? summary, the GHW defines a human rights perspective that emphasises universal social and
economic rights; stresses the responsibility of civil society to shape national and global political, social
and economic institutions, in both the public and private sector, so that they optimise progression
towards the fulfilment of rights; and calls for the same standards to be applied globally as is done
domestically. For a more detailed argument of this human rights position see www.ghwatch.//....
h light of the evidence that the social, political and economic arrangements are failing to adequately
address the current state of ill-health, poverty and inequity, we need a stronger mobilisation of civil
society committed to the fulfilment of human rights. A unique feature of the Global Health Watch is that
it is explicitly linked to many civil society struggles for health and justice. Many of the individuals,
networks and f^GOs associated with this report participate in civil society mobilisation, lobbying efforts,
policy advocacy and development work on the ground. The GHW draws from this experience, whilst
offering credible analysis to strengthen their work.
3 For example, while a legal right to adequate food is important, and while governments are obliged to ensure the
progressive realisation of this right, social and economic arrangements that democratise the ownership and use of
land; prevent the speculative hording of basic stapie foods; and block the dumping of heavily subsidised produce
from rich countries into poor countries in a way that decimates local agriculture may be as, if not more, important.
o
raft and not to be quoted
727/04
Page 7
Fart of the aim of this alternative world health report is therefore to present an analysis of the
performance and effect of key institutions with a responsibility for promoting global health.-Many of the
conventions: world health and development reports produced, for example by the WHO, UNAiDS and
the WB, rarely include themselves in the analysis of factors that are promoting or negatively impacting
on health. The GHW hopes to fill this gap and provide another means of strengthening civil society's
abi;:ty to engage with ths determinants of ill health.
A
TO®
AGEIMDA
GLOBAL HEALTH
remains sketchy at the moment - w® want to end Ms chapter woth some boSd ®y@-
catching statements about a way forward. Some suggestions ar® Hosted Mow, but Ms is for
■further discussion.
afoowfc a socHaO dlfimecwo©!© to
/ or a $C©M ©omjpact
G.tobai inter-connectedness has beer; with us for centuries. However, in recent decades there has
been a much more profound and rapid integration of societies and countries that has been both
inequitable and bad for health. We need a healthier form of globalisation, with a fairer distribution of
the globe’s resources - materia; and intellectual - through systems that are controlled in a democratic
and accountable manner.
Teed to include in here the requirement for a social compact to be consistent with an ecologies:
compact as well.
alb©iu)fc mechsmhtm toir gjIbfosiO rediisMfbiuititoini
We want to refer to some of the practical mechanisms for redistribution and for financing global social
security and health systems that will be outlined in the report. These include proposals involving
international corporate taxation; Tobin Tax; Griffin Tax etc.
g)tow&
to® ©[©ac® tor dlemociraftG© amf ac©@amtafc)O® d]®©S©Ooira-malkm^
At toe national level, we need a more conducive political and economic environment for poor countries
to deveiop robust democratic structures and economic and development policies that work towards
the fulfilment of human rights.
7
□raft and not to be quoted
Page 8
10/27/04
Y the gleba level we need structures and systems that allow for fair global governance, reigning in
? e untrammelled power of rich nations and multinational corporations. This will involve the active
empowerment of civil society to hold governments, MNCs and the market to account.
srtoMfc a ro®w [poBBcy tamsworlk ?©(r IheaBftlh SlhaC os dlosftmcft tem Sih® ©MtroroS m®©B5b®iraiO
mairtai-foaised] fparadcgjm
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h indue
Global Health Watch Update- October 2004
The Watch
The first edition of the report is currently in production: editing is scheduled for January and
February 2005 and the printed, web and CD version of the report will be launched at the 2nd
People’s Health Assembly in Ecuador in July 2005. The production of the report is now nearly
fully funded.
The whole process of producing the report has been a collaborative effort. Each chapter has had
input by a number of authors and reviewers representing key civil society organisations, social
movements and academic institutions from around the world. The chapters will draw on and
feature case studies and testimonies from activists and health workers on the ground. These case
studies and testimonies are being posted on the GHW website. We also hope to encourage the
development of local and regional initiatives to complement the Global Health Watch (in one
region there is a plan to produce a regional document to complement the alternative world health
report).
There will be a set of recommendations produced from each chapter, and a final chapter will put
forward over-arching recommendations and suggest strategies for action. See the final page for a
full list of contents and collaborating authors.
Advocacy Strategy
The secretariat have developed an advocacy and marketing strategy that aims to:
♦
♦
♦
Promote the Watch as a tool for broadly defined health communities worldwide and hence
enhance the ability of those from poor and marginalised groups to advocate for themselves;
Monitor global institutions impacting on health and influence their policy agendas towards
greater recognition of equity and the right to health, the determinants of health, and the
centrality of effective and inclusive public health systems;
Strengthen collaborative relationships between different parts of civil society related to health
and thereby encourage greater and more coordinated involvement of civil society organisations
in the determination of international health policy.
We have defined three phases of advocacy activities: Pre-launch; launch and post-launch.
Pre-Launch Activities to date include:
♦ production of promotional materials (leaflets, brochures);
♦ presentations at various conferences;
♦ publication of articles in journals, newsletters and bulletins;
♦ launch of the GHW website in English and Spanish (see www.ghwatch.org?:
♦ production of a regular newsletter;
♦ calls for case studies and testimonies;
♦ ongoing engagement with CSOs, NGOs, social movements and academics in health and
other sectors (for their participation in the GHW process);
♦ development of the final recommendations and targeting of CSOs for endorsement of
these recommendations; and
♦ engagement in the civil society processes for planning campaigning at the G8 summit and
the MDG review- key policy events in 2005.
A simultaneous launch of the report will take place at the 2nd People’s Health Assembly in Cuenca,
Ecuador in July 2005, as well as in London and a number of other cities around the world. The
Watch chapters will be translated to Spanish and used as position papers at the assembly. We hope
to hold round tables at the assembly with activists, social movements, NGOs, government officials
in health and other sectors to discuss ways of working together.
Funding
The Global Health Watch is being funded on a shoestring. Many of the authors are contributing
voluntarily. There is only one full-time person managing the initiative.
Fundraising attempts have not been hugely successful, although there is some benefit in this as it
makes the initiative likely to be more sustainable in the long-term. One downside has been the lack
of funding available to commission new research, particularly on issues for which there is little
existing knowledge.
Funders include: Nuffield Trust, Save the Children, IDRC, Wemos, Exchange.
Management
The Global Health Watch is being co-ordinated by a collaboration of three non-government
organisations: Medact, the People’s Health Movement and the Global Equity Gauge Alliance. The
secretariat is based at Medact.
A global Coordinating Committee overseas the work of the secretariat. See membership of the CC
in the table below.
Region
West Africa
North Africa
Southern Africa
Pacific
Australasia
Caribbean
Central Asia
Eastern Europe
China
South America
Central America
Middle East
SE Asia
South Asia
North America
Western Europe
PHM-global
GEGA - global
Medact
Country
Nigeria
Egypt
South Africa
Palau
Australia
Trinidad and Tobago
Kazakhstan
Yugoslavia
China
Brazil
Nicaragua
Lebanon
Malaysia
India
US
Netherlands
Member
Abdulrahman Sambo
Hani Serag
David Sanders
Caleb Otto
Fran Baum
Jerome Teelucksingh
Bakhyt Sarymsakova
Vuc Stanvolovich
Dr Shenglan Tang
Armando De Negri
Maria Zuniga
Samer Jabbour
Chan Chee Koon
Amit Sengupta
Paula Braveman, Ellen Shaffer
Marjan Stoffers
Ravi Narayan, Abhay Shukla
Antoinette Ntuli, David McCoy
Patricia Morton, Mike Rowson
GHW Contents and Authors
Note: This list does not include the 50 or so people from various other organisations who have
agreed to review chapters. Organisational affiliation does not imply institutional endorsement of
the Watch.
