PHM-Exch> paper and video submission

Municipal Services Project MUNICIPAL SERVICES PROJECT mspadmin at queensu.ca
Wed Nov 27 15:37:00 PST 2013


MSP Occasional Paper – Universal Health Coverage: Beyond Rhetoric
by Amit Sengupta
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This paper raises critical questions around the wide and growing enthusiasm for Universal Health Coverage (UHC). Typically defined as a health financing system based on pooling of funds to provide health coverage for a country’s entire population, it often takes the form of a ‘basic package’ of services made available through health insurance and provided by a growing private sector.

Such programs are now zealously promoted by global health agencies, yet the evidence to support their implementation remains extremely thin. The paper argues that re-imagining public health care – rather than the private sellout of health systems via UHC – is the only way forward in building truly universal health outcomes. (http://www.municipalservicesproject.org/publication/universal-health-coverage-beyond-rhetoric)

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New Video
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Universal health: From private coverage to public care (http://www.youtube.com/watch?v=YzNS5jd-LTY)
The universal health coverage agenda is opening the door for privatization of public health systems in the global South. In India, insurance-based coverage has skewed public health priorities and starved primary care. This animation video calls on people everywhere to mobilize around public alternatives to achieve health for all.

Watch it on YouTube (http://www.youtube.com/watch?v=YzNS5jd-LTY)! (Spanish subtitles available)
________________________________________
From: phm-exchange-bounces at phm.phmovement.org [phm-exchange-bounces at phm.phmovement.org] on behalf of phm-exchange-request at phm.phmovement.org [phm-exchange-request at phm.phmovement.org]
Sent: Wednesday, November 27, 2013 3:22 PM
To: phm-exchange at phm.phmovement.org
Subject: PHM-Exchange Digest, Vol 55, Issue 3

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Today's Topics:

   1. Fwd: [ESCR-Net ] [PIDHDD] ?No access to sanitation? ? the big
      euphemism - For the first UN World Toilet Day, Tuesday 19
      November 2013 (Claudio Schuftan)
   2. Deadline extended: Consultation on Framework Convention   on
      Global Health (Leigh Haynes)
   3. [PHM News] PHM Benin (Claudio Schuftan)
   4. Food for a humiliating thought (Claudio Schuftan)
   5. No Progress towards Universal Health without Health Workers:
      A Civil Society Commitment (Claudio Schuftan)
   6. Petition and Protest on Kenya's restrictions against civil
      society (Ravi M. Ram)
   7. [PHM News] WE ARE "ILLEGAL" - A visit to the Solidarity
      Clinic in Greece - Blog post from International People's Health
      University - Greece (Claudio Schuftan)
   8. [PHM News] Reflections form the International People's Health
      University (IPHU) taking place in Greece at this moment!
      (Claudio Schuftan)


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Message: 1
Date: Sat, 16 Nov 2013 07:39:19 +0100
From: Claudio Schuftan <cschuftan at phmovement.org>
To: phm-exchange <phm-exchange at phm.phmovement.org>
Subject: PHM-Exch> Fwd: [ESCR-Net ] [PIDHDD] ?No access to sanitation?
        ? the big euphemism - For the first UN World Toilet Day, Tuesday 19
        November 2013
Message-ID:
        <CAKpaG8jRisPV7_oVv=f27sVMtci_EeHZU73b_9qiTTp-1txaeg at mail.gmail.com>
Content-Type: text/plain; charset="windows-1252"

From: Coordinacion Regional PIDHDD <regional at pidhdd.org>




 *For the first UN World Toilet Day, Tuesday 19 November 2013*

*?No access to sanitation? ? the big euphemism*


GENEVA (19 November 2013) ? The United Nations Special Rapporteur on the
human right to safe drinking water and sanitation, Catarina de Albuquerque,
has warned that the sanitation target set by the UN Millennium Development
Goals (MDG) is today the most off-track of all, leaving around one billion
people still practicing open defecation on a daily basis, and one-third of
the world?s population *?without access to improved sanitation.?*

?This is a euphemism to describe the undignified life of billions of people
who have no place to defecate or urinate and have to do it without
conditions of safety, hygiene, privacy or dignity,? Ms. de Albuquerque said
on the first UN World Toilet Day. Eighty three per cent of countries have
fallen significantly behind the national targets they have set for
sanitation.

