People's Health Movement

Last updated
People's Health Movement
Founded2000
Savar, Bangladesh
Type Network/Social movement [1]
Focus Health, Equity, human rights
Location
Area served
Worldwide
Method Direct action, lobbying, research, activism
Website Website

People's Health Movement (PHM) is a global network of grassroots health activists, civil society organizations and academic institutions particularly from developing countries. PHM currently has bases in more than 70 countries that include both individuals and well-established circles with their own governance structures. It has chapters in South Asia (India, Bangladesh, Sri Lanka), Africa (South Africa), Pacific (Australia), South America (Brazil, Ecuador), Central America (El Salvador, Nicaragua, Guatemala), North America (USA, Canada), Europe (Italy, Switzerland, UK, Greece) and several other countries. [2] [3] [4] PHM works towards the revitalisation of Primary Health Care (PHC), as described in the Alma-Ata Declaration of 1978. [5]

Contents

Vision of PHM:

"Equity, ecologically-sustainable development and peace are at the heart of our vision of a better world - a world in which a healthy life for all is a reality; a world that respects, appreciates and celebrates all life and diversity; a world that enables the flowering of people's talents and abilities to enrich each other; a world in which people's voices guide the decisions that shape our lives...."

History

At the Alma-Ata Conference in 1978, health ministers from 134 countries, in association with the World Health Organization (WHO) and UNICEF, set a goal of achieving "Health for All by the Year 2000" and identified primary health care as the mean to achieve it. However, in response to continued and deepened health inequalities, on 8 December 2000, 1453 delegates from 92 countries met at Savar, Bangladesh for the First People's Health Assembly which led to the founding of the People's Health Movement and the drafting of the People's Charter for Health [6] [7]

People's Charter for Health

The People's Charter for Health echos many of the principles of the Alma Ata Declaration by recognizing health as "..a social, economic and political issue and above all a fundamental human right". [6] It names "inequality, poverty, exploitation, violence and injustice" as the main drivers of ill-health and calls for "Health for ALL NOW" through the involvement of people's organizations in health decision making. [6] PHM attributes the inequity in health care to the laissez faire economic practices globally and seeks to counter these practices and challenge health policy makers around the world with a Peoples Health Campaign for Health for All-Now! [8]

Social Determinants of Health

See Also: Social determinants of health and Social determinants of health in poverty

PHM also works to address the Social determinants of health, including in particular, the growing inequity within and between nations attributed by them to unfair economic structures which lock people into poverty and poor health. PHM helped to put the Social Determinants of Health on the global agenda through continued engagement with the World Health Organization. [9] In response Prof. Fran Baum (Australia), at that time Chair of the PHM Steering Council, was appointed as a commissioner on the WHO Commission on Social Determinants of Health (CSDH). Working with other civil society organizations, PHM helped gather evidence for the WHO final report on the Social Determinants of health released in August 2008. [10] PHM's engagement with the commission's work also resulted in the publication of a Civil Society Report on Social Determinants of Health. [11] In 2011 PHM was involved in the civil society side meeting during the Conference on Social Determinants of Health, taking place in Rio de Janeiro.[ citation needed ]

Campaign on Right to Health

The PHM is engaged in a major global campaign to promote the Right to Health which involves coordinated national and international level action. [12] PHM uses a consultative process in countries to involve thousands of people in making a demand for Health for All as described in the Alma Ata Declaration of 1978.[ citation needed ]

The first phase of the campaign involves the production of rights-based evaluations of national health policies in countries with PHM circles. The global coordinating group has developed The Assessment of the Right to Health at the Country Level: A People's Health Movement Guide for national PHM circles to use to produce consistent reports using human rights law. The second phase of the campaign focuses on movement building and mobilisation.[ citation needed ]

Global Health Watch

The Peoples Health Movement plays a lead role in co-ordinating the production of the Global Health watch.

In an increasingly integrated, globalised world with new cross-border threats to health, widening disparities in both health and access to health care, and an unacceptable level of human suffering and premature mortality in developing countries, people across the globe are asking, why is so little progress being made by in promoting health in the world?

