PHM-SPECIAL CONTACT.pdf
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PHM-SPECIAL CONTACT
^avid Werner
Object: PHA-Exchange> from David Werner
Date: Sat, 04 May 2002 03:20'17 +0700
From: "aviva" <aviva@netnam.vn>
1P“'
deIi-9riCeci tnat the people's neaitn Movement is taxing part m tne
World Health Assembly. I view this as an important step forward in
terms of
the potential for aivina the Earth's disadvantaaed majority a voice in
tne
macro-level policies and decisions that affect their health and lives. I
hope this is the beginning of a larger process in which high-level
decision
makers begin to put the basic needs of the people and the planet before
the
short-sighted "development" goals that temporarily benefit the
prosperous
and powerful at crushing human and environmental costs. ’
Toward a healthier and more civilized global community!
David Werner
Member and Co-foundcr of the International People's Health Council
Director, HealthWrights (Workgroup for People's Health and Rights)
healthwrights@igc .org
www.healthwrights.org
PHA-Exchangc is hosted on Kabissa - Space for change in Africa
To post, write to: PHA-Exchange@kabissa.org
Website: http://www.lists■kabissa.org/mailman/listinfo/pha-exchange
5/6/02 10:21 AM
/}
PEOPLE'S HEALTH MOVEMENT IN AFRICA
PROCESSES TOWARDS A HEALTHY WORLD:
"Enhancing Primary Health care as a Solution"
WHO Technical Briefing Session
17 Mai. 2002. Geneva. Switzerland
Mwajuma Saiddy Masaiganah Ms.
Peoples' Health Movement
East and Central Africa Circle
PO Box 240. Bagamoyo. Tanzania
E-mail: masaigana@africaonline.co.tz
"Primary Health Care was and still is the correct pathway for us all. Holding this meeting
in East Africa is bringing the agenda home. . Let’s listen to these communities. How
many times do we allow them to be part of their development? Genuine people-centred
initiatives must be strengthened to increase pressure on decision-makers, governments
and the private sector to ensure that the vision of Alma-Ata becomes a reality".
Dr Upunda, Chief Medical Officer Ministry of Health, Tanzania, April 29, 2002.
Three major aims for the EHM meeting in Africa (Tanzania) were:
-To reflect on the PHA and see how the People's Charter for Health could be used to
strengthen activities and systems in Africa and start a campaign for greater support for
comprehensive Primary' Health Care.
-To identify key health issues that are important and affect more the people in Africa.
-To strengthen the People's Health Movement in Africa.
During the four day meeting participants;
-Confirmed support for the People's Charter for Health
L-
-Identified issues of particular focus for Africa at the present time
-Welcomed the draft version of the Swahili People's Charter for Health.
-Developed an Interim Circle for PHM activities in Kenya, Tanzania, Uganda and
Zimbabwe.
A range of diseases affects people's health in Africa:
-We stressed that HIV/AIDS is a serious problem for health in Africa, but not the only
problem. And that it was important to look at the context and ensure that sufficient
resources are available to prevent and treat other leading disease like: TB, Ebola fever,
Malaria, Typhoid fever, Cholera, and Measles.
Apart from these, some hospitals retain mothers after delivery' due to their failure to pay.
They wait for relatives to come and ’bail' them out. Sometimes this takes from one week
to even more than a months period.
The social, political and economic determinants that are impacting our health negatively
need to be considered and were identified as:
-SAPs (Structural Adjustment Programmes)
-TRIPs (Trade Related Intellectual Rights)
-Gender insensitivity - increased disparity in access to health with health systems tending
to be gender blind.
-Conflicts and wars
-Gender violence
-Lack of basic infrastructure - transport, deterioration in health systems including lack of
quality' sendees.
-Environmental issues - including waler and sanitation, deforestation and natural
disasters.
-Corruption.
-Cultural beliefs and practices that contribute to poor health and increase the risk of
diseases and those that strengthen healthy behaviours.
Two practical examples:
1. Water: To date there are still areas where there are water bodies nearby but people are
dying of water bome diseases. They bath in the water and move a few steps into the water
from the spot where one bathed and fetch water for drinking. This is done while there are
wealthy nations misuse their wealth. funding wars while innocent people are being
maimed and killed. The question is, 'Why not invest in a water well or create awareness
and save millions of lives? ’
2.Corruption: Corruption impacts all levels. Bribes have to be paid just to see a health
worker or to gel a clinic card for a pregnant woman/child. This does nol mean that
corruption is seen only in Africa. It is all over the globe. The issue is 'Why corruption'?
There are nurses who are volunteering to work for years without salaries. Don't they need
food? What about their families? How do these people live? By saying tins I do not mean
to condone corruption. 1 want us to look back and examine critically the conditions in
which the health staff live in; s.o that when we talk about corruption in relation to health
we know how to deal with it.
We believe that the key link in this process is the need to develop shared partnerships
with local and national governments, to complement their work and strengthen their
ability to provide sendees that the people need. Already in many African countries the
vast majority of care for patients suffering from HTV/AIDS is being done in poor
households mainly by women who receive little or no assistance from the health and
welfare services. Governments should give peoples' organisations, including the PHM,
recognition and representation at decision-making fora where issues affecting health are
discussed, and to facilitate their recognition and support from national and international
donors as channels for resources to facilitate the process of grassroots involvement.
We have found out that communicating the issues expressed in the Charter is a way of
breaking the silence around many of these health concerns and strengthening peoples'
ability io be involved in the process of both contributing to and demanding the
development and strengthening of relevant and effective health services.
Hie role of PHM in Africa:
It must become a strong unifying force, helping to bring together many of the people and
organizations involved in effective initiatives io improve health. Interim national
coordinators were selected to help with this.
The issue of re-use of female condoms is unacceptable by Africa and suggests that other
means be sought. After all, rural women cannot afford to buy a condom that costs almost
a dollar which many families in Tanzania for example do not earn in a week. We
condemn this outright with vigour and dignity.
the issues that concern the youth and the aged.
We demand that (E)Quality and quality be linked inseparably - there should be no double
standards.
Even' government should provide obstetric services that ensure that no woman can get
IUV transmission at child birth - (there should be universal precautions in deliveries, as
well as all aspects of health care). HIV/AIDS is only one of the many diseases that affect
Africa. Therefore, there should be a re-orientation where funding goes, and in this case,
grassroots funding is of vital importance.
PHlvl needs global recognition by international institutions and governments in order to
operate and access funding, and thus Africa calls for immediate global recognition of
PHM.
The problem of obtaining adequate funding to carry out PHM activities like
communication, which is a big issue in Africa, is raised.
The interim PHM chairperson for East Africa was given the task of bringing closer all
players in African countries into the process. Cameroon has already shown interest in
joining and I am in a process of assisting them to take off. We will make sure that all
willing African countries join.
Our situation in Africa does not guarantee a Right io Health. Thus we should work
towards a change of attitude of our governments to respond to people's health needs and
create space where people can play an active role by activating local actions. The people
of the developing world deserve and have a right to share the resources that the rich
countries lavishly enjoy; we will actually work for that. It is time now to demand, and we
demand it. It is no more time for rhetoric; we need actions.
Asanteni sana - "Thank you".
fTnsf-friends] Arogva Ivakkam reported as... of the ten best programmes in the World.
Subject: [Tnsf-iriends] Arogya lyakkam reported as one of the ten best programmes in the World.
Date: Thu, 23 May 2002 12:23:06 +0530
From: "Balaji Sampath" <kb@.eth.net>
To: <tasf-fncnds@aidiiidia.org>, <aid_coords@yahoogroups.com >
Dear Friends,
/
b. n uni K
Some of you are aware of the work on health / Arogya lyakkam - being done by
the Tamilnadu Science Forum.
Th-is-work has be' going on in about 500
villages in 10 blocks. Now"with the help of Association for India's
Development, we are expanding it to more than 30 blocks, in Tamilnadu and 13
blocks in Bihar./j"
; > :•'
crxuz rl !'.r~
•"••• .r -U >*
c'/
rgT-k.-.i
..
.
1.
, ?.
You might have read earlier reports on the programme that I had sent on
email.
Some of you have even visited a few of these programme areas and have been
financially helping sustain this programme.
Sometime back a team from UNICEF (United Nations Children's Fund) visited
the
.programme and evaluated the work done.
The Arogya lyakkam programme was selected as one of the ten best in India
and forwarded to the UNICEF office in New York.
There it was selected as
the ten best programmes in the world and has been reported in the UNICEF's
Innovations report.
I want to share this happy news with you.
UNICEF document which describes our work.
Below is the report from the
This recognition adds to the encouragement we get from seeing children vie
are able to save. With this expansion to more blocks we have to and will
work much harder and build up a larger team committed to eliminating
malnutrition.
We now need your support - moral, physical and financial - more than ever
before.
Thanks once again for your interest in this work.
Bye,
Balaji Sampath
A SYNOPSIS OF INNOVATIONS AND LESSONS LEARNED IN UNICEF COOPERATION
AN EDITED SELECTION FROM THE 2001 COUNTRY OFFICE ANNUAL REPORTS
Edition)
(4th
MARCH 2002
Complied for UNICEF staff members by Die Programme Group, NYHQ.
Community Initiatives to Improve Child Health and Nutrition in Tamil Nadu,
India: Strategies and Preliminary Results on Nutritional Impact - India
Background
This programme was started in May 1999, and is being implemented in roughly
500 villages in 10 blocks in Tamil Nadu. Supported by UNICEF, the programme
is executed by the NGO Tamil Nadu science Forum. The programme has three
main aims:
I of4
7/9/02 1:52 PM
-'EWr
A SYNOPSIS OF INNOVATIONS AND LESSONS LEARNED IN UNICEF COOPERATION
G pc-
AN EDITED SELECTION FROM THE 2001 COUNTRY OFFICE ANNUAL REPORTS (4th
Edition)
MARCH 2002
Compiled for UNICEF staff members by the Programme Group, NYHQ.
Community Initiatives to Improve Child Health and Nutrition in Tamil Nadu,
India: Strategies and Preliminary Results on Nutritional Impact - India
Background
This programme was stalled in May 1999, and is being implemented in rouglily
500 villages in 10 blocks in Tamil Nadu. Supported by UNICEF, the programme
is executed by the NGO Tamil Nadu Science Forum. The programme has three
main aims:
- Improve the use of primary health care services;
- Improve children's health and nutritional status; and
- Organise and empower women around their health needs.
The programme organised village health committees (VHCs), which each
selected a local health activist. These voluntaiy health activists were
trained together, and more intensively in the field, in talking to mothers
about nutrition and diseases, and to pregnant women about nutrition,
delivery, breast-feeding and other health matters. The VHCs also met to
read
and discuss health books, and helped the health activist to promote
nutrition and health education.
S Sc.•>
The main strategies used to address child health are:
At the family level:
- menfify children at risk by weighing each child
- constantly follow up each child at risk and assist families to prevent
malnutrition or reverse it by appropriate health education and better use
of
existing health services
At the community level:
- strengthen primary health care and Tamil Nadu Integrated Nutrition
Programme (TINP) services through advocacy
- make child malnutrition the most important index of health for local
planning, and sensitise panchayai members as to its significance.
The activists were given intensive training in child health and nutrition
to: analyse the combination of factors that led to particular cases of
malnutrition; identify those factors that can be addressed in that
individual and social context; discuss with the family about the child's
risk factors and the importance of addressing those factors; and reinforce
the initial message by repeated visits at the family level as well as
through cultural programmes and village-level meetings.
Programme principles:
The interaction between the health activist and the mother is central to
the
programme, and is based on principles derived from experience:
1. Respect. The mother and pregnant woman are seen as intelligent people
coping with difficult conditions, and not as ignorant people who won't
listen to sensible advice.
Post" P//D
2. Understanding . The focus is therefore on understanding why a mother
does
not follow advice, rather than blaming her for not doing so. She already
has
a world-view, formed by her own experiences and what she has learned from
her community. That world-view guides her health practices for herself and
her child. The advice she is given by the programme often differs from her
own information; to succeed, one must integrate this advice with her
world-view, by discussing in detail why it makes sense and how it can be
adopted within the limits of her resources.
3. Skilled and patient negotiation . This kind of dialogue is difficult,
time-consuming and requires considerable skill and confidence on the part
of
the person giving the advice. Training the activist: in dialogue takes time;
she must learn not only to advise, but to counter arguments and elaborate
ways in which advice can be adopted in a resource-pool’ setting. The
activist
needs support from a group of trainers who visit her regularly, provide her
work with legitimacy and constantly encourage and provide her with further
training.
4. Peer discussion and reinforcement. One-to-one sessions between the
activist and mother are complemented by group meetings called by the
activist to discuss specific issues (e.g. feeding the colostrum). Tn such a.
meeting, a mother will invariably say they have fed the baby with colostrum
and the baby is healthy; this can be used as "proof of concept" to
convince
others. This kind of negotiation with a larger group also requires skill,
and often the block-level trainers help the activist to conduct such
discussions.
Preliminary' results on child malnutrition
As part of programme activities, children aged under five were weighed at
the beginning of the programme, and again roughly 1.5 years later (in
October-December 2000). Of 7,133 children weighed during both periods, the
percentage of children with a "normal" weight increased from 34.5% to
45.8%.
The percentage of "grade 1" children increased by 1.3 percentage points,
while the percentage of children in grades 2-4 decreased by 12.6 points.
If one compares each child's status at the two times of measurement, one
finds that 34.9% of children improved their category, while 13.5%
deteriorated; the remainder stayed in the same category. That is, there was
a net categorical improvement among 21.4% of the children.
These results understate the programme's impact, in that the nutritional
status of a cohort of under-fives is not static in the absence of positive
interventions in their favour. Rather, one expects their nutritional status
to worsen. In areas of the State where the programme is not being
implemented, one finds that the overall nutritional status of a cohort of
children aged under five deteriorates over a 1.5 year time period; indeed
this pattern is commonly found throughout India.
Organisational insights
Explanations for these positive results can be found in the actions of the
health activist the programme's design and operations place great emphasis
on motivating her and making her effective:
• - ■ When measuring the activist's work, she is not blamed for children who
are
malnourished or in poor health. The emphasis is rather on measuring her
work, i.e. talking to mothers and pregnant women. If children have
worsened,
the reasons are sought in her training or in programme design
sometimes reveals that there at e underlying factors beyond her control,
such
as diarrhoea epidemics.
• The activist is always praised in front of the mothers. To boost her
respect in the village and her self-confidence, village meetings are
organised in which she is honoured and called to talk to the village
community. These measures gain her respect locally and motivate her to work
harder.
■ An egalitarian and intensive relationship between the trainers and the
activists is important. The motivation of these trainers, and their
willingness to meet with mothers, often over a period of days, are crucial
to providing the activist with a. good example as well as the skills she
needs.
• The activists' voluntary' status is important to their motivation. The
activists and the village understand that the work is done for the sake of
improving children's nutrition.
• To ensure that the focus of the activist is on actually meeting mothers
and pregnant women, administrative tasks such as report wilting and
maintaining records are kept to a minimum. The trainer is responsible for
monitoring the programme, and is primarily responsible for administrative
tasks; the activist is asked to maintain only one page from which all
relevant data are gathered.
While the preliminary results will need to be independently verified, they
suggest that litis programme might provide a viable model to reduce child
malnutrition. More time will be required to determine how long it takes to
raise a community's capacity sufficiently to address malnutrition without
ongoing support from an NGO; and to determine the cost of this model.
There are three further considerations relating to sustainability and
replicability./First, the model requires supportive primary health care and
nutritional services, which have traditionally been provided by the State.
These services need to be reinforced.-Second, this model is predicated upon
intensive outreach counselling and personal relations. While resource
constraints play a role in malnutrition, much of child malnutrition can be
explained by behaviours. Poor feeding practices are common, and the in-home
management of illness can be much improved. These problems can only be
addressed through a dialogue that intensively and repeatedly seeks to
ensure
that the right behaviour has been understood and is being practised. There
does not appear to be a shortcut or substitute for this approachyThird,
the
J
community's involvement is important: it provides support to the activist
and examples of positive behaviour for others.
Sincere thinks to Tami Farber for her work in support of this collection.
And ourfhanks to all Country Offices that provided write-ups on
innovations
/
and/pr emerging lessons in the 2001 Annual Reports.
'i'.-'i AKuyS iyV.kK’v;.
dS. . C’i Ch-i' Tell biSi'LTviTSJ'iiiUCS iii uiv VvGrkl.
Subject: |i nsWriendsj Arogya lyakkam reported as one of the ten best programmes in the World
Dst?: I hu. 23 Mav 2002 12:23:06 +0530
From: 'Balaji Sampaih" <kb@cih.net>
l o: <tnsf*friends'ti)3idindi3.ors>. <?.id coordsfS’vahoosroups.coni^
Some c: you are aware or tne work: on health - Arogya lyakkam - being done
“.he Tamilnadu Science Forum.
This work has be going on in about 500
villages in If blacks..
Now with the heir? of Association for India’s
reve 1 opmenr.t
are expanding rt to more than 30 blocks m Tamilnadu and
blocks in Bihar.
You might have read earlier reports on the programme that I had sent on
ema i 1
?me
5.
or you nave even visited a rew of these programme areas and nave oeen
financially helping sustain, this programme.
Sometime back a team from UNICEF (United Nations Children’s Fund)
visited
pro gramme and e v a _ ua t e o ~n e work done.
The Arc-gya lyakkam programme was selected as one of the ten_best in India
and forwarded co the UNICEF office in New York.
There it was selected.~as
th° re^ be*■ oroc>'a:""’.es in the world and has been reocrted in the UNICEF’s
I wane co share chia happy news with you.
Below is the report from the
ITIx’TCFlh oocumenr. wnich Describes onr work.
This reC'Ognl I iozs adds to the encouragement we gel from seeing children we
are aisle to save. Kith this expansion to more blocks we have to and will
work much harder and build up a larger team committed to eliminating
Nadu. Suppoi zed by
is executed cy the XA Jamil iX-adu Science Tc-rum.
mam aims:
". -
pi
.■-.n
rhe programme has three
Organise m e-moc'.ver ’..'cmeri around their health needs.
ihe or? gramme organised village health committees (VHCs), which each
sciGczeci a _ccai neccch acciviSv... inese voluntary healm activists were
trained together, and more intensively in the field, in talking to mothers
about nutrition and diseases, and to pregnant women about nutrition,
uexivery, breast-feeding ancx ocher health matters. The vHCs also met to read
and discuss health books, and helped the health activist to promote
nutrition and health education.
tegics used to address child health are:
At the family level:
- identity children at risk by weighing each child
- constantly fellow up each child at risk and assist families to prevent
malnutrition or reverse it by appropriate health education and better use of
existing health services
At the coitmunity level:
- strengthen primary health care and Tamil Nadu integrated Nutrition
Programme (TINT? services through advocacy
- make child ma ' nijr.ri r. i on the most important index of health for local
io ’ annme a^d c'"’n£ ' z1 so oancha'*at mcmbors as to its s ' ^nif icanco
The activists were given intensive training in child health and nutrition
to: analyse the combination of factors that led to particular cases of
malnutrition; identify those factors that can be addressed in that
individual and social context; discuss with the family about the child's
risk factors and the importance of addressing those factors; and reinforce
the initial message by repeated visits at the family level as well as
through cultural programmes and village-level meetings.