Chapter
Foreword
introduction
Section A: The Politics and Economics
of Health in the 21st Century
Author
Medact, PHM, GEGA
Ron Labonte, Ted Schrecker, Amit
Sengupta
Organisation
Saskatchewan Public Health
Evaluation and Research Unit,
PHM
Section B: Health Care Sector
Bl: Approaches to Health and Health
Care
Malcom Segall, Jane Lethbridge,
Andrew Green,
Lucy Gilson,
Allyson Pollock, Abhay Shukla,
David Sanders
B2: Commercialisation of Health Care
Maureen
Mackintosh,
Meri
Koivusalo
B3: Big Pharma, access to medicines and Andy
Gray,
Jamie
Love,
IPRs
Dr Balasubramaniam
B4: Human Resources: the lifeblood of Antionette Ntuli, Rene Lowenson,
health systems
Uta Lehman
B5: Responding to HIV/A1DS
David McCoy
B6: Gene technology and the attainment Chee-Khoon
Chan
of health for all
Gilles de Wildt
B7: Sexual and reproductive health
Wendy Harcourt, Khawar Muntaz
Section C: Beyond the Health Sector
C1: Environment
C2: Militarism and Conflict
C3: Water and Sanitation
C4: The Right to food: Land, agriculture
and household food security
C5: Education
Section D: Marginalised Groups
DI: Indigenous People
D2: Disabled People
Section E: Watching
El: WHO Report card
E2: World Bank report card
E3: ODA
E4: Debt
E6:
WTO/GATS/ Bilateral Trade
Agreements
Section F: Summary & Strategies for
Action
PHM, IDS, PSIRU,
Open University, STAKES
University of Kwazulu-Natal,
HAI Asia - Pacific
Health
Systems
Trust,
Equinet, Uni of Western Cape
GEGA
Citizen's Health Initiative
Medact
Society
for
International
Development, Italy
Ian Roberts
Saleemul Huq
Vic Sidel, Barry Levy
Karen Cocq, Patrick Bond, Greg
Ruiters, David MacDonald
Mickey Chopra, David Sanders
LSHTM
IIED
IPPNW
Municipal Services Project
Anne Jellema
Global Campaign for Education
Clive Nettleton
Rachel Hurst
Health
Unlimited
and
a
committee of indigenous people
Disabled People International
Jane Salvage
Jeff Powell
Howard Mollet
Ann Petti for
Martin Khor
Independent consultant
Bretton Woods Project
Reality of Aid/BOND
Jubilee Debt Campaign
Third World Network
GHW Coordinating Committee
University of Western Cape
/-/ C<J
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First page
THE GLOBAL HEALTH WATCH
The alternative world health report of civil society
Launch date: July 20th 2005
Space here to add local address and other details
www.ghwatch.org
Second page
WHY AN ALTERNATIVE WORLD HEALTH REPORT?
Unlike other reports on the state of global health and human development, the GHW presents a
critical analysis of why health inequities are worsening, why poverty levels have grown in the
last two decades and what is preventing the world from applying simple and affordable
interventions to prevent premature death and disability - including the deaths of 6 million
children every year.
The world does not lack from the food or resources to prevent hunger and widespread premature
mortality; there is a bounty of scientific innovation; and there is a clearly defined set of human
rights to health and health care.
However, we fail to achieve health for all primarily because of actors, institutions and laws that
bock human progress. The Global Health Watch aims to identify these barriers and to support
social mobilisation in all countries to promote a new Global Social Contract on Health.
In addition, the Watch aims to institutionalise the right of global citizenry to an analysis of the
performance of key global health institutions such as the World Health Organisation and World
Bank. The alternative world health report will therefore include a report on a number of key
institutions - how are they performing? What are their challenges; and are they part of the
problem or the solution?
Throughout the report will be documented examples of real struggles for health that are being
waged across the planet.
rd
3
page
CONTENT OF REPORT
Add list of chapters here
4th page
This report has been written by x academics and non-government experts from y countries. The
following organisations have all been involved in either writing, reviewing, funding or endorsing
the report.
Page 1 of 1
PHM - Secretariat
From:
To:
Sent:
Subject:
"PHM - Secretariat" <secretariat@phmovement.org>
'Patricia Morton" <patriciamorton@medact.org>; <dave.mcCoy@haringey.nhs.uk>; "mikerowson"
<mikerowson@medact.org>
Tuesday, November 30, 2004 12:40 PM
Re: Launch in ecuador
Dear Dave, Patricia and Mike,
Greetings from PHM Secretariat (Global)!
Dave will give you all the news &om Mexico. Saw Dave'e letter to Arturo and Jaimio and noted Patrida'a note about the PHA 2 /
PHM meeting. Dave will convey my request for a small advance if required to be replenished by March 2005 to tide over a
temporary crisis. Will decide after Maria's European tour and results.
I also met Vi<^Neufield and Christina for 1DRC funding for the next secretariat 2005 - 2007. They were interested. Do send me
an update on what you have received from whom and what is being negotiated, so that I can make a consolidated list for
circulation to the Funding group and commission. I am glad to hear that there are no cross overs.
All the best
Ravi Narayan
11/30/04
I'lxki
PHM - Secretariat
From:
To:
Sent:
Attach:
Subject:
11 f
’’Patricia Morton" <patriciamorton@medact.org>
"PHM-Ravi" <secretariat@ph movement org>
Wednesday, November 24, 2004 7:33 PM
launch leaflet doc; Latin america Health Policy2004.pdf
Fw. Launch in ecuador
Hi Ravi
See below from Dave.
Also, I attended the planning meeting for PHA2/PHM fundraising yesterday to ensure that we are no't crossing
over. We are not at all at the moment I am in conversation with Andy Rutherford reasonably reguarly about this J
and I will continue to do this to make sure.
Regards from London
Pat
— Original Message —
From: McCoy Dave
To: ’aquizhpe@yahoo.corri ; ,jbreilh@ceas.med.ec‘; *ceas@ceas.med.ec1
Cc: Davidmccoy (E-mail); Patriciamorton (E-mail); Mike Rowson (E-mail)
Sent: Monday, November 22, 2004 3:50 PM
Subject: Launch in ecuador
Dear Arturo and Jaimie,
It was excellent to have met with you in Mexico. I hope you both had safe trips back home. I am making some
,
notes on what we discussed so that these will be known to Mike and Patricia, who are the other members of theX0^
secretariat. We agreed that:
1. The launch will take place on July 20th
2. Arturo will prepare a high quality leaflet announcing the launch of the report and which will be designed in sucn^^^^^/^^
a way as to make it use-able for others in other countries. I have drafted some words that will go into the leaflet
.
Please see attached and comment. I dont think we need to finalise this until about April next year. Mike and
y
,
Patricia - please comment This leaflet will be done in english and spansih.
Jo > c
3. The launch will be planned and organised by a local organising committee under the supervision of Jaimie^
Patricia will be the primary link wioth that committee from the secretariat. The launch will be hosted by. CEAS, the J
University and Ecuador PHM.
4. We discussed tentatively a programme for the actual launch - we will await the detail of this in due time.
5. We discussed the absolute importance of the launch of the GHW being accompanied by the presentation of
local materials documenting the issues from a latin american perspective. Suggestions included the presentation
of health systems case studies from Chile and Colombia; presentation of a report on militarism and health; and a
local report on indigenous peoples health.
6. There was a suggestion to invite PAHO and the local WB and IADAB office to the launch and to use it as an
opportunity to challenge them in public to respond to the Watch
7. You will develop a budget for the launch. We have to fundraise specifically for this, but I have already spoken to
Christina Zarowsky about this and she asked you (Jaimie) to send her a proposal and budget directly to her (ie.
not via the GHW secretariat in London). I am sure we will be able to get other NGOs to support this launch.
11/26/04
Paae. 7 of 7.
c^eAo.
Jaimie -I also promised to send you a copy of Nuria and Antonio’s excellent paper. This is attached. Nuria’s email is:
nhomedes@utep.edu
I hope I have covered everything.
Salud
David
«launch !eaflet.doc» «Latin america Health Policy2004.pdf»
Dr. David McCoy
Specialist Public Health Registrar
Haringey PCT
North Central London
Tel: 020-8442-6073
Fax: 020-8442-6939
This communication may contain information that is confidential and legally privileged. It Is for the
exclusive use of the intended recipients), if you are not the intented recipient(s), please note that any
form of distribution, copying or use of this communication orthe information within is strictly prohibited
and may be unlawful. If you have received this communication in error, please return it to the sender,
then delete and destroy any copies of it. The Health Informatics Service disclaims any liability for action
taken reliant on the content of this message. This communication is from the Health Informatics service
serving Barnet Enfield & Haringey Health Communities.
m:
?•:
Co:
’’Antoinette Ntuli" <ant@healthlink.org.za>
"David McCoy (home)" <davidmccoy@xyx.demon.co.uk>; "David Sanders"
<LMART!N@uwc.ac.za>; "Ravi Narayan" <phmsec@touchtelindia.net>; "Antoinette Ntuli"
<ant@healthlink.org.za>; "Jane Salvage" <salvage@f2s.com>; "Mike Rowson"
<mikerowson@medact.org>
"Patricia Morton" <patriciamorton@medact.org>
Monday, April 11, 2005 1:28 PM
Re: Final chapter
Dear Mike and other authors,
’ think you have done an excellent job with this chapter, and it
made me feel very excited about the potential that the Watch will
have once it is launched.