The Global Health Watch [13] is designed to seek answers to this question and also to start articulating solutions. It is an endeavour to propose to the global community an alternate vision of health that is located in a vision of equity, rights and empowerment. It is a collaborative exercise, initiated by the Peoples Health Movement (PHM), Global Equity Gauge Alliance (GEGA) and Medact in 2004. An important outcome of the process is the periodic publication of a document termed the Global Health Watch – a document that is contributed to by researchers, academics and activists from across the globe. Two editions of the document have been published, the first in 2005 as Global Health Watch I and the second in 2008 as Global Health Watch II. The third edition of the GHW is to be published in 2011.[ needs update ] The Global Health Watch aims to:

The document is divided into the following broad sections:

1. An analysis of the global political and economic architecture, within which are located the decisions and choices that impact on health.

2. A view of current issues and debates on health systems across the world, from which it is possible to draw appropriate lessons and propose concrete actions for promoting health.

3. Beyond Health Care – a discussion of different determinants of health

4. The Watching Section – dedicated to the scrutiny of global processes and institutions that are crucially important for health and health care in the globe.

5. A section proposing alternatives and highlighting stories of success and resistance that are exemplars of actual actions that have contributed to better health and health care.

Thus, unlike other reports on global health, the Global Health Watch also draws attention to the politics of global health and the policies and actions of key actors. The document is also a call to all health workers to broaden and strengthen the global community of health advocates who are taking action on global ill-health and inequalities, and their underlying political and economic determinants. Not only is it an educational resource for health professionals and activists, it makes clear the need for global health advocates to engage in lobbying many key actors to do better and to do more, whilst resisting those that do harm. It also seeks to act as a catalyst for the development and strengthening of existing campaigns around the world to improve health and equity. The document published as the Global Health Watch is, thus, a culmination of a global process. Typically, each Watch is contributed to directly by over 200 people from across the globe. While the published document is an important product, it is by no means the only outcome to be desired from the entire process. The process of producing the Watch involves the animation of a large number of different processes, in different regions and countries. The process promotes the scrutiny of national and regional policies related to health. It also promotes debate among health academics and activists on key issues that are critical for the promotion of global health.

The Watch itself has different uses and target audiences. It is a lobbying tool for health movements to work on policy makers in countries and global institutions. It is also a resource book for academics and health activists. It is a tool to mobilise civil society on issues of major concern. Thus the Global Health Watch goes much beyond the production of one document. Further, the launch of the GHW in different parts of the world is an opportunity to mobilise around issues that impact on access to health and health care.

While the PHM is responsible for the Secretariat of the Global Health Watch, its co-ordinating group also includes Medact (based in the UK), Health Action International, Medicos (Germany) and Third World Network.

International People’s Health University – IPHU

The International People's Health University is a short training course for young health activists focussing on the politics of health. The IPHU has organized 20 short courses entitled ‘The Struggle for Health’ of 2-week duration each. The courses have been organized in over 15 countries so far, in 9 languages and attended by about 1000 health activists from more than 60 countries.[ citation needed ]

thematic campaigns

PHM activists organise following thematic groups in addition to their local or regional activities based on local needs and issues:

Extractive Industries

Access to Affordable quality health care and medicines

Food sovereignty

Anti privatisation of Health care

Gender and reproductive justice

Trade and health

PHM advocates that Health should not be viewed as a commodity that is traded in the market. The PHM supports the call for taking health related subjects out of the global trade negotiations and from the World Trade Organisation (WTO) and other regional and bilateral trade agreements. The PHM views the agreement on Trade Related Intellectual Property Rights(TRIPS) as iniquitous and against the interest of developing countries and poor patients. It supports legislation in India and other countries which allows generic drug companies to manufacture medications still covered by patents in other countries. [14]

Related Research Articles

Civil and political rights are a class of rights that protect individuals' freedom from infringement by governments, social organizations, and private individuals. They ensure one's entitlement to participate in the civil and political life of society and the state without discrimination or repression.

Social justice is justice in terms of the distribution of wealth, opportunities, and privileges within a society. In Western and Asian cultures, the concept of social justice has often referred to the process of ensuring that individuals fulfill their societal roles and receive their due from society. In the current movements for social justice, the emphasis has been on the breaking of barriers for social mobility, the creation of safety nets, and economic justice. Social justice assigns rights and duties in the institutions of society, which enables people to receive the basic benefits and burdens of cooperation. The relevant institutions often include taxation, social insurance, public health, public school, public services, labor law and regulation of markets, to ensure distribution of wealth, and equal opportunity.

