PHM _17_FG_4_SUDHA.pdf
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Paranie <paranie@haiap.org>
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Tuesday, April 15, 2003 11:04 AM
Regional Consultation - programme - final (1).doc; Participants.doc
Regional Consltation Agenda and participants list
Dear Dr. Ravi Narayan,
Greetings from HAIAP Office, Sri Lanka!
Thank you very much for spending some time with us while in Sri Lanka. It was indeed a great pleasure
meeting and listening to you.
I am attaching the agenda and the participant list with contact e-mail I telephone numbers for your
information as requested. I hope this is useful. Please do not hesitate to contact me for more information.
Sincerely,
Paranie
Dr N Paranietharan
Project Officer
Health Action international Asia Pacific
^evei 2, # 5, Frankfurt Place,
Colombo - 04, Sri Lanka
Tel: 94-1-554353, Fax: 94-1-554570
E-Mail: paranie@haiaD.org'-?
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PROGRAMME
REGIONAL CONSULTATION ON THE WTO/TRIPS AGREEMENT
AND ACCESS TO MEDICINES:
APPROPRIATE POLICY RESPONSES
Colombo, Sri Lanka
April 17-19, 2003
Wednesday 1Sth April
Registration: Office of the Secretariat (2:00-700pm)
Colombo Plaza (formerly Hotel Lanka Oberoi)
77 Steuart Place, Colombo 3
Tel:
(94 1)437 437
Fax: (94 1) 449 283
Thursday 17^ April (Day 1)
7.30- 9.00am
Registration [continued]
9.00 -10.30am
Session 1
Opening ceremony
Welcome by hosts and co-sponsors
Dr H A P Kahandaliyange
Director General, Department of Health Services, Sri Lanka
Dr Krishantha Weerasuriya
Regional Adviser, Essentail Medicines and Drug Policy, South East Asia
Regional Office (WHO/SEARO)
Dr Prem Chandran John
Chairperson, Health Action International Asia Pacific (HAIAP) Governing
Council
Martin Khor
Director, Third World Network (TWN)
•
Objectives and aim of regional consultation
Dr K Balasubramaniam (HAIAP) & Martin Khor (TWN)
10.30 - 11:00am
Tea break
Public health, pharmaceuticals and patents: An overview of issues
and concerns
The relationship between patents and prices
Dr K Balasubramaniam, HAIAP
WHO and Health Pharmaceutical policies in the context of globalization
and TRIPS
Dr Krishantha Weerasuriya, WHO/SEARO
Overview of WTO Agreements and implications for national industrial,
public health and development policies
Martin Khor, TWN
Access to medicines and intellectual property: The debate and the key
players
James Love, Consumer Project on Technology
1.00 - 2.30pm
Lunch
2.30- 4.00pm
Session 3
TRIPS and Public Health: Appropriate policy responses and the
Manual on Good Practices in Public Health Sensitive Patent Laws
•
Policy needs and options for patents and access to medicines
Martin Khor, TWN
Model Legal Provisions and Administrative Practices for Patent Laws
Cecilia Oh, TWN
4.00- 4.30pm
Tea break
4.30- 5.30pm
Session 4
The Doha Declaration on the TRIPS Agreement and Public Health:
Maximising the flexibilities in TRIPS
Key elements and national policy implications of the Doha Declaration
Prof Carlos Correa, University of Buenos Aires
jcssy To ‘ Aoril (Dav 2^
9.uo —i i.uuam
Session 5
Balancing patent protection and public health considerations: Use
of TRIPS-consistent measures post-Doha
TRIPS safeguards: Crown use, compulsory licences and licences of right
in patent laws
Christopher Garrison, MSF
Lessons from state practice in the US: Government use, compulsory
licensing and compensation
Robert Weissman, Essential Action
Review of national patent legislation in South and Southeast Asia
Dr B K Keayla
11.00-11.30am
Tea break
11.30-1.00pm
Session 5
Preparing for the post-2005 scenario: Choices and challenges in
integrating public health considerations in patent legislation
•
Prof Carlos Correa, University of Buenos Aires
James Love, CP Tech
1.00-2.30pm
Lunch
2.30 - 5.00pm
Session 6
Domestic pharmaceutical production and capacity: Issues,
experiences and prospects
Dr Krisana Kraisintu, Thailand
DrGopakumarG Nair, Indian Drug Manufacturers Association, India,
Mrs Endang Suyarti, Kimia Farma, Indonesia
Dr Zafrullah Chowdhury, Project Coordinator, Gonoshasthaya Kendra,
Bangladesh
Ms Amy Guo, Desano Pharmaceutical Co. Ltd, Beijing
- 5.30pm
5.30- 6.00pm
Tea break
Session 7
Working Group discussions/Country Reports
The implications of TRIPS Agreement on:
- Public health, pharmaceuticals and access to medicines
- Pharmaceutical industry and technology
- National legislation on intellectual property rights
■/ ->th «
•• /r^_.. «%>
9.00-12.30pm
Session 7 (continued)
Working group discussions/Country Reports
Working groups will deliberate on the issues and present
recommendationsand suggestions to the plenary.
(Tea break at 10.30am)
12.30 - 2.00pm
Lunch
2.00- 3.00pm
Session 8
Reports of working groups to plenary
Group rapporteurs to present summary of group discussions and
recommendations for future action
3.00 -3.30pm
Tea break
4.00 - 5.30pm
Session 9
Panel Discussion: TRIPS Agreement, public health and
pharmaceuticals in Asia Pacific
Panel moderator: Dr K Balasubramaniam
A30 - 6.00pm
Session 10
Closing remarks
Chief guest:
Honourable Minister of Health, Nutrition and Welfare, Sri Lanka
-iinistry Officials
Name
Designation
“ Mihir Kanti
ajumder
Deputy Secretary
• Meng Qun
umame is Meng) (*)
Deputy Director General
s Zheng Yunyan
umame is Zheng) (*)
Research Assistant
• Chroeng Sokhan (*)
Vice Director
s Aaisha Makdhum
Section Officer
• Farzana Chaudhury
Drugs Controller
r Coleman Moni (*)
Principal Advisor, Policy
r Vali Karo (*)
Principal Advisor, Quality
Assurance
Mailing Address
Ministry of Health and Family
Welfare
Bild. No 3, Room No. 313
Bangladesh Secretariat
Dhaka, Bangladesh
Department of Health
Legislation and Supervision
No.1 Nanlu Xizhimenwai
Xicheng District, Beijing
100044
P R China
WTO Relative Affairs
Ministry of Health
No 1 Xi ZhiMenWai Nanlu
Beijing 100044
China
Department of Drug and Food
No 8, Street 109
Phom Penh
Cambodia
WTO Wing, Ministry of
Commerce
EAC Building 5 - a
Constitution Avenue
Islamabad, Pakistan
Drug Control Organization
Ministry of Health
Pak-Secretariat, Block C
Islamabad. Pakistan
National Department of Health
P O Box 807
Waigani, NCD
Papua New Guinea
Medical Supplies Branch
Department of Health
P O Box 807
Waigani. NCD
PNG
E-mailf Telephone & Fax
Flight Details
Tel:880-2-8619330
Fax: 880-2-8619077
mihir@banqla.net
Arr 16/4 TG 307 2359 hrs
Dep 20/4 EK 6153 1320
hrs
Tel: 86-10-68792048
Fax: 86-10-68792387
qmenqcn@yahoo.com
Arr 17/4 MH 189 0045
hrs
Dep 20/4 SQ401 0135
hrs
Tel: 86-10-68792883
Fax: 86-10-68792387
yunyanzhenq2002@hotmail.co
m
Mobile:855-23-880696
Fax: 855-23-880696
sokhan@biqpond.com.kh
Arr 17/4 MH 189 0045
hrs
Dep 20/4 SQ401 0135
hrs
Arr 15/4 UL 423 2315
hrs
Dep 21/4 UL 422 0745 hrs
Tel: 92-51-9208154
Fax: 92-51-9213785
sowtoip@hotmail.corn
Arr 17/4 Gulf 142 0640
hrs
Dep 22/4 EK 6153 1320
hrs
Tel: 92-51-9202566
Fax: 92-51-9205481
sowtoip@hotmail.com
Arr 17/4 Gulf 142 0640
hrs
Dep22/4 EK6153 1320
hrs
Arr 16/4 EK 349 0200
hrs
Dep 20/4 EK 348 1055
hrs
Arr 16/4 EK 349 0200
hrs
Dep 20/4 EK 348 1055 hrs
Tel: (675) 3013637
Fax:(675)3013604
cmoni@health.qov.pq
Meal Preferences
Non Vegetarian
Non Veg
Non Veg
Non Veg
1
Ministry Officials
Dr Theingi Zin (*)
Dr Phone Myint (*)
Assistant Director
Deputy Director
Mr Ubaidulla Thaufeeq
C)
Pharmaceutical Officer
Mr Ugyen Dorji
(Requested to
purchase ticket)
Marketing Officer
Mr Badiuzzaman
Ansary
The Patent Office
Mr B P Sharma (Has
made his own
arrangements)
Joint Secretary
Dr Linda Sitanggang
(Requested to
purchase ticket)
Director of Drug
Evaluation and Biological
Product
Dr Bahron Arifin Api
(Requested to
purchase ticket)
Director of Public Drug
Supply Management
Food and Drug Administration
Department of Health
35, Minkyaung Street
Dagon P O11191, Yangon
Myanmar
Department of Health Planning
Ministry of Health
27. Pyidaungsu Yeiktha Road
Dagon Township, Yangon
Myanmar
Ministry of Health
Ameenee Magu, Male
Republic of Maldives
Tel: 951-250283
Fax: 951-210652
myanmarfda@mptmail.net.mm
Arr 15/4 UL423 2315 hrs
Dep 21/4 UL 422 0745 hrs
Non Veg
Tel: 951 210618
Fax: 951 210652
indmoh@mptmail.net.mm
Arr 15/4 UL423 2315 hrs
Dep 21/4 UL 422 0745 hrs
Non Veg
Tel: 960 - 328887
Fax: 960-328889
moh@dhivehinet.netmv
Arr 16/4 UL 102 0950hrs
Dep 20/4 UL 460 2045 hrs
Non Veg/ Halal
Institute of Traditional
Medicine
Department of Health
P O Box297, Thimphu
Bhutan
91, MotijheedC/A
Shilpa Bhaban Annex Building
(3rd Floor) Dhaka - 1000
Tel: 975 2 -325731
Fax: 975 2 23527
menjonq@druknet.bt
Arr 16/4 TG 307 2359 hrs
Tel: (880) 9555541
Fax:(880) 9342226
patent@citiechco.net
Arr 16/4 TG 307 2359 hrs
Dep 20/4 EK 6153 1320
hrs
Ministry of Health and Family
Welfare
Department of Health
Nirman Bhawan, New Delhi
110 011
National Agency of Food and
Drug Control, JI. Percetakan
Negara 23, Jakarta
Indonesia
Ministry of Health, JI. H R
Rasuna Said Blok X5, Kav 4-9,
Kuningan, Jakarta Selatan
12950___________________
Non Veg
Halal
Arr 16/4 IC 573 1420 hrs
Dep 19/4 IC 574 1545 hrs
Tel: 62-21 4244755 Ext 105
Fax: 62-21 4243605
reqobpom@indo.net.id
Arr17/4SQ 402 0015 hrs
Dep 20/4 SQ 401 01:35
hrs
Tel: 6221-5201590 Ext. 5809
Fax: 6221 -52964838
Arr 17/4 SQ 402 0015 hrs
Dep 20/4 SQ 401 01:35
hrs
Non Veg
2
Ministry Officials
Mr Bhupendra B Thapa
(Requested to
purchase ticket)
Acting Director
Mr Ketsouvannasane
Bounlonh to confirm
Chief of Administration
Division
Mr Le Trieu Dung
Official
Mr Phan Cong Chien
Shah Md. Nazmul
Alam
Official
Retd. Jt Sec to the Gov.
Public Health Section
Department of Drug
Administration
Bijulibazar, Kathmandu
Nepal
Food and Drug Department,
Ministry of Health. Vientiane
Lao PDR
Multilateral Trade Policy
Department, Ministry of Trade
Policy Department
Ministry of Trade, Vietnam
Drug & Cosmetic Registration
Division
Drug Administration of
Vietnam
Ministry of Health and Family
Welfare
Bangladesh Secretariat
Dhaka-1000
Fax: +977 1 4780572
thapa6@hotmail.com
dda@healthnet.org.np
Tel. 856 21 214013-14
Fax: 856 21 214015
druq@loatel.com
Tel: 844 8230794
Fax: 8448234758
E-mail: etdung@mot.gov.vn
etdunq@yah6o.com
Tel: 84 4 8230794
Fax: 84 4 8234758
chienpc@yahoo.com
Ait 16/4 UL 192V 0335
Dep 20/4 UL 191V 1915
Non Veg
Non Veg
Non Veg
Non Veg
Tel: 880 2 9550666
Fax: 880 2 7169077
3
Resource Persons
Name
Mr Rob Weissman
Designation
-
Mr B K Keayla (*)
Mr James Love
Mailing Address
E-mail, Telephone and Fax
Flight Details
Essential Action
PO Box 19367
Washington, DC 20036
A-388. Sarita Vihar,
Nev/ Delhi - 110044
India
rob@essential.org
Tel: +1-202-387-8030
Fax: +1-202-234-5176
wqkeayla@del6.vsnl.net.in
Tel: 681-3311 (Office) 6947403 (Res)
Fax: (91-11) 681-3311
James.love@cptech.org
+1-202-387-8030, (M) +1-202361-3040
Arr 16/4 EK 550 09:05 hrs
quies@infovia.com.ar
Arr 17/4 UL 506 13:30
mkkp@pd.jaring.my
+41-22-908-3550
+41 22 908 3551
weerasuriya @whosea .org
Arr 17/4 MH 189 0045 hrs
Dep 20/4 MH 188 0200
hrs
Arr 16/4 UL 192 0335 hrs
christopher.garrison@london.
msf.org
Arr 16/4 UL 506 1515 hrs
Dep 19/4 UL 501 1335 hrs
471/375 Phayathai Place
Condominium
Sri Ayudhaya Road
Rajtevi, Bangkok 10400
Thailand_ __________
Third World Network
Rue de Lausanne 36
1201, Geneva________
Kimia Farrna
Fax: 662 6447851
kraisintu@hotmal.com
Arr 17/4 UL 423 2315 hrs
Dep 21/4 UL 422 0745 hrs
ceciliaoh@yahoo.com
Arr 15/4 LX 4242 0235 hrs
markkf@cbn.netid
Gonoshasthaya Kendra
House 14E, Road 6,
Dhanmondi
Dhaka 1205
Gonoshasthaya Nagar
Hospital____________
Indonesia
India
Tel:(880) 2-861708, 8617387
Fax: (880)2-8613567
qk@citechco.net
Arr 17/4 SQ 402 0015 hrs
Dep 20/4 SQ 401 01:35
hrs
Arr 16/4 TG 3072359 hrs
Dep 20/4 EK 6153 1330
hrs
Director - Consumer
Project on
Technology
Dr Carlos Maria Correa
Mr Martin Khor
Dr Krishantha Weerasuriya
Regional Advisor
Pharmaceuticals
Third World Network
Rue de Lausanne 36
1201, Geneva
WHO/SEARO
Mr Christopher Garrison
Ms Krisana Kraisintu (*)
Ms Cecilia Oh
Mrs Endang Suyarti
Dr Zafrullah Chowdhury
Ms Karin Timmermans
Dr Gopakumar Nair
Project Coordinator
karint@who.or.id
Meal Preferences
Ait 16/4 UL 192 0335
hrs
Dep 22/4 UL 191 1915
hrs
Arr 16/4 EK 550 09:05 hrs
Arr 17/4 SQ 402 0015 hrs
Arr 17/4 UL 142 0620 hrs
4
J'S/MAP Members
Name
Designation/
organization
Mailing Address
E-mail, Telephone and Fax
Dr Prem Chandran
JohnC)
Chairperson - HAIAP
10, 32,d Cross Str eel, Besant
Nagar.
Madras 600 090
India
Dr Mira Shiva
Member of the Governing
Council
A-60. Ha’uz Khas, Nev,/ Delhi
110 016
India
Dr Niyada KatyingAngsulee (*)
Drug Study Group
Niyada .k@chula.ac.1h
++662-2188374
++662-2188368
Dr Kannamma Raman
Reader in Public
Administrator. Department
of Civics and Polites.
University of Mumbai
Universiti SAINS Malaysia
11/156 Soi Kawna2
Charansnitwong 13, Bangkok
10160
Thailand
304, Rajhans Apartments
Lane No. 3, Sundar Nagar
Kalina. Mumbai 400 098
School of Pharmaceutical
Sciences,
Universiti SAINS Malaysia,
11800 Penang, Malaysia
D 158. LGF, Saket, New Delhi
110019
India
mizham@usm.my
604 657 0099
604 656 8417
Prof Mohamed Izharn
Mohr med Ibrahim
fReq Jested to
pure ?ase ticket}^ _
Dr Ai lit Sen Gupta
National Campaign
Committee for Drug Policy
hariprem@eth.net
prem john@vsnl.net
91-44-2491 9890,
2491 0368
91-44-2821 6705
mirashiva@yahoo.com
++91-11-2685 5010
+ >91-11-2651 2385
Kannamma24@rediffmail.com
++91-22-2665 0559
ctddsf@vsnl.com
91-11-26524324
91-11-26862716
Dr A’ ijit Hazra~
Unit Co-ordinafor, CDMU,
Documentation Centre
47/1B Garcha Road, Kolkata
700 019. India
cdmudocu@vsnl.com
+91 33 2474 8553
+91 33 2476 4656
Dr Shaikh fanveer
Ahmed
Executive Coordinator,
Health And Nutrition
Development Society
(HANDS)
225/i/B Block 2, PECHS
Karachi. Pakistan, P O 75400
hands@cyber.net.pk
092-21-453-2804
092-21-452-7698
Flight Details
Meal Preferences
Arm 15/4 UL 122 1235
hrs
Dep 22/4 UL123 1910
hrs
(No airport pickup)
Ait 16/4 UL 192 0335
hrs
Dep 22/4 UL 191 1915
hrs
Arr 15/4 UL423 2315
hrs
Dep 21/4 UL422 0745
hrs
Ajt 16/4 UL 122 1235
hrs
Dep 22/4 UL 141 0035
hrs
Arr 16/4 MH9182 1705
Dep 20/4 MH 9183 0705
Arr 16/4 UL 192 0335
hrs
Dep 22/4 UL191 1915
hrs
Arr 16/4 UL 122 1235
hrs
Dep 22/4 UL 121 0815
hrs
Arr 16/4 EK 550 0905
hrs
Dep 22/4 EK 6153 1320
hrs
5
Prof. Romeo F
Quijano
Dept of Pharmacology,
College of Medicine,
University of Philippines
Dr p. Ekbal, Vice
Chancellor
University of Kerala.
Mr Amitava Guha
Joint General Secretary,
FMRAI
547 Pedro Gil St.. Ermita,
Manila 1000,
Philippines
romyquii@yahoo.com
63-2-5261816. 63-2-5218251
63-2-5218251
L2B30 Salome Tan St., Phase
5,
BF Executive Village Society
Las Pinas City 1740
Metro-Manila, Philippines
Thiruvananthapuram, 695 034,
Kerala, India
_____
_____________
372/21 Russa Road East,
Kolkata 700 033, India
63-2-8050585
3
Prof Tariq Bhutta
(Requested to
purchase ticket)
Mr Aldrin Santiago,
Dr Jirapom
Limpananont
(Requested to
purchase ticket)
240 - W, DHA, Lahore,
Pakistan
Supervisor, Special
Pharmacy Services Division,
Philippine Genera! Hospital
Chulalongkorn University
Dr Joseph M
Carabeo
Secretary Genera!, Health
Alliance for Democracy
Ms Indha
Suksmaningsih
(Requested to
purchase ticket^
Ms Ida Mariinda
Loenggana
YLKI
YLKI
Department of Pharmacy
Philippine General Hospital
Taft Avenue Manila
Social Pharmacy Research
Unit
Faculty of Pharmaceutical
Sciences
Chulalongkorn University
Bangkok 10330, Thailand
Health Alliance for Democracy
Rm 2D La Paloma Bldg
233 Mayon Corner N Roxas
Sts.,
Quezon City
JI, Pancoran Barat VII/1,
Duren Tiga
Jakarta 12760
Indonesia
JI, Pancoran Barat VII/1,
Duren Tiga
Jakarta 12760
Indonesia
ekbal@vsnl.com
91-471-2444362
91-471-2302898
fmrai@vsnl.net
033-24242862
033-24242862
tbhutta51@hotmail.com
92-42-572-0101
92-42-572-0457
aldrinDinoy@yahoo.com
(63-2) 523-0629 (Fax)
ljirapor@chula.ac .th
Arr 16/4 MH 9182 1705
hrs
Dep 22/4 MH 9183 0705
hrs
Arr 16/4 UL 162 1135
Dep 22/4 UL 161 0835
Arr 16/4 UL 122 1235
hrs
Dep 22/4 UL 121 0815
hrs
Arr 17/4 EK 348 0945 hrs
Dep 21/4 EK 556
•
Ait 16/4 MH 9182 1705
Dep 22/4 MH 9183 0705
Arr 16/4 TG 307 23:59
Dep 21/4 TG 308 01:40
jomcar@pacific.net.ph
Arr 16/4 MH 9182 1705
Dep 22/4 MH 9183 0705
62 21 797 1378
62 21 798 1038
konsumen@rad.net.id
Arr 16/4 TG 307 2359
Dep 21/4 TG 308 01:40
Tel: 62 21 7981856
Fax: 62 21 7981038
konsumen@rad.net.id
Arr 16/4 TG 307 2359
Dep 21/4 TG 308 01:40
6
HAIAP Memebers
Mr Al-Farooque
Manager Research
Development and Quality
Assurance
Ms Berverly Snell
Dr Inam Ul Haq
Network
Gonashasthaya
Pharmaceutical Limited
House 14E, Road 6,
Dhanmondi
Dhaka 1205
Centre for International Health
Tel: 61 3 9282 2115
Macfarlane Burnet Institute for Fax:61-39482 3123
Medical Research $ Public
E-mail: bev@bumet.edu.au
Health
GPO Box 2284, Melbourne
3001, Australia
—_________________________ _________________________
Arr 16/4 TG 3072359 hrs
Dep 20/4 EK 6153 1330
hrs
7
Sri Lanka Paticipants - Ministry of Health
Dr H A P Kahanda
Liyanage
Director General HG
Dr U A Mendis
Deputy Director General Laboratory Services
DrBFS
Samaranayake
Deputy Director General Medical Technology &
Supplies
Dr Palitha Abeykoon
Member
Dr D M Karunaratne
Director
Prof. K U Kamalgoda
Managing Director
Mr K M B S
Rekogama
Chairman
Ministry of Health
385 Rev. Baddegama
Wimalawansa Mawatha,
Colombo 10
Ministry of Health
385 Rev. Baddegama
Wimalawansa Mawatha,
Colombo 10
Ministry of Health
385 Rev. Baddegama
Wimalawansa Mawatha.
Colombo 10
National Health Advisory
Council
National Intellectual Property
Samagam Medura
3rd Floor
400 D R Wijewardene
Mawatha
Colombo 1
State Pharmaceutical
Corporation
Ministry of Health
Sate Pharmaceuticals
Manufacturing Corporation of
Sri Lanka
Tel: 688768, 689367-68
Fax: 689367
E-mail: nipos@.sltnet.lk
Industry
Dr Vmay Ariyaratne
Executive Director
Sarvoday
Mr W B A Jayasekera
Past President
OPA
Mr D Jayasekera
Senior Visiting Fellow
IPS
Mr S Jayasinghe
Research Officer
IPS
Dr Douglas Kittle
Medical Coordinator
MSF
Dr Samar Verma
Trade Policy Advisor
Oxfam GB
Dr Lokkyi
Deputy Head of Mission
WHO - Colombo
Mr C S Edwards
Deputy Managing Director
SLPMA
8
PHM Secretariat
From:
To:
Sent:
Subject:
PHM Secretariat <phmsec@touchtelindia.net>
bala <bala@haiap.org>; <romyquij@yahoo.com>; Ekbal, B. Dr-Convenor <ekbal@vsnl.com>;
<fmrai@vsnl.net>; <tbhutta51@hotmail.com>; <aldrinpinoy@yahoo.com>;
<ljirapor@chula.ac.th>; <jomcar@pacific.net.ph>; <konsumen@rad.net.id>;
< bev@burnnet.edu.au>
Monday, April 21, 2003 9:41 AM
PHM / HAI
URGENT, Please pass on to PHM participants,
Dear Bala, and PHM / HAI members and friends attending Regional Consultation organizing by HAIAP at Colombo from 17t;I to 19th,
Greetings from People’s Health Movement Secretariat at CHC. Bangalore!
Hope this reaches you before you disperse.
1. Greetings from the PHM Secretariat for your consultation and wishing you all a serious and
meaningful dialogue.
2. I received the list of potential participants of the consultation and discovered many PHM 7 HAI
friends from the Asia - Pacific. Hope you will be able to have a small impromptu PHM get
together and send us news from all of them about the ‘Health of PHM’ in their country.
3. Please invite all of them to try and attend PHM Geneva events or at least keep the secretariat
posted of any one from their countries who is attending. Please pass on the last PHM Geneva
Communication II which I forwarded to you all a few weeks ago.
4. We hope that a short statement from your consultation can be presented by Dr. Bala at PHM
Geneva meeting on 16th at WCC and also if there are suggestions for linkages I campaigns to
promote PHM - HAI processes these could be brought up on 17th May at the strategy meeting.
5. If HAI could raise a few fares and support the participation of a few, this would be a good
impetus to the dialogue.
6. Please do send your final or concluding statement from the meeting for PHM Exchange.
7. Finally, I hope you will be able to meet Dr. Vinya Ariyaratne and also keep in touch with PHM
Sri Lanka and their evolving plans.
Best wishes,
4/21/03
Page 2 of 6
. Ravi Narayan
CHC-Bangaiore
#367 “Srinivasa Nilaya"
J a kka sand resist Main.. I Block Koramangala
Bangalore-560034
Join the "Health for all, NOW" campaign in the 25th anniversary year of the Alma Ata
declaration visit www.TheMillionSiqnatureCampaign.org
Communication - II
[WHO-WHA Circle]
April 7, 2003
Dear PHM Members and Friends,<?xml:namespace prefix - o ns - "urmschemas-microsoftcom: office: office" />
Greetings from the Peoples Health Movement Secretariat at CHC, Bangalore!
The next World Health Assembly will be held from 19th to 28;h of May at Geneva (WHA 2003). As mentioned
in my earlier communication, we are planning a week of events before and during the WHA as part of our
annual WHO-WHA advocacy initiative as well as an opportunity to share our PHM experiences from all over
the world and plan future initiatives together. We do not have special funds for these initiatives but as usual
we are working on strategic opportunities and with the help of an active PHM Geneva group, we are trying to
^>ver as much of the local costs as possible and are requesting potential participants to cover their travel
(bsts by their own regional sources or by being sponsored by other NGOs in official linkage with WHO. Any
donations or support to cover these local costs will be also welcome.
Programs:
in close coordination with the PHM Geneva group, the following programme outline has involved as of 6th
April 2003. As ideas evolve and suggestions come in this programme will evolve further and get modified.
1.
16th May 2003 Friday. A days reflection in the context of the Alma Ata Anniversary.
Ajenue: World Council of Churches, 8am to 9pm
i he process will consist of four round table / panel discussions, covering the areas mentioned.
Sam 10am
4/21/03
Page 1 of 6
PHM Secretariat
-------- 'K=Z3SSSS2.
From:
To:
Cc:
Sent:
Subject:
PHM Secretariat <phmsec@touchtelindia.net>
baia <baia@haiap.org>; <mkkp@pd.jaring.my>; <ceciliaoh@yahoo.corn>; <gk@citechco.net>;
<hariprem@eth.net>; Mira Shiva <mirashiva@yahoo.com>; <Niyada.k@chula.ac.th>;
<kannamma24@rediffmail.com>; <mizham@usm.my>; <ctddsf@vsnl.com>;
<cdmudocu@vsnl.com>; <hands@cyber.net.pk>
<ssmplan@sri.lanka.net>
Monday, April 21, 2003 9:38 AM
PHM / HAI
URGENT, Please pass on to PHM participants,
ear Bala, and PHM / HAI members and friends attending Regional Consultation organizing by HAIAP at Colombo from 17th to 19th,
Greetings from People’s Health Movement Secretariat at CHC, Bangalore!
Hope this reaches you before you disperse.
1. Greetings from the PHM Secretarial for your consultation and wishing you all a serious and
meaningful dialogue.
2. I received the list of potential participants of the consultation, and discovered many PHM / HAI
friends from the Asia - Pacific. Hope you will be able to have a small impromptu PHM get
together and send us news from all of them about the ‘Health of PHM’ in their country.
3. Please invite all of them to tiy and attend PHM Geneva events or at least keep the secretariat
posted of any one from their countries who is attending. Please pass on the last PHM Geneva
Communication H which I forwarded to you all a few weeks ago.
4. We hope that a short statement from your consultation can be presented by Dr. Bala at PHM
Geneva meeting on 16th at WCC and also if there are suggestions for linkages / campaigns io
promote PHM - HAI processes these could be brought up on 17th May at the strategy meeting.