3. Skilled and patient negotiation
This kind of dialogue is difficult,
time-consuming and requires considerable skill and confidence on the part of
the person giving the advice. Training the activist in dialogue Lakes lime;
or
5/24/02 10:40 AM
f urtf-friends’ Arcsya lyakkam reported as
*< « •
of the ten best urosrammes in the World.
*>
she must learn net only to advise, but to counter arguments and elaborate
ways in whicr: are /.-an be. adopted in a resource-poor setting. The activist
needs support from a group of trainers who visit her regularly, provide her
work with legitimacy and constantly encourage and provide her with further
-.raining.
4. Feer uiscusslor: and reinforcement . One-to-one sessions between Lhe
activist and mother are complemented by group meetings called by the
activist to discuss specific issues (e.g. feeding the colostrum). In such a
meeting, a mother will invariably say they have fed the baby with colostrum
and the babv is healthy; this can be used as
"proof of concept" to convince
others. This kind of negotiation with a larger group also requires skill,
and often the block-level trainers help the activist to conduct such
discussions.
Preliminary results on child malnutrition
As part of programme activities, children aged under five were weighed at
the beginning of -he programme, and again roughly 1.5 years later (in
OctioiDsr—Dscsr.'jS'-sr 2033) . Or / 133 ct’iilcix'sn wsigiisd ci’jriricr Poth periods, ths
If one compares each child's status at the two times of measurement, one
finds that 34.9% of children improved their category, while 13.5%
deteriorated; ths remainder stayed in the same category. That is, there was
a net categorical improvement among 21.4% of the children.
Those results understate the programme's impact, in that the nutritional
status of a cohort of under-fives is not static in the absence of positive
interventions in their favour. Rather, one expects their nutritional status
to worsen. In areas of the State where the programme is not being
implemented, one finds that the overall nutritional status of a cohort of
ennoren ageu under five deteriorates over a 1.5 year time period; indeed
this pattern is commonly found throughout India.
Organisational insights
■ An egalitarian and intensive relationship between the trainers and the
activists is important. The motivation of these trainers, and their
willingness to moot with mothers, often over a period of days, arc crucial
to urovidino Lhe activist with a good example as well as Lhe skills she
3 of 4
’nsf-fiiends] Aroaya iyakhsin reported as... o! die ten best prosunntes in the World.
5/24/02 10:43 AM
While the preliminary results will need to be independently verified, they
suggest that this crccrramme mioht provide a viable model to reduce child
malnutrition. More time will be required to determine how long it takes to
raise a community's capacity sufficiently to address malnutrition without
ongoing support from an JTGO; and to determine the cost of this model.
There are three further considerations relating to sustainability and
replicability. First, the mode- reo'mres supportive primary nealth care anci
nutritional services, which have traditionally been provided by the State.
These services need to be reinforced. Second, this model is predicated upon
intensive outreach counselling and personal relations. While resource
constraints play a role in malnutrition, much of child malnutrition can be
explained by behaviours. Poor feeding practices are comjtion, and the in-home
management of illness can be much improved. These problems can only be
addressed through a dialogue that intensively and repeatedly seeks to ensure
that, r.’ne ri n'nt benavionr has been understood and is being practised. There
dnQS ^Ot am?C*x x' O CO 3 sh^rtCU** 02? SUjOSt luUtO ^Or this 3'^D^'OSCh. Third the
coiwnuzii Ly ’ s involvement is important: it pro vide s support. lo the activist
Sincere thanks to Taiti Farber for her work in support of this collection.
And our thanks to all Country Offices that provided write ups on innovations
and/or en-erciinc lessons in the 2001 Annual Reoorts.
4 of 4
5/24/02 10:43 AM
Subjec
■: -nevi -
.'■>Ol: ,\G& Warn of Economic Policy impacts on Medical Services (PH.’O '".icdia
r;-rr in in:/?- press SstvOv)
tiNNi.KRl$i;NA.N P V (Dr)” <unnikru'dyahoo.com>
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Type: Plain Text (text•'plain):
' ' '•■’neodiiig: ciuoled-piintable
\ 'T-l Nkd;:'. c<a\»rr,gc during V. I LX, 2002 (Geneva): Inter Press Service wire
tic ’ l : IT \GO« Warn of economic Policy impacts on Medical Services
Ijy Gustavo Uapdeviia
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ministers around the globe to recognise anti, take action to prevent the disastrous impacts that
certain economic policies have on public health.
GF.NEVA.Mav 17(1PS) - Ravi Narayan, a doctor from India and representative of the
People's Health Movement, said that civil society' activists are concerned because the supposed
i'tAf rr-c.-'h inn ih. ■ r.nnr
< •!. -W ' 1 > V b
.-'OVZ-.
acnvlia- ol tha
) sssc'Ciotion with tiic World IBiimk .•or/«
Ellen Verheul. of XX’emos. an .Amsterdam-based non-governmental organisation (NGO)
universal access
health services while isupporting World Bank strategies that promote the commercialisation of
hcp.ith care imci charsisg iidi cost to patients.
The NGOs' criticisms were heard also by WHO director-general Gro Harlem Brundtiand during
an inf rmationai meeting about die- % orid Health Assembly, which rook place this week in
Most of rhe NGOs' reproaches, which often also extended to rhe World trade Organisation
> V, ! t■ > and ■ nterr iatit >na I Xlonelarv Fuit** Hsd .. it ere basedonthe '.iiieciirm taxei. in iiea*th
policies in recent decades.
Itavtri Nai'arm. executive director nt the i.TlCt direvior-uiencral s office. ueruc'd iiiat the
institution has renounced its people-centred health strategy to apply others promoted by major
i ram n at Ratal corporations, such as pharmaceutical companies.
The 199 WHO member-states have not given any indication that they think ;the organisation is
abdicating its core health responsibility or its role as the international health standard-setting
organisation of the UN system said the official.
Nabarro said the evidence in favour of the WHO is the increasing number of initiatives that
rrembuf-.-tsiu:-. cRirust to rhe o£g?.nis3tion, corrobor^tii^Li -ho \i:iichr/ c?t its herdth policies
regulations.
] i? p. '.•re’: - .'inference, .ho responded to criticisms rillcging dint the WHO hss p.b.'ip.doncd its Hc<mh
ioi All suategj.
The WHO budget, which is approximately 1.25 billion dollars a year and is subject to continued
curs in govenimenr contributions, is approximarely equivalent to the budgets of two district
scjicral hc-spiial.s' .■ .■•muri. he cited as an example or the orttamsimori s fmatictal hmiirimms.
With thin sum. the WHO cannot attend to the health needs of the entire world. Nabarro said.
Th-* '5i HO h-ri- J h.muHr crjiicimis diinntj 2 mcciiim o? the I'ccmic s I Zenith .Movement
held irisi nK>nm lu FariZciiiia.
'.O'. jfi
;.i;c Capiidi i.-i L-jmiglddcSii. i»j CruiV x’ill ililSJlicUiOriru BCilOns VVHii ’die aim of
achieving 1 iciOm tar All.
‘ mst of the people with HIWAIDS receive inorjicni attention in poor
>•? "kVa
<ir< E'MfVidvM ."bv WC-i nCii who fcCCiV'C little 07 HO frSSi’SmHCC iTOi'fi
co-,w health or welfare offices, said the African assembly's representative, Mwajuma
Saidov X lasaiganah
aid Mi'.saig.'inr.h, sent her to deliver a message to the
.
:
1>O: The measure
prm.'iv.iits die re-use of female condoms is unacceptable and other means to prevent lite spread of
;>]V ’JDS .,;„4
OL' .c*.. _’Li£€S 11211SI be SO’-lSilt.
\
,
r
‘
••-.■•!‘ti-vrrl trx kni.- <3 onjwlnrn fhof rnclc plmncj a rlnllor wht/4* mom'
trn;--;: tvAmAr, .->•
: j';>rv- ■ ■■ ■'.■'rijoi cttm in a week. she said.
Tn 1 opr. .?. ■nprjr i
- jr- ■.'.■'hi 1g p,"02rCSS WHS IHFldc 111 til© llCtillh nf02T3U11T16S lllSt 113V6 bCCH 111
place since the 5pmliciilarly those aimed at eradicating smallpox, polio and measles.
However. with the structural adjustment programmes and the heavy debt payments, health care
s>. stems It. ce been seteieb.-' affected, said Mana Zuniga, a .Nicaraguan national oho reju eseiits
the regional People’s Health Movement.
The dsiiitmic of the global immiimsaiiC’n eiTorts vi tlte past few decades was similar, said
Narayan, pointing out that vaccination coverage grew constantly worldwide until the late 1980s.
Gut smc< the carlv 1990s. figures from th-t o 110 anti the VvC-rld Dank sh.tiw that immunisation
rates have fallen in 'India, China and other countries, which the Indian expert blamed on new
economic policies.
Europe must also defend its health systems, said Verheul. underscoring that they arc increasingly
being subjected to market forces ttitdci rules established by the M PO s General Agreement on
Made m Services tG. Y! S). ";We. as civil society organisations, want to work with the ','.110 on
these issues, and we " am the ‘' I IO to take the lead", stated the Dutch activist.
Dr. I: nnikHshr;,?n PV
..
•
r-in.'i’1 tninikru?/Mobil'?: 91
it;.-tin- Fmer^encies
9X450 9119
Oj- HAM INDIA
X IC-J
khrep. 4fh \
>'?/!/ FMIOf Ot HvSpiU!!. (oft) Rr’htR P<1. '-fehb/J, RHi.‘gH>i'Ht>5‘Z'O 0?4 -
1N DI. \
Phj '71 P-'O/ 363 .2964, 3(?-.3 3274 ' Pp.x ; 91 (§0) 391 4508
? .-i~
v/'firjD?
\ Stii.Cvin
C^xPim Indip.^
cb-SiR." T/Vv'Vs .C-X i Zifi iHlui3.0r£<
Subject: Report from Italy
Date: Mon. 27 May 2002 18.04:23 -0200
From: Sunil Deepak <sunil.deepak iiaifo.it>
5.28.02 9:51 AM
To: Community health cel! <sochara'3'vsnl.com>. "Qasem Chowdhury, Dr" <gksavar.'®citechco.net>;
:■ <p
inkin@gn.apc.org>, Maria Hamlin Zuniga <iphc@cisas.org,ni>,
Elllen Vciheu! <elien.verheul@ wemos.ril>, Christiana <dosch. fischer@hammkomm.de>.
David Sanders <lm3nin@uwc.ac.7a>
Seme of you had asked :r.e send a brief report about the different PHA
activities in taly Enclosed I an sending it to you. Your comments &
suggestions will be appreciated verj much.
best wishes and thanks,
Sunil
" T. 5.21Cl
”, Sunil Deeoak
Director, liedical Support Department
AIFO
Via Borselli 4-6
11135 Bologna
Italy
Tel: -390-51-43.34.Cl
Fax: -390-51- '.3.11. ic
Hcmeca ge :
. a: - : . i t
vjAIiO PHA report 2001-02^20
Name: A1FO PHA report 2001-02.doc
Type: Download File (application mswo:
Encoding: base64
Retort from Italy
.4/Po
?H0-
W<s>r*nr*t f»-nm Ttolv
*»-uFv>. . l.v^
Date; Mon, 27 May 2002 18:04’23 +0200
From: Sunil Deepak <sunil.deepak@aifo.it>
To: Community health cell <sochara@vsnl.com>, "Qasem Chowdhury, Dr" <gksavar@citechco.net>,
Pam Zinkin <pamzmkin@gn.apc.org>, Maria Hamlin Zuniga <iphc@cisas.org.ni>,
EUlen Verheul <ellen.verheul@wemos.nl>, Christiana <dosch.fischer@hammkomm.de >,
David Sanders <lmartin@uwc.ac.za>
Dear Friends,
Some of you had asked me send a brief report about the different PHA
activities in Italy. Enclosed I am sending it to you. Your comments £
suggestions will be appreciated very much.
With .best wishes end the.ri.ks
Sunil
27.5.2002
Dr. Sunil Deepak
Director, Medical Support Department
.AIFO
Via Borselli 4-6
40135 Bologna
Italy
Tel: +390-51-43.34.02
Fax: +390-51-43.40.46
Homcpa gc:
www .aifo.it
Name: AIFO PHA report 2001-02.doc
Type: Microsoft Word Document (application/msword):
:Encoding: base64
:
■
: i+^ATFO PHA report 2001-02.doc:
1 ofl
7/9/02 2:01 PM
Pedpie’s Health Assembly and the Charter
Report of activities from Italy (2001 - 2002)
By Dr. Sunil Deepak, AIFO, Italy
First contact with PHA Charter: Three persons from Italy (Andre Berg, Marinella Correggia &
Nicoletta Dentico) participated in the PHA in Savar in December 2000. At that time, I was working
at WHO/Geneva with a short contract and heard about PHA and the Charter in a meeting in which
Dr Ravi Narayan from CHC-Bangalore, gave a presentation. The World Health Assembly in
Geneva in May’01 was a second opportunity to meet other persons involved in the Charter, some of
whom like Dr Zafarrullah, I already knew.
In June’01, after the end of the WHO contract, I came back to my NGO AIFO based in Bologna
(Italy) where I work in Medical Support department. After my return, I spoke to my colleagues in
AIFO about the Charter and there was lot of interest and enthusiasm about the idea. It was also
discussed with AIFO’s Board, which expressed similar interest in the idea.
In the next twelve months, the whole initiative has grown up and multiplied in different forms,
becoming bigger and bigger. More than 6000 persons have signed the Charter and more signatures
are pouring in. Many new ideas about promotion of the Charter have come and are being developed.
Part of this success depends upon the way AIFO is organized through grass-root groups and local
coordinations.
Brief information about AIFO: AIFO (Amici di Raoul Follereau), inspired by words of a French
journalist Raoul Follereau started in 1961, through the interest of three persons in the prison of
Bologna. Since then it has grown up as a federation of more than 60 groups spread all over Italy,
some of which are registered organizations in their own right. Each group has a democratic
structure and nominates delegates to AIFO general assembly. The groups are organized in
provincial and regional coordinations and involve thousands of persons including about 570 official
members. The AIFO groups include health professionals, school teachers, housewives, retired
persons, office employees, etc. AIFO supports health care projects dealing with leprosy, primary'
health care and disability. At the same time, in Italy the AIFO groups are involved in advocacy,
awareness raising, teachers-training courses, etc, on issues related to inter-cultural living,
development education, emigration, etc. More information about AIFO’s work is available at the
web page wvvvv.aifo.it (mostly in Italian).
Activities related to PHA and Charter over last one year:
Translation & printing of the Charter: In July 2001, the Charter was translated in Italian and
printed in 1500 copies. A slightly edited version of the Charter was printed in AIFO’s monthly
magazine in Italian (AdL) in September 2001, distributed in 80,000 copies. In December 2001,
AIFO used the Charter as the theme for its calendar for 2002, printed in 10,000 copies. Since then,
the Charter has been in many other forums - like as annex to the magazine of Italian workers union,
as a supplement with a monthly magazine Vita, in the Italian Journal of paediatricians, etc. fhe
Charter was also put on the AIFO web page in both Italian and English versions.
People supporting the Charter in Italy: Till beginning of May 2002, there were already more
than 6,600 signatures for support of the Charter including from some parliamentarians, some well
known Italian personalities, many university professors, many organizations including NGOs as
well as many catholic congregations and institutes.
A large number of signatures were collected in January 2002, when ATFO carried out a massive
information campaign in 250 city squares all over the country, during which AIFO group volunteers
sold honey produced a cooperative of disabled persons and asked people to sign the charter.
About 700 signatures have been collected through individuals who have saw the charter and wrote
back to AIFO saying that they wanted to support it. A detailed analysis of different persons signing
the-Qharter is being carried out and more information should be available about this in a few weeks’
lime.
Networking with other organizations and movements: The Charter has been seen as part of the
struggle in which many other organizations and movements are involved like cancel the debt
campaign, anti-mine campaign, healthy cities campaign, anti-globalization forums, ATTAC-Italy,
essential drugs campaign, etc. Thus different organizations like Doctors for environment & Italian
Health Watch have decided to include the Charter in their activities. These different organizations
and movements invite some one to speak about the Charter during their meetings and events while
any event on the Charter, invites these other movements to come and speak about their own work.
Every month, there is an average of 6-7 requests for speaking about the Charter and there is already
a group of persons (Dr Salvatore Amaro and Dr Anna di Costanzo in Naples. Ms. Anna Diara in
Lucca, Ms. Susanna Bemoldi in Imperia, Prof. Antonio Landolfi in Bologna, etc.) who are going to
speak in these meetings about the charter.
Organization of specific events: In October 2001, AIFO organized an international workshop on
Poverty & Development, during which the Charter was also presented to persons coming from
different countries.
In the beginning of November 2001, the biannual AIFO national conference was organized in
Assisi, which focused on PHA Charter. Dr Halfdan Mahler and Dr Mira Shiva were invited to speak
about PHA in this conference, which saw participation of many Italian NGOs and movements.
During these events, Dr Mira Shiva was interviewed by different magazines and one small
interview was transmitted on national TV channel on Sunday morning, which helped in creating
public awareness.
Future ideas for development of PHA Charter movement in Italy: It has been decided to create
some thematic email discussion groups, which should come out with a final document expressing
their position about each theme. The themes include - nutrition and health; military budgets, wars
and health: women and health; children and health; &, health and equity'. For each thematic group, a
promoter has been identified, who will contact and involve persons interested in joining the
thematic group.
Another idea is to organize four regional events in Autumn’02 about health, social injustice,
international policies and PHA charter. The plan is to involve some well-known personality, who is
also socially committed to speak in these meetings.
On the World Health Day (7 April) 2003, it may be possible to launch a post-card campaign about
•‘Give a day of war to peace and health”, asking people to send post-cards to Government to ask that
one days defence budget be committed to health needs of home less people. It remains to be seen if
similar campaign can also be carried out in. other European countries or other countries where PHA
activities are present.
