Alternative Civil Society Astana Statement on Primary Health Care We, members of public interest civil society organisations and social movements, some of whom are participants at the Global Conference on Primary Health Care, re-affirm our commitment to primary health care (PHC) in pursuit of health and well-being for all, aiming to achieve equity in health outcomes. We envision:

• Societies and environments that prioritize, protect and promote people’s health;
• Health care that is accessible, affordable and acceptable for everyone, everywhere;
• Health care of good quality that treats people with respect and dignity;
• Health systems over which communities are able to exert control

Although these objectives are shared in the official Astana Declaration it is concerning that the latter frames PHC primarily as a “cornerstone”, i.e. a foundation of Universal Health Coverage (UHC). PHC, is broader and indeed subsumes UHC, which is, in many countries, being implemented by private health insurance companies and aggravating health inequities. While the official declaration recognises that it is “ethically, politically, socially and economically unacceptable that inequity in health and disparities in health outcomes persist” it does not acknowledge that health gains in some places are being reversed. The declaration also recognises the risk factors for NCD’s as well as premature deaths “because of wars, violence, epidemics, natural disasters, the health impacts of climate change and extreme weather events and other environmental factors”, yet nowhere are the fundamental economic and political causes responsible for this as well as for widening inequalities worldwide explicitly stated. These are some of the reasons why the People’s Health Movement and other progressive public interest civil society organisations and social movements feel it necessary to elaborate an Alternative Statement. Attaining the highest possible standard of health is a fundamental right of every human being, as stated in the Constitution of the World Health Organization. Forty years ago, in 1978, world leaders made the historical commitment to achieve health for all through Primary Health Care in the Declaration of Alma-Ata. We, the undersigned, express the need for urgent action by all international agencies and governments, all health and development workers, and the world community to protect and promote the health of all the people of the world, and hereby make the following Statement:

1. We the undersigned strongly reaffirm that health, which is a state of complete physical, mental, social, cultural, and ecological wellbeing, and not merely the absence of disease or infirmity, is a fundamental human right and that the attainment of the highest possible level of health is a most important world-wide social goal whose realization is the responsibility of governments and requires the action of many other social and economic sectors in addition to the health sector. People’s health depends on working and living conditions that promote flourishing lives and a healthy and protected natural environment.

 

2. The existing extreme and growing inequality in the economic and health status of the people both across the world, as well as between and within countries, is politically, socially, economically and ethically unacceptable and a source of conflict and environmental destruction and is, therefore, of common concern to all countries.

 

3. Equitable economic and social development will require rejection of the currently dominant neo-liberal paradigm and establishment of a sustainable and equitable economic order globally and nationally. Amongst other interventions regulation of financial flows and of tax havens and evasion are urgently needed. These changes, along with recognition and action to address inequities due to gender, caste, race, disability and sexual orientation, are of basic importance to the fullest attainment of health for all and to the reduction of the gap in the health status within and between countries. The promotion and protection of the health and wellbeing of all people will enable sustainable and equitable forms of social and economic development that will contribute to world peace and environmental protection.

 

4. People should be afforded every opportunity to participate individually and collectively in the planning and implementation of their health care. This participation should respect age, gender, ethnicity and socio-economic status and use digital technologies where appropriate.

 

5. Governments have a responsibility to realise the right to health of their people along with other rights specified in the United Nations (UN) Declaration of Human Rights. A main social target of governments, international organizations and the whole world community in the coming decades should be the attainment by all peoples of the world of a level of health that will permit them to lead socially and economically flourishing lives. The United Nations SDGs could be important in reaching this target if they are underpinned by the establishment of a global and national equitable and sustainable economic order. Primary health care is the key to attaining Health for All as part of development in the spirit of social justice, and which is eminently possible given current knowledge, technology and resources.

 

6. Effective and accountable global governance for health is required to realise PHC. This should include means of effective taxation to ensure that all individuals and corporations pay their fair share of taxes to enable the funding of health and other services beneficial to health;

 

7. By 2018 the survival of life on earth is threatened by accelerating climate change. Thus part of the PHC approach should be to endorse the Earth Charter (2000) which proposed we are all citizens of our planet as well as our nation states. It recognised the interconnections between living in harmony with and protecting the natural environment and other species, and living in peace, with equity and social justice within human societies; all core parallel principles shared with the Primary Health Care movement.

 

8. Primary health care is essential health care based on practical, scientifically sound and socially acceptable methods and technology made universally accessible to individuals and families in the community through their full participation in the spirit of self-determination. It forms an integral part both of the country’s health system, of which it is the central function and main focus, and of the overall social and economic development of the community. It gives particular emphasis to the household and community levels and the first level of care, bringing comprehensive health care as close as possible to where people live and work, and is fully integrated with other levels of care.