My concern is as to how health workers and others who are not yet
activists will identify with the call to action that is articulated in the
section titled 'Opportunities’.
Would it be a good idea to use the concluding paragraph to
hihglight once more some of the waysinw hich we see that the
Watch could be used, re-emphasise the need for action, and add a
small section that outlines possible action that individual health
workers could take - for example setting up a discussion group in
their workplace or with local communities to reflect on the chapters
or sections that they are particularly interested in - or undertaking
small scale research on the local impact of issues raised by the
watch that they think are impacting on their local situation?
Antoinette
?£ge 1 of 1
act:
"David Sanders" <David.Sanders@lshtm.ac.uk>
<ant@hst.org.za>; <farana@hst.org.za>; <mikerowson@rnedactorg>;
<phmsec@touchtelindia.net>; <dsanders@uwc.ac.za>; <LMARTIN@uwc.ac.za>;
<ctddsf@vsnl.com>; <davidrnccoy@xvx.demon.co.uk>
Friday, April 08, 2005 11:13 PM
Re: GLOBAL HEALTH WATCH - TELECONFERENCE
~ will be in Durban 10-14 April Antoinette. Please phone me on my
cellphone.
I could make a teleconf on 20 or 21 April, depending on the time.
Please reply to sandersdav@ya_hoo.com.au
David.
4/8/05
Page 1 of
7a:
"Mike Rowson" <mikerowson@rnedact.org>
"Parana Khan" <farana@hst.org.za>; <davidmccoy@xyx.demon.co.uk>;
<LMAR i IN@uwc.ac.za>; <phmsec@touchtelindia.net>; <ctddsf@vsnl.com>;
<ant@hstorg.za>; <dsanders@uwc.ac.za>
Friday, April 08, 20C5 3:52 PM
Re: GLOBAL HEALTH WATCH - TELECONFERENCE
Hi all - can't make 13th or 14th would have to be 20th or 21st. Patricia
also needs to be linked in of course.
cheers
mike
4/8/05
Page 1 of
identic
"PHM - Secretariat" <secretariat@phmovement.org>
"David Sanders" <David.Sanders@lshtm.ac.uk>; <ctddsf@vsnl.com>
Friday, April 22, 2005 2:49 PM
Re: TELECONFERENCE CONFIRMATION
To:
Subject:
Dear David and Amit
Greetings from PHM Secretariat (Global) I
~ missed this in the pile of mail on my table. GHW 1 was a collaborative
project of PHM with GEGA and Medact. We, therefore, do not except every
chapter to be the PHM take on the subject. Most of us who saw specific
chapters or contributed to them, kept a PHM Charter position, but there are
may chapters, which PHM people may not fully endorse. However, I still think
bringing together 150 academics, researchers, activists to contribute to
this book is a great job done by the GHW team (And there were only around 25
PHM linked people).
Amit and Abhay are keen to host the next GHW 2. This may ensure a closer PHM
position, but we need to also see this as a process of review of existing
chapters and gradual evolution of the GHW2 including focal issues etc - not
just see it as a shift of secretariat team.
Z missed the teleconference due to a prior teaching commitment, but on the
whole, as PHM Global Secretariat coordinator, I am quite satisfied with the
GHW 1 product. Its a long and successful way from the tea time discussion of
\/.zy 2003.
Best wishes
_<av:
4/22/05
1 of 1
:
**
Sen
Subject:
"David Sanders" <David.Sanders@lshtm.ac.uk>
<phmsec@touchtelindia.net>; <ctddsf@vsnl.com>
Tuesday. April 19, 2005 3:40 PM
Re: TELECONFERENCE CONFIRMATION
Dear Ravi and Amit,
At tomorrow's teleconference we are going to discuss GHW2. Although i
have been pretty involved in GHWI have not seen the whole final draft
and have never seen some of the key chapters eg
Globalisation/Macroeconomics. Since there have been very critical
comments already eg Alison Katz and Claudio, I am not sure that we 3 can
decide tomorrow that PHM WILL involve itself actively in GHW2.1 do not
think we know enough about GHW1 or that we have a mandate to take such a
decision at this stage. I think we should not decide tomorrow until we
have seen GHW1 and consulted with PHM GSG. What do you 2 think?
PLEASE REPLY ONLY TO ME - FOR OBVIOUS REASONS.
David.
J
hup
l/Lg, //g. C-<—G
Cjc&Dczl
ycSA?
p
c
<<r j-/ <__>
Cc
Page 1 of 1
"ctddsf" <ctddsf@vsnl.com>
"PHM - Secretariat" <secretariat@phrnovement.org>; "David Sanders"
<David.Sanders@lshtm.ac.uk>
Saturday, April 23, 2005 3:55 PM
Re: TELECONFERENCE CONFIRMATION
Dear Ravi/David,
We should take a call on this in the PHM. Dave McCoy has circulated a brief
note on the GHW which we can use to initiate a discussion. Ravi, just a
small clarification. Lets say Amit and Abhay are open to the idea of hosting
the GHW Sectt. for the next round and not keen, as we are open also to it
being hosted in S.Africa.
Best Regards,
Amit
4/25/05
"Patricia Morton" <patriciarnorton@medact.org>
<rlabonte@uottawa.ca>; <tschrecker@syrnpatico.ca>; <ctddsf@vsnl.com>;
<David.Woodward@neweconomics.org>; <julie.ancian@medecinsdumonde.net>;
<N.Bu!lard@focusweb.org>; <sunstwn@biuewin.ch>; <riazt@iafrica.com>;
<lisa.forman@utoronto.ca>; "Malcom Segall" <m.segall@ids.ac.uk>; "Jane Lethbridge"
<j.lethbridge@gre.ac.uk>; "Andrew Green" <a.t.green@leeds.ac.uk>; "Lucy Gilson"
<lucy.gilson@lshtrn.ac.uk>; <m.m.mackintosh@open.ac.uk>; "Charles Collins"
<c.d.collins@leeds.ac.uk>; <e.okeefe@londonmet.ac.uk>; <baobab@tropica!.co.mz>;
<natasha.paimer@lshtm.ac.uk>; "Andy Gray" <Graya1@ukzn.ac.za>; "K Balasubramaniam"
<bala@haiap.org>; "Sudip Chaudhuri" <sudip@iimcal.ac.in>; <mira.johri@mail.mcgill.ca>; "Ellen t'
Hoen" <ellen.t.hoen@paris.msf.org>; "Mogha Kamal-Smith" <rnksmtth@oxfam.org.uk>; "Peter
Drahos" <peter.drahos@anu.edu.au>; "HST" <ant@hst.org.za>; "Rene Lowenson"
<rene@tarsc.org>; <T.Martineau@liv.ac.uk>; <efriedman@phrusa.org>;