AIFO has also presented a Development Education project related to PHA charter to European
Commission for funding. If the idea of this project is approved, this would provide more funds for
doing creative awareness raising work with the charter in Europe - some of the idea are printing the
charter in comic-book form for school children, preparing an interactive CD-ROM on the charter,
organizing an international meeting on Charter in October 2003, etc.
Finally a newsletter called Condivisione (Sharing) is being planned, to provide an instrument to
different persons involved in this initiative in Italy to share their experiences and ideas. The first
issue of this magazine should be ready by the end of June 2002 .
Other activities: Through different AIFO groups and through many non-AIFO organizations and
individual activists, there are many more activities about which I don’t receive all the information.
For example, I was recently informed by a doctor in Sardinia island that she had already organized
different meetings with the local medical council on the charter and now they would like to invite
me for a cycle of conferences in the coming autumn.
Another group of persons in Naples involved in the thematic group on Health and Nutrition, have
invented a boardgame called “Nutrilionometer”, which should introduce the concepts of healthy
eating in school children. The city council of Naples has agreed to cover the costs for distribution of
this teaching game to 350 classes of school children. With each game, each class will also receive a
copy of the Charter.
It is true that such initiatives are "un-coordinated” but hopefully, these will lead to strengthening of
PHA movement in Italy.
Dr. Sunil Deepak
Via Borselli 4-6
40135 Bologna, Italy
Email: sunil.deepak@aifo.it
27 May 2002
http://flniail.rediff.corn/cgi-bin/r...function_namc="&SrtFld=2&SrtOrd=
Read Message:Inbox
Fawzia Rasheed
Dr Fawzia Rasheed PhD
Senior Policy Adviser
Policy Coordination
Executive Office
UNAIDS
20 Ave Appia
CH 1211 Geneva 27
Switzerland
Tel: 41 22 791 1356
Msg: 41 22 791 4776
Fax: 41 22 791 4179
Email: rasheedf@unaids.org
Dear Ravi and Thelma,
I am happy to note about the progress on the Contact PHA issue. Since
you all are meeting on May 16th to deliberate about the inputs/
writers
I wanted to clarify/add some points to help in shaping the
issue and avoid misunderstanding and delay.? To begin with, 1 would like
to have a clear
idea about the theme for this issue. Will it be focussing only on "After
Dhaka" or will it be an issue onthe PHA movement - past, present, future
etc etc or are you going to hinge it on WHA???
Secondly (in keeping with our editorial policy) I need to have the list
of the writers/contributors as
early as possible, as they have to be cleared by our editorial group. I
am sure you will be able to
understand that Contact like many other faith-based outfits, has certain
parameters/regulations
to follow. So if this list (even if its just possible writers at this
stage) is passed to us before you start
commissioning/requesling them for articles, we might be able to avoid
some heart burn later on,
should a particular writer not be acceptable. ? Since Contact has an
international readership, we are
bound by policy
to include experiences from as many continents as possible. SpeciallyLatin America and Africa
besides South Asia.? Articles should focus on global, national and
regional activities. ? Articles
should not be just opinion pieces, but be informative and instructive
with space for critical reflection.?
Articles should be written in simple English. However translations can
be arranged for articles in
Spanish/French/German - provided we get well in advance-? We need a
fair
mix of
features/experiences/human interest stories? One 'Interview" input is
needed? Gender factor to be
taken into account - writers should be from both sexes ? While we would
be glad to have a guest
editor, and will try our best to work in consultation with the guest
editor, but the final authority for
deciding about the contents/editing/re-writing and designing will rest
with the editor of Contact. ?
Articles should be roughly between 1000 -1500 wds. Pictures to go with
the text will be welcome ?
2 von 3
10.05.02 11:
http://flmail.rediff.com/cgi-bin/l'...function_name="&SrlFld=2&SrlOrd=
Read Messagc:lnbox
Finally, all articles have to come in, one month before the issue's
deadline.And that brings me to the
most important bit -1 do not see this issue coming out before August.
Since 1 am away from the
office in June, I can start editing this issue only in July - which
also gives you sufficient time to get all
the articles. I will have to plug this issue in - which means I am
postponing my AIDS issue to a later
date. Hope we will be able to meet all the dead lines by then so that we
do not derail our production
schedules. Looking forward to keeping in touch.Contact and CMAI
wishes
the PHA every success.
With best wishes,
Reena
Reply
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3 von 3
10.05.02 11:
Geveva Overview Report
I
Subject: Geveva Overview Report
Date: Fri. 07 Jun 2002 15:06:01 +0530
From: Community health cell <sochara@vsnl.com>
To: "Qasem Chowdhury, Dr" <gksavar@citechco.net>,
zafarullah Chowdhury <gk@citechco.net>, Maria Hamlin Zuniga <iphc@cisas.org.ni>,
David Sanders <lmartin@uwc.ac.za>, Pam Zinkin <pamzinkin@gn.apc.org>,
Claudio Schuffan <aviva@netnam.vn>,
Mwajuma Saiddy Masaiganah <masaigana@africaonline.co.tz>,
"Andy Rutherford-One World Action-U.K." <andy@oneworldaction.org>,
Andy Rutherford <arutherford@oneworldaction.org>, Bala K <k_bala@eureka.lk>
Dear Friends,
Greetings from Community Health Cell and the WHO/WHA Circle of PHM!
I finally managed to get a preliminary overview report of the week in
Geneva, completed.
It highlights the main points though so much
happened in so many places, in small and large groups, that it was not
easy to put it all together.
There must be many omissions but I hope
its a good enough beginning to put on the exchange.
Nance Uphams
reflections that were already put on the exchange gave some idea but was
perhaps too personalised and I hope mine is more objective though here
and there I have allowed a bit of my reactions as well.
All of you have a task at hand now.
Please go through carefully.
Send
additions, bring to notice omissions, add details, even comments so that
another more detailed report can be put on the exchange after 2-3 weeks
as a collective exercise building on this preliminary template.
If
this is okay, then Claudio can get the go ahead to put this on the
exchange.
The collation of 'Vision' is being sent next - followed by other
collations on 'Timelines and involvement', organisational issues and
ideas for initiatives, presentations by people (Maria has already
offered to put some presentations she has received, on the exchange).
These are from our notes which were not kept all the time. So do join
the process of adding and buiding together.
Best wishes and in solidarity.
Ravi & Thelma Narayan,
CHC / PHM.
P.S. : The list of participants and addresses and emails is not with
us.
If anybody has it, please collate and send around urgently.
p|PHM in Geneva Report.doc
Name: PHM in Geneva Report.doc
Type: Microsoft Word Document (application/mswordjj ,
Encoding: base64
P-T 6
. 6 7'02 3:07 PM
i C—!
I eh
Rc: contact
Subject: Re: contact
Date: Thu 06 Jun 2002 12:51:36 -0700
From: Dariena David <darlena@hesperian.org>
To: Community health cell <sochara@vsnl.com>. sarahs@hesperian.org
Great to see a well thought-out outline tor Contact. Have you heard from
Reena yet? The couple of things I wanted to add were:
1. Usually Contact does a Bible-study as well..
2. An educational activity (the type that Hesperian usually does a two page
spread in the Womens Health Exchange. It is a form of printed popular
health education!) Ideas for something that can be shared best in that kind
of way?
Dariena
At 02:49 PM 6/5/02 +0530,
>Dear Reena,
you wrote:
>The enclosed letter explains It all.
Sorry for the delay.
The three
>weeks in
>Europe including the week in Geneva was not only too intense but also
>there was
>3 weeks of pending mail and requests, waiting on our return,
have -just
>got
>through them and am catching up on post-WHA mail.
>
>Best wishes,
>Ravi Narayan,
>Reena Luke Mathai wrote:
» Dear Ravi and Thelma,
» Congratulations!I I heard that your get-togethers at Geneva went off very
well.
» So now which way is the wind blowing? I haven't heard from you about the
PHA
» issue for a long time. Is it on or have you all shelved the idea??
» I am leaving for Africa and will be back only in July.
>> Incase you are planning to go ahead with the special issue, will you please
» let me know at reena.mathailuke@usa.net . Also please send in all the
» article and photographs by the end of the month because I have to circulate
» it the editorial group for vetting.
» Looking forward to hearing from you
» With best wishes,
» Reena
» cd.cmai@vsnl.com
» reena.luke@cmai.org
» Reena Mathai Luke
» Christian Medical Association of India,
» A-3 Janakpuri Commercial Complex,
» Janakpuri,
» New Delhi- 7 7 0058
"I
1 of 2
Re: contact
6/7/02 10:14 AM
Re: contact issue
Subject: Re: contact issue
Date: Thu, 06 Jun 2002 17:59:47 -0700
From: Sarah Shannon <sarahs@hesperian.org>
To: Community health cell <sochara@vsnl.com>
CC: Darlena David <darlena@hesperian.org>
Dear Ravi,
Greetings!
It's good to hear from you. I can only imagine the backlog
awaiting you after being awav over three weeks!
Regarding the proposal for the content for the Contact Issue — I wanted to
add to Darlena's comments with another suggestion.
I think it would be
very useful for organizing/ educational purposes to put in a short
editorial/ article about the 25th anniversary of the Alma Ata Declaration
and the importance of Primary Health Care.
How would you feel about this?
In her note to you, Darlena made a suggestion about including a educational
activity — which would be useful for organizing and would make the overall
content of the issue a little more practical.
We're thinking that a good
B focus for this educational activity piece might be related to poverty,
privatization and health and could accompany Mike and Ellen's article.
(It
goes without saying that we would take the responsibility for generating a
first draft of this activity piece if it seemed to fit in the editorial plan.)
Hesperian would also be happy lo contribute illustrations for Lhe issue.
Also, regarding coordination, Darlena and I were a little confused by
Reena's note.
It is not clear from this whether she expects to receive a
completely edited issue; or whether she is planning to work on editing it
into a Contact-style issue based on the content and editorial plan that we
come up with.
Do you have any sense of this? Darlena and I are also
wondering what you would like us to do to help this process along.
(We do
think that having you be the contact person to deal with P.eena probably
makes the most sense.)
In terms of funds.
I need to make final arrangements with Manoj Kurian at
WCC about the transfer of the funds I was able to raise for the PHA issue.
Finally, I am verifying the total number of bulk copies that Lutheran World
^0Relief, Medical Mission Sisters and Hesperian would want for expanded
distribution of the Contact issue.
I'll write you/ Manoj with this
information to pass along to CMAI.
Thanks and best wishes to you and to Thelma.
Sarah
At 02:49 PM 6/5/02 +0530,
>Uear Keena,
you wrote:
>The enclosed letter explains it all.
Sorry for the delay.
The three
>wccks in
>Euzope including the week in Geneva mu noL only Loo intense but also
>there was
>3 weeks of pending mail and requests, waiting on our return,
have -just
>got
>through them and am catching up on post WHA mail.
1 of 2
)-e 14-c^
Re: contact issue
please, ci^cixi . /V<->
6/7/02 10:11 AM
"7a I A
>Best wi sizes,
>Ravi Narayan,
>Rccna Luke Mathai wrote:
> > Dear Ravi ana Thelma,
> > Congratulations!! I heard that your get-togethers at Geneva went off very
> > well.
> > So now which way is the wind blowing? I haven't heard from you about
> the PHA
> > issue for a long time. Is it on or have you all shelved the idea??
>> I am leaving for Africa and will be back only in July.
> > Incase you are planning to go ahead with the special issue, will you please
> > let me know at reena.mathailuke@usa.net . Also please send in all the
> > article and photographs by the end of the month because I have to circulate
> > it the editorial group for vetting.
> > Looking forward to hearing from you
> > With best wishes,
> > Reena
> > cd.cmai@vsnl.com
> > reena.luke@cmai.org
> > Reena Mathai Luke
> > Christian Medical Association of India,
> > A-3 Janakpuri Commercial Complex,
> > Janakpuri,
> > New Delhi- 110058
> > Tel: 55 99 997/2/3
> > Fax: 559 8150
Sarah Shannon
Executive Director
Hesperian Foundation
1919 Addison Street, Suite #304
Berkeley, California 94704 USA
www.hesperian.org
2 of 2
6/7/02 10:11 AM
Re: tontact
Subject: Re: contact
Date: Wed. 05 Jun 2002 14:49:19 +0530
From: Community health cell <sochara@vsnl.com>
To: Reena Luke Mathai <reena.luke@cmai.org>, Sarah Shannon <sarahs@hesperian.org>,
darlena@hesperian.org
Dear Reena,
The enclosed letter explains it all.
Sorry for the delay.
The three
weeks in
Europe including the week in Geneva was not only too intense but also
there was
3 weeks of pending mail and requests, waiting on our return.
have just
got
through them and am catching up on post-WHA mail.
Best wishes,
Ravi Narayan,
Reena Luke Mathai wrote:
>
>
>
>
>
>
>
>
>
>
>
>
>
>
>
>
>
>
>
>
>
>
•
Dear Ravi and Thelma,
Congratulations!! I heard that your get-togethers at Geneva went off very
wel1.
So now which way is the wind blowing? I haven't heard from you about the PHA
issue for a long time. Is it on or have you all shelved the idea??
I am leaving for Africa and will be back only in July.
Incase you are planning to go ahead with the special issue, will you please
let me know at reena.mathailuke@usa.net . Also please send in all the
article and photographs by the end of the month because I have to circulate
it the editorial group for vetting.
Looking forward to hearing from you
With best wishes,
Reena
cd.cmai@vsnl.com
reena.luke@cmai.org
Reena Mathai Luke
Christian Medical Association of India,
A-3 Janakpuri Commercial Complex,
Janakpuri,
New Delhi- 110058
Tel: 55 99 991/2/3
Fax: 559 8150
|~^Letter to Reena 5602.doc
I ol'l
Name: Letter to Reena 5602.doc
Type: Microsoft Word Document (application/msword)
Encoding: base64
6/5/02 2-50 PM
Dear Reena. Sarah. Darlena,
Greetings from Community Health Cell - Bangalore!
After catching up with over three weeks of mail that had accumulated during our
absence, I have just begun to catch up with a new pile of mails and follow up
communication related to the post WHA period.
The 'Contact' PHM issue was discussed informally and formally during the PHM Geneva
initiative. Please note that it is now Peoples Health Movement (PHM) not Peoples
Health Assembly (PHA). Keeping in mind various suggestions and guidelines that you
had provided in your communication and one of the recent issues No. 173 - the issue is
evolving as follows:
1.
A Guest editorial (who could be a Guest Editor? Is it necessary?)
2.
Introduction : A short background note on the PHA mobilization and event at GKSavar, Bangladesh, December 2000 (this will be an edited version of Dr. Qasem
Chowdhry, PHA secretariat report that was circulated on email).
FEATURES
3. The Global Peoples Health Charter - A most significant consensus health statement
after Alma Ata Declaration).
4. After PHA Savar - building the health movement (An overview highlighting all that
has happened all over the world since PHA-Savar (key article). Ravi Narayan (India)
and Andrew Chetley (UK).
5. Poverty, Privatization and Health
(Wemos)
- Mike Rowson (Medact) and Ellen Verheul
6. The Right to Health - the changer (Bala, Sri Lanka).
(several box items and quotations will be included in these features).
EXPERIENCES
7.
Experiences of the Movement from four continents :
a) Africa : Tanzania
- Mwajuna Saiddy Masciganah
b) Latin America, Brazil - Sr. Ani Whibey
c) Europe : Italy
- Sunil Deepak, AIFO
d) Asia : Bangladesh - Dr. Nouman / Dr. Shireen.
(presented at Geneva at the NGO Forum meeting on Partnership in Action for Health
or at the PHM - Geneva meeting at WCC).
INSPIRATION
8.
Songs from the PHM - from the campaigns in India.
INTERVIEW
9.
Voices from all over the world (A selection from the 'Vision' exercise at
PHM-Geneva, at WCC).
10.
Resources : Keeping in touch
(books, booklets, slides, videos of the Peoples Health Movement)
11.
PHM in the news
(some extracts from newsbriefs and news items from around the world)
12.
Networking :
Extracts from letters and announcements (we shall send some
contributions that are relevant but the contact editor will add from their own
ongoing process)
Some of the materials are with me though they need editing. If this overall plan is okay
and you reply by 9th June then I shall send it out to all the potential contributors (I have
discusssed it with most of them already) and set a two week deadline and request for
photographs etc. Some of them must be working on their contributions already. CHC
team members will work on items 8-11. I think we should be able to keep the deadline of
24th June. Then it gives me a week to do some initial compiling and forwarding it all to
you by 1st of July to get on with the
editing process.
I hope the gender / region / mix of features balance is okay.
We need to consider the possibilities of a larger print order than usual since it would be
good background material for a variety of PHM related meetings and organisations I
networks may be interested in bulk orders!
Best wishes.
Yours sincerely,
Ravi Narayan,
CHC / PHM.
contact
Subject: contact
Date: Tue, 4 Jun 2002 11:34:49 +0200
From: "ReenaLuke Mathai" <cmai@del3.vsnl.nct.in>
Reply-To: "ReenaLuke Mathai" <reena.luke@cmai.org>
To: <sochara@vsnl.com>
Dear Ravi and Thelma,
Congratulations!! I heard that your get-togethers at Geneva went off verv
well.
So now which way is the wind blowing? I haven't heard from you about the PIIA
issue for a long time. Is it on or have you all shelved the idea??
I am leaving for Africa and will be back only in July.
Incase you are planning to go ahead with the special issue, will you please
let me know at reena.mathailuke@usa.net . Also please send in all the
article and photographs by the end of the month because I have to circulate
it the editorial group for vetting.
Looking forward to hearing from you
With best wishes,
Reena
^1.cmai@vsnl.com
reena.luke@cmai.org
Reena Mathai Luke
Christian Medical Association of India,
A-3 Janakpuri Commercial Complex,
Janakpuri,
New Delhi- 110058
Tel: 55 93 991/2/3
Fax: 559 8150
1 ofl
‘5.I& / O X.
6/5/02 11:37 AM
PHA-Excharige> PH'vl 2002: Issues Resubmission for feed back
Subject: PHA-Exchange> Pl-IM 2002: Issues Resubmission for feed back
Date: Sun, 16 Jun 2002 13:22:59 +0700
From: "Aviva" <aviva@netnam.vn>
To: "pha-exch” <pha-exchange@kabissa.org>
] Al Part 1.1
Type: Plain Text (text/plain);
Encoding: quoted-printable
(I resubmit this second piece also for feedback. This piece is more a
summary of the People's Charter for Health for use in press releases and to
get more people to join PHM). Use it!
