People's Health Movement PHM - re-establish health and equitable development as top priorities with comprehensive primary health care


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Last Update:  March 14, 2005 

 

Venue

 

Background

 

The Perspective

 

Programme

 

Programme Format

Venue

YMCA International House and Programme Centre
18, YMCA Road,
Mumbai Central
Mumbai - 400008
Tel: 2307-0601, 2309 1262 Fax: +91-22-2307-1567

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Background

People’s movements across the world are working to identify and demonstrate that the path to sustainable development and social and economic justice does not lie in neo-liberal globalization but in alternative models for people-centred and self-reliant progress. The World Social Forum developed as a response of the growing international movement questioning the neo-liberal economic policies being pursued in most countries and imperialist globalization.

In 2001, 2002 and 2003 the World Social Forum, held in Porto Allegre, Brazil, has explored and proposed such alternatives, and questioned the rules of governance and investment being set by the World Economic Forum. The people’s argument is that Another World IS Possible. It is an argument based on both vision and reality.

In 2004, for the first time, the World Social forum moves out of Porto Alegre, to Mumbai in India. The World Social forum in Mumbai will be organized between 16-21 January, 2004.
The WSF2004 will focus not only on the impact but also the processes of neo-liberal globalization that is creating a small global, ‘over-class’ and a vast, increasingly marginalized and vulnerable under-class in every country. Every part of the process seeks to draw out people’s perceptions regarding the impact of neo-liberal economic policies and their attendant divisiveness on their daily lives.

In 2002 and 2003 it has been the practice to organize a “International Forum for Defense of People’s Health” just before the World Social Forum. In 2003 the Peoples Health Movement participated in this forum in a modest way.

At the time of the World Health Assembly in May 2003, the Steering Group of the Peoples Health Movement met to chalk out a calendar of activities for the coming year. While endorsing the decision to hold the next People’s Health Assembly in Porto Alegre in July 2004, it was also decided to take the responsibility of organizing the “IIIrd International Forum for Defense of People’s Health” in Mumbai on 14-15 January 2004, just prior to the organization of the World Social Forum.

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Perspective of the Forum for Defense of People’s Health

The Forum is an opportunity to bring together participants at the WSF2004 who are working in the area of Health. This would help to focus on the impact of neo-liberal globalization on health care and health policy making and ensure that these issues are fore-grounded at the World Social Forum itself. Moreover, this would also be an opportunity for PHM activists from Asia and Africa, who may not be able to participate in the IInd People’s Health Assembly in large numbers due to the high costs of travel, to contribute to the process of evolving alternatives that the PHM is engaged in. The Forum, thus, while having an international character and vision, is likely to see a strong Asian participation.

The Forum is not designed to be a “mini-Peoples Health Assembly”, but would rather seek to focus more concretely and specifically on the multi-faceted challenges posed by globalization to health care across the world and focus on campaigns, Programme initiatives and policy advocacy efforts that are evolving as a countervailing movement with a focus of Health for All, Now
 

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Programme

 

Given below are the five thematic areas and an outline of the deleterious effects of globalization on various aspects of health and health care. With these deleterious effects as the context, the discussion in the Forum would focus on sharing of the work and strategies of anti-globalization movement on health issues. The sessions have been planned below, keeping this focus in mind. In the Forum, we would thus go by our PHM tradition of focusing discussions around action.

Themes of the Forum


The major thematic axes of the Forum shall, in large measure, follow the principal foci of World Social Forum, (16 - 21 January) 2004. These shall be:

1) Health in the Age of Globalization

Various policy changes occasioned by multilateral agencies, that have been imposed on developing countries in the era of imperialist globalization have been detrimental to nation states in every region. The results have been felt most severely in the social sectors - health, education, food security, etc. Bank and IMF dictated policies and WTO obligations have placed primacy on the necessity to be “competitive” in the global market. In order to do so poor countries were told that the poor were a liability and, at best, could be provided a “safety net”. The purpose of such a net is not to provide comprehensive social security cover but to provide “minimum” facilities and services that could contain social unrest and political instability. Countries, as a result, are increasingly resorting to “social dumping”, where the poor are insulated from the mainstream and kept in a permanent state of penury.