Advocacy is an activity by an individual or group that aims to influence decisions within political, economic, and social institutions. Advocacy includes activities and publications to influence public policy, laws and budgets by using facts, their relationships, the media, and messaging to educate government officials and the public. Advocacy can include many activities that a person or organization undertakes, including media campaigns, public speaking, commissioning and publishing research. Lobbying is a form of advocacy where a direct approach is made to legislators on a specific issue or specific piece of legislation. Research has started to address how advocacy groups in the United States and Canada are using social media to facilitate civic engagement and collective action.

Children's rights are a subset of human rights with particular attention to the rights of special protection and care afforded to minors.. The 1989 Convention on the Rights of the Child (CRC) defines a child as "any human being below the age of eighteen years, unless under the law applicable to the child, majority is attained earlier." Children's rights includes their right to association with both parents, human identity as well as the basic needs for physical protection, food, universal state-paid education, health care, and criminal laws appropriate for the age and development of the child, equal protection of the child's civil rights, and freedom from discrimination on the basis of the child's race, gender, sexual orientation, gender identity, national origin, religion, disability, color, ethnicity, or other characteristics. Interpretations of children's rights range from allowing children the capacity for autonomous action to the enforcement of children being physically, mentally and emotionally free from abuse, though what constitutes "abuse" is a matter of debate. Other definitions include the rights to care and nurturing. There are no definitions of other terms used to describe young people such as "adolescents", "teenagers", or "youth" in international law, but the children's rights movement is considered distinct from the youth rights movement. The field of children's rights spans the fields of law, politics, religion, and morality.

<span class="mw-page-title-main">Population health</span> Health outcomes of a group of individuals

Population health has been defined as "the health outcomes of a group of individuals, including the distribution of such outcomes within the group". It is an approach to health that aims to improve the health of an entire human population. It has been described as consisting of three components. These are "health outcomes, patterns of health determinants, and policies and interventions".

Primary health care, or PHC, refers to "essential health care" that is based on scientifically sound and socially acceptable methods and technology. This makes universal health care accessible to all individuals and families in a community. PHC initiatives allow for the full participation of community members in implementation and decision making. Services are provided at a cost that the community and the country can afford at every stage of their development in the spirit of self-reliance and self-determination. In other words, PHC is an approach to health beyond the traditional health care system that focuses on health equity-producing social policy. PHC includes all areas that play a role in health, such as access to health services, environment and lifestyle. Thus, primary healthcare and public health measures, taken together, may be considered as the cornerstones of universal health systems. The World Health Organization, or WHO, elaborates on the goals of PHC as defined by three major categories, "empowering people and communities, multisectoral policy and action; and primary care and essential public health functions as the core of integrated health services[1]." Based on these definitions, PHC can not only help an individual after being diagnosed with a disease or disorder, but actively prevent such issues by understanding the individual as a whole.

<span class="mw-page-title-main">Right to health</span> Human right towards individual health

The right to health is the economic, social, and cultural right to a universal minimum standard of health to which all individuals are entitled. The concept of a right to health has been enumerated in international agreements which include the Universal Declaration of Human Rights, International Covenant on Economic, Social and Cultural Rights, and the Convention on the Rights of Persons with Disabilities. There is debate on the interpretation and application of the right to health due to considerations such as how health is defined, what minimum entitlements are encompassed in a right to health, and which institutions are responsible for ensuring a right to health.

Declaration of Alma-Ata was adopted at the International Conference on Primary Health Care (PHC), Almaty, Kazakh Soviet Socialist Republic, 6–12 September 1978. It expressed the need for urgent action by all governments, all health and development workers, and the world community to protect and promote the health of all people. It was the first international declaration underlining the importance of primary health care. The primary health care approach has since then been accepted by member countries of the World Health Organization (WHO) as the key to achieving the goal of "Health For All", but only in developing countries at first. This applied to all other countries five years later. The Alma-Ata Declaration of 1978 emerged as a major milestone of the twentieth century in the field of public health, and it identified primary health care as the key to the attainment of the goal of "Health For All" around the globe.