Claudio
i of i
THE PEOPLE'S HEALTH MOVEMENT (PHM) IN 2002: STILL AT THE
FOREFRONT OF THE STRUGGLE FOR 'HEALTH FOR ALL NOW'!
I. Eighteen months after the historical People's Health Assembly in Savar,
Bangladesh, December 2000, the PHM with affiliates in five continents, re
commits itself to its flagship document, the People's Charter for Health
(PCH).
2. The analysis made in the PCH applies to today's world every bit as much
as it did 18 months ago —only that the sense of urgency has been hightened!
3. Our vision remains one striving for peace, equity, and an ecological! ysustainable development. We see tire health crisis we described for most
countries in the world in the year 2000 to have, if anything, deepened.
4. We re-commit ourselves to the "Call for Action" points made in the PCH
as they relate io actively influencing the many direct and indirect
determinants of health.
In a nutshell, we still stand for:
5. Combating the negative impacts of Globalization as a worldwide
economic and political ideology and process.
6. Significantly reforming the IFIs and the WTO to make them more
responsive to poverty alleviation and the Health for All Now movement.
7. A forgiveness of the foreign debt of least developed countries and use of
its equivalent for poverty' reduction, health and education activities.
8. Greater checks and restraints of the freewheeling powers of transnational
corporations, especially pharmaceutical houses (and mechanisms to ensure
their compliance).
9. Greater and a more equitable household food security.
10. Some type of a Tobin tax that taxes runaway international financial
transfers.
11. Unconditionally supporting the emancipation of women and the respect
of their full rights
7/9/02 2:12 pm
12. Putting health higher in the development agenda of governments.
J 3. The health (and other) rights of displaced people.
14. Halting the process of privatization of public health facilities and for
greater controls of the already installed private health sector.
15. More equitable, just and empowered people's participation in health and
development matters.
16. A greater focus on poverty alleviation in national and international
development plans.
17. Greater and unconditional access of the poor to health services and
treatment regardless of then ability to pay.
18. Strengthening public institutions, political parties and trade unions
involved, as we are, in the struggle of the poor.
19. Opposing restricted and dogmatic fundamentalist views of he
development process.
20. Greater vigilance and activism in matters of water and air pollution, the
dumping of toxics, waste disposal, climate changes and CO2 emissions, soil
erosion and other attacks on the environment.
21. Militant opposition to the unsustainable exploitation of natural resources
and the destruction of forests.
22. Protecting biodiversity and opposing biopiracy and the indiscriminate
use of genetically modified seeds.
23. Holding violators of environmental crimes accountable.
24. Systematically applying environmental assessments of development
projects and people-centered environmental audits.
25. Opposing war and the current USA-led, blind 'anti-terrorist' campaigns.
26. Categorically opposing the Israeli invasion of Palestinian towns (having,
among other, a sizeable negative impact on the health of the Palestinian
people).
27.The democratization of the UN bodies and especially of the Security
Council.
28. Getting more actively involved in actions addressing the silent epidemic
of violence against women.
29. More prompt responses and preventive/rehabilitative measures in cases
of natural disasters.
30. Making a renewed call for a comprehensive, more democratic PHC that
is given the resources needed —holding governments accountable in this
task.
31. Vehemently opposing the commoditization and privatization of health
care (and the sale of public facilities).
32. Independent national drug policies focused around essential, generic
drugs.
33. The transformation of WHO, supporting and actively working with its
new Civil Society Initiative (CSI) making sure it remains accountable to
civil society.
34. Assuring WHO stays staunchly independent from corporate interests.
35. Sustaining and promoting the defense of effective patients' rights.
36. An expansion and incorporation into PHC of traditional medicine.
37. Changes in the training of health personnel to assure it covers the great
issues of our Lime as depicted in our PCH.
38. Public health-oriented (and not for-profit) health research worldwide.
39. Strong people's organizations and a global movement working on health
issues.
40. More proactive countering of the media that are at the service of the
globalization process.
41. People's empowerment leading to their greater control of the health
services they need and get.
42. Creating the bases for a better analysis and better concerted actions by its
members through greater involvement of them in the PHM's website and
list-server.
43. Fostering a global solidarity network that can support and react our
fellow members when facing disasters, emergencies or acute repressive
situations.
The specific actions proposed in the PCH under each of these headings are
not to be seen as the content for a collection of fitting slogans or as a wish
list. Eventually, the PHM will have one or more 'Action circles' organized
addressing each of these clusters of demands; these circles will interact
through email and will network with other groups already working on each
of these issues before releasing their conclusions to our list server and the
PHM website.
Eighteen months after PHA2000, our challenge remains the same -though
more urgent. It still calls for the same main actions and makes the same
demands made in our People's Charter for Health as summarized here.
But for this challenge to materialize in concrete, concerted actions, more of
each of you need to get involved. It is, therefore, not sufficient for this short
document to rehash what needs to be done. Each o f our members needs to
re-commit her/himself: We need more of your time! Perhaps the moment has
come to abandon some of the irrelevant work we all get involved in. We can
no longer afford missing the forest by focusing on the trees..,
We particularly call on delegates to and participants in this year's WHA to
join our Movement —regardless of your official or non-official status.
[To start with, you can visit, our website at www.phm2002.org (??), contact
our Secretariat at gksavar@citechco.net and join the pha-exchange list
server by writing to its moderator at aviva@gietnam.vn ].
Note: ^ome October, thy PHM's Secretariat will be shifting from GK in
altli Cell (CHOf in Bangalorw India. Hie reigns
Savar to\he Community
passed from asNp Chaudhury t\Ravi and Thelma Narayan
ircle.
assisted by a\ existing world\vi&
(If you have suggestions for chants in the text d^pve send tlibm to Ravi at
sochara@vsnl.com \ith copies to Claudio at aviva@netnam.vn and make
them in capital letters (!) so it will be easier to make such changes. If you
have comments to specific points made, please email us and kindly refer to
the respective paragraph or line number).
Re: article Contact, this time with attachment
•
Subject: Re: article Contact, this time with attachment
Date: Mon, 17 Jun 2002 08:57:34 +0200
From: "Ellen Verheul" <ellen.verlieul@wemos.nl>
To: Community health cell <sochara@vsnl.com>, shannons@hesperian.org
CC: mike Rowson <mikerowson@medact.org>
> Dear Ravi and Sarah,
> I hope you are doing fine.
> Please find attached the article Mike and I wrote for Contact. I hope it fits your
> expectations.
> In case ''ou want to edit or shorten it, could we see the final version before it goes t
> the printer?
> warm regards, Ellen
> Please reply to ellen.verheul@wemos.nl
> The highest attainable standard of health is a fundamental Human Right.
> Memos Foundation has been working since 1981 to improve people's health in
> developing countries through influencing international policy.
> Memos Foundation, P.O. Box 1693, 1000 BR Amsterdam, The Netherlands
> tel +31-20-4.688.388 / fax +31-20-4.686.008 / web site http: //www. memos . nl
Please reply to ellen.verheuiBwsmos.nl
The highest attainable standard of health is a fundamental Human Right.
Memos Foundation has been working since 1981 to improve people's health in
developing countries through influencing international policy.
Memos Foundation, P.O. Sox 1693, 1000 BR Amsterdam, The Netherlands
tel +31-20-4.688.388 / fax +31-20-4.686.008 / web site http://www.wemos.nl
j-^
j J?
Type: Plain Text (text/plain)
IkJ------- ^Description: Attachment information.
|-yj 4801RAP02001 artikel WHA Contact.doc
Name: 4801RAP02001 artikel WHAContacl.doc
Type: Microsoft Word Document (application/msword)
POVERTY AND WHO
‘Poverty is the biggest epidemic for WHO to tackle', writes dr. Baiasubramanian from
the People’s Health Movement. This message was repeated in many different ways
during the last World Health Assembly (14-18 May, Geneva). For this, WHO has to
move beyond a disease specific approach and become a global advocate for
comprehensive health strategies.
Participants at the most recent World Health Assembly were beaten over the head with
numbers. Information booths in the corridors of the conference building and speeches
by WHO staff all highlighted shocking data: X children dying of malaria each year, Y
people in developing countries suffering from cardiovascular illness and Z women per
minute dying in childbirth. WHO is very much a disease-oriented institution, and the
diseases compete with each other for money and attention. Poverty, even though it is
the most important cause of ill-health, does not receive the same attention in WHO's
work. While poverty and health are among the pillars mentioned in WHO's corporate
strategy, the Poverty and Health team has recently been downsized to just two people.
'Poverty is being mainstreamed', is the answer given by WHO's senior management
when they were asked about the consequences of the recent disestablishment of
Health in Development, the department in W'HO which previously dealt with poverty.
But how can poverty be mainstreamed when there are no staff and budgets to do
analytical work, to support the mainstreaming process at WHO's headquarters, regional
and country offices, and to support governments in integrating health in development
policies?
An example of the need for WHO to put poverty higher on its agenda, is provided by
the recent evaluation of the Poverty Reduction Strategy Papers (PRSPs) that were
introduced in 1399 by World Bank and IMF. in a PRSP, countries should outline their
plans to reduce poverty. PRSPs could potentially become important instruments for
health. Firstly, poverty reduction strategies need to be developed with civil society
participation. This could provide space to push for national health policies that are
equitable and comprehensive. The needs of the grassroots, and experiences of
community based health initiatives could be heard by national policy-makers. Secondly,
these strategies provide an opportunity to address health determinants outside the
health sector. Economic policies for example need to be screened for their effects on
people's health, before being implemented./Thirdly, donors and multilateral institutions
promised to support the implementation of PRSPs and ensure sufficient financing.
instead of supporting separate programmes for malaria, HIV/AIDS and other diseases,
which risk to compete for resources and attention, donor initiatives should be bundled
and integrated through national strategies to help ensure they strengthen instead of
fragment the health system.
This potential still need to materialise. A WHO review shows that health continues to
be marginalised and under-resourced in PRSPs, while proposed health sector
interventions are in most cases not explicitly pro-poor, and the links between health
and other sectors are neglected. Important opportunities for health are therefore
missed. One of the reasons is the lack of involvement of ministries of health in the
PRSP formulation process, which in most countries is dominated by ministries of
finance and planning. Economic targets therefore prevail in the PRSP. Health is treated
as a sector costing money, rather than a fundamental human right and a necessary
condition for development. A much stronger voice of ministries of health and civil
society organisations is therefore needed to integrate health in the PRSP. WHO support
is indispensable, to help governments in developing health systems and negotiate over
the health budget, and to analyse the health consequences of other policies. At the
international level, WHO should play a leading role, and become a health advocate in
relation to World Bank and World Trade Organisation policies. WHO should work not
only with the poverty and health- oriented sections in the World Bank, but also with
the sections that believe that neo-liberal policies are the only way to economic growth
and that the poor will somehow' automatically profit from growth. WHO should start
looking at the linkages between economic policies and health outcomes and how they
impact on health and equity, still a largely untouched area.
To discuss possible roles and strategies, WHO's Poverty and Health team and several
NGOs’ organised a seminar on health and PRSPs at the last WHA. Reina Buijs from the
Dutch government provided a detailed agenda for WHO country offices, urging them to
provide not only technical support but also be an health advocate and fulfil a broker
role. This call was supported by civil society representatives arguing that WHO should
guide Ministries of Health to ensure that health is integrated in national development
plans. Since WHO's work is guided by its member states, the countries should voice
their expectations clearly. This year at the World Health Assembly many nations
mentioned poverty as a crucial health problem, though without elaborating on it. It is a
challenge for the People's Health Movement to build on this growing awareness and to
push governments and WHO to adopt a poverty agenda that will really make a
difference.
Ellen Verheul, Wemos
Mike Rowson, Medact
For more information on PRSPs, poverty and health, please visit www.medact.org or
www. wemos. nl.
1 Save rhe Children (UK), Medact (UK) and Wemos (the Netherlands)
Re: erricle Contact this rime with attachment
Pate: Mon. 17 Jun 2002 08:57:34 +0200
From:
"F""” V **^ ■*-*** V*A 'V1AVL1. T V1UV W1\VV, ” VAXlVUfXlA
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■“•
lo: Community nealtn cel! <socharafa|vsni.com>, shannonsfa’hesperian.org
- /k<f'
> Deax Ravi ana Sax ah,
hODe
yOU are dOJ.nO fj.ne,
> Please find attached the article Mike and I wrote for Contact. I hope it fits your
> expec La bions.
> In case you want to edit or shorten it, could we see the final version before it goes
> the printer?
> Warm regards, Ellen
>
—
rj-ease repj-’y ct> c-u-u-tm. VcruculQwciiiOS. nl
> The highest attainable standard of health is a fundamental Human Right.
•s.
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> ^-o7 -x.<?7 — ‘zt'i —J r?PP ~Pp / -r^v
/ fjv^b site htto://ivww. wemos. nl
•
The highest attainable standard of health is a fundamental Human Right.
Fourtdar.t on has been working since 1981 to improve people's health in
developing countries through influencing international policy.
Memos Foundation, P.O. Box 1693, 1000 BP. Amsterdam, The Netherlands
tel +31-20-4.600.380 / fax +31-20-4.606.000 / web site http://www,wemos■nl
i^Part 1.2
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6/18/02 11:38 AM
POVERTY AND WHO
‘Poverty is the biggest eoidemic for WHO to tackle', writes dr. Baiasubramanian from
the People's Health Movement. This message was repeated in many different ways
during the last world Health Assembly (14-18 May, Geneva/. For this, WHO has to
move beyond a disease specific approach and become a global advocate for
COFniji unciiSivc health SudicyicS.
PcirticipciiTts 2* tf'is most rscsr.t World Hsslth Assembly were beeten over tbe heed with
numbers, information booths in the corridors of the conference building and speeches
hy WHO staff all hinhlinhtad shocking data: X children dying of malaria each year, Y
people in developing countries suffering from cardiovascular illness and Z women per
minute dying in childbirth. WHO is very much a disease-oriented institution, and the
diseases compete with each other for money and attention. Poverty, even though it is
the most important cause of iii-heaith, does not receive the same attention in WHO's
work. While poverty and health are among the pillars mentioned in WHO's corporate
strategy, the Poverty and Health team has recently been downsized to just two people.
'Poverty is being mainstreamed', is the answer given by WHO's senior management
when they weie asked about iiie consequences of the lecent disestablishment of
Health in Development, the department in WHO which previously dealt with poverty.
But how can poverty be mainstreamed when there are no staff and budgets to do
analytical work, to support the mainstreaming process at WHO's headquarters, regional
and country offices, and to support governments in integrating health in development
policies?
An example of the need for WHO to put poverty higher on its agenda, is provided by
the recent evaluation of the Poverty Reduction Strategy Papers (PRSPs) that were
introduced in 1999 by World Bank and IMF. In a PRSP, countries should outline their
plans to reduce poverty. PRSPs could potentially become important instruments for
health. Firstly, poverty reduction strategies need to be developed with civil society
O
|-/UI LIU1JJU1.1VI I,
lino UWUIM ^iuviuu
+ n rv
I
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equitaoie ana comprehensive, i he needs or the grassroots, and experiences of
communitv based health initiatives could be heard bv national nolicr'-makers. Secondly,
these siiatcuies pi wide an opportunity to address health determinants outside the
health sector. Economic policies for example need to be screened for their effects on
people's health, before being implemented. Thirdly, donors and multilateral institutions
promised to support tne implementation of PRSPs and ensure sufficient financing.
Instead of supporting separate programmes for malaria, HIV/AIDS and other diseases,
which risk to compete for resources and attention, donor initiatives should be bundled
and intearated through national strategies to helo ensure they strengthen instead of
Tbs bsslTb sysTsm
This potential still need to materialise. A WHO review shows that health continues to
be marginalised and under-resourced in PRSPs, while proposed health sector
interventions are in most cases not explicitly pro-poor, and the links between health
and other sectors are neglected. Important opportunities for health are therefore
missed. One of the reasons is the lack of involvement of ministries of health in the
PRSP formulation process, which in most countries is dominated by ministries of
finance and planning. Economic targets therefore prevail in the PRSP. Health is treated
as a sector costing money, rather than a fundamental human right and a necessary
condition for development. A much stronger voice of ministries of health and civil
society oiganisaiions is theiefore needed to integrate health in the PRSP. WHO support
is indispensable, to help governments in developing health systems and negotiate over
the health budget, and to analyse the health consequences of other policies. At the
internWHO should •?!??■> *• l*??.djng rote.- snd bicorn? ?? hf??.!th ?.dvoc?.t<? in
reldtioi'i to World Bank anu World Trade Organisation policies. WHO snoulu work not
only with the poverty and health- oriented sections in the World Bank, but also with
the sections that believe that neo libera! policies are the only way tc economic growth
and that me poor wiii somenow automatically profit from growth. WHO should start
looking at the linkages between economic policies and health outcomes and how they
impact on health and equity, still a largely untouched area.
To discuss Possible rolss and stratenlss WHOzs Povsrtv and Health team and several
NGOs’- organised a seminar on health and PRSPs at the iast WHA. Reina Buijs from the
Dutch government provided a detailed agenda for WHO country offices, urging them to
provide not only technical support but also be an health advocate and fulfil a broker
role. This call was suocorted bv civil society reoresentatives arguina that WHO should
guide Ministries cf Health to ensure that health is integrated in national development
plans. Since WHO s work is guided by its member states, the countries should voice
their expectations clearly This year at the World Health Assembly many nations
mentioned poverty as a crucial health problem, though without elaborating on it. It is a
challenge tor the People's Health Movement to build on this growing awareness and to
m ich noirommoritc on/-i \AZU/~\ +/■> or4»-»r>+ o nntrarfv onanHo tlaoT
raollw mql/a a
p-—. .......— ~
..... .wM..y
uirTeience.
UIIVII VUIIIUUI, ttvmvo
Mike Howson, Medact
roi rnoie inioi i nation on FnSrs, povei ty and health, please visit yywvyjnedaci.org or
www.wemos.nl.
5^
ii)6-
1 Save the Children (UK), Medact (UK) and Wemos (the Netherlands)
rom 1WR <DChelliah@lwr.org> would like to gel ,-iO
Contact for partners in India and the Ph
.pt 'es
Asia and the Middle East
Wo:
St
R:
yen:, cal X. .ssicr. Sisters and Hesperian will put in 1000 or so use.
cold ..ha;. WCC w 11 find the rest for that issue. Should we ..ra::s
or Contac.. . o wcc or to CMAI directly?
-**-;«-li*«**«********A*****t*4rirftxir*******A *
■K
'
Cav.c
managing editor
S 'SHIAX tOL'SDATION
Addison. Street, Suite 304
teley.
CA 94704, USA
-.C. 310-845-144.7, ext. 217
-a..
dar.ona@nnsperian.org
_
w.;d s '
.