Public health is an obvious casualty of this process. There is a clear contradiction between the principal tenets of public health and neo-liberal economic theory that permeates policy making today. The former posits that public health is “public good”, i.e. its benefits cannot be individually appropriated or computed, but have to be seen in the context of benefits that accrue to the public. Thus public health outcomes are shared, and their accumulation lead to better living conditions. Such goods never mechanically translate into visible economic determinants. But neo-liberal economic policies are loath to even acknowledge such benefits. The current economic policies would rather view health as a private good that is accessed by the medium of the market.
The above is the basic terrain that the theme of “Health in the Age of Globalization” will explore.


2) Health in the Shadow of Militarism and War


Imperialist globalization, accompanied by and/or manifested as military and other intervention by world powers, has greatly accentuated the lack of peace and security across the globe. In spite of urgency expressed by States regarding national and regional security and the pledging of enormous resources, conflicts have increased the world over. After September 11 there has been a sharp increase in militarism and the adoption and use of draconian laws and measures under the garb of curbing terrorism.

Security of individuals, communities and societies continue to be neglected as compared to state security. People are facing severe threats to livelihood, social security, rights and living standards especially in the context of globalization; their protests and demands, particularly when voiced by peoples' movements, are treated as security threats by the state, with increasing reliance on the use of force through police/armies to establish 'order'. These and related aspects require detailed attention.

The aggression on Iraq and the continuing occupation of Palestine are but two manifestations of the shadow of militarism under which we are forced to live. The human tragedy that war and conflicts bring about in their wake is most starkly evident in the area of health care. Health is a casualty not only in areas where wars are being waged, but also in regions being targeted through economic sanctions. Above all this is the threat of a nuclear holocaust and its obvious catastrophic consequences.

These are some of the issues that this theme will explore.


3) Health Care and the Marginalized - Disabled, Religious/Ethnic Minorities, Dalits


Globalization achieves exclusions of various kinds through a variety of formal and informal operations of power. Erosion of the political sovereignty of the nation-states, sharp reduction in the powers of the democratically elected bodies and the corresponding rise in the powers of the various arms of global establishment are perhaps the most visible of these instrumentalities. Democratically elected institutions yielding their power to ‘expert’ regulatory bodies or simply market forces within the domestic arena is but another corollary of the same process. A shrinking of democratic space within the nation-states can be seen in the rise of the aggressively majoritarian and intolerant articulations of the nation and an increase in the repressive powers of the state, leading to gross violation of civic and human rights.

This theme seek to highlight this exclusionary effects of globalization in its multiple dimensions, and their specific effects in the area of health care.

4) Health Care and Patriarchy

In the wake of globalization the very concept of “Health for All” is being pushed back by health sector reforms and privatization with disastrous result in terms of women and children’s lives. Government health policies have been redirected to focus on privatization, cost-effectiveness and the development of public-private partnerships in the provision of health care.

Over the years governments and religious fundamentalists have denied women’s right to make decisions central to their lives. They have done this by implementing policies that are more in the interest of private businesses and cost-effectiveness and less in the interest of equity and quality for all. The right to health also eludes many women who because of deeply internalized subordination and the absence of enabling conditions, fail to claim this entitlement. Women’s right to health has to be addressed by comprehensive primary health care systems and comprehensive social and economic policies all over the world.

This theme will examine these and related issues.

5) HIV/AIDS: Confronting the Crisis

There will be a special session to discuss the HIV/AIDS crisis in many parts of the world and its devastating effect on public health. This session will also discuss how the institutions of globalization like the World Bank, the WTO and the IMF act to compound the crisis.

Since the People’s Health Assembly in GK - Savar, Bangladesh - December 2000 a lot has happened all over the world to build up a movement towards Health for All, Now, and counter and oppose global trends that are promoting Health for those who can pay. PHM members have joined hands in solidarity with the wider social / societal struggles for sustainable development and global peace and solidarity. The Health Forum as a preceding event just 2 days before the World Social Forum is an important linkage to ensure that the Health for All, Now campaign and PHM works in solidarity with all the campaigns and struggles that tackle the deeper determinants of health. Health professionals and health activists will also attend WSF in solidarity with its overall goals to celebrate that Another World is possible - another way towards Health for All, Now is possible!

