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<p class="MsoNormal" style="MARGIN: 0in 0in 0pt"><span style="mso-bookmark: _Toc148465690"><span style="mso-bookmark: _Toc148466703"><font face="Times New Roman">The People's Health Movement perspective is <b style="mso-bidi-font-weight: normal">Right to Health – Health for All</b>. The Right to Health includes rights to a range of social determinants of health (clean water, food security and nutrition, education, housing, clean and safe environment etc.), as well as, VERY CENTRALLY, <span style="mso-spacerun: yes"> </span>the Right to Health Care.</font></span></span></p>
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<p class="MsoNormal" style="MARGIN: 0in 0in 0pt"><span style="mso-bookmark: _Toc148465690"><span style="mso-bookmark: _Toc148466703"><font face="Times New Roman">PHM stands committed to promoting a comprehensive Right to Health and supports an ongoing NUMBER of activities in this direction. Many of these activities are in collaboration with the existing campaigns of various partner coalitions and organisations. They include PHM’s WHO Advocacy Circle that lobbies multilateral organizations, the Right to Water Campaign, and PHM’s Research Circle which documents evidence for the effectiveness of comprehensive primary health care strategies.</font></span></span></p>
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<p class="MsoNormal" style="MARGIN: 0in 0in 0pt"><span style="mso-bookmark: _Toc148465690"><span style="mso-bookmark: _Toc148466703"><font face="Times New Roman">Within this larger platform of activities, PHM recognises the urgent necessity to address the global health system crisis characterized by weakening public health systems; privatization and promotion of private insurance; failure to implement Comprehensive Primary Health Care; unresponsive, fragmented and often donor-driven<span style="mso-spacerun: yes"> </span>health programmes; and a shortage of health care personnel . <span style="mso-spacerun: yes"> </span>All THESE FACTORS lead to the <b style="mso-bidi-font-weight: normal"><i style="mso-bidi-font-style: normal">denial of quality health care for a large proportion of the world’s population</i></b>.</font></span></span></p>
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<p class="MsoNormal" style="MARGIN: 0in 0in 0pt"><span style="mso-bookmark: _Toc148465690"><span style="mso-bookmark: _Toc148466703"><font face="Times New Roman">PHM has initiated a <b style="mso-bidi-font-weight: normal">Global Right to Health Care (RTHC) Campaign</b> to be developed in collaboration with various networks, coalitions and organisations sharing a similar perspective. This campaign will document violations of health rights, present country level assessments of the right to health care and advocate for fulfillment of commitments to the right to health care at the national, regional and global levels.</font></span></span></p>
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<p class="MsoNormal" style="MARGIN: 0in 0in 0pt"><span style="mso-bookmark: _Toc148465690"><span style="mso-bookmark: _Toc148466703"><b style="mso-bidi-font-weight: normal"><font face="Times New Roman">The Right to Health Care campaign has three phases of action.</font></b></span></span></p>
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<p class="MsoNormal" style="MARGIN: 0in 0in 0pt 0.75in; TEXT-INDENT: -0.25in; mso-list: l3 level1 lfo1; tab-stops: list .75in"><span style="mso-bookmark: _Toc148465690"><span style="mso-bookmark: _Toc148466703"><font face="Times New Roman"><span style="mso-list: Ignore">A.<span style="FONT: 7pt 'Times New Roman'"> </span></span><b style="mso-bidi-font-weight: normal">Phase</b><b style="mso-bidi-font-weight: normal"> I.</b> Production of diagnostic assessment reports on the RTHC in 20+ countries:</font></span></span></p>
<p class="MsoNormal" style="MARGIN: 0in 0in 0pt 1in; TEXT-INDENT: -0.25in; mso-list: l5 level1 lfo2; tab-stops: list 1.0in"><span style="mso-bookmark: _Toc148465690"><span style="mso-bookmark: _Toc148466703"><font face="Times New Roman"><span style="mso-list: Ignore">1.<span style="FONT: 7pt 'Times New Roman'"> </span></span>PHM country circles or affiliated groups WILL use assessment guide to produce reports with some consistency and comparability. (See the overview of the Assessment Guide overleaf and the full document at <a href="http://www.phmovement.org">www.phmovement.org</a>)</font></span></span></p>