5. If HAI could raise a few fares and support the participation of a few, this would be a good
impetus to the dialogue.
6. Please do send your final or concluding statement from the meeting for PHM Exchange.
7. Finally, I hope you will be able to meet Dr. Vinya Aiiyaratne and also keep in touch with PHM
Sri Lanka and their evolving plans.
4/21/03
Page 2 of 6
Best wishes.
.‘Ravi Narayan
Coordinator. People's Health Movement Secretariat(global)
CHC-Bancalore
«367 "Srinivasa Nilaya"
Jakkasan.dra 1st Main, ! Block Koramangala
Bangalore-560034
Join the "Health for all, NOW” campaign in the 25th anniversary year of the Alma Ata
declaration visit www.TheMillionSiqnatureCampaiqn.org
Communication -1!
[WHO-WHA Circle]
April 7, 2003
Dear PHM Members and Friends,<?xml: namespace prefix = o ns = "urn:schemas-microsoftcom: office: office" />
Greetings from the .Deop!es Health Movement Secretariat at CHC, Bangalore!
The next World Health Assembly will be held from 19th to 28th of May at Geneva (WHA 2003). As mentioned
^my earlier communication, we are planning a week of events before and during the WHA as parr of our
ffmual WHO-WHA advocacy initiative as well as an opportunity to share our PHM experiences from all over
the world and plan future initiatives together. We do not have special funds for these initiatives but as usual
we are working on strategic opportunities and with the help of an active PHM Geneva group, we are trying to
cover as much of the local costs as possible and are requesting potential participants to cover their travel
costs by their own regional sources or by being sponsored by other NGOs in official linkage with WHO. Any
donations or support to cover these local costs will be also welcome.
Programs:
In close coordination with the PHM Geneva group, the following programme outline has involved as of 5tn
April 2003. As ideas evolve and suggestions come in this programme will evolve further and get modified.
1.
16th May 2003 Friday: A days reflection in the context of the Alma Ata Anniversary.
Venue: World Council of Churches, Sam to 9pm
The process will consist of four round table / panel discussions, covering the areas mentioned.
Sam 10am
4/21/03
Page 3 of 6
The Alma Aia Declaration and The Health for AB agenda
*
■
ta
vi«iai;wn
«»» iv.v *«i i v ivuctj c»o u tfvcao i-'-y
<a^v, i i •«vi ohm iw • iuc>i u i >k-»i rm ciufv
Charter; The Health for AH Now agenda towards the Peoples Health Assembly in 2004.
10.15am 12.15am
W?.L- Conflict and Disaster:
Health and Humanitarian consequences of the Iraq war; collateral damage; Reports from other conflicts; the
PHM response.
14.00 16.00
The Private versus Public Debate:
How privatization of key areas of care will bury health for all: An agenda for counter action; why globalization
is bad for Health; GATS and its consequences on Peoples Health
^',*5 13.00
Access to Affordable and Essential Drugs:
Essentia! Drugs WHOs role; WTO and its consequences on access and affordability etc.
18.30 19.30
Buffet and fellowship
19.30 21.00 hrs
Diseases of Poverty: Cornpre hen sive versus vertical approaches.fp_r Al DS, TB, Malaria:
Poverty and health approach versus social marketing of magic bullets; tackling socio-economic
determinants; Health as a Right; the Global fund: Debt cancellation.
4/21/03
Pnee 4 of 6
[i he timings of the session may change as the schedule gets reorganized].
1.
17th May 2003 Saturday
A days reflection on PHM strategy and initiatives for the Alma Ata Anniversary year.
Venue: World Council of Churches, 9.00am to 6.00pm
Agenda (as of now):
[This meeting will be for PHM Steering group members and all those PHM members and friends from
different countries and networks and fraternal organizations, who are able to join us. It will cover the follow up
of ail the important points discussed at the steering committee meetings at GK Savar in November 2002 and
consider al! the new developments, linkages, initiatives and their implications and follow up].
The Agenda as of now will include:
1.
PHM geographical circles (country and regions) 2. Issue based circles 3. Alma Ata Anniversary
initiatives (a) Country level and regional meetings, (b) The film-reviving the Dreams, (c) The Alma Ata
Anniversary position paper and report, (d) the Peoples health awards, (e) other ideas. 4. PHM
Communication activities (a) Press releases, (b) Communication circle, (c) PHM global website. 5.
PHM Evaluation 6. World Social Forum 2004 (Mumbai, January 2004) 7. The second Peoples Health
Assembly (Porto Allegre, July 2004) 8. Linkages with other networks, coalitions and global and
regional initiatives 9. Funding and fund raising 10 PHM publications follow up (a) News brief, (b) other
publications.
During this meeting, there will be three special shorter sessions.
(a) Health in Latin America (Maria Hamlin Zuniga), (b) The Womens Access to Health Campaign - WAHC
(Melina Auerbach), (c) The anti-war / pro-peace PHM campaign (Unnikrishnan).
Details and timings will be worked out.
4 21/03
1.
18th May 2003 Sunday:
Smaller informal meetings and down time.
1.
19th May 2003 Mod nay
Registration at WHA and attending briefing session for NGOs
Inauguration of World Health Assembly
Strategy planning session with PHM members an other Networks
1.
23th May 2003 Tuesday
Reflection on Alma Ata Anniversary at NGO Forum for Health Session at WHA
Essential Drugs (HAI session)
1.
21st May 2003 Wednesday
pm PHM / CSI session on Public Private Health Care (?)
Various other networks, coalitions and NGOs are organizing meetings / sessions at and around WHA and
PHM is exploring the possibility of cosponsoring some of them or joining as panelist or just as enthusiastic
participants.
As of now the programme is from 16th to 21st May 2003. A IPHC Research Project meeting will be held on
14th and 15th May.
Please inform the PHM Secretariat with a copy marked to Nance Upham (g_upham@club-internet.f) and
Manoj Kurien (mku@wcc-coe.org) of PHM Geneva, if you are able tp attend; if you need accommodation and
any other relevant information or suggestions.
4/21/03
Page 6 of 6
Ali potential participants are requested to try and find out v/ho is officially representing their country at the
and try to establish contact with them before the trip to Geneva. This will help our advocacy campaign
greatiy. If any of your countrys official delegates are pro-PHM already., please help us to involve them in the
PHM events as well. Your suggestions are welcome.
Please remember that while we will do our best in the PHM spirit, any efforts by you to cover your own travel
to Geneva and back; and support your own local accommodation and boarding will be welcome and
appreciated. If your organization / network can be generous and support one or more PHM participants,
especially from counties and regions where such support may be difficult to mobilize, please let us know.
This will enhance PHM solidarity and networking. Please forward this communication to anyone who may be
keen to join the PHM events.
Looking forward to hearing from you all and seeing you at PHM Geneva.
In solidarity,
Ravi Narayan
Coordinator, People's Health Movement Secretariat(global),
(also Convenor, WHO-WHA Circle)
4/21/03
From:
To:
Cc:
Sent:
Subject
PH\' Secretar:at <phmsec@touchtei i n d i a. n et>
Kevin Moody <kevin@haiweb.org>
bala <ba!a@haiap.org>
Thursday, April 24, 2003 2:47 PM
Re: PHM Geneva 2003 / WHA
Dear Kevin.
Greetings from People's Health Movement Secretariat (Global) at CHC, Bangalore!
: hanks for your prompt response* The correction about contact person will be made in out next
communication !V to be sent out on 1st May. Dr. Bala has already clarified that he represents HAI - AP on the
steering group and out new letterhead shows this. But as the new Coordinator, I have a dilemma! Should we
show HA! separately at ail er introduce each autonomous network as we link up with them over the next few
months and hopefully well before PHA - II at Porto Alegre in July 2004 i look forward to your agenda. Is tnat
for HAI - Europe? Can you alert the remaining two HAI - units to get in touch? PHM must link to all of them
in their regions. Since Bala and you will be in Geneva, can we discuss this further?
^Besi wishes,
Ravi Narayan
Coordinator. People’s Health Movement Secretariat(gjobal)
CHC-Bangalore
#367 ” Srinivasa Nilaya”
Jakkasandra 1st Main* I Block Koramangala
Bangalore-560034
Join the ’’Health for all, NOW” campaign in the 25th anniversaiy year of the .Alma .Ata
declaration visit wwvv.TheNlillionSignatureCampaign.org
— Original Message
I From: Kevin Moody
| To: ’PHM Secretariat
I Cc: ’Bala (E-mail)1
| Sent: Wednesday, April 23, 2003 3:48 PM
| Subject: RE: PHM Geneva 2003 / WHA
®Hi Ravi...
1
I will probably not be in The Netherlands on May 14 but will be in Geneva during the WHA.
• It will be good to meet you during that time. (If my plans change and I can be here on the
114th, I’ll let you know).
I
! I am looking forward to increased communication with PHM. At our AGM in Germany last
year, it was agreed that we would communicate our agenda to PHM so that you are fully
aware of what we’re doing and I appreciate having received the schedule you put together
below. One correction: the contact for our briefing on medicines prices should be Marg
Ewen (marg@haiweb.org).
Also, for the record, I should let you know that Dr. Bala represents HAI-Asia Pacific on the
A//?/
Paize 1 of 9
PHM Secretariat
From:
To:
Cc:
Sent:
Subjec t:
Kevin Moody <kevin@haiweb.org>
’PHM Secretariat' <phmsec@touchtelindia.net>
'Bala (E-mail)' <5aia@haiap.org>
Wednesday, April 23, 2003 3:48 PM
RE: PHM Geneva 2003 / WHA
Hi Ravi...
I will probably not be in The Netherlands on May 14 but will be in Geneva during the WHA. It
will be good to meet you during that time. (If my plans change and I can be here on the 14th,
i’ll let you know).
£m looking forward to increased communication with PHM. At our AGM in Germany last
year, it was agreed that we would communicate our agenda to PHM so that you are fully
aware of what we’re doing and I appreciate having received the schedule you put together
below. One correction: the contact for our briefing on medicines prices should be Marg
Ewen (marg@haiweb.org).
Also, for the record, I should let you know that Dr. Bala represents HAI-Asia Pacific on the
PHM Steering Group, NOT HAL This is an important distinction to be made because, as you
know, HA! comprises 4 autonomous networks loosely associated through various formal and
informal mechanisms. Dr. Bala’s participation on the PHM Steering Group is a HAI-Asia
Pacific activity.
In the next couple of days, we hope to have a schedule of events and a briefing paper
completed. As soon as they are ready, we will share them with you.
1v
Looking forward to meeting you soon.
Original Message
From: PHM Secretariat [mailto:ohmsec@touchtelindia.net]
Sent: 23 April 2003 10:34
To: kevin@haivveb.org
Subject: PHM Geneva 2003 / WHA
Dear Kevin.
Greetings from Peoole’s Health Movement Secretariat (Global) at CHC, Bangalore?
i his is to introduce myseif as the new Coordinator of the PHM secretariat (Global):whicW shifted to
CHC, Bangalore (India) from GK Savar (Bangladesh) on 1st January 2003. PHM is organizing a series
of meetings and events in Geneva (copy of the last communication III is enclosed) and is hoping to link
up with other networks and coalitions that share the concerns of the People’s Health Charter. HAI has c&n
been , what i consider one of the founding G-8 of the PHM and I look forward to all our PHM
participants joining you in your meeting. Do send me any further details about the event. We have
Pb/r?
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_______ oA
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PNM Secretariat
From:
To:
Sent:
Subject:
PHM Secretariat <phmsec@touchtelindia.net>
K Bala <kbala12@yahoo.com>
Monday, April 28; 2003 3:07 PM
Re: ;PHM_SteeringJ3roup_02-03j Next G 8 summit & the protests
Dear Bala.
Thanks for offering to write the critique of G8. Look forward to it. Also
looking forward to your confirmation of the participation in PHM Geneva/ WHA
meetings. Do send us the filled participation form which was with
•>mmunication TH. Also any response to my letter sent to you all during
IIAI-AP meetings.? Looking forward to meeting you in Geneva
Best wishes
Dr. Ravi Narayan
Coordinator. People’s Health Movement Secretariar(global)
CHC-Bangalore
#367 ': Srinivasa Nilaya”
Jakkasandra 1st Main, I Block Koramangala
B angalore-560034
Join the ’’Health for all, NOW” campaign in rhe 25th anniversary year of the
Alma Ata
declaration visit www.TheMillionSignatureCapaign.org
----- Original Message-----From: K Bala <kbala 12@yahoo. com
To: -PHM Steering Group 02-03@yahoo.groups.com'
Sent: Frida}; April 25, 2003 3:35 PM
jfcbject: Re: [PHM_Steering Group_02-03 | Next G 8 summit & the protests
> Dear Unni.
I shall be pleased to prepare a draft on the failure
• of G8.1 suggest we send our briefs to Ravi who can
> coordinate io prepare a PHM statemni. Bala
— ”UNNTKRIS?ITL\N PV (Dr)’’ --unnikru@yahoo.com- • wrote:
> > Dear friends
> > Please see below the time table and the run up to
> > the next G8 summit (Evian, France- June 1-3, 2003).
> > I hope you are aware of the move to hold a parallel
> > summit demonstration highlighting ’’the failure of
> > G8" to address some of the critical social sector
> > issues.
" > Are we involved in the organising or participation
PllH-
1-1 A}/-
P'l-h'-l C>C.'LPX.
Pn^e 1 of 3
PHiV! Secretaria’:
From:
To:
Sent:
Subject:
UNNIKRISHNAN PV (Dr) <unnikru@yahoo.com>
<PHiVi_Steering_Group_02-03@yahoogroups.com>
Saturday, April 26, 2003 8:43 AM
Sala's response to : Re: [PHM_Steering_Group_02-03] Next G 8 summit & the protestsBalas
■Lear Saia
anks.
If something is available by May first week (even if it is couple of pages in draft form), we will be
interested to use the content for the press releases during WHA.
The paper you sent last year (just before WHA) was one of the main documents that we used, reused
and recycled throughout the WHA for the media work. We really appreciated it.
Looking forward to hearing from you
In solidarity
unni
•T"i—r-r-r-j-T-t—i-4--r-Ft
Dr. Unnikrishnan PV . India
E-mail: unnikru@vsnl.com; Ph (m): -91 (0) 98450 91319
Read the latest on the campaign to stop the war at:
Kvww.indiadisasters. org/iraq
•
Original -Message
I From: K Bala
1 To: PHM Steering Group Q2-03@yahoogroups.com
| Sent: Friday. April 25, 2003 3:05 AM
Subject: Re: [PHM_Steering_Group_02-03] Next G 8 summit & the protests
X- -w* . 1 • - — f
I shall be pleaseci to prepare a draft on the failure
tf G8. I suggest we send our briefs to Ravi who can
coordinate to prepare a PHM statemnt. Bala
— ’’UNNIKRISHNAN PV (Dr)” cunnikrugyahoo.com > wrote:
x*
. A —— X. 1 «• '—a
//PI'HP
eC
> Please see below the time table and the run up to
> the next G8 summit (Evian, France- June 1-3, 2003) .
l> I hope you are aware of the move to hold a parallel
i > summit/ demonstration highlighting "the failure of
IGo” to address some of the critical social sector
> Art we involved in the organising or participation
> of this'.- is anyone from PHM/ affiliates going for
7"
press statement %e n ly 3 n id r
fccussin.-; ?n tne q?:<ai fund and access to medicines
> and he-i1th cr.r:- as the
issues of focus;.
4/28/03
Page 2 of 3
or: m2 s
iend a soli
'-era_ i.el ev
■ •. ■ m
to
the content. Please volunteer.
message needs to go before the summi
irt working soon '
a.
June 1-3 2303
of the Foreign
22 - 23, 2003,
b. . Me
e G8 :
r mar.'
mn
-ting
-17, 2003, Deauville
stars
o
ng of the Justice and Home Affairs
the G8 : May 5, 2003, Paris
of the Environment
2003, Paris
A'
Meeting of the Development ministers of the G8
.1 24, 2 903, Paris
Meeting of the Finance ministers and Central
rovernors of the G7-G8 : April 11-12, 2003,
Ban
■
ingt on
Meeting of the Finance ministers and
2, 2003
overnors of the G7-G8 : February
Dr. Unnikrishnan PV , India
E-mail: unnikru0vsnl.com; Ph (m): +91
91319
w.-r. •
(0) 98450
est on the campaign to stop the war
asters.org/iraq
TACHMs'CT part 2 image/gif
4/28/03
PiiQ;e 3 of 3
> ATTACHMENT part 3 image/gif
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. _spus .it ■: 2_bt 1 et .gif
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1 Secretariat cphmsec@touchtelindia.net>
To:
Sent:
oaia <baia@haiap.org>
Wednesday. June 04, 2003 4:01 PM
Greetmgs from People’s Health Movement Secretariat (Global) atCHC, Bangalore!
T'-?.-'ks m - ■ our orompt reply of 3rd June 2003. The deadline for the loo/rame is end June. I shall send the
zed >vOo in Kenya? And the study group of
MDG organized by Eva and Jim? They were trying to get me to come for a day or two to strengthen the
Hur s
kands
:jhts> ar
-
issue of Access to drugs including HIV/AIDS medicine and also present our
barter. But if you are attending that you can cover this aspect. I want to share the
travel requests and had planned to suggest Sundar or Amit instead, but you would be an excellent resource
person Tm- "crma! invitation is still to ooms. It was only a sounding out in Geneva.
■: -ng Anwar islam. the formation of tne sentence in my last communication was faulty. They missed
brci-c PHA - i
and have evinced interest in PHA - li. Our evolving leg frame will go to them as well.
. was not in Geneva for the Go protests. Am awaiting a report form those who 'were there.
PHV released a press statement, which was based or your craft document. You must have seen it since I
saw ycur pre-release comments.
Best washes,
Pavi Narayan
Coordinator, People’s Health Movement Secretariat(giobal)
CHC-Bangalore
#337 "Srinivasa Nilays”
<•
Jakkasar.dra 1st Main, I Block Koramangaia
jk a n ga lcre-58C 33 4
Fom the 'Health for all NOW' campaign in the 25th anniversary year of the Alma Ata
d eci a ra t1 o n v: s:x www.TheMillionSignatureCamDaign.org
Derails o' ^.nwar islam.
Anwar islam, °h.D
Principal Health Advisor.
■Soc.ai Development Policies Division
Governance and Social Development Directorate
Policy Brancn
2CD Promenade ou Portaae ;
P l-i n - i-+Q) - o p
Hj;, Quebec.
CAN
3G4.
ve. Anc 997.7370- Fax: 619 953-8058
*-
anwar islam@acdi-cida.gc.ca
6 / 4 ■ 03
Page 1 of 2
From:
To:
Sent:
Subject:
Community Health Celi <sochara@vsnl.com>
Phm Office <phmsec@touchtelindta.net>
Tuesday, June 03 2003 10:48 AM
Rv: PHM
'iSc-
3^ 4>. /TCe
1 nelma Xarayan,
jcrdmatoi; Community Lleailh C
■-36? 'Srinivasa Nitaya”
Jakkasandra i st.XIain, I Block ICo;
• ? angalore-56()034
Ph.: 91-080-5531518
feiefax: r91-080 - 5525372
websit e wvv. sochara. org
Join tiie "Health for alh NOW“ campaign in the 25th anniversary year of the .Alma Ata declaration
'; ■1 ■ mwz. TheMillion Signaturecampaign, org
..... Original Message —
From: bala
To: Ravi Narayan
Sent: Monday, June 02, 2003 2:34 PM
Subject: PHM
Dear Ravi.
k>ngrefutations for a ver/ successful presence of PHM in Geneva. I trust you have rested sufficiently after
/*
|
: .
A .7, 7
- ’ —«»
•
Of a PHM
4“ SrtJSe *** b“ "W'y °"iOe 1M* J““ Wh” s~ ta >w
ie ODA and Anwar Islam, I got the impression that you will get funding for PHA II. However from you mar
atea 30 tn May. i find that we were late in applying.
ntally is this Anwar Islam a Bangladesh: national? I remember meeting a person in Malaysia wnd
s to fit you: description. Can you piease give me his e-rnail address.
6
in Geneva had their slass doors broken and thare was fi
Kind regards..
Um r
P&l
t Dr K Balasubramaniam/
f Advisor and Co-ordinatof
Health Action International Asia - Pacific
5, Frankfurt Place,
Teu (941) 554353
Fax. (94 T) 554570
2-joO\
C
Draft PHM Statement
G8, Globalization and Global Poverty
Dr K Balasubramaniam
Introduction
In the beginning globalization made the African continent borderless to promote international trade in
humans. The perpetrators were G3 the predecessors of G8. England, Portugal and Spain using their
military might and diplomacy employed Africans to capture fellow Africans and transported them across the
Atlantic Ocean to the New World. Slavery and slave trade, blessed by the church was institutionalized by
the governments of these three countries. The slaves in the colonies lived in abject poverty, which was
handed down from generation to generation; two centuries later pockets of poverty yet exist in the richest
country in the world. Statistics reveal that a black male born in Washington DC has a shorter life
expectancy than a male born in Ghana, Bangladesh or Bolivia. Nearly one in five Americans or 56 million
people, is considered clinically obese, meanwhile 31 million Americans, including one in six children face
chronic hunger in any given year.
The world became more “Civilized" and slavery became a dirty word. It had to be officially abolished. The
industrial revolution in Western Europe set in motion the next phase of globalization. Colonization replaced
slavery. France and the Netherlands joined the original G3 sending their armies and navies with guns to
capture countries in Africa and Asia. The colonialists took control of land, raw material, cheap labour and
markets. They controlled international trade with Britain accounting for 40 percent of the world trade in the
late 19th and early 20lh century. Britain was then the super-power.
There was a sea change in international relations soon after the end of the Second World War in 1945.
Colonization and imperialism became dirty words. Beginning with India in 1947, the imperialists were
chased away from the colonies in Asia and Africa.
Neocolonialism
The United Nations (UN), the World Bank (WB), the International Monetary Fund (IMF) and the General
Agreement on Tariffs and Trade (GATT) were some of the intergovernmental institutions set up in the late
1940's to bring about peace and prosperity to the whole world particularly the previous colonies in AsiaPacific, Africa and Latin America. These were designated developing countries.
But today there is neither world order nor, peace nor prosperity because neocolonialism has replaced
colonialism. The very institutions set up to bring peace and prosperity are being used by the rich nations,
led by G8, to implement neocolonialism. These are the WB, IMF and the World Trade Organization (WTO)
which replaced GATT in 1995.
What is common among slavery, colonialism and neocolonialism? The commonality is that a minority using
its military and economic strength and power control the access to resources. The wealth and income
generated by these resources are, therefore, very unevenly distributed. About 20 percent of the world’s
population living in OECD countries today control approximately 80 percent of the resources and wealth of
the world.
1
The strategies used by the neocolonialists, headed by G8, are globalization and multilateral trade
agreements. Intergovernmental policy making in today's globalised economy is in the hands of the G8 the seven richest industrial countries (G7) and Russia - and the three institutions they control - WB, IMF
and WTO. Their rules and regulations create a very secure environment for selective open markets but an
adverse environment for social and human development in the developing countries. The central banks in
these rich countries still guide the supervision of the global banking system.
G8 and Poverty
Throughout the history of humankind, there has been only one basic cause of poverty, the lack of access to
and control of resources. The wealth and income generated by these resources are, therefore, unequally
distributed.
Globalization, is not new. It has been there for two centuries; since the 1950s it has gathered speed and
went into an accelerated spin in the 1980s when Thatcher - Regan axis took over the lead role in the
international agencies. An analysis of long term trends in the disparities which separate the rich from the
poor demonstrate this. The ratio of the incomes of the rich and poor countries was about three to one in
1820, 11 to one in 1913, 35 to one in 1950, 44 to one in 1973 and 72 to one in 1992. Wealth today is
concentrated in fewer and few hands. According to the 2002 Human Development Report, the world’s
richest one percent receive as much income as the poorest 57 percent. The income of the world's richest
five percent is 114 times that of the poorest five percent.
Globalization and multilateral trade agreements have therefore enabled the G8 to keep the wealth in the
developed countries leaving 1.3 billion people in developing countries to live on less than one dollar a day
and another 1.7 billion on less than two dollars a day. Across the world about 56 percent of the population
lives below two dollars a day. In some rural areas of Sub-Saharan Africa and South Asia the proportion
reaches 75 and 84 percent respectively.
It is indeed ironical that G8 which is the cause of global poverty has taken upon itself the task of eradicating
poverty. This is similar to landlords given the task of implementing land reforms and distribute their lands to
the landless! It is therefore, not surprising that poverty eradication has gone on reverse gear!
The United Nations has classified the very poorest and structurally weakest countries, as "Least Developed
Countries” (LDCs). The first list in 1971 had 21 LDCs. The last revision was in April 2000 when the
member of LDCs had risen to 49 with a total population of 620 million. One country a year had joined the
ranks of LDCs. Poverty eradication gone on reverse gear!
At their summit in Cologne in 1999 the G8 committed to halve world poverty and reduce child mortality by
two thirds by 2015. Since then, at their annual summits, G8 leaders constantly stress their commitment to
poverty reduction. But in reality, they use their trade policy to rob the world’s poor. Poverty escalates.
International trade is not inherently opposed to the needs and interests of the poor nations. But the rules
that govern international trade are designed by G8 which inflict enormous suffering on the world's poor.
Rich countries reserve their most restrictive trade barriers for the world's poor.
2
When desperately poor farmers and exploited female garment workers enter the world market, they face
import barriers four times as high as those faced by producers in rich countries. These barriers imposed by
the rich countries cost developing countries 5100 billion a year. This is twice as much as the poor countries
receive as aid from the rich. When rich countries lock poor countries out of their markets, they close one of
the entry points to break the vicious cycle of poverty.
If Africa, East Asia, South Asia and Latin America were each to increase their share of world export by one
percent, the resulting income could lift 128 million people out of poverty. The low and unstable commodity
prices which consign millions into poverty, are never an issue at the summit meetings of G8. The terms of
trade and prices of primary commodities are decided by multinational corporations.
Exporters of primary commodities have seen their share of international trade shrink with Sub-Saharan
Africa worst hit with very low prices. Deteriorating terms of trade in Sub-Saharan Africa since the late
1970’s have cost the region the equivalent of 50 cents for every dollar that it receives in aid. While the rich
country markets are closed to the poor, the WB and IMF pressurize poor nations to open their markets at
break-neck speed with very damaging consequences. Powerful multinational corporations are free to
engage in investment and employment practices which contribute to poverty and insecurity.
Poverty, Debt and Development
In the 1970’s the United Nations Agencies, particularly the United Nations Conference on Trade and
Development (UNCTAD) started discussions on a New Economic World in order to promote economic,
commercial and technological development of Third World countries. Initiatives included the preparation of
a code of conduct for multinational corporations, a Report on restrictive business practices and Revision of
the Paris Convention on Intellectual Property Rights.
Comments:
UNCTAD was initiated by the Non-Aligned in recognition that GATT was against the interest of
developing countries, especially Africa, IT IS THUS IMPORTANT TO SITUATE THE UNDP NOT AS
ONE UN ORGANISATION AMONG OTHERS BUT AS THE ANTIDOTE TO THE WTO.
PHM SHOULD CALL FOR UNCTAD AND NOT WTO TO DECIDE ON WORLD TRADE.
All these were put on hold and reversed with the emergence of Thatcher-Reagan axis taking over the
International agencies. New development experiments in the 1980s with ill-conceived economic policies
pursued by the WB and the IMF in relation to developing countries not only failed to bring about economic
growth and improvements in living standards for the majority of people in developing countries, but these
policies have also been responsible for the Third World debt crises.
In 1997 the total debt stock owed by the developing world to the developed world, was $2.17 trillion up from
$1.4 trillion in 1990.
Each day developing countries pay rich nations $ 717 million in debt service. Every baby born in the
developing world carries an external debt of $ 482 at birth. Jubilee 2000, a coalition of NGOs campaigning
for Third World debt cancellation, estimated that every 5 seconds a child dies in the Third world because of
external debt. In 1993, the rich nations took back £ 3 in debt repayments for every £1 they gave in
economic aid to poor nations.
3
Protests at G8 Meeting
Millions of children are dying every year in developing countries because of debt and many more are
growing up unable to read and write as government budgets for health and education are cut to enable
these countries repay debt. Niger, one of the poorest countries in the world, spends three times more on
debt repayment than on health and education. The economic.policies of WB & IMF and the WTO rules on
intellectual property rights, investment and services protect the interests of the G8 and powerful
multinational corporations while-imposing enormous costs to developing countries and pushing more into
poverty and life long suffering as shown by the empirical data given in their paper.
And yet the G8 nations naively ask why there are protests at their summit meetings. The same way the
British imperialists asked why the Indians were protesting against the Raj. The civil disobedience
movement was initiated by Mahatma Gandhi at the national level to gain independence for India. The
protests at G8 meetings are very similar to the Indian civil disobedience movement at the global level.
The objective of the peaceful protest include the following:
1.
2.
3.
Hold a mirror to G8 leaders to let them and the world know the enormous injustice inflicted on poor
developing countries in the name of globalization and free trade.
Campaign for a New World Economic Order which will guarantee distributive justice so that:
(a)
Economic growth will ensure social and human development.