<span class="mw-page-title-main">World Conference on Women, 1995</span> United Nations conference

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<span class="mw-page-title-main">Social determinants of health</span> Economic and social conditions that influence differences in health status

The social determinants of health (SDOH) are the economic and social conditions that influence individual and group differences in health status. They are the health promoting factors found in one's living and working conditions, rather than individual risk factors that influence the risk for a disease, or vulnerability to disease or injury. The distributions of social determinants are often shaped by public policies that reflect prevailing political ideologies of the area.

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<span class="mw-page-title-main">Medact</span>

Medact is a non-profit organization and registered charity, whose mission is "to support health professionals from all disciplines to work together towards a world in which everyone can truly achieve and exercise their human right to health".

<span class="mw-page-title-main">Social inequality</span> Uneven distribution of resources in a society

Social inequality occurs when resources in a given society are distributed unevenly, typically through norms of allocation, that engender specific patterns along lines of socially defined categories of persons. It is the differentiation preference of access of social goods in the society brought about by power, religion, kinship, prestige, race, ethnicity, gender, age, sexual orientation, and class. Social inequality usually implies the lack of equality of outcome, but may alternatively be conceptualized in terms of the lack of equality of access to opportunity. The social rights include labor market, the source of income, health care, and freedom of speech, education, political representation, and participation.

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The Alliance for Healthy Cities (AFHC) is a cooperative international alliance aimed at protecting and enhancing the health and health care of city dwellers. It is composed of groups of cities, urban districts and other organizations from countries around the world in exchanging information to achieve the goal through a health promotion approach called Healthy Cities. The chair city for the alliance is Ichikawa, Japan.

Carl Ernest Taylor, MD, DrPH founder of the academic discipline of international health who dedicated his life to the well-being of the world's marginalized people. He was the founding chair of the Department of International Health at the Johns Hopkins Bloomberg School of Public Health. He was a key contributor to the Alma Ata Declaration. At the age of 88, this energetic man assumed the challenging position as Country Director for the nonprofit organization Future Generations Afghanistan where he led innovative field-based activities until age 90. He has worked in over 70 countries and have students from more than 100 countries. He was sharing this near century-long perspective with his students up until a week before his death.

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Sexual and reproductive health and rights or SRHR is the concept of human rights applied to sexuality and reproduction. It is a combination of four fields that in some contexts are more or less distinct from each other, but less so or not at all in other contexts. These four fields are sexual health, sexual rights, reproductive health and reproductive rights. In the concept of SRHR, these four fields are treated as separate but inherently intertwined.

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References

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  2. "Indian Health Professionals to launch Peoples Health Movement in Pakistan". Pakistan Press International Information Services Limited. July 6, 2004. Retrieved 2009-02-26.
  3. Barnes, Clayton (September 9, 2007). "Health for all now, demand marchers". Sunday Argus. p. 4. Retrieved 2009-02-26.
  4. "People's Health Movement". Australian Broadcasting Corporation - Radio National Breakfast. 23 March 2005. Retrieved 2009-02-26.
  5. Alma-Ata Declaration
  6. 1 2 3 Website of PHM. In 2005, a second People’s Health Assembly was organised and lead to the development of the Cuenca Declaration. In 2012, the Third People’s Health Assembly was held in Cape Town out of which a Call to Action was developed. LINK
  7. Zafrullah Chowdhury and Michael Rowson (2000) The People's Health Assembly: Revitalising the promise of "Health for All. British Medical Journal321;1361-1362. doi : 10.1136/bmj.321.7273.1361 PDF
  8. Narayan, R., Schuftan, C. 2008. People’s Health Movement In K. Heggenhougen and S. Quah, Eds., International Encyclopedia of Public Health, Vol.5, San Diego Academic Press, pp.41-45
  9. Narayan, R: "The role of the People's Health Movement in putting the social determinants of health on the global agenda", Health Promotion Journal of Australia, 17(3):186
  10. Report of the WHO Commission on Social Determinants of Health. PDF
  11. Civil Society Report on Social Determinants of Health
  12. "Health for All Campaign | People's Health Movement".
  13. "Global Health Watch |". www.ghwatch.org. Retrieved 2019-06-06.
  14. Leahy, Stephen (January 29, 2007). "HEALTH-INDIA: Patients Before Patents, Groups Urge". Inter Press Service. Retrieved 2009-02-26.