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<p class="MsoNormal" style="MARGIN: 0in 0in 0pt"><font face="Times New Roman" size="2">Human Rights Reader 197</font></p>
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<p class="MsoNormal" style="MARGIN: 0in 0in 0pt"><b style="mso-bidi-font-weight: normal"><span style="FONT-SIZE: 12pt; mso-bidi-font-size: 10.0pt"><font face="Times New Roman">THE HUMAN RIGHT TO HEALTH AND TO ADEQUATE NUTRITION IN A STRUCTURALLY UNEQUAL SOCIETY.</font></span></b></p>
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<p class="MsoNormal" style="MARGIN: 0in 0in 0pt"><span style="FONT-SIZE: 12pt; mso-bidi-font-size: 10.0pt"><font face="Times New Roman">1. I would like to think that you -as me- often ask yourself what we could all do better to achieve greater equity through what we do given that we most often work in countries with appalling social inequities.<span style="mso-spacerun: yes"> </span>Allow me to share with you some of my thoughts on this.</font></span></p>
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<p class="MsoNormal" style="MARGIN: 0in 0in 0pt"><span style="FONT-SIZE: 12pt; mso-bidi-font-size: 10.0pt"><font face="Times New Roman">2. I see our role in helping put in place the needed social processes and mechanisms that will drive sustainable human rights-based policies in health and nutrition as being inseparable from us helping to instill a new will and commitment to change underlying preventable structural inequalities in society.<span style="mso-spacerun: yes"> </span>To achieve the latter, you can -as individuals- come to this will from either of two motivations: you can either come to it from a primarily ethical or from a political motivation.</font></span></p>
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<p class="MsoNormal" style="MARGIN: 0in 0in 0pt"><span style="FONT-SIZE: 12pt; mso-bidi-font-size: 10.0pt"><font face="Times New Roman">3. These two motivational stances --that can drive us to become more involved in lessening social inequities-- represent, not packages-of-universal solutions, but rather paths-to-follow to get things that need to be done done, and the latter by whom, with whom, and against whom.</font></span></p>
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<p class="MsoNormal" style="MARGIN: 0in 0in 0pt"><span style="FONT-SIZE: 12pt; mso-bidi-font-size: 10.0pt"><font face="Times New Roman">4. Living as we do in a mean, unfair and selfish world, I see the challenge we face as being one to graduate from the first into the second approach. Let me explain why:</font></span></p>
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<p class="MsoNormal" style="MARGIN: 0in 0in 0pt"><span style="FONT-SIZE: 12pt; mso-bidi-font-size: 10.0pt"><font face="Times New Roman">THE PRIMARILY <u>ETHICAL</u> HUMAN RIGHTS-LED PROCESS TO SUSTAINABLE DEVELOPMENT IN HEALTH AND NUTRITION</font></span></p>
<p class="MsoNormal" style="MARGIN: 0in 0in 0pt"><span style="FONT-SIZE: 12pt; mso-bidi-font-size: 10.0pt"><font face="Times New Roman"><span style="mso-spacerun: yes"> </span><span style="mso-tab-count: 2"> </span><span style="mso-spacerun: yes"> </span>As is true for slavery, there are</font></span></p>
<p class="MsoNormal" style="MARGIN: 0in 0in 0pt"><span style="FONT-SIZE: 12pt; mso-bidi-font-size: 10.0pt"><font face="Times New Roman"><span style="mso-spacerun: yes"> </span><span style="mso-tab-count: 2"> </span><span style="mso-spacerun: yes"> </span>ethical limits to tolerating </font></span></p>