(b)
There will be equity in access to and control of resources leading to equitable
distribution of wealth and income generated by the resources
Let the people of the world know that the existing institutions are inadequate to meet the
aspirations of all the people of the world.
An essential aspect of global governance is transparency, accountability and responsibility to
people - to equity and social justice. These are missing in the existing systems of institutions,
rules and practices.
Social protection to be built into the New World Economic Order will need altogether hew global
governance that will ensure global responsibility.! The Human Development Report - 1999, had
identified some of the key institutions of global governance to put human development and social
protection at the centre of international policy and action.
COMMENTS:
PHM ought to choose between grass root democracy, and a participatory approach to health and
development on the one hand and “global governance" on the other.
It is not possible today to imagine global governance that could be responsive to populations.
Global governance is what the World Bank does with “development", or what UNAIDS does with so
called AIDS programs: impose VERTICAL solutions that are ready made, ignoring the need of
populations and their reality: economic, social, environmental.
There is not a single "global" organization today that is not controlled by G8 or Transnational
Corporation (TNC) playing the role of “expert". When Tony Blair went to Johannesburg’s Summit,
his delegation included the CEO of Rio Tinto Zinc, Anglo American and Thames water....
All “global governance” initiatives are “advised" by experts of that sort, openly or in back doors.
4
We should reject “global leadership1'.
Yes, the United Nations organizations should be stronger because they could inject the concerns
of smaller states, or small groups of populations. In real democracy, a local population can
exercise pressure on regional elected leaders who in turn will pressure their State representatives.
Global leadership means initiatives such as the Brazilian defense of the right of access to
medicines will be crushed.
The WTO is meant to kill poor countries’ manufacturing capacities, starting with agricultural
production and generics manufacturing, and everything else for that matter which a developing
country would produce FOR THE IMPROVEMENT OF ITS OWN POPULATIONS' LIVING.
Contrary to the image which marketing intends to create the WTO is not about FREE TRADE, but
about FREE COMPETITION OF LABOR.
The main purpose of globalization in this regard is to initiate a savage competition among laborers
(moving auto production out of the US to Mexico, lead to savage poverty throughout the car
manufacturing regions of the US - See Mickeal Moore's first film Roger and I; then Mexico did not
benefit from the free zones manufacturing US cars - which shows that developing countries
gaining from WTO is bogus), today car manufacturing is moving out of Mexico to other places in
Latin America and Asia where labor is cheaper than in Mexico, leaving behind extreme poverty and
great environmental pollution and degradation in Mexico. The same scenario applies to flower
manufacturing, from the Netherlands to Columbia and now moving to better climates when labor is
even more docile...
ASIDE FROM LABOR COMPETITION, THE WTO WAS CREATED TO PREVENT COMPETITION
ON THE MARKET. “PREVENT" competition from emerging industries in developing
countries, STOP innovation, STOP science (by clamping private property right on human
intelligence).
As was well documented during the Alma Ata Conference and the WEMOS workshop, entry into
WTO by Kenya, India etc, has meant and continues to mean the crushing of local production by
transnational companies. This is the “competition” which is meant by WTO.
It follows that WTO could not be reformed to assist developing countries get a fairer and greater
share of trade (as is suggested in the text)- this is a hoax (promoted by Gordon Brown and others,
notably in Britain and the US to make the WTO more palatable to poor countries and the anti
globalisation movement) . Entry into the global market in the terms of WTO- even amendedmeans destruction of whatever level of agricultural and industrial development was achieved in that
country.
The key institutions are (?):
A stronger United Nation (not more coherent, since that means a culture of bad compromises
between opposite standpoints, like the US and Brazil or the US and France on Irak etc), to provide
a forum for international sharing and collaboration to foster better opportunities for all nations.
-the promotion of a "public goods” approach as the UNDP is attempting to define it. A PUBLIC
GOOD approach means that the State must keep responsibility for credit, investment, lending, re
nationalize the national bank when privatized. A Public good approach means that education,
health, water, the basics of human development must be State controlled. The private sector can
plan a role, but only under State-Public control.
The WTO must be abolished and UNCTAD replace WTO in all questions pertaining to trade.
5
-
-
Beware of the concept of civil society which was invented by the World Bank and consort as a
means to enforce policies contrary to the interest of local populations. Civil society today
includes big pharmaceutical interests, NGOs that are appendices of the US and the UK's
Foreign offices (especially)... And, if anything, local countries representation remains to be
build.
Last but not least, “global” democracy, a Global “General Assembly” would mean first,
rebuilding of stronger Assemblies and parliaments on the local, national and regional level.
The European Parliament for example is very powerful on paper, but plagued by hundreds of
millions of dollars in private lobbying. For example on one issue: free software, Gates spends
over 3 million USD a year in lobbyist to the European Parliament...
The key institutions are:
•
•
•
•
•
•
A stronger and more coherent United Nations to provide a forum for global leadership with
equity and human concerns.
A global central bank and lender of last resort.
A World Trade Organization that ensures both free and fair international trade, with a
mandate extending to global competition policy with antitrust provisions and a code of
conduct for multinational corporations.
A world environment agency.
A.world investment trust with redistributive functions.
An international criminal court with a broader mandate for human rights.
A broader UN system, including a two-chamber General Assembly to allow for civil society
representation.
These are the messages that PHM protesters at the G8 meeting in June in Evian, France will convey to
the World Community.
•
6
Bibliography
1.
2.
3.
4.
Human Development Reports 1997,1999, 2000, 2001 and 2002
The Global Rich and the Global Poor - Seeking the Middle Path - By Chandra Muzaffar
World Development Forum - On line discussion article - “Third World Debt Crisis)
(http://www.derbv.ac.uk/seas/qeog/jollyfranc/third world debt.htm)
“Passanna Gunasekera and Dr K Balasubramaniam “Why do the poor stay poor?” HAI News
No 124, to be published.
7
Page
o 1 of 1
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Subject
Ties ray, J vie 2-f 2003 3;z'S PT
c.■ air. Deveicftmsnt Strategy
Dear Bra.
Jynowyoi
tu
themeetingoi
gy Task I
2
'
’
on behalf oi 1 HM and i had convinced her that you a eve a much belter
: i:?’." :'k; i-'c /'ee'?'1:.: ;yn? Pieas? ’.'o ccnd 'cur paper if you made a
...
’siinpre ...
foci .
!
on the •iecivmne
‘
O: communicahon to steering y-’ou-/ .6:•ho- .
Ravi Narayan
C?O;<:in:U?r.
s
Movement S.c-elarh;
CITC-Bangalore
•-3'57 ‘’Srinivasa Xi’aya”
< .!•>. Main. _ 31c _h Kornmangaia
B angaiore-560< ?3 ■■’■
.,
.
rf'
anniversaiyye
U.tYia
ri. -.-
.< •'■ vavv/.The3IillionSigiiatureCampaigii.org
Secretariat
r. e i r;:
To:
r anpre:v. <nan prerr.@et a. n et>
Bala <oa»a@naiao.org>
Sent:
Tcosds'’’ June • "? 2003 9 oq
SibDn:
"v
-rcrr Office'9-23 J:.:na
My dear Baia.
TITc prison v.'ja rhe required expertise is undobtedly you and it is only
right th?: you should br asked ? do that by Evr. The point is that \vc.
you. me ccd others in 1-TiM, do not really have systems which can respond
....... • our perha]......... L\
mak ers is you.
dnal anay M. v li b?Gg aecckidcs io PliM’ L\ the pwccss. have a good
.2_ - »
Prem
Dear Members,
I shall
participating in tl
Sira.egy 2a>k Erace on Access to Medicine in Geneva 20-21 June 2uJ3.
Dr Eva Umbaka die Co-ordinaior of lids Task force has been dying -o get
- PfE\ to send a resource person io present a paper on Health Development
Rights. She i
.
-'/• i * • and •. • a '• -c: acc e1 ? < c < •..
>
73 7
i cy<ii*ds.
- Bala
http://wvvw.ddsi.net
P^-(
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be
?
AAcju-O
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PS. .Vi Seers:i<.at <prsmseo@touc;7cennc;a.net'.?aia <oaia@haiap.org>
cgk’gciteoncc
G-.b^l 6. Dr-Convenor <ekbal@vsni com--: Dr Prem Chandran John
njcr.nAG/sn’ net-'. \-ira Shiva <mjrashiva@yahoo.com>
\'Vec:'esc3; July 1c, 2003 2:38 PM
Re: Regard.ng PHM & Africa
.
7o:
Ssrx.
Subjec;:
... Sec ; < x.; c: ; G! c L c i i ■
2. j
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fries
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.
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e
a very n xp: ctec g -
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/.sii .-. .0 .' '/.c.s jus: go.’ng ;c share vwG you ail
b
-
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: .-.:-r ./spu • o; kw...
::es a rad?r. ar.c Mahlers
; .s.-.c P.--.,
- j. ;;is psriy com.r.u bacK x power recent:.' - there
? e •■e.-.-ei erorcs supported ■> 2: fsn aci-w vs ■:<? undo -he systems end structures that were set in
V
3 ieckfc
j
o twill and pro
»Mauritius to fc
-e? L;-- ,..’.ovemehi - register -\ -.-uki-s - jew hands with us and apart from becoming a
?•...... w a.i :* " '•.-/er to *_PG •n-ces xcowc
in
•.<<
-?i<o ?:<•? to uGize his
j.j-.■
pportc
I Africa F
;
.e.-. .
ty of e
.••
-,z
ej:;.
-vas r. good begir nsne
c
istcc ipleted I
riti
stec
w then atioi
istitutec
as a g.o. .:_.i poc..-,iGkdoubf-ve r.a-^ to fire Gods but
.
w
r:
MG- :.-3 :/.-o PHki relays G Easi: on: Cenlrai A:; cs :ast /eie; ;Qasem and Maria to VVABA -r.
....
dervo : looting a inauguw- meenng on 23rJ Auc ist 2223' jinkages in "anzania are evoiving The
SEAVi con'erence orgpnizoc.' '-y .2-?, Ombeikn
hawo a Ph'J component. Already ?.t my
..yo.: to toe Ge^U'/a meetr-g •: .■•. :r.e;e x/ii-i be
:.r oyportun.t’.es cx-atec
.
es pure
: othe arts-of the v
)
3 the oppor
i the
sits to
•./.■.cl?...- cenre o\:e ,o suppujt ..c:;.- neiv^ork.rig anu capacKV cu:.C;;.:
joe • a- meatwyi ar>o .••■'DF - iv 'Heattn Forurn meeing; Vv’h! aiso be used ny secretariat as an
d
?.iy raai
:
. ’
at presents that all our efforts from other regicns to increase the *ccus on Africa
;
i
ng or pairdni;
vay, s
e North has air
e this
s to
apacity <
Jtr> an egi >naI level first
anec i Soul
si
j s de <. I
..•e-c-'e ■ e cou.’d al; collecw/eiy marsnai- our experiences and en-cussasm in Asua ana nep) Jr< host
-- • '/vmia G'A took fn.? mam responsibly/ it v/ns confident support and rrcciiizarcn nv
- . c:t ?•? regicn :':3t greefy h- Iped its success.
-. 07- ^rr.;ew fftnai report is. awaited) nas already shown that the movement has oeen
-■ - :* (w'th Gxcootior o* PHM -- Itaiy' pariis:•Griv :r areos whore
iocai
al actio
:
i
as goinc
I
al
3HM from othe
reg.'J': u :: u
Gi we :u:.: ‘r Afrca fro ri net-.- i ii 2CC6-2007:
PHM a'ricx car :ost FHA - A wik
device and capacity I
.
t country level
East and
.
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ic
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ai! o.' us to O’.rig Africa in:o PHM focus
: '>s ;; essure
v the other
the S
lie
'
'
.
response.
ecretar
-:ng and strategy evcH.-ng exorcise? There was /.o acknowledgement.
.. e
yo?j *>re busy But plerse re:’ Paran A orThiru ro
the- mspg®t*Hg tn--rug h.
_ st
least acknowledge them so th?r we know
• ...
Ravi Narayan
Coordinator
- .* i:. 1 c s 0re cs r;at (G io 0al;
rrofiv Bala
’ -: Bav» Narayan Zafrullah Chowdh ury Mira Sh iya
i Sen:: Friday. Ju'yH 2003 11 35 AM
Eikbal Prof.
P rem C ha nd ran Joh n
| Subject; Regarding PHM & Africa
' Dear friends,
.
2 wi;‘ be in -3outh America
'.€
Gv: -••‘/a.
2004
We ail supported this
Scon after PHA in GK,I for one and perhaps
3i’d I d;scu3SGd-PH’.:
nost of you planned f
2
.
:
c
issed this o|
y at any time
, j.orne of us at tne beginning of cur dream '.■•/ere panning Regional Assemblies to precede a Globa!
■ Asst'-'ci/. Hc-.'S'sr in
the expenses and the tin'..: of u giobar event .ve did not focus on
Regions: .-Assemblies.
o
.o-r,.-. ?
| ’na(; great concerns for Sub-Saharan Africa, which needs priority attention We were
. -i ...• <■.
■</< oinseTas that a regional snem in
sncidui be c.?n..- '•Js-re:’. Back in office, \-/= go:
? r.c.. .. s,,-. .’<.;• aviva@netoam.vn to PriA exchange, ■•- ■..ss
o. messays no f Cnaiienge befo-s
: Af.nca and ins Afr.can Union' and i quote num
i
:
er
>f t
i
; Damsc os ove: mihicns of Africans".
cm reievs nt data for
'
'.n ;?re n-t^ohec. Pion;-.--
' -n;s c- ' to me n x of you
aharan cour tr
th m.,gh Anrn.
How best can we proceed ?
st
atistic
•
.
■
g-jcsi
the ex-Health Minister of Mauritius. who at the instance
.-agad-su
r.’_ . g.* ng ; . sr. x< -.
.. v.
hai manspircd '
v-‘.u <;u
er the ‘spell’ of AIm<
inspit >f lis > ■ ■ c<
forts supp
I by British ach
that tl
did in Mauritius
support
ike
••
re
Scentb
here are neu
ie h
,ti place.
>U'UClu;CS UKh Wt.i\.
j.Wi.X
hereforc
>
xide
i >hal! al the x
■ vrei"
• ■•'.■ ••?.• ; '
.
. ......
.
t
......
<?• up r
■
'
’
PHC garni
,.
......
. ,
d
■■■....
.
. .
\o doubt wo have io find
Mvunber ,Mf< a>. • d'snne I'OssiMnv
' .
■
---- baa f .,’. in .oc .Ci_:;or. v.us .. j
in ' ’ ■ ifit s
jo n rands with us
roes und ■
. ■
....
.....
?■.
■?. aunnus
'
. ..
>-PH<
c
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' • - . '
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.
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.’
;
.
. .
...........
...
...
___ ce
c.
....... -.
nbaka wi
m
have <
it
Uready
•..<icr, they Mwicd / x.. i”. .'. u
meeting and inert will be similar
-■••• p •rid’iit.ies creakxi Mr senior •;nM resource people from other pans of the
’
.
’
.on .cc:d .lei.h'kiny ...;e cupaci<y .miiding.
’
useA
m meeting) wil Iso be
It •
"'j
'
\ . ..
. . .Cm
exorfi «^K^-CO
.5
A
-o
i?. locus on At
.\
A.
ie ai
->c •><
tsz
^hat
g giving€take
?
ctop d
►V
dec*
.■
..
'
illectively marshal
\>
k-L
rS^
in uic .cuK.-a that greativ helped its success.
: •■> :-<v ■
...
pf'eneci aiwr P<h\ -- it (with exception of rM vi
Italy) pameukvo. »n
v.'k: ng.
‘
act inn and local running was going
UTT
, ( e< -
.
ddl I
i
j LU
•
Jhc
...
•
id Centra
yorir help
wed
* ssi
iica 1Jorth .. . .
' make :he Mauntit’an initiative a success and will keep
i
.•'•'—pvter sUkicnr A .'tr^gatore wav volunteer to help us in the PHM secretariat in
f. j tru. Aia;
u ho keep nn im's ”;-cs-$t-rv O!> aii r-fus <o br?ng Africa imo PHM tbcus.
s-;n
rkher long uTumunicalion sent to rhe South Asian group as well.
■v.\ ~’t your -esp-: .n--.e.
a Ione
i normally, did y?u get a’d rhe corp.mumcauon I to ’«i ♦ with jve appendices sent out
’•v.
secretarial
dv the
planning
and
>?-ategp
evclv>n
cnercise? There uas no
in
■ knovdeege them so
------ .e. lc<Ae.nc:'k
kno)
..
c
.............:■■ r Btn please i
' k\.'y ;;;'c gc.
.- y. . <
Co.u.Ety Hea.:.*. Coil <socr.ara@v$ni.oom>
5 c..r.
:hteiindia.net
Se-r
■'• Er.-a—
1/' 2003 3^7 ?'■■>•
A 21 ^:r.z. - -3C Members.dec
:;v Redwing PAE E AEca
Sut-jOC'C
E.. E,.J...e, * s\.y&u
(Av< ;f»Cc»rv?’unit; E’e.Hh Cell
. ......... . ' ■ s ‘ ■■ : a”
.v/ja ' C.:-.
a Lan. I Blouix AoramangaE
Banga.?or>560034
A
ie
2:■ •-. .suchara.org
A’t-j ■••< • Awni .or all X\ nV” campaign. in th: • Ah amhversnry rear of hie dma Ata declaration
■ ■ ’ www.TheNfillionSignatureCampaign.org
..... Crig.ra. Message.......
•’ •
Saia
'o: Ravi Narayan Zafrullah Chowdhury Mira_Shiya Ekbal Prof.
......
Prem Chandran John
■3■ Eec'•.: Regw <g 7JHhZ & Af< ic-■••
’ 'SC r '' ?’"-r”S.
b
i .
'-c w G ?"?•., a
. . ■ rica in 2004. We all supported
..
Pwr? and ’ dEcussed PH?d ectrwies Soon effcerPHA in GK. ! for one and perhaps
^sse-e'Ey takes eherrrous 'esources an? efforts PHA 3 -vii: be in 2007. You may remember,
'•
•,rs3 ~ : ■
. ?•. s .'. ' ■' •k?-./
E? .. ;;3?ses c.v: .'■•? E: > c; a cio.'.-f c-.er.E/x ck‘ -:ox xooi:s or. Regie :a!
-SSS..■,..;.cS.
Prem ?■•?' ’ - a?.1 greet concerns ?or S;;b-S?^?AEca. winch needs priority attention We were amping
w:ccurse ec th; :a 'sesewsi c-' e-J:
//wr. s/oEd be cons;dered. Back in oEce we got >
message from aviva@netnam.vn to PHA exchange. Please ook
,-E.ca a..:, hx African Union" ana I quote .Torn i;.
•r^ere s?--c ?::• be re coliecr.ve awareness of other gr:m facts and statistics hanging iike a sword E
- .7: ■■os c.
2.
~ Views of Africans".
:
>ome relevant data for 38 Sub-Saharan countries. !\--/o tables of selected key indicators and
arr/ysis ar? coached Please go through them
Tv IE : :ere gum faozs ana siatistics facing tna PHIVi, I believe we cannot wait i.i’ 2007. ; am circulating
mis on.-- ) the s’? of you. How best can we proceed 9
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Table 1a - Selected indicators in 38 Sub-Saharan Countries
Life expectancy at
birth (years)
Health Expenditure 1998
Per capita public
expenditure at official
exchange rate (USS)
1
Per capita private
Expenditure at official
exchange rate (USS)
2
2
3
3
4
Total expenditure
as a percentage of
GDP
1993
2001
48
40.4
34.2
42.7
Ethiopia
Madagascar
Niger
3
3
2.3
2.8
2.4
5.2
3
3
3
2.3
n.a
56
2
Somalia
3
47
47
Togo
Uganda
4
4
1
5
7
3.0
2.0
2.4
3.5
Cameroon
5
12
Chad
5
Mali
Mozambique
Tanzania
Benin
Burundi
Sierra Leone
Central African Republic
Burkina Faso
I Guinea Bissan
Malawi
Kenya
Gambia
36.2
68.1
n.a
57.0
66.6
Per capita GNP in
USS
Public expenditure
on Health as a
percentage of GDP
(1998)
Total debt
service as a
1992
1999
210
120
130
290
100
0.6
160
410
110
230
250
1.1
1.2
2.4
190
09
2
1.2
3.1
6.7
1.5
2.2
n.a
n.a
54.8
42.5
70
63
43.1
n.a
n.a
280
n.a
55
43
51.7
32.3
n.a
390
n.a
320
1.3
2.4
46.4
55
170
320
1.9
26
2.7
56
49.7
40
n.a
33.4
820
580
1.0
2
2.9
48
48.6
64
220
200
2.3
6.3
1.9
5
6
4.4
46
45.2
n.a
n.a
72.8
310
240
21
4.2
5
3
3.8
47
44 8
37.8
60
230
2.8
2.3
5
6
5
6
4.9
51
46
46.5
52.1
19.9
n.a
110
240
1.3
410
2-4
3.5
3
4
48
44
42.9
47.3
48.7
66.2
n.a
300
220
380
240
1.6
6
n.a
41 6
33
-
45
47
36.1
40.7
54
-
n.a
59
53.6
48.9
n.a
48
51
58.5
52
53
42
64
n.a
72.8
n.a
6
6
8
10
3
22
3.2
4.0
4.0
7.2
5.0
5.4
76
Mauritania
Cote d I voire
9
9
2
4
3.2
3.3
10
12
Ghana
10
Nigeria
Guinea
10
8
14
2.9
4.3
2.1
56
53
57
45.9
57.4
36.8
31.4
51.6
341
40.
31 2
491
61.4
1-6
1.5
1.1
2.5
n.a
210
250
190
250
2.8
2.0
3.5
2.0
n.a
310
200
360
n.a
24
n.a
530
n.a
380
2.3
1.4
0.5
4.6
4.4
10.7
12.3
670
1.2
10.9
44.8
70.2
450
320
710
390
9.1
n.a
510
1.7
0.8
2.3
26.5
59.3
28.6
310
510
3.6
45
Zambia
8
45
86.
63.6
n.a
Angola
13
11
5.6
4.6
51.9
36.8
47
36.1
n.a
n.a
n.a
Congo
Senegal
14
6
9
3.0
4.5
51
49
52.9
14
n.a
33.4
n.a
26.3
1030
780
Congo Dem. Rep. of
20
7
1.7
51
43.8
n.a
21
6
6.0
61
43.1
590
Equatorial Guinea
26
18
4.2
34.9
n.a
Zimbabwe
33
27
10.8
n.a
56
40
53.7
n.a
49.2
n.a
Lesotho
36
570
n.a
520
6.4
Swaziland
37
14
3.7
n.a
40.2
40
n.a
n.a
1360
n.a
3.0
2.5
Gabon
Botswana
81
41
54
59.3
n.a
n.a
4450
9.5
35
61
39.1
n.a
33.3
2790
3350
3240
2.1
85
3.0
3.5
2.5
1.3
Sources:
36.8
Health Expenditure - World Health Report (WHR) 2001
Life Expectancy
i. 1993 -WHR 1995
ii. 2001 -WHR2002
Poverty lines - Human Development Report 2002
Per capita GNP
1.1992-WHR 1995
ii. 1999 - World Development Report 2001
Public expenditure on Health and Total debt service as a percentage of GDP - Human Development Report 2002
1
n.a
25.5
I
2.5
4.4
6
n.a
220
3.6
6.4
1.4
13.6
670
2.0
2.6
5.2
n.a
n.a
0.3
550
2.6
7.3
n.a
n.a
|
2.9
11
12
55.8
j
percentage of
GDP (2000) i
48.0
6
6
7
Rwanda
I Eriteria
43
47
Percentage of population below
poverty line
International
National
poverty line below
Poverty Line
1 dollar a day
1.3
1.6
I
Table 1b - Seven other indicators in 37 Sub - Saharan Countries
Children under
'
height for age
(percentage under I
n.a
45
8
Children underweight
forage (percentage
underage 5) 1995 —
2000
45
27
24
47
55
17
33
40
49
40
25
26
22
38
21
35
3
n.a
6
28
28
5
9
43
n.a
4
n.a
4
n.a
46
26
36
29
44
500
6
6
33
29
25
480
910
n.a
18
2
3
17
n.a
45
34
37
23
n.a
n.a
6
25
28
49
n.a
29
44
Physicians per 100,000
population
1990-1999
Around 1993
Infant Mortality rate
(per 1000 live births,
2000)
Under five mortality
rate (per 1000 live
births, 2000)
Maternal Mortality rate
reported (per 100,000
live births) 1985-1999
Burundi
Sierra Leone
Central African Republic
i Ethiopia
114
180
190
n.a
6
316
180
174
n.a
1,100
n.a
| Madagascar
I Niger
86
159
139
Togo
Uganda
80
270
142
490
590
n.a
6
4
24
81
127
510
6
4
Cameroon
95
154
430
7
na
7
Chad
118
198
830
2
142
233
4
126
200
580
1,100
104
165
530
98
154
198
I Guinea Bissan
105
132
| Malawi
I Rwanda
117
Mali
Mozambique
I Tanzania
| Benin
I Burkina Faso
115
117
215
188
1,100
187
114
n.a
1000
92
120
128
590
n.a
120
102
58
183
173
102
550
600
210
n.a
530
100
73
77
Eriteria
I Kenya
Gambia
| Mauritania
Cotedlvoire
Ghana
| Nigeria
480
110
184
Guinea
Zambia
112
112
175
Angola
172
202
295
n.a
11
4
8
n.a
2
15
3
13
4
2
11
14
9
6
n.a
4
21
n.a
650
17
n.a
7
4
3
15
n.a
n.a
Nurses and Midwives per
100,000 populations
around 1993
18
13
7
u
31
28
n.a
23
25
27
23
17
23
21
age 5) 1995-2000
57
34
39
51
43
38
37
19
44
22
26
n.a
n.a
142
25
27
3
23
46
26
n.a
n.a
25
n.a
14
n.a
19
59
Congo
81
108
n.a
27
8
25
Senegal
Congo Dem. Rep. of
80
128
139
560
7
8
35
18
207
n.a
7
n.a
34
Lesotho
Equatorial Guinea
92
133
n.a
5
n.a
16
44
103
156
n.a
n.a
n.a
21
25
34
n.a
n.a
17
30
49
73
117
700
14
14
16
13
142
90
230
520
n.a
19
15
n.a
n.a
56
10
Gabon
101
60
n.a
Botswana
74
101
_________ 330
n.a
24
n.a
13
Zimbabwe
Swaziland
Sources:
1.
2.
3.
Infant Mortality rate (per 1000 live births, 2000)
Under five mortality rate (per 1000 live births, 2000)
Maternal Mortality rate Reported (per 100,000 live births)
}
}HDR 2002
}
4.
5.
i.
Physicians (per 100,000 population around 1993)
ii.
1990-1999
Nurses and Midwives (per 100,000 populations around 1993)
JWHR1997
}HDR 2002
JWHR1997
6.
7.
Children underweight for age (% under age 5) 1995 - 2000
Children under height for age (% under age 5) 1995 - 2000
}HDR 2002
}
2
19
45
n.a
23
1
Analysis of Data
1.
Per capita expenditure on health of the 38 countries (Table 1 a)
The total per capita health expenditures including the private and public sector are:
• Less than USD 10 in 14 countries (or 37 percent)
• Between USD 11-20 in 13 countries (or 33 percent)
• Between USD 21-30 in six countries (or 16 percent)
• Between USD 40-60 in three countries
In Gabon & Botswana the total health expenditures are USD 132 and 140 respectively.
2.
Life expectancy at birth (Table 1a)
Comparative data for life expectancies in 33 countries are available for 1993 and 2001. During this period of
eight years the life expectancy has decreased in 23 countries (or in 70 percent). It has increased in 10
countries (or 30 percent).
The life expectancy in 2001 in seven countries (or 21 percent) is below 40 years. In 19 countries (or 60
percent) is between 41-50 years. In the other seven countries it is between 51-60 years. The life expectancies
in the developed countries are in the high 70s.
It is a human tragedy that the life expectancies at birth in a few Sub-Saharan countries are less than half of
those in some developed countries.
3.
Infant mortality rates (IMR) (Table 1b)
Comparative data on IMR is available in 37 countries.
•
•
•
In 3 countries (or 8 percent) the IMR is over 150 yrs
In 19 countries (or 51 percent) the IMR is between 100-150 yrs
In 15 countries (or 41 percent) the IMR is over 50 yrs
The IMRs in developed market economies vary between 5 to 8.
4.
Maternal Mortality Rates (MMR) (Table 1b)
P
Data is available for 26 countries
•
•
•
In 4 countries (or 15 percent) the MMR is over 1000
In 15 countries (58 percent) the MMR is between 500-1000
In 7 countries (or 27 percent) MMR is between 200-500
It has been estimated that 40 percent of an estimated annual world total of 585,000 maternal deaths a year occur in Africa
where only ten percent of the world’s population lives.
In developed market economies the average MMR is about 5-10
1
5.
' Under 5 mortality rates (<5MR) (Table 1b)
Data is available for 37 countries
•
•
•
In one country the <5 MR is over 300
In 7 countries (or 19 percent) the < 5MR is between 200-300
In 28 countries (or 76 percent) the <5 MR is between 100-200.
•
In Gabon it is 90
In developed market economies the average <5 MR is 5-6
6.