?I am disappointed with the slow and insufficient progress in providing
these services despite the significant political and legal commitments
undertaken in the last years, including the ?Sanitation and Water for All?
initiative - a strong political platform to gather support for increasing
financing for the sanitation sector?, the expert said.

The Special Rapporteur recalled that the human right to sanitation was
recognized in a landmark resolution supported by the majority of UN Member
States in 2010, in order to respond urgently to this alarming situation.

?From now on,? she said, ?the focus has to be on sustainable solutions for
those persons who are systematically forgotten and face significant
barriers in accessing sanitation ? because they live with a disability,
because they belong to a minority, because they are homeless, because they
live in a slum, because women?s and girls? need for privacy is not
guaranteed,? Ms. de Albuquerque said.

?Twenty years after World Water Day was declared, we finally can celebrate
UN World Toilet Day ? an occasion to unite our global efforts with States,
United Nations and relevant stakeholders to make toilets a reality for all
and forever?, she noted.

The human rights expert hailed the UN General Assembly?s decision declaring
19th of November as UN World Toilet Day. ?I hope this declaration
galvanises national and international action to reach the billions of
people who still do not benefit from this basic human right,? the Special
Rapporteur said.

Recalling current discussions on a future global development agenda, the
rights expert also called on Governments to achieve universal access to
sanitation in the post-2015 global development agenda by giving priority to
the elimination of open defecation and committing to eliminate inequalities
in access progressively.

?Toilets are the symbol of dignity for billions of people who still cannot
enjoy them,? said Ms. de Albuquerque. ?Let?s cherish them, let?s prioritize
them?let?s celebrate them!?
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Message: 2
Date: Fri, 15 Nov 2013 10:12:04 -0800 (PST)
From: Leigh Haynes <lkamoreh at yahoo.com>
To: phm-exchange <phm-exchange at phm.phmovement.org>
Subject: PHM-Exch> Deadline extended: Consultation on Framework
        Convention      on Global Health
Message-ID:
        <1384539124.73524.YahooMailNeo at web163006.mail.bf1.yahoo.com>
Content-Type: text/plain; charset="utf-8"



Hello...

The deadline for comments on the framework for the Framework Convention on Global Health has been extended through 30 November.?So, if you haven't had a chance to comment, you still can.?

View the framework at?http://www.jalihealth.org/fcgh.html.

Send any comments to info at jalihealth.org.

Thanks,
Leigh



On Friday, October 25, 2013 7:09 PM, Leigh Haynes <lkamoreh at yahoo.com> wrote:

Hi everyone?

The idea for a Framework Convention on Global Health (FCGH) has been gaining momentum.?PHM put forth a statement on this in May this year that is?available on the PHM website.

A framework for the FCGH is being circulated through many networks for ideas, suggestions, or any other feedback.?You can read the framework for the FCGH and find other information here:?http://www.jalihealth.org/fcgh.html?

If you have any comments to offer on the framework for the FCGH, please forward them along to?info at jalihealth.org?by 15 November 2013.