<p class="MsoNormal" style="MARGIN: 0in 0in 0pt"><span style="FONT-SIZE: 12pt; mso-bidi-font-size: 10.0pt"><font face="Times New Roman"><span style="mso-spacerun: yes"> </span>extreme poverty.</font></span></p>
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<p class="MsoNormal" style="MARGIN: 0in 0in 0pt"><span style="FONT-SIZE: 12pt; mso-bidi-font-size: 10.0pt"><font face="Times New Roman">5. The quite prevalent development ethics that calls for working with the poor as protagonists and not merely as recipients of development aid has, so far, itself, unfortunately remained mostly a top-down approach.<span style="mso-spacerun: yes"> </span>It represents mostly the view of academicians, of intellectuals, of church leaders, of international bureaucrats and of a few politicians (mostly in the opposition).<span style="mso-spacerun: yes"> </span>Beneficiaries have remained mostly passive in this</font></span></p>
<p class="MsoNormal" style="MARGIN: 0in 0in 0pt"><span style="FONT-SIZE: 12pt; mso-bidi-font-size: 10.0pt"><font face="Times New Roman">approach, merely being counted as the 'objects' of the process.<span style="mso-spacerun: yes"> </span>This ethics-led human rights process assigns a key role to '<b style="mso-bidi-font-weight: normal">moral advocates</b>' who are to advance the following cascading process:</font></span></p>
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<p class="MsoNormal" style="MARGIN: 0in 0in 0pt"><span style="FONT-SIZE: 12pt; mso-bidi-font-size: 10.0pt"><font face="Times New Roman"><span style="mso-spacerun: yes"> </span>- NEEDS (Entails assessing needs requiring fulfillment using</font></span></p>
<p class="MsoNormal" style="MARGIN: 0in 0in 0pt"><span style="FONT-SIZE: 12pt; mso-bidi-font-size: 10.0pt"><font face="Times New Roman"><span style="mso-spacerun: yes"> </span>"objective"(?) field research techniques)</font></span></p>
<p class="MsoNormal" style="MARGIN: 0in 0in 0pt"><span style="FONT-SIZE: 12pt; mso-bidi-font-size: 10.0pt"><font face="Times New Roman"><span style="mso-spacerun: yes"> </span>|</font></span></p>
<p class="MsoNormal" style="MARGIN: 0in 0in 0pt"><span style="FONT-SIZE: 12pt; mso-bidi-font-size: 10.0pt"><font face="Times New Roman"><span style="mso-spacerun: yes"> </span>- ENTITLEMENTS (Entails granting selected identified needs the status of</font></span></p>
<p class="MsoNormal" style="MARGIN: 0in 0in 0pt"><span style="FONT-SIZE: 12pt; mso-bidi-font-size: 10.0pt"><font face="Times New Roman"><span style="mso-spacerun: yes"> </span>entitlements to be honored by society)</font></span></p>
<p class="MsoNormal" style="MARGIN: 0in 0in 0pt"><span style="FONT-SIZE: 12pt; mso-bidi-font-size: 10.0pt"><font face="Times New Roman"><span style="mso-spacerun: yes"> </span>|</font></span></p>
<p class="MsoNormal" style="MARGIN: 0in 0in 0pt 96pt; TEXT-INDENT: -0.25in; mso-list: l0 level1 lfo1; tab-stops: list 96.0pt"><font face="Times New Roman"><span style="FONT-SIZE: 12pt; mso-bidi-font-size: 10.0pt"><span style="mso-list: Ignore">-<span style="FONT: 7pt 'Times New Roman'"> </span></span></span><span style="FONT-SIZE: 12pt; mso-bidi-font-size: 10.0pt">RIGHTS (Entails translating accepted entitlements into actual</span></font></p>