<p class="MsoNormal" style="MARGIN: 0in 0in 0pt 1.25in; TEXT-INDENT: -0.25in; mso-list: l2 level1 lfo3; tab-stops: list 1.25in"><span style="mso-bookmark: _Toc148465690"><span style="mso-bookmark: _Toc148466703"><font face="Times New Roman"><span style="mso-list: Ignore">a.<span style="FONT: 7pt 'Times New Roman'"> </span></span>All country reports will address health care systems AND can also look at other health determinants of concern.</font></span></span></p>
<p class="MsoNormal" style="MARGIN: 0in 0in 0pt 1.25in; TEXT-INDENT: -0.25in; mso-list: l2 level1 lfo3; tab-stops: list 1.25in"><span style="mso-bookmark: _Toc148465690"><span style="mso-bookmark: _Toc148466703"><font face="Times New Roman"><span style="mso-list: Ignore">b.<span style="FONT: 7pt 'Times New Roman'"> </span></span>THE assessment guide can be used in different ways in countries with different capacities, e.g. it can be adapted by national campaigns to facilitate inclusion of lower literacy groups, or can be used in its original version by grassroots groups with higher literacy.</font></span></span></p>
<p class="MsoNormal" style="MARGIN: 0in 0in 0pt 1.25in; TEXT-INDENT: -0.25in; mso-list: l2 level1 lfo3; tab-stops: list 1.25in"><span style="mso-bookmark: _Toc148465690"><span style="mso-bookmark: _Toc148466703"><font face="Times New Roman"><span style="mso-list: Ignore">c.<span style="FONT: 7pt 'Times New Roman'"> </span></span>Going through the assessment process leads to understanding the human rights-based FRAMEWORK that can later be applied to other issues.</font></span></span></p>
<p class="MsoNormal" style="MARGIN: 0in 0in 0pt 1in; TEXT-INDENT: -0.25in; mso-list: l5 level1 lfo2; tab-stops: list 1.0in"><span style="mso-bookmark: _Toc148465690"><span style="mso-bookmark: _Toc148466703"><font face="Times New Roman"><span style="mso-list: Ignore">2.<span style="FONT: 7pt 'Times New Roman'"> </span></span>Process of investigation and report preparation. THE PROCESS</font></span></span></p>
<p class="MsoNormal" style="MARGIN: 0in 0in 0pt 1.25in; TEXT-INDENT: -0.25in; mso-list: l1 level1 lfo4; tab-stops: list 1.25in"><span style="mso-bookmark: _Toc148465690"><span style="mso-bookmark: _Toc148466703"><font face="Times New Roman"><span style="mso-list: Ignore">a.<span style="FONT: 7pt 'Times New Roman'"> </span></span>should include diverse related sectors in the country, not limited to a particular sector or political tendency.</font></span></span></p>
<p class="MsoNormal" style="MARGIN: 0in 0in 0pt 1.25in; TEXT-INDENT: -0.25in; mso-list: l1 level1 lfo4; tab-stops: list 1.25in"><span style="mso-bookmark: _Toc148465690"><span style="mso-bookmark: _Toc148466703"><font face="Times New Roman"><span style="mso-list: Ignore">b.<span style="FONT: 7pt 'Times New Roman'"> </span></span>should aim to build the PHM country network, and provide an opportunity for in-country coalition-building and BENEFICIARIES’ ownership of the campaign process.</font></span></span></p>
<p class="MsoNormal" style="MARGIN: 0in 0in 0pt 1.25in; TEXT-INDENT: -0.25in; mso-list: l1 level1 lfo4; tab-stops: list 1.25in"><span style="mso-bookmark: _Toc148465690"><span style="mso-bookmark: _Toc148466703"><font face="Times New Roman"><span style="mso-list: Ignore">c.<span style="FONT: 7pt 'Times New Roman'"> </span></span>WILL lead to the creation of lobbying/activism strategies/plans that PHM circles AND/or affiliates can implement at the national level immediately after the assessment is completed.</font></span></span></p>
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<p class="MsoNormal" style="MARGIN: 0in 0in 0pt 0.75in; TEXT-INDENT: -0.25in; mso-list: l3 level1 lfo1; tab-stops: list .75in"><span style="mso-bookmark: _Toc148465690"><span style="mso-bookmark: _Toc148466703"><font face="Times New Roman"><span style="mso-list: Ignore">B.<span style="FONT: 7pt 'Times New Roman'"> </span></span><b style="mso-bidi-font-weight: normal">Phase II.</b> Regional Assemblies:</font></span></span></p>
<p class="MsoNormal" style="MARGIN: 0in 0in 0pt 1in; TEXT-INDENT: -0.25in; mso-list: l4 level1 lfo5; tab-stops: list 1.0in"><span style="mso-bookmark: _Toc148465690"><span style="mso-bookmark: _Toc148466703"><font face="Times New Roman"><span style="mso-list: Ignore">1.<span style="FONT: 7pt 'Times New Roman'"> </span></span>Participating country circles, and regional and global strategic allies (such as supportive health ministers, World Health Organization HQ and regional staff, policy makers, funders) will meet in several regional assemblies</font></span></span></p>