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Programme Format

 

This will keep evolving through an interactive, participatory process with PHM constituents all over the world. The latest evolving program as of 24th Dec. is given below. 

Program Download

To download the following Program in MS Word format click here 


Date/ Time/ Session

Programme

12th and 13th January 2004

The People’s Health Movement Steering Group and Strategy Planning Meeting (by special invitation only)


International Health Forum for the Defense of People’s Health (IHF), 14th – 15th January 2004
YMCA, Mumbai

Date/ Time/ Session

Programme

14th January 2004

DAY ONE

 

14th January 2004

9.00 – 11.00

Inaugural Plenary

 

Coordinators: 

Amit Sengupta
(India)

      
Overview on confronting the challenge of globalisation through health work: Perspective, struggles and strategies


Chair:
                                                                                            Moderator:

1) Welcome and Introduction - (10 mins)

2) Two Keynote Presentations

A) Globalization - A Macro perspective - Walden Bello (Philippines) (30 mins)

B) Linkages between Globalization and Health - David Legge (Australia) (30 mins)

3) Brief overview of People’s Health Movement and the main challenges before it in response to the threat of Globalization - Ravi Narayan (15 mins)

4) Interactions from the floor (35 mins.)

11.00 - 11.30

Break


14th January 2004

11.30 - 13.30

Inaugural Plenary (contd.)

Coordinators: 

Maria Hamlin Zunega
(Nicaragua)


Chair:
Dr. N. H. Antia (Chairperson, PHM India)

Moderator: Maria H. Zunega, PHM /IPHC (Nicaragua)

1) Panel: Regional challenges, struggles and role of PHM (75 mins)

a) Asia - Edelina De La Paz (Phillipines)

b) Africa - Mwajuma Masaiganah (Tanzania)

c) Americas- Arturo Quizhpe (Ecuador)

d) Europe - Pamela Margaret Zinkin (UK)

e) India - Abhay Shukla (India)

2) Some brief country case studies (30 mins)

3) Interaction from the floor (15 mins.)

13.30 - 14.30

Lunch

14.30 - 16.30

Parallel Plenaries

14th January 2004

14.30 - 16.30

 




Parallel Plenary 1A
 







Coordinators: 

Sundararaman
(India)

Globalisation, Health Policies and Health Sector Reforms

Chair:                                                                                      Moderator:

1) Testimonies:

Evelyn Hong (Malaysia)

Jen Cox* (USA)

2) Keynotes -
a) “A World without World Bank and IMF - The Cuban experience of Health for All ” - Dr Aleida Guevara March* (Cuba)
b) Issues & alternatives - Antonio Tujan* (Philippines)

3) Round Table - Globalisation and Health

Imrana Qadeer (India)

David Sanders ( South Africa)

Prof. Tissa Vitarana (Sri Lanka) or Dr. Michael Brugiere/ Julie Ancian (MDM)

4) Interaction from the floor


14th January 2004

14.30 - 16.30

 

 

 

 

 

 

Parallel Plenary 1B

 

 

 

 

 

Coordinators: 

Unnikrishnan (Thailand) /

Ghassan (Palestine)

      

B) Health under War, Occupation and Militarization

Chair:                                                                     Moderator: Unnikrishnan

1) Keynotes:

a) Rosalie Bertell* (Canada)

b) Plan Columbia - Edgar Isch Lopez (Ecuador)

2) Voices from the field:

a) Palestine

b) Gujarat- India

c) Vietnam*

d) Iraq (by South Koreans)

e) Afghanistan*

f) Sri Lanka (Vinya Ariyaratne)

g) Nepal

h) Philippines (Mindanao)

3) Interactions from the floor

16.30 - 17.00

Break

17.00 - 19.00

Parallel Workshops


14th January 2004

17.00 - 19.00




 

Parallel Workshop 1 

 