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<p class="MsoNormal" style="MARGIN: 0in 0in 0pt"><span style="FONT-SIZE: 12pt; mso-bidi-font-size: 10.0pt"><font face="Times New Roman"><span style="mso-spacerun: yes"> </span>|</font></span></p>
<p class="MsoNormal" style="MARGIN: 0in 0in 0pt 78pt"><span style="FONT-SIZE: 12pt; mso-bidi-font-size: 10.0pt"><font face="Times New Roman"><span style="mso-spacerun: yes"> </span>- LAWS<span style="mso-spacerun: yes"> </span>(Entails delegating to members of Parliament the</font></span></p>
<p class="MsoNormal" style="MARGIN: 0in 0in 0pt 78pt"><span style="FONT-SIZE: 12pt; mso-bidi-font-size: 10.0pt"><font face="Times New Roman"><span style="mso-spacerun: yes"> </span>legitimization of selected human rights by promulgating them</font></span></p>
<p class="MsoNormal" style="MARGIN: 0in 0in 0pt"><span style="FONT-SIZE: 12pt; mso-bidi-font-size: 10.0pt"><font face="Times New Roman"><span style="mso-spacerun: yes"> </span>into laws)</font></span></p>
<p class="MsoNormal" style="MARGIN: 0in 0in 0pt"><span style="FONT-SIZE: 12pt; mso-bidi-font-size: 10.0pt"><font face="Times New Roman"><span style="mso-spacerun: yes"> </span>|</font></span></p>
<p class="MsoNormal" style="MARGIN: 0in 0in 0pt; TEXT-INDENT: 0.5in"><span style="FONT-SIZE: 12pt; mso-bidi-font-size: 10.0pt"><font face="Times New Roman"><span style="mso-spacerun: yes"> </span>- LAW ENFORCEMENT (Entails assuring/securing that the human </font></span></p>
<p class="MsoNormal" style="MARGIN: 0in 0in 0pt 78pt"><span style="FONT-SIZE: 12pt; mso-bidi-font-size: 10.0pt"><font face="Times New Roman"><span style="mso-spacerun: yes"> </span><span style="mso-spacerun: yes"> </span>rights-related laws get enforced by government</font></span></p>
<p class="MsoNormal" style="MARGIN: 0in 0in 0pt 78pt"><span style="FONT-SIZE: 12pt; mso-bidi-font-size: 10.0pt"><font face="Times New Roman"><span style="mso-spacerun: yes"> </span><span style="mso-spacerun: yes"> </span><span style="mso-spacerun: yes"> </span>institutions)**</font></span></p>
<p class="MsoNormal" style="MARGIN: 0in 0in 0pt"><span style="FONT-SIZE: 12pt; mso-bidi-font-size: 10.0pt"><font face="Times New Roman">_________________________________________________________</font></span></p>
<p class="MsoNormal" style="MARGIN: 0in 0in 0pt"><span style="FONT-SIZE: 12pt; mso-bidi-font-size: 10.0pt"><font face="Times New Roman"><span style="mso-spacerun: yes"> </span>* : Promoting these rights is not, by itself, a progressive political act.</font></span></p>
<p class="MsoNormal" style="MARGIN: 0in 0in 0pt"><span style="FONT-SIZE: 12pt; mso-bidi-font-size: 10.0pt"><font face="Times New Roman"><span style="mso-spacerun: yes"> </span>**: Often very weak or non-existent and without the people getting involved</font></span></p>
<p class="MsoNormal" style="MARGIN: 0in 0in 0pt"><span style="FONT-SIZE: 12pt; mso-bidi-font-size: 10.0pt"><font face="Times New Roman"><span style="mso-spacerun: yes"> </span><span style="mso-spacerun: yes"> </span>directly in it; absence of recourse mechanisms.</font></span></p>
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<p class="MsoNormal" style="MARGIN: 0in 0in 0pt"><span style="FONT-SIZE: 12pt; mso-bidi-font-size: 10.0pt"><font face="Times New Roman">6. The inherent weakness of this process is that to have human rights ultimately respected, someone other than the poor takes the responsibility at each step to steer the process from entitlement to enforcement.</font></span></p>