<p class="MsoNormal" style="MARGIN: 0in 0in 0pt 1.25in; TEXT-INDENT: -0.25in; mso-list: l6 level1 lfo6; tab-stops: list 1.25in"><span style="mso-bookmark: _Toc148465690"><span style="mso-bookmark: _Toc148466703"><font face="Times New Roman"><span style="mso-list: Ignore">a.<span style="FONT: 7pt 'Times New Roman'"> </span></span>to share results of assessments and action plans</font></span></span></p>
<p class="MsoNormal" style="MARGIN: 0in 0in 0pt 1.25in; TEXT-INDENT: -0.25in; mso-list: l6 level1 lfo6; tab-stops: list 1.25in"><span style="mso-bookmark: _Toc148465690"><span style="mso-bookmark: _Toc148466703"><font face="Times New Roman"><span style="mso-list: Ignore">b.<span style="FONT: 7pt 'Times New Roman'"> </span></span>to enable A dialogue between PHM and partners with the national health policy makers on implementation of health rights and related health system improvements.</font></span></span></p>
<p class="MsoNormal" style="MARGIN: 0in 0in 0pt 1.25in; TEXT-INDENT: -0.25in; mso-list: l6 level1 lfo6; tab-stops: list 1.25in"><span style="mso-bookmark: _Toc148465690"><span style="mso-bookmark: _Toc148466703"><font face="Times New Roman"><span style="mso-list: Ignore">c.<span style="FONT: 7pt 'Times New Roman'"> </span></span>to discuss and AGREE on recommendations for how THE PHM global SECRETARIAT and allies can support national demands for compliance with RTHC commitments, for example, via action at WHO or other multilateral institutions, or international solidarity activities.</font></span></span></p>
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<p class="MsoNormal" style="MARGIN: 0in 0in 0pt 0.75in; TEXT-INDENT: -0.25in; mso-list: l3 level1 lfo1; tab-stops: list .75in"><span style="mso-bookmark: _Toc148465690"><span style="mso-bookmark: _Toc148466703"><font face="Times New Roman"><span style="mso-list: Ignore">C.<span style="FONT: 7pt 'Times New Roman'"> </span></span><b style="mso-bidi-font-weight: normal">Phase III.</b> GLOBAL EXPANSION:<span style="mso-spacerun: yes"> </span>Beginning at THE World Health Assembly 2010 and thereafter</font></span></span></p>
<p class="MsoNormal" style="MARGIN: 0in 0in 0pt 1in; TEXT-INDENT: -0.25in; mso-list: l0 level1 lfo7; tab-stops: list 1.0in"><span style="mso-bookmark: _Toc148465690"><span style="mso-bookmark: _Toc148466703"><font face="Times New Roman"><span style="mso-list: Ignore">1.<span style="FONT: 7pt 'Times New Roman'"> </span></span>IMPLEMENT Phase II conclusions AND RECOMMENDATIONS as planned </font></span></span></p>
<p class="MsoNormal" style="MARGIN: 0in 0in 0pt 1in; TEXT-INDENT: -0.25in; mso-list: l0 level1 lfo7; tab-stops: list 1.0in"><span style="mso-bookmark: _Toc148465690"><span style="mso-bookmark: _Toc148466703"><font face="Times New Roman"><span style="mso-list: Ignore">2.<span style="FONT: 7pt 'Times New Roman'"> </span></span>Could include DRAFTING AND submission of time-bound RESOLUTION(S) on health rights FOR DISCUSSION/ADOPTION in the World Health Assembly (supported by sympathetic governments)</font></span></span></p>
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<p class="MsoNormal" style="MARGIN: 0in 0in 0pt"><span style="mso-bookmark: _Toc148465690"><span style="mso-bookmark: _Toc148466703"><b style="mso-bidi-font-weight: normal"><span style="FONT-SIZE: 12pt; mso-bidi-font-size: 10.0pt"><font face="Times New Roman">For more information or to get involved, contact: <span style="mso-spacerun: yes"> </span><a href="mailto:cschuftan@phmovement.org">cschuftan@phmovement.org</a> <span style="mso-spacerun: yes"> </span></font></span></b></span></span></p>
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<p class="MsoNormal" style="MARGIN: 0in 0in 0pt"><span style="mso-bookmark: _Toc148465690"><span style="mso-bookmark: _Toc148466703"><span style="FONT-SIZE: 14pt"><font face="Times New Roman">Overview of PHM’s Guide for the Assessment of the Right to Health and Health Care</font></span></span></span></p>
<p class="MsoNormal" style="MARGIN: 0in 0in 0pt; TEXT-ALIGN: center" align="center"><span style="mso-bookmark: _Toc148465690"><span style="mso-bookmark: _Toc148466703"><font face="Times New Roman">Full guide 44 pages version to be downloaded from<span style="mso-spacerun: yes"> </span><a href="http://www.phmovement.org">www.phmovement.org</a></font></span></span></p>