Best regards,
Leigh
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Message: 3
Date: Sun, 17 Nov 2013 13:55:51 -0800
From: Claudio Schuftan <cschuftan at phmovement.org>
To: phm-exchange <phm-exchange at phm.phmovement.org>
Subject: PHM-Exch> [PHM News] PHM Benin
Message-ID:
        <CAKpaG8jngSSyq5kK9KCF1TZKTR29OwdXwFfG8bQzpP+yCoq8MA at mail.gmail.com>
Content-Type: text/plain; charset="windows-1252"

From: PHM B?nin <phmbenin at yahoo.fr>

                            *THE NINE MILLION POTENTIAL DIABETICS WE ARE!*
Declaration of People's Health Movement Benin during the World pneumonia
and diabetes days
(12 and 14 November 2013)

 Benin, celebrates this week World Days of pneumonia and diabetes. Both
diseases like most non-communicable diseases (NCDs) have some common
avoidable risk factors including smoking, poor diet, alcohol and lack of
exercise.
The nine (9) million Beninese that we are, we are nine (9) million
potential diabetics! We are all exposed. It is not a question of age: a
study shows that more than nine (9) million of NCD-related deaths occurred
before age 60.
In those days PHM Benin invites governants to implement the of the WHO
2013-2020 Action Plan on NCDs.
We invite the United Nations (UN), Civil Society Organizations (CSOs), the
government, vendors, the populations in general and especially young people
to promote healthy foods that do not abuse either of fat or sweet.
 For many diseases, the pharmacy is at fruits and vegetables markets! We
therefore urge the Government to consider these aspects in food policies
and strategies for adapting to climate change. For example, the initiative
Nine million people, nine million trees would recommend Nine million fruit
trees, so as to promote fruit consumption!
We urge the government to introduce a nutrition course in our schools and
colleges curricula: dozens of professional nutritionists are trained for
several years at the University of Abomey Calavi. This is an opportunity.
Meanwhile, we invite governants, the UN and civil society organizations to
support the development and distribution of a food guide as proposed by
Pole DFN.
Apart from the quality of food sold in street corners or prepared at home,
Benin chapter of People?s Health Movement catches authorities? attention on
the storming of public spaces and sports fields by traders. These places
help many people to meet their needs and earn their daily pittance but
could help increase physical activities and sports.
Moreover, PHM Benin welcomes the implementation of the mandatory health
insurance (RAMU) which should allow better access of marginalized groups to
health services including NCD-related information. Anyway, the RAMU could
be non-smoking by allowing preferential rates to non-smokers.
We invite CSOs, the UN, academia to support research for a better measure
and surveillance of non-communicable diseases.
Benin Head of State created, in his last cabinet a Ministry of the
Millennium Development Goals and sustainable development goals. Respect!
But let us not forget that the post -2015 success is to be prepared now. We
therefore look forward to concrete actions that would mark a new chapter in
the implementation of the human rights based approach for programming in
Benin.

PEOPLE 'S HEALTH MOVEMENT BENIN
phmbenin at yahoo.fr
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Message: 4
Date: Tue, 19 Nov 2013 11:33:56 -0800
From: Claudio Schuftan <cschuftan at phmovement.org>
To: phm-exchange <phm-exchange at phm.phmovement.org>
Subject: PHM-Exch> Food for a humiliating thought
Message-ID:
        <CAKpaG8i3FCYnfrk=3rwC5eypKM_HSf7kM16Fo5Sb2=Fy-BTu6A at mail.gmail.com>
Content-Type: text/plain; charset="iso-8859-1"

Human Rights Reader 328



*THE WORSE OUTCOME OF ALL THE AGGRESSIONS TO THE HUMAN CONDITION THAT HUMAN
RIGHTS VIOLATIONS BRING ABOUT IS HUMILIATION. *



Aggressions directed towards the human rights of marginalized individuals
or groups utterly disarm them; they devastate the most essential tenets of
their dignity. To effectively counter these aggressions, we all need to get
rid of our perennial sense of compassion --the one that only generates
feelings of piousness and leads to charity. This is why I am, once again
here, making an appeal for all of us to refocus our work away from charity
and towards HR in our respective professional lives.
The alternative I am calling-for is to embrace and offer a political
alternative in human rights work.