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<p class="MsoNormal" style="MARGIN: 0in 0in 0pt"><span style="FONT-SIZE: 12pt; mso-bidi-font-size: 10.0pt"><font face="Times New Roman">THE PRIMARILY <u>POLITICAL</u> HUMAN RIGHTS-LED PROCESS TO SUSTAINABLE DEVELOPMENT IN HEALTH AND NUTRITION</font></span></p>
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<p class="MsoNormal" style="MARGIN: 0in 0in 0pt"><span style="FONT-SIZE: 12pt; mso-bidi-font-size: 10.0pt"><font face="Times New Roman">7. This more bottom-up political approach (in which commitments are needed beyond ethics) better accommodates and represents the perceptions of needed development actions as seen from the perspective of the human rights-based framework <u>and</u> that of the beneficiaries of <span style="mso-spacerun: yes"> </span>development.<span style="mso-spacerun: yes"> </span>In this approach, beneficiaries are clearly the protagonists of the process; the process is mostly politically motivated and assigns a key role to '<b style="mso-bidi-font-weight: normal">social activists and political advocates</b>' who are to advance the following cascading<span style="mso-spacerun: yes"> </span>process:</font></span></p>
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<p class="MsoNormal" style="MARGIN: 0in 0in 0pt"><span style="FONT-SIZE: 12pt; mso-bidi-font-size: 10.0pt"><font face="Times New Roman"><span style="mso-spacerun: yes"> </span>- FELT NEEDS (As freely and spontaneously expressed by organized </font></span></p>
<p class="MsoNormal" style="MARGIN: 0in 0in 0pt 63pt"><span style="FONT-SIZE: 12pt; mso-bidi-font-size: 10.0pt"><font face="Times New Roman"><span style="mso-spacerun: yes"> </span>communities in relation to the rights they feel are being </font></span></p>
<p class="MsoNormal" style="MARGIN: 0in 0in 0pt 63pt"><span style="FONT-SIZE: 12pt; mso-bidi-font-size: 10.0pt"><font face="Times New Roman"><span style="mso-spacerun: yes"> </span>violated)</font></span></p>
<p class="MsoNormal" style="MARGIN: 0in 0in 0pt"><span style="FONT-SIZE: 12pt; mso-bidi-font-size: 10.0pt"><font face="Times New Roman"><span style="mso-spacerun: yes"> </span>|</font></span></p>
<p class="MsoNormal" style="MARGIN: 0in 0in 0pt"><span style="FONT-SIZE: 12pt; mso-bidi-font-size: 10.0pt"><font face="Times New Roman"><span style="mso-spacerun: yes"> </span>[Consciousness raising] (The role of human rights activists importantly using</font></span></p>
<p class="MsoNormal" style="MARGIN: 0in 0in 0pt"><span style="FONT-SIZE: 12pt; mso-bidi-font-size: 10.0pt"><font face="Times New Roman"><span style="mso-spacerun: yes"> </span><span style="mso-spacerun: yes"> </span><span style="mso-spacerun: yes"> </span>capacity analysis)</font></span></p>
<p class="MsoNormal" style="MARGIN: 0in 0in 0pt"><span style="FONT-SIZE: 12pt; mso-bidi-font-size: 10.0pt"><font face="Times New Roman"><span style="mso-spacerun: yes"> </span>|</font></span></p>
<p class="MsoNormal" style="MARGIN: 0in 0in 0pt; TEXT-INDENT: 0.5in"><span style="FONT-SIZE: 12pt; mso-bidi-font-size: 10.0pt"><font face="Times New Roman">- CONCRETE CLAIMS (Felt needs are articulated into concrete human rights</font></span></p>
<p class="MsoNormal" style="MARGIN: 0in 0in 0pt 78pt"><span style="FONT-SIZE: 12pt; mso-bidi-font-size: 10.0pt"><font face="Times New Roman"><span style="mso-spacerun: yes"> </span>claims directed at specific duty bearers, each tackling</font></span></p>