<aguezmes@consorcio.org>; <pfranck@pucp.edu.pe>; "Jaime Miranda" <j.miranda@ucLac.uk>;
<crivera@consorcio.org>; "Chee-khoon Chan" <chan_chee_khoon@hotmail.com>; "gilles de"
<giilesdewiidt@yahoo.com>; <helen.wallace@genewatch.org>; <vbp2002@coiumbia.edu>;
"Wendy Harcourt" <wendyh@sidint.org>; <coordinator@wgnrr.nl>; <r.keith@scfuk.org.uk>;
<mohanrao@bol.net.in>; <LKateive@reprorights.org>; "Charlie Kronick"
<Charlie.Kronick@uk.greenpeace.org>; <woodcockiames@hotmail.com>;
<saleernul.huq@iied.org>; <lianas@foe.co.uk>; <youba.sokona@oss.org.tn>; <vsidel@igc.org>;
<blevy@igc.org>; <augalde@mail.la.utexas.edu>; "Karen Cocq" <kcocq@sympatico.ca>;
<bond.p@pdm.wits.ac.za>; "Greg Rutters" <g.d.ruiters@ru.ac.za>; "David MacDonald"
<dm23@post.queensu.ca>; <belindacalaguas@wateraid.org.uk>; "hd39" <D.J.Hall@gre.ac.uk>;
<NCAIexander@igc.org>; "Grunsky" <sgrusky@citizen.org>; <agua@resist.ca>;
<maawuli@yahoo.com>; "Mickey Chopra" <mchopra@uwc.ac.za>; <pdrn1@corneii.edu>;
<GeoffreyCannon@aol.com>; <rajpateluk@mweb.co.za>; "Anne Jellema"
<anne@campaignforeducation.org>; <projects@conscienceonline.org.uk >;
<Carolyn.Stephens@lshtm.ac.uk>; <c.nettleton@healthunlimtted.org>; <ipa@unimelb.edu.au>;
<rathias@ufpe.br>; <rbourne@sas.ac.uk>; <sg@survival-international.org>;
<tomashart@hotmail.com>; <hulima@terra.com.pe>; <jaime.miranda@lshtrn.ac.uk>;
<nyangori.ohenjo@cemiride.org>; <john.porter@lshtm.ac.uk>; <jreading@uvic.ca>;
<f.watson@survivai-international.org>; <jw@survival-international.org >;
<Scott.Winch@swsahs.nsw.gov.au>; <fonakin_napo@yahoo.com>; <fonakin@andinanet.net>;
<yallkros@yahoo.com>; <manuelawilly@hotmail.com>; <l.pulver@unsw.edu.au>;
<sovathanaseng@yahoo.com>; <benonmugarura@hotrnail.corn>; <aimpoj@yahoo.fr>;
<karen.devries@lshtm ac.uk>; <jack.dowie@lshtm.ac.uk>; <Michael.Knipper@histor.med.un;giessen.de>; <abhaykudale@yahoc.com>; <dlacaze@andinariet.net >; <gregorio.sanchezsalame@lshtm.ac.uk>; "Rachel Hurst" <rachel.daa@virgin.net>; <alaashuk@yahoo.com>;
"Venkatesh Baiakrishna" <dearvenky@yahoo.com>; <PEnricc@aol.com>; "Pam Zinkin"
<pamzinkin@gn.apc.org>; "Jane Salvage" <work@janesalvage.me.uk>;
<kelley.iee@lshtm.ac.uk>; <gill.walt@!shtm.ac.uk>; <abeerling2001@yahoo.co.uk>; "June
Crown" <Junecrown@aol.com>; "Eeva Ollila" <eeva.ol!ila@stakes.fi>;
<jpowe!l@brettonwoodsproject.org >; <dehaan@cohred.ch>; <Kennedy@cohred.ch>;
<Carei@cohred.ch>; <hmollett@bond.org.uk>; "ann pettifor"
<ann.pettifor@advocacyinternational.co.uk>; "Richard Horton" <r.horton@lancet.com>;
<pkisanga@realnet.co.sz>; <tedgreiner@yahoo.com>; <rncl6@comeli.edu>;
<anwar.fazal@undp.org>; <ibfanpg@tm.net.my>; "Patti Lynn"
<PLynn@STOPCORPORATEABUSE.ORG>; <rjrn@fuicrum-uk.com>; <prems@essex.ac.uk>;
<l.doyal@bristoi.ac.uk>; "John Hilary" <jhilary@waronwant.org>; "Alexandra Bambas"
<lexibambas@hotmail.corn>; <claudiaiema@gmail.com>; <anamaria.buller@kcl.ac.uk>;
<margreeves@yahoo.co.uk>; <moyrarushby@rnedact.org>; "Robin Stott" <stott@dircon.co.uk>;
"Jack Piachaud" <m.piachaud@ic.ac.uk>; <gillreeve@medact.org>;
<renadiamond@hotmail.com>; "Abdulrahman Sambo" <samboa@nuc.edu.ng>; "Han: Serag"
<hserag@yahoo.com>; "Caleb Otto" <calebotto@yahoo.com>; "Baum"
<fran.baum@fiinders.edu.au>; "Jerome Teelucksingh" <j_teelucksingh@yahoo.com>; "Bakhyt
Sarymsakova" <bakhyts@yandex.ru>; "Vuc Starnvolovic" <vstambol@sbb.co.yu>; "Dr. S.Tang"
Page 2 of2
Seirefc
Afttaclh:
<S.Tang@liverpool.ac.uk>; <armando@hmv.org.br>; "Armando De Negri Filho"
<armandon@portoweb.com.br>; <jbrei!h@ceas.rned.ec>; <maria@iphcglobai.org>;
<iphc@cablenet.com.ni>; "Sarner Jabbour" <sjabbour@aub.edu.lb>; "Paula Braveman"
<braveman@fcm.ucsf.edu>; "ersEllen Shaffer" <ershaffer@cpath.org >; "Marjan Staffers"
<marjan.stoffers@wernos.nl>; "PHM-Ravi" <secretariat@phmovement.org >;
<phmsec@touchtelindia.net>; <chetley.a@healthlink.org.uk>; <olle.nordberg@dhf.uu.se>;
<arutherford@oneworldaction.org >; <a.ingram@ucl.ac.uk>; <abaysema@pn3.vsni.net.in>;
"UNNIKRISHNAN PV (Dr)" <unnikru@yahoo.com>; <dovlod@mweb.com.na>;
<dovlcd@yahoo.com>
Tuesday, April 26, 2005 8:04 PM
Acknowledgements- Final.doc
IMPORTANT: Your acknowledgement in the Global Health Watch
Dear GHW contributor
We are writing to double check that we have acknowledged you correctly in the Global Health Watch 2005/6
publication. We will need a reply by May 6th. If we have not heard from you by then we will assume that you have
been acknowledged correctly.
Please check the list of individuals as well as the list of organisations.
’ you have not been acknowledged in the list and you recieve this email, please indicate whether you would like
co be acknowledged and how (;e. in the list for individuals, orgs or both).
. hanks very much
Patricia
Patricia Morton
Globa! Health Watch Secretariat
Lu
z
p*'-1
|/U
5^
4/27/05
cto.
Acknowledgements
The following individuals have contributed to this report in different ways and to different
degrees. Outside of the small secretariat, individuals gave their time for free or in a few
instances, received small honoraria. Most people made contributions to only parts of the
Watch and cannot therefore be held accountable for the whole volume and the
recommendations in this report may not represent the views of everyone who has
contributed. Ultimately, the Watch represents a collective endeavor of individuals and
organizations who share a desire to improve the state of global health and to express
their solidarity with the need to tackle the social and political injustice that lies behind poor
health.