 

9. Primary health care:
   1. reflects and evolves from the economic conditions and sociocultural and political characteristics of a country and its communities and is based on the application of relevant social, biomedical and health systems research and public health experience;
   2. addresses the main health problems in the community, providing promotive, preventive, curative, rehabilitative and palliative services accordingly;
   3. includes at least: health education concerning prevailing health problems and the methods of preventing and controlling them; promotion of a healthy food supply and proper nutrition; an adequate supply of safe water and basic sanitation; reproductive and sexual health care, including maternal health care, contraception, abortion; prevention and health care for gender based violence; child health care; immunization against the major infectious diseases; prevention and control of locally endemic diseases and non-communicable disease including mental health illness; appropriate treatment of common diseases and injuries; providing for the health care needs of the disabled; and provision of essential drugs;
   4. involves, in addition to the health sector, all related sectors and aspects of national and community development, in particular agriculture, trade, food, industry, education, housing, public infrastructure, communications and information technology and other sectors; and demands the coordinated efforts of all those sectors;
   5. requires and promotes maximum community and individual self-reliance and participation in the planning, organization, operation and control of primary health care, making fullest use of local, national and other available resources; and to this end develops, through appropriate training, the ability of communities to participate;
   6. should be sustained by integrated, functional and mutually supportive referral systems, leading to the progressive improvement of comprehensive health care for all, and giving priority to those most in need;
   7. relies, at local and referral levels, on health workers, including physicians, nurses, midwives, mid-level workers and community health workers as applicable, as well as traditional practitioners as needed, suitably trained socially and technically to work as a health team and to respond to the expressed health needs of the community. All governments should formulate national policies, strategies and plans of action to strengthen and sustain primary health care as part of a comprehensive national health system and in coordination with other sectors. To this end, it will be necessary to exercise political will, to mobilize the country’s resources and to use available external resources rationally.

 

10. While technology has brought health benefits, care must be taken to ensure that technology is used with intelligence so that:
    1. New bio-technology and artificial intelligence should be assessed in terms of its potential to do harm as well as good and in terms of its contribution to overall population health and equity and be regulated as necessary
    2. Over-servicing, especially in the private sector, requires regulation. One aspect of this which is contributing to the crisis of anti-microbial resistance is irrational and overuse of antibiotics in both the health and industrial farming sectors
    3. The use of digital technologies has the potential to increase access and quality of care but strategies must be informed by an awareness of the digital gradient, which mirrors socio-economic inequities. Special measures need to be taken to flatten this gradient.

 

11. An essential component of primary health care is universal health coverage which should be universalist, based on social solidarity and built on a unified public funded system, with most service provision through public institutions.

 

12. Since the protection and attainment of health by people in any one country directly concerns and benefits every other country, development assistance, including donor programs, must be accountable to and strengthen national public health systems and address the social, environmental and ecological determinants of health.

 

13. The training of health personnel requires to be more strongly oriented to primary health care and employment conditions need to ensure fair and safe working situations. Distribution of health personnel is grossly inequitable and reflects the inverse care law. Global and national policies should institute policies to mitigate the brain drain from low and middle income countries to high income countries by inter alia increasing production of their own health workers and compensating sending countries for their losses in training costs.

 

14. Health gains from the implementation of an effective primary health care system can be easily undermined by the commercial determinants of health, including promotion and trade of health harming commodities (e.g. ultra processed food, alcohol, tobacco) and environmentally damaging extractive industries. Global and national policies, including effective regulation, are needed to prevent their adverse impacts.

 

15. An acceptable level of health for all the people of the world can be attained through a fuller and better use of the world’s resources, a considerable part of which is now spent on armaments and military conflicts. A genuine policy of independence, peace, and disarmament could and should release additional resources that could well be devoted to peaceful aims and in particular to the acceleration of social and economic development of which primary health care, as an essential part, should be allotted its proper share.

  We the undersigned, representing a wide range of public civil society organisations and social movement call on the Global Conference on Primary Health Care to undertake urgent and effective national and global action to develop and implement primary health care throughout the world and particularly in low and middle income countries in a spirit of technical cooperation and in keeping with a sustainable and equitable economic order. It urges governments, WHO, and other international organizations, as well as multilateral and bilateral agencies, nongovernmental organizations, funding agencies, all health workers and the whole world community to support national and international commitment to primary health care and to channel increased technical and financial support to it, particularly in low and middle income countries. We call on all the aforementioned to collaborate in strengthening, developing, funding and maintaining public health systems based on primary health care in accordance with the spirit and content of this Statement. Please endorse above statement through this link: https://www.surveymonkey.com/r/5Y6GWCL Signatories as per October 27, 2018

Organizations (158 organization from 45 countries)