<p class="MsoNormal" style="MARGIN: 0in 0in 0pt 78pt"><span style="FONT-SIZE: 12pt; mso-bidi-font-size: 10.0pt"><font face="Times New Roman"><span style="mso-spacerun: yes"> </span><span style="mso-spacerun: yes"> </span><span style="mso-spacerun: yes"> </span>perceived violations)*</font></span></p>
<p class="MsoNormal" style="MARGIN: 0in 0in 0pt"><span style="FONT-SIZE: 12pt; mso-bidi-font-size: 10.0pt"><font face="Times New Roman"><span style="mso-spacerun: yes"> </span>|</font></span></p>
<p class="MsoNormal" style="MARGIN: 0in 0in 0pt"><span style="FONT-SIZE: 12pt; mso-bidi-font-size: 10.0pt"><font face="Times New Roman"><span style="mso-spacerun: yes"> </span><span style="mso-spacerun: yes"> </span>[Social mobilization] (Also the initial role of human rights activists)</font></span></p>
<p class="MsoNormal" style="MARGIN: 0in 0in 0pt"><span style="FONT-SIZE: 12pt; mso-bidi-font-size: 10.0pt"><font face="Times New Roman"><span style="mso-spacerun: yes"> </span>|</font></span></p>
<p class="MsoNormal" style="MARGIN: 0in 0in 0pt"><span style="FONT-SIZE: 12pt; mso-bidi-font-size: 10.0pt"><font face="Times New Roman"><span style="mso-spacerun: yes"> </span>|</font></span></p>
<p class="MsoNormal" style="MARGIN: 0in 0in 0pt"><span style="FONT-SIZE: 12pt; mso-bidi-font-size: 10.0pt"><font face="Times New Roman"><span style="mso-spacerun: yes"> </span>[Empowerment/Acquisition of Social Power]</font></span></p>
<p class="MsoNormal" style="MARGIN: 0in 0in 0pt"><span style="FONT-SIZE: 12pt; mso-bidi-font-size: 10.0pt"><font face="Times New Roman"><span style="mso-spacerun: yes"> </span><span style="mso-spacerun: yes"> </span>|</font></span></p>
<p class="MsoNormal" style="MARGIN: 0in 0in 0pt"><span style="FONT-SIZE: 12pt; mso-bidi-font-size: 10.0pt"><font face="Times New Roman"><span style="mso-spacerun: yes"> </span><span style="mso-spacerun: yes"> </span>|</font></span></p>
<p class="MsoNormal" style="MARGIN: 0in 0in 0pt; TEXT-INDENT: 0.5in"><span style="FONT-SIZE: 12pt; mso-bidi-font-size: 10.0pt"><font face="Times New Roman">- ORGANIZED PEOPLE'S ACTIONS (Mobilization of the community's</font></span></p>
<p class="MsoNormal" style="MARGIN: 0in 0in 0pt 78pt"><span style="FONT-SIZE: 12pt; mso-bidi-font-size: 10.0pt"><font face="Times New Roman"><span style="mso-spacerun: yes"> </span>own and then outside resources)</font></span></p>
<p class="MsoNormal" style="MARGIN: 0in 0in 0pt"><span style="FONT-SIZE: 12pt; mso-bidi-font-size: 10.0pt"><font face="Times New Roman"><span style="mso-spacerun: yes"> </span>|</font></span></p>
<p class="MsoNormal" style="MARGIN: 0in 0in 0pt"><span style="FONT-SIZE: 12pt; mso-bidi-font-size: 10.0pt"><font face="Times New Roman"><span style="mso-spacerun: yes"> </span>[Gains in self-confidence]</font></span></p>
<p class="MsoNormal" style="MARGIN: 0in 0in 0pt"><span style="FONT-SIZE: 12pt; mso-bidi-font-size: 10.0pt"><font face="Times New Roman"><span style="mso-spacerun: yes"> </span>|</font></span></p>
<p class="MsoNormal" style="MARGIN: 0in 0in 0pt; TEXT-INDENT: 0.5in"><span style="FONT-SIZE: 12pt; mso-bidi-font-size: 10.0pt"><font face="Times New Roman">- DE-FACTO EXERCISE OF SOCIAL POWER (Within or challenging existing</font></span></p>