Fax: 510-845-0539
http : //www. hesperian . org
,s mg for co-munlty health and empowerment
ilace book orders call 1.888.729.1795
COTiifiCi SpCCiSl ISSUC
Subject: Contact Special Issue
Date: Fri, 16 Aug 2002 18:44:35 -0530
From: Community health cell <sochara@vsni.com>
To: aviva@nemam.vn. mikerowson@medact.or2, ellen.verhetil@wemos.nl.
masaigana@africaonline.co.lz, Maria Hamlin Zuniga <iphc@cisas.org.ni>,
Sunil Deepak <sunil.deepak@aifo.it>. Balaji Sampath <bsampath@eng.umd.edu>,
Andrew Chctlcy <'Chctlcy.a@healthlink.org.uk^', dorpeo@bangla.net
CC: "Qasem Chowdhury, Dr" <gksavar@citechco.net>, Pam Zinkin <pamzinkin@gn.apc.org>,
David Sanders <^hnartin@uwc.ac.za^>
Greetings from Community Health Cell!
This is to inform vou all that vpur articles and reports are beino
included m a Special issue of Contact Magazine (September 2002). They
will be edited to highlight news and views from all over the world.
Please send immediately two or three lines about yourself which may be
tncluded at the end of the article or report. Mark this to the editor of
Contact — .-.etna Luke Mathai at reena.luke@citai.org with a copy marked to
us. A draft of the manuscript will reach you soon for approval.
Zf sr177 of vo’j hsvs
nics action '"il?otOGv'2dis of evonts csiupsions/
publications or other PHM related activity then post them to Reena with
some captions or details, if you car. scar, them and send then by email
that is also welcome but not necessary. Post is also okay since we have
r i me.
If you wish Lo have a large number of copies of this Special issue than
please also write to her about tnis. Andrew and I are writing a Joint
editorial weaving it all together. In CHC we are also putting together a
'keeping track' on PHM booklets
llllefesl,
piBaSfc
lee
U5
cad
KI1OW.
Best Wishes,
Ravi Narayan,
CHC / PHM
2fJ^.
Hll#
1 ofl
3* i6'02 6.4? r'-vi
- -Dear Friends.
Greetings from Community Health Ceil!
tnis is to inform you all?ihat your articles and repons are being included in a Special
issue of Contact Magazine (September 2002). They will be edited to highlight news and
news irom all over the world. Please send immediately two or tluee lines about yourself
which may be included at the end of the article or report. Mark this to the editor of
contact"RccnaLuke Mathat at reena.1ukeffi.cniai.org. L^rifbi o.
AG '—<3
Z?
<sf i'K &
a.ppro/^ .
If any of you have any nice action photographs of events, campaigns, publications or
other PHM related activity then post them to Reena with some captions or details. If you
can scan them and send then by email that is also welcome but not necessary,
co ca. i<so okte
csf Cerpres.
Aer
If you wish to have a. large numbenof this Special issue than please also write to about
tins. Andrew and I are writing a Joint editorial weaving it ad together. Tn CHC we are also
putting together a ’keeping track’ on PHM booklets. If you have produced any of wider
«oloono lot iin Lmoiv
nuvivoi. pivdov tvt Lio AIivvv.
Best Wishes,
Yours Sincerely
Ravrmrayan,
rv.\? PI-IA-Exclinge> INTERNATIONAL SOCIE...N HEALTH CONFERENCE, TORONTO JUNE 2002]
Subject: |Fwds PHA-Exchange> INTERNATIONAL SOCIETY FOR EQUITY IN HEALTH
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Date: Fri, 16 Aug 2002 15:28:05 +0530
Prom* Community licslth cell <^sochsra@vsnl.com->
To: David Sanders <lmanin@uwc.ac.za>, rloewenson@healthnei.zw •
Dear David and P,ene,
Great!nos from Communit'7 Health Cell!
will one of you consider sending us a short 500 word report of the
Toronto Conference co go into a Special Contact issue, focussing on
Peoples Health Movement planned for later this month? It is a sort of
’stoo eress’ contribution. I read about some details in the PHA exchange
of ijtn August 2002. It could also be a case study or box item focussing
on what is NEPAD Health Project and why you all think it will not work
if they do not focus on Poverty, Inequity and health system?
~'.S"
t
ar to make a vai 1 able an addi tiona 1 wook before GPHP. Porum 6 at
Arusha Tanzania to help riwajuiua and other PHM contacts in Africa by
sharing Indian PHM experience. A note will follow.
Name: nsmail.3V.TMP
?
' InsmaiBV.TMP:
Type: Outlook Express Mail Message (message/rfc822;:
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i
PHA-Exchange> INTERNATIONAL SOCIETY FOR...IN HEALTH CONFERENCE, TORONTO JUNE 2002
Subject: PHA-ExchangO IN TERNATIONAL SOCIETY FOR EQUITY IN HEALTH
CONFERENCE, TORONTO JUNE 2002
Date: Tue, 13 Aug 2002 06:56:46 +0700
From: "Aviva" <aviva@netnam.vn>
To: "pha-exch" <pha-exchange@kabissa.org>
From: "Fircze Manji" <firozeSfahamu.org>
"Equinet News" <EQuxNET-Newaletter6equinetafrica.org>
> INTERNA'i TONAL FOCIETV tOR EQUITY IN HEALTH CONFERENCE, TORONTO JUNE 2002
> EQUINET SECRETARIAT BRIEFING
> JULY 2002
> R Loewenson, T Maistrv TARSC, Zimbabwe
> EQUINET recently participated and held a workshop in the second conference
> of the International Society for Equity in Health, Toronto Canada in June
2002.. >
^HHealth and Development commitments and the New Flan for African
> Development (NEHAD) was presented by Ronald Labonte and David Sanders of
the
> University of the Western Cape.
The presentation outlined the G8
> commitments, the potential of NEPAL) to address specific health inequities,
> and the investment issues that would need to be addressed to deal with
such
> inequities. The authors noted that "Without challenging the causes of
> poverty and inequity and without addressing the functioning of health
> systems, NEPADrs health project is unlikely to achieve its goals." They
> called for more investment in health and health related sectors for
> infrastructure and recurrent expenditure to enable retention strategies,
> training, support and supervision of personel. It was noted that each year
> Africa subsidises $500 m of training for health personnel for rich
cx-r PJto-ri ci.
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> in response to the climate in free trade of health professionals.
c
kb
> Lucy Gilson, CHP outlined the problems of equity in health in terms of
> rich ~ poo2? ho21t.h inoousiit.ios.
>
> Di McIntyre, Health Economics Unit, University of Cape Town noted that
> intra-country geographic analyses have shown promise in exploring health
,
> system equity issues. Small area analyses of the distribution of
> deprivation, ill-health and health services draws attention to areas with
r high levels of deprivation, poor health status and limited public sector
< 'Lt ^'> heal th care provision in order that these areas can receive greater
n
priority
~ > in resource allocation decisions.
Ccnoku
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> I Rusike Community Working Group on Health and Rene Loewenson argued
that reversing inequities depends in the
> main on social and political factors. This goes beyond the fact that
social networking is important for service outreach and health seeking
behaviour,
> and that social exclusion as a dimension of deprivation or poverty affects
> health outcomes.
Unless the people affected by ill health have greater
> control over the resources needed for health care or to be healthy, then
> equity goals will remain a dream.
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> Firoze Manji, Fahamu (UK)
raised the question: Is equity in health about
> making poverty palatable for the poor? Or should it be about contributing
to
> tho struaciio for social om^ncipdtion? Ho orosontod ovidonco from Nairobi
P-G
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PHA-Exchange> INTERN.ATIONAL SOCIETY FOR... IN HEALTH CONFERENCE, TORONTO JUNE 2002
CB
> heal th 3trugg-.es of poor people centering around basic rights. He observed
> that we tend as health workers, to look at health outcomes and treat the
> symptoms.
But the problem caused by illnesses is in the social, economic
> and pol i t' r.a : domains, it only manifests in the health domain.
Equity in
> health is inevitably a political struggle and its starting point should be
> die defence of social, economic, political and civil rights.
> Prof Godfrey Swai, Tanzania, was not able to participate but his paper
> reviewing equity issues in the Global Health Fund noted that HTV/AIDS,
> Tuberculosis and Malaria are diseases of poverty or deprivation. Effective
> rolling back of the three diseases must equally roll back poverty. Equity
in
> health and poverty reduction are intimately linked issues that the
> -i.ntionsl coimunit^^ esnnot dismiss s.nd sro a chsllongo for
> of the Global Health Fund.
> In discussion, debt servicing was regarded as a key problem as it
> exac erica,ted the impact of unfair competition and trade rules that had
neca1j.vely affected economies in southern Africa. The mismatch between
will
resources was constantly raised.
> The full report of the EQUINET ISEqH workshop is available in hardcopy
> the EQUINET secretariat at TARSC,
> rloewer.son@healr.hnet.vw or as a downloadable pdf file from our website at
> www.cquinctafrica.org . If you have input or comments cn this issue
please
email these to the secretariat to rloewerison@healLhiiet.zw.
PHA Exchange is hosted on Kabissa
Space for change in Africa
To post, write to: PHA-Exchange@kabissa.org
Website: http://www.lists■kabissa■org/maiIman/listinfo/pha-exchange
2 oT2
8/13/02 11:57 AM
HA-Exchango Mews from Brazil
Subject: l’UA-Exchange> News from Brazil
Date: Sat, 10 Aug 2002 20:17:18 +0200
From: "Maria Hamlin Zuniga" <iphc@cablenet.com.ni>
To: <PHA-Exchange@kabissa.org>,
"IPHCWORLDWIDE" <IPHCWORLDWEDE@yahoogroups.com>
Friends of PHM,
Yesterday 7 August, for the fifth time the national Camara of Brasil
postponed the voting on the "renting" of the Space Bace in
Alcantara,Mmaranhao to the UNited states of America.
This is due to the amount of pressure coming from our popular movements and
those of you in other countries who have written to our Deputados,asking
them to vote "no" on allowing USA the use of the Space Bace. for that we owe
you a great THANK YOU.
The issue is now slated for voting in two weeks.
Please send more letters to Deputado Zenaldo Coutinho
Kep.zenaldocoutinho@camara.gov.br
who is the coordinador of the Constitution and Justice Commisiton of the
Federal Camara (Congress), asking that Brasi not accept the agreement that
was sigened in aprii of 2000.
many of you will remember our presentation in Savar at the PHA in December
of that year.
Usa military taking posession of the Space bace will give them full control
over all the Amazon and Latin America.
We are in a very srtrong National campaign against ALCA and the handing over
of the .Alantara Space base.
It is having its effect.
a million r.hanks and health to all.
lAni Caroline Wihbcy, SND PHM
PHA-Exchange is hosted on Kabissa - Space for change in Africa
To post, 'write to: PHA-Exchangc@kabissa.org
site: http://www.lists.kabissa■org/mailman/11s Lin£o/pha-exchange
r cry
C-1
INTERVENTION DE MARIA HAMLIN ZUNIGA
TECHNICAL SESSION: WHA 17 MAY 2002
Muy buenas tardes a sus excelencias Dra. Gro Bruntland, Dr. David Navarro, Dr. Manuel
Dayrit, Ms. Eva Wallstam, Honorables ministras y ministros de salud y sus delegados:
This year we are celebrating the' Centenary' of the Pan American Health Organization.
Throughout the Americas region, Health Ministries and PAHO are planning diverse
activities to commemorate that event. There are planned events with health sector
workers, universities, civil society organizations, and other sectors.
We request that health ministers in the Americas work with representatives of civil
society, in particular persons involved in the growing People's Health Movement.
Together let us organise events where we can present the People's Charter for Health and
discuss our specific suggestions for the promotion of equity and health for all in our
countries.
The concept of primary' health care and Health for All grew out of many grassroots
experiences in community based integral health programs around the world, as Dr.
Halfdan Mahler has often reminded us. In Latin America there are excellent examples of
these health programs that began in the mid 60s and continue to be relevant, especially
today. I he community' based health programs and the health promoters associated with
them have been particularly important in terms of health of the many and varied
indigenous communities of the Americas.
We want to celebrate the involvement of community health workers and grassroots
movements in the advancement of health. For example, the campaigns for the eradication
of smallpox, polio, and measles would not have been successfill without the active
involvement and collaboration of these groups.
However, with the structural adjustment programs and the heavy debt payments, health
care systems have been severely affected. The gap between the rich and the poor is al! too
evident in the growing lack of access io care. The People's Health Movement states that
this situation must change. The health components of Ihe national poverty reduction
strategies must respond to the needs of the people.
We believe that the Centenary of the Pan American Health Organization and the Twenty
fifth anniversary of the Alma Ata Declaration provides us with an opportunity, together
we must revisit the holistic concept of comprehensive primary' health care and role it
must play in the dramatic situations we are facing in the region and throughout the world.
In line with the Alma Ata Declaration and the People's Health Charter we can work
logelher toward a renewed commitment to truly sustainable healthy human development.
The People's Health Movement is already planning a significant event next year to
commemorate the 25 years of the Alma Ata Declaration.
Therefore, we urgently request that you health ministers lake the lead in providing those
encounters with the People's Health Movement and other Civil Society organizations that
will permit an open and critical dialogue about the future of health in our regions.
Thank you.
Maria Hamlin Zuniga
International People's Health Council - 1PHC
C>oo x
ontact sp issue.
■
i»
Subject: contact sp issue
Date: Fri, 9 Aug 2002 13:45:58 +0200
From: "Reena" <cd.cmai@vsnl.com>
To: <sochara@vsnl.com>
Dear Ravi,
’
Thank, you for lhe two folders which you sent in addition Lo the earlier
text. I have sifted cut the matter and have done a rough editing and it is
now ready to be sent to Editorial Group for their approval.
1 need to also explain to the group as to how I am planning to get this
edition
inserted between our regular schedule and therefore will have to specify the
details.
However before I do that, I need to be clear about the sponsorship details.
I seem to have missed your email on it, so pl do update about it.Hope you
don't mind.
In addition, I have some concerns about the issue so far....just putting
down random thoughts.
Ats not clear '.-.'hat exactly we are trying to focus in this issue. For the
^edition to be ’wholesome1 I feel
we could start with the PHM/WHA events but we need to have a little bit of
the PHA history/ its present work/impact, advocacy, and some grass root
experiences etc etc.
The inputs I have is more like a reportage of the PHM at WHA....which can be
a good introduction. (Sorry, but as a neutral reader 1 cannot help
commenting that it also gives out a very strong flavour 'one-up-manship' if
nor. aWHO/World bank bashing
!! A flavour we would have to tone down )
I can also cull out some 'history' PHM - past/present/future etc...but for
that 'wholistic' picture.... we would need some "Experiences" al the
grass-root level.
For eg. Is it possible to get an article+pix from Bangladesh on their
"Health Village" which according to the text —(Struggle for Tomorrow) is an
attempt at adapting the charter.
Or maybe you could pad it up with some activites from Nepal, Latin America,
•Africa to show the difference the PHA movement has made to the poor...(Pix
needed)
Lastly is it possible to get some more inputs on the conference at "health
^hfer all: A question of Social Justice'
Maybe some papers presented there
jSTcould be
shaped out as an article.
Maybe your editorial (500 wds only) could capture the 'essence' of PHM and
knit the past/present/future which could help us todo away with a separate
article on the history....
Pl let me have your feedback.
With best wishes,
RcellQ
cd.cmai 8vsn1.com
reena.lukeficmai.org
Reena Mathai Luke
Christian Medical Association of India,
A—3 Janakpuri Commercial Complex,
Janakpuri,
New Delhi- 110058
Tel: 55 99 991/2/3
Fax: 559 6150
Original Message
of 2
8/12/02 10:29 AM
intact sp issue
■From: Cemmuaity health cell <sochara@vsnl.com>
To: Reena Luke <reena.luke@cmai.org>
Sent: Wednesday, August 07, 2002 11:11 AM
Subgect: Special Contact issues
> Dear Reezia,
> Pls find herewith the two files of 'Peoples Charter for Health' and 'OHP
> presentation'
> Regards,
> Ravi Narayan
> CHC / PHM
>
of 2
8/12/02 10:29 AM
'I
Subject: Editorial
Rate: Thu, IS Jul 2002 T-l’48’43 —0100
From: achetley ’ <achetley@supanet.com>
To: <sochara''?vsnl.com>
CC: "Andrew Cheiiey" <cheiiey.a@healtiuink.org.uk>
iPart i.i.i _
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Ravi,
attached is a veiy quick first shot al pulling together an editorial for Contact. Have a look
atm iwvi
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ex./ impik/w it.. : Ju vvUimti^ cn iivuiv ivuhj, mui jvu cuivliiU. jvivvauiv Ivzpij. tv
the office e-mail, rather than my home one.
hAct wiehAc
Andrew
Andrew Cheiiey
46 Clapgate Lane
IpSWiCh
LP3 ORE
UK
Phone: -44 (0) 1473 716350
Sp
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J
Draft: Editorial
Contact
In communities around the world, groups of people have been working
together to find creative solutions to their health care problems, to mobilise
local, often scarce, resources to put into practice effective, community-based
and community-run health care services.
They have been doing this for more than 50 years - for at least the time that
the international health community, particularly under the leadership of the
World Health Organisation, has been striving to identify practices and policies
that can make a difference.
Those community-based approaches from countries such as Guatemala,
Cuba, Bangladesh, India, Mozambique, Tanzania, the Philippines, China and
many, many more provided the real life experience and evidence that
underpinned the Primary Health Care (PHC) strategy approved at an
international meeting in 1978 held at AlmaAta.
Coming up to the 25"' anniversary of the AlmaAta Declaration on Primary
Health Care - that held out a promise of Health for All and a promise of basic
health services sufficient to meet people’s needs - it is sad to report that the
international health community has failed miserably to deliver on that promise.
That failure is being felt most dramatically in the poorest and most
marginalised communities around the world.