Nancy Alexander, Citizens' Network on Essential Services, USA; Annelies Allain,
International Code Documentation Centre, Malaysia; Ian Anderson, University of
Melbourne and The Cooperative Research Centre for Aboriginal Health, Australia; K
Balasubramaniam, Health Action International Asia - Pacific, Sri Lanka; Lexi Bambas,
Global Equity~Gauge Alliance, South Africa; Fran Baum, People's Health Movement and
Department of Public Health, Flinders University?Adelaide, Australia; AdeleBeerlmg,
UK; Richard Bourne, Commonwealth Policy^Studies Unit, UK; Jaime Breilh, Center for
Health_Research and Advice, Quito, Ecuador; Nicola Bullard, Focus on the Global
South, Thailand;~Ana Maria Buller, Medact, UK; Belinda Calaguas, WaterAid, UK;
Greice Cerqueira, Women's Global Network for Reproductive Rights; Chan__CheeKhoon Citizens' Health Initiative, Malaysia;
Sudip Chaudhuri, Indian Institute of
Manage’meritTTndia; Andrew Chetley, Exchange, UK; Mickey Chopra, School of Public
Health, University of the Western Cape, South Africa; Karen Cocq, Municipal Services
Project, Queen's University, Canada; Charles Collins UK; June Crown, Medact, UK;
Mawuli Dake, Ghana National Coalition Against Privatisation of Water, Ghana; Sylvia de
Haan, Council on Health Research for Development (COHRED), Switzerland; Armando
De Negri, Latin American Association of Social Medicine and International Society_for
Equity on Health,JBrazil; Gilles de Wildt, Medact, UK; Karen D^vrieFLoKdoTTSchool of
Hygiene and Tropical Medicine, UK; Rena Diamond, Medact, UK; Jack Dowie, London
School of Hygiene and Tropical Medicine, UK; Peter Drahos, RegNet, Australian
National University; Anwar Fazal, World Alliance for Breastfeeding Action, Malaysia;
Pedro Francke, Forosalud, Peru; Lucy Gilson, Centre for Health Policy, South Africa
and London School of Hygiene and Tropical Medicine, UK; Sarah Graham Brown, UK;
Andy Gray, Department of Therapeutics and Medicines Management, Nelson R Mandela
School of Medicine, University of KwaZulu-Natal, South Africa; Ted Greiner; Sophie
Grig, Survival International, UK; Sara Grunsky, Water for All Campaign, Public Citizen,
USA; Ana Guezmes Garcia, Observatorio de Salud, Peru; Wendy Harcourt, Society for
International Development, International Secretariat, Italy and Women in Development
Europe, Belgium; Tomas Hart, Health Unlimited, Guatemala; John Hilary, War on Want,
UK; Richard Horton, Lancet, UK; Nuria Humedes, University of Texas, Houston, School
of Public Health, USA; Saleemul Huq, International Institute for Environment and
Development, UK; Rachel Hurst, Disability Awareness in Action, UK; Carel Ijselmuiden,
Council on Health Research for Development, Switzerland; Alan Ingram, Department of
Geography, University College London, UK; Lisa Jackson-Pulver, Muru Marri
Indigenous Health, University of New South Wales, Australia; Anne Jellema, Global
Campaign for Education, South Africa; Mira Johri, University of Montreal, Canada; Laura
Katzive, Center for Reproductive Rights, USA; Andrew Kennedy, Council on Health
Research for Development, Switzerland; Meri Koivusalo, STAKES, Finland; Charlie
Kronick, Greenpeace, UK; Ron Labonte, University of Ottawa, Canada; Didier Lacaze,
Programa de Promotion de la Medicina Traditional en la Amazonia Ecuatoriana,
Ecuador; Michael Latham, Cornell University, US; Kelley Lee, Centre on Global Change
and Health, London School of Hygiene & Tropical Medicine, UK; David Legge, La Trobe
University, Australia and PHM Australia; Uta Lehman, University"of the Western Cape,
South Africa; Barry Levy, Tufts University School of Medicine, University of Texas;
Abhay Machindra Kudale, the Maharashtra Association of Anthropological Sciences
(MAAS), Pune, Maharashtra State, India; Maureen Mackintosh, The Open University,
UK; Tim Martineau, Liverpool School of Tropical Medicine, UK; Phillip McMichael,
Cornell University, US; Jaime Miranda, EDHUCASalud, Peru; Howard Mollet, Reality of
Aid and BOND, UK; Benon Mugarura, African Indigenous and Minority Peoples
Organisation, Rwanda; Kathryn Mulvey, Corporate Accountability International, US;
Richard Murphy, Tax Justice Network, UK; Ravi Narayan, PHM Global Secretariat,
India; Clive Nettleton, Health Unlimited, UK; Antoinette Ntuli, Global Equity Gauge
Alliance, South Africa; Nyang'ori Ohenjo, Centre for Minority Rights and Development,
Kenya; Marcela Oliver, Water for All Campaign, Public Citizen, US; Eeva Ollila,
STAKES, Finland; Akinbode Oluwafemi, Environmental Rights Action; Caleb Otto,
Senator for the Government of Palau; Natasha Palmer, London School for Hygiene and
Tropical Medicine, UK; Rajeev Patel, University of KwaZulu-Natal, South Africa; Victor B
Penchaszadeh, Columbia University, US; Ann Pettifor, Advocacy International, UK;
Jack Piachaud, Medact, UK; John Porter, London School for Hygiene and Tropical
Medicine, UK; Jeff Powell, Bretton Woods Project, UK; Chakravati Raghavan, SouthNorth Development Monitor; Mohan Rao, Centre of Social Medicine and Community
Health, Jawaharlal Nehru University, India; Jeff Reading, Canadian Institutes of Health
Research and’lnstitute ofAborigirTarPeoples' Health University of Victoria, Canada; Gill
Reeve, Medact, UK; Margaret Reeves, Medact, UK; Cecilia Rivera Vera, Observatorio
de Salud, Peru; Greg Ruiters, Municipal Services Project, South Africa and Political and
International Studies, Rhodes University, South Africa; Moyra Rushby, Medact, UK;
Andy Rutherford, One World Action, UK; Gregorio Sanchez, Centro Amazonico para la
Investigation y Control de Enfermedades Tropicales, Amazonas, Venezuela; David
Sanders, School of Public Health, University of the Western Cape, South Africa; Claudio
Schuftan, PHM7Vietnam; Malcolm Segall71 n¥titut¥oTDeveldpment Studies, University
of Sussex, UK; Sovathana Seng, The Center for Indigenous Peoples Research and
Development, Cambodia; Amit Sengupta Peoples Health Movement, .India; Hani Serag,
Association for Health and Environmental De_veJ.Qp.m.e.nt7Eqypt; Ted Schreker, Institute of
Population Health University of Ottawa, Canada; Ellen Shaffer, Center for Policy
Analysis on Trade and Health - CPATH, USA; Abhay Shukja, Center for Inquiry into
Health and Allied Themes, India; Alaa Ibrahim Shukrallah, Associatio_n_For Health and
Environmental Development, Egypt; Victor Sidel, Montefiore Medical Center/Albert
EinsteirTConege~orMedicine and Weill Medical College of Cornell University, US; Vuk
Stambolovic, Institute of Social Medicine, Medical Faculty Belgrade, Serbia and
Montenegro; Carolyn Stephens, Department of Public Health and Policy, London School
of Hygiene & Tropical Medicine, UK; Marjan Staffers, Wemos, Netherlands; Robin
Stott, Medact, UK; Ellen’t Hoen, Medecins Sans Frontiers, France; Riaz Khalid Tayob,
Southern and East African Trade Information and Negotiations Institute, Zimbabwe;
Jerome Teelucksingh, University of the West Indies, Trinidad; PV Unnikrishnan,
ActionAid International, UK and Bangkok; Balakrishna Venkatesh, India; Ellen Verheul,
Wemos, Netherlands; Helen Wallace, GeneWatch, UK; Gill Walt, London School of
Hygiene and Tropical Medicine, UK; Fiona Watson, Survival International, UK; Scott
Winch, Aboriginal Health Unit, South West Sydney Area Health Service, Australia;
James Woodcock, London School of Hygiene and Tropical Medicine, UK; Jo
Woodman, Survival International, UK; David Woodward, New Economics Foundation,
UK; David Zakus, Centre for International Health, University of Toronto, Canada;
Christina Zarowsky, International Development Research Centre, Canada; Pam Zinkin,
International People's Health Pouncil, UK; Maria Hamlin Zuniga, International People's
Health Council, Global Secretariat, Nicaragua.
' ~
TO ADD: Debabar Banerji; Andrew Green, Nuffield Centre for International Health and
Development, University~oFLeeds.
We thank the following organisations for funding the production of Global Health Watch
2005-2006:
Exchange (www.healthcomms.org)
Global Equity Gauge Alliance (www.gega.org.za)
International Development Research Centre (www.idrc.ca)
Medact (www.medact.org)
Nuffield Trust (www.nuffieldtrust.org.uk)
People's Health Movement (www.phmovement.org )
Save the Children (UK) (www.savethechildren.org.uk)
Wemos (www.wemos.nl)
To ADD: WaterAID (www.wateraid.org); Greenpeace (www.greenpeace.org)
The following organisations have contributed to the production of the report indirectly
(through research support, peer-reviewing etc.).