<p class="MsoNormal" style="MARGIN: 0in 0in 0pt 78pt"><span style="FONT-SIZE: 12pt; mso-bidi-font-size: 10.0pt"><font face="Times New Roman"><span style="mso-spacerun: yes"> </span><span style="mso-spacerun: yes"> </span>laws; bringing in and using needed external </font></span></p>
<p class="MsoNormal" style="MARGIN: 0in 0in 0pt 78pt"><span style="FONT-SIZE: 12pt; mso-bidi-font-size: 10.0pt"><font face="Times New Roman"><span style="mso-spacerun: yes"> </span>resources) </font></span></p>
<p class="MsoNormal" style="MARGIN: 0in 0in 0pt"><span style="FONT-SIZE: 12pt; mso-bidi-font-size: 10.0pt"><font face="Times New Roman"><span style="mso-spacerun: yes"> </span><span style="mso-spacerun: yes"> </span>|</font></span></p>
<p class="MsoNormal" style="MARGIN: 0in 0in 0pt"><span style="FONT-SIZE: 12pt; mso-bidi-font-size: 10.0pt"><font face="Times New Roman"><span style="mso-spacerun: yes"> </span>[Networking]</font></span></p>
<p class="MsoNormal" style="MARGIN: 0in 0in 0pt"><span style="FONT-SIZE: 12pt; mso-bidi-font-size: 10.0pt"><font face="Times New Roman"><span style="mso-spacerun: yes"> </span>|</font></span></p>
<p class="MsoNormal" style="MARGIN: 0in 0in 0pt"><span style="FONT-SIZE: 12pt; mso-bidi-font-size: 10.0pt"><font face="Times New Roman"><span style="mso-spacerun: yes"> </span>[Acquisition of Political Power] (Progressive influence over needed decisions)</font></span></p>
<p class="MsoNormal" style="MARGIN: 0in 0in 0pt"><span style="FONT-SIZE: 12pt; mso-bidi-font-size: 10.0pt"><font face="Times New Roman"><span style="mso-spacerun: yes"> </span>|</font></span></p>
<p class="MsoNormal" style="MARGIN: 0in 0in 0pt"><span style="FONT-SIZE: 12pt; mso-bidi-font-size: 10.0pt"><font face="Times New Roman"><span style="mso-spacerun: yes"> </span>- CONSOLIDATION OF NEW POWER (Coalition building)</font></span></p>
<p class="MsoNormal" style="MARGIN: 0in 0in 0pt"><span style="FONT-SIZE: 12pt; mso-bidi-font-size: 10.0pt"><font face="Times New Roman"><span style="mso-spacerun: yes"> </span>|</font></span></p>
<p class="MsoNormal" style="MARGIN: 0in 0in 0pt"><span style="FONT-SIZE: 12pt; mso-bidi-font-size: 10.0pt"><font face="Times New Roman"><span style="mso-spacerun: yes"> </span>[Leads to new felt needs and the cycle restarts]</font></span></p>
<p class="MsoNormal" style="MARGIN: 0in 0in 0pt"><span style="FONT-SIZE: 12pt; mso-bidi-font-size: 10.0pt"><font face="Times New Roman">________________________________________________________</font></span></p>
<p class="MsoNormal" style="MARGIN: 0in 0in 0pt"><span style="FONT-SIZE: 12pt; mso-bidi-font-size: 10.0pt"><font face="Times New Roman"><span style="mso-spacerun: yes"> </span>* : Claims correspond to entitlements in the previous diagram.</font></span></p>
<p class="MsoNormal" style="MARGIN: 0in 0in 0pt"><span style="FONT-SIZE: 12pt; mso-bidi-font-size: 10.0pt"><font face="Times New Roman"><span style="mso-spacerun: yes"> </span></font></span></p>
<p class="MsoNormal" style="MARGIN: 0in 0in 0pt"><span style="FONT-SIZE: 12pt; mso-bidi-font-size: 10.0pt"><font face="Times New Roman">8. Although the ethically and politically human rights-led approaches, as simplified in</font></span></p>
<p class="MsoNormal" style="MARGIN: 0in 0in 0pt"><span style="FONT-SIZE: 12pt; mso-bidi-font-size: 10.0pt"><font face="Times New Roman">these two diagrams, represent different paths, both can contribute --through their own merits-- to sustainable changes in the health and nutrition of the poor.<span style="mso-spacerun: yes"> </span>The two approaches complement each other, but would be even more synergistic if the ethically led process gets more proactive civil society inputs and gets more politically savvy.</font></span></p>