 

 

 

 

Coordinators: 

     

Globalisation and Health Policy


Chair:
S.P. Shukla
WTO Virodhi Abhiyan Moderator:

1) Testimonies:

a) Gleevec campaign against Novartis - Clara Kim (South Korea)

b) National Trust fund for Health and Community Mobilisation for Health For all, Jagdish Goburdhan / Ita Stann (Mauritius)

c) Trade Union campaign on right to Health Care - Nicola Delussu (Italy)

 

2) Panelists:

a) Securing the Right to Health - Julio Monsalvo* (Argentina) or Relevance of Alma Ata today - Arturo (Ecuador)

b) WHO or WTO - who determines Global health priorities?- Armando* (Brazil)

c) TRIPS and Access to Essential Medicines- Lawan Sarogat(MSF)

d) GATS and Access to Health Care: The new challenges - Michael Brugiere / Julie Ancian (MDM) 
e) Global Equity Guage Alliance (GEGA representative)

3) Interactions from the floor


14th January 2004

 

 

17.00 - 19.00

 

 

 

 

 

 Parallel Workshop - 2

 

 

 

 

Coordinators: 

Unnikrishnan(Thailand) /

Ghassan(Palestine)

      

Promoting Synergy: Towards joint Anti - war action

Chair: Moderator:

1) Keynote:

 

a) Bert Belder - Belgium

2) Voices from the field:

a) Stop the War Coalition UK*

b) Palestine

c) Anti War effort - South Asia, Sandeep Pandey (India)

d) Boycott Bush campaign (Belgium)

3) International resistance and local actions - ILPS, Philippines

4) Interactions from the floor


14th January 2004

 

17.00 - 19.00

 

 

 Parallel Workshop - 3

 

 

Coordinators: 

Carmelita(Philippines) /

FCA

      

Learning from the Global Tobacco Control campaign - including FCTC

Chair:                                                        Moderator: Carmelita Canila

1) Testimonies:

a) Youth and Tobacco Campaign - Bobby Ramakant (India)

b) Community in health promotion - Sehra Sajjadi (Iran)

2) Round Table:
(FCA / PATH / PHM Bangladesh and others)
a) Relevance of Tobacco Control within the context of Social Development

b) Lessons from FCTC

 

3) Interactions from the floor


14th January 2004

17.00 - 19.00

 

 Parallel Workshop - 4

 

Coordinators: 

Lanny Smith (US)

      

Liberation Medicine - Bringing together experiences of the conscious, conscientious, use of health to promote social justice and human dignity.

Chair: Moderator: Lanny Smith

1) Panelists include: Sayeh Dashti (Iran) Roland Bani (Albania), Chris Fritsch (US), Duflo* (France) and Vinu* and Medico Friends circle representative

2) Interactions from the floor


14th January 2004

17.00 - 19.00

 

 

 

Parallel Workshop - 5

 

 

 

 

 

Coordinators: 
Ravi Duggal (India)


Globalisation and Health Sector Reforms

Chair:                                                                            Moderator:

 

1) Testimonies:

a) Privatisation and Health : Delen (Philippines)

b) A grassroots perspective - GK Health Worker (Bangladesh)

 

2) Panelists: 

a) Barriers to accessing health care in Africa - Harry Jeene (Kenya)

b) Public Private Interactions and Implications - Jose Utrera (Netherlands)

c) Macro Economics in Health and Privatisation - Muralidharan (India)

d) Health Policy Reform for “Health for All”- Basic Human Needs Approach (Iran) - Md. Ali

Barzgar

 

3) Interactions from the floor


14th January 2004

 

17.00 - 19.00

 

 

 

 

 

 Parallel Workshop - 6

 

 

 

 

 

Coordinator: 
Prem John (India)


Health Teams for ‘Health for All’ (including CHWs)

 

Chair: Qasem Chowdhury, Vice chancellor       Moderator: Prem John

Gono Biswbidyalay, Bangladesh


1) Testimonies:

a) CHW’s in Albania, Roland Bani

b) Nurses and Migration, Emma Manuel (Philippines)