ActionAid International; Advocacy International; African Indigenous and Minority Peoples
Organisation, Rwanda; Association For Health and Environmental Development, Egypt;
Bretton Woods Project, UK; Canadian Institutes of Health Research and Institute of
Aboriginal Peoples’ Health, University of Victoria, Canada; Centre for Health Research
and Advice, Ecuador; Center for Reproductive Rights, US; Centre for Civil Society,
School of Development Studies, University of KwaZulu-Natal, Durban, South Africa;
Centre for Indigenous Peoples Research and Development, Cambodia; Centre for
International Health, University of Toronto, Canada; Centre for Minority Rights and
Development, Kenya; Center for Policy Analysis on Trade and Health (CPATH), USA;
Centro Amazonico para la Investigation y Control de Enfermedades Tropicales,
Venezuela; Citizens' Health Initiative, Malaysia; Commonwealth Policy Studies Unit,
United Kingdom; Cooperative Research Centre for Aboriginal Health, Australia; Corporate
Accountability International, US; Council on Health Research for Development
(COHRED), Switzerland; Department of Geography, University College London;
Department of Public Health and Policy, London School of Hygiene & Tropical Medicine,
UK; Department of Public Health , Flinders University, Adelaide, Australia; Disability
Awareness in Action, UK; EDHUCASalud (Civil Association for Health and Human Rights
Education), Peru; Environmental Rights Action, Nigeria; EQUINET, Southern Africa;
Focus on the Global South, Thailand; Forosalud, Peru; GeneWatch, UK Ghana National
Coalition Against Privatization of Water, Ghana; Global Campaign for Education, South
Africa; Global Equity Gauge Alliance, South Africa; Greenpeace, UK; Health Action
International Asia - Pacific, Sri Lanka; Health Unlimited, UK; Health Unlimited,
Guatemala; Indian Institute of Management, India; International Physicians for the
Prevention of Nuclear War; Institute of Social Medicine, Belgrade Medical Faculty, Serbia
and Montenegro; International People’s Health Council; London School of Hygiene and
Tropical Medicine; Maharashtra Association of Anthropological Sciences (MAAS),
Maharashtra State, India; Medact; Municipal Services Project, South Africa; Muru Marri
Indigenous Health Unit, School of Public Health and Community Medicine, Faculty of
Medicine, University of New South Wales; New Economics Foundation, UK; Observatorio
de Salud, Peru; One World Action, UK; People’s Health Movement, India; People's Health
Movement, Australia; People’s Health Movement, South Africa; People’s Health
Movement, Vietnam; Programa de Promocion de la Medicina Tradicional en la Amazonia
Ecuatoriana, Ecuador; SATHI Cell, Center for Enquiry into Health and Allied Themes,
India; School of Public Health, University of the Western Cape, South Africa; Save the
Children, UK; Society for International Development, International Secretariat Rome, Italy;
Women in Development Europe, Belgium; South West Sydney Area Health Service
Aboriginal Health Unit, Australia; Southern and East African Trade Information and
Negotiations Institute; Survival International, UK; Tax Justice Network, UK; Training and
Research Support Centre, Zimbabwe; University of the West Indies, Trinidad; War on
Want, UK; Water for All Campaign, Public Citizen, US; WaterAid, UK; Wemos,
Netherlands; Women's Global Network for Reproductive Rights, Netherlands; World
Alliance for Breastfeeding Action (WABA), Malaysia.
TO ADD: Medecins du Monde
Global Health Watch Secretariat and Editorial Team
Claudia Lerna; David McCoy; Patricia Morton; Michael Rowson; Jane Salvage; Sarah
Sexton.
Re:
•AL. • ■ WA. CH - TELECONFERENCE - vDeck
From:
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[ Patricia Morion <patriciamorton@medact.org> Fj
To:
' Parana Khan <farana@hst.org£a> F]
Cc:
i PHM-Ravi <s8cre,lariat@phmovement.org> Fl
Subject:
Sent: Fri, 20 May 2005 11:33
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Re: GLOBAL HEALTH WATCH - TELECONFERENCE
Hi Farana
I have cc'd this to Ravi at the PHM Secretariat. This is the correct address
for him.
Regards
Patricia
------- Original Message-------From: "Farana Khan" <farana@hst.orq.za >
To: <m?kerowson@medact.orq>; <davidmccoy@xyx.demon.co.uk>;
<V.ARTl\t@uwc.ac.za>; < c h m s e c @ to u c h te I i n d: a. n e t >; <ctdc:sf@vsnLcom>;
<ant@hst.orq.za>; <dsanders@uwc.ac.za>: <patriciamorton@niedact.orq>;
< 3a v: d. ?< cCoy @ H PA .erg, l k >; < dsanders@uwc.ac.za >
Sent: Wednesday, May 18, 2005 11:07 AM
Subject: GLOBAL HEALTH WATCH - TELECONFERENCE
> Dear Colleagues
> Antoinette would like to set up a teleconference with you next week Monday
> 23rd to Tuesday 24th May to discuss the Global Health Watch.
> Please can you indicate which of these date suits you so that I can
confirm
> the teleconference at a date and time which is convenient for all.
> Thank you
> Kind regards
> Farana Khan
> Administrative Officer
> Health Systems Trust
> 2731-307-2954 (tel)
> 2731-304-0775 (fax)
> 'crcna@hst.orq.za
> www.hst.crq.za
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5/20/2005 5:52 PM
Page 1 of 1
"Patricia Morton" <patriciamorton@medact.org>
"PHM - Secretariat" <secretariat@phmovement.org>
Thursday, May 05, 2005 6:26 PM
Re: IMPORTANT: Your acknowledgement in the Global Health Watch
H: Rav:
s have made all the changes you have suggested except for the references to the Community Health Cell (in the
photo credits). Can confirm that you would like to credit PHM GLoba! Secretariat instead?
P^. (oh
Page 1 of I
To:
Sdobjgofi:
"Deien LaPaz" <delen27@yahoo.com>
"Chee-khoon Chan" <ckchan50@yahoo.com>; <secretariat@phmovement.org>;
<patriciamorton@medact.org>; <delen27@yahoo.com>
Saturday, April 30, 2005 9:12 PM
Re: IMPORTANT: Your acknowledgement in the Global Health Watch
Dear Chee Khoon, Pat, Ravi,
Hello! I am still in the Singapore airport (having
come from the Health Action International Asia Pacific
meetings held in Penang, Malaysia) awaiting my flight
back to Philippines. While in Penang, we had a
discussion on how the PHM in Malaysia can be
strengthened. Evelyne Flong of TWN, Josie Fernandez of
FOMCA and Anwar Fazal of WABA all said they will be
raising the interest for PHA 2 and PHM in Malaysia.
Chee Khoon is in Japan and was not in the meeting.
As per the last PHM Steering Group meeting in
Bangalore held April 11-12, 2005, Evelyne Hong has
been recognized as the point person for Malaysia and
myself as the focal point for PHM Southeast Asia. So,
to avoid confusion, I suggest that after Chee Khoon’s
name will be written PHM Malaysia without the words
contact point or focal point. This will recognize
Chee Khoon’s contribution to the PHM in Malaysia. I
hope this will be acceptable to all.
Best regards,
Deien
P
-
5/2/05
Page 1 of 1
hlgfo iW:n)W
Co:
S®n£:
Subject:
"Chee-khoon Chan" <ckchan50@yahoo.com>
"PHM - Secretariat" <secreiariat@phmovernentorg>; "Patricia Morton"
<patriciamorton@medact.org>
<ckchan50@yahco.com>; "Deien de la Paz" <delen27@yahoo.com>
Friday, April 29, 2005 3:16 PM
Re: IMPORTAN’: Your acknowledgement in the Global Health Watch
ear Pat, Ravi,
lease go ahead and list me as PHM (Malaysia country contact), or as PHM-SE Asia (if that’s ok with
elen), in addition to my listing as CHI (Citizens’ Health Initiative, Malaysia). Chee Khoon
5/2/05
Page 1 of 1
To:
"Jaime Breilh" <jbreilh@ceas.med.ee>
<ghw@hst.org.za>
Wednesday, April 27, 2005 9:30 PM
Re: [ghw] GLobal Health Watch- plans for launches and other things!
Dear Patricia:
It would be interesting to mention in your promotional documents the simultaneous appearance of the Latin
American Alternative Health Report (bilingual edition), Coordinatde by CEAS and integrating cases studies and
propossais from nearly 30 regional institutions/organizations which provide a strong regional peopis health
advocacy tooi.
All the best tc you
Jaime
Dr. Jaime Breilh (Md., MSc., Ph.D)
Director Ejecutivo
CEAS (Centro de Estudios y Asesoria en Salud Health Research and Advisory Center)
Asturias N° 2402 y G. de Vera (La Floresta)
Quito, Ecuador (S. America)
[2r^
4/27/05
? <
’’Patricia Morton'5 <patriciamorton@medact.org>
"Alexandra Bambas" <lex:bambas@hotmail.com>; <!annysmith@post.harvard.edu>;
<ershaffer@earthlink.net>; "Sarah Shannon" <sarahs@hesperian.org>
<denisszwahien@yahoo.com>; <vze.2x6qm@verizon.net>; <phm@hesperian.org>; "PHM Secretariat" <secretariat@phmovement.org>; <mickiq@earthlink.net>; "David McCoy"
<David.McCoy@HPA.org.uk>
Friday, May 20, 2005 3:15 PM
Re: Funding for a US-GHW initiative
Dear _ex:, Sarah and others
i would think that funding for PHM work in the US and a US Health Watch would be complimentary work and not
necessarily overlap when 'coking for funds - but we leave it to yourselves to coordinate this.