<p class="MsoNormal" style="MARGIN: 0in 0in 0pt"><span style="FONT-SIZE: 12pt; mso-bidi-font-size: 10.0pt"><font face="Times New Roman"> </font></span></p>
<p class="MsoNormal" style="MARGIN: 0in 0in 0pt"><span style="FONT-SIZE: 12pt; mso-bidi-font-size: 10.0pt"><font face="Times New Roman">9. It is in the realm of the second diagram that I see us ever getting a chance to influence the choice of needed investments in health and nutrition, as well as influencing the redistributive and social protection measures/priorities that will concomitantly address the poverty underlying the preventable ill-health and malnutrition we (as professionals) are left to deal with.</font></span></p>
<p class="MsoNormal" style="MARGIN: 0in 0in 0pt"><span style="FONT-SIZE: 12pt; mso-bidi-font-size: 10.0pt"><font face="Times New Roman"> </font></span></p>
<p class="MsoNormal" style="MARGIN: 0in 0in 0pt"><span style="FONT-SIZE: 12pt; mso-bidi-font-size: 10.0pt"><font face="Times New Roman">10. It is in the realm of the second diagram as well --with the added strength coming from a mobilized community-- that I see us ever effectively influencing how the public sector allocates its resources and chooses the needed geographic/gender/socioeconomic/ethnic targets, and how, in the process, the government favors programs that are under strong community control.</font></span></p>
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<p class="MsoNormal" style="MARGIN: 0in 0in 0pt"><span style="FONT-SIZE: 12pt; mso-bidi-font-size: 10.0pt"><font face="Times New Roman">11. Finally, it is also in the realm of the second diagram that I see us succeeding in instilling a new will and commitment to change underlying preventable structural inequities in society that underlie preventable ill-health and malnutrition; our strength will come from building the new constituencies that do have a vested interest in pushing for the unpostponable changes in the system that basically reproduces the existing structural inequities and determines the parameters within which we (as professionals) are "allowed" to intervene.</font></span></p>
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<p class="MsoNormal" style="MARGIN: 0in 0in 0pt"><span lang="IT" style="mso-ansi-language: IT"><font size="2"><font face="Times New Roman">Claudio Schuftan, Ho Chi Minh City</font></font></span></p>
<p class="MsoNormal" style="MARGIN: 0in 0in 0pt"><a href="mailto:cschuftan@phmovement.org"><span lang="IT" style="mso-ansi-language: IT"><font face="Times New Roman" size="2">cschuftan@phmovement.org</font></span></a><span style="mso-ansi-language: IT"><font size="2"><font face="Times New Roman"> <span lang="IT"></span></font></font></span></p>
<p class="MsoNormal" style="MARGIN: 0in 0in 0pt"><span style="FONT-SIZE: 8pt"><font face="Times New Roman">[All Readers can be found in </font><a href="http://www.humaninfo.org/aviva%20%20under%20No.69"><font face="Times New Roman">www.humaninfo.org/aviva<span style="mso-spacerun: yes"> </span><span style="COLOR: windowtext; TEXT-DECORATION: none; text-underline: none">under No.69</span></font></a><font face="Times New Roman">]</font></span></p>
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