2) Panelists:

a) CHW’s an overview - Shyam Ashtekar* (India)

b) The great Brain robbery - Vikram Patel (UK)

c) Health teams for HFA (Mauritius)

d) IFMSA representative*

e) Engendering Medical Education - Padma Prakash (India)


3) Interactions from the floor


14th January 2004

17.00 - 19.00

 

 

 

 Parallel Workshop - 7

 

 

 

 

Coordinator: 

Vijayan, GK/

Darshan Shankar, FRLHT

 

 

Traditional / Alternative systems of Medicine and Primary Health Care

 

Chair: Zafrullah Chowdhury, GK (Bangladesh) Moderator: Vijayan, GK (Bangladesh)


1) Testimonies:

a) Perspective of a TBA from Rajasthan, CHETNA (India)

b) Understanding Folk medicine - Hari John (India)


2) Panelists:

a) Revitalisation of local health traditions, FRLHT(India)

b) Training of TBAs - CHETNA (India)

c) Integrating ASMs for Primary Health Care - The GBB course(Bangladesh)

d) Promoting herbal medicines and ASMs - CHAI*(India)

e) Integrated health policy including TSM - D. Bahadur (Mauritius)


3) Interactions from the floor

19.00 - 19.15

Break

19.15 - 20.15

Cultural Programmes

15th January 2004

Day TWO

08.00 - 09.00

Interaction / Fellowship


15th January 2004

 

09.00 - 11.00

 

 

 

Plenary 2 

 

 

 

 

 

Coordinators: 

David Sanders

 

 

HIV/AIDS: Confronting the Crisis

 

Chair: Olle Nordberg (Sweden)  Moderator: Thelma Narayan (India)


1) Testimonies and regional reflections:

a) Ida Makuka (Zambia)

b) Chiranuch Premchaipon* (Thailand)

c) Malachi Orondo (Kenya)

d) Oblesh (India)


2) Panelists:

a) HIV and to Access Drugs - HAI/MSF

b) Health Systems approach to the AIDS challenge - EQUINET/IPHC (South Africa)

c) HIV/ AIDS & resurgence of communicable diseases T.Sundarraman(India)

d) WHO - Evolving Strategy and Overview: Craig McClure / Ian Grubb -WHO

3) Interaction from the floor:

11.00 -11.30

Break


15th January 2004

11.30 - 13.30

 

 

 

 

Parallel Plenary - 3 A

 

 

 

 

 

Coordinators: 

Mohan Rao (India) /

Nadia (Netherlands)

 

Women, Population policies and Violence

 

Chair:                                                 Moderator: Mira Shiva (India)


1) Testimonies:

a) MP (India)

b) Rajasthan (India)


2) Keynote presentations:

a) Population Policies: Dr. Mohan Rao (India)

b) Targeting Women’s Bodies- Rajani Bhatia* / Jessie Reynold* (US)

c) Violence as Public health issues - Manisha Gupte.(India)


3) Round Table:

a) Farida Akhtar (Bangladesh)

b) Hazra* (Pakistan)

c) Nadia (Netherlands)


4) Interaction from the floor:

15th January 2004

11.30 - 13.30

 

 

 

 

Parallel Plenary 3B

 

 

 

 

 

 

Coordinators: 

Anita Ghai (India) / 

Enrico Populin (Italy)

 

Health Care and the Marginalised

 

Chair: Medha Patkar (India)                                    Moderator: Enrico Populin (India)


1) Testimonies:

a) Adivasis and health* (India)

b) Dalit Issues and health *(India)


2) Panelists:

a) Inequalities in Health - George Davy Smith*

b) Dalit issues and Health - Ruth Manorama (India)

c) Health Care of the Aborigines - ? (Australia)

d) Health and people with disabilities -Anita Ghai (India)

e) Health of indigenous people- Hugo Icu Peren (Guatemala)


3) Interaction from the floor:

13.30 -14.30

Lunch

15th January 2004

14.30 - 16.30

 

 

 

 

Parallel Workshop 8

 

 

 

 

 

 

Coordinators: 