A quick word about the APHA. i met Alan Jones of the World Federation of Public Helath Associations and the
APHA (at the World Health Assembly) and he seemed quite positive about a launch at the APHA conference in
Xovemeber.f mentioned the PHA2 and he was very interested, i think it would be useful to nave him along (at th
"■ rM) because I mow the Public Health Associations around the world have a large membership and it would b
useful to tap into that and alsc because it may facilitate a launch for the GHW later in the year. Any opinions?
O0
heers to all
at
^7©m:
T©:
©©«
"Patricia Morton" <patriciamorton@medact.org>
"PHM - Secretariat" <secretariat@phmovernent.org>
"David McCoy" <davidmccoy@xyx.dernon.co.uk>; "David mccoy" <d.mccoy@ucl.ac.uk>
Friday, June 17, 2005 3:29 PM
Re: GHW TELECONFERENCE - Minutes
7<avi
• completely understand your need for a break. I remember at our last meeting you/PHM was represented by At::
which seemed to work very well. We will talk more about PHM representation for this meeting at Cuenca.
Regards
Original Message
^/A
y>nc
’’Patricia Morton” <patriciamorton@medact.org>
"PHM-Ravi" <secretariat@phmovement.org>
Tuesday, May 31, 2005 7:00 PM
Re: PHA-Exchange> Networking in your country and region
Tear Ravi and Abraham
-ote that some of these names are from the GHW co list:
. •
Shenglan Tang
Caleb Otto
Hamer Jabbour
Abd u; rahaman Sambo
• ■ ffuMcvAh
<. eroml
■
''
■.
it is so useful to include these people in this PHM contact list as they are only aware of the
::; u ;g - ’■' s GHW. ] would be very suprised if they would ba aware of the PHM activities or even the PHA2. i was.
planning to invite them to the PHA which would give them an introduction to the PHM. in the meantime,' sugged:
they not be used as contacts (not yet).
t ■ f. •• ujriai, Time Lndre- these people shouldn't be on the list yet - i am not sure how much they wcu.u ic
ubout PHM.
■furan is no: at Wemos any more. Contact should be Jose Utrara
Airre Miranda and Claudia Lerna - not sure that these ‘two are the best contacts for Peru- probably shou c be
‘ er n. ’ranks from Foro Salud (who is Taking a large delegation from Peru).
Au-o country contacts for the JK are Pam and myse.f.
u. 'kc v much
Pat
727/0 C
Page 1 of 1
Smiferectt:
"PHM - Secretariat" <secretariat@phmovement.org>
"Patricia Morton" <patriciamorton@medact.org>
Friday, June 17, 2005 2:37 PM
Re: GHW TELECONFERENCE - Minutes
Pat
-hanks for the minutes of the teleconference sent so promptly.
2 shall be on special leave from 15th August till 14th September - the leave application says ”PHM
Exhaustion!". After 3 years, I need a complete break to prevent a burnout!
On 15th - 17th, I am busy with the later half of the GFHR Forum 9, as a Foundation Council Member and
perhaps the Indian session of the WHO Social Determinant Commission soon after. Anyway, I would have
handed over the secretariat / coordinatorship to Latin America by then (their definitive proposal) is
expected anyday before PHA2 and will be discussed and acce[ted at Cuenca. I think if Amit and Maria are
there, PHM is well represented. Both regions (India and Latin America) will be eager to support the GHW
secretariat in Africa.
At Cuenca, we can all try to make the corrections for the larger GHW - II advisory group - keeping
geography and gender creteria for a better representativeness.
Best wishes
Ravi
6/17/05
P&ge I of I
jo;
Atoch:
SmifejecS:
"Patricia Morton" <patriciamorton@medact.org>
"Parana Khan" <farana@hst.org.za>; '"ctddsf" <ctddsf@vsnl.com>; <mikerowson@medact.org>;
<davidmccoy@xyx.demon.co.uk>; <LMARTIN@uwc.ac.za>; <phmsec@touchtelindia.net>;
<ant@hstorg.za>; <dsanders@uwc.ac.za>; <David.McCoy@HPA.org.uk >;
<secretariat@phmovement.org>
Wednesday, June 15, 2005 9:47 PM
minutes teleconference June 15.doc
Re: GHW TELECONFERENCE - Minutes
/?>/*5 [c>£
Dear All
lease see the minutes for our teleconference today.
Suggestion for attendees to September meeting:
Ant
David S
Mike
» Pat
Dave Me
Amit
Ravi / Maria
One other from HST (possibly new recruit)
Marion Birch - New Medact Director
Jaimie Breilh
Possibly IDRC
Possibly Chee Koon
()LLfi
Please let us know what you think about this list.
Possible dates for meeting: -12, 13, 14 September. Suggest a meeting of one or two days with another day or
two just for Medact to handover to HST. Please let me know your availability (long way away but may as wellset
K cr,-, XJC5-^
itnow)-
Cheers to all
Pat
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GHW Teleconference - June 15
Minutes
Funds and budget
News of SIDA funding was shared with everyone. No disagreement on budget allocations which
will keep the secretariat going till end September.
New secretariat
It was decided by consensus that the new secretariat will be based in South Africa and hosted by
GEGA under the overall direction of Antionette Ntuli (GEGA) and David Sanders (PHM-South
Africa). The secretariat will probably need to be staffed with a new recruit.
A staff member will have to be recruited to run the project - Ant and Dave are thinking about who
would fill this post.
It was felt that Medact and PHM-lndia could / should play specific support roles.
Core organizations
It was agreed that Medact, GEGA and PHM should continue to form the organizational core of
GHW2, with Medact helping to play the critical role of being based in the North.
Broader involvement and representation, including the role of a globally representative
coordinating committee will need to be fleshed out later.
Handover / planning meeting
A meeting for planning the GHW2 and for handover will be held in the first two weeks of
September in London. GHW1 will draw up a list of potential attendees for this meeting and make
the necessary arrangements.
Pat to start working on dates that are suitable to everyone.
Media strategy
A draft London-based media strategy was shared with the group. This will need to be coordinated
with the Cuenca-based media strategy.
Pat to liaise with Uni.
Website
Need to begin to identify a person to develop website as soon as possible. Pat to liaise with Ant.
"Patricia Morton" <patncismorton@medact.org >
"PHM - Secretariat" <secretariat@phmovement.org>
Friday, June 17, 2005 8:04 PM
Re: a commendation from you for the Global Health Watch
Hl Ravi
have checked through my messages and it appears I never recieved a reply from him (we were waiting for z
reply from him before sending the manuscript). It would be very good to have a commendation from him as at this
point we have not one person from the south (except Vincent Navarro). The trouble is timing is very short and we
would have to get it in the next few days . Mira Shiva also did not respond. How do you suggest we proceed?
Also, I tried to get in contact with you by phone today to no avail. We would like to get in contact with WHO very
soon, to invite them to the launch. It is important that we get in touch with them soon so that they could prepare a
response for the launch. I will give you a ring on Monday about this. Of course we will not be in contact with them
until we have the word from you.
— Original Message —
-mm: PHM - Secretariat
;■
Patriciamorton@Medact.Org
.
Wednesday, June 15, 2005 1:51 PM
Fw: a commendation from you for the Global Health Watch
Dear Pat
1 forgot to follow this up with you. Did you send Dr. Banerji a request for a commendation and or
■ review? Did he respond? He probably would like to see the manuscript, since he is very thorough in his
i reviews.
j'E- d
________________________________
"?£tr:c:a Morton" <patriciamorlon@medact.org>
- Secretariat'’ <secretariat@phmovement.org>
-dday, Jun® 24. 2005 6:02 PM
Re: Global Health Watch launches so far planned
Rsv
■\
usrutes. Please don't forget high res version of the PHM logo.