	Organization	Country
1	Asociación Argentina de Salud Pública (AASAPA)	Argentina
2	Kunde Foundation	United Kingdom
3	CARE, USA	United States of America
4	Medicus Mundi Spain	Spain
5	All India Drug Action Network	India
6	Organization for Workers' Initiative and Democratization	Croatia
7	Asociación Panameña de Cuidados Paliativos, Nisla Camano Reyes	Panama
8	Health Leadership International	United States of America
9	ADER Salute e libertà	Italy
10	Bread for the World - Protestant Agency for Diakonia and Development	Germany
11	Centro Brasileiro de Estudos de Saúde (CEBES)	Brazil
12	Community Working group in Health	Zimbabwe
13	Centre for Information and Advisory Services in Health	Nigeria
14	Action medeor, German Medical Aid Organisation	Germany
15	BUKO Pharma-Kampagne	Germany
16	Comprehensive Rural Health Project, Jamkhed	India
17	Health and Rights Education Programme-Malawi (HREP Malawi)	Malawi
18	Breastfeeding Promotion Network of India	India
19	FoodFirst Information and Action Network International (FIAN)	Germany
20	Ecuadorian Association of Palliative Care/Asociación Ecuatoriana de Cuidados Paliativos (ASECUP)	Ecuador
21	People's Health Movement Australia	Australia
22	Health, Education and Literacy Programm (HELP)	Pakistan
23	International Alliance of Women, IAW/AIF	Switzerland
24	Arukah Network for Global Community Health, Thrive Worldwide	United Kingdom
25	People's Health Movement, South Korea	South Korea
26	University of the Western Cape	South Africa
27	People's Health Institute	South Korea
28	University of Cape Town	South Africa
29	People's Health Movement South Africa	South Africa
30	School of Public Health & Family Medicine, University of Cape Town	South Africa
31	Nottingham Trent University	United Kingdom
32	Synaptic Healthcare Solutions Private Limited	India
33	Prayas Centre for Health Equity	India
34	Drug Action Forum - Karnataka	India
35	Enablement	The Netherlands
36	People's Health Movement USA	United States of America
37	Health Alliance International, University of Washington	United States of America
38	ADAIYAALAM	India
39	Coordination of consumer organisations Tamilnadu (CAT)	India
40	TamilNadu Social Service Society- TASOSS	India
41	Movimiento Nacional Laicrimpo Salur - PHM - Argentina -	Misiones
42	Public Health Resource Network	India
43	PHRASe	India
44	Medicus Mundi International – Network Health for All	Switzerland
45	People’s Health Movement - Global Secretariat	South Africa
46	People’s Health Movement - Tunisia	Tunisia
47	People’s Health Movement - Zimbabwe	Zimbabwe
48	Health Poverty Action	United Kingdom
49	Swasthya Adhikar Manch / Jan swasthya Abhiyan	India
50	Health Reform Foundation of Nigeria (HERFON)	Nigeria
51	Citizens' Health Initiative	Malaysia
52	medico international	Germany
53	Health Alliance International, University of Washington	United States of America
54	National Alliance of People's Movements	India
55	Indonesia AIDS Coalition	Indonesia
56	PHM Tanzania	Tanzania
57	Health Sector Reform Coalition (HSRC)	United Kingdom
58	Hesperian Health Guides	United States of America
59	Human Rights Research Documentation Centre (HURIC)	Uganda
60	PHM West & Central Africa	Bénin
61	People's Health Movement Uganda	Uganda
62	Patient and community welfare foundation of malawi	Malawi
63	IBFAN Latin America and Caribbean	Costa Rica
64	Kamukunji Paralegal Trust (KAPLET)	Republic of Kenya
65	Initiative for Health and Equity in Society	India
66	HealthWrights (Workgroup for People's Health and Rights)	United States of America
67	International Association for Hospice and Palliative Care (IAHPC)	United states of America
68	Health Innovation in Practice (HIP)	Switzerland
69	Health and Rights Education Programme(HREP) Malawi	Malawi
70	PHM Burundi	Burundi
71	Cara International Consulting Ltd.	United Kingdom
72	Anusandhan Trust	India
73	Turkish Medical Association	Turkey
74	People’s Health Movement - Nepal	Nepal
75	Popular Resistance	United States of America
76	International Federation of Community Health Centres	Canada
77	People's Health Mouvement RD Congo	Democratic Republic of Congo
78	PHM Zambia	Zambia
79	People's Health Movement - Bénin	Bénin
80	PHM Mali	Mali
81	PHM Cameroon	Cameroon
82	Amazing Stars	Cameroon
83	ACADI Cameroon	Cameroon
84	NGO FORUM ON ADB	Philippines
85	PHM-TOGO	Togo
86	ACOVIE	Cameroon
87	Collectif de developpement integré au congo	Democratic Republic of Congo
88	PHM-Benin	Bénin
89	Site B Youth Development Association	South Africa
90	MPS-GABON	Gabon
91	European Network against the privatization and commercialization of health and social protection	Belgium
92	Tipping Point North South	United Kingdom
93	Fresh Eyes - People to People Travel	United Kingdom
94	Peoples Health Initiative Nigeria (PHM- Nigeria)	Nigeria
95	National University of Rosario	Argentina
96	Jamkhed International – North America, Carrboro NC	United States of America
97	Johanniter-Unfall-Hilfe e.V.	Germany
98	Kimirina	Ecuador
99	KHANA	Nigeria
100	Network Movement for Justice and Development (NMJD)	Sierra Leone
101	Public Services International	France
102	Society for International Development (SID)	United States of America
103	The African Centre for Global Health and Social Transformation (ACHEST)	Uganda
104	The Latin American Association of Palliative Care	Ecuador
105	The Muslim Family Counselling Services	Ghana
106	Viva Salud	Belgium
107	Wemos	The Netherlands
108	People’s Health Movement - Brazil	Brazil
109	People’s Health Movement - Philippines	Philippines
110	International Association of Health Policy in Europe (IAHPE)	Europe
111	People’s Health Movement - Europe	Europe
112	Centre for Health and Social Justice	India
113	COPASAH – Community of Practitioners on Accountability and Social Action on Health	Global
114	Swasti Health Catalyst	India
115	Centre for International and Intercultural Health (CSI)	Bologna, Italy
116	Sama Resource Group for Women And Health	India
117	People’s Health Movement UK	United Kingdom
118	Health Action Information Network	Philippines
119	Federal Nutritionist Council	Brazil
120	Difäm e.V.	Germany
121	National Federation of Nurses of Brazil	Brazil
122	Rede de Pesquisa em Atenção Primária à Saúde/ABRASCO	Brazil
123	Associação Brasileira Rede Unida	Brazil
124	IDISA Instituto de Direito Sanitário Aplicado	Brazil
125	Child First Foundation	Brazil
126	Occupational Therapy	Brazil
127	Sindicato dos Farmaceuticos de Minas Gerais	Brazil
128	Best Beginnings	United Kingdom
129	Centre for International and Intercultural Health (CSI) - APS	Italy
130	The Egyptian Foundation for Health for All	Egypt
131	União Brasileira de Mulheres - UBM	Brazil
132	Movimiento Nacional de salud	Argentina
133	Adivasi Adhikar Samiti	India
134	Centre for Health and Resource Management (CHARM)	India
135	MINISTERE CHRÉTIEN DE COMPASSION	Benin-Togo
136	Sud Sante-Soiaux du Nord	France
137	Ellora Vigyan Mancha	India
138	University of the Western Cape	South Africa
139	Kerala Sastra Sahithya Parishad	India
140	Movimento Nacional População de Rua-MNPR	Rio Grande do Norte
141	Health Action Information Network	Philippines
142	Federal Nutritionist Council	Brazil
143	Movimiento Nacional Laicrimpo Salud	Argentina
144	Difäm e.V.	Germany
145	National Federation of Nurses of Brazil	Brazil
146	Rede de Pesquisa em Atenção Primária à Saúde/ABRASCO	Brazil
147	Associação Brasileira Rede Unida	Brazil
148	IDISA Instituto de Direito Sanitário Aplicado	Brazil
149	People Health Movement, circle Brazil	Brazil
150	Child First Foundation	India
151	Occupational Therapy	Brazil
152	Sindicato dos Farmaceuticos de Minas Gerais	Brazil
153	Associação Brasileira dos Terapeutas Ocupacionais - ABRATO	Brazil
154	Associação Brasileira de Saúde Coletiva - ABRASCO	Brazil
155	AsSIS www.assis.it	Italy
156	Health Swaraaj Samvaad	India
157	PHM East Africa	East Africa
158	PHM Kenya	Kenya