At whom is this call directed to?, you will ask. At you, of course. But
also, among others, the call is directed


*At academics and intellectuals *

*At bureaucrats*

*At political parties and politicians *

* At the media*

* At civil society organizations and*

* At the UN agencies*


To read the full Reader , go to


http://wp.me/plAxa-1J2


Claudio
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Message: 5
Date: Tue, 19 Nov 2013 16:52:40 -0800
From: Claudio Schuftan <cschuftan at phmovement.org>
To: phm-exchange <phm-exchange at phm.phmovement.org>
Subject: PHM-Exch> No Progress towards Universal Health without Health
        Workers: A Civil Society Commitment
Message-ID:
        <CAKpaG8it68vrtr-aY2F35YrLtkL9umNrFcVLZ4CSgWraWeRDZQ at mail.gmail.com>
Content-Type: text/plain; charset="windows-1252"

Recife, 12 November 2013, during the 3rd Global Forum
on Human Resources for Health

No Progress towards Universal Health without Health Workers: A Civil
Society Commitment

The health workforce crisis remains a core barrier to achieving the
Millennium Development Goals (MDGs) for health with only 31% and 12%
respectively of 75 Countdown countries likely to attain MDGs 4 and 5.
Despite donor and country commitments at the 1st and 2nd Global Forums on
Human Resources for Health, the global health workers? shortage persists.
Of the 57 countries identified as falling below the WHO target only 19 have
seen an improvement in their aggregate health worker density. Earlier
commitments to increase domestic resources or external aid, as well as
implementationof the WHO Global Code of Practice on the International
Recruitment of Health Personnel, remain largely unfulfilled.

National and international funds have been channelled to strengthen health
workforce programs, like task shifting and the scaling-up of community
health worker?s programmes. However, too little investment has been
targeted at the recurrent costs of health workforce development, for
instance on salaries, education and social protection measures for health
workers. The inequitable distribution of health workers through increased
mobility and migration within and between countries adversely affects
access to health.

Health workers and a robust health system are essential for universal
health coverage (UHC), and realizing the right to health through universal
health systems.

Therefore at the 3rd Global Forum on Human Resources for Health in Recife,
Brazil, we, the undersigned representatives of civil society organizations
hereby commit to:

We will:

   -

   Help amplify the voices of health workers, especially those at the lower
   levels of care and support their work to influence national and global
   health policies and plans.
   -

   Assist local civil society organizations to ensure their voices are
   heard in global and national health workforce policy discussions.
   -

   Assist in strengthening the capacity of patient groups to advocate for
   equitable and quality services staffed by sufficient, competent and
   equipped health workers at all levels of care.
   -

   Recognise the gender dimensions of the health workforce and champion the
   rights of women health workers.

   Catalyse a strong movement for health workers

   We will:


   -

   Advocate for governments at all levels to institute plans and allocate
   adequate resources for human resources for health (HRH) to ensure that
   every person has access to a trained, supported and equipped health worker.
   -

   Press bilateral and multilateral organizations and civil society actors
   to increase health workforce development efforts and financing, including
   of national training institutions, in alignment with government plans.
   -

   Work with training institutions, professional and regulatory bodies to
   achieve quality in health worker education, including on the social
   determinants, so that every health worker is competent to provide quality
   care and accountable to the populations they serve.

    Strengthen the advocacy of health workers and civil society for
improved infrastructure, support and working conditions

   -

   Support the development of a strong, motivated, public workforce to
   counter some of the ill- effects of an increasingly globalised, inequitable
   and unstable economy and rapidly changing health and demographic patterns.
   -

   Commit our own resources and expertise to assist in converting HRH
   policy and plans into action.

   Ensure accountable HRH systems at national and global levels

We will:

   -

   Work with governments, the Global Health Workforce Alliance, the World
   Health Organization, and other stakeholders to develop mechanisms to
   measure progress towards improved and equitable access to competent health
   workers
   -

   Monitor and report on progress of public HRH commitments made by global
   actors and governments.
   -

   Assist citizens and health workers in developing strategies to enhance
   accountability of national and global actors and challenge inequitable
   policies that impact on HRH development.
   -

   Increase transparency of our programmatic and technical contributions to
   national HRH strategies and attempt to reduce onerous reporting
   requirements placed on countries. We will commit ourselves to supporting a
   strong public sector for health workforce development and be accountable in
   our own funding and technical programs to mitigate the ?internal brain
   drain? from the public to the private sector.

