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<p class=MsoNormal><span class=SpellE><font size=2 face=Verdana><span
style='font-size:10.0pt;font-family:Verdana'>BMJ</span></font></span><span
class=GramE><font size=2 face=Verdana><span style='font-size:10.0pt;font-family:
Verdana'> 2005</span></font></span><font size=2 face=Verdana><span
style='font-size:10.0pt;font-family:Verdana'>;331:256 (30 July), <span
class=SpellE>doi:10.1136/bmj.331.7511.256</span>-a </span></font><o:p></o:p></p>
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<h3><b><font size=4 face="Times New Roman"><span style='font-size:13.5pt'><VARDEF id=TEXT>News
extra<o:p></o:p></span></font></b></h3>
<h2><b><font size=5 face="Times New Roman"><span style='font-size:18.0pt'>Global
university course launched on health advocacy<o:p></o:p></span></font></b></h2>
<p><st1:City><st1:place><span class=SpellE><i><font size=3
face="Times New Roman"><span style='font-size:12.0pt;font-style:italic'>Cuenca</span></font></i></span></st1:place></st1:City>
Tessa Richards <o:p></o:p></p>
<p><font size=3 face="Times New Roman"><span style='font-size:12.0pt'>A new
global university, the International People’s </span></font><st1:place><st1:PlaceName>Health</st1:PlaceName>
<st1:PlaceType>University</st1:PlaceType></st1:place>, marked its official
launch last week by running a five day course for health activists on primary
health care and the political economy of health. The course was run at the
Faculty of Medical Sciences of the <st1:place><st1:PlaceType>University</st1:PlaceType>
of <st1:PlaceName><span class=SpellE>Cuenca</span></st1:PlaceName></st1:place>,
<span class=SpellE>Equador</span>, immediately before the People’s Health
Assembly. <o:p></o:p></p>
<p><font size=3 face="Times New Roman"><span style='font-size:12.0pt'>The
course was attended by 61 people, from 25 different countries, with a strong
representation from </span></font><st1:place>Latin America</st1:place> and
other low and medium income countries. Most of those attending were doctors
already involved in or committed to developing skills in health advocacy to
augment their work as public health physicians, specialists in primary care, or
within non-governmental <span class=SpellE>organisations</span>. <o:p></o:p></p>
<p><font size=3 face="Times New Roman"><span style='font-size:12.0pt'>The <span
class=SpellE>convenor</span>, David Legge, associate professor of public health
at La <span class=SpellE>Trobe</span> University, Australia, told the <span
class=SpellE><i><span style='font-style:italic'>BMJ</span></i></span> about the
aim of the course, which he and his colleagues plan to run biannually, back to
back with major international meetings. <o:p></o:p></span></font></p>
<p><font size=3 face="Times New Roman"><span style='font-size:12.0pt'>"The
course has been designed to stimulate, train, and link up a new cadre of health
activists to join the founder members of the People’s Health Movement [<a
href="http://www.phmovement.org"><span class=SpellE>www.phmovement.org</span></a>]
and continue its work." <o:p></o:p></span></font></p>
<p><font size=3 face="Times New Roman"><span style='font-size:12.0pt'>The
global community of health activists needs to be <span class=GramE>strengthened,</span>
Dr Legge <span class=SpellE>emphasised</span>, to press for action to counter
growing health inequity and gross global injustice. A message which echoes the
call put out last week by<i><span style='font-style:italic'> Global Health
Watch</span></i> <i><span style='font-style:italic'>2005-6 </span></i>(<a
href="http://www.ghwatch.org"><span class=SpellE>www.ghwatch.org</span></a>)
and its campaign tool, <i><span style='font-style:italic'>Global Health Action</span></i>
(see box). <o:p></o:p></span></font></p>
<p><font size=3 face="Times New Roman"><span style='font-size:12.0pt'>"It
addresses issues that are poorly covered, if at all, in conventional public
health courses and undergraduate courses on international health," Dr
Legge said, "And we will use the experience of running this first course
to develop the <span class=SpellE>programme</span> further. We will also
provide details and key educational resources on the university’s website