   

Individuals (266 from 40 countries)

	First name	Last name	Title	Organization	Country
1	Rachel	Pinniger	International Director	Kunde Foundation	United Kingdom
2	Leona	Rees	MPH		Canada
3	Anne-Emanuelle	Birn	Professor, Dalla Lana School of Public Health	University of Toronto	Canada
4	Mohammed Ishaaq	Datay	Dr	Primary Health Care Directorate	South Africa
5	Matthew	Abuto	Chief Public Health Officer MOH	Nyamira County	Kenya
6	Owoyemi	Odukale	Dr		United Kingdom
7	Lppolytos	Kalofonos	Assistant Professor, Center for Social Medicine and Humanities	University of California, Los Angeles	USA
8	John	Calvert	Associate Professor	Faculty of Health Sciences, Simon Fraser University	Canada
9	Megan	Gaydos	Public Health Consultant		Mexico
10	Osman Faruk	Bayramlar	Public Health Assistant	Istanbul University, Istanbul Medicine Faculty	Turkey
11	Meredeth	Turshen	Professor, Rutgers, The State University of New Jersey		USA
12	Remco	van de Pas	Academic coordinator/ Research Fellow	Maastricht Centre for Global Health, maastricht university	The Netherlands
13	Emmanuel	Kosadinos	Consultant psychiatrist	Union Syndicale de la Psychiatrie (USP)	France
14	Antonio	Peratoner	MD	Associazione per la Decrescita	Italy
15	Andrea	Ubiali	MD		Italy
16	Emma	Sacks	Associate Faculty	Johns Hopkins School of Public Health	USA
17	David	Sanders	Emeritus Professor	University of the Western Cape	South Africa
18	Gianna	Milano	Science Writer		Italy
19	Lorenza	Santoro	physician		Italy
20	marilena	bertini	retired  MD		Italy
21	Enrico	Ferrucci	Graduate		Italy
22	Judith	van der Veen	Medical Manager		Germany
23	Bridget	Lloyd	Global coordinator	People's Health Movement	South Africa
24	Cherry	Faile	RN, CNM, MPH		Niger
25	Loretta	Mussi	Retired doctor		Italy
26	Angelo	Stefanini	Retired, former Scientific Director of the Centre for International Health, University of Bologna		Italy
27	Liliana	Praticò	MD, PHD		Italy
28	Robert	McIntyre	Medical Director	Health Leadership International	USA
29	Carnita	Ernest	Project Manager, School of Public Health, University of the Western Cape		South Africa
30	Serol	DEVECİ	Assistant professor, Public Health Specialist	Ministry of Health	Turkey
31	Motswadi Titus	Maswabi	Lecturer in Environmental Health	University of Botswana	Botswana
32	Jackline	Sitienei	Lecturer; Bsn, MPH, MSc, PhD Candidate	Moi University	Kenya
33	Stephen	Knudson	MD		USA
34	Caleb	Nyaranga	Project officer	Amref Health Africa	Kenya
35	Sanghyuk	Shin	Assistant Professor	UC Irvine	USA
36	David	Bishai	Professor	Johns Hopkins Bloomberg School of Public Health	USA
37	Alfonso	Rodriguez Lainz	Lecturer	San Diego State University	USA
38	Malcolm	Steinberg	Director Public Health Practice	Faculty Health Sciences, Simon Fraser University	Canada
39	Madelyn	Dryier	Individual		USA
40	Mukti Nath	Bhattarai	Executive Director	GP Koirala National center for respiratory diseases Government of Nepal	Nepal
41	Ashok	Bhurtyal	Assistant Professor	Institute of Medicine, Tribhuvan University	Nepal
42	John	Harbottle	Medical Advisor to Methodist Church of Haiti Health Programme	Methodist Church	Haiti
43	Zinzi	Bailey	Assistant Scientist		USA
44
45
46	Lisa	Moore	Associate Professor	SFSU	USA
47	Janis	Gildin	Board Member, Midwife	Foundation for the Advancement of Midwifery	USA
48	Paul	Moyer	Physician Assistant, retired	formerly, Migrant/Community Health Centers	USA
49	Jin-Hwan	Kim	Medical Trainee, MSc candidate	Seoul National University	South Korea
50	Shehnaz	Munshi	Public health researcher, project manager, occupational therapist		South Africa
51	Ted	Lankester	Founder-Leader Arukah Network for Global Community Health (Previously CHGN) and President of Thrive Worldwide. Clinician, Global heath specialist, medical author and speaker	Arukah Network for Global Community Health, Thrive Worldwide	United Kingdom
52	Richard	Shelley	Dr (GPST2 - GP trainee)		United Kingdom
53	Chris	Coombe	Assistant Research Scientist	University of Michigan	USA
54	Valencia	Hines	M.D., M.P.H, M.S., M.I.B.		USA
55	Jessica	Goldhirsch	Clinical Social Worker, Palliative Care	Brigham and Women's Hospital	USA
56	Mary	Carley	Nursing Professor (retired); Registered Nurse		Canada
57	Brenda	Wilson	PhD Candidate, Institute of the Medical Humanities	University of Texas Medical Branch	USA