   We will hold donors, government and multilateral actors accountable to:


   -

   Ensure that economic governance arrangements and fiscal space enables
   the development of a strong national health workforce as a long-term
   investment in the wellbeing of the people and the economy of a country. The
   return on investment to employ a health worker is many times higher than to
   bail out a bank.
   -

   Provide the leadership, resources and stewardship needed to fulfil
   commitments made to urgently and effectively address the health workforce
   crisis and ensure improved and equitable access for every person to
   competent health services.
   -

   By 2015, develop, finance, and implement HRH action plans, including
   strengthening national training institutions, with concrete targets and
   integrate them into national health plans.
   -

   Ensure that health workers and civil society organizations are active
   partners in the health workforce policies, planning and development.
   -

   Promote equitable access to health care by investing especially in
   health workers at primary and community levels and in community structures
   to facilitate citizens? voices.
   -

   Improve investment in health workforce development, including salaries
   and social protection, and in national training institutions in order to
   rapidly increase numbers of HRH.
   -

   Assist in development of robust HRH information systems to facilitate
   improved planning and management.
   -

   Respect and implement the Global Code of Practice on the International
   Recruitment of Health Personnel including additional enforceable
   legislation and redistribution mechanisms to compensate for the
   international ?brain drain? that exacerbates global health inequalities.

   SIGNATURES:


   -

   Equinet
   -

   European Public Health Alliance EPHA
   -

   Health Poverty Action
   -

   Health Workers for All and All for Health Workers
   -

   Latin-America Association of Social Medicine ALAMES
   -

   Medicus Mundi International Network MMI
   -

   People?s Health Movement PHM
   -

   Public Services International PSI
   -

   The Centre for Health Sciences Training, Research and Development
   CHESTRAD
   -

   Wemos
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Message: 6
Date: Mon, 25 Nov 2013 11:42:48 +0300
From: "Ravi M. Ram" <ram at jhu.edu>
To: PHM-Exchange at phm.phmovement.org
Subject: PHM-Exch> Petition and Protest on Kenya's restrictions
        against civil society
Message-ID: <529317f5.70d3b40a.0c32.fffffdfd at mx.google.com>
Content-Type: text/plain; charset="iso-8859-1"; format=flowed

To all PHM activists,

As you may be aware, the Kenyan Parliament is
debating an amendment to the recent Public
Benefit Organization Act, that will impose major
restrictions on civil society organizations.
HENNET (Kenya?s Health NGO Network), PHM Kenya
and other NGO networks are preparing responses.

We ask you to support us by signing the online petition, here:

<https://secure.avaaz.org/en/petition/Stop_Muzzling_The_Kenyan_NGOs/?artehgb>https://secure.avaaz.org/en/petition/Stop_Muzzling_The_Kenyan_NGOs/?artehgb

The text of HENNET?s letter is below:

We, Health Sector PBOs,

1. Fully support PBO Act in  its current form;
2. Strongly recommend  that Parliament reject the
proposed amendments to the PBO Act 2013
contained in The Statute Law (Miscellaneous Amendments) Bill, 2013.

It  is  noteworthy  that  CSOs  including  Faith
based  organization  contribute  significantly  to  the
Healthcare  Service  Delivery  in  Kenya.  The
Health  Sector  NGOs  have  continued  to  effectively
work  with  government  to  complement  its
efforts  to ensure  the  most  basic  of  needs  are  met  in
the  most  remote  of  areas  and  by  the
neediest populations. Some  of  the  contribution  to  the
health sector includes:

?         47%  of  Kenya?s  health  care  is
delivered  through  private  sector  including
NGOs  and  Faith Based  Organizations.
Article  43  of  the  Bill  of  Rights  -
every  Kenyan  constitutionally  has a
right  to  the  highest  attainable
standard  of  health  and  currently  much  of
health  services  are
facilitated  in  private  facilities  and  in
Government  facilities  with  external  donor  funding through PBOs.
?         55% of the national health budget is
funded through NGOs by external funding
?         89% of HIV budget (including life
saving ARVs for 1Million HIV infected Kenyans)
are funded by  external  donors  through
Health  promotion  and  prevention  for  HIV,
malaria  and  other public health priorities  for
Kenya are largely donor  funded through NGOs.
?         6.8  million  People
were  tested  for  HIV  in  2012,  of  whom  60%
in  health  facilities  facilitated through NGOs.

The  proposed  amendments  will  reverse  major
gains  made  in  the  Health  sector  in  Kenya,
jeopardize  the  achievement  of  Vision  2030
and  MDGs,  Negate  Public  Private  Partnerships
  and also goes against the Abuja declaration.

We therefore call you to take a stand against the amendments to the bill.

Best regards,

Ravi





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Message: 7
Date: Wed, 27 Nov 2013 09:12:29 -0800
From: Claudio Schuftan <cschuftan at phmovement.org>
To: phm-exchange <phm-exchange at phm.phmovement.org>
Subject: PHM-Exch> [PHM News] WE ARE "ILLEGAL" - A visit to the
        Solidarity Clinic in Greece - Blog post from International People's
        Health University - Greece
Message-ID:
        <CAKpaG8gp_CzrLu4Q6p-N1SyQmS9snfr5BwhLronMsrSLo8T_DQ at mail.gmail.com>
Content-Type: text/plain; charset="windows-1252"

From: PHM Global Secretariat <globalsecretariat at phmovement.org>
>From the IPHU - BLOG <http://www.phmovement.org/en/IPHU-Thessaloniki> in
Greece!

In Greece, health insurance is linked to employment and 30% of the Greek
population is unemployed. Today we visited the Solidarity Clinic, set up in
response to the increasing number unable to access institutional healthcare
services.

The clinic is in the 'rough' part of town. It is on the first floor of an
apartment building that has been loaned by a labour organisation. As we
walk up the stairs we see patients waiting on plastic chairs and are met by
the smell of the disinfectant. The volunteer receptionist (all the staff
here are volunteers), shows us to the appointment book which is full, and
to the neatly filed patient notes. In the past 2 years the clinic has
treated over 15,000 patients.

The clinic is open 6 days a week and runs a morning and afternoon session.
There are daily general practice appointments, dental and maternity
services. Each day a different medical specialty is also offered, including
psychiatry, neurology, paediatrics and oncology.

We are shown through to the pharmacy where the room is walled with shelves
of medications; "All the medications are given to us as donations... often
it is when people have medications left over that they bring them in... a
lady with cancer died recently and her family has brought in the remainder
of her chemotherapy".

This is not ideal. However, the worsening economic and political situation
in Greece means that clinics like this are lifelines for many of the Greek
population.

The health system has been subject to structural reform responding to
memoranda from the European Union and International Monetary Fund. 20
billion euros must be saved. There have been significant hospital closures
and reductions in bed numbers. Gaining access to health services has a
cost- once 3 euros and rarely enforced, now rising to 25 euros. Costs
spiral with treatment. Delivering a baby SVD costs 900 euros; 1500 by
caesarean section. We heard anecdotes of women who aren't allowed to take
their babies home until bills are settled.

The clinic is political in its origins and its continued message of
solidarity, antifascism and anti-austerity is clear. In January 2011, 300
immigrants in Greece went on hunger strike for a total of 48 days in
protest of the possibility of deportation. The clinic was set up to provide
medical care for these migrants unable to access healthcare without
official papers. The demographic of the patients at the Solidarity Clinic
has shifted since 2011, with Greeks making up 75% of those now attending.