<h2 style="MARGIN: 0in 0in 0pt"><span style="mso-bookmark: _Toc148465690"><span style="mso-bookmark: _Toc148466703"><span style="FONT-SIZE: 10pt; FONT-FAMILY: 'Times New Roman'"> </span></span></span></h2>
<h2 style="MARGIN: 0in 0in 0pt"><span style="mso-bookmark: _Toc148465690"><span style="mso-bookmark: _Toc148466703"><span style="FONT-SIZE: 10pt; FONT-FAMILY: 'Times New Roman'">How can you assess the right to health care?</span></span></span><span style="FONT-SIZE: 10pt; FONT-FAMILY: 'Times New Roman'"></span></h2>
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<p class="MsoNormal" style="MARGIN: 0in 0in 0pt"><font face="Times New Roman">The assessment guide leads you through the following five-step process to document most aspects of the denial of the <b style="mso-bidi-font-weight: normal">Right to Health Care</b> (a component of the right to health) in your country. Then, it suggests how to lobby and SET UP activist strategies for addressing the violations identify.</font></p>
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<p class="Default" style="MARGIN: 0in 0in 0pt; LINE-HEIGHT: 14pt; mso-line-height-rule: exactly"><b style="mso-bidi-font-weight: normal"><span style="FONT-SIZE: 10pt; FONT-FAMILY: 'Times New Roman'">STEP I. What are your government’s commitments?</span></b></p>
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<p class="MsoNormal" style="MARGIN: 0in 0in 0pt"><font face="Times New Roman">Government commitments are the standards you can hold your government accountable for. If your government made a commitment under national AND/or international law you CAN hold it legally responsible for the impact its policies have on the Right to Health.<span style="mso-spacerun: yes"> </span></font></p>
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<p class="MsoNormal" style="MARGIN: 0in 0in 0pt"><font face="Times New Roman">You will list the major commitments entered into by your government concerning the right to health and health care based on it having signed relevant UN covenants. You will also examine provisions in your constitution, your national laws and policy agendas. In the case that your government has <u>not</u> signed a particular covenant, this too needs to be noted.</font></p>
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<p class="CM119" style="MARGIN: 0in 0in 0pt; LINE-HEIGHT: 14pt; TEXT-AUTOSPACE: ideograph-numeric; mso-pagination: widow-orphan; mso-line-height-rule: exactly; mso-layout-grid-align: auto"><b style="mso-bidi-font-weight: normal"><span style="FONT-SIZE: 10pt; FONT-FAMILY: 'Times New Roman'">STEP II. Are your government’s policies appropriate to fulfill these obligations?</span></b></p>
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<p class="MsoNormal" style="MARGIN: 0in 0in 0pt"><font face="Times New Roman">You will examine major health-related policies and programmes to determine whether they are adequate to fulfill the right to health and health care commitments your government has made. This will include looking at budgetary allocations at national and provincial levels. The influence of larger political and economic factors (e.g., structural adjustment) and the role of external agencies (such as the World Bank) should be analyzed in relation to the evolution of health policies. Fragmentation into national vertical programmes, often promoted by different donor agencies, should also be noted.</font></p>
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<p class="CM119" style="MARGIN: 0in 0in 0pt; TEXT-AUTOSPACE: ideograph-numeric; mso-pagination: widow-orphan; mso-layout-grid-align: auto"><b style="mso-bidi-font-weight: normal"><span style="FONT-SIZE: 10pt; FONT-FAMILY: 'Times New Roman'">STEP III. Is the health system of your country adequately implementing interventions to realize the right to health and health care for all?</span></b></p>
<p class="MsoBodyText" style="MARGIN: 0in 0in 0pt; LINE-HEIGHT: normal"><span style="FONT-WEIGHT: normal; FONT-SIZE: 10pt; FONT-FAMILY: 'Times New Roman'"> </span></p>
<p class="MsoBodyText" style="MARGIN: 0in 0in 0pt"><span style="FONT-WEIGHT: normal; FONT-SIZE: 10pt; FONT-FAMILY: 'Times New Roman'">You will look at the actual structure and functioning of the health system in your country. to evaluate: </span></p>