People living below the Poverty line
Table 1a presents two poverty lines, national and international poverty lines. National poverty lines are estimated by each
country. The World Bank uses an international poverty line of an income of less than one dollar per person per day.
I wish to refer to my comments on the preliminary draft on the Millennium Development Strategy. I mailed this to
participants of the Task Force on May 28th.
A those comments I presented comparative data on the national and international poverty lines in 18 developing countries.
These comparison showed very wide variations in the two poverty lines. According to that data 65 million people in the 18
developing countries lived below the international poverty line whereas based on the national poverty line about 200 million
were living in poverty.
Table 1 a in this paper shows similar variations between the poverty lines in 25 Sub-Saharan countries. In Zambia, 86
percent of the population lives below the National Poverty Line (NPL). In five countries the percentage of population that
lives below the NPL vary from 61-70. In four the percentage varies from 51-60. In seven the percentage varies from 41-50.
In another 8 counties the percentage varies from 25-40.
7.
Per capita GNP in 1992 & 1999 (Table 1a)
Per capita GNPs in USD for 1992 and 1999 for 28 countries are available. During the seven year period 1992-1999, the per
capita GNP has fallen in 19 counties, risen in seven and remained unchanged in two. During the decade of unprecedented
economic growth globally, Sub-Saharan African economic growth seems to have gone in reverse gear for several countries.
(p
Public health expenditure and debt service (Table 1a)
Data on public expenditure on health and total debt service as a percentage of the GDP is available for 34 countries. In 26
(or 77 percent) countries the payment for debt service is more than on public health, in 14 out of those 26 counties, the
debt service payment is more than double that on public health expenditure; and is another six countries the debt service
payments vary from five to nine times the expenditure on public health.
9.
Physicians per 100,00 population (Table 1b)
Data on the number of physicians per 100,000 population is available for 1993 and for 1990-1999. There has been no
appreciable change in the number of physicians per 100,000 population between the two estimates. About 10 countries
had less than five physicians per 100,000 people and another 10 countries between 6 to 10 physicians per 100,000
population. Only three countries have between 21-25 physicians per 100,000 population. It should be noted that these are
averages for the whole country. But in all these countries, vast majority of the physicians practice in urban areas where
2
minority of the population live. The vast majority of people live in rural areas where there are hardly any physicians. A ratio,
however meaningless it is may be, will be one physician for few million people.
Children under weight for age (percentage of children underage 5) (Table 1b)
10.
Data available in 33 countries. The percentage of children under age five who are underweight for there age is:
• Over 40 percent in five countries
• Between 31-40 in three countries
• Between 21 -30 in 18 countries and
o Between 11-20 In seven countries
Children under height for age (percentage pf chlldrtn under - age 5) (Table 1 b)
11.
Paia is available for 33 countries. The percentage of children under age 5 who are under height for their age is:
•
•
•
•
•
Over 50 in three countries
Between 41 and 50 in nine countries
Between 31 and 40 in nine countries
Between 21 -30 in eight countries and
Between 11-20 in four countries
Mental and physical development in humans occur during the critical period of the first few years In life. This development
is dependent on adequate nutrition, These data shows that considerable sections of African children suffer from the effects
of under nutrition, They will therefore be denied the opportunity of developing their full genetic potentials endowed by their
parents, African countries will be losing valuable human resources for generations to come. This will further aggravate
Africa's social, economic and human development.
3
People’s Health Movement
PHM Secretariat: CHC, # 367, Jakkasandra 1st Main, 1st Block, Koramangala,
Bangalore - 560 034 India.
Tel. 91-80-5128 009 / Telefax: 91-80-552 53 72
E-mail: secretariat@phmovement.org Website: http://www.phmovement.org
To,
Networks
Asian Community Health
Action Network (ACHAN)
Consumers International-
Dr K Balasubramaniam
Advisor and Co-ordinator
Health Action International Asia - Pacific,
(PHM Steering Group Member),
5, Frankfurt Place, Colombo 4, Sri Lanka
Tel: (94 1) 554353
Fax: (94 1) 554570
E-mail: bala@haiap.org
Regional Office for Asia
and the Pacific (CIROAP)
Dag Hammarskjold
Foundation (DHF)
Gonoshasthaya Kendra,
(GK)
Health Action
International (HAI) - Asia-
Date: 17.07.2003
Pacific - HAIAP
International People's
Health Council (IPHC)
Dear Dr. Balasubramaniam,
Third World Network
(TWN)
Women's Global Network
for Reproductive Riqhts
Regions
Central
America,
Mexico
and Canbbean
China
East and Central Africa
Europe
India
Middle
and
North
Africa
North America
Pacific,
Australia
and
East
New Zealand
South Asia (excl. India)
South America
South
East
China)
Southern Africa
Asia
West Africa
(excl
On behalf of the Global Secretariat of the International People’s Health
Movement, we wish to invite you to participate in the activities of the
People’s Health Movement (PHM) around the next National Working Group
Meeting of PHM - India at Bangalore from 25th to 30,h July 2003.
The National Working Group meeting will take place on 26th 127th at Indian
Social Institute, Bangalore.
The PHM review and planning will take place on July 25,h, 28‘h and 29th July
at the PHM Global Secretariat
The People’s Health Movement will assume all the costs and logistic expenses
related to your participation in these events.
We look forward to your participation in these important activities.
Regards,
Past Coordinator
Qasem Chowdhury,
GK, Savar, Bangladesh
Present Coordinator
Dr. Ravi Narayan
Coordinator
People’s Health Movement Secretariat (Global)
Ravi Narayan,
CHC, Bangalore, India
PHM Resource Centre: Gonoshasthaya Kendra, Nayarhat, Dhaka - 1344, Bangladesh
Tel: 880-2-770 83 16, 770 83 35-6; Fax: 880-2-770 83 17; e-mail: gksavar@citechco. net
Secretariat Support Group: Website: Andrew Chetley, UK - chetley.a@healthlink.org uk;
PHM Exchange: Claudio Schuftan, Vietnam- aviva@netnam.vn;
PHM Media: Unnikrishnan, Bangalore (India) -unnikru@yahoo.com
Projects / Finances: Andy Rutherford, UK - arutherford@oneworldaction.org
People’s Health Movement
PHM Secretariat: CHC, # 367, Jakkasandra 1st Main, 1st Block, Koramangala,
Bangalore - 560 034 India. Tel.: 91-80-5128 009 / Telefax: 91-80-552 53 72
E-mail: secretariat@phmovement.org Website: http://www.phmovement.org
To,
Networks
Asian Community Health
Action Network (ACHAN)
Consumers International-
Mrs. Kamala Balasubramaniam,
W/o Dr K Balasubramaniam
Advisor and Co-ordinator
Health Action International Asia - Pacific,
(PHM Steering Group Member),
5, Frankfurt Place, Colombo 4, Sri Lanka
Tel: (94 1) 554353
Fax: (94 1) 554570
E-mail: bala(a)haiap.orq
Regional Office for Asia
and the Pacific (CIROAP)
Dag Hammarskjold
Foundation (DHF)
Gonoshasthaya Kendra,
(GK)
Health Action
International (HAI) - Asia-
Date: 17.07.2003
Pacific - HAIAP
International People’s
Health Council (IPHC)
Dear Mrs. Kamala Balasubramaniam,
Third World Network
(TWN)
Women's Global Network
for Reproductive Riqhts
Regions
Mexico
Central
America,
and Caribbean
China
East and Central Africa
Europe
India
Middle
East
and
Africa
North America
Pacific,
Australia
New Zealand
South Asia (excl. India)
South America
South
East
China)
Southern Africa
Asia
West Africa
North
and
(excl
On behalf of the Global Secretariat of the International People’s Health
Movement, we wish to invite you to participate in the activities of the
People’s Health Movement (PHM) around the next National Working Group
Meeting of PHM - India at Bangalore from 25th to 30,h July 2003.
The National Working Group meeting will take place on 26”’ 127,h at Indian
Social Institute, Bangalore.
The PHM review and planning will take place on July 25,h, 28,h and 29,h July
at the PHM Global Secretariat
The People’s Health Movement will assume all the costs and logistic expenses
related to your participation in these events.
We look forward to your participation in these important activities.
Regards,
Past Coordinator
Qasem Chowdhury,
GK, Savar, Bangladesh
Present Coordinator
Dr. Ravi Narayan
Coordinator
People’s Health Movement Secretariat (Global)
Ravi Narayan,
CHC, Bangalore, India
PHM Resource Centre
Gonoshasthaya Kendra, Nayarhat, Dhaka - 1344, Bangladesh
Tel: 880-2-770 83 16, 770 83 35-6; Fax: 880-2-770 83 17; e-mail: qksavar@citechco. net
Secretariat Support Group: Website: Andrew Chetley, UK - chetley.a@healthlink.org.uk;
PHM Exchange: Claudio Schuftan, Vietnam- aviva@netnam.vn;
PHM Media: Unnikrishnan, Bangalore (India) -unnikru@yahoo.com
Projects / Finances: Andy Rutherford, UK - arutherford@oneworldaction.org
.rm: o3C; cl3C ,«2- 3BSBQKjeS88SS3»sESSE-----
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Health Action International
HAI Asia - Pacific
Level 2, 5, Frankfurt Place,
Colombo 4, Sri Lanka
Tel (94 1) 554353 Fax' (94 1) 554570
Email: hai@haiap.org
Website: www.haiap.org
With Complements
Traditions! Medicines and Public Policy
Concurrent session on
Promoting Traditional Health Practices
Dr.K.Balasubramaniam
Adviser
Consumers International Regional Office for Asia and the Pacific
5-1, Wisma WIM, 7 Jalan Abang Haji Openg, Taman Tun Dr.Ismail,
60000,Kuala Lumpur, Malaysia
Tel: (603) 772 61599
Fax: (603) 772 68599
Email: bala@ciroap.org
The People’s Health Assembly,
December 4-8, 2000
Savar, Bangladesh
Co-ordinated by Asian Community Health Action Network (ACHAN),
Consumers International (Cl), Dag Hammarskjold Foundation (DHF),
Gonoshasthaya Kendra (GK), Health Action International (HAI),
International People’s Health Council (IPHC), Third World Network (TWN);
Women’s Global Network tor Reproductive Rights (WGNRR),
Herbal Medicines & Public Policy
Contents
/Xbstract
A.
Introduction
B.
Public Policy & Policy Options
(a) Public Policy
(b) Policy Options
C.
Integrating traditional and modern medicines in the Caribbean
D.
Research into traditional medicine
(a) Basic Research
(b) Applied Research
Table: Herbal Medicines - A brief summary of present evidence
Annex: People’s Guide to Herbal Medicines & Medicinal Plants
2
■Herbal Medicines & Public PoIicy
A.
Introduction
A major challenge facing the Caribbean Association of Researchers and Herbal Practitioners
(CARAPA) is to transfer and translate the outcomes of its research into public policies and policy
instruments.
1’his challenge is one of the best and most appropriate responses to the theme of the Symposium
“Application of Caribbean herbal products in promoting health and treating disease” because
translating research outcomes into public policies and policy instruments will encourage and
empower the researchers and herbalists to:
■ Ensure the Caribbean people regular access to herbal medicines and traditional practices of
proven safety, efficacy and quality;
■ Convert research to mass use; and
■ Relate research to solutions of health and health related problems.
CARAPA should be congratulated for identifying the following as the major objective of the
symposium, “Educate the Caribbean people about new discoveries and new trends in the further
development of natural medicines from plants”. This paper will explain why this objective will
be an excellent strategy to meet the challenge and translate research outcomes into public policy
and policy instruments and make healthcare for all a reality in the Caribbean.
The paper will first focus on the need for public policy which gives herbal medicines its due place
and national legislation which will provide legal support to public policy.
This will be followed by examination of the following issues identified in the sub-themes:
■ Integrating the herbal practitioner into the healthcare system;
■ Research for new herbal products to promote health and treat diseases; and
■ Validate the safety and efficacy of selected Caribbean herbal products.
B.
Public Policy and Policy Options
(a)
Public Policy
In 1978 the World Health Organization (WHO), the United Nations Children Fund (UNICEF)
and the world community identified herbal medicines as one of the most important resources
which should be mobilised. It was proposed that traditional medicine (TM) should be integrated
into primary healthcare (PHC). These offer the best means available for achieving the goal of
health for all in the year 2000.1 We are now in the year 2000. Not only are we nowhere near the
goal but seem to have gone into reverse gear. There is such a widening of inequalities between
the rich and the poor in health in the world that the latest World Health Report identifies the
following as the first and foremost challenge: “There is a need to reduce greatly the burden of
excess mortality and morbidity suffered by the poor.” 2 Why is there excess morbidity and
1 WHO & UNICEF, Primary Health Care; Report of the International Conference on Primary Health Care Alma-Ata,
USSR, 6-12 September 1978, World Health Organization, 1978.
2 Making a Difference - The World Health Report, 1999, p.ix. WHO, Geneva.
Herbal Medicines & Public Policy
mortality among the poor? Why has the primary health strategy (PHC) failed? It failed simply
because no country implemented the PHC strategy. Since the Alma-Ata Declaration of 1978, no
country has given a place for herbal medicines and traditional systems of medicine in their public
policies nor integrated traditional medicine (TM) into primary healthcare. China (1949) and
Vietnam (1961/had done these before the Alma Ata Declaration.
According to the WHO, in 1978 eighty per cent of the world’s population depended on traditional
systems of medicine and herbal remedies for their healthcare needs.*45 We have, therefore, a global
situation where 80 per cent of the world’s population are served by a healthcare system that is not
given a place in public policy. Without an officially stated public policy and adequate legislative
support, there can be no development of traditional systems of medicine. Formulation and
implementation of public policies on traditional medicines and integration of these with PHC are
controlled by health professionals trained in modern medicine who have no knowledge of
traditional system and view it as “unscientific and very much inferior to modern medicine”.
These are the reasons for the non-development of traditional systems of medicine. The following
examples illustrate the very low profile given to traditional medicine at national, regional or
global levels.
(i)
In 1985, the Indian Government published a “Manual for Practitioners of Indian Systems
of Medicine & Homeopathy”. The aim was to explain and describe the involvement of
traditional practitioners in family welfare and PHC.
The entire manual does not contain a single sentence where the traditional practitioner is
required to use or draw upon her/his training and experience. The manual treats the
traditional practitioner as an unskilled worker whose only task is to refer the patient to a
modern health worker or health centre for “proper investigation, diagnosis and treatment”3
(ii)
The South-East Asian region of WHO (SEARO) consists of 10 countries including India,
with about 1.5 billion people, a quarter of the world population and accounts for half of
the world poor. In 1993, SEARO published the second evaluation of the global strategy
for Health for All by the year 2000. There was no reference to traditional medicine in the
case studies of eight countries. A very brief mention was given in the reports from
Mongolia and Myanmar.6
(iii)
In his preface to the World Health Report 1995, “Bridging the Gap”, the Director General
outlines the panorama of human tragedy and suffering; more than one billion people live
in poverty; vast numbers are living, suffering and dying for want of basic health services.
“Poverty is the world’s deadliest diseases,” he concluded. However in this 118 page
report, all that was written about traditional medicine was mentioned in only three
sentences as follows:
’ Regulatory Situation of Herbal Medicines: A Worldwide Review, World Health Organization, Geneva, 1998.
4 WHO & UNICEF, Primary Health Care, op. cit.
5 Balasubramaniam A.V., “Indigenous Systems of Healthcare”, Health for (he Millions, Vol. Ill, NO. 3, June 1987.
6 Anon, Implementation of the Global Strategy for Health for All by the year 2000. Second evaluation, Eighth Report
on the World Health Situation. Volume 4. South-East Asia Region, WHO Regional Office for Asia, New Delhi.
1993.
4
Herbal Medicines & Public Policy
‘‘People’s Guide to Herbal Medicines & Medicinal Plants”, presented to the 2nd International
Workshop on Herbal Medicines in the Caribbean, St. Croix, US Virgin Islands, June 14-16, 1999
is given in annex 1.
(b)
Policy options
The objectives ot a national health policy on traditional medicines will include the following:
(i)
(ii)
(iii)
(iv)
(v)
(vi)
Provide legal recognition of TM;
Mobilise herbal medicines for the attainment of healthcare for all;
Ensure the safety, efficacy and quality of herbal medicines in the market;
Ensure the availability and accessibility of herbal medicines at affordable prices to all
those who need them;
Provide objective information to consumers on herbal medicines marketed in a country;
Control and regulate the manufacture, sales, prescribing and dispensing of herbal
medicines.
In order to identify appropriate policy options, it will be necessary to examine the pattern of
utilisation of herbal medicines in developing countries. Although not a component of national
health policy in developing countries (except China and Vietnam7), traditional knowledge and
systems of medicine currently serve the healthcare needs of the vast majority of the population in
the Third World. The WHO has again reiterated after 15 years that 80 per cent of the world’s
population rely chiefly on traditional medicines, mainly herbal medicines, for their primary
healthcare needs.8 It is difficult to substantiate this numerical value precisely. However, policy
makers need to know the patterns of utilisation of TM. There are three common patterns of
utilisation:
■ Exclusive use of TM;
■ Use of both TM and modem medicine (MM);
■ Obtaining healthcare from traditional practitioners who prescribe and dispense modern
pharmaceuticals.
Exclusive use of TM
A major policy objective of every government is to make modern healthcare available to the
whole population. Although the majority of developing countries have not been able to achieve
100 per cent coverage, all countries do have Western-type model of healthcare services extending
from the capital city to the periphery with some form of referral system, particularly for acute
medical, obstetric and surgical emergencies. It can therefore be argued that no one uses TM
exclusively. On the other hand, there is some limited data published by the WHO on the role of
TM in PHC in poor countries.9
7 Regulatory Situation of Herbal Medicines: A Worldwide Review, WHO/TRM/98.1, Dr Xiaorui Zhang, Traditional
Medicine Programme, WHO, Geneva.
M Akerele, O. Nature’s medicinal bounty: don’t throw it away. World Health Forum, 1993; 14: 390-393.
9 Xiaorui Zhang - “WHO Policy and Its Role in the Field of Traditional Medicine”, presented at African Forum on
the Role of Traditional Medicine in Health Systems, Harare, Zimbabwe, 16-18 February 2000.
6
I lerbal Medicines & Public Policy
(i)
Action taken on reported illnesses for children in Ghana was as follows:
■ No treatment given - 57 per cent;
■ Home-based treatment - 1 1 per cent;
■ Visit community-health centre - 32 per cent
(ii)
In Ghana, Mali, Nigeria and Zambia, 60 per cent of children with fever are treated with
herbal medicines at home.
(iii)
In Ghana and Zambia the ratio of Western style Medical Doctors to total population is
1:20,000; traditional practitioners to total population is 1:200. In Swaziland the ratios are
1:10,000 and 1:100 respectively.
Use of both TM and MM
<♦ Selective use of TM or MM at any one time; and
<• Simultaneous use of both TM and MM at the same time.
Selective use ofTM or MM at any one time
Very often patients seem to select a particular type of practitioner. For acute medical, surgical
emergencies, they go to the modern practitioner; for chronic illnesses such as arthritis they prefer
TM.
Simultaneous use ofTM
Simultaneous use of TM and MM is common in both developed and developing countries. In an
emergency department in New York, 22 per cent of the patients reported that they used herbal
medicines.10
Similar studies have not been carried out in developing countries. However, there is ample
anecdotal evidence of simultaneous use. People do not consider TM in the form of watery
infusions of medicinal plants or herbal remedies in the form of powders and pills as drugs.
Therefore when the modern practitioner asks for drug history, they may not mention even if they
take TM. It is, therefore, important for clinicians to document use of herbal medicines as part of a
patient’s drug profile to prevent adverse drug interactions. The general public should also be
made aware of the possible dangers of taking TM and MM at the same time.
Modern medicines prescribed by traditional medical practitioners
This practice is common in developing countries. A study was done in Sri Lanka in the late
1970s to study the prescribing practices of the following medical practitioners:
1.
Modern (Western-styled) practitioners;
10 Hung O.L. Shih RD, Chiang WK, Nelson LS, Hoffman RS, Goldfrank RS, Goldfrank LR, Herbal preparation use
among emergency department patients. Academic Emergency Medicine, 1997; 4.209-213.
7
Herbal Medicines & Public Policy
2.
3.
Traditional practitioners trained in recognised ayurvedic institutions and registered by the
government; and
Traditional practitioners without any Formal training and not registered by the government.
1 hree simulated young adult patients were trained to present the following conditions:
%• Acute upper respiratory tract viral infection;
v Diarrhoea; and
<* Lower backache.
The study was conducted in selected urban areas. Analysis of the results revealed that the
prescribing practices of the three groups were identical. Almost the same drugs were prescribed
irrespective of their training. For example, acute upper respiratory tract viral infection was treated
by all three types of practitioners with a combination of the following: antibacterials (tetracycline
or penicillin) analgesics (aspirin, paracetamol orNSAIDS), antihistamines and cough
suppressants.”
There is evidence that traditional practitioners prescribe modern pharmaceuticals in other
developing countries as shown below. Why do they prescribe modern drugs?
Skillful and unethical promotion of modern pharmaceuticals by the private drug industry has
created a demand for them. When modern medical facilities are not accessible or affordable,
entrepreneurs will enter to fill the gap in the market and meet the increasing demand for modem
pharmaceuticals.
Traditions do not exist in a vacuum and remain isolated. Increasing literacy, access to radio,
television and newspapers and promotion of pharmaceuticals have not left traditional practitioners
both trained and the untrained “quacks” untouched. Wherever national regulatory controls are
absent or not enforced, some traditional practitioners have adopted modern pharmaceuticals in
their therapeutic practice. Some of them will use it exclusively as shown above in the
unpublished study from Sri Lanka. Others use TM and modem pharmaceuticals selectively. A
number of studies have confirmed that traditional practitioners in Sri Lanka prescribe modem*
Bibile SW &. Balasubramaniam K (1977). Unpublished document.
Herbal Medicines & Public Policy
pharmaceuticals.
1314
12
11 The same practice has been reported in Bangladesh, 15 India,16 17*IH
Africa19 and Central America.20
An understanding of the pattern of utilisation of TM in developing countries will enable policy
makers to formulate appropriate public policy on TM and develop strategies for integrating TM
and herbalists into the national healthcare system.
C.
Integrating traditional and modern medicine - the global scene
The pattern of utilisation ofTM reveals that the generally accepted concept of modern healthcare
in urban areas and traditional healthcare in rural areas does not exist. Rural areas do have some
facilities for providing modern healthcare; urban areas are very well served by herbalists and
traditional practitioners. However except China and Vietnam no other country has clarified its
public policy on integrating the two systems of healthcare, for example, it is not clear in most
countries whether the two systems are:
■ complementary to each other?
■ TM is supplementary and subordinate to MM? or
■ Mutually supportive or co-operate with each other?
The pattern of drug utilisation clearly reveals that there are some forms of uncontrolled
integration of the two systems in most countries. Some of them are harmful to the community.
Integrating TM and MM in the correct way to strengthen the national health services, to use the
resources available in a country and to make healthcare for all a reality can be carried out as
follows:
■ Providing separate facilities to enable consumers to select either of the two systems; or
■ Institutional integration through the national health service;
■ Adequately training health workers to provide either of the two services; and
■ Facilitating cross-reference between the two services.
12 Wolffers 1., Changing traditions in healthcare - Sri Lanka, Thesis, Leiden 1987.
Wolffers L, Traditional practitioners and western pharmaceuticals in Sri Lanka. In “The context of medicines in
developing countries”. Edited by van der Geest S and Whyte SR Kluwer Academic Publishers, Dordecht 1988, 4756.
14 Waxier NE., Behavioral Convergence and Institutional Separation: An analysis of plural medicine in Sri Lanka.
Cult Med. Psych 8; 1984: 187-205.
15 Sarder AM and Chen LC., Distribution and characteristics of non-governmental health practitioners in a rural area
in Bangladesh. Soc Sci Med 15A; 1981: 543-50.
16 Neumann AK., Bhatia JC., Andrews and Murphy, Role of Indigenous medicine practitioners of India: Report of a
study. Soc Sci med 5; 1971: 137-49.
17 Bhatia JC, Dharain vir, Timmappaya A and Chulani CS., Soc Sci Med 9; 1975: 15-21.
IX Takula M.S.. Parker R.L. and Srivinas M.A.K., Orienting physicians to working with rural medical practitioners.
Soc Sci Med I I; 1977: 251-6.
19 Good CM, Hunter JM. Katz Selig 11 and Katz SS., The interface of dual systems of health care in the developing
world: Toward health policy initiatives in Africa. Soc Sci Med 13D; 1979: 141-54.
20 Ferguson AE. Commercial pharmaceutical medicine and medicalisation: A case study from El Salvador. Cult Med
Psych 5; 1981: 105-34.
9
Ilcib.il Medicines
Public Policy
At present almost all countries, except China and Vietnam have allowed the two systems to exist
side by side in (wo different forms as follows:"1
■
■
■
'I here arc two countries which have restrictive legislation making d'M illegal and only modern
scientific medicine is recognised;
Toleration, non-interference, informal recognition, a laissez-faire approach. The traditional
services are almost all in the private sector. There is no official policy on training
practitioners of TM. There arc regulations to prevent abuse and harm to consumers.
Countries in South East and East Asia, some countries in Africa and Latin America have this
system.
Formal recognition, licensing, registration, official policy on training. India, Nepal and Sri
Lanka have this system. The systems operate in parallel, in the public and private sectors and
quite independent of each other.
These two systems in developing countries including the Caribbean will not allow for the
integration of TM in health systems as described in all World Health Assembly resolutions
relative to the integration of the two systems. A framework for the integration of the two systems
was developed and described recently.
China is a country where there is successful integration of TM and MM. This is possible because
of the political will which supports integration. The constitution of the People’s Republic of
China stipulates that modern and traditional systems of medicine should be developed
simultaneously. The Drug Administration Law (DAL) of the People’s Republic of China was
enacted in September 20th, 1984. Article 3 states “The State encourages the development of both
modern and traditional drugs, the role of which in the prevention and treatment of diseases as well
as in healthcare will be fully brought into play. The state protects the resources of wild herbal
drugs and encourages domestic cultivation of herbal drugs.”23
Chinese traditional medicine in both its theoretical and practical aspects is undergoing a process
of applying modern scientific methods, and is developing a new integration with Western
medicine. Researchers in TM are trained in subjects such as anatomy, physiology, biochemistry,
pathology, physical diagnosis, laboratory diagnosis, microbiology, immunology, radiology and
molecular biology, as well as in the use of modern scientific techniques such as
electromicroscopy and chromatography. The clinical and scientific attainment of integrated
medicine have convincingly demonstrated that this is an appropriate orientation for the
development of China’s traditional medicine. This does not mean that TM has suddenly lost its
vitality; it has always had a high capacity for adaptation and absorption of new stimuli.2'’
:I David R. Phillips, Health & Healthcare in the Third World, Longman Scientific and Technical, Co-published by
John Wiley & Sons Inc. New York, 1990. p.88.
’‘Framework lor the integration of Traditional Medicine in Health System” in African Forum on the Role of
Traditional Medicine in Health Systems, op Cit.
’’ Drug Administration Law of the People's Republic of China. 20 Sept 1984.
Cai Jingfeng (1988), “Integration of traditional Chinese medicine with Western medicine - right or wrong?" Social
Science A- Medicine. 27(5): 52 I -9.
10
Herbal Medicines & Public Policy
D.
Integrating traditional and modern medicines in the Caribbean
Public policy in the Caribbean countries as stated earlier, will not allow.for integration as outlined
in the WHO resolutions and described in the framework described recently.
The Chinese model cannot be adopted in the Caribbean due to differences in the political ideology
and economic planning between China and the Caribbean.
The Caribbean region has to chart its own course towards integration. This symposium offers a
suitable platform for brainstorming sessions. Several questions need to be discussed and
answered in order to develop guidelines for integrating traditional medicine into national health
systems. The questions that need to be posed include the following:
••• Does primary healthcare (PHC) provide the optimum environment for integrating TM into the
national health system?
What has TM to offer to PHC?
What has PHC to offer to TM?
*** What does integration offer to the people?
v What are the roles of the different stakeholders who will be involved? They include the
following:
n The traditional healer;
■ Modern health professionals (clinicians, pharmacists, nurses, etc.);
■ Government policy makers;
■ Research scientists;
■ The general public;
■ Manufacturers of herbal medicine; and
■ Legal advisors from the Attorney-General’s department.
Having given TM a due place in public policy, what type of integration does a country want?
■
■
One type which allows the two systems to exist side by side and operate independently of
each other; or
A system which integrates TM and PHC as one unit by providing the necessary biomedical
skills to traditional healers and training modern (Western-type) practitioners in traditional
medicine. Will this produce a new integrated primary health worker?
When the type and form of integration is agreed upon, appropriate public policy needs to be
formulated to develop mechanisms permitting the recognition of TM by the government, for
better partnership between practitioners of traditional and modern systems of medicine to enable
the proposed integration to proceed smoothly and successfully.
The state must define an appropriate legal framework to support the public policy.
Legislation must also be enacted to control and regulate the manufacture, sales, prescribing and
dispensing of TM. Legislative control of modern pharmaceuticals in both developed and
developing countries have evolved around a structured control model. On the other hand, there is
11
Herbal Medicines & Public Policy e
no structured model for TM and countries have adopted different national legislations. Caribbean
Community Member Stales may wish to use the WHO guidelines and enact uniform legislation.
