Health:
Activists Want Health on Top of Development Agenda - Media Coverage
Health:
Activists Want Health on Top of Development Agenda
SAVAR, Bangladesh, Dec 4 (IPS) - An international
conference organised by health activists, the People's Health Assembly, started off here
Monday, with hundreds of delegates from around the world vowing to pressure policy makers
to put primary health care back on top of the development agenda.
''We are deeply disturbed at what is happening,'' said Denmark's Hafden Mahler, who was
director general of the World Health Organisation (WHO) when the United Nations body
pledged ''Health for All by 2000'' at an international conference in Alma Ata, Kazakhstan
in 1978.
Mahler lamented that the whole U.N. system had forgotten the struggle of humanity against
injustice, which includes the lack of services and access to health and growing gaps
between countries despite major improvements in many health indicators in the last 50
years.
''The struggle against injustice is a struggle against forgetfulness,'' he told delegates
gathered around him from 92 countries here in this small town some 40 km from Bangladesh's
capital Dhaka.
Qasem Chowdhury of Bangladesh, coordinator of the PHA Secretariat, said there was a need
for people-centred healthcare as opposed to a health industry increasingly driven by
profit-oriented concerns.
India's N H Antia, chair of the inaugural session, said health activsts and experts were
gathered at a time when globalisation has undercut many health structures and systems
around the world, including the aims of 'Health for All.'
Globalisation, liberalisation and privatisation would also be ''the death knell of the
planet if we don't take adequate corrective measures at this stage,'' he added.
Mahler, who was among hundreds of slogan-shouting delegates who made a symbolic two-km
march Sunday to the 'Jyotir Sriti Soud', Bangladesh's national monument, said
comprehensive primary health care (PHC) as envisioned at Alma Ata -- an unaccomplished
goal -- was the only viable path to health and health care.
He challenged those who would now abandon the declaration to spell out an alternative.
Meantime, the participants were not worried that their vigorous show of solidarity in this
obscure town would be lost to the world. ''What matters is that all this is part of the
globalisation of people's movements,'' said Alexis Benos from Greece, representing the
International Association of Health Policy.
Said Edlyn Jimenez, who teaches humanities at the University of the Philippines: ''A
struggle like this does not end with this. I expect people in other countries to be
inspired by what we are doing here,'' she said.
''This is a reminder to governments around the world of the importance of health and that
they cannot abdicate the responsibility entrusted to them by the people,'' said Li
Enlin,
general secretary of the Amity Foundation, a volunteer group based in
Nanjing, China.
Monday, the first of five days of deliberations toward a 'People's Charter for Health,'
was structured around testimonies and stories from the field to depict real problems and
people-oriented solutions to them.
The draft of the charter says ''inequality, poverty, exploitation, violence and hunger are
at the root of ill health and excess deaths of poor and marginalised people.''
Public health services are not fulfilling the needs of people not because of cuts in
governments' social budgets, activists here say. Instead, health services have become less
accessible, more unevenly and badly distributed and more inappropriate while expensive
private medical care is available only to a few, the draft document points out.
To change this, ''powerful interests have to be challenged, political and economic
policies redirected and priorities changed,'' it adds.
Concurrent sessions on Monday examined the PHA's main issue -- the political economy of
the ''assault on health'' led by Mohan Rao of the Jawaharlal Nehru University
(JNU) in New
Delhi and Rene Loewenson of the South African Network on Equity and Health.
One session examined the failures of the pharmaceutical industry, foundations and
governments, the availability of essential drugs and emerging issues such as the
dissemination of misinformation as documented on behalf of the drug industry over
Internet.
''The inclusion of industry representatives in critical WHO policy committees, especially
drug pricing, vaccine production, health care costing and the selection of essential drugs
lists is rightly viewed with suspicion and the organisations partnership with
transnational corporations needs to be re-examined,'' said Zafrullah
Chowdhury,
Bangladesh's leading expert on the subject. (END/IPS/ap-he-wd/rdr/js/00)