<p class="MsoNormal" style="MARGIN: 0in 0in 0pt"><font face="Times New Roman"><b style="mso-bidi-font-weight: normal">Availability</b> of health facilities and hospital beds per capita (urban and rural); availability of doctors, nurses and other health personnel especially in rural areas; availability of medicines and medical supplies, and other parameters you may add.</font></p>
<p class="MsoNormal" style="MARGIN: 0in 0in 0pt"><font face="Times New Roman"><b style="mso-bidi-font-weight: normal">Access</b> to immunization programmes and pre/postnatal care, average health care expenditure per household and other good indicators. </font></p>
<p class="MsoNormal" style="MARGIN: 0in 0in 0pt"><font face="Times New Roman"><b style="mso-bidi-font-weight: normal">Acceptability</b>, <b style="mso-bidi-font-weight: normal">appropriateness</b> and <b style="mso-bidi-font-weight: normal">accountability </b>of health services by assessing aspects like decentralization, participation in decision-making, mechanisms for accountability to the community, and the provision of relevant information TO BENEFICIARIES.</font></p>
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<p class="MsoNormal" style="MARGIN: 0in 0in 0pt"><font face="Times New Roman">The private health sector and the pharmaceutical industry is also evaluated -- particularly the mechanisms for its regulation (if any), including price controls.</font></p>
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<p class="MsoNormal" style="MARGIN: 0in 0in 0pt"><font face="Times New Roman">Moving beyond averages, you will investigate health care inequities by comparing health care availability and access for the more privileged versus the less privileged, vulnerable groups, and groups with special needs IN YOUR COUNTRY.</font></p>
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<p class="MsoNormal" style="MARGIN: 0in 0in 0pt"><b style="mso-bidi-font-weight: normal"><font face="Times New Roman">STEP IV. Does the health status of different social groups and the population as a whole reflect a progression in their right to health and health care?</font></b></p>
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<p class="MsoBodyText" style="MARGIN: 0in 0in 0pt; LINE-HEIGHT: normal"><span style="FONT-WEIGHT: normal; FONT-SIZE: 10pt; FONT-FAMILY: 'Times New Roman'">Here, you will look at the ultimate impact the health system and ITS social determinants are being addressed. You will review major health indicators that will tell you to what extent the right to health and health care of various social groups is being respected and fulfilled. Health inequities will be assessed by comparing health status indicators for the more privileged with those of the less privileged.</span></p>
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<p class="MsoNormal" style="MARGIN: 0in 0in 0pt"><b style="mso-bidi-font-weight: normal"><font face="Times New Roman">STEP V. What does the denial or fulfillment of the Right to Health in your country mean in practice?</font></b></p>
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<p class="MsoNormal" style="MARGIN: 0in 0in 0pt"><font face="Times New Roman">The final step is to systematically contrast the obligations outlined in Step I with the realities documented in Steps II, III and IV, and briefly highlight the main areas of denial of health rights in your country. Looking at recent trends will help assess whether the country is moving forward or backward in the realization of this right. You will be judging whether your government is doing all it is capable-of to realize the Right to Health, and if its efforts are adequate or inadequate, in the light of its existing capacity.</font></p>
<p class="MsoNormal" style="MARGIN: 0in 0in 0pt"><font face="Times New Roman">Once you have identified the areas in which your government is in violation of its human rights commitments, you will make a plan for how to change its health policies. </font></p>
<p class="MsoNormal" style="MARGIN: 0in 0in 0pt"><b style="mso-bidi-font-weight: normal"><font face="Times New Roman">The guide TAKES YOU THROUGH ALL THESE STEPS IN A USER-FRIENDLY MANNER AND FINALLY gives some advice ON HOW TO develop successful lobbying and activism strategies.</font></b></p>
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