58	Hallie	Chillag	Assistant Professor of Social Sciences	UC	USA
59	Anne	Berry	MD	Maryknoll Lay Missioners	Tanzania
60	Emma	Crewe	Professor	SOAS	United Kingdom
61	Kenneth	Maes	Associate Professor, Anthropology	Oregon State University	USA
62	Clare	Feinson	Consultant		USA
63	Laura	Hanks	Physician Assistant		USA
64	Laurel	Baldwin-Ragaven	Professor - Department of Family Medicine	University of the Witwatersrand	South Africa
65	DeAnne	Hilfinger Messias	Professor, College of Nursing	University of South Carolina	USA
66	Dianne	Travers Gustafson	Associate Professor, retired	Creighton University	USA
67	Goleen	Samari	Assistant Professor/Mailman School of Public Health	Columbia University	USA
68	Yingmei	Ding	Principle Planning Analyst	Hennepin County Public Health	USA
69	Marc	Guest	PhD Candidate in Gerontology, Graduate Center for Gerontolgoy	University of Kentucky	USA
70	Andrew	Davis	Professor of Medicine	University of Chicago	USA
71	Ken	Coelho	Accreditation site visitor	Public health accreditation board	USA
72	Camlus	Odhus	Public Health Practitioner (MPH)	PHM- Kenya	Kenya
73	Rachel	Rubin	Senior Medical Officer/Asst.Professor	Cook County Department of Public Health, University of Illinois at Chicago School of Public Health	USA
74	SAYKA	NAZ	MA PUBLIC HEALTH STUDENT	NOTTINGHAM TRENT UNIVERSITY	United Kingdom
75	Miles	Farr	Assistant Professor		USA
76	Diane	Cooper	Professor, School of Public Health	University of the Western Cape	South Africa
77	Uta	Lehmann	Director, school of Public Health	University of the Western Cape	South Africa
78	Atilla senih	Mayda	Prof. Public health	Duzce university	Turkey
79	Pauline	Odeyemi	Registered Nurse/PhD candidate at Nottingham Trent University, UK.		United Kingdom
80	Nancy	Krieger	Professor of Social Epidemiology, Dept of Social and Behavioral Sciences	Harvard T.H. Chan School of Public Health	USA
81	Alp	Ergör	Professor of Occupational Health, Dept of Public Health	Dokuz Eylul Univ. Faculty of Medicine	Turkey
82	Ahmet Oner	Lurt	Prof.Dr.	Mersin Univercity Public Health Department	Turkey
83	damilola	omodara	lecture/social work and health	Nottingham Trent University	United Kingdom
84	Mathew	Nyashanu	Senior Lecturer (Public Health & Well-being	Nottingham Trent University	United Kingdom
85	Roger	CIZA	Dr/ CEO	HHNB/PHM BURUNDI	Burundi
86	Ozge	Caman	Assoc.Prof. of Public Health		Turkey
87	Pol	De Vos	Deputy Director - Institute Global Health and Development	Queen Margaret University	United Kingdom
88	Linda	Gibson	Associate Professor, Centre for Public Health & Health Systems	Nottingham Trent University	United Kingdom
89	Javier	Ramírez	Advocacy and Communication Deputy Director	Doctors of the World International Network	Spain
90	ASLI	DAVAS	Assoc Prof	Human Rights Foundation of Turkey	Turkey
91	Necati	Dedeoglu	Professor of Public Health	Retired	Turkey
92	Koray	Erdurak	Public health physician	Ministery of health	Turkey
93	NAReuropeENDRA	GUPTA	DOCTOR	Prayas Centre for Health Equity	India
94	Murat	Topbas	Prof Dr, MD	Karadeniz Technical University Faculty of Medicine	Turkey
95	Ahmet Ruhi	Toraman	Doç. Dr.		Turkey
96	Cemal	Güvercin	MD, PhD, lectur, History of Medicine and Ethics		Turkey
97	Hilal	Görgel Kahraman	Doctor , public health specialist		Turkey
98	Selma	Karabey	Professor in Public Health	Istanbul University	Turkey
99	colleen	Cameron	Retired senior program teaching staff	Coady International Institute, St. Francis Xavier University	Canada
100	SUnited States of Americairaj	Martin	Advocate		India
101	David	McCoy	Professor of Global Public Health	Queen Mary University London	United Kingdom
102	Sarah	Ngoma	Mrs	PHM- Zambia	Zambia
103	Julia	Robinson	Senior Program Manager, Clinical Instructor		USA
104	Maryam	Rumaney	Freelance Scientist	www.mbrumaney.com	South Africa
105	Santosh	Sogal	Research officer	Institute of Public Health	India
106	Rajalakshmi	Ramprakash	Independent researcher & activist		India
107	Dhandapani	Venkatapathi	Director	ADAIYAALAM	India
108	Sarin	Sasikumar	Research Officer	Institute of Public Health (IPH)	India
109	Camila	Giugliani	Professor, social medicine department	Universidade Federal do Rio Grande do Sul	Brazil