Recognising this, people’s organisations from around the world have begun a
new mobilisation process, aimed at revitalising efforts to ensure that
comprehensive primary health care becomes a reality and to struggle against
the impact of global political, economic and social policies that undermine
health. Beginning in the late 1990s, in Latin America, Africa, Europe, and
throughout Asia people's organisations began a process of analysis and
mobilisation io puli together ideas for a People's Charter for Health, in
December 2000, nearly 1500 people from 93 countries met in Savar,
Bangladesh in a People's Health Assembly to review the situation issue the
Charter as a strong cali for action. Since then, the Charter has been
translated into more than 35 languages, and the People's Health Movement
(PHM) has grown. This special issue of Contact traces the development of the
F—’ <-11V,, looks at the key points of the Charter, and highlights some of the work
of a wide range of organisations involved in the PHivi.
it also issues a call for others to join in the movement and to work together to
help put the control of people's health in people's hands.
ontact Special Issue
Subject: Contact Special Issue
Date: Mon. 15 Jui 2002 14:24:00 +0530
From: Community health cell <sociiara@vsnl.com>
To: Reena Luke <reena.luke@cmai.org>, cmai@de!3.vsnl.net.m
CC: Andrew Chmlev <chetlev.af^'health.link.or2.uk>, Darlcna David <darlcna.david@cmai.org>,
Darlena David <darlena@hesperian.org>, Sarah Shannon <sarahs@hesperian.org>,
"Qasem Chowdhury, Dr” <gksavar@,citechco.net>
Dear Reena
Further to out teleohonic conversation on 11th morning 1 am sending 10
issue. ihis snou_d .oo a adequate for a special issue on Peoples Heaxcn
Movement. The last two items will be sent to you Beyond PHA - Savar
December 2JC1C
1. The Peoples Health Movement in 2002; still at the forefront of the
struggle for Health for All
i. Peoples health Movement in Geneva - PHM at the rifty Fifth World
3. Poverty and WHO - Ellen Verheul, Memos
Mike P.owson
Medact
4. Movement Initiatives troiu Around the World
a) PHM in Africa
- Mwajuma Saiddy Masaigarah,
b) Struggle for tomorrow — A.H. Nouman
Bangladesh
c? xveportmg iron uatm z-jmerica
- Maria Hamlin Zunega,
Tanzania
PHM in Bangladesh
Nicaragua
d) Report from Europe
- Ellen Verheul, VJemos
at Ives
~ Sunil Deeoak
AIFO
5 . Arou ya I yd kkam:
Community initiatives to improve child Health and Nutrition in
Tamilnadu - A case study
6. The vision of the health Movement
-
voices from all over the world
Books from the Peoples Health Movement
- A CHC compilation
8. A Guest Editorial - (this will be written after we have made a final
selection) by Andrew and me.
This should he adewate to start with, Rest win follow on 19th. after I
have received your first draft of the compilation. I shall follow up on
photographs and others box items and visuals.
Best wishes
Ravi Narayan
CHC/PHM
"'16/02 12.49 PM
GHtact Special issue
:
■ {-.'-lATFO PHA report 2001-02 - art8.doc
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i
'/16/02 12:49 PM
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7/16/02 12:49 PM
Fw: fFwd: contact]
Subject: Fw: [Fwd: contact]
Date: Tue, 9 Jul 2002 11:28:05 +0200
From: "Reena Luke Mathai" <cmai@del3.vsnl.net.iii>
Rcply-To: "Reena Luke Mathai" <reena.lukc(/z>cmai.org>
To; '^sochara/5'vsnl.coiii^>
Dear Ravi and Thelma
Hello,
I ant back in my office and flooded with all the ponding work. But before I
get
buried in ail this pile, I wanted to clarity about our special issue.
In Africa getting to a internet kiosk is a trying experience because most
places are very unsafe. And when I did manage one, I was unable to open the
above attachment.... and so had no clue to what u wanted.
Anyway now that I am back in the saddle, I think we could pick up the
threads once again. Pl do let me know soon, so that I can schedule my issues
accordingly.
With best wishes,
Reena
--------- Original Message --------From: Community health cell <sochara@vsnl.com>
To: <rccna.mathailukc9usa.net>; <cd.cmai@vsnl.com>; <rccna.lukc@cmai.org>
Sent: Tuesday, June 18, 2002 11:55 AM
Subject: [Fwd: contact]
:
Name: nsmailMB.TMP
; j-^nsinailJ'.'IB.'IL'lP;
Type: unspecified type (application/octet-stream)
;Encoding: quoted-printable
of)
7/10/02 10:45 AM
6/27/02 5:45 PM
Subject: Fwd:
Date: Thu. 27 Jun 2002 09:53:46 -0200
From: "Manoj Kurian" <mku@wcc-coe.org>
To: <sochara(®vsnl.coni>
i jPart 1 Type; Outlook Express Mail Message (message/rlc822):
of 1
6/27/02 5:47 PM
Dr. Ravi Narayan,
Greetings from PHM Bangladesh circle .
I am extremely sony that I could not sent the writings “ Struggle for Tomorrow - PHM Bangladesh
Circle — a case study* in time, as you indicated to send you by 15th.of June, due to my planned schedule
hazards . Readily I have no e-mail or fax number of you with me at Canada, I am trying to get it from
Dr.Qasem chowdhury too. SO ,in the mean time I am sending through Dr. Manoj Kurian of WCC as I have
his e-mail number readily .
On return to Dhaka from Geneva via Toronto , by the way I went for cardiac specialist consultation —
advice for angiogram - done -then recommended & refer to Toronto General Hospital for angioplasty .
Seeing & comparing all the alternatives , I & my family members decided to go for angioplasty here at
Toronto . But il is veiy rush—Q - so to get the date fixing by the physician—doctor I am waiting at
Toronto. May be all together to go back to Dhaka this will take more 2 /3 weeks if every7 thing goes well
However, with all these, I have regular contact with our Dhaka & related PHM activities . Health hazard is
one of the causes & coiiecting related information.' materials are the other causes to complete the writings
in time.
This is for CONTACT, so far I understand for publication. .1 don't know whether this will work or not,
but you have every authority to repair or edit where ever you need . 1 am confident that you will do your
best.
Convey my regards to Thelma di & best wishes to your son ( sony for name). He worked like a
silent activists at WHA, really wonderful — bap -ka - beta or ma - ka - beta ?
Sony again, for the inconveniences if any & telling regarding so much of my personal health . Please
confirm ,if possible by either e-mail bellow
With best regards,
Sincerely yours,
Ahm Nouman.
Chairperson, PHM Bangladesh Circle &
Secretary General ,DORP . Dhaka £■- mail dorpco @ bangla.net tel 9130101
( Toronto Tel: 001416 7010134 & e-mail farukl999@. yahoo.com )
Toronto
Re: Report from Italy
Subject: Re: Report from Italy
Date: Sat. 22 Jun 2002 07:48:40 +0200
From: Deepaks <sunil.deepak@tin.it>
To: Community health cel! <sochara@vsnl.com>, Sunil Deepak <suni!.deepak@aifo.it>
Ot course, there is no problem it you wish to use part ot the Italian
report for Contact - I like reading Contact so it would be an honour if
some thing I write is published there!
I am going to be in Bangalore for 3-4 days in the first week of September.
Would you be there in that period? I would like very much to meet again you
and Thelma during that visit if possible.
Warm regards,
Sunil
At 13.41 21/0o/2002 +0530, Community health cell wrote:
>Dear Sunil,
>Greetings from Community Health Cell and thanks for all your prompt
s’&riid id s.
Thanks for the photographs.
>w'no were in it.
They have been forwarded to all those
>2. For the addresses and forms of Indian par LicipanLs at AIFO meeting,
>will contact them
>and involve them in PHM India activities.
>3. Thanks for PHM activities report from Italy.
I hope I have your
Ppersiission to
>extract from it and put in an item in the special issue ot Contact.
>4. Do keep in touch.
I think you are doing an inspiring job in Italy
Ipalong with your
>AIFO colleagues and are a good role model for the European region.
>5. How are the endorsements of the Charter at city and town hall
Pprogressing? That is
>tryly significant.
>Best wishes from both of us,
>Your sincerely
>Ravi Narayan
PCHC/PHM
6/24/02 11:49 AM
Letter from CMC, Vellore on situation in relief camps in Gujarat
Subject: Letter from CMC, Vellore on situation in relief camps in Gujarat
Date: Tue, 18 Jun 2002 08:40:21 -0700
From: Darlena David <darleria@liesperiaii.org >
To: search@mah.ruc.in, adeled@wr.org, anuvenky@yahoo.net, dmukarji@christian-aid.org,
DBLee@ctr.pcusa.org, Paul_du_Plessis@salvationarmy.org, gej@wcc-coe.org, geham@del2.vsnl.net.in ,
fosterij@home.com, mtdioces@del2.vsnl.net.in, pclarkel@worldbank.org, ravijohn@email.com,
schand@gbgm-umc.org, sochara@blr.vsnl.net.in
Hello Friend
I am forwarding to you a letter I recieved from Anand Zachariah, .Associate
professor at the Christian Medical College at Vellore, India. The letter is
self explanatory. I hope and pray that each of you will be able to do
something in your own way.
Darlena
"Greetings from Vellore!
I am writing to you on behalf of the Christian Medical College and
Hospital, Vellore. A team rrom our medical school worked in the relief
camps of Ahmedabad, Gujarat earlier this month.As a team of health
professional we are extremely concerned with the health conditions in these
camps. We write to bring these concerns to your attention.
Urgent intervention is.required from national and international agencies to
address the humanitarian crisis. Wc would urge you to respond and provide
whatever assistance is possible from your side.
The camps are being closed:
(a) because there is no shelter and the monsoons will be in Gujarat any time
now
(b) retriction of rations
People are leaving the camps despite the evident insecurity in their own
localities or the absence of any home.
What has to be done:
1. Aid is required for the camps as the govt, is doing virtually nothing.
NGO.s and local communities need help to provide basic amenitiesin camps and
organise rehabilitation.
2. Agencies need to pressure the govt.not to close the camps.
3. The Gujarat situation needs to go up for more public and professional
debate at national and international levels.
Please let us know how you can be of help in this situation,
With regards,
Yours sincerely,
Anand
Dr Anand Zachariah
Medicine Unit 1 and Infectious Disease
Christian Medical College and Hospital
Vellore 632004
Tamil Nadu
India
Ph. 91-416-222102 Ext. 2730(off) and 2748
FAX 91-416-232035
1 of 2
(home)
'7^’
6/19/02 11:10 AM
Subject: Fw: Claudio: Contact Special PHM Issue
Date: Tue, 5 Nov 2002 10:41:02 +0100
From: "Reena Luke Mathai" <cmai@del3.vsnl.net.in>
Reply-To: "Reena Luke Mathai" <reena.luke@cmai.org>
CC:
<sochara@vsnl.com>
Dear Claudio,
Thanks for the input. Will not forget to include it. Shall get back later.
because I am late for a meeting!
With best wishes,
Rsviici
-----Original Message-----From: Aviva <aviva@netnam.vn>
To: <reena.luke@cmai.org>
Cc: Ravi <sochara@vsnl.com>
Sent: Saturday. November 02. 2002 6:57 AM
Subject: Claudio: Contact Special PHM Issue
Dear Reena, Ravi suggested that we not only correct the PHM's website and
iistserver addresses, but that we actually insert a small box in a strategic place in the
issue encouraging people to visit the site and join the list. He wanted me to suggest a
text. Here it is: You want to stay in contact with the People's Health Movement? We
certainly would be veiy glad you did.
Do two things:
1. Periodically vist PHM's website and see what’s new www.phamovement.org
2. Join our active listserver and receive informative emails 3-4 times a week and post
your OWN news and comments to share with 600 others in the list. Write directly to
pha-exchange@kabissa.org and ask to join, OR write io the list's moderator at
aviva@netnam.vn asking for the same. If you do both things, we still ask you to
share hard copies of the materials you find of interest with those organizations and
individuals who do not have access to the internet and email services.
JOIN THE NETWORK. STAY ABREAST. MAKE A DIFFERENCE.
DIVIDED WE BEG; UNITED WE DEMAND!
Claudio
„
N T A C T Sp&o’ ot
Qntact Issues
Subject: Contact Issues
Date: Tue, 29 Oct 2002 15:43:46 +0530
From: Community Health Cell <sochara@vsnl.com>
To: reena.luke@cmai.org, cmai@de!3.vsnl.net.in
Dear Rccna
Please rind herewith the final contribution tor the Special Contact
Issue for Resources publication.
Please acknowledge the same as soon as u get it.
With best wishes,
Yours sincerely,
Ravi
; b/lPHM PUBLICATIONS.doc
Name: PHM PUBLICATIONS.doc
Type: Winword File (application/msword)'
Encoding: base64
10/31/02 2:54 PM
Ca
N TO
cT
Contact SpeittJ PHM Issue - November 2002
Subject: Ke: Contact Special PHM Issue - November 2002
Date: Thu, 07 Nov 2002 09:15:14 -0800
From: Darleua David <darlena@hesperian.org>
fo: Community Health Cell <sochara(h'vsnl.com>
Dear Ravi
We have been in touch with CHAI for several months to expedite the transfer
of the funds for the special issue of Contact. The lost correspondence I
had was at the end of September when Vijay mentioned that Babykutty and
Reena (uhru Ravi) would be following u'o.
I am concerned that we have not received any further information and as the
year comes to a close we will not be able to organise the transfer as we
had hoped.
And our budaet for next year is extremely conservative thanks to the
downturn of the stock market and the overall economy. This may mean that
even ir want ro, we may ce able tc go very little.
Below is the list of things we had needed. I am also copying Vijay’s
1. A brief description of the intended content, including a write-up
on the concept of the People's Health Movement and the assembly at
Dhaka: Ravi Nara*zan will send to HF
Avaij.a*jj.e 2. or whciu/ <v.io gets contact: Vijay, will you send me 3
sentences from some Contact document?.
3. Projected dare of
Hesperian know)
4.
publishing: Reena to tell Ravi
(Ravi will let
Bank Account details: From Babykutty to HF
Darlena
9/30/2002 +0530 cmai wrote:
L*ear Daru.ena,
»> 1 have had some good news,
we have been able to find the remaining $ 2000
»> to support this.
> That is great. It must be a source of much joy to PHM that they have been
>able to arrange the finances. Especially since this issue is being
^prepared at the specific recruest of the PHM. It is cccd to see that PHM
>hss been able to garner support for this.
Can you give me the latest
xigures on me finances available? This nas peen going up and down so many
>i lines, and I am quite dizzy travelling, 1 have lost track '.Once I hear
>frcm you, 1 can give Reena the clearance on going continuing to edit the
>articles that Ravi has sent her.
» Meanwhile we are waiting to get the
>following:
»>
>>> 1. A brief description of the intended content, including a write-up on
the
>>> concept of me People's Health Movement and the assembly at Dhaka
> The content development Is between Ravi and Rena. Ravi is Lhe .guesL
>editor, and we have been in frequent dialogue with him about strengthening
>the content etc. It would be most efficient if you are in correspondence
>with Ravi about this. ( I do not have his email at home, from where i am
^replying, so cannot copy this to him immediately).
» available for whom
> Where did this come from ? Come on, Darlena.
>> 3. Projected date of
> publishing
? Reena is away for a family emergency. she has been m touch with Ravi
PtfF)-C&o
11/8/02 11:09 AM
Contact Special rIiM Issue - No%eunbei ^.0u_
>sbout this. As soon ss she gets beck, I will 3 sb her to be in
*^3vi sbout *this.
— B sr*b scour t dotoils “
>» tiau£: of the project account holder:
touch with
ZjSjjX" A<f2i7is9 *
»> Banjc Aaaress:
>»
I am asking Babykntty, by a copy of this letter, to send you the
details.
>
>> It was nice to talk to Kumudha today. I am trying to get some
>Vijay Aruldas
>General Secretary
>Christian Medical Association of India
>New Delhi
11/8/02 11:09 AM
intact - PHA
Subject: Contact - PHA
Date; Tue, 29 Oct 2002 16:44:33 +0530
From: Community Health Cell <sochara@vsnl.com>
To: vaiuldas@cmai.org
Dear Vijay,
Greetings from Community Health Cell!
No nows about the bulk order offer. I wrote to you about, last week
(19th October). Please send a special bulk rate orders announcement that
we can circulate on the PHA exchange. The sooner we do it - the better
chances of your getting larger bulk orders that may also reduce the cost
overall. Please ring if necessary. I shall be away for 3 weeks and not
easily contactable till 25th November from the 3rd of November. How did
the Goa conference go? What are you planning as CMAI - for the Asia
Social Forum? Would you be able to partner with CHC on a Alma A.ta
Anniversary reflection initiative? Reply before the 1st November.
est wishes,
(
0Vi Narayan
CHC / PHM
10/29/02 4:44 PM
Subject: Ke: Contact-PHA
Date: Sat, 19 Oct 2002 10:01:30 +0530
From: Community Health Cell <sochara@vsnl.com>
To: varuldas <varuldas@.cmai.org>
Dear Vijay.
Greetings from Community Health Cell!
Reena has conveyed the wrong impression to you. I had no comments whatsoever about the Contact Special
issue pubheation costs. That’s your internal matter - so no need of any explanation (thanks anyway for what you
sent). I am only interested in the matter raised in the last two paragraphs. There should be a differential for
developed and developing countries and the idea of slabs for bulk copies 5-10-20-50-100 is an excellent one. My
comment onlv was that S2.50 oer copy was a Irish rate for bulk-orders especially from developing countries. I
trust your final judgement. Send a special rate bulk order announcement for circulation on PHA exchange.
Best wishes,
Narayan
cHC / PHM
varuldas wrote*
Dear Ravi, Sorry for the delay in replying after Reena got back. The costs Reena had written to you
(email of April 4th, 2002) was Rs 2,98,987.00 for a 28 page issue and 2,76,433.00 for a 20 page
issue. Darlena says that she was told that the PHA issue would cost $ 5,000. At an exchange rate of
Rs 47, that works out to Rs.2,35,000. At 48, it works out to Rs 2,40,000. That is still considerably
less than the original cost Reena had sent you, even for a 20 page issue. I understand from Reena
that you feel it is quite high. Well, this was the "actuals" cost of an English issue of contact, i.e.
printing + paper + postage + scanning eic.it was based on biiis of past issues (how else would we
gel a figure of 2,98,987.00 ?!!). This does not include any personnel costs or overheads, In effect,
Contact's contribution is the manpower, support services, etc. And that, believe me, is quite a bit
because it would then include CMAI staff time, WCC costs, the Management and Editorial groups
time and meetings costs etc. Since then (April beginning), the postage costs have gone up further,
and the postage for issue 74 worked out to Rs 40,000 more than the earlier issue. We will work,
7 therefore, to see how best we can manage within the available money. The other question Reena
. passed on to me was about how much people have to pay for extra copies. Would you like there to
I be a differential rate for Foreign countries and India ? Our working principle for the PHA issue has
been to charge actual costs only. We can apply that to extra copies also. Bulk mailing will save on
postal charge, but not the cost of the copy. We can work out orders in slabs of 5-10 copies, 11-20,
20-50, 50-100. It can be advertised as a special rate for the PHA issue only. Regards Vijay
I
'
;
I
I
>
|
I
I
,
I
‘ontact-PHA
Subject: Contact-PLLA
Date: Thu. 17 Oct 2002 18:22:53 +0530
From: "varuldas" <cmai@de!3 .vsnl.net. in>
Reply-To: 'Varuldas" <varuldas@cmai.ors>
Organization: cmai
To: ’CHC Bangalore" <sochara@vsnl.coin>, "Reena Luke" <reena.luke@cmai.org>
CC: "Babykully Nman" <babyku!!y.ninan@cmai.org>
Dear Ravi,
Sorry for the delay in replying after Reena got back.