Mira Shiva (India) / 

WGNRR

 

Key Issues in Women’s Health

 

Chair:                                                         Moderator: Jaya Velankar* (India)


1) Testimonies:

a) Mary Sandasi (Zimbabwe)

b) 


2) Panelists:

a) Women’s Access to Health Care - Nadia (Netherlands)

b) Reproductive Technologies: Mayhem on women’s bodies-Sarojini(India)

c) Right to Abortion* - (??)

d) Sex Selective Abortion* - Kalpana (India) Sabu George (India)

e) Trafficking, migration & labour rights - Rina Sengupta(Bangladesh)


3) Interaction from the floor:

15th January 2004

14.30 - 16.30

 

 

 

 

 

Parallel Workshop 9

 

 

 

 

 

 

Coordinators: 

Vandana (India)

Voices of the Unheard.. Children, adolescents and people with disability

 

Chair:   Pam Zinkin(UK)                                             Moderator: 

1) Testimonies:

a) Children’s dreams through paintings - Arturo (Ecuador)

b) Children’s testimonies by Radio - Child to child (Ecuador)

c) Mama Huaca Video - Dibujos Animados ( Latin America)

d) A street child’s perspective* (India)


2) Panelists:

a) Disability and Health - Enrico Pupulin (Italy)

b) Child health - The key issues - Vandana Prasad (India)

c) Adolescent Health - Usha Nayar* (India)

3) Interaction from the floor

15th January 2004

14.30 - 16.30

 

 

 

 

Parallel Workshop 10

 

 

 

 

Coordinators: 

Thelma Narayan (India)

 

HIV/AIDS and the Resurgence of Communicable Diseases

 

Chair:                                                                              Moderator: 

1) Testimonies:

a) Jennifer Atieno (Kenya)

b) Parinchay Health worker*, FRCH (India)

c) Perspectives of PLWA,CHIN (India)


2) Panelists:

a) HIV/AIDS: Confronting the Crisis - WHO Team

b) Lawyers Collective, HIV / AIDS Unit

c) CHIN network (India)

3) Interaction from the floor particularly focused on WHO proposed Initiatives

15th January 2004

 

 

14.30 - 16.30

 

 

 

Parallel Workshop 11

 

 

 

 

Coordinators: 

Abhay Shukla (India) 

 

Globalisation, Poverty, Hunger and Health

 

Chair: Thomas Kocherry, World Forum of Fisherpeople, (India)

Moderator: Abhay Shukla (PHM India)


1) Testimonies:

a) Poverty in Germany: Gopal Dabade, BUKO

b) Tackling malnutrition, Shanti / Kalpana, Arogya Iyakkam, Tamil Nadu (India)


2) Panelists:

a) Veena Shatrugna (India)

b) Sheila Zurbrigg* (Canada)

c) P. Sainath (India)

d) Eugenio Villar (Peru)

e) PRSP and Health - Atiur Rehman / Jobair Hassan (Bangladesh)

3) Interaction from the floor

15th January 2004

 

 

14.30 - 16.30

 

 

 

 

Parallel Workshop 12

 

 

 

 

 

Coordinators: 

Sanjay Nagral (India)

 

New Economics and its impact on medical practice in India

 

Chair: Dr. Sunil Pandya (India)       Moderator: Dr. R. K. Anand (India)


1) Testimonies:

a) Lessons from my crusade - P.C. Singhi (India)


2) Panelists:

a) Collapse of Public Health and rise of private medicine-B. Ekbal(India)

b) New players in the medical market - Ravi Duggal(India)

c) Struggle for regulation of private sector - Dr. Arun Bal(India)

d) Market, medicine, negligence and ethics - Sanjay Nagral (India)

3) Responses from around the world* - Pakistan, Bangladesh, Philippines, Iran, UK, Germany,

 Egypt, South Africa and others

4) Interaction from the floor (Apart from IHF participants, there will be participation of IMA Mumbai, GPA Mumbai, Association of Medical consultants, IAP, Government and Corporation)

 

15th January 2004

 

 

14.30 - 16.30

 

 

 

 

Parallel Workshop 13