110	Harry	Phoolchund	Consultant Occupational Physician	Sigma Occupational Health Ltd	United Kingdom
111	Pol	De Vos	Deputy Director	Institute for Global Health - Queen Margaret University	United Kingdom
112	Stuti	Pant	Ms.		United Kingdom
113	Syed	Danish	Activist public health	PHRASe	India
114	Sundararaman	Thiagarajan	Professor, School of Health Systems Studies	Tata Institute of Social Sciences,	India
115	Prashanth Nuggehalli	Srinivas	Faculty	Institute of Public Health	India
116	Julia	Robinson	Senior Program Manager, Clinical Instructor	Health Alliance International, University of Washington	USA
117	Lori	Hanson	Member of Steering Council	People's Health Movement (PHM)	Canada
118	Maria	Hamlin Zuniga	Member of the Advisory Council	People's Health Movement (PHM)	Nicaragua
119	Mira	Shiva	Member of the Advisory Council	People's Health Movement (PHM)	India
120	Patrick	Kadama	Director of Policy and Strategy	African Centre for Global Health and Social Transformation (ACHEST)	Uganda
121	Ravi	Narayan	Member of the Advisory Council	People's Health Movement (PHM)	India
122	lindsey	kent	Doctor	NHS	United Kingdom
123	Ronald	Labonté	Professor and holder of the Canada Research Chair in Contemporary Globalization and Health Equity	School of Epidemiology and Public Health, University of Ottawa	Canada
124	Marius W.	de Jong	Senior Policy Officer SRHR	Ministry of Foreign Affairs	The Netherlands
125	Amitava	Guha	National Co-convener	Jan Swasthya Abhiyan (PHM-India)	India
126	Dr. Sylvia	Karpagam	Public health doctor and researcher	Independent	India
127	Emily	Marshall	Master's student (Occupational Therapy) at the University of Cape Town		South Africa
128	María Angela	Elías Marroquin	Sub coord observatorio de Políticas de Salud	Universidad de El Salvador	El Salvador
129	Mario	Parada	Professor	Universidad de Valparaíso	Chile
130	Julio	MonsalvoM	Médico Sanitarista	Movimiento Alegremia	Argentina
131	Claudia	Rojas	Profesora-investigadora	Universidad de Playa Ancha	Chile
132	B F	Koon	Registered Nurse		Malaysia
133	Wan	Manan	Exco	Malaysian Academic Movement (MOVE)	Malaysia
134	Mario	Ayala	Profesor Adjunto	Universidad Nacional de Tierra del Fuego-ICSE	Argentina
135	Toby	Freeman	Senior Research Fellow	Southgate Institute for Health, Society, and Equity, Flinders University	Australia
136	SILVIA	GIUGLIANI	psicóloga	PHM	Brazil
137	Pierre	De Paepe	M.D. master public health/health economy		Argentina
138	Michael	Ssemakula	Health rights researcher and advocate	Human Rights Research Documentation Centre	Uganda
139	PACOME	TOMETISSI	Regional Coordinator	PHM West & Central Africa	Bénin
140	Denis	Bukenya	Coordinator	People's Health Movement Uganda	Uganda
141	ELLOS	LODZENI	FOUNDER &PATRON	Patient & community welfare foundation of Malawi	Malawi
142	Julia	Anaf	Research Associate	Flinders University	Australia
143	Desire	Habonimana	President	PHM Burundi	Burundi
144	Daniele	Dionisio			Italy
145	Stephen	O'Brien	General practitioner		Belgium
146	Harry	Afrika	Pharmacist		South Africa
147	Chiara	Bodini	MD, PhD	Centre for International and Intercultural Health	Italy
148	Sally	Fitzpatrick	Research Fellow, Translational Health Research Institute	Western Sydney University	Australia
149	Baez	Carmen	Public Health specialist	People Health Movement	Argentina
150	Helen	van Eyk	Senior Research Fellow, Southgate Institute for Health, Society and Equity	Flinders University	Australia
151	Mauricio	Torres	Medical Doctor, Professor at the Public Health Department, Faculty of Medicine, National University of Colombia	PHM Colombia	Colombia
152	Boris Eduardo	Flores Gonzalez	Medical Doctor and Master of Public Health	Movimiento Para la Salud de los Pueblos - Equipo ComunicandoNOS	El Salvador
153	Hani	Serag	Health System Research Fellow	University of Texas Medical Branch	USA
154	Kayihan	Pala	Professor of Public Health		Turkey
155	Connie	Musolino	Dr (Research Officer)	Southgate Institute of Health, Society and Equity, Flinders University	Australia
156	Nontsikelelo	Mpulo	Head of Communications	SECTIO27	South Africa
157	Sarah	Crawford-Browne	Lecturer - Primary Health Care Directorate	University of Cape Town	South Africa
158	claudio	schuftan	Member SC World Public Health Nutrition Association		Vietnam