The costs Reena had written to you (email of April 4th, 2002) was Rs 2,98,987.00 for a 28 page
issue and 2,76,433.00 for a 20 page issue.
Darlena says that she was told that the PHA issue would cost $ 5,000. At an exchange rate of Rs
47, that works out to Rs.2,35,000. At 48, it works out to Rs 2,40,000. That is still considerably less
^n the original cost Reena had sent you, even for a 20 page issue.
I understand from Reena that you feel it is quite high.
Well, this was the "actuals" cost of an English issue of contact, i.e. printing + paper + postage +
scanning etc.
It was based on bills of past issues (how else would we get a figure of 2,98,987.00 ?!!). This does
not include any personnel costs or overheads. In effect, Contact's contribution is the manpower,
support services, etc. And that, believe me, is quite a bit because it would then include CMAI staff
time, WCC costs, the Management and Editorial groups time and meetings costs etc.
Since then (April beginning), the postage costs have gone up further, and the postage for issue 74
worked out to ks 40,000 more than the earlier issue.
We will work, therefore, io see how best we can manage within the available money.
The other question Reena passed on to me was about how much people have to pay for extra
Copies. Would you like there to be a differential rate for Foreign countries and India ?
Our working principle for the PHA issue has been to charge actual costs only. We can apply that to
extra copies also. Bulk mailing will save on postai charge, but not the cost of the copy. We can
work out orders in slabs of 5-10 copies, 11-20, 20-50, 50-100. It can be advertised as a special
rate for the PHA issue only.
l,
cc
Regards
SU,
< x \ '
A
<e: Contact Special PHM Issue
17
Subject: Res Contact Special PHM Issue
Date: Tue, 29 Oct 2002 17:10:39 +0530
From: Community Health Cell <sochara@vsnl.com>
To: Claudio Schuttaa <aviva@netnam.vn>
Dear Claudio,
Greetings from Community Health Cell!
There's so much going on all at once that its difficult to keep pace
with it all.
i. Glad that something is progressing on the dialogue with Mocumbi
front.
ii. Have noted your corrections for CONTACT. Website and list serve
addresses will be shown. Can you send it as a sort of appeal or notice,
which will be more personalized and effective? It will go as a box item.
Send to Rccna directly with copy marked to us.
iii. One of us will be at the Mumbai meeting - the Oxfam-CEHAT workshop
on Health as a Right. Are the dates final- Abhay told me there could be
a change it participants wish to attend WSF as well!
|bv. Hesperian Foundation and University of California have now invited
both of us for the Bay Area Health Conference on 1st March 2003 and then
to a PHM lecture tour in 8 cities of USA to help them push PHM in a key
part of our Globalising world! Will get back with details as they
evolve. The Bay area conference theme is Peoples Health in Peoples
Hands: What works? Who decides? There will also be a session on Alma Ata
Anniversary.
v. When you visit India keep a tew days tor Bangalore to discuss PHM
strategy and a little fellowship as well with all our local contacts.
Send us your short CV to begin with so that we could make the most of
the visit.
Best wishes,
Ravi & Thelma Narayan
CHC / PHM
ufl
10/29/02 5:30 PM
Subject:
Contact Special
Issue Claudio
Date:
Wed. 23 Oct 2002 10:48:39 +0700
From:
"Av jva" <aviva@netnam.vn>
To:
"Community Health Ceil" <sochara@vsni.com>
References: 1
Ravi. PLs make sure the website and the list server address are prominently shown —
preferably in several places-- of the issue. Tell readers they can join the list by writing to
pha-exchange@kabissa.org or to my email address. Note that in my article, two times it
reads 21 months after the launchinc of tha PCH. It should read 24 months.
Hug
Claudio
My (our) wkshp in Mumbai was postponed to Jan 27-29. Wil! you two be able to
attend? Hope Thelma is back to good health.
-ontact Special PHM Issue - November 2002
Subject: Contact Special PHM Issue - November 2002
Date: Thu, 17 Oct 2002 18:59:19 +0530
From: Community Health Cell <socliara@vsnl.com>
To: chetley.a@healtlilink.org.uk, masaigana@afiicaonline.co.tz, iphc@cablenet.com.ni,
sunil.deepak@aifo.it, ellen.verheul@wemos.nl, mikerowson@medact.org,
Claudio Schuftan <aviva@netnam.vn>, Ivlanoj Kurien <mku@wcc-coe.org>, reena.luke@cmai.org,
darlena@hesperian.org, sarahs@hesperian.org, pamzinkin@gn.apc org
Dear Friends,
Greetings from Community Hosith Coll!
A special issue or CONTACT magazine focused on the Peoples Health
Movement is now reaching completion and should be published in November
2002 and distributed in December 2003. The contact editorial team have
been gracious to allow this special issue to intervene in their ongoing
plans. Darlena and Sarah of Hesperian Foundation must be thanked for
raising the contribution of nearly 5000$ to sponsor this special
additional issue!
Enclosed is a final manuscript of the edited version of all the
contributions. It begins with a joint guest editorial by Andrew Chetley
ana myself. Then I have written a lead article on the movement and the
charter. Then there are two region reports - Africa (by Mwajuma) and
Latin America (by Maria and Ani) interspersed by small box items from
other regions. Then there are two country reports: Bangladesh (by
Nouman) and Italy (by Sunil Deepak). Then a case study from India which
was part of PHM preparation (from a UNICEF report). Then 'Voices' from
all over the world — a selection of the PHM Geneva exercise. Then two
reflections - (a) Poverty and WHO (by Mike and Ellen), (b) The way ahead
(by Claudio). Finally a short report on PHM presence at WHA - May 2002
and a short publication / networking list (still to be completed).
This manuscript is now being sent to Qasem at Secretariat and all the
contributors for a through proof read. If any of you find any
errors/mistakes or want to suggest modifications you have to send those
in by 25th October to Contact editor Reena Mathai Luke with a copy
marked to me (reena.luke@cmai.org or cmai@de!3.vsnl.net.in).
If you can send photos that will be add to the article - good, clear
black and white ones with clarity - then scan and send immediately. Does
.any one have a good photograph of all of us waving Peoples Health
Charters near the Broken Chair monument in Geneva? It would make a good
cover page for the Contact issue. Please send it to Reena immediately.
If you can't scan, post it as soon as possible.
Reena will soon circulate a note on how co order bulk issues if any of
you are interested. Do respond promptly if you want co order them.
Thanks for the contribution to this initiative.
In solidarity,
Ravi Narayan
CHC / PHM
j
;
j ^special contact issues.docj
•
on
Name: special contact issucs.doc
Type: Winword File (application/msword);
: Encoding: base64
10/17/02 7:07 PM
Dear Friends.
Greetings from Community Health Cell!
A special issue of CONTACT magazine focused on the Peoples Health Movement is now
reaching completion and should be published in November 2002 and distributed in
December 2003. The contact editorial team have been gracious to allow this special issue
to intervene in their ongoing plans. Darlena and Sarah of Hesperian Foundation must be
thanked for raising the contribution of nearly 5000S to sponsor this special additional
issue.
Enclosed is a final manuscript of the cdite^Wersion of all the contributions. It begins with
a joint guest editorial by Andrew Chetley and myself. Then I have written a lead article
on the movement and the charter. TherCthere are two region reports — Africa (by
Mwajuma) and Latin America (by Maria and Anj) interspersed by small bog item! from
other regions Mhen there are two country reports: Bangladesh (by Noumanj and Italy (by
Sunil Deepa'lt). Then a case study from India which was part of PHM preparation (from a
UNICEF report). Then ‘Voices’ from all over the world - aS selection^of the^PfjM
Geneva exercise. Then twtxfeflections - (a) Poverty and WHO (by Mife and lcllem)(b)
The way ahead(by Claudio). Finally a short report on PHM presence al WHA — May 2002
and a short publication/ networking list^iu/
be
This manuscript is now being sent to Qasem at Secretariat and all the contributors for a
through proof read. If any of you find any errors/mistakes or want to suggest
modifications you have to send these in by 25th October to Contact editor Reena Mathai
Luke with a copy marked to me. Q
?
If you can send photos that will be add to the article - good, clear black and white ones
with clarity - then scan and send immediately. Does any one have a good photograph of
all of us waving Peoples Health Charters near the Broken Chair monument in Geneva? It
would make a good cover page for the Contact issue. Please send it to Reena
immediately. If you can’t scan, post it as soon as possible.
Reena will soon circulate a note on how to order bulk issues if any of you are interested.
Do respond promptly if you want to order^L/i e,
Thanks for the contribution to this initiative.
Subject: Ke: i'll iA issue of Contact
Djito: Mon 30 Sep 2002 12:3645 -0700
2’i'c’iik; Doucild E/aVid <uiiiICxia u lies pci*iail.Oi S>
To: "cmai” <cmaidelrja vsnl.com>
CC. n\ 1 iav-CXlAT' <\ aruldas,?i cmai.or2> "I\.ecua Luke” <reena.luke/2^cmai orc>
“Babykuny NinaiT <babykutty.iimaii ci'cmai.org>, "Community health cell" <socharara.vsnl.com>
for
able
inciudma a write-up on
; P.a v?-
~o
o hear from you
anything you would iik
rtuinudha mentioned
her to do ? She
has been going up ano qow.-j
.1 heve Lost- track I Once
'‘i^v-in^vr ana
t sin 11 v emeroen
a ssernoJ v a i: Dna
iU. i/02 1.55 PM
'Qasem Chowdhury" <-oksavarfi'citechco.net>. <PHA-ExchtingefS}kabissa.org>.
<p:!nizinkin<?:gn.apc.org>. "Sunil Deepak" <sunil.dwpak@aifo.il>
Part 1.1
iCtes/ v'n £
CcC-
L_ _l''-e
/'?-> I^A-Ye-C^
->C^>c-.t-'
/'Zxl
>'U-
PHr-t
S-e-c^e-
P MM 6r-.-cc.vc
c^-'c^
Cc^-pA^c.^.
d5_v-><rl
c^v->yuvn
‘’■j l^-nlt
irCpt.j
<&.^Cza
we jus: submit a workshop on PHA and the Charter at the European. Social Forum (ESF)
jit ±
i\o\ 2002) together with Buko-PhariTiacaiiipaigii. please iind the
ni-jnrnjn.--‘ATnpnt h.« In\v
We would be ven' happv io see a lol of PHM-People in Firence. Shouldn't we use the
even! to make a separate PHA-Europc meeting there? Quite a lot of grassrool-movements
will use lids gathering (I just heard from People's global Action that they will make an
autonomous meeting during the ESP.
Who is planning to come to Firenze? You can register at their website: http://www.fseesf.org.
Best regards
Andreas
L/x. .Andreas Wulf MT)
medico international e.\r.
Ohe.rma i na n ia ae 7
E'_
F7":,ril'd.’.’r’ ' *'/!?.m
Germany - Alicniagne
Tel: -49 - 69 - 944~3S -0 (Ext. -35)
Date: tri, 30 Aug 2002 15:54:07 -0700
From: Dar'ena David <dariena@hesperian.org>
Fo: varuldas ■kvaruldasftZ'.ciiiai.orag*
CC: "Manoj Kurian" <mkufS!wcc-coe.org>, "CHC Bangalore" <sochara@vsnl.com>
Dssr Vi"jsv
Thank" you for your small. Ws srs sxcitsd chat chs Contact issue on PHM is
almost ready!
Could CMAI send an email with the following information to
LWP», MMS and Hesperian?
1. A brief description of the intended content, including a write-up on the
concept of the People's Health Movement and the assembly at Dhaka
2. Distribution of the issues - sent to whom - available for whom
3. Projected date of publishing
4. Bank Account details:
Name of the project account holder:
Ban.<
;
Bank Address:
} think Sarah had spoken to Manoj that we were able to raise only $3000.
And mv understanding from what Sarah told me of her conversation with Mano"i
was that WCC is committed to the concept of the Peoples Health Movement
and that finding the extra $2000 may not pose too much of a problem. I hope
that, ? s still th a csss!
The Medical Mission Sisters and Lutheran World Relief who are joining us in
supporting a part of the printing and mailing costs, would need about 90
copies or Contact. I would much ratner not ask them to pay for these copies
SADArstelv!
Soms of the cooies that LWR needs are to be mailed to their
Indian partners, so that will not enormously expensive. And the rest arc to
the Philippines. The Medical Mission Sisters would need about 40 copies
for the countries where members are working to help them promote the
concerns of the PHA.
As for Hesperian, depending on the content of the issue, it could be very
userui for publicising the PHM among constituencies in the US. We would
li?ca vary much to saa a pdf file of the issue before deciding how many
copies we might need. Again, the places we would use them would be the
American Public Health Association meeting m November and the meetings
LhaL we are hoping Ravi would come to, in March next year as well as other
Korums. 1 know that Ray Martin was also interested in getting copies of
contact out to the CCIH members. If the content is such that it could
potentially add steam to the PHM movement here, could we perhaps explore
printing from a pdf file here?
I look forward to hearing from you,
with warm regards
At 09:08 PM 8/30/2002 +0530, varuldas wrote:
>
Dear Darlena,
Hi. How are you doing ?
A quick question on the
^Contact issue on PHA. Ravi suggested that we get m touch with you.
> update me on the status of the sponsorship of the issue ? I have looked
>through the earlier emails, and could not understand the final situation.
> You car. transfer the money to CMAI under intimation to Manoj at WCC
> (however, if Manoj says otherwise after getting this mail, please do as he
>savs .. he is the boss).
i’he cost of sponsorship was for the normal print
>run. we can print the extra copies you had asked for. as you know, the
>average cost per copy including postage is US $ 2.50.
We need to hear
>from you as soon as possible, to help us to wind up this issue quickly.
>Warm regards
Vijay
ssuc C’l Contact on PHA
Subject: Issue of Contact on PHA
Date: Fri, 30 Aug 2002 21:08:50 +0530
From: "varuldas" <cmai@del3.vsnl.net.iu>
Reply-To: "varuldas" <varuldas(«)zcmai.org>
Or^snizstioiK crn?.i
To: "Darlena David" <darlena@hesperian.org>
CC: "Manoj Kurian" <mku@wcc-coe.org>. "CHC Bangalore" <sochara@vsnl.com>
Dear Darlena,
Hi. How are you doing ?
A quick question on the Contact issue on PHA. Ravi suggested that we get in touch with you.
Could you update me on the status of the sponsorship of the issue ? I have looked through the earlier
emails, and could not understand the final situation.
I<ou can transfer the money to CMAI under intimation to Manoj at WCC (however, if Manoj says
Otherwise after getting this mail, please do as he says .. he is the boss).
The cost of sponsorship was for the normal print run. We can print the extra copies you had asked for.
As you know, the average cost per copy including postage is US $ 2.50.
We need to hear from you as scon as possible, to help us to wind up this issue quickly.
Warm regards
Vijay
pMM - Cerroko cf
ofl
e-
{•'Le
9/2'02 10.57.AM
4A-Excliange> New PHM Working circle on Women's Access to Health. Care
Subject: PHA-Exchange> New PHM Working circle on Women's Access to Health Care
Date: Tue, 27 Aug 2002 04:17:36 +0700
From: "Aviva" <aviva@netnam.vn>
To: "pha-exch" ^pha-exchange^kabissa.org-*
From: "wgnrr" <office@wgnrr.nl>
Dear list fellows,
> This is a message to inform all of you that we at the Women's Global
> Network for Reproductive Rights will be starting a Working Circle on
> Women's Access to Health Care and that we plan to do a work shop about it
> at the Asian Social Forum that is to be held in Hyderabad 2-6th of January
> 2003.
All interested please contact me directly at the email address above.
> Greetings,
> Sumazi
Cornerrs Global Network for P^eiorocluctive Plights
> RMMDR Red Mundial de Mujeres por los Derechos Reproductivos
> RMFDR Reseau Mondial des Femmes pour les Droits sur la Reproduction
> NEW AS OF MAY 1st. 2001
> Vrolikstraat 453-D
> 1092 TJ Amsterdam
> The Netherlands
> phone (31-20) 620 96 72
> fax (31-20) 62.2 24 SO
> e-mail officc@wgnrr.nl or ncwslcttcr@wgnrr.nl
> website www.wgnrr.org
PHA Exchange is hosted on Kabissa
Space for change in Africa
To post, write to: PHA-Exchange@kabissa.org
Website: http:Z/www,lists.Kabissa.org/mailman/Tistinio/pha-exchange
C.cri'^Pb ck
8/29/02 6:46 PM
Uuiavt SpcCh'n jSSiiv
Subject: Rc: Contact Special Issue
Ostc: Sun. IS Aus 2002 09’12'2^ —*v?no
From: Deepaks <sunii.deepak@tin.it>
To: Community health cell <sochara@vsnl.com>
nr
[coon?, t. ton soocial issue of Contact on Peede's
Diicccoz oz .udicuu. c-uppc-nc aepunccienc of an Italian NGOZ Ann ci cz Raoul
Eoliereau lAIFO; in Bologna, iLaly; also President Elect of International
Anti~1ootosv Associations AIEP) in London UK and consultant fon
^.'isaoz uicy s. x\enaiC’Z.1 ztarcon 'jnit -DAK; or WHO m ■czonsva.
' >£)/^
8.19/02 3.03 PM
3M ObUv
Subject: Re: contact sp issue
Date: Fri. 16 Aus 2002 18:32'24 -u0530
From: Community health cell <sochara@vsni.com>
To: Reena <cd.cmai®.vsii!.com'>
Dea*- Rocna
Greetings from Community Health Cell I
Thanks for vour follow in? letter on the Contact PHM issue.
1. Regarding sponsorship options please get in touch with Darlena
immediately
since she had followed up on this.
2. 1 think if I do a focussed first level editino some of vrour concerns
handled ‘You will be begin to get it from 19th not loth as originally
mentioned). However I chink we must be careful not to label PHM concerns
about
unternationa_ Putic Health trends as WHO/ World Bank bashing. This is
up manship bur a serious critique from hundreds of people who were
committed to
the Alma-Ata declaration. It is a back tracking on this commitment and
the
allowing of internationa.1 liberal economic trends that favour the market
that is
to be countered. Perhaps if you are put on the PHA-Exchanqe where all
th is is
regularly circulated, you will understand the crisis of confidence in
WHO/World
Bank better. That aside all the other comments to extract and balance
the papers
while editing them are acceptable.
