<p class="Default"><span style><br></span></p>
<p class="Default" style="text-align:center" align="center"><b><span style="font-size:14.0pt">Results of the Consultation with Representatives of
Local Governments, Indigenous Communities, Afro-Communities, and Civil Society
Organizations about the </span></b></p>
<p class="Default" style="text-align:center" align="center"><b><i><span style="font-size:14.0pt">Post 2015 Development Agenda </span></i></b><b><span style="font-size:14.0pt">on the topic of Health </span></b></p>
<p class="Default" style="text-align:center" align="center"><b><span style="font-size:14.0pt" lang="ES">Antigua Guatemala, 12 to 14
February 2013</span></b></p>
<p class="Default"> </p>
<p class="Default"> </p>
<p class="Default">The commitment toward achieving universal coverage understood
as access to quality, individualized healthcare for all, in a human rights
framework, has been profiled as the Goal of the Post 2015 Development Agenda on
the topic of Health.<span style> </span></p>
<p class="Default"> </p>
<p class="Default">For this reason, the Pan American Health Organization proposed
a consultation of the key social actors in this process and to hear their
voices.<span style> </span>The present document summarizes
the debate and the agreements assumed by the representatives of civil society
organizations, municipal authorities or mayors, indigenous authorities, afro
descendants, and other civil society representatives. </p>
<p class="Default"> </p>
<p class="Default">We have maintained a profound debate with the participants
with respect to the five themes and we have jointly concluded and agreed on the
following points:<span style> </span></p>
<p class="Default"> </p>
<p class="Default" style="text-indent:.5in"><b><i>1- The Millennium Development
Goals </i></b><span style>must
be redrawn and analyzed from the perspective of their achievements and
shortcomings </span>at the subnational level, and not only using national
averages.<span style> </span>For this reason, a new agenda
cannot be planned without giving continuity and resolution to these
commitments.<span style> </span>It is necessary to
undertake an evaluation with the participation of different actors to provide
an explanation for the investments and results.<span style>
</span></p>
<p class="Default"> </p>
<p class="Default" style="text-indent:.5in"><b><i>2- The guarantee of the right
to health</i></b><span style> should be materialized through the creation of a unique universal
public health system</span> that has the components of equity, quality,
interculturality, cultural and linguistic belonging, integrality, gratuity,
opportunity, humanity and accessibility and incorporates criteria of
differential focus. </p>
<p class="Default"> </p>
<p class="Default">The actions of the States should not be limited to the
personal health services. They should also cover the focus of the social
determinants of health, strengthen the actions of promotion and prevention
under the concept of Primary Health Service.<span style>
</span></p>
<p class="Default"><span style="font-size:11.5pt"><br>
In relation to the present call referred to as Universal Health Coverage and
Post 2015 MDG, we consider that it should not be based on criteria of assurance
because it does not guarantee equity, integrality, universality, or the respect
of rights.<span style> </span></span></p>
<p class="Default"><br>
A special emphasis is placed on the fact that gender should be present in all
components of services.<span style> </span><span style lang="ES"><br style>
<br style>
</span></p>
<p class="Default" style="text-indent:.5in"><b style><i style>3- Social Participation</i></b>: Another
urgent consideration is citizen participation, of indigenous communities and
afro descendants should participate in decision-making throughout the entire
health policy cycle<span style="font-size:11.5pt">, its participation should be
binding and the governments should give it a legal framework that guarantees
said participation in the perspective of creating unique public and universal
health systems.<span style> </span></span></p>
<p class="Default" style="text-indent:.5in"><b><i>4.
Financial Aspect: <br>
</i></b><span style="font-size:11.5pt"><br>
The states are guarantors of the rights; therefore, they should guarantee
public funding through equitable and progressive tax systems (“those that have
more should pay more”) and regular payments with defined, stable,
results-driven flows.<span style> </span></span><span style> </span></p>
<p class="Default"> </p>
<p class="Default">In order for all of this to be possible it is fundamental that
there be a system of alliances between different levels of the State, the local
space being of special relevance, social organizations, indigenous communities
and communities of afro descendants.<span style> </span></p>
<p class="Default"> </p>
<p class="Default" style="text-indent:.5in"><b style><i style><span style="font-size:11.5pt" lang="ES">5.<span style> </span></span></i></b><b style><i style><span style="font-size:11.5pt">In relation to the ruling model of development</span></i></b><span style="font-size:11.5pt"> that international agencies and some States sell, we
propose a development model for life under the paradigm of Live Well or Good
Life that is contrary to competition and advocates a decent life of
complementarity and solidarity.<span style> </span></span></p>
<p class="Default"><b><span style="font-size:14.0pt"><br>
The attending members of this consultation:</span></b><span style="font-size:11.5pt"> </span></p>
<p class="Default"><b><span style="font-size:11.5pt"><br>
</span></b><b><span style="font-size:11.5pt" lang="ES">Recommend:
</span></b></p>
<p class="Default" style="margin-left:.5in"><span style="font-family:Symbol"><span style>·<span style="font:7.0pt "Times New Roman"">
</span></span></span><span style="font-size:11.5pt">Democratizing the
debate for a new development agenda, opening all of the spaces of analysis and
possible discussions for the adoption of goals post 2015 with the main
participation of villages (faces, voices, and wisdom), avoiding said process
from solely representing the interests and outlooks of technical, bureaucratic,
and economic groups.<span style> </span></span></p>
<p class="Default" style="margin-left:.5in"><span style="font-family:Symbol"><span style>·<span style="font:7.0pt "Times New Roman"">
</span></span></span><span style="font-size:11.5pt">Working with the
interior of countries to influence national governments so that its
communities’ and villages’ positioning and outlooks are reflected at the
international level.<span style> </span></span></p>
<p class="Default" style="margin-left:.5in"><span style="font-family:Symbol"><span style>·<span style="font:7.0pt "Times New Roman"">
</span></span></span><span style="font-size:11.5pt">Promoting
alliances with local governments, communities, indigenous communities, and
civil society organizations to achieve the necessary leaderships with the goal
of demanding of the central government what is necessary to ensure the right to
health.<span style> </span></span></p>
<p class="Default" style="margin-left:.5in"><span style="font-family:Symbol"><span style>·<span style="font:7.0pt "Times New Roman"">
</span></span></span><span style="font-size:11.5pt">We are calling to
the universities to redraw educational/training curricula for health workers to
orient them toward the right to health, transcending the concept of health
through goods and biomedicine.<span style> </span></span></p>
<p class="Default" style="margin-left:.5in"><span style="font-family:Symbol"><span style>·<span style="font:7.0pt "Times New Roman"">
</span></span></span><span style="font-size:11.5pt">Driving the
process of administrative decentralization and the competitions to the local
governments with the transfer of resources, under the responsibility and
rectory of the national government through component ministries.<span style> </span></span></p>
<p class="Default" style="margin-left:.5in"><span style="font-family:Symbol"><span style>·<span style="font:7.0pt "Times New Roman"">
</span></span></span><span style="font-size:11.5pt">Strengthening the
rectory and regulation of the State, establishing its responsibility, above all
of the healthcare system, avoiding the commercialization of health and of
life.<span style> </span></span></p>
<p class="Default"> </p>
<p class="Predeterminado"><span style="font-size:11.5pt">Antigua Guatemala, 13
February 2013 </span></p>