159	Fisaha	Tesfay	PhD student	Flinders University	Australia
160	Emma	George	Lecturer in Occupational Therapy	Flinders University	Australia
161	Ligia	Giovanella	Senior Researcher	CEE Fiocruz	Brazil
162	Giulia	Loffreda	Scientific Coordinator,Department of Public Health and Primary Care	University of Cambridge	United Kingdom
163	John Eliasu	Mahama	Mr.		Ghana
164	Ginette	Bauwens	Philosopher		Belgium
165	Joseph	Holly	Co Director	Global Labour Institute	United Kingdom
166	Chandan	Kumar	Trade Unionist	Rashtriya Hamal Panchayat	India
167	Rose	DIDJA BOUBA	Coordonnatrice, spécialiste de développement communautaire, expert en planification des projets	ACOVIE	Cameroon
168	Virginia	Zweigenthal	Dr (senior lecturer and public health specialist)	University of Cape Town and Department of Health: Western Cape	South Africa
169	Jenny	Tapia	Student, Master Social Science, Universidad Autónoma Metropolitana		Mexico
170	Gert	Verdonck	Researcher, sociology		Belgium
171	GRAHAM	BENNETT	INTERNATIONAL DEVELOPMENT CONSULTANT	INDEPENDENT	United Kingdom
172	Nicole	Tsombya	Activist/ public health	Collectif de developpement integré au congo	Democratic Republic of Congo
173	Dimitrios	Skempes	Post doctoral Research Associate, Disability Policy Group	Swiss Paraplegic Research	Switzerland
174	Richie	Alford	Director of Research and Impact		England
175	Dehran	Swart	Health Teaching Platform Manager, Primary Health Care Directorate	Faculty of Health Sciences, University of Cape Town	South Africa
176	Deepak	Kumar	Health & Nutrition Professional	PHRN	India
177	Valeria	Gentilini	Public Health resident- University of Bologna		Italy
178	Paul	Laris	Mr		Australia
179	Fran	Baum	Matthew Flinders Distinguished Professor		Australia
180	Anwar	Fazal	Associate Professor	World Alliance for Breastfeeding Action (WABA)
181	Juan Ignacio	Martinez Milan	Right Livelihood College & Chairperson Emeritus	International Health Dept, Andalusian School of Public Health	Spain
182	Delen	De La Paz	Convener global health	University of Philippines	Philippines
183	Mohammad	Ali Barzegar	Convener	PHM Iran	Iran
184	Sarojini	N	Convener	Jan Swasthya Abhiyan	India
185	Jens	Byskov	Specialist public health		Zambia and Copenhagen
186	Sirimal	Peiris	Organiser	PHM Sri Lanka	Sri Lanka
187	Penelope	Milsom	Dr	London School of Hygiene and Tropical Medicine	United Kingdom
188	Ruth	Stern	Senior Researcher	University of Western Cape, School of Public Health	South Africa
189	Nikki	Schaay	Senior Researcher	University of Western Cape, School of Public Health	South Africa
190	Murat	Civaner	Professor	Uludag University School of Medicine	Turkey
191	Ferid	Aksu Tanik	Professor / Dr	Izmir	Turkey
192	Ornella	Punzo	Dr / Ricercatrice Segreteria Scientifica di Presidenza	Istituto Superiore di Sanità	Italy
193	Inger	Scheel	Head of Centre for Arctic and Global Health,	University of Tromsø – the Arctic University of Norway	Norway
194	James	Pfeiffer	Professor, Dept. of Global Health	University of Washington	USA
195	Susan	Fawcus	Professor maternal health	UCT	South Africa
196	Edelina	De la Paz	Doctor of Medicine	Health Action Information Network	Philippines
197	Jeanice	Aguiar	Nutricionista		Brazil
198	Adriano	Cattaneo	Epidemiologist		Italy
199	Luana	Nilson	Doutora em Saúde Coletiva	Universidade Federal de Santa Catarina	Brazil
200	Enrico	Materia	Retired. Former Head of Human Development Office, Italian Agency for Development Cooperation		Italy
201	Alexis	Benos	Prof in Social Medicine & PHC	IAHPE	Greece
202	Giulietta Luul	Balestra	Anthropologist		Italy
203	solange	caetano	Mestranda em Direito Internacional	Federação Nacional dos Enfermeiros	Brazil
204	Gabriella	Medeiros	Estudante de doutorado	UFSC	Brazil
205	Aletha	Wallace	Health Professional		Belgium
206	Moysés	Souza	Nacional Concilier oh Health	Network of People Living HIV and AIDS in Brasil	Brazil
207	Sudipta	Saha	MS Student, Dept of Global Health and Population, Harvard T.H. Chan School of Public Health		USA
208	Mariana	Albuquerque	Doutora/Fiocruz		Brazil
209	Lenir	Santos	Presidente	IDISA Instituto de Direito Sanitário Aplicado	Brazil
210	Eva	Gallova	Support worker		United Kingdom
211	Akif	Akalin	MD, Public Health		Turkey
212	Anna	Siniscalchi	Former Pharmacology Professor, University		Italy