Best Wishes,
Ravi Narayan,
CHC / PHM
Pveena wrote:
> Dqq ~
Rcivi z
Thank you zor me two zelders whj.ch you .sent m addztzon to t,h& sszl zer
text. I have sifted our the matter and have done a rough editing and it is
new ready to be sent to Editorial Group for their approval.
I need to also explain to the group as to her; I am planning to get this
edition
znserceo Petween Our regular schedule arid th&x'&fox'G wzll have to spi&cify the
> details.
> However before I do that, I need to be clear about the sponsorship details.
> I seem to have missed your email on it, so pl do update about it.Hope you
p
>
>
>
>
j>
r-, r t-
PPM
icl'l
rn -i r, r-y
S’
> in addition, i have some concerns about the issue so far....just putting
> down random thoughts.
> Its nor. clear whar exactly we are trying to focus in this issue. Far the
> edition to be 'wholesome' i feel
> we could start .-.1th the PHM/iiHA events but we need to have a little bit 01
> the PHA. history/ its present worK/impact, advocacy, and some grass root
> experiences etc etc.
8/16'02
c' (.\~ntrtCt Special Issue
Subject: Re: Contact Special Issue
Date: Fri. 16 Aus 2002 16:34:26 -0200
From: elien.verheui@wemos.nl
Io: Community henlth cell <~socli?.rit@'Vsn!1com>, reenn.luke@cmai
CC: "Qasem Chowdhury’, Dr" <gksavar@ciiechco.nei>
Dear Reena,
Or. P.avi ’ s request,
I
vou some lines about myself for the special Contact issue on
PI AX I .
Ellen Verheul is project leader for Memos, a Dutch NGO working on health and
development issues. She works on health policies in relation to debt, structural
sdiustment ano PP.SPs. Contact: a
. verheul^wemos . nl
Hooe th as '•’ill d'-'.
Warm regards.
>. A draft of the manuscript will reach you soon for approval.
Please repiy to elien. verheuiiswemos . nl
The highest attainable standard of health is a fundamental Human Right.
Wemos Foundation has been working since 1981 to improve people’s health in
developing countries through influencing international policy.
Wemos Foundation P.O. Box 1693
1000 BP. Amsterdam, The Netherlands
tel 131-20-4.688.388 / fax ; 31-20-4.686.008 / web site http:// www. wemo s ■ n 1
8.-19-02 12.59 PM
ontact SpccialfPMYI Issue
Subject: Contact Special PHM Issue
Date: Sat, 9 Nov 2002 11:10:12 +0700
Front: "Aviva" <^aviva@netnani.vn>
To: "Ravi" <sochara@vsnl.com>
--------- Original Message --------From: "Reena Luke Mathai" <cmai@de!3.vsnl.net.in>
To: "Aviva" <avivaSnetnam.vn>
Ssntz Fridsv Novsribsr 08 2002 5zl5 PM
SuJdt* r"oT'tcict St?oc2q2.
Tssuc
> Dear Claudio,
> Greetings from Contact!
> Than'xs for vour mail and other inputs for the PHA issue.
> I could not get in touch with you earlier because I was loaded with
> deadlines and other routine stuff that badgers one on a daily basis
detai Is
about the the PHM
Hell, I thinx the best place tor that vital input is on the bacx cover of
the edition.
its bound to be prominent and even vour neighbourhood mailman will get to
read it!
> --------- Original Message --------> From: Aviva <aviva@netnam. vn>
> To: <reena.luke@cmai.org>
> Cc: Ravi <sochara?vsnl. com>
> Sent: Saturda’7, November 02, 2002 6:57 am
<?»-> z-» ■» a 7
zS. CvSirv^r
L.A. y k—
•• f
‘-z J.7 '-< L. z’ •
; . #■C v4a
O — J. XO-Ui'X
*— X -LTcguci
> > Dear Reena, Ravi suggested that we not only correct the PHM's website
and
> > listserver addresses, but that we actually insert a small box in a
> strategic
> > dace in the issue encouraging people to visit the site and ^oin the
> > he wanted me to sugttest a text, here it is:
> > lou want to stay in contact with the People’s Health Movement?
> > We certainly would be very glad you did.
>> Do two things:
> > 1. Periodically vist PHM's website and see what's new
> >
www.ohamovement.orc
> 2. J^in our
ve 2 7"sssr‘Tr52' and receive informative emails 3—4 times a
> > '.-.'SS}' aTiO OOSZ yOu±
Ol7?v FiS’.^S dFiO COjsuucZiuS to SiidFS vilZh
ijGO OthcTS IFi
the
> > /.'rice directly to pha-exc'mngsGrabissa. erg and ask
>> to join, OR write to the list's moderator at aviva@netnam. vn asking for
> the
> > same.
> > If you do both things, ve still ask you to share hard copies of the
> > materials ^'ou find of interest with those organizations and individuals
> 'who
> > do not have access to the IntemeL and email services.
> > JOIN 'INJ
SlAf ASRNASI. I1AKN A Dli'fNRNNCN.
> > DIVIDED WE BEG; UNITED ?'7E DEMAND!
> > Claudio
Subject: Re: Contact PliA issue
Date: Wed. 13 Nov 2002 13:54:59 -0530
From: Community Health Cell <sochara@vsnl.coni>
To: subscribe ^subscribej&cniai.ora^. Reena Luke Matai <-reena.luke/?7?.ciTiai.or2->
G^eeLn^5- from Go—i—wrvtv ^-lealth Ge— *
Received both the emails (Sth Nov 02) and the dummv (Contact 176). Thanks.
Dr.Ravi is presently in East Africa. He will return to office on 18 November 2002. when your papers will be
put up to him for response.
V^/ith best wishes.
Sincerely.
K.Gopinathan
Administrative Officer
Community Health Ceil
subscribe wrote;
WCCt
XZio. 1XI-.
5’98
HGiGYQIIIj
/^K$ATJ A*.
8BV1II X. I” 9 F*A 3 Ft>O 8.XJ5M HJ w
fb“z> F9
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5 Ito-? (UMSVC^
T
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'•x S-
a ea^-s C-2o
ir»^35
.rv
j-TSUS 99P— «-»
Contact 276 PHA issus. I have just piaccw tho t@xt arid wg> nii>y oh the desi^^ aspect. ifiih kind
r^nxr^a Iradsrx
■ —
" - ---------
’ ■ <"1 c TI '-a ««i
— iwn r-, n n
<r" <■’
s8jbscriba@cmai.org
1 i.13-0
Subject: Contact I’KA issue
Date: Mon. 11 Nov 2002 16’49'22 -0800
From: "subscribe11 <cd.cmai@vsnl.com>
Renlv-To: "subscribe" <subscribe'f?cinai.oro>
To: <sochara@vsnl.com>
Dear Mr Narayan,
Greetings from CMAI!
As told bv Ms Reena Lukej I am attaching the pdf file of Contact 176 PHA issue. I have inst placed the
text snd
'dss’gr? aspect.
With kind regards
Pi. repiy io the following e-maii address
y Kcrjfi H a frf) £ m 2 !, O FG
Vo rp >v • Pho 1 7/-\
nHt
— * M AXA X. • A 11U A t V11A> |7OA
i1;jP113176m. odf
Tvpcc Acrobat (applicaiion/p<
KucodiixSz basc64
t&b/
uf 1
11 12 02 11.20 AM
Subject: For Dr. Ravi Narayan
Date: Tue, 27 Nov 2001 10:42:22 +0530
From: "Balaji Sampath" <kb@eth.net>
To: "Community Health Cell" <sochara@vsnl.com>
This is the Arogya lyakkam Report I had initiaally prepared for UNICEF...
Balaji
|;>1 AT Note for Patrice.rtf
Name: Al Note for Patrice.rtf
Type: Winword File (application/msword)
; Encoding: quoted-printable
Arogya lyakkam
Community Initiatives to Improve Health and Nutrition
This programme is now being implemented in about 500 villages in 10 blocks in TN implemented by Tamilnadu Science Forum. The programme has 3 main aims:
1. Improve utilization of primary health car e services
2. Make a measurable improvement in child health and nutrition status
3. Organize and empower women around their health needs.
The programme organized village health committees, which selected a local health activist.
These voluntary health activists were trained in camps and more intensively on the field in
talking to mothers about nutrition and diseases, and to pregnant women on nutrition, delivery',
breast-feeding, etc. The village committees met, read and discussed health books - and
helped the health activist in promoting nutrition and health education.
Significant highlights of the approach used in the programme:
1.
Respect for the mother and the pregnant women - they are consciously seen as intelligent
people coping in poverty and difficult conditions and not as ignorant people who don’t
listen to sensible advice. Focus is on understanding why a mother does not want to follow
our advice and changing our advice to suit her, rather than blaming the mother for it.
2.
The mother already has a world-view (formed by her own experiences and learnt from
the community' around her) - that world-view informs her of what health practices are
good for her child. Our advice often differs from her ‘information’ - to succeed, we. have
to integrate this advice with her overall world-view, by discussing in detail why this new
advice makes sense. Explaining the reasons for the advice is critical to this approach.
3.
This kind of negotiation and house-house individualization of health advice requires
more skill and confidence than just preaching to a passive audience. Training the activist
in this takes time - she has to learn not only to advice, but also to counter arguments.
She also needs support from a group of trainers who visit her regularly and provide her
work with legitimacy and constantly encourage and re-train her.
4.
The heart of the programme is this negotiation - but it need not always be done
individually. The activists often call larger meetings to discuss specific issues — sav
feeding colostrum. In the larger meeting somebody would invariably say they have fed
the baby with colostrum and the baby is healthy — this can be used as ‘peer-proof to
convince others. This kind of negotiation with a larger group requires even more skill
and often the block trainers have to help the activist in conducting such discussions.
Evaluation Results
A study of 197 villages of the 500 showed that a significant improvement in child nutrition
status had been achieved in this short period of 1.5 years.
• Of 7133 children, weighed at the beginning of the programme and after 1.5 years, the
number of Normal Children increased from 34.45% to 45.77 % - an increase of
11.33%. The number of Grade I children increased marginally by 1.23% and the
S
number of Grade n, Grade HI and Grade IV children decreased by a corresponding
12.56 %. This clearly shows that a significant number of children improved from a
low nutrition status.
Instead of looking at the overall grade, if we follow each child to see what has
happened to him/her, the figures we get are even more revealing. 34.9% of the
children have improved and 25% of the children were retained at Normal, 13.6?/o of
children worsened in this period. Compared with non-programme areas, in the
programme areas, the improvements have increased, the worsening has reduced and
slippage from Normal has also significantly reduced. Analysis shows that the
programme has improved the nutrition status of an additional 29% of the children.
Organizational Insights
Often visitors ask why these activists are so motivated and work hard even without pay.
These are some of our answers...
Field workers - health activists, VHNs, ICDS workers - often come from a poor social
background and have a low level of education. They get very little respect for who they are
and what they do. If we expect our activists to respect mothers, we must at least ensure that
wc respect our activists and understand their problems. This understanding leads us to the
following:
1. When measuring the activist’s work, we do not blame her for weak children we only
measure her actual work - which is talking to mothers and pregnant women. If children
have worsened, the reasons are sought in weakness of training and in need for changing
the focus of the programme and sometimes we find that larger factors like diarrhea
epidemics or loss of employment are responsible.
2. In front of the mothers the activists are always praised. To boost her respect in the
village and to also boost her self-confidence, we organize village meetings in which she
is honored and called to talk to the village community. These measures gain her respect
locally and also motivate her to work harder.
3.
Egalitarian relationship between the trainers and the activists is important. The
motivation of these trainers, their willingness to sit with the mothers and talk and even
stay back in the village for 2-3 nights to meet mothers inspires lite activists.
4.
The fact that the activists are not paid ensures that inspiring them and motivating them is
critical in sustaining them. Paying them on one hand will ensure they come to meetings
and reviews regularly, but since the need for motivation goes down, they will do their
work less inspiration - and therefore less effectively. It is critical that the activist and the
village sees her work as being voluntary - done for the sake of the improving children’s
nutrition and not for money.
5.
To ensure that the focus of the activist is on actually meeting mothers and pregnant
women - administrative things like writing reports and maintaining records is kept to a
minimum The trainer who also monitors the programme collects the data and writes
reports, the activist is asked to maintain just one page from which all the relevant data is
gathered.
What can be done to improve ICDS programmes ?
ICDS is the only social security scheme that has the potential to reach the poor working
mother and the vulnerable young child. Greater budgetary allocation for ICDS will definitely
help and is needed for a much larger impact. With a greater budget, the following can be
done:
1. Increasing the. salaries of the ICDS workers can go a long way in making them more
committed. Increasing the number of Anganwadi workers keeping in mind their work
load and required child-adult ratio is also important.
2. Upgrading facilities and infrastructure
3. Universalizing ICDS
Providing them with community support (organized by NGOs or community organizations)
like the Arogya lyakkam programme above will also help improve their efficiency. But this
should nor seen as rhe stare merely employing a village health worker. Earlier experiences
have shown that this invariably fails. The money thus provided would be better used in
increasing the salary of the ICDS worker. The village health activist should not be seen as
the lowest paid employee of the government, but rather as a community representative who
ensures that sendees reach the needy. She is responsible to the community and not to the
government machinery. The government can partner with NGOs to identify and provide
training to these activists - after which the NGO and the local groups should be able to
support the programme without external support.
Die following ate non-monetary measures that can improve the situation. The over-arching
principle in the following is that the ICDS worker is basically hard working and needs more
respect, more training, less monitoring, and more flexibility.
Flexibility
1. Set up the timings of the Aangawadis to correspond to the needs of the target group there should be flexibility in this based on the local needs.
2, Flexibility in distribution system and type of food.
3. Flexibility- in management and design of ICDS - principle of partnership between the
government, NGOs and people’s groups.
4. ICDS worker should have more flexibility' in planning and timing local programmes.
5. Decentralize to panchayats the continuing responsibility' of finances and service
conditions.
Records and Respect
6. Reduce and streamline record keeping - more focus on actual health education.
7. Prevent falsification of records by removing the pressure of failure from the ICDS
worker for poor child health status. Don’t blame the ICDS worker - often she does
her best. Purpose of records should be monitor the programme and not the ICDS
worker.
8. Use records to measure improvement in local health status and to identify problems.
To do this requires training. This analysis should be followed by presentation of the
results locally and to change the local thrust of the programme as required.
9. Village meetings to highlight the work of the ICDS worker and her contribution can
boost her morale and motivation and also the respect she has in the village.
Training
Revise training and evaluation — more focus on education of mothers and pregnant
women and the skill of negotiating with them.
11. Increase emphasis on neglected components of ICDS package - particularly early
childhood education.
12. Training on use of records to measure improvement of health status and on presenting
the analysis at a village meeting.
10.
13.
Convergence of sendees at both planning and implementation levels is also essential.
1AVI ref. CONTACT
Subject: RAVI ref. CONTACT
Date: Fri, 29 Nov 2002 16:08:55 -0600
From: "Maria Hamlin Zuniga" <iphc@ibw.com.ni>
To: "Community health cell" <sochara@vsnl.com>
Dear Ravi,
I have checked the copy of the Contact, article which you sent on 17 October.
It seems to be different from that you showed me in Savar.
Could you please confirm that the 17 October copy is the one to be reviewed.
Tf not, please send me the proper version.
I have no real changes to make to the 17 October version.
I have had trouble with my server.
When it is reestablished I will be
setting up the new group for the PIM Steering Group.
It should be ready in
a couple of days.
^^heers,
Maria
2>P
1 oil
12/1/02 10:46 AM
intact Special Issue
Subject: Contact Special Issue
Date: Wed, 26 Feb 2003 12:54:16 +0530
From: Community Health Cell <sochara@vsnl.com>
To: Reena Luke Matai <reena.luke@cmai.org >
Dear Reena
Greetings from People's Health Movement Secretariat at CHC, Bangalore!
Just a note to say thanks for bringing out a very good Contact Special
issue on the People's Health Movement. Actually I wrote to you and the
Contact team soon after reaching from the Asia Social Forum, but the
mail seems to have gone lost in cyberspace. Many people who have seen
the issue have also commented positively and these probably will be
demand for more copies or some bulk orders. Thanks for the copies sent
through Vijay. Thelma and I are carrying a bundle to Berkeley for the
PHM - US tour. I shall request Manoj and the PHM Geneva group to follow
up on the possible order for copies to be distributed at the PHM Geneva
event before the next World Health Assembly in May.
Best wishes to you all,
Ravi Narayan
Coordinator,
Secretariat,
^Bc - Bangalore
P.S: We are forwarding the first bulk order from Bangladesh. Please
follow up.
Page 1 of2
, c,'"’n
Community Health Cell
DORP <dorpco(a;bangia.nei>
rrom:
Mnnriav Fp.hruarv 10 2003 3’4R P"v1
RoGUcst io send 50 copies or publications Contract
Ct
Z-Jr Ra-^L-Cj
/^e
J
Cd>•»)'>> ’S-r'ikcrd
Contact
Attn: Mr. Christopher Benn
Christina ds Vries and other members
Thanks and congratulation for oublioation: Contact’ and send us 50 Conies for PHM Members
„
.
kb TUI
O^kj2^.
,1,,.
;u>~
v voi in li ioi ir\o anu leiiviiOLivi io iwi li io puun^auvii
<xUi iicc/L
nrinn ■
Dorcm^ar
]/-)<>
\uai luai y-iviot vi i c-\j\j£- ■. pi n ncu u i l/cuciiiuci
'
0- eQO
,
,— •
ex
2002) wiiri refiecuorib of experiences rieaii.fi iriieiveritions and uiiiiuai observations of health activists
across tne continents, i am tnanKtui to see my article published in tne issue vis-a-vis Bangladesh health o-V Ke P
scenario and future challenges to be adhered in the days to come.
e.\e^->K b-eJ^v
Thanks to Di. Ravi Malayan, Prirvi india toi pioviding some copies during Asian Social forum field at
Hyderabad, India in last January 2003.
lAsc- /l/L.
Wfe request you to kmoly send 50 copies of the publication of this issue for circulation to our fellow PHM
membeis and oiriei agencies.
Your necessary cooperation to strengthen PHM Bangladesh Circle will be highly appreciated.
A.H.M.Nournan
Chairperson,
PHM Bangladesh Circle
Pr»py Hr Payj Msrsysn, PHM, India
2/11/03
u
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