With public policy and legislative support in place, the State in collaboration with all stakeholders
must elaborate and implement a plan of action. One of the important components of the action
plan will be research into TM.
E.
Research into traditional medicine
?\ major problem related io research into TM is the fact that at present research is carried out
independently by two groups:
(i)
(ii)
Traditional practitioners very knowledgeable in herbal medicines but with no training in
scientific methodology; and
Research scientists with little or no knowledge of TM. In this context Mume writes:
“Very few have studied our beliefs for even a few days and then felt competent to know
all about the subject of traditional medicine and to interpret and make known that which
takes our cleverest doctor of native medicine a lifetime to discover/2*
These two groups of researchers should be brought together as a team to plan and carry out
combined research.
The Caribbean Association of Researchers and Herbal Practitioners is such a team and can
therefore undertake both fundamental basic and applied research.
Basic Research
There is a need for therapeutic research to find new drugs to fight emerging diseases such as
AIDS as well as overcoming resistance to current treatments for cancer, malaria and bacterial
infections. Researchers are following several leads including gene therapy, drug design and tailor
made drugs. Knowing the shape and characteristics of the biological “lock”, scientists use
computers to design the molecular “key” to fit the lock and trigger a mechanism which results in a
cure. This may be beyond the capacity of Caribbean research scientists. But they have a better
alternative. They have at their disposal in the region an enormous number of new chemical
molecules waiting to be discovered, identified and their structure elucidated. These may show the
lead for useful therapeutic substances.
These are the molecules found in the wealth of plants in the Caribbean, the result of over four
billion years of evolutionary development. It is relevant to note that the original wonder drug, the
antibiotic penicillin was isolated from a naturally occurring fungus. One of the latest immuno
suppressant cyclosporin was also isolated from a naturally occurring mushroom in Norway.
Recently research scientists have isolated a new chemical component in a Congo mushroom, that
acts like insulin. This lead may give rise to a new drug for the treatment of diabetes.23
23 Mume, J.O.. Mow I acquired the knowledge of traditional medicine, Conch, Vol. Viii, Nos. I&2. Edited by Single
P, Traditional healing: new science or new colonialism, 1976, 136-157.
12
Herbal Medicines & Public Policy
I able: I Icrbn! Medicines ~ A brief summary of present evidence
Common Name
Traditional use
Botanical Name
Chamomile, German
('hamomilia recutita
RCT
Result as
compared to
placebo
0
1
=
1
=
Tonic
Mouthwash, oral
mucositis
Adverse
Effects
Allergy
Devils Claw
Antirheumatic
(Low back pain)
Immune stimulant
(upper respiratory
infections)
Atopic Dermatitis
Rheumatoid arthritis
Psoriatic arthritis
Premenstrual syndrome
Menopausal Flushing
Obesity
Ulcerative colitis
I lypcraclivity
Raynaud’s syndrome
Sjogren’s syndrome
Psoriasis
Migraine
Rheumatoid Arthritis
BP Lowering
Cholesterol lowering
Seasickness
Hypcrcmcsis
gravidarum
Post op N/V
Dementia progression
Tinnitus
Ex c re i sc pe r lb rn i a nce
Korean Ginseng (Gl 15)
Exerc ise pcrfo rniance
2
Panax Ginteny
Psychomotor
)erformance
■'hi Vaccine Inimun.
<csp.
I
=
1
a
/ larpagophytum
procumbent
Echinacea
Echinacea purpurea
Evening Primrose
Oenothera biennis
Feverfew
Tanacetum parthenium
Garlic
Allium sativum
Ginger
7. i)lyiber oJJicinale
EGb76l
Ginkgo bilob a
American Ginseng
2
7
5
3
1
2
1
1
1
2
1
1
2
2
1
7
17
1
1
2a, 3 =
3
5
2
I
2a, 1 =
a
la, 1 =
=
7
=
=
=
=
=
=
=
=
=
a
=
Allergy
7
7
=
a
Bleeding
P. quinquefolium
14
Herbal Medicines
Siberian (iinseng
Antidepressant
1
=
Hypericum perforatum
Antidepressant
2
a
Saw Palmetto
(Pemixon)
Pioslatic hyperplasia
2
a
Atopic eczema
1
a
Public Policy
Lleutherococcus
senficossus
Saint John’s Wort
Skin photo
sensitivity
Serenoa repens
Zeinaphyle
Liver Toxicity
Ten Herbs
a bene lit as compared to placebo.
= same as compared to placebo.
? - reported benefit unlikely (due to design or analytical Haw).
Source: Herbal A ledicines: /In Evidence Based Look. Therapeutics letter, Issue 25, June-July
1998.
http://www.ti.ubc.ca/pagcs/letter25.htm
15
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1. WHY ALMA ATA ANNIVERSARY
Ravi Narayan
<secretariat@phmovement.org>
1.
The International Conference on Primary Health Care, co-sponsored by WHO and
UNICEF, was held in Alma Ata (USSR) from 6th to 12th September 1978. The
Declaration of Alma Ata, finalized on 12th September 1978, was a very radical
contribution to a new social paradigm of health care. This year we commemorate the 25th
Anniversary of this momentous declaration.
2.
The post Alma Ata years have witnessed a wide range of interesting health initiatives.
Starting with Primary Health Care Strategies at the Global and country levels, there were
other supportive initiatives such as Essential Drugs strategy and the code for Marketing
Breast Milk substitutes. Soon the comprehensive strategies were replaced by more
selective vertical programmes starting with the expanded programme of immunization
and international initiatives like GOBI-FFF, safe motherhood, to more recent ones like
RBM and TFI. More recently, another generation of initiatives have evolved including
GAVI, MMV, Global fund for AIDS, TB, Malaria and others.
3.
The Alma Ata Declaration in 1978 and the Peoples Health Charter, which was a re
endorsement of the Alma Ata principles, at the first Global People’s Health Assembly in
December 2000 should be used as the framework for analysis to look at the present
situation and all the new generation of health initiatives. With the changing visions and
roles of international health agencies like WHO and UNICEF who were co-sponsors of
the Alma Ata meeting; the growing development of World Bank as a key health player;
the effects of neo-liberal economic policies of liberalization, Globalization and
privatization; and evolving international instruments of governance like WTO, IPR,
GATT , the whole primary health care context has been distorted. Our analysis must be ,
therefore, both historical and contextual.
4.
The changing leadership of WHO and UNICEF over the years including the change in
WHO in 2003 must be added to the analysis and this Anniversary opportunity should also
be used to discuss the type of International health leadership we have, and what we need.
5.
With the evolution of the People’s Health Movement and the increasing health concerns
in the World Social Forum, this is also an important year to reflect on how PHM, WSF
and other such international initiatives can strengthen the struggle for Health for All.
While it sometimes easier in our analysis to focus on WHO/UNICEF/World Bank and
national governments - we should also critically evaluate the NGO-civil/society efforts in
the last 25 years. We also need to take the responsibility for not becoming an adequate
countervailing power to this neo-liberal distortion in the Health For All goals.
6.
The People’s Health Movement evolving at different levels may be the beginning of a
new phase, a new collective commitment. Our reflections in 2003 must lead to
sustainable mechanisms of functioning so that the momentum continues and gets deeply,
socially rooted.
7.
The biggest challenge for all of us in the People’s Health Movement is to ensure that the
PH Charter does not go the same way as the Alma Ata declaration - forgotten, distorted,
selectivised, verticalised, commercialized and ignored. PHM was meant to be a global
challenge to this global amnesia. We need to evolve a different strategy, this time and use
2003 as a launching pad for it. As we celebrate the Alma Ata Anniversary’ let us also
celebrate the evolution of the People’s Charter for Healthy two documents that support
the struggle for Health for All, Now.
&&&
C \WlNDOWS\TEMP\The Alma Ala Anniversary Pack.doc
to
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nvou
7
Page 2 of 49
Page 1 of 2
PHM Secretariat
From:
To:
Sent:
Subject:
PHM Secretariat <phmsec@touchtelindia.net>
Bala <bala@haiap.org>
Thursday, September 18, 2003 3:22 PM
Re: Cl World Congress etc.
Dear Bala,
Greetings from PHM Secretariat (Global)!
I re-read your letter about Cl World Congress. Even if they are pre-occupied with middle class concerns, we
need to make a PHM breakthrough and rope them in. So if there’s some Cl multi-regional and planning
meeting, sometime in the near future. I don’t mind taking a bash at provoking / inspiring them to join forces
with PHM in their regions, so that they could at least be part of new linkages in the regions. But then I need to
invited to meet them! I am sure you and Carmelite will do your best at this congress. I wonder whether
re are others with PHM linkages, who are attending. Perhaps you all could reflect on a strategy that we
could evolve cautiously and carefully. One way is for people like you and others to share with non-CI
networks like us what are Cl’s concerns and priorities. Are any of them coming to WSF? We could build in a
Cl workshop into the health forum with regional participation. Kevin Moody was friendly, but I was a bit pre
occupied in Geneva. Samuel Ochieng / CIN in Kenya has been active in PHM Kenya.
t
We have to evolve a strategy. Keep thinking and lets continue the dialogue.
Best wishes,
Ravi Narayan
P.S: Now that the Iran meeting dates are changed is there any chance of you being a key PHM resource
person? No pressure just wishful thinking. You are also going to be shown as a member of the organizing
group for the International Health Forum at Mumbai. Just respond as you feel to give it both direction and
some provocation. After the Mumbai meeting, recently is has moved in a very positive direction
Ravi Narayan
Coordinator, People’s Health Movement Secretariat(global)
CHC-Bangalore
#367 "Srinivasa Nilaya"
Jakkasandra 1st Main, I Block Koramangala
Bangalore-560034
Join the "Health for all, NOW" campaign in the 25th anniversary year of the Alma Ata
declaration visit www. TheMillionSignatureCampaign. org
p
— Original Message
From: Bala
To: Ravi Narayan ; PHM Secretariat
Cc: Prem Chandran John
Sent: Thursday, August 28, 2003 3:15 PM
Subject: Cl World Congress etc.
Dear Ravi,
9/18/03
Pfiee I of 1
CHC
From:
To:
Sent:
Subject:
bala <bata@haiap.org>
Ravi Narayan <sochara@vsnl.com>
Wednesday, September 24, 2003 10:37 AM
Thank You
Dear Mr Narayan,
is to acknowledge the receipt of payment for Dr Bala’s airfare to attend the Bangalore meeting.
i hank you and best wishes,
Dilhani
Dilhani Kama'aneson
Senior Secretary and Office Administrator
Heaith Action International Asia - Pacific
5, Level 2, Frankfurt Place
Colombo 4
Tel: + (94 1) 2554353
Fax: -r (94 1) 2554570
PGS’
Pne-*. 1
9
PHM Secretarial
From:
To:
Cc:
Sent:
Subject:
PHM Secretariat <phmsec@touchtelindia.net>
bala <bala@haiap.org>
Carmelita C. Canila, M.D. <carmelita@ciroap.org>; Samuel Oching <cin@insightkenya.com>
Wednesday: September 24, 2003 1:44 PM
Re: Cl World Congress Etc.
Dear Bala,
Greetings from PHM Secretariat (Global)!
I looked through the papers you sent me of the Cl Congress and discovered various workshops and
sessions, where C! and PHM could find resonance in interests and focus, even if Primary Health Care is not
included as such. The People's Charter for Health mentiones drugs, IPR, TRIPS, GATS, WTO, Food Saftey
and other issues - so many connections are possible. Middle class interests or not, I do feel CI-HAI and PHM
should explore stronger linkages, inspite of different histories and perceptions of people's interests.
I am sure you, Carmelita, Samuel Oching, IBFAN and the Anti-Tobacco activists (FCTC activists) can make
the links stronger and try for some joint activity at the Health Forum before WSF and at WSF also worth a try.
More details of these events soon.
pHr1~
All the best in your efforts,
------------ c r ~~*
Ravi Narayan
Coordinator, People's Health Movement Secretariat(global)
CHC-Bangalore
r^?67 "Srinivasa Nilaya"
^kkasandra 1st Main. I Block Koramangala
Bangalore-560034
Join the "Health for all, NOW" campaign in the 25th anniversary year of the Alma Ala
declaration visit vvwvv.TheMillionSignatureCampaign.org
— Original Message —
From: bala
To: PHM Secretariat; Ravi Narayan
Sent: Friday, September 19, 2003 10:26 AM
Subject Cl World Congress Etc.
Dear Ravi,
Thanks for your message. I certainly agree that PHM should make a break through into Cl. One way in my
opinion is in the first instance establish contact with Cl Members in India. Some of them are very powerful
in Cl and one is a member of the executive council. I shall get the contact details of Cl Indian members
while in Lisbon and mail them to you to follow up.
The agenda of the Cl World Congress is attached. Please go through it. There is no reference at all to
health leave alone primary health care. One single workshop will look for effective consumer protection In
Health Sector Reform.
I will be associated with the section, "Other meetings and Workshop". These are:
1.
2.
Drug Pricing - Health Action International and WHO Project
Intellectual Procertv System and WIPO Patent Agenda Organized by Transatlantic Consumer
Prroe. i nf 1
PHM Secretariat
From:
To:
Sent:
Attach:
Subject:
bala <bala@haiap.org>
PHM Secretariat <phmsec@touchtelindia.net>; Ravi Narayan <sochara@vsnl.com>
Friday, September 19, 2003 10:26 AM
Doc841.doc
Cl World Congress Etc
Dear Ravi,
Oknks for your message. I certainly agree that PHM should make a break through into Cl. One way in my
opinion is in the first instance establish contact with Cl Members in India. Some of them are very powerful in
Cl and one is a member of the executive council. I shall get the contact details of Cl Indian members while in
Lisbon and mail them to you to follow up.
The agenda of the Cl World Congress is attached. Please go through it. There is no reference at all to
health leave alone primary health care. One single workshop will look for effective consumer protection in
Health Sector Reform.
I will be associated with the section, "Other meetings and Workshop". These are:
1.
2.
Drug Pricing - Health Action International and WHO Project
Intellectual Property System and WIPO Patent Agenda Organized by Transatlantic Consumer
Dialogue
Examining the agenda, you will understand my message and concerns. However, it will be good if you
contact Indian members and initiate a dialogue.
^identally Kevin Moody is a Co-Director of HAI Europe and not associated with Cl.
I am also not any more with Cl. Please write to Carmelita. She is a member of CIROAP and there is a
possibility that she will be able to help PHM. I shall certainly assist her in any way I can in Lisbon . I regret I
cannot make to Iran.
Thanks and best wishes,
Bala
Dr K Balasubramaniam
Advisor and Co-ordinator
Health Action International Asia - Pacific
5, Level 2, Frankfurt Place
Colombo 4
Tel: + (94 1) 2554353
Fax: + (94 1) 2554570
E-mail: bala@haiap.org
ip/a
9/19/03
Consumers International 17th World Congress
Lisbon, 13-17 October 2003
The Future of Consumer Protection
Latest Programme (August 15th)
The general theme of Congress 2003 is the future of consumer protection in the 21st
century National consumer organisations have fought for the rights of ordinary
people for decades, and we have now matured into an international movement that
speaks in the global debates of our time. What important lessons have we learned
about the best ways to protect consumers? How many of those lessonswill continue
to be relevant as the world changes?
Cl members have a huge amount of experience of the different tools for securing
consumer protection, ranging from information for consumers to make their own
choices through to laws to enforce their rights, from product standards through to
competition policy, and from local regulations on street trading through to
international agreements on trade and sustainability.
But now we face new challenges. We are witnessing the growth of the information
economy, e-commerce and cross-border retailing, and the impact of global trade
regulation is steadily increasing. We have also been witnessing the retreat of strong
government and the reinforcement of the economic power and political influence of
corporations.
New approaches to consumer protection may be necessary. It is time to take stock
and ask what has worked best for consumers in the past, what works now and what
will work in the future.
PLENARY SESSIONS
OPENING PLENARY: The future of consumer protection
Leading international keynote speakers will address the overall theme of Congress,
looking at the prospects for improving and extending consumer protection, and in
particular examining the relationship between international developments and the
frameworks for enforcing consumer rights within countries.
PLENARY 1: Consumer protection and democratic governance
As political systems develop, laws for consumer protection grow up within them, and
so do the regimes for enforcement. Policies on competition, pricing, subsidy and
trade are also made within the context of national politics, but with increasing
consideration given to the demands of international politics. How has consumer
protection been affected by the differing political conditions in which is has to
develop? What are the impacts of the many problems of governance, such as lack of
democratic institutions, corruption, and simple lack of resources? How have
independent consumer organisations dealt with these problems, and what has been
the effect on their campaigning and attempts to represent consumers?
PLENARY 2: The future for the consumer movement
The Congress as a whole will be taking stock of our progress in the 20th century and
considering the prospects for the 21st. In this session leading figures from the
at 31 July 2003
consumer world will focus on how our organisations and campaigns will meet the
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new roles? How will the battle for consumer rights develop in a global market? What
are the best approaches to co-operation with other NGOs? How will our
organisations sustain themselves? This session will be about our vision - or visions for the consumer movement
WORKSHOPS
At this World Congress many of the workshops will be based on Cl’s global and
regional programmes. These sessions will be organised by our regional offices some will be traditional workshops based on opening presentations followed by
participant discussions, while others will be briefings based mainly on presentations
to give participants as much information as possible.
Workshops on trade and international! forums
T1
Decision making in the global market
This briefing session will introduce the work of the Decision Making in the
Global Market programme to Cl’s member organisations. It will further
participants' understanding of the functions, organisational structure and
decision-making processes within the WTO, ISO and Codex, and discuss the
relationship between civil society, such as consumer organisations, and
international organisations. Presentation plus member experiences then
expert panel question and answer session
Speakers
Dr Daniele Gerundino (ISO)
Dr Claude Mosha (Codex) (invited)
WTO representative (invited)
Bruce Farquhar (Cl consultant) (invited)
Mark Ritchie (IATP), Rhoda Kartpatkin (Consumers Union)
Dr Taimoon Stewart (University West Indies)
Dr Jim Mathis (or representative) University of Amsterdam (invited)
Milos Barutciski (Partner- Davies Ward Phillips and Vineberg)
T2
The multilateral trading system and consumers: from Doha to Cancun
and beyond
A briefing session to provide an overview of the ideologies, issues and
institutions that shape the multilateral trading system and their impacton
consumers. The focus will be on the current Doha round of trade negotiations
being carried out within the World Trade Organization. This session will
discuss the recent WTO Cancun Ministerial, place the Doha round within the
global economy, and debate what Cl and its members can do to make global
trade rules work better for consumers. Presentations, reports from Cancun
plus a workshop with trade experts.
Speakers
Allan Asher, Energy Watch, UK
Carmelita Canila, Consumers International Regional Office for Asia Pacific
Nessie Golakai, Consumers International Regional Office for Africa
Jill Johnstone, National Consumer Council, UK
Mark Ritchie, Institute for Agriculture and Trade Policy, US
Kimberley Ann Elliot, Institute for International Economics and Center for
Global Development, USA
at 31 July 2003
Bernard Kuiten, World Trade Organisaton
Jean-Marie Metzger, OECD (invited)
f\arn&i Maffiuoa, uNuT' [fi'iviiw;
Rhoda Karpatkin, Consumers Union. USA
T3
Competition policy and law in the consumer interest
The key objective of the workshop is to provide an overview of the
implementation of domestic or national competition policy and law. It will
explore the difference between competition and competitiveness and the
connections between competition policy and consumer protection. Speakers
will discuss how development concerns can be taken on board, and will look
at the challenges of enforcement and building a 'competition culture’. Expert
speakers, review of available campaigning resources, and discussion.
Speakers
George K Lipimile. Executive Director, Zambia Competition Commission
(invited)
Philiipe Brusick, Head, Competition & Consumer Policies Branch, Division on
International Trade in Goods and Services & Commodities, UNCTAD)
(invited)
Jennifer McNeill, Commissioner, Australian Competition and Consumer
Commission (invited)
Mr Ratnakar Adhikari, Executive Director, South Asia Watch on Trade,
Economics & Environment (SAWTEE), Nepal (invited)
T4
intellectual property rights - re-engineering the global regime
Bilateral and regional trade agreements have been used to impose ‘TRIPSplus’ standards for intellectual property rights on the developing world. This
workshop will discuss the impact on the development of scientific research
and access to knowledge, especially in health, agriculture and education.
How should the international intellectual property rights regime be reformed?
What is the most appropriate form of protection for traditional knowledge?
Expert speakers then discussion.
Speakers
Prof. Peter Drahos, Australian National University
James Love, Consumer Protect on Technology (invited)
Professor Alan Story, University of Kent, United Kingdom (invited)
Dr. Suman Sahai, Convenor, Gene Campaign, India
Workshops on food and international forums
F1
Biotechnology and its impact on trade, food security and the regulatory
framework
The main objective of this briefing will be to update members on the ongoing
global discussions on biotechnology. Latest global developments, including
the push by industry supported by some government to introduce the
technology into the developing countries, the trade disputes over regional
regulation regimes and the developments at the Codex Alimentarius
Commission, the food standards setting agency of the UN. Four presentations
followed by a question and answer session.
Speakers
Annuradha Mittal, Food First, USA (invited)
Dr Michael Hansen, Consumer Union, USA
at 31 July 2003
F2
Food safety
Food safety is one of the most pressing consumer concerns at the global
level, given its impacton consumer health and the ramifications of increasing
globalisation of markets. The workshop will look at safety issues in every step
of the food production, distribution and consumption chain:
- strategies to strengthen food safety systems, especially in developing
countries
co-ordination among international agencies
- Codex Alimentarius and its modernisation process
Three presentations plus case studies and Q&A sessions
Speakers
Ana Ella Gomez from CDC - El Salvador
Representative from WHO (invited)
Rui Caveieiro Azevedo - DG Sanco (invited)
Annemiek van der Lann - Consumentenbond - Netherlands
Samir El Jafaari, President ofATLAS SAIS, Morocco (invited)
F3
Sustainable food production and consumption systems
A briefing and workshop looking at why the notion of sustainability should
matter to consumer organisations, then examining current hot topics on the
production side (e.g. organic versus GM) and on the consumption side (e.g.
legal frameworks to facilitate changes in consumer behaviour). Also links
between sustainability and poverty alleviation. Expert speakers, case studies
and panel discussion.
Speakers
Sezifredo Paz, Consultor Tecnico, Institute de Defesa do Consumidor (IDEC), Brazil.
Thomas Roland, Senior Policy Adviser, Danish Consumer Council, Denmark.
Alison Woodhead, Trade Department, Oxfam, UK (invited)
Donald Walshe, Secretary General, EURO COOP, Belgium
Clive Lightfoot, President, International Farming Systems Association (IFSA), France
(invited)
Rosemary Chikarakara, Executive Director, Consumer Council of Zimbabwe,
Zimbabwe
Workshop on utilities
U1
Public utilities and consumer empowerment
Significant reform of the public utilities sector is under way in many countries,
usually involving a radical overhaul of legal, regulatory and institutional
frameworks and a move towards some form of private sector participation.
Many consumer organisations are sceptical of the potential benefits to the
poor and worry about the potential negative impacts such as price increases.
This session will review the reform process to date and seek to define clear
strategies and models for consumer involvement Expert speakers then
facilitated discussion.
Speakers
David Hall of Public Services International
Clarissa Brocklehurst; Consultant World Bank Water and Sanitation Programme
Samuel Ochieng, Chief Executive Officer of Consumer Information Network/Konya
Ngueto Yambaye President ofAssociation des Droits des Consommateurs du Tchad
Americo Gamfa, President of Unidn de Consumidores y Us uarios Argentina
Robin Simpson, Consumers International
at 31 July 2003
Workshop on standards
S1
Standards and access to markets
This briefing will examine whether standards and technical regulations,
agreed by national members of ISO, IEC and ITU and referred to in the
WTO’s TBT (Technical Barriers to Trade agreement) are a reason for the
disparity between developed and developing country trade. Could they, with
the right resources, create a level playing field for trade - without creating
consumer protection concerns within developed countries? Three speakers,
representing different perspectives.
Speakers
Ms Maureen Mutasa (DEVCO Chair) (invited)
Ms Gottlobe Fabische (ANEC DG)
Ms Dan Liang, (UNIDO) (invited)
Abgar Yeghoyan Union for the Protection of Consumers' Rights, Armenia, (invited)
Workshop on the information society
W1
The information society and international forums
information and communications technologies are increasingly shaping the
consumer agenda, as more and more transactions go online. This briefing
and workshop will assess key guidelines and developments at international
level, focusing both on regulation and access. In December the United
Nations is organising the first part of the World Summit on the Information
Society in Geneva, and Consumers International is working to make the voice
of consumers heard. This session will explain the work to date and invite
participants to share views on establishing the online consumer agenda.
Speakers
Anabel Cruz - OPS - Washington
Michelle Childs -CA-UK (invited)
Fr6d6rique Pfrunder -CLCV- France (invited)
Scott Cooper- GBDE (invited)
Romain Houehou, President- Ligue des consommateurs du B&nin - B6nin (invited)
Workshops on sustainability and social responsibility
R1
Sustainability and consumer behaviour-policies for the future
This workshop will explore the concept of Sustainable Consumption and
Production and its relevance for consumer organisations, and will focus on
how the UN Guidelines for Consumer Protection will be integrated into the
work following up the World Summit on Sustainable Development 2002
(WSSD). Also the session will inform participants about the responsibilities of
Governments in respect to the WSSD outcome and how consumer
organisations can play a role in this. Expert speakers, member experiences
and panel discussion.
Speakers
Representative of the Norwegian Government (invited)
Adriana Zacarias Farah, Associate Programme Officer, UNEPDTIE
Yoke Ling, Third World Network (invited)
Viriato Seromenho Marques (invited)
Rajan R. Gandhi, Director, Delhi Resource Centre, Consumer Unity & Trust Center
(CUTS), India
Roxana Salazar, Directora Ejecutiva, Alerta-Ambio, Costa Rica
at 31 July 2003
Otmar Leif. Programme Officer For Sustainability and Consumer Policy, Federation
Of German Consumer Organisations (VZBV), Germany
Raymond Course, Chairperson of National Consumer Forum, Seychelles
Mirza Delibegovic, International Coordinator, Global Youth Reporters Programme
R2
Corporate social responsibility - monitoring company behaviour and
double standards
Products and services are produced around the globe in a non-transparent
manner. Responsibility and accountability are diffuse. Head offices of
companies located in one country find it easy to apply different standards in
others, both in production and in dealing with consumer interests. This
workshop will put a consumer spotlight on the OECD guidelines for
multinational companies, then examine strategies and methods for monitoring
companies. Expert speakers and "people’s parliament" discussion.
Speakers
R. Sikkel, head Dutch National Contact Point (NCP), chair of OECD group ofNCPs
and Chair of OECD ClME.
Friends of the Earth, Chile
Ronald Luijck, Consumentenbond
Observatorio social, Brazil.
IBFANAsia
Workshops on the consumer movement
C1
Creating sustainable organisations: experiences with different models
and activities
Consumer organisations, like other civil society organisations, face problems
of sustainability. In many developing countries, the advent of consumer
protection legislation has led to a burgeoning of organisations competing for
funds for similar activities. Many donors now have their own development
agenda and seek partners that share their vision and mission. How can we
make sure that our organisations work effectively and remain viable over the
long term? Speakers examining several models of consumer organisation,
then discussion.
Speakers
Armand deWash, Director, Belgian Consumers’ Association
Professor Manubhai Shah, Chairman Emeritus, Consumer Education and Research
Society, India
Arvind Dighe, Vice Chairman, Mumbai Grahal Panchayat India
C2
Measuring the effectiveness of consumer protection - tools and
methodologies
Since the adoption of the UN Guidelines for Consumer Protection in 1985,
few attempts have been made to measure the effectiveness of the laws and
institutions set up to protect consumers. This workshop will explore tools and
methodologies for an effective evaluation of consumer protection. It will
present work already done (including a study commissioned by Consumers
International Africa Office which has developed an index of effectiveness of
consumer protection laws) and explore ways forward. Presentation and panel
discussion.
Speakers
Mr. Ah Qadir, Lecturer and Researcher at Aga Khan University and co-author of the
Pakistan Consumer Protection Index - Pakistan.
at 31 July 2003
Ms Pamela Chan. Executive Director. Hong Kong Consumers Council (HKCC)
Ms Jeanette Deetiefs, Director - Proactive insight, South Africa. She developed the
South African Satisfaction Index (invited)
Dr. Nouhoun Coulibaly, Head of the Department of Economics Studies, Research,
and Engineering of the National Institute of Statistics of Cote d’Ivoire and a co-author
of Cl-ROAF report on "Consumer Protection and Quality of life in Africa'
03
The roles of consumer NGOs and government agencies
The relationship between consumer NGOs and government agencies varies
between countries, but there is always a need for a serious and constructive
relationship. Consumer NGOs and government agencies have common goals
and different roles to play. What is the best ways for NGOs and government
agencies to work together? This workshop will also examine the enforcement
role of government agencies. Without enforcement, even the most complete
consumer protection framework is useless. How can consumer NGOs help
government enforcement?