213	Inger	Scheel	Head of Centre forArctic and Global Health	University of Tromsø - The Arctic University of Norway	Norway
214	Ornella	Punzo	Researcher	Istituto Superiore di Sanità	Italy
215	Shireen	Huq	Member	Naripokkho	Bangladesh
216	Veridiana	Ribeiro da Silva	Farmacêutica/Mestre em Ciências Farmacêuticas	Universidade Federal de Pernambuco	Brazil
217	M. Murat	Civaner	Professor	University School of Medicine, Dept. of Medical Ethics	Turkey
218	Nikki	Schaay	Senior Researcher	School of Public Health, University of the Western Cape	South Africa
219	Anna	Vigato	Physician		Italy
220	Jonathan	Filippon	Teaching and Research Fellow at the Global Public Health Unit	Queen Mary University of London	United Kingdom
221	Leigh	Haynes	-	People's Health Movement - USA	Belgium
222	Ruth	Stern	Trustee	Health Poverty Action	United Kingdom
223	Araba	Tetteh	MA Public Health(Student)		United Kingdom
224	Alice	Fabbri	MD, PhD		Australia
225	Emiliana	Tapia	Advocacy coordinator		Spain
226	Vera	Rocha	Doctor in Educativo. Master in Humanos Development. Physicaltherapy. Universidade Federal do Rio Grande do Sul.	Primary Health Care - Associação Brasileira de Ensino em Fisioterapia	Brazil
227	Alba	Llop-Girones	PhD candidate at the Health Inequalities Research Group	University Pompeu Fabra	Spain
228	Chiara	Di Girolamo	PhD student	University of Bologna	Italy
229	Soumojit	Ghosh	Policy & Impact Lead	Best Beginnings	United Kingdom
230	Penelope	Milsom	Dr	London School of Hygiene and Tropical Medicine	United Kingdom
231	Aysun	Aras	Assistant Professor	Ataturk University	Turkey
232	Rebecca	Hall	GP / Clinical Manager	NHS	United Kingdom
233	Henrietta	Ezegbe	Dr.	Simon Fraser University	Canada
234	So Yoon	Sim	Research Associate	Johns Hopkins Bloomberg School of Public Health	USA
235	Linda	Shuro	PHM Africa Outreach Coordinator	People's Health Movement	South Africa
236	Dalvina	Nascimento	Estudante Doutorado	UnB	Brazil
237	Fiona	O'May	Research Fellow, Institute for Global Health and Development	Queen Margaret University	Scotland
238	Suzanne	Sicchia	Assistant Professor	University of Toronto	Canada
239	Jagadeesh	Bist	Dr	PHM Nepal	Nepal
240	Neelanjana	Das	Health social worker		India
241	Eileen	O'Keefe	Professor of Public Health	London Metropolitan University	London
242	Fátima	Cortés	Medical doctor		Spain
243	Amit	Kumar	Research manager	Oxford policy management	India
244	Isfaqur	Rahman	For and on behalf of the General Secretary	Ellora Vigyan Mancha	India
245	Carlo	Resti	MD / Head of Public Relations  Office - Communication CSOs Relationship	San Camillo & Forlanini Hospital	Italy
246	Benjamin	Eder	Doctor	PHM-UK	United Kingdom
247	Hans	Escher	project officer		Germany
248	Andrea	Canini	Family Physician		Italy
249	gargeya	telakapalli	research assistant		India
250	Dirceu	Greco	Professor Emeritus	Federal University of Minas Herais	Brazil
251	JOSE ANTONIO	LOYOLA FOGUEIRA	PEDAGOGO	REDE CORAÇÃO POSITIVO	Brazil
252	Lori	Hanson	Associate Professor, Department of Community Health and Epidemiology, College of Medicine	University of Saskatchewan	Canada
253	Micheal	Feeney	Conselheiro	SUS	Brazil
254	Jane	Fitzgerald	PhD candidate at Southgate Institute	Flinders University of South Australia	Australia
255	Sara	Javanparast	Dr (Senior Research Fellow in Primary Health Care research)	Flinders University	Australia
256	Matt	Fisher	Dr/Senior Research Fellow	Flinders University	Australia
257	David	Hunter	Associate Professor of Medical Ethics, College of Medicine and Public Health	Flinders University	Australia
258	Anne	Kavanagh	Professor of Disability and Health	University of Melbourne	Australia
259	Mary Ann	Mercer	Senior Lecturer Emerita	University of Washington	USA
260	Marcela	Bobatta		MSP - LA	Argentina
261	Gerardo	Segovia		MSP – LA	Argentina
262	Priscilla	Oliveira	Terapeuta Ocupacional, Mestranda em Direitos Humanos PPGDH-UFPE		Brazil
263	Ritu	Priya	Convenor	Health Swaraaj Samvaad	India
264	Jose Naum	De Mesquita Chagas	Mestre em Saúde Pública/Universidade Estadual do Ceará	Nacional Institute of Social Security	Brazil
265	Laura C.	Altobelli	Principal Professor	Universidad Peruana Cayetano Heredia - School of Public Health and Administration	Peru
266	Radha	Holla	Independent researcher		India