— -Original Message —
PHM - Secretariat
Patricia Morton
• vVasnescay, June 22, 2005 4:C0 PM
Re: Global Health Water, launches so far planned
Send us a copy or two of ail the background material and promotional literature asap to the
Secretariat by mail or courier. Please send the text of the Advocacy — RN Document.
state Health Assembly in Karnataka (Bangalore is capital) is organized by PHM - Karnataka
Pre ?HA 2 event on the 7U'. We could try and release a
6/22/0 S
Main Identity
From:
To:
Sent:
Subject:
"Deien LaPaz" <delen27@yahoo.com>
<PHM_Steering_Group_02-03@yahoogroups.com>
Thursday, June 23, 2005 11:54 PM
Re: [PHM_Steering_Group_02-03] RE: Awaiting program... EU issue
Dear Maria,
Hello! Thanks for all the hard work.. Please, I just
want to know if you were able to incorporate our Thai
friends in the program and if you have written to them
regarding this. Please let me know.
Thanks again and best regards to all friends,
Deien
— Maria Hamlin Zuniga <maria@iphcglobal.org> wrote:
> Dear all,
> There will be a detailed program going up sometime
> today in the Americas,
> tomorrow on the English site.
> We are not able to add any more workshops or
> plenaries at this poing. We
> are already overloaded on the program.
> We will accept NO NEW proposals, and all changes
> have to be made by 26 June.
> Good work Nance.
> Regards.
> Maria
rl<.
: athc'.s Morten” <patriciamorton@medact.org>
;-HM - Secretariat” <secretariat@phmovement.crg>
Wednesday, .une 29. 2005 6:06 PM
Re: 2nc People’s Health Assembly
av:
Me ..W.: vol as we? as the rest of the PH.WPHA are struggling with lifeboats like we are. Sorry ' W
r ema?s at the same time this morning from delegates not knowing what was going or. - ■ oar?r:
' s,
gards
''ice big cruise ship will appear to give us a nice ride before Cuenca - but i a.m sure we wcr.
Page 1 of
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From:
To:
Cc:
Sent:
Subject:
"rakhal gaitonde" <subharakhal@rediffmail.com>
"PHM - Secretariat" <secretariat@phmovement.org>
<fran.baum@flinders.edu.au>
Tuesday, July 05, 2005 6:17 PM
Re: Fw. [PHM_Steering_Group_02-03] Commission on SDH - Reply from the Secretariat
Dear Ravi.
Recieved your email. I will definitely help in whatever way possible, i am certainly willing to volunteer
lime for the SDl l support group, in whatever capacity the support group feels.
in solidarity.
rakhal
On Tue. 06 Jul 2004 PHM - Secretariat wrote :
>Dear Fran,
7/5/0
Page 1 of 1
Main Identity
From:
To:
Cc:
Sent:
Subject:
"Patricia Morton" <patriciamorton@medact.org>
"Amit Sengupta" <ctddsf@vsnl.com>; "Jaime Breilh" <jbreilh@ceas.med.ec>; "david sanders'
<sandersdav@yahoo.com.au>; "Antoinette Ntuli" <ant@healthlink.org.za>;
<marion.birch2@btinternet.com>
"PHM-Ravi" <secretariat@phmovement org>; "David mccoy" <d.mccoy@ucl.ac.uk>;
<mikerowson@medact.org>
Tuesday, July 05, 2005 5 53 PM
Global Health Watch September meeting- please confirm your attendance
Dear All
We are confirming that the next Global Health Watch meeting will be held on the 15th and 16th of September at
the Medact office in London.
Please confirm your attendance (if you haven't already). Let me know also whether you will need your flight and/or
accomodation covered.
An agenda will be prepared closer to the time.
Best Regards to all
Pat
Participants:
-Ant Ntuli (GEGA)
- David Sanders (GEGA/PHM)
- Jaime Breihl (Latin American health watch/PHM Ecuador)
- Amit Sengupta (PHM India)
- new PHM Coordinator
- David McCoy (GEGA/PHM)
- Mike Rowson (Medact)
- Marion Birch (Medact)
- Patricia Morton (Medact/PHM)
- Roberto Bissio (Social Watch)
Patricia Morton
Global Health Watch Secretariat
7/5/05
Page 1 of 2
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From:
To:
Cc:
Sent:
Subject:
"david sanders" <sandersdav@yahoo.com.au>
"Patricia Morton" <patriciamorton@medact.org>; "Amit Sengupta" <ctddsf@vsnl.com>; "Maria
Zuniga" <maria@iphcglobal.org>; "Jaime Breilh" <jbreilh@ceas.med.ec>; "PHM-Ravi"
<secretariat@phmovement.org >; "Antoinette Ntuli" <ant@healthlink.org.za>
"David mccoy" <d.mccoy@ucl.ac.uk>; <mikerowson@medact.org>
Wednesday, July 06, 2005 4:17 PM
Re: MEDIA MESSAGES- Global Health Watch
Dear All
I have had a very quick look at this. It looks fine
except that I do not think it a good idea to have Yach
or Kickbusch on WHO. Partic. Yach since it is well
known that he was sidelined by WHO and it may be seen
as sour grapes.
David.
— Patricia Morton <patriciamorton@medact.org> wrote:
\
>7
Dear All
> Here are the media messages drafted for the GHW. A
> press release will be constructed from these
> messages. So that we are singing from the same
> songbook at the PHA2 we would like you to review
> them and to comment (if you have time). By Friday 8
> July would be helpful.
> Thanks very much
> Pat
> Patricia Morton
> Global Health Watch Secretariat
> Visit the Global Health Watch Website at
> www.ghwatch.org
> Subscribe to the GHW newsletter - send an e-mail to
> GHWatch-newsletter-subscribe@yahoogroups.com
> Medact is a UK charity for global health, working on
> issues related to conflict, poverty and the
> environment
> Medact
> The Grayston Centre
> 28 Charles Square
7/6/05
Global Health Watch Project
how to get involved
It is hoped that the Watch will be used as a catalyst for the
development and strengthening of existing campaigns around the
world to improve the health of the poor. The Watch aims to involve
civil society networks, organisations and individuals from
developing and developed countries.
Health
Watch
Regional and national groups are being encouraged to publicise
the Watch, and to develop their own accompanying national and
regional watches.
We are still looking for participation from interested individuals and
organisations.
You can help us by:
• Endorsing the Watch
• Creating demand for the Global Health Watch
in your region
Mobilising civil society
• Launching the Watch in your region
around an alternative
• Initiating local national and regional health
watches
• Submitting testimonies and case studies
I
World Health Report
• Volunteering to help with technical reviews
Contact details and information
Find out more: visit the Global Health Watch website www.ghwatch.org
Or e-mail us at ghw@medact.org
www.ghwatch.org
Why do we need an alternative
World Health Report?
The Global Health Watch the Report
The Global Health Watch is a new project led by the People’s Health
Movement which articulates civil society’s vision for global health.
It is a platform for the strengthening of advocacy and campaigns to
promote equitable health for all.
The Global Health Watch will be written by NGOs, academics and
campaigners from around the world. The first report will be launched
at the time of the World Health Assembly in May 2005 and at the
People’s Health Assembly in July 2005.
The global community has failed to achieve ‘Health for All by the Year
2000’. New targets such as the Millennium Development Goals look
increasingly unattainable. Questions need to be asked about whether
current policies in global health are working. The Global Health Watch
for 2005 will look at some of the most important problems, suggest
solutions, and monitor the efforts of institutions and governments
concerned with promoting health worldwide.
The Watch will:
__________ .
• Promote human rights as the basis for health policy
• Shift the health policy agenda to recognise the political,
social and economic barriers to better health
• Suggest alternatives to market-driven approaches to
health and health care
• Improve civil society’s capacity to hold national and
international governments, global institutions and
corporations to account
• Strengthen the links between civil society organisations
around the world
Provide a forum for magnifying the voice of the poor and
vulnerable
Global Health Watch - 200S Report
Section A: The Politics and Economics of Health
in the 21st Century
Section B: The Health Care Sector
• Responding to the commercialisation of health care
• Big pharma, access to medicines and IPRs
• Human resources: the lifeblood of health systems
• Responding to HIV/AIDS
• Gene technology and the attainment of health for all
9
Section C: Beyond Health Care
• Environmental challenges
• Militarism and conflict • Water
• I he light to food: land, agriculture and household food
security
Section D: Marginalised Groups
• Indigenous peoples • Disabled people
Section E: Monitoring of Institutions and Resource
Flows
• WHO • World Bank • WTO and trade agreements
• Global Fund and Pepfar (US fund for AIDS)
• Monitoring of international promises on aid and debt relief
Section F: Summary and Strategies for Action
Position: 662 (8 views)