[details of the current course are already up on <span class=SpellE>www.iphcglobal.org/iphu.org/faculty.htm</span>]
so that they are widely available." <o:p></o:p></span></font></p>
<p><font size=3 face="Times New Roman"><span style='font-size:12.0pt'>Topics
covered included framing health as a human right as opposed to a need for which
health services are supplied (depending on the capacity to pay for them),
macroeconomics and health, primary health care, trade and health, sex issues in
health, patient rights and access to pharmaceuticals, health sector reform, and
health research. <o:p></o:p></span></font></p>
<p><font size=3 face="Times New Roman"><span style='font-size:12.0pt'>Fran
Baum, director of the Community Health Research Unit at </span></font><st1:place><st1:City>Flinders
University</st1:City>, <st1:country-region>Australia</st1:country-region></st1:place>,
underlined the importance of funding community driven and community based
research. <o:p></o:p></p>
<p><font size=3 face="Times New Roman"><span style='font-size:12.0pt'>"Currently,
the medical technological model dominates thinking about health and disease and
defining research priorities," she said. "Furthermore, there is no
obligation on researchers to undertake research that is socially useful or to
define its outcome in terms of what benefit it brings to the community. More
research is needed on the underlying determinants of health and long term
assessment of complex community based interventions." <o:p></o:p></span></font></p>
<p><b><font size=3 face="Times New Roman"><span style='font-size:12.0pt;
font-weight:bold'>Health and wealth inequity worldwide</span></font></b> <o:p></o:p></p>
<ul type=disc>
<li class=MsoNormal style='mso-margin-top-alt:auto;mso-margin-bottom-alt:auto;
mso-list:l0 level1 lfo1;tab-stops:list .5in'><font size=3
face="Times New Roman"><span style='font-size:12.0pt'>2.7 billion people
live on less than $2 (£1.15; €1.66) a day—a rise of 20% since
1987 <o:p></o:p></span></font></li>
<li class=MsoNormal style='mso-margin-top-alt:auto;mso-margin-bottom-alt:auto;
mso-list:l0 level1 lfo1;tab-stops:list .5in'><font size=3
face="Times New Roman"><span style='font-size:12.0pt'>Healthy life
expectancy is 39 in </span></font><st1:place>Africa</st1:place> compared
with 66 in the developed world <o:p></o:p></li>
<li class=MsoNormal style='mso-margin-top-alt:auto;mso-margin-bottom-alt:auto;
mso-list:l0 level1 lfo1;tab-stops:list .5in'><font size=3
face="Times New Roman"><span style='font-size:12.0pt'>The annual amount of
development help spent on health by all developed nations—$<span
class=SpellE>10bn</span>—is equivalent to the amount spent on ice
cream in </span></font><st1:place>Europe</st1:place> <o:p></o:p></li>
<li class=MsoNormal style='mso-margin-top-alt:auto;mso-margin-bottom-alt:auto;
mso-list:l0 level1 lfo1;tab-stops:list .5in'><font size=3
face="Times New Roman"><span style='font-size:12.0pt'>Although the wealth
of the developed world has risen by more than 150% since 1960, aid per
capita has risen by just 10% <o:p></o:p></span></font></li>
<li class=MsoNormal style='mso-margin-top-alt:auto;mso-margin-bottom-alt:auto;
mso-list:l0 level1 lfo1;tab-stops:list .5in'><font size=3
face="Times New Roman"><span style='font-size:12.0pt'>The power and wealth
of multilateral corporation has grown out of hand. Of the 100 largest
economic entities in the world, 51 are businesses <o:p></o:p></span></font></li>
<li class=MsoNormal style='mso-margin-top-alt:auto;mso-margin-bottom-alt:auto;
mso-list:l0 level1 lfo1;tab-stops:list .5in'><font size=3
face="Times New Roman"><span style='font-size:12.0pt'>The combined sales
of the top 20 businesses are 18 times the combined income of the poorest
25% of the world’s population <o:p></o:p></span></font></li>
</ul>
<p><font size=3 face="Times New Roman"><span style='font-size:12.0pt'>Source:
Global Health Action, published by <span class=SpellE>Medact</span> (<a
href="http://www.medact.org/"><span class=SpellE>www.medact.org</span></a>) <o:p></o:p></span></font></p>
<p class=MsoNormal><font size=3 face="Times New Roman"><span style='font-size:
12.0pt'><o:p> </o:p></span></font></p>
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