Speakers
Cesar Constantino - CLICAC - Panama -GAM
Alberto Undurraga - SERNAC - Chile - GAM (invited)
Breda Kutin - Slovenia
Marfa Rodrfguez - CECU - Spain (invited)
Ms Astrid Ludin, Deputy Director General - Department of Trade and Industry - South
Africa (invited)
TRAINING SESSIONS
Alongside the main Congress discussions and debates, there will be a programme of
training courses sessions, organised in partnership with member organisations. The
training will take a participatory approach and training materials will be given to each
course participant for use after the Congress. There will be courses of two to three
sessions on these three subjects'
o
Effective communications, including campaigning through the media
(course leader Consumentenbond, the Netherlands) 3 sessions
The workshop communications wil show how to deal with the press. It also will give
some highlights about public affairs for consumerorganisations. The workshop win not
only give some theory, but will also deal with some practical cases.
•
Consumer protection - the role of standards (course leaders British
Standards Institute (BSI) and Consumers Association, UK) 3 sessions
Are you aware that consumer policy In standards is predominantly left to national
standards bodies’ consumer departments - are you happy to leave others to decide
consumer policy? These training sessions will have authoritative speakers describing
what is happening in International standards in general and in two key areas. In the
first session, Allan Asher wifi describe what really happens at ISO-COPOLCO, the
International standards consumer policy committee. In the second and third sessions,
other themes relevant to the Congress will be explored.
o
Marketing your organisation and your products (course leader
Consumentenbond, the Netherlands) 2 sessions
This training session will give you a short overview of the various business models for
consumer organisations and the corresponding marketingstrategies, and an overview
of the most important marketingmix elements (product strategies, pricing options,
distribution channels and promotion techniques). A few cases will be presented to
illustrate some strategies. There will be ample opportunity to share member
at 31 July 2003
experiences and to discuss the advantages and disadvantages of the various
marketing options
OTHER MEETINGS AND WORKSHOPS
o
A special meeting for Consumers International’s government members
will be hosted by the Portuguese Institute do Consumidor (IC), with the overall
theme of "Best Practice in Consumer Protection". Further information and a
draft programme will be available shortly. The meeting will take place on
Tuesday 14 October between 14.30 and 18.00.
Other meetings will be organised to make the best use of consumer activists coming
together from all over the world. These will be organised by member or partner
organisations and will take place on Thursday morning and Friday.
o
*
Consumer education: practices, networks and the future - organised by
the Cl Regional Office for Latin America and the Caribbean (Thursday
morning)
Drug pricing - Health Action International (HAI) and WHO project (Thursday
morning)
o
Effecting implementation of the Framework Convention on Tobacco
Control - organised by Cl Asia Pacific Office (Thursday morning)
o
Meeting for members working with the Codex Alimentarius- organised
by Consumers Union Consumer Policy Committee and Cl Head Office
(Thursday morning)
®
Intellectual property and the World Intellectual Property Organisation organised by the Transatlantic Consumer Dialogue (Friday)
•
Youth as a partner for sustainable consumption - the youthXchange
project; organised by UNEP, UNESCO and lots of young people (Friday)
•
Credibility of information on the Web and consumer trust - organised by
Consumers Union Consumer Webwatch (Friday)
o
The impacts of agricultural export dumping on urban and rural
consumers - organised by the Institute for Agriculture and Trade Policy, US
(Friday)
o
Towards Effective Consumer Protection in Health Sector Reform organised by Regional Office for Africa (Friday)
•
Civil society's role in promoting competition and fair trading - organised
by Consumer Unity & Trust Center (CUTS), India (Friday)
•
The SARD initiative - consultation on consumer roles in achieving
sustainable agriculture through multi-stakeholder collaboration organised by International Partners for Sustainable Agriculture (IPSA) and Cl
ODTE (Friday)
at 31 July 2003
FORMAL CONSUMER INTERNATIONAtrBUStlMESS
~
•
------
j-----------------------
■
i . x--
FORMAL CONSUMER INTERNATIONAL BUSINESS
Part of the function of Congress is to provide an opportunity for members to conduct
the formal business of Consumers International as required by its Constitutions.
There will be three meetings of the General Assembly during which the full member
organisationswill:
=
«
*
Elect a new President and Council
Adopt a wide ranging policy statement
Receive reports on the past three years’ work of Consumers International
SOCIAL AND CULTURAL EVENTS
One of the objectives of Congress is to facilitate informal exchanges of information
and the establishment of continuing contacts. Various social and cultural events will
be organised throughout the week to provide opportunities for meeting and for
relaxation. More news soon!
at 31 July 2003
1 Of 1
< ravi @ p h m ove me nt. o rg>
Wednesday, October 29 2003 11 44 AM
Thanks.
Dear Ravi
“'hank you ?'or the prompt response. Ms.Passanna Gunasekara w;ll be responsible for the next issue of HA!
We took fonva'd to PHM’s contribution to the Alma Ata Commemoration issue of HAI News.
Best wishes
Advisor and Co-ordinator
.....
d- Levei 2, Frankfurt Place
Colombo 4
e!
zp .-; 4 • 2554353
ax: -> ;94
2554570
baia@haiap.org
10’25 03
Ta:
Sent’
Subject:
<phmsec@.toucnteiindia. net>
Monday. October 20 2003 9:20 AM
“w. Portugese version of the People’s Health Charter
— Original Message —
cm: Dr Paranie
To: secretariai@phmovement.org
Cc: baia
Sent: Monday, October 20. 2003 9:32 AM
Subject: Portugese version of the People's Health Charter
Dear Dr Ravi,
Greetings from HAiAP Office, Sri Lanka;
We have noted a Portugese version of the Charter in the web site Do you have hard copies of it with you or
elsewhere?
Dr Baia wanted a hard copy for one of our contacts in Brazil.
Please let us know at your earliest possible.
. hank you.
Best regards
Paranie
Dr N Paranietharan
Project Officer
Heaith Action International Asia Pacific
Level 2, # 5, Frankfurt Place,
Colombo - 04. Sri Lanka
Tel: 94-1-2554353. Fax' 94-1-2554570
paranie@haiap.org
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PHM - Secretariat
From:
To:
Sent:
Attach:
Subject:
PHM - Secretariat <secretariat@phmovement.org>
passanna <passanna@haiap.org>
Thursday, December 11, 2003 6:13 PM
HAI Lead Article.doc
Re: HAI News lead article
Dear Passanna,
Greetings from PHM Secretariat (Global)!
Apologies for the delay in sending you the lead article for the HAI News. I just returned from GFHR meeting in
Geneva and the ongoing demands of the planning of the Mumbai Forum mentioned in the article delayed my
response further Hope the HAI News will be ready before 12th January 2004. The International Health Forum
and World Social Forum will be good occasions to circulate more copies of this newsletter - than usual, since it
will also be an opportunity to get participants to hear about HAI work and concerns.
Dr. Bala will be attending this meeting though he has not yet confirmed. He may be able to bring them.
The article is about 3500 words. I did a hurried proof reading today before sending it. Perhaps one of you will
do a better job finally I am also forwarding it to Prem John since he may review it as well.
Best wishes to you all and to Dr. Bala and Mrs. Kamala in particular
Ravi Narayan
— Original Message----From: passanna
To: sochara@vsnl.com
Cc: Ravi - PHM Secretariat(Global); Dr Ravi Narayan
Sent: Wednesday, December 10, 2003 8:21 PM
Subject: HAI News lead article
Dear Dr Narayan,
I am writing on behalf of Dr Balasubramaniam from Health Action International Asia Pacific regarding the
lead article for HAI News.
Please inform me about its status.
The Peoples Health Movement: A People’s Campaign
for HEALTH FOR ALL - NOW!
Background
In 1978, in Alma - Ata, the universal slogan Health for All by the year 2000 was
coined. At the same time, the famous Alma Ata Declaration was overwhelmingly
approved, putting people and communities at the center of health planning and health
care strategies, and emphasizing the role of community participation, appropriate
technolog}z and inter-sectoral coordination. The Declaration was endorsed by most of
the governments of the world and symbolized a significant paradigm shift in the
global understanding of Health and Health care. (WHO - UNICEF, 1978).
Twenty five years later, after much policy rhetoric
■
■
■
■
■
some concerted but mostly ad-hoc action
quite a bit of misplaced euphoria
distortions brought about by the growing role of the market economy that affected
health, and
a fair dose of governmental and international health agencies’ amnesia
this Declaration remains unfulfilled and mostly forgotten, as the world comes to
terms with the new economic forces of globalization, liberalization and privatization
which have made Health for All a receding dream.
The People’s Health Assembly in Savar, Bangladesh in December 2000, and the
People’s Health Movement that evolved from it were both a civil society’s effort
to counter this global laissez faire and to challenge health policy makers around
the world with a Peoples Health Campaign for Health for All-Now!
The People’s Health Assembly
The Global People’s Health Assembly brought together 1450 people from 75
countries, and resulted in an unusual five-day event in which people shared concerns
about the unfulfilled Health for All challenge. The Assembly program included a
variety of interactive dialogue opportunities for all the health professionals and
activists who gathered for this significant event. These events included:
<=> a rally for Health;
meetings in which the testimonies on the health situation from many parts of
the world and struggles of people were shared and commented upon by
multidisciplinary resource persons; (People’s Health Movement 2002)
parallel workshops to discuss a range of health and health related challenges;
=> cultural programmes to symbolize the multi-cultural and multiethnic diversity
of the people of the world;
=£ exhibitions and video/film shows; and
*=> an abundance of dialogue, in small and big groups, using formal and informal
opportunities.
The People’s Health Assembly was preceded by a series of pre-assembly events all
over the world. The mobilization in India was a significant example among many
such initiatives. For nearly nine months preceding the Assembly, there were
grassroots, local and regional initiatives of people’s health enquiries and audits all
over India; health songs and popular theater; sub-districts and district level seminars;
policy dialogues and translations of national consensus booklets on health into
regional languages and campaigns to challenge medical professionals and the health
system to become more Health for All oriented. Finally, over 2500 delegates
converged on Kolkata (Calcutta), mostly coming by five people’s health trains, and
brought ideas and perspectives from seventeen state conventions and 250 district
conventions. In Kolkata, the assembly endorsed the Indian People’s Health Charter
after the two days of conferences, parallel workshops, exhibitions, two public rallies
for health and cultural programmes. About 300 delegates from this Assembly then
traveled to Bangladesh, mostly by bus, to attend the global Assembly. Similar
preparatory initiatives, though less intense, took place in Bangladesh, Nepal, Sri
Lanka, Cambodia, Philippines, Japan in Asia and other parts of the world, including
Latin America, Europe, Africa and Australia. The Latin American region was another
hotspot of intense mobilization building on the long history of people’s health
campaigns and community health programmes in that region.
The People’s Charter for Health
:
:
1" f
Finally, at the end of a full year of mobilization and five days of very intense and
interactive work in Savar, a Global Peoples Health Charter
which was
endorsed by all the participants (People’s Health Assembly 2000a). This Charter has
now become:
<> an expression of our common concerns;
*=> a vision for a better and healthier world;
a call for more radical action;
a tool for advocacy for people’s health; and
*=!> a worldwide rallying manifesto for global health movements, as well as for
networking and coalition building.
The significance of this Global People’s Charter is multiple:
«=> it endorses Health as a social/economic and political issue and as a
fundamental human right;
*=> it identifies inequality, poverty, exploitation, violence and injustice as the
roots of ill-health;
it underlines the imperative that Health for All means challenging powerful
economic interests, opposing globalization .as-t-he-current-iniquitous model,
and drastically changing political and economic priorities;
it tries to bring in new perspective and voices from the poor and the
marginalized (the rarely heard) encouraging people to develop their own local
solutions; and
*=i> it encourages people to hold accountable their own local authorities, national
governments, international organizations and national and transnational
corporations.
The vision and the principles of the Charter, more than any other document
preceding it, extricates Health from the myopic biomedical-techno-managerialist
approach it has fostered in the last two decades —with its vertical, selective magicbullets-approach to health— and centers it squarely in the more comprehensive
context of today’s global socioeconomic-political-cultural-environmental realities.
2
However, the most significant gain of the People’s Health Assembly and the
Charter is that, for the first lime since Alma Ata, a Health For All action-plan
unambiguously endorses a call for action that tackles the broader determinants of
health. These include:
■
■
■
■
■
■
■
Health as human right;
Economic challenges for health;
Social and political challenges in health;
Environmental challenges for health;
Tackling war, violence, conflict and natural disasters;
Evolving a people-centered health sector;
Encouraging people's participation for a healthy world.
In a nutshell, the People’s Health Movement promotes a wide range of approaches
and initiatives to combat the ill-effects of the triple assault by the forces of
globalization, liberalization and privatization on health, health systems and health
care initiatives In more detail, these include calls for a wide range of action to
tackle the determinants of health and build health systems that are primary health
care focused and Health For All oriented.
Box 1
Action Initiatives in the People’s Charter for Health
■ combating the negative impacts of Globalization as a worldwide economic
and political ideology and process;
■ significantly reforming the International Financial Institutions and the
WTO to make them more responsive to poverty alleviation and the Health
for All Now Movement;
- a forgiveness of the foreign debt of least developed countries and use of its
equivalent for poverty reduction, health and education activities;
■ greater checks and restraints of the freewheeling powers of transitional
corporations, especially pharmaceutical houses (and mechanisms to ensure
their compliance);
• greater and more equitable household food security.
- some type of a Tobin tax that taxes runaway international financial
transfers,
■ unconditionally supporting the emancipation of women and the respect of
their full rights;
■ putting health higher in the development agenda of governments;
• promoting the health (and other) rights of displaced people;
■ halting the process of privatization of public health facilities and working
towards greater controls of the already installed private health sector;
- more equitable, just and empowered people’s participation in health and
development matters;
■ a greater focus on poverty alleviation in national and international
development plans;
- greater and unconditional access of the poor to the health services and
treatment regardless of their ability to pay;
• strengthening public institutions, political parties and trade unions
involved, as we are, in the struggle of the poor;
- opposing restricted and dogmatic fundamentalist views of the development
process;
- greater vigilance and activism in mailers of water and air pollution, the
dumping of toxics, waste disposal, climate changes and CO2 emissions,
soil erosion and other attacks on the environment;
3
Box 1
Action Initiatives in the People’s Charter for Health (Contd.)
■ militant opposition to the unsustainable exploitation of natural resources
and the destruction of forests;
■ protecting biodiversity and opposing biopiracy and the indiscriminate use of
genetically modified seeds;
■ holding violators of environmental crimes accountable;
■ systematically applying environmental assessments of development projects
and people centered environmental audits;
■ opposing war and the current USA - led, blind 4anti-terrorist’ campaigns;
■ categorically opposing the Israeli invasion of Palestinian towns (having,
among other, a sizeable negative impact on the health of the Palestinian
people;
■ the democratization of the UN bodies and especially of the Security
Council;
■ getting more actively involved in actions addressing the silent epidemic of
violence against women,
■ more prompt responses and preventive/rehabilitative measures in cases of
natural disasters;
■ making a renewed call for a comprehensive, a more democratic People’s
Health Care that is given the resources needed —holding governments
accountable in this task;
■ vehemently opposing the commoditization and privatization of health care
(and the sale of public facilities);
■ independent national drug policies focused around essential, generic drugs;
■ the transformation of WHO, sup-piuJing^md activ-ely-working wilh -its new
Civil-Society Initiative (OS!) making sure it remains accountable to civil
society;
■ assuring WHO stays staunchly independent from corporate interests;
■ sustaining and promoting the defense of effective patient’s rights;
■ an expansion and incorporation into People’s Health Care of traditional
medicine;
■ changes in the training of health personnel to assure it covers the great
issues of our time as depicted in our People’s Charter for Health;
■ public health-oriented (and not for-profit) health research worldwide;
■ strong people’s organizations and a global movement working on health
issues;
■ more proactive countering of the media that are at the service of the
globalization process;
■ people’s empowerment leading to their greater control of the health services
they need and get;
■ 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 (pha-exchange);
■ fostering a global solidarity network that can support and react out fellow
members when facing disasters, emergencies or acute repressive situations.
- People’s Charter for Health, 2000
4
As we enter the new millennium, this comprehensive view of actions for Health,
is probably the most significant contribution of the People’s Health Assembly and
the evolving People’s Health Movement. (Schuftan, 2002).
Significant Gains made by the People’s Health Assembly and the Movement:
Noteworthy are the ongoing and growing mobilization process at global level, the
Assembly as a historic first gathering and the movement that is evolving. In more
detail, the gains include the following:
♦
For the first time in decades, health and non-health networks have come
together to work on global solidarity in health. These networks include the
International People’s Health Council (IPHC); Health Action International
(HAI); Consumers International (CI); the Asian Community Health Action
Network (ACHAN); the Third World Network (TWN); the Women’s Global
Network for Reproductive Rights (WGNRR); Gonoshasthya Kendra (GK)
and the Dag Hammaeskjold Foundation (DHF). In the last couple of years,
new networks like the Global Equity Gauge Alliance (GEGA) and the Social
Forum Network are linking with us.
♦
Even at country level, in some regions, this is beginning to happen. In India,
for instance, this national collective now includes the science movements; the
women’s movements; the alliance of people’s movements; the health
networks and associations, some research and policy networks and even some
trade unions. In Latin America, the pre PHA networking has been further
strengthened. In Bangladesh and Italy new networks are growing.
♦
Another significant development has been the evolving solidarity PHM has
found for its various collective documents at the global level (People’s
Health Assembly 2000b & c). These have included themes such as:
"
■
■
■
■
■
Health in the era ofglobalization: from victims to protagonists;
The political economy of the assault on health;
Equity and Inequity Today, some contributing social factors;
The medicalization ofHealth Care and the challenge ofHealth for All;
The environmental crisis: threats to health and ways forward;
Communication as if people mattered: adapting health promotion and social action
to the global imbalances of the 21st century.
Taken together, these documents represent an unprecedented, emerging,
global consensus.
♦
At country level also, such consensus documents to support public education
and policy advocacy have been upcoming. In India, for instance, five little
booklets, now translated into most Indian languages, are now available on the
following five themes:
> What globalization means to people’s health;
> Whatever happened to Health for All by the year 2000;
> Making life worth living by meeting the basic needs of all;
> A world where we matter: focus on health care issues of women,
children, street kids, the disabled and the aged; and,
> Confronting the commercialization of health care.
5
♦
These booklets have been published by 18 national networks who form the
national coordination committee in India and represent unprecedented
consensus, the first of its kind in five decades!
♦
The People’s Health Assembly itself was an unusual international health
meeting expressing and symbolizing an alternative health and development
culture of dialogue and celebration. An extract from the report of two
participants in the adjacent box describes this alternative dialogue.
Box 2
The People’s Health Assembly - An Alternative Culture of Dialogue
cc
‘TO GIVE THE VOICELESS A VOICE’ was a foremost goal of the People’s
Health Assembly. And indeed, the PHA had strong representation from a wide
spectrum of marginalized and underprivileged groups, many of whom had
never before had a chance to speak at a local council, much less at an
international forum. Speakers from all corners of the earth represented
everyone: from community health workers to traditional birth attendants, from
mother’s clubs to a collective of unemployed alcoholics (from Scotland), from
tribals to ethnic minorities, from migrant workers to refugees, and from
commercial sex workers to activists with AIDS
■
The PHA was a marvelous forum for sharing experiences and exchanging
ideas. Events were enlivened by role plays, music, dancing and poster
sessions. Dramatic ‘testimonials’ of personal hardships - many of which
brought tears to the eyes - portrayed the setbacks that people were
suffering due to social injustice, unfair laws, and globalization. To give
more people a chance to speak out, literally hundreds of relatively small
concurrent sessions were held, ranging from women’s rights to genetic
engineering and everything else under the sun”.
(Werner and Sanders, 2000)
6
♦
Another significant gain has been the translation of the People’s Charter for Health into
nearly 40 languages worldwide. These include Arabic, Bangla, Chinese, Danish, English,
Farsi, Finnish, Flemish, French, German, Greek, Hindi, Indonesian, Italian, Japanese,
Kannada, Malayalam, Ndebele, Nepalese, Philippine, Portuguese, Russian, Shona,
Sinhala, Spanish, Swahili, Swedish, Tamil, Urdu, Ukrainian and now in the process in
Tonga, Lithuanian, Norwegian, Welsh ,Thai, Cambodian, Vietnamese, Pastun, Dhari and
Creole. An audio tape in English with Braille titles is also available. All these have been
translated by volunteers, committed to the People’s Health Movement. Audio Visual aids
including videos for public education, exhibitions, slides, and other forms of
communication are coming up. The BBC Life Series video on the Health Protesters was
a good example.
♦
The movement itself has evolved a communications strategy which includes a website
(www.phmovement.org ); the e-list server group for exchange and discussion (phaexchange@kabissa.org); news briefs (nine since January 2001) and a host of press
releases on a wide variety of themes and on special events and crises.
♦
Presentations of the Peoples Health Charter, are constantly taking place in national,
regional and international fora which have included the World Health Organization, the
Global Forum for Health Research (GFHR - Forum 5 & 6) and the World Health
Assembly.
> The development of the evolving dialogue between the PHM and WHO is
particularly interesting.
> In April 2001, the very effective and assertive in-house lobbying by a visiting PHM
Activist to a WHO research seminar resulted in the formation of the WHO Civil
Society Initiative announced at the World Health Assembly, in May 2001. Six PHM
leaders were invited to meet and dialogue with the Director General.
> By May 2002, WHO CSI invited PHM to present the People’s Charter for Health as.a
Technical Briefing in the World Heath Assembly. 35 PHM members participateyln
May 2003, over 80 PHM delegates from 30 countries attended the Assembly; made
statements on Primary Health Care; TRIPS and other issues and were invited to meet
the DG designate, who welcomed a greater dialogue with PHM members at all levels
so that WHO could be in touch with the realities of the lives of the poor and the
marginalized. The Assembly was preceded by a PHM Geneva meeting for the 25th
Alma Ata Anniversary, which was attended by some WHO staff, including the P AHO
Regional Director.
> In July 2003, the new WHO-DG Dr. Lee, who had met 6 PHM activists at the WHA
2003 wrote to the coordinator suggesting further dialogue and critical collaboration.
This has been followed up through a series of informal meetings.
> In January 2004, team of WHO staff will be attending the PHM facilitated
International Health Forum in Mumbai, January 2004 to listen to the voices of Civil
Society.
jr
(These are all small, but incremental movements towards a critical dialogue of PHM with
WHO! and efforts to bring WHO that was derailed by the ‘Investing in health campaign’
of the mid 1990s to its original commitment to Health for All, Now.
♦
In many countries of the world, emerging country level PHM circles are beginning to
organize public meetings and campaigns which include taking health to the streets as a
Rights issue. Discussions on the charter by professional associations and public health
schools; and articles and editorials in mcdical/health journals are also beginning to
increase.
7
Policy dialogues and action research circles on WHO/WHA; poverty and AIDS;
women’s access to heath; health research; access to essential drugs;
macroeconomics and health; public-private partnerships; food and nutrition
security issues are beginning their work.
♦
In short, every day the list offollow-up actions increases,
In 2003, PHM decided to focus on the Alma Ata Anniversary as a theme for
action initiatives. A million signatures for Health for All campaign was
launched on the internet; an Alma Ata Anniversary packet of reflections, press
releases and other documents was released and published; Alma Ata
Anniversary' reflections were held all over the world at national and state levels
and also facilitated in NGO I civil society meetings and conferences.
In January 2004, PHM is facilitating an International Health Forum in Defense
of People’s Health in Mumbai, which will take stock of all the initiatives,
campaigns and action towards Health for All, Now all over the world since the
people’s health movement evolved in Bangladesh in December 2003. This
forum will just precede the World Social Forum 2004 an alternative annual
global gathering of activists who wish to emphasise and celebrate that Another
World is possible. It will be a important milestone to take stock of the road
traveledz.and the road,ahead-on this long march towards Health for All, Now.
♦
♦
Conclusion
To conclude, the People’s Health Assembly and the People’s Health Movement that
has emerged from it has been a rather unprecedented development in the journey
towards the Health for All goal. The movement:
*=> is a multi-regional, multi-cultural, and multi-disciplinary mobilization
effort;
•=> is bringing together the largest gathering of activists and professionals,
civil society representatives and the peoples representatives themselves,
is evolving global instruments of concern and action, and
*=> is involved in solidarity with the health struggles of people, especially the
poor and the marginalized affected by the current global economic order.
Recognizing that we need a continous, sustained, collective effort, the
People’s Health Movement process must remind us, through the People’s
Health Charter that a’ long march’ lies ahead in the campaign for Health
for All, Now.
References:
WHO-UNICEF (1978),
Primary Health Care, Report of the International Conference on Primary
Health Care, 6-12 September, 1978, Alma Ata - USSR.
2. People’s Health Movement (2002),
Voices of the Unheard - Testimonies from the People's Health Assembly,
December 2000, GK Savar - Bangladesh.
1.
8
3.
4.
5.
6.
7.
8.
People’s Health Assembly (2000a),
People's Charter for Health, People's Health Assembly, 8 December 2000,
GK Savar - Bangladesh.
Schuftan, Claudio (2002),
The People 's Health Movement (PHM) in 2002: Still at the fore front of the
Struggle for “ Health for All Now issue paper-2 for World Health Assembly,
May 2002, People's Health Movement
People’s Health Assembly (2000b)
Discussion papers prepared by PHA Drafting group, PHA Secretariat, GK
Savar, Dhaka -Bangladesh
People’s Health Assembly (2000c),
Health in the era of Globalization, From victims to protagonists - A iscussion
paper by PGA Drafting group, PHA Secretariat, GK Savar, Dhaka - angladesh.
Narayan, Ravi (2000)
The People’s Health Assembly - A People's Campaign for Healthfor All Now,
Asian Exchange Vol. 16, NO. 2., P-6-17, 2000
Werner, David and Sanders, David (2000)
Liberation from What? A Critical reflection on the People's Health Assembly
2000, Asian Exchange, Vol. 16, No. 2., p 18-30, 2000
For further information, please visit:
1. www.phmovement.org
2.a <wsfindia.org>
3. <www.sochara.org>
9
Ps-Oft I ftf I
main identity
i-rom:
To:
' oaia“ <baia@haiap.org>
<ravi@phmovement.org>: <secretariat@phrriovement.org>: <sochara@vsnl.com>
Fridav, November 28, 2003 2.50 PM
SuOicCiI
Hai NeWS leeld al’tiClS
Dear Dr Narayan,
• am writing on behalf of Dr Balasubramaniam of Health Action International Asia Pacific to find out about the
status of the lead article for HA! News.
i wouid appreciate it very much if you could kindly let me know when the article would be ready.
Thanking you in advance for your cooperation.
Sincerely
Pcsia&csnna Guna&ekera
Cm. d»X-c d%\l2-
Page 1 of 1
PHM ° Secretariat
From:
To:
Sent:
Attach:
Subject:
PHM - Secretariat <secretariat@phmovement.org>
passanna <passanna@haiap.org>
Thursday, December 11, 2003 6:13 PM
HAI Lead Article.doc
Re: HAI News lead article
Dear Passanna,
Greetings from PHM Secretariat (Global)!
Apologies for the delay in sending you the lead article for the HAI News. I just returned from GFHR meeting
in Geneva and the ongoing demands of the planning of the Mumbai Forum mentioned in the article delayed
my response further. Hope the HAI News will be ready before 12th January 2004. The International Health
Porum and World Social Forum will be good occasions to circulate more copies of this newsletter - than
P>ual, since it will also be an opportunity to get participants to hear about HAI work and concerns.
Dr. Bala will be attending this meeting though he has not yet confirmed. He may be able to bring them.
The article is about 3500 words. I did a hurried proof reading today before sending it. Perhaps one of you
will do a better job finally. I am also forwarding it to Prem John since he may review it as well.
Best wishes to you al! and to Dr. Bala and Mrs. Kamala in particular.
Ravi Narayan
..... Original Message
From: passanna
To: sochara@vsnl.com
Cc: Ravi - PHM Secretariat(Global); Dr Ravi Narayan
Sent: Wednesday, December 10, 2003 8:21 PM
(Subject: HAI News lead article
Dear Dr Narayan,
I am writing on behalf of Dr Balasubramaniam from Health Action International Asia Pacific regarding the
lead article for HAI News.
Please inform me about its status.
Thank you
Passanna Gunasekera
Page 1 of 2
PHM “Secretariat
From:
To:
Sent:
Subject:
passanna <passanna@.haiap.org>
Dr Ravi Narayan <secretariat@phmovement.org>
Thursday. November 27. 2003 11:22 PM
Fw: PHM contribution to HA! News
Original Message
From: passanna
To: Ravi - PHM Secretariat(Gtobai)
Cc: sochara@vsnl.com
Sent: Thursday, November 27.. 2003 310 PM
Subject: Fw: PHM contribution to HAI News
Original Message
From: passanna
TO: Rayi - PHM.SecreterialCGlobal)
Sent: Tuesday. November 25, 2003 10:57 AM
Subject: Fw: PHM contribution to HAI News
— Original Message
From: passanna
To: RayL: PHM SecreteriatfG.lobal)
Sent: Monday, November 24, 2003 12:00 PM
Subject: Re: PHM contribution to HA! News
Dear Dr Narayan,
I am writing on behalf of Dr Balasubramaniam of Health Action
status of the !ead article for HAI News.
^h/ould appreciate it very much if you could kindly let me know when the article would be ready.
2^^
71—o.