The clinic is not an NGO and not a charity. The money required to run it,
mostly to pay for vaccines and new equipment, is raised through personal
donations and fundraising events such as concerts and exhibitions. The
government and police have targeted similar clinics recently. One in
Athens, was raided and accused of smuggling illegal drugs. The Solidarity
Clinic has issued a press release in response to the thought that "all
centers that produce anomy must close?; it is an accurate summary of the
feelings of those we met today.














*We are ?illegal? for the last 2 years for having supported more than
10.000 uninsured patients by providing health services and medications
without asking from anyone their permission. We are ?illegal? because we do
so without money. We are ?illegal? because we oblige only to the code of
medical ethics. We are ?illegal? because we are accountable only to our
consciousness, our patients and the society. We are ?illegal? because we
fight against to humiliation and death. We are ?illegal? because we believe
that Health is a major social good and not a commodity. Those last actions,
reminding of totalitarian regimes, clearly demonstrate that the red line is
crossed. They want to eliminate hope. They want to destroy everything that
keeps us united. They hate life. They will face us all, volunteers,
patients, civilians, in the opposite side. We will defend life and
dignity.  We will fight against death. SOLIDARITY IS OUR WEAPON *

Read the whole press release
here:http://www.kiathess.gr/index.php/8-2012-12-24-13-28-34/2012-12-24-13-27-56/70-for-the-police-visit-at-metropolitan-community-clinic-at-elliniko-and-medecins-du-monde

--
Global Secretariat
People's Health Movement (PHM)
Email: globalsecretariat at phmovement.org
Web: www.phmovement.org
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Message: 8
Date: Wed, 27 Nov 2013 09:16:12 -0800
From: Claudio Schuftan <cschuftan at phmovement.org>
To: phm-exchange <phm-exchange at phm.phmovement.org>
Subject: PHM-Exch> [PHM News] Reflections form the International
        People's Health University (IPHU) taking place in Greece at this
        moment!
Message-ID:
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From: PHM Global Secretariat <globalsecretariat at phmovement.org>


PHM health activists have gathered in Thessaloniki, Greece, for the
International Health Peoples University -  The Struggle for Health.

The course participants have traveled from over 20 countries, as far
reaching as Brazil, Nepal and Uganda. The first day was an opportunity to
meet the other participants and form an idea of what the PHM and IPHU means
for each person. Tasnim, a physician and public health specialist working
for the World Health Organisation in Palestine, left Ramalah on Thursday to
reach Greece for Saturday. She hopes the course will provide "a new
approach to making real sustainable change". Others see the PHM as a way to
"move and work outside the traditional networks of academic or
institutional forms" and a way to "bring the Alma Ata Declaration to life".

[image: Inline image 2][image: Inline image 3][image: Inline image 1]

The decision to come to Greece was not accidental- Greece is bearing the
brunt of the global economic crisis. Since 2007 the Greek GDP has fallen
year on year with devastating impacts on health. 30% of the Greek
population is without health insurance and austerity has massive
implications on the health system and the social determinants of health.

As the week goes on, participants will be experiencing the Greek struggle
and see ways that the PHM in Greece is mounting solidarity and resistance.

The take-home message for today has been one from Amit Semgupta's
presentation about the Peoples Health
Charter<http://www.phmovement.org/en/resources/charters/peopleshealth>,
where he outlined the process through which PHM aims to achieve its
outcomes:

[image: Inline image 4]

EDUCATE! more people about health issues;
MOBILISE! people under different organisations, banners and slogans;
ORGANISE! Work as a body of people and as a community of believers in...
CHANGE! and make our voices heard.

*Participants are posting daily interviews and reflection on their IPHU - *
*BLOG* <http://www.phmovement.org/en/IPHU-Thessaloniki>* , you can follow
their activities on the** Facebook page
*<https://www.facebook.com/pages/Peoples-Health-Movement/228820500472434>*and
via #phmovement.*


--
Global Secretariat
People's Health Movement (PHM)
Email: globalsecretariat at phmovement.org
Web: www.phmovement.org
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