Health-Development:
Time to Put U.N. Back on Track, Activists Say - Media Coverage
Health-Development:
Time to Put U.N. Back on Track, Activists Say
By Ranjit Devraj
SAVAR, Bangladesh, Dec 5 (IPS) - The United Nations system
has stumbled off the track of equitable development and now needs to be put back on that
path, activists at an international health meeting here said Tuesday.
Indeed, this was the uppermost concern of some 600 delegates at the second day of the
People's Health Assembly (PHA) held in this remote town 40 km outside Bangladesh's
capital, Dhaka.
Economic policies around the world are now being shaped not by the United Nations, but by
international financial institutions like the International Monetary Fund (IMF) and the
World Bank (WB), said professor Mohan Rao from India's Jawaharlal Nehru University.
These, in turn, are having adverse effects on health and health services, he adds.
Rao said the situation was created by countries like the United States staving off falling
profit rates and unemployment at home by using its clout with the IMF and the Bank to open
up markets in developing countries.
These pressures prod countries to liberalise economic policies to a more ''efficient''
one. In the process, they change a system of state control designed to ensure equitable
distribution of income -- with disastrous consequences for poor people.
However, Rao says, this same situation is leading to movements for change at many levels,
local, national and international, including the present People's Health Assembly from
Dec. 4-8.
''Powerlessness is being addressed through a range of movements that organise in a
representative and accountable manner giving a voice to the voiceless,'' he added.
Goran Sterky, who successfully led the international campaign to promote breast-feeding
against the interests of baby food manufacturers, says that the U.N. system is often in
cahoots with power elites in many developing countries.
Thus, he says, activists could act by ''blowing the whistle'' on deals that were inimical
to the people.
Sterky said Sweden's Dag Hammarskjold Foundation, for which he now works, is already using
its access as well as the academic freedom it enjoys in its home country to draw attention
to profit-hungry policies detrimental to the interests of the people.
''We are not against the U.N. system but it happens that decisions on serious issues,
including those that concern the health of the people, are not taking place within a world
body that is now operating under a unipolar system,'' he said.
Sterky says he and his foundation were not against free trade and liberalisation, but ''we
only want to minimise its side-effects.''
He suggested as a remedy a restructured ''tricameral'' United Nations -- one in which
government and business, which now dominate the present system, become answerable to a
third house, that of the people.
According to Nadine Gasman, one of the organisers of the PHA, the world is now struggling
with a gross miscalculation on the part of the advocates of liberalisation who believe
that long-term economic gain would offset short-term social cost.
''What they did not foresee was that the social impact could itself frustrate the desired
economic effect,'' she added.
''Globalisation expands the opportunities for unprecedented human advance for some, but
shrinks those opportunities for others and erodes human security,'' Gasman said.
David Werner, founder of the International People's Health Council (IPHC), said the World
Bank's takeover of health planning and its recommendation of privatisation and
cost-recovery schemes had clearly pushed health out of the reach of the poor.
Oral testimonies given at the PHA conference here show how the liberalisation of economic
policies at the international and national level hurt health at the local level.
For instance, Mwajuma Saiddy of Tanzania told of a case where the pressure on health care
centres to show profit meant the denial of services to the needy, and where awareness of
health rights could have made a difference.
When a pregnant woman in Naikesi village in Sonega district went to a primary health care
centre, she was turned away by the health worker who said he was ''not allowed to treat
her for free.''
The woman went home, where she and her unborn child later died. There was in fact a
provision for payment to be waived for pregnant woman and children, but neither the health
centre nor the woman knew of it.
The case of India also shows how, despite the praises it earns for ''economic reforms'',
it has actually been cutting down its health budget since embarking on liberalisation and
structural adjustment in 1991.
This has had disastrous consequences for health delivery in the country and crippled the
work of primary health centres, which are left without medicines or doctors, says Isher
Judge Ahluwalia, an economist and commentator on economic policy.
American economist Jeffrey Sachs previously said that the two percent of GDP India now
spends on health is grossly inadequate and should be at least five percent.
Werner's prescription is to get people to understand how the Bank and IMF put the squeeze
on poor countries to keep paying huge interest on foreign debts and how structural
adjustment have forced cutbacks on public services -- making poor families pay for health
care and schooling.
''People need to understand who is responsible for the decisions that allocate vast
amounts of money for weapons, pet food, tobacco, golf courses and trips to the moon, when
millions of children do not get enough to eat,'' argued Werner.
He says the present situation is the direct result of the World Bank taking over the World
Health Organisation's role as the world leader in health policy planning. ''The takeover
was powered by money and the World Bank's health budget is now triple that of WHO's total
budget,'' he added.
The result, Werner says, is that health care is no longer a human right. ''You pay for
what you get. If you are too poor, sick and hungry to pay, forget it.''
(END/IPS/ap-wd-he/rdr/js/00) .