Thanking you in advance for your cooperation,
Sincerely
Passanna Gunasekera
— Original Message —
From: Ravi - PHM Secretariat(Global)
To: passanna
Sent: Thursday, October 23, 2003 1:25 PM
Subject: Re: PHM contribution to HAI News
Dear Bala,
c am
Greetigns from PHM Secretariat (Global)!
XV
Ic,
Shall write the paper as soon I return from Europe on 30th October. Hope to keep the deadline. Hope you
and Kamala are planning to join Health Forum - WSF in Mumbai in January 2004. Will miss you in
Teheran, 5th - 7th December.
Kj2'
r(l
.12/11/03
Page 2 of 2
Best wishes
Ravi Narayan
i
Original Message —
| From: oassanna
' To: Dr Ravi Narayan
; Cc: Dr Narayan
I Sent: Monday, October 20: 2003 9:46 AM
! Subject: PHM contribution to HAI News
Dear Ravi,
We thank you for agreeing to join us in editing HAI News, Issue No. 126, which will be a special issue to
commemorate the 25th Anniversary of the Alma Ata Declaration. We wish that PHM writes the lead aticle
which will be about 3500 - 4500 words or six pages (both sides). You may visit our website
www.haiap.org to see the recent issues.
HA! News No. 122/123 a special issue to commemorate 25 years of Essential Drugs will be useful as a
reference for your contribution.
I
I We realize your tight schedule with the meeting in Iran. However with much of your work already
j documented we fee! you will be able to send us the contribution in a month's time.
We hope to send it to the printers by end Nonember.
Thank you for your assistance.
Dr K Balasubramaniam
Editors of HAI News
Ms Passanna Gunasekera
12/11/03
Page 1 of 2
PHM - Secretariat
From:
To:
Sent
Subject:
passanna <passsnna@haiap.org>
Dr Ravi Narayan <secretariat@phmovement.org>
Thursday. November 27, 2003 11:22 PM
Fw: PHM contribution to HA! News
— Original Message —
From: passanna
To: Ravi - PHM Secretariat^iobal)
Cc: sochara@vsnl.com
Sent: Thursday November 27, 2003 3 10 PM
Subject: Fw: PHM contribution to HAI News
F— Original Message
From: &passanna
To: Ravi - PHM Secretariat(Global)
Sent Tuesday, November 25, 2003 10:57 AM
Subject: Fw: PHM contribution to HAI News
— Original Message
From: passanna
To: Ravi - PHM Secretariat(Global)
Sent: Monday, November 24, 2003 12:00 PM
Subject: Re: PHM contribution to HA! News
Dear Dr Narayan,
i am writing on behalf of Dr Balasubramaniam of.Health Action International Asia Pacific to find out about the
status of the lead article for HAI News.
,, ,
f
„
t
yould appreciate it very much if you could kindly let me know when the article would be ready. / j n
Thanking you in advance for your cooperation,
Sincerely
Passanna Gunasekera
Original Message
From: Ravi - PHM Secretariat(Global)
To: passanna
Sent: Thursday, October 23, 2003 1:25 PM
Subject: Re: PHM contribution to HAI News
L.
Dear Bala,
Greetigns from PHM Secretariat (Global)!
Shall write the paper as soon I return from Europe on 30th October. Hope to keep the deadline. Hope you
and Kamala are planning to join Health Forum - WSF in Mumbai in January 2004. Will miss you inz/
/
leheran, 5th - 7tn December.
12/11/03
Page 2 of 2
a
>
KJ2-
‘
Best wishes
Ravi Narayan
i — Original Message —
I From: passanna
i To: Dr Ravi Narayan
Cc: Dr Narayan
> Sent: Monday, October 20, 2003 9:46 AM
! Subject: PHM contribution to HAI News
Dear Ravi,
We thank you for agreeing to join us in editing HAI News, Issue No. 126, which will be a special issue to
commemorate the 25th Anniversary of the Alma Ata Declaration. We wish that PHM writes the lead aticle
which will be about 3500 - 4500 words or six pages (both sides). You may visit our website
wvAv.haiap.org to see the recent issues.
HAI News No. 122/123 a special issue to commemorate 25 years of Essential Drugs will be useful as a
reference for your contribution.
We realize your tight schedule with the meeting in Iran. However with much of your work already
documented we feel you will be able to send us the contribution in a month's time.
We hope to send it to the printers by end Nonember.
Thank you for your assistance.
Dr K Bala.subramaniam
Editors of HA! News
Ms Passanna Gunasekera
12/11/03
The Peoples Health Movement: A People's Campaign
for HEALTH FOR ALL - NOW!
Background
In 1978, in Alina - Ata, the universal slogan Health for All by the year 2000 was
coined. At the same time, the famous Alma Ata Declaration was overwhelmingly
approved, putting people and communities at the center of health planning and health
care strategies, and emphasizing the role of community participation, appropriate
technology and inter-sectoral coordination. The Declaration was endorsed by most of
the governments of the world and symbolized a significant paradigm shift in the
global understanding of Health and Health care. (WHO - UNICEF, 1978).
©
Twenty five years later, after much policy rhetoric/some concerted but mostly ad-hoc
action quite a bit of misplaced euphoria: distortions brought about by the growing
role of the market economy that affected health, and a fair dose of governmental and
international health agencies’ amnesia, this Declaration remains unfulfilled and
mostly forgotten, as the world comes to terms with the new economic forces of
globalization, liberalization and privatization which have made Health for All a
receding dream.
The People’s Health Assembly in Savar, Bangladesh in December 2000, and the
People’s Health Movement that evolved from it were both a civil society’s effort to
counter this global laissez fciire and to challenge health policy makers around the
world with a Peoples Health Campaign for Health for All-Now!
The People’s Health Assembly
The Global People’s Health Assembly brought together 1450 people from 75
countries, and resulted in an unusual five-day event in which people shared concerns
about the unfulfilled Health for All challenge. The Assembly program included a
variety of interactive dialogue opportunities for all the health professionals and
activists who gathered for this significant event. These events included:
a rally for Health;
=> meetings in which the testimonies on the health situation from many parts of
the world and struggles of people were shared and commented upon by
multidisciplinary resource persons; (People’s Health Movement 2002)
■=> parallel workshops to discuss a range of health and health related challenges;
cultural programmes to symbolize the multi-cultural and multiethnic diversity
of the people of the world;
*=> exhibitions and video/film shows; and
«=i> an abundance of dialogue, in small and big groups, using formal and informal
opportunities.
The People’s Health Assembly was preceded by a series of pre-assembly events all
over the world. The mobilization in India was a significant example among many.
For nearly nine months preceding the Assembly, there were grassroots, local and
regional initiatives of people’s health enquiries and audits all over India; health songs
and popular theater; sub-districts and district level seminars; policy dialogues and
translations of national consensus booklets on health into regional languages and
campaigns to challenge medical professionals and the health system to become more
Health for All oriented. Finally, over 2500 delegates converged on Kolkata (Calcutta),
mostly coming by five people’s health trains, and brought ideas and perspectives from
seventeen state conventions and 250 district conventions. In Kolkata, the assembly
endorsed the Indian People’s Health Charter after the two days of conferences,
parallel workshops, exhibitions, two public rallies for health and cultural programmes.
About 300 delegates from this Assembly then traveled to Bangladesh, mostly by bus,
to attend the global Assembly. Similar preparatory initiatives, though less intense,
took place in Bangladesh, Nepal, Sri Lanka, Cambodia, Philippines, Japan in Asia and
other parts of the world, including Latin America, Europe, Africa and Australia. The
Latin American region was another hotspot of intense mobilization building on the
long history of people’s health campaigns and community health programmes in that
region.
The People’s Charter for Health
Finally, at the end of a full year of mobilization and five days of very intense and
interactive work in Savar, a Global Peoples Health Charter emerged which was
endorsed by all the participants (People’s Health Assembly 2000a). This Charter has
now become:
an expression of our common concerns;
a vision for a better and healthier world;
*=> a call for more radical action;
*=£ a tool for advocacy for people’s health; and
*=!> a worldwide rallying manifesto for global health movements, as well as for
networking and coalition building.
The significance of this Global People’s Charter is multiple:
=> it endorses Health as a social/economic and political issue and as a
fundamental human right;
*=£ it identifies inequality, poverty, exploitation, violence and injustice as the
roots of ill-health;
«=*> it underlines the imperative that Health for All means challenging powerful
economic interests, opposing globalization as the current iniquitous model,
and drastically changing political and economic priorities;
it tries to bring in new perspective and voices from the poor and the
marginalized (the rarely heard) encouraging people to develop their own local
solutions; and
<=> it encourages people to hold accountable their own local authorities, national
governments, international organizations and national and transnational
corporations.
The vision and the principles of the Charter, more than any other document
preceding it, extricates Health from the myopic biomedical-techno-managerialist
approach it has fostered in the last two decades —with its vertical, selective magicbullets-approach to health— and centers it squarely in the more comprehensive
context of today’s global socioeconomic-political-cultural-environmental realities.
2
However, the most significant gain of the People’s Health Assembly and the
Charter is that, for the first time since Alma Ata, a Health For All action-plan
unambiguously endorses a call for action that tackles the broader determinants of
health These include: Health as human right;]Economic challenges for health;
Social and political challenges in health] Environmental challenges for health;]
Tackling war, violence, conflict and natural disasters;/Evolving a people
centered health sector; Encouraging people ’s participation for a healthy world
In a nutshell, the People’s Health Movement promotes a wide range of approaches
and initiatives to combat the ill-effects of the triple assault by the forces of
globalization, liberalization and privatization on health, health systems and health
care initiatives In more detail, these include calls for a wide range of action to
tackle the determinants of health and build health systems that are primary health
care focused and Health For All oriented.
Box 1
Action Initiatives
-
■
■
■
■
-
■
•
■
■
/tr
•>?!
combating the negative impacts of Globalization as a worldwide economic
and political ideology and process;
significantly reforming the International Financial Institutions and the
WTO to make them more responsive to poverty alleviation and the Health
for All Now Movement;
a forgiveness of the foreign debt of least developed countries and use of its
equivalent for poverty reduction, health and education activities;
greater checks and restraints of the freewheeling powers of transitional
corporations, especially pharmaceutical houses (and mechanisms to ensure
their compliance);
greater and more equitable household food security.
some type of a Tobin tax that taxes runaway international financial
transfers,
unconditionally supporting the emancipation of women and the respect of
their full rights;
putting health higher in the development agenda of governments;
promoting the health (and other) rights of displaced people;
halting the process of privatization of public health facilities and working
towards greater controls of the already installed private health sector;
more equitable, just and empowered people’s participation in health and
development matters;
a greater focus on poverty alleviation in national and international
development plans;
greater and unconditional access of the poor to the health services and
treatment regardless of their ability to pay;
strengthening public institutions, political parties and trade unions
involved, as we are, in the struggle of the poor;
opposing restricted and dogmatic fundamentalist views of the development
process;
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;
3
Box 1
Action Initiatives (Contd.)
■ militant opposition to the unsustainable exploitation of natural resources
and the destruction of forests;
■ protecting biodiversity and opposing biopiracy and the indiscriminate use of
genetically modified seeds;
■ holding violators of environmental crimes accountable;
■ systematically applying environmental assessments of development projects
and people centered environmental audits;
■ opposing war and the current USA - led, blind 1 anti-terrorist’ campaigns;
■ categorically opposing the Israeli invasion of Palestinian towns (having,
among other, a sizeable negative impact on the health of the Palestinian
people;
■ the democratization of the UN bodies and especially of the Security
Council;
■ getting more actively involved in actions addressing the silent epidemic of
violence against women;
■ more prompt responses and preventive/rehabilitative measures in cases of
natural disasters;
■ making a renewed call for a comprehensive, a more democratic People’s
Health Care that is given the resources needed —holding governments
accountable in this task;
■ vehemently opposing the commoditization and privatization of health care
(and the sale of public facilities);
■ independent national drug policies focused around essential, generic drugs;
■ the transformation of WHO, supporting and actively working with its new
Civil Society Initiative (CSI) making sure it remains accountable to civil
society;
■ assuring WHO stays staunchly independent from corporate interests;
■ sustaining and promoting the defense of effective patient’s rights;
■ an expansion and incorporation into People’s Health Care of traditional
medicine;
■ changes in the training of health personnel to assure it covers the great
issues of our time as depicted in our People’s Charter for Health;
■ public health-oriented (and not for-profit) health research worldwide;
■ strong people’s organizations and a global movement working on health
issues;
■ more proactive countering of the media that are at the service of the
globalization process;
■ people’s empowerment leading to their greater control of the health services
they need and get;
■ 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 (pha-exchange);
■ fostering a global solidarity network that can support and react out fellow
members when facing disasters, emergencies or acute repressive situations.
• '' —
‘ —;—' —
■ —'
—---------------------—----------------——————■—
— —— — , — — — S
—h——
j
4
As we enter the new millennium, this comprehensive view of actions for Health,
is probably the most significant contribution of the People’s Health Assembly and
the evolving People’s Health Movement. (Schuftan, 2002).
Significant Gains made by the People’s Health Assembly and the Movement:
Noteworthy are the ongoing and growing mobilization process at global level, the
Assembly as a historic first gathering and the movement that is evolving. In more
detail, the gains include the following:
♦
For the first time in decades, health and non-health networks have come
together to work on global solidarity in health. These networks include the
International People’s Health Council (IPHC); Health Action International
(HAI); Consumers International (CI); the Asian Community Health Action
Network (ACHAN); the Third World Network (TWN); the Women’s Global
Network for Reproductive Rights (WGNRR); Gonoshasthya Kendra (GK)
and the Dag Hammaeskjold Foundation (DHF). In the last couple of years,
new networks like the Global Equity Gauge Alliance (GEGA) and the Social
Forum Network are linking with us.
♦
Even at country level, in some regions, this is beginning to happen. In India,
for instance, this national collective now includes the science movements; the
women’s movements; the alliance of people’s movements, the health
networks and associations; some research and policy networks and even some .
trade unions.-',
PMfit n
♦
Another significant development has been the evolving solidarity PHM has
found for its various collective documents at the global level (People’s
Health Assembly 2000b & c). These have included themes such as:
- A-.-
/
Health in the era of globalization: from victims to protagonists/ The political
economy of the assault on health;/ Equity and Inequity Today, some
contributing social factors; t The medicalization of Health Care and the
challenge of Health for AllfThe environmental crisis', threats to health and
ways forward^ Communication as if people mattered; adapting health
promotion and social action to the global imbalances of the 21st century.
Taken together, these documents represent an unprecedented, emerging,
global consensus.
♦
At country level also, such consensus documents to support public education
and policy advocacy have been upcoming. In India, for instance, five little
booklets, now translated into most Indian languages, are now available on the
following five themes/What globalization mean/^people’s health;/Whatever
happened to Health for All by the year 2000y*Making life worth living by
meeting the basic needs of all/A world where we matter—focus on health care
issues of women, children, street kids, the disabled and the aged; and/
Confronting the commercialization of health care/These booklets have been
published by 18 national networks who form' the national coordination
5
■'
committee in India and represent unprecedented consensus, the first of its
kind in five decades!
The People’s Health Assembly itself was an unusual international health
meeting expressing and symbolizing an alternative health and development
culture of dialogue and celebration. An extract from the report of two
participants in the adjacent box describes this alternative dialogue.
♦
Box 2
The People’s Health Assembly - An Alternative Culture of Dialogue
<(
■ ‘TO GIVE THE VOICELESS A VOICE’ was a foremost goal of the
People’s
Health
Assembly.
And
the
indeed,
PHA
had
strong
representation from a wide spectrum of marginalized and underprivileged
groups, many of whom had never before had a chance to speak at a local
council, much less at an international forum. Speakers from all corners of
the earth represented everyone: from community health workers to
traditional birth attendants, from mother’s clubs to a collective of
unemployed alcoholics (from Scotland), from tribals to ethnic minorities,
from migrant workers to refugees, and from commercial sex workers to
activists with AIDS
■
The PHA was a marvelous forum for sharing experiences and exchanging
ideas. Events were enlivened by role plays, music, dancing and poster
sessions. Dramatic ‘testimonials’ of personal hardships - many of which
brought tears to the eyes - portrayed the setbacks that people were
suffering due to social injustice, unfair laws, and globalization. To give
more people a chance to speak out, literally hundreds of relatively small
concurrent sessions were held, ranging from women’s rights to genetic
engineering and everything else under the sun.
ft
(Werner and Sanders, 2000)
6
Another significant gain has been the translation of the People’s Charter for
Health into nearly 40 languages worldwide. These include Arabic, Bangla,
Chinese, Danish, English, Farsi, Finnish, Flemish, French, German, Greek, Hindi,
Indonesian, Italian, Japanese, Kannada, Malayalam, Ndebele, Nepalese,
Philippine, Portuguese, Russian, Shona, Sinhala, Spanish, Swahili, Swedish,
Tamil, Urdu, Ukrainian and now in the process in Tonga, Lithuanian, Norwegian,
Welsh ,Thai, Cambodian, Vietnamese, Pastun, Dhari and Creole. An audio tape
in English with Braille titles is also available. All these have been translated by
volunteers, committed to the People’s Health Movement. Audio Visual aids
including videos for public education, exhibitions, slides, and other forms of
communication are coming up. The BBC Life Series video on the ^Health
Protesters'was a good example.
The movement itself has evolved a communications strategy which includes a
website (www.phmovement.org ); the e-list server group for exchange and
discussion (pha-exchange@kabissa.org); news briefs (nine since January 2001)
and a host of press releases on a wide variety of themes and on special events and
crises.
Presentations of the Peoples Health Charter, are constantly taking place in
national, regional and international for a which have included the World Health
Organization, the Global Forum for Health Research (GFHR - Forum 5 & 6) and
the World Health Assembly. The development of the evolving dialogue between
the PHM and WHO is particularly interesting. In April 2001, the very effective
and assertive in-house lobbying by a visiting PHM Activist to a WHO research
seminar resulted in the formation of the WHO Civil Society Initiative announced
at the World Health Assembly, in May 2001. Six PHM leaders were invited to
meet and dialogue with the Director General TBy May 2002, WHO CSI invited
PHM to present the People’s Charter for Health as a Technical Briefing in the
World Heath Assembly. 35 PHM members participated. In May 2003, over 80
PHM delegates from 30 countries attended the Assembly; made statements on
Primary Health Care; TRIPS and other issues and were invited to meet the DG
designate, who welcomed a greater dialogue with PHM members at all levels so
that WHO could be in touch with the realities of the lives of the poor and the
marginalized. The Assembly was preceded by a PHM Geneva meeting for the
25th Alma Ata Anniversary, which was attended by some WHO staff, including
the PAHO Regional Director^ In July 2003, the new WHO-DG Dr. Lee, who had
met 6 PHM activists at the WHA 2003 wrote to the coordinator suggesting
further dialogue and critical collaboration.^ This has been followed up through a
series of informal meeting^a^* a ‘tqhrri of WHO staff will be attending the PHM
facilitated International Health Forum in Mumbai, January 2004 to listen to the
voices of Civil Society./These are all small, but incremental movements towards
a critical dialogue of PHM with WHO!
fc>
low©
d e. ex 11 £h
'Z<? oK. > ~ t>> HeIM c
<•* >>> of fir- /»t* H
s $b
In many countries'" of the world, emerging country level PHM circles are
.1
beginning to organize public meetings and campaigns which include taking 6*^' U.•
health to the streets as a Rights issue,; Discussions on the charter by professional
associations and public health schools^'articles and editorials in medical/health
• .
journals are also beginning to increase.
7
Box 3
Regional / National Support Activities
i. Africa Region:
Tanzania : Following a PHM session held in September 2002 in Arusha (WABA Conference) and the
3 country PHM East Africa solidarity mission by to Nairobi (Kenya), Kempala (Uganda) and Dar-esSalam and Arusha (Tanzania) in November 2002, some networking and events have been evolving to
enhance the development of activities in the East and Central Africa Region,
PHM sessions have been added to strategic meetings in the region including a lunchtime discussion at
Forum 6 Global Forum for Health Research, at Arusha in November 2002
Kenya’. PHM Kenya has announced a formal launch on 23rd August and a Alma Ata Anniversary.
Earlier a Primary Health Care Meeting was organized in Nairobi by WCC (May 2003). The SEAM and
other conferences are also considering PHM sessions.
Mauritius: The ex-Health Minister of Mauritius, now PHM contact person in Mauritius, has just
facilitated a PHM - Mauritius circle.
ii. North American Region:
• At the request of the University of Berkeley, three South Asian PHM resource person attended the
Annual Public Health Conference on the Theme - 'People’s Health in People’s Hands. What
works? What doesn’t and who decides?
• This was followed by a three week (2.7* February to 16th March 2003) PHM lecture and solidarity
tour by the 3 PHM Resource persons that covered the following cities. Berkeley, San Francisco,
Polo Alto, Seattle, Portland, New York, Washington DC, UCSF, Stanford, Columbia, Harvard, MIT
- Boston and meetings with several NGOs and also the WHO - PAHO Director and Staff.
The tour was organized by Hesperian Foundation and Doctors for Global Health - the two networks
that are focal points for USA and lead to a strengthening of PHM activities in USA.
• A PHM circle, a listserve and 3 issue based circles have now emerged - Trade and Health; Health
Care Access, War and Health
iii. Europe Region
M
j
- ■ ‘ ' ■
■
t/A": A PHM Dialogue meeting was held at Health Link - UK. Also a PHM lecture at the London'
School of Hygiene and Tropical Medicine in May 2003, on the People’s Health Charter and Beyond.
The PHM Evaluation Group held the first Evaluation report finalization meeting in London - in May
2003, where there were some representatives from the regions - Africa, Latin America, Europe, South
Asia and South East Asia. TheJBHM-E-valuation report wilLbc-discussed-widely-in- a
fewAveeks.
Switzerland: PHM Geneva group - helped to host / facilitate a PHM Alma Ata Anniversary event in
WCC, Geneva, just preceding the World Health Assembly.-)
<A delegation of over 80 PHM members from 30 countries attended the World Health Assembly in
Geneva in May 2003. A small representatives group of 6 resource persons had a special meeting with the
Dr. Lee (the WHO DG designate).
Italy: PHM -Italy organized meetings in Bologna and other places in Italy during the year.
AIFO Italy, a key network of PHM - Italy, has awarded PHM the Human
Rights Award and a 3 member PHM group from Asia - Africa and Latin
America V$1 received this award at the annual meeting in November 2003.
Russia:
• Petersburg: Alma Ata - 25th anniversary - “Health for All is Necessary and
Possible” was held in Petersburg in April 2003.
• Alma Aty: WCC sponsored an Alma Ata conference in Alma Aty, which was
reported at the PHM Geneva meting during NGO Forum for Health Session at
WHA-May 2003.
Source : Report from PHM Secretariat, 2003
8
♦
Policy dialogues and action research circles on WHO/WHA; poverty and AIDS;
women’s access to heath; health research; access to essential drugs;
macroeconomics and health; public-private partnerships; food and nutrition
security issues are beginning their work.
In short, every day the list offollow-up actions increases.
♦
♦
In 2003, PHM decided to focus on the Alma Ata Anniversary as a theme for
action initiatives.
A million signatures for Health for All campaign was
launched on the internet; an Alma Ata Anniversary packet of reflections, press
releases and other documents was released and published; Alma Ata
Anniversary reflections were held all over the world at national and state levels
and also facilitated in NGO / civil society meetings and conferences.
In January 2004, PHM is facilitating an International Health Forum in Defense
of People’s Health in Mumbai, which will take stock of all the initiatives,
campaigns and action towards Health for All, Now all over the world since the
people’s health movement evolved in Bangladesh in December 2003. This
forum will just precede the World Social Forum 2004 an alternative annual
global gathering of activists who wish to emphasise and celebrate that Another
World is possible. It will be a important milestone to take stock of the road
traveled and the road ahead on this long march towards Health for All, Now.
Conclusion
To conclude, the People’s Health Assembly and the People’s Health Movement that
has emerged from it has been a rather unprecedented development in the journey
towards the Health for All goal. The movement:
=> is a multi-regional, multi-cultural, and multi-disciplinary mobilization
effort;
is bringing together the largest gathering of activists and professionals,
civil society representatives and the peoples representatives themselves,
=> is evolving global instruments of concern and action, and
is involved in solidarity with the health struggles of people, especially the
poor and the marginalized affected by the current global economic order.
Recognizing that we need a continous, sustained, collective effort, the
People’s Health Movement process must remind us, through the People’s
Health Charter that a’ long march’ lies ahead in the campaign for Health
for All, Now.
References:
1.
WHO-UNICEF (1978),
Primary Health Care, Report of the International Conference on Primary
Health Care, 6-12 September, 1978, Alma Ata - USSR.
2.
People’s Health Movement (2002),
Voices of the Unheard - Testimonies from the People's Health Assembly,
December 2000, GK Savar - Bangladesh.
9
3.
People’s Health Assembly (2000a),
People *s Charter for Health, People’s Health Assembly, 8 December 2000,
GK Savar - Bangladesh.
4.
Schuftan, Claudio (2002),
The People ’s Health Movement (PHM) in 2002: Still at the fore front, of the
Struggle for “Health for All Now”; issue paper-2 for World Health Assembly,
May 2002, People *s Health Movement
5.
People’s Health Assembly (2000b)
Discussion papers prepared by PHA Drafting group, PHA Secretariat, GK
Savar, Dhaka -Bangladesh
6.
People’s Health Assembly (2000c),
Health in the era of Globalization, From victims to protagonists - A iscussion
paper by PGA Drafting group, PHA Secretariat, GK Savar, Dhaka - angladesh.
7.
Narayan, Ravi (2000)
The People ’s Health Assembly - A People's Campaign for Health for All Now,
Asian Exchange Vol. 16, NO. 2., P-6-17, 2000
8.
Werner, David and Sanders, David (2000)
Liberation from What? A Critical reflection on the People ’s Health Assembly
2000, Asian Exchange, Vol. 16, No. 2., p 18-30, 2000
For further information, please visit:
1 • vww^mov^ent. org
2. <wsfindia.org>
3. <www.sochara.org>
10
Page 1 of 1
Main Identity
From:
To:
Sent:
Subject:
PHM Secretariat <secretariat@phmovement.org>
<bala@haiap.org>
Thursday, March 25, 2004 12:24 PM
Fw: information on Health Action International Asia - Pacific
Dear Bala,
Greetings from PHM Secretariat (Global)!
Is this the CMH meeting with NGO's in Sri Lanka we have been corresponding about or is this another
meeting? Since none of us, except the invitees, know about the dates etc. Can you send around some
details? 1 am glad you have made a request for a formal presentation. I hope it gets on the agenda.
Best wishes
Ravi Narayan
Coordinator, People’s Health Movement Secretariat(global)
CHC-Bangalore
#367 "Srinivasa Nilaya"
Jakkasandra 1st Main, I Block Koramangda
Bangalore-560034
3/25/04
Paga 1 of 1
1 nt 9
Main identity
From:
To:
Sent:
Subject:
Community Health Cell <chc@sochara.org>
<secretariat@phmovement.org>
Tuesday, March 23, 2004 3:54 PM
Fw: Information on Health Action International Asia - Pacific
— Original Message
From: baia
To: Prem Chandran John ; Ravi Narayan ; Mike Rowson ; Zafrullah Chowdhury ; Vinya (Dr)
Sent: Tuesday, March 23, 2004 1:09 PM
Subject: Fw: Information on Health Action International Asia - Pacific
Dear friends,
I am forwarding my latest correspondence with Maria Paalman for your information We expect
to have the final position paper with an executive summary next week.
Baia
Original Message
From: baia
To: Paalman. Maria
Sent: Tuesday, March 23, 2004 11:04 AM
Subject: Re: information on Health Action International Asia - Pacific
Dear Maria,
Thanks for your message. Please let us know the number of participants you expect. I shall
bring sufficient number of brochures. Our organization in association with NGOs on health are
in the process of preparing an NGO position on the Report of CMH. Can you find us a time in
the agenda to present it and also distribute copies of our position paper to participants.
Best wishes,
Dr Bala
— Original Message —
From: Paalman, Maria
To: baia
Cc: marqa@sri.lanka.net
Sent: Monday, March 22, 2004 2:59 PM
Subject: RE: Information on Health Action International Asia - Pacific
Dear Dr. Bala,
v
A
Thank you for sending the info form and the brochure. If you wish you can bring copies of the
brochure to the meeting and distribute them. If you want any information of your organisation
to be distributed to all participants in the conference pack, then I urge you to paste some of
the info from the brochure into the NGO info form and resend it to me, as these will be
distributed to all participants.
n\ t a t /a/o
Kind regards,
3/24/04
Page 2 of 2
Maria Paalman
Senior Health Advisor
KIT Development, Policy & Practice
PO Box 95001
1090 HA Amsterdam
tel. 31-20-568 8659
fax 31-20-568 8444
email: m.paalman@kit.nl
website: www.kit.nl
----- Original Message----From: baia [mailto:bala@haiap.org]
Sent: dinsdag 16 rnaart 2004 10:13
To: Paalman, Maria; marga@sri.lanka.net
Subject: Re: Information on Health Action International Asia - Pacific
Dear Ms Perera & Ms Paalman,
I have pleasure in attaching the form as requested and a brochure describing the
activities of Health Action International Asia - Pacific.
Best wishes,
Dr Bala
Dr K Balasubramaniarn
Advisor and Co-ordinator
Health Action International Asia - Pacific
5, Level 2, Frankfurt Place
Colombo 4
Tel:+ (94 11)2554353
Fax:+ (94 11) 2554570
E-mail: bala@haiap.org
3/24/04
Page 1 of 1
Main Identity
From:
To:
Sent:
Subject:
SOCHARA <sochara@vsnl.com>
<secretariat@phmovement.org>
Thursday, February 26, 2004 9:58 AM
Fw: WHO / NGO Conference, Colombo, Sri Lanka 27-28 April.
— Original Message —
From: bala
To: Ravi Narayan
Cc: Prem Chandran John
Sent: Thursday, February 26, 2004 9:43 AM
Subject: Fw: WHO / NGO Conference, Colombo, Sri Lanka 27-28 April.
Dear Ravi
I regret that the message on the WHO / NGO Conference, Colombo 27-28 April to the PHM Steering Group
has come back to us and not delivered. Can you please forward PHM Position paper on CMH, I feel it is
important.
Bala.
Z/ZO/U4
'pt-)r?
i a- /fy-Pipp
Zaii
Page 1 of 1
-rcv- Andy Rutherford <arutherford@oneworldaction.org>
DATE: Wed, 23 Jun 2004 12:35:13 +0100
to:
subject:
<phmsec@touchtelindis.net>
Funding possibles in Sri Lanka
Dear Ravi
We have a new fundraiser who I met yesterday for the first time. She was
very interested in the PHM and felt that this contact in Sri Lanka could be
very helpful for Tissa and others to raise some funds for PHM Sri Lanka and
to be able to take part in PHM activities outside.
http://www. stromme. no/./index. asp?
title=Stromme+Foundation&aid=l 0003&path_by_id=/l 0001/10003/&tid=l 0Q03
Best wishes
Andy Rutherford
Head of International Partnerships
One World Action
Bradley’s Close
White Lion Street
LondonN1 9PF
Tel
Fax
44-20-7833-4075
44-20-7833-4102
or (020) 7833 4075
or (020) 7833 4102
www.oneworldaction.org
direct email
<arutherford@oneworldaction.org>
nttp.7/63.99.209.85:8383/Xaccd9b9dceccc8cccbcb97f56d0c/print.31873.cgi?mbx=Main&msgsort=62&msg...
26/06/0'
"Prasarna - H-W Communications" <prasanna@phmovement.org>
"Dr Prem Chandran John" <premjohn@vsni.net>
Monday, June 28, 2004 6:00 PM
from Ravi
Tc:
Sent:
Swlbrgx::
Greetings from FEM Secretariat (Global)!
Further to the hurried note to all of you about some finance related documents, this is just to request you to follow up o:
the following during you’re your Sri Lanka visit.
1. Inform Bala, Vinya, ” issa about Andy’s email about some source of funds for Sri Lanka (Stromme Foundation).
2. Find out from Dr. Bala whether he got reply from WHO - CMH unit about this concerns about the reporting o
3. HAI should seriously start thinking of campaigns I strategies to be reported at PHA - II, which will then meat
some processes at regional level before then.
There are some Bangkok related matters, which we can discuss when you return to Madras on 1st. Call me.
Flease visit Tissa and congratulate him again on PHM’s behalf. I had sent a letter to him earlier. Ask him whethe?
he would be available to attend an interministrial meeting and policy discussions in Malaysia (in September) and ir
Mexico (in November). PHM is part of the advisory committee of this process and we have now managed to gei
his name into WHO’s list of invitees.
Best wishes
PS: About the secretariat,] have,delayed the notice about the shift, which will go out this week. All Maria needed to de
was to write to me ncc.hers&i to disappointments and frustrations!!
A
People's Health Movement Secretariat(global)
CHC-Bangalore
#367 "Srinivasa Nilaya"
Jakj^andra 1st Main, I Block Koramangala
crznn?2/}
Tel: +9t 80 51280009 (direct) Fax: +91 80 25525372
’7/eb site: www.p h movcmcnt.org
Join the "Health for all, NOW" campaign in the 25th anniversary year of the Alma Ata declaration visit
www.TheMillionSignatureCampsugn.org
28/06/04
Page 1 of 1
PHM-Secretariat
From:
To:
Sent:
Subject:
"K Bala” <kbala12@yahoo.com>
< P H M__Steeri ng_G ro u p_02-03@ ya h oog rou ps. com>
Monday, August 16, 2004 12:06 PM
Re: [PHM_Steering_Group_02-03] US Holiday
Dear Dr. Ekbal,
I returned to office today. We need to Alow up and
revives ERDU.Let us keep in touch. Best wishes, Bala
— ekbal@vsnl.com wrote:
> Dear Dr.Bala,
> Are you still in US? When are reaching back Columbo?
> Ekbal
8/16/04
PaBe. 1 oT I
PHM-Secretariat
From:
To:
Cc:
Sent:
Subject:
"PHM-Secretariat" <secretariat@phmovement.org>
"bala” <bala@haiap.org>
"Dr PremChandran John" <prem_john@.vsnl net>; <gk@citechco.net>; <ekbal@vsnl.com>
Tuesday, August 17, 2004 12:37 PM
Re: [PHM_Steering_Group_02-03] ERDU
Dear Bala
Greetings from PHM Secretariat (Global)!
What’s ERDU? Intrigued' Hope its a project that will support PHM and link
into PH A - II and GHW!!! You have not replied to my queries about CI
representation and Samuel Ochieng as yet!! Also await your reflection on the
Boston Social Fonim. Have you written about the MDGs? If travel grant was
available would you join us at the next GFHR Fonim 8 (16th 21st November) is
a session called 'Beyond MDGs -to be organized by PHM and COHRED (on 19th
November 2004). If not could you send us some reflections?
Best wishes
Ravi Narayan
---- Original Message
From: <ekbal@vsnl.com>
To: <PHM Steering GroupJ)2-03@yalioogroups.com>
Page 1 of 1
PHM-Secretariat
---- -Li—------- -
From:
To:
Sent:
Subject:
"PHM-Secretariat" <secretariat@phmovement.org>
"bala" <bala@haiap.org>
Friday, August 20, 2004 3:37 PM
Re: [PHM_Steering_Group_02-03] ERDU
Dear Bala,
Greetings from PHM Secretariat (Global)!
Thanks for your detailed response to my recent mail.
1. Would you like us to explore the possibility of St. John's Medical
College in Bangalore, hosting the ERDU event in South India? Its our old
college and the new Dean is an old friend, a year senior to me and there are
many RDU enthusiasts who work with CHC on this theme. They are also very
very strong on ethics and our Rajiv Gandhi University of Health Science
(RGUHS) is the only Health University, which under pressure from CHC,
introduced both Edries and RDU into the curriculum. When do you want to hold
it? We could link it to a PHAII mobilization effort as well.
2. While CI London was not very positive earlier, now with Samuel as VP. we
may get them more involved. It need not be instead of CI-ROAP, but getting
Africa better represented through a CI connection (since we are so strong on
Asia) is an added advantage.
3.1 need Sethi's email contact to follow up on your suggestion 1 met him
at the planning meeting in Dhaka.
4. More details about the Asian workshop on WTO / TRIPS / Public Health in
collaboration withTWN will help us to make more PHM linkages in the region.
Will Prem and or Deien be attending? Both have offered to mobilize for PHA
II in South East Asia. This could be an opportunity.
5. Sorry, we can’t get you for GFHR Will send you papers for these events.
6. Lancet will soon carry a paper by the WHO Task Force on Health Systems
Research (David and I were on it and did out best to push in some PHM
perspectives in the main paper. However, it was packed by academics from
mainstream and we could not get in as much as we wanted).
7. Now Lancet has agreed to a PHM commentary, which David. Dave, Fran,
Thelma, David Legge have just put together. It will feature in the same
issue. So we are beginning to be taken seriously by the mainstream journals
as well.
Best wishes
Ravi Narayan
•3 J!
PHM-Secretariat
From:
To:
Cc:
Sent:
Subject:
l YL?
"bala" <bala@haiap.org>
"PHM-Secretariat" <secretariat@phmovement.org>
"Ekbal Prof." <ekbal@vsnl.com>
Thursday, August 19, 2004 10:04 AM
Re: [PHM__Steering_Group_02-03] ERDU
Dear Ravi.
It was a mix up of e-mail addresses. I responded to Prof Ekbal when he
inquired about ERDU not realizing it was on a wider network. Apologies.
ERDU is the acronym for Educators for Rational Drug Use, set up by HAIAP in
1988 in Manila following an Regional Consultation on Undergraduate Medical
and Pharmacy Education.
You may remember Deien went to Yog Jakarta to speak to medical educators
on PHM. Well, the meeting in Yog Jakarta was in fact an ERDU meeting. PHM
has such a multisectoral dimension that any health or pharmaceutical related
issue can always be linked to PHM.
The immediate cause for that message to Prof Ekbal was to plan for an ERDU
event in 2005 for the South and South - East Asian Region probably in a
medical school in South India (to reduce cost of 5 star hotels).
Regarding CI, the head office in London was never in favour of extending
support to PHA. I was given permission to volunteer my services and host
the Secretariat as long as I was in CI. Dr Sothi the Regional Director was
very supportive of PHA and PHM. He nominated Carmelita to represent him.
In my opinion, she
did very good work. She has now left CI and gone to Pliilippines. She
continues to be an associate member of HAIAP.
suggest that you write a letter to Dr Sothi (if you had not already not
one) with the following points.
CIROAP was a founder member of PHA 1 and PHM.
2. CIROAP hosted the PHA Secretariat from October 1988 - July 2000.
3. Allowed two CI staff members (K Balasubramaniam and Kiran) to
volunteer
services to PHA I and PHM.
4. Provided bridge financing to die PHA Secretariat in Penang to convene
Planning Meetings in preparation for PHA I.
5. Dr Sothi, personally participated in the Planning Meeting for PHA
convened in Darka.
In view of the very close associates believe CIROAP and the PHM, the
Steering Group wishes to invite CIROAP to become a partner in the PHM and
nominate a staff
member to the Steering Group.
cue
C1ROAP is a large and credible membersliip organization in the Asia Pacific. We should get CIROAP to join us.
pMPzfT
You should initiate a diplomatic offensive. But take care to leave me out.
HAIAP getting out of CIROAP has weakened its image in the region. He was
not happy when I left CIROAP.
Samuel ObhltsHg - soi±y I am unable to recall die details. shall go thieugh
J
Page 2 of 2
our communication and come back to you.
wBSF - Tliis was an extremely radical left wing anti Bush event. Both Sarah
and Lammy said they will send you a formal report of the proceeding.
I have not written about MDG's. I do not have anything to write about. I
regret it will not be possible for me to participate in GFHR. Forum in
November. This certainly looks very interesting. We liave planned an Asian
Workshop on WTO TRIPS Public Health - in collaboration with TWN in November
2004 in Malaysia.
I shall very much appreciate if you can arrange to mail (hard copies if
possible) tiie relevant papers for these events. I shall try to mail you
some of my reflections.
Best wishes,
Bala
&L9/04
Page I of 1
PHM-Secretariat
From:
To:
Sent:
Attach:
Subject:
___________________________________________
’'PHM-Secretariat" <secretariat@phmovementorg>
<robertolopez@aislac.org>; <mebrat@haiafrica.org>; <marg@haiweb.org>
Friday, August 27, 2004 2:58 PM
Letter to HAI Coordinators.doc
Invitation from PHM Secretariat
KIssiDfiDii
G0©ta0 SeciretairlM: CHC, # 367, Jakkasandra 1st Main, 1st Block, Koramangala,
Bangalore - 560 034 India.
Te!.: 91-80-5128 0009 / Telefax: 21-80 2552 53 72
secretariat@phmovernent.org Welbsta http://wv.AA/.phmovement.org
To
Asian Community Health
Action Network (ACHAN)
Consumers InternationalRegional Office for Asia
and the Pacific (C5ROAP)
Dag Hammarskjold
Foundation (DHF)
Gcnoshasthaya Kendra,
(GK)
Health Action
International (HAI) - AsiaPacific - HAIAP
International People's
Health Council (IPHC)
Third World Network
(TWN)
Women’s Global Network
for Reproductive Rights
Roberto Lopez, Coordinator, HAI, Latin America
Mebrat, Coordinator, HAI Africa
Margaret Ewen, Coordinator, HAI, Europe
Central
America,
Mexico
and Caribbean
China
East and Central Africa
Europe
India
Middle
East
and
North
Africa
North America
Pacific,
Australia
and
New Zealand
South Asia (excl. India)
South America
South
East
Asia
(excl.
China)
Southern Africa
Wes: Africa
As you all know PHM recognizes the contribution of CI and HAI and all
their regional networks in keeping up the Health for All dream and joininp
us in so many ways in making the first People’s Health Assembly in GK
Savar, Bangaldesh 2000 possible.
Past Coordinator
Qasem Chowdhury,
GK, Savar, Bangladesh
Present Coordinator
Ravi Narayan,
CHC, Bangalore, India
Dear Friends,
Greetings from PHM Secretariat (Global)!
This is a special invitation to all of you to re-establish or strengthen links
with PHM, especially as we begin our next mobilization for:
o The Second People’s Health Assembly at Cuenca, Ecuador
from 18th to 23rd July 2005
o The First Global Health Watch Report (Alternative World
Health report), May 2005.
Many of our PHM members are already actively in touch with many of
you, but this invitation from the secretariat is to strengthen our relationship
even more.
a. Please get in touch with our regional PHM coordinator to begin to
work together on areas of common concern. The PHM website
(www.phmovement.org) gives our region and country contact
point.
b. We invite you all to consider how you can all link up and support
these two major initiatives - i.e., Second People’s Health Assembly
and Global Health Watch Report. Please visit our PHM website for
further details. We would like to include your concerns as well
c. We request you to keep us involved in al! your national, region?!
international initiatives so that our own national, regional focial
points can join you in common initiatives and the mobilization for
both PHA II and GHW I can be strengthened in your region.
PCW Resource Centre: Gcnoshasthaya Kendra, Nayarhat, Dhaka -1344, Bangladesh
Tel: 880-2-770 83 16, 770 83 35-6; Fax: 880-2-770 83 17; e-mail: gksavar@citechco. net
Secretariat Support Group: Website: Andrew Chetley, UK - chetley.a@healthlink.crg.uk;
PWIIMI Exchange: Claudio Schuftan, Vietnam- aviva@netnam.vn;
P» Bedie: Jnnikrishnan, India -unnikru@yahoo.com, Satya sivaraman, Thailand-satyasagar@yahoo.com
Projects / Finances: Andy Rutherford, UK - aruthenord@oneworidaction.org
^@©®0e9a KfesiDtB
PHM
CHC, # 367, Jakkasandra 1st Main, 1st Block, Koramangala,
Bangalore - 560 034 India. Tel.: 91-80-5128 009 / Telefax: 91-80-552 53 72
E-manO: secretariat@phmovement.org Website: http://www.phmovement.org
d. You will be glad to know that to maintain this historic link with all your networks, PHM has
two steering group posts allotted for representation by HAI and CI members. Presently HAI
- AP, represented by Dr. Balasubramaniam, is a member of the steering group and till
recently Carmelita Canila - CIROAP, was also a member. With her resignation from
CIROAP, we have now considered inviting Samuel Ochieng of CI- Africa to join the
steering group, so that Africa as a region can have a stronger representation. Samuel has
very kindly agreed to join the PHA II International Organizing Committee as 'well and help
for mobilizing a stronger and larger presence in PHA II from the African continet. You can
also keep in touch with PHM through these members of your network.
Looking forward to a phase of collective action in solidarity towards health for AU. An
acknowledgement would be greatly appreciated.
Best wishes
Ravi Narayan '
C oo^d^
PHM Global Secretariat
Bangalore
India
PHM Resource Centre: Gonoshasthaya Kendra, Nayarhat, Dhaka -1344, Bangladesh
Tel: 880-2-770 83 16, 770 83 35-8; Fax: 880-2-770 83 17; e-macC: gksavar@citechco. net
Secretarjat Support Groyp: Website: Andrew Chetley, UK - chetley.a@healthlink.org.uk;
PHM Exchange: Claudio Schuftan, Vietnam- aviva@netnam.vn;
PHM Media: Unnikrishnan, India -unnikru@Yahoo.com, Satya sivaraman, Thailand-satyasagar@yahcc.com
Projects / Finances: Andy Rutherford, UK - aruiherford@oneworldaction.org
From:
To:
Sent:
Subject:
"bala" <bafa@haiap.org>
"PHM-Secretariat" <secretariat@phmovement.org>
Monday, August 23t 2004 11:22 AM
Various matters
Dear Ravi,
1. Thanks for exploring possibility of your old and well known medical
school to host the ERDU. Looking back my fist contact with you was my
invitation to you to participate in the 1988 Regional Consultation on
Undergraduate Medical Education in Manila when ERDU was set up. We have now
come one full circle with you offering your assistance for the next ERDU
meeting.
We need to contact network partners of ERDU for their views. Shall convey
them your kind offer. It will be convened in the last quarter of 2005 long
after PHAII.
2. PHM should get all CT regional Offices to join rhe PHM. I am sure
Maria would have informed CI Latin America - Director Jose Vargas e-mail:
vargasrriello@consint.cl regarding PFIA II, Regional office for Africa e-mail:
roaf@harare.iairica.com Asia Pacific - Sothi E-mail Address:
sothi@circap.org
3. We should also invite Roberto Lopez rQbertoloDez@aislac.org
Coordinator - HAI Latin. America and Mebrat, mebrat@haiafrica.org
Coordinator HAI Africa, if they have not been already contacted and Margaret
Ewen, inarg@haiweb.org Coordinator HAI Europe.
4. The WTO/TRIPS Training Workshop is tentatively scheduled for November
2005 and is a follow up of the Regional Consultation in Colombo April 2003.
The participants mH be officials of Ministries of Health and International
Trade and health activist working on TRIPS Agreement and Access to Dmgs. I
shall keep you informed.
5. Good to know that PHM is getting into mainstream journals, perhaps
long overdue! Congratulations.
6.
Look forward to papers related to GFHR.
Best wishes,
Bala
. 'i ... 2
;
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year. ’here wa<*. t?w; ‘bison of PIEG members v/iih CL HA? and
BFAN and I beli
that bj text ye
hi t I
le
Wronger if
Ain.'Hh ano .sonic of you mok even more initiative. Many of them came to cmr
) their meetings. We must now take these links
furthc throi gh supporting
orsing
j. A _■
letter to them is enclosed.
1 here is a nev development and I need your endorsement before taking
further action.
- am
i
ml ig <
>
stee g group, but sin e ■
for Malaysia, tllis position is v,
Sotchi Raciiayan for a replacement but haw not yet done so.
. ..
................. mi...........
y J<
him ... i?e
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......................... ;cc Uly he is no v p<
Utrei
It
a good idei
<.. < ; en ■•.»- .
African context of our
grmm. Being from .Grier’ and \vih
gthei
and die representation on the steering group.
I could v...j u; M ■ 1 4 uuoc >uggusikig ;aat we couki tike to invite Samuel
3e
ii
t to st gthen .African representati
c.
Already SamuA h.?s agreed to help v.-itn PH A
JI organizing committee as
well. We did .>■: i.Lr. Jw.ajuma. hva aoJ others together io discuss a larger
African adxisor' nem ■
•■? strengthen African mobilization.
iinks with many of these axwa ;•••;. r«j yyx von i.j.,
oiher m-iyhA
17
London people too ccL my rappou vim mam ol Ihosc Mm c^mc m WI1A
has been v • good.
• more
w Alics
^porl of V • • \
Paae 1 of I
PHM °S e-c reta nat
From:
To:
Sent:
Attach:
Subject:
"PHM-Secretariat" <secretariat@phmovement.org>
<vargasnie!io@consintcl>; <roaf@harare.iafrica.com>; <sothi@ciroap.org>
Friday, August 27, 2004 2:56 PM
Letter to Ci Coordinators.doc
Invitation from PHM Secretariat
8/27/04
IX]®®0(sDb ifcwuwoBa'S
G3©ta8 S@©ir®ftairliafc CHC, # 367, Jakkasandra 1st Main, 1st Block, Koramangala,
Bangalore - 560 034 India.
Tel.: 91-80-5128 0009 / Telefax: 91-80-2552 53 72
H-maoh secretariat@phmovement.org
http://www.phmovement.org
Networks
Asian Community Health
Action. Network (ACHAN)
Consumers InternationalRegional Office for Asia
and the Pacific (CIROAP)
Dag Hammarskjold
Foundation (DHF)
Goncshasthaya Kendra,
(GK)
Health Action
International (HA!) - Asia
's j'-j- -a:aIntemational People's
H eal h Council (IPHC)
Third Worid Network
(TWN)
Women’s Global Network
for Reproductive Rights
Central
America,
Mexico
and Caribbean
China
East and Central Africa
Europe
India
Middie
East
and
North
Africa
North America
Pacific,
Australia
and
New Zealand
South Asia (excl. India)
South America
South
East
Asia
(excl.
China)
Southern Africa
West Africa
Past Coordinator
Qasem Chowdhury,
GK, Savar, Bangladesh
Present Coordinator
Ravi Narayan,
CHC, Bangalore, India
IO
Mr. Jose Vargas, CI Director, Latin America
Mr. Sothi Rachagan, CI Director, Asia Pacific
Director, CI, Africa
Dear Friends,
Greetings from PHM Secretariat (Global)!
This is a special invitation to all of you to re-establish or strengthen links
v/ith PHM, especially as we begin our next mobilization for:
o The Second People’s Health Assembly at Cuenca, Ecuador
from 18th to 23rd July 2005
o The First Global Health Watch Report (Alternative Worid
Health report), May 2005.
As you all know PHM recognizes the contribution of CI and HAI and all
their regional networks in keeping up the Health for AH dream and joining
us in so many ways in making the first People’s Health Assembly in GK
Savar, Bangaldesh 2000 possible.
Many of our PHM members are already actively in touch with many of
you, but this invitation from the secretariat is to strengthen our relationship
even more.
a. Please get in touch with our regional PHM coordinator to begin to
work together on areas of common concern. The PHM website
(www.phmovernent.org) gives our region and country contact
point.
b. We invite you all to consider how you can all link up and support
these two major initiatives - i.e., Second People’s Health Assembly
and Global Health Watch Report. Please visit our PHM website for
further details. We would like to include your concerns as well
c. We request you to keep us involved in all your national, regional,
international initiatives so that our own national, regional facial
points can join you in common initiatives and the mobilization for
both PHA II and GHW I can be strengthened in your region.
Resource Centre: Gonoshasthaya Kendra, Nayarhat, Dhaka -1344, Bangladesh
Tel: 88C-2-770 83 16, 770 83 35-6; Fax: 880-2-770 83 17; e-mail: gksavar@citechco. net
Secretariat Support Group: Website: Andrew Chetley, UK - chetley.a@healthlink.crg.uk;
Exchange: Claudio Schuftan, Vietnam- aviva@netnam.vn;
fi^edia: Unnikrishnan, India -unnikru@yahoo.com, Satya sivaraman, Thailand-satyasagar@yahco.com
/ Finances: Andy Rutherford. UK - arutherford@oneworldaction.org
[p@©E)[]®5© KtesiOO
PHR® Secretariat CHC, # 367, Jakkasandra 1st Main, 1st Bieck, Koramangala,
Bangalore - 560 034 India.
Tel.: 91-80-5128 009 / Telefax: 91-80-552 53 72
E-mao9: secretariat@phmovement.org Wefosot®: http://www.phmovement.org
You will be glad to know that to maintain this historic link with al! your networks, PHM has
two steering group posts allotted for representation by HAI and CI members. Presently HAI
- AP, represented by Dr. Balasubramaniam, is a member of the steering group and till
recently Carmelita Canila - CIROAP, was also a member. With her resignation from
CIROAP, we have now considered inviting Samuel Ochieng of CI- Africa contact to join the
steering group, so that Africa as a region can have a stronger representation. Samuel has
very kindly agreed to join the PHA II International Organizing Committee as well and help
for mobilizing a stronger and larger presence in PHA II from the African continent. You can
also keep in touch with PHM through these members linked to of your networks.
Looking forward to a phase of collective action in solidarity towards health for All. An
acknowledgement would be greatly appreciated.
Best wishes
Ravi Narayan
Coordinator
PHM Global Secretariat
Bangalore
India
PS: Please keep the PHM Secretariat (secretai-iat@phmovement.org) on your mailing list for
publications, educational materials reports. You can also send us information for the PHM website
(mark to communication@phinovement.org) and send short papers, events, reports, reflection,
appeal on the PHM e-group Exchange (pha-exchange@lists.kabissa.org)
F»HIM Resoyrce Centre: Gonoshasthaya Kendra, Nayarhat, Dhaka - 1344, Bangladesh
Tel: 880-2-770 83 16, 770 83 35-6; Fax: 880-2-770 83 17; e-maoU: gksavar@citechco. net
Secretariat Syjppod @r©yp: Website: Andrew Chetley, UK - chetley.a@healthlink.org.uk;
PHftl Exchange: Claudio Schuftan, Vietnam- aviva@netnam.vn;
PHM Media: Unnikrishnan, India -unnikru@yahoo.com, Satya sivaraman, Thailand-satyasagar@yahco.com
Projects / Finances: Andy Rutherford, UK - arutherford@oneworldaction.org
.
..
.
- - •
•
WUI; .... V-.
.
Sent.
..
.......
iSi.yl.
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I of ill 6 <-1
Page 1 of 2
Main Identity
From:
To:
Cc:
Sent:
Subject:
"Bala" <bala@haiap.org>
"PHM - Secretariat" <secretariat@phmovementorg>
"Prem Chandran John" <premjohn@vsnl.net>, "Uniikrishnan P V" <unmkru@yahoo com>
Monday, August 01,2005 3:04 PM
Re Very disappointed - reply
Dear Ravi.
Thanks. I did not check the website because I am so used to getting all PHM
Secretariat mails on my yahoo mail. I met Mira in New Delhi and she briefed
me on the PH A II. We shall give time for participants to rest and relax
before we plan the future of our movement.
Best wishes.
Bala
----- Original Message-----From: "PHM - Secretariat" <secrelariat@phmovemeni.org>
To: "Bala" <bala@haiap.org>
Cc: "Dr Prem Chandran John" <prem_john@vsnl.net>; "Dr Unnikrishnan P.V."
<unnikru@yahoo.com>
Sent: Friday. July 29. 2005 2:40 AM
Subject: Re: Very disappointed - reply
> Dear Bala.
> I am surprised that you did not check out the website because if I am
> right
> all the daily news releases I briefs were uploaded as they were released.
> It was an exciting, exhausting and exhularating experience in the Latino
> spirit and context - with of course many movement related disappointments
> as
> well and the transition is still very unclear. Perhaps as we all recover
> over the next few weeks, you will get reports with more details and some
> clarity. We missed your calm wisdom and clarity of purpose. Andy
> Rutherford's absence was also greatly felt. Both of you would have added
> clarity especially to the transition process. We have grown in maturity
> outreach but also in inter and intra regional intrigues!
> The visa problem for Sri Lankans and Pakistanis created a South Asian
> vaccum
> even though Nepali's and Bangladeshis made it.
> Best wishes,
> Ravi Narayan
> Coordinator
> PI IM Secretariat (Global)
> No. 359 (old No. 367)
> Srinivasa Nilaya. Jakkasandra 1st Main
8/1/05
Page 1 of 1
Main Identity
From:
To:
Sent:
Subject:
"Bala" <bala@haiap.org>
"PHM Secretariat" <secretariat@phmovement.org>; "Maria Hamlin Zuniga" <iphc@cisas.org m>;
"Umikrishnan P V" <unnikru@yahoo.com>, "Prem Chandran John" <hariprem@eth.net>; "Mira
Shiva" <mirashiva@yahoo.com>; "Claudio" <claudio@hcmc.netnam.vn>
Tuesday, July 26, 2005 3 55 PM
Very disappointed
Dear all.
I was eagerly waiting to receive daily press-releases from Unni describing
the great event. Unfortunately until today I have got no feed back from
any. It is very saddening to me that I am completely in the dark.
I shall meet Mira in New Delhi on 30th to get the feedback.
Best wishes.
Bala
Dr K Balasubramaniam
Advisor and Coordinator
I lealth Action International Asia - Pacific
5. Level 2. Frankfurt Place
Colombo 4
Tel: (94 11) 2554353
Fax:(94 11)2554570
E-mail: bala@haiap.org
::3a.ia,: <bala@haiap.org>
- Secretariat11 <secretariat@phmovement.org>
'/’-jecr.esday, November 09, 2005 8:41 AM
■■■■is: . j nC -GPV. (2006-2015) Review Meeting
• " s^oncec
yc:_ are scnedJed .or an angicgram when the treadmill showed that there was no obstruction to the
jsronary oircjiat'or. i strongly advise a second opinion.
Jpic yroie is no: sadsiactony. 3ut this can be easily controlled with lifestyle changes and drugs if necessary
-
.
,;Ba:a" <bala@haiap.org>
“PHivi - Secretariat' <secretariat@phmovement.org>
Tuesday, November 08, 2005 8:15 AM
Re: WHO-GPW (2006-2015) Review Meeting
Dear Ravi,
c
c.: z pray that yojr treadmill test w;L reveai a healthy heart. Please keep us informed.
Best wishes,
Bala
S In I05
Position: 23 (48 views)