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<p class="MsoNormal" style="margin:0in 0in 0.0001pt;text-align:justify;line-height:normal;font-size:11pt;font-family:Calibri"><span style="font-family:"Times New Roman"">We,
representatives of civil society activists, academics and advocates for health,
have met in Nairobi, Kenya, on the 9<sup>th</sup> of April 2018 for commemoration
of the World Health Day and the book launch of <i>Global Health Watch 5</i>, and considered the following:<span></span></span></p>
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<ul style="margin-top:0in;margin-bottom:0in" type="disc">
<li class="MsoNormal" style="margin:0in 0in 0.0001pt;text-align:justify;line-height:normal;font-size:11pt;font-family:Calibri"><span style="font-family:"Times New Roman"">The focus on Universal Health
Coverage (UHC) as a financial issue ignores the fundamental issues of
health equity, quality of health care services and health as a basic human
right.<span></span></span></li>
<li class="MsoNormal" style="margin:0in 0in 0.0001pt;text-align:justify;line-height:normal;font-size:11pt;font-family:Calibri"><span style="font-family:"Times New Roman"">UHC should enable everyone to access
the services that address the most important causes of disease and death
and ensure that the quality of those services is good enough to improve
the health of the people who receive them. <span></span></span></li>
<li class="MsoNormal" style="margin:0in 0in 0.0001pt;text-align:justify;line-height:normal;font-size:11pt;font-family:Calibri"><span style="font-family:"Times New Roman"">Policies for UHC need to clearly
highlight the costs, who is covered and the extent of the cover. It will
enable us to move from curative to prevention.<span></span></span></li>
</ul>
<p class="MsoNormal" style="margin:0in 0in 0.0001pt;text-align:justify;line-height:normal;font-size:11pt;font-family:Calibri"><span style="font-family:"Times New Roman""><span> </span></span></p>
<p class="MsoNormal" style="margin:0in 0in 0.0001pt;text-align:justify;line-height:normal;font-size:11pt;font-family:Calibri"><span style="font-family:"Times New Roman"">Considering
the above, we call upon the governments in the global south, especially in East
and Southern Africa, to ensure that the idea of UHC is addressed and defined as
to focus on the issues of social justice in health rather than just financial
mechanisms. <span></span></span></p>
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<p class="MsoNormal" style="margin:0in 0in 0.0001pt;text-align:justify;line-height:normal;font-size:11pt;font-family:Calibri"><span style="font-family:"Times New Roman"">We
further call upon the various governments in the global south to recognize,
remunerate, and strengthen through capacity building of Community Health
Workers as key actors in improving primary health care. Health systems should
not be a barrier to health care workers but a motivation towards helping others.
<span> </span><span></span></span></p>
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<p class="MsoNormal" style="margin:0in 0in 0.0001pt;text-align:justify;line-height:normal;font-size:11pt;font-family:Calibri"><span style="font-family:"Times New Roman"">We call
upon governments to ensure that health is not treated as security issue but as
a fundamental right for the people and hence the responsibility of societies
through their governments.<span></span></span></p>
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<p class="MsoNormal" style="margin:0in 0in 0.0001pt;text-align:justify;line-height:normal;font-size:11pt;font-family:Calibri"><span style="font-family:"Times New Roman"">Issued
in Nairobi, Kenya on 9 April 2018<span></span></span></p>
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<p class="MsoNormal" style="margin:0in 0in 0.0001pt;text-align:justify;line-height:normal;font-size:11pt;font-family:Calibri"><span style="font-family:"Times New Roman"">Signed:<span></span></span></p>
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<p class="MsoNormal" style="margin:0in 0in 0.0001pt;text-align:justify;line-height:normal;font-size:11pt;font-family:Calibri"><span style="font-family:"Times New Roman""><span> </span></span></p>
<p class="MsoNormal" style="margin:0in 0in 0.0001pt;text-align:justify;line-height:normal;font-size:11pt;font-family:Calibri"><u><span style="font-family:"Times New Roman""><span> </span></span></u><span style="font-family:"Times New Roman""><span>
</span>for PHM Zimbabwe<span></span></span></p>
<p class="MsoNormal" style="margin:0in 0in 0.0001pt;text-align:justify;line-height:normal;font-size:11pt;font-family:Calibri"><span style="font-family:"Times New Roman""><span> </span></span></p>
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<p class="MsoNormal" style="margin:0in 0in 0.0001pt;text-align:justify;line-height:normal;font-size:11pt;font-family:Calibri"><u><span style="font-family:"Times New Roman""><span> </span></span></u><span style="font-family:"Times New Roman""><span>
</span>for PHM Kenya<span></span></span></p>
<p class="MsoNormal" style="margin:0in 0in 0.0001pt;text-align:justify;line-height:normal;font-size:11pt;font-family:Calibri"><span style="font-family:"Times New Roman""><span> </span></span></p>
<p class="MsoNormal" style="margin:0in 0in 0.0001pt;text-align:justify;line-height:normal;font-size:11pt;font-family:Calibri"><span style="font-family:"Times New Roman""><span> </span></span></p>
<p class="MsoNormal" style="margin:0in 0in 0.0001pt;text-align:justify;line-height:normal;font-size:11pt;font-family:Calibri"><u><span style="font-family:"Times New Roman""><span> </span></span></u><span style="font-family:"Times New Roman""><span>
</span>for PHM Uganda<span></span></span></p>
<p class="MsoNormal" style="margin:0in 0in 0.0001pt;text-align:justify;line-height:normal;font-size:11pt;font-family:Calibri"><span style="font-family:"Times New Roman""><span> </span></span></p>
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<p class="MsoNormal" style="margin:0in 0in 0.0001pt;text-align:justify;line-height:normal;font-size:11pt;font-family:Calibri"><u><span style="font-family:"Times New Roman""><span> </span></span></u><span style="font-family:"Times New Roman""><span>
</span>for PHM Kenya<span></span></span></p>
<p class="MsoNormal" style="margin:0in 0in 0.0001pt;text-align:justify;line-height:normal;font-size:11pt;font-family:Calibri"><span style="font-family:"Times New Roman""><span> </span></span></p>
<p class="MsoNormal" style="margin:0in 0in 0.0001pt;text-align:justify;line-height:normal;font-size:11pt;font-family:Calibri"><span style="font-family:"Times New Roman""><span> </span></span></p>
<p class="MsoNormal" style="margin:0in 0in 0.0001pt;text-align:justify;line-height:normal;font-size:11pt;font-family:Calibri"><u><span style="font-family:"Times New Roman""><span> </span></span></u><span style="font-family:"Times New Roman""><span>
</span>for PHM Zimbabwe<span></span></span></p>
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<p class="MsoNormal" style="margin:0in 0in 0.0001pt;text-align:justify;line-height:normal;font-size:11pt;font-family:Calibri"><span style="font-family:"Times New Roman""><span> </span></span></p>
<p class="MsoNormal" style="margin:0in 0in 0.0001pt;text-align:justify;line-height:normal;font-size:11pt;font-family:Calibri"><u><span style="font-family:"Times New Roman""><span> </span></span></u><span style="font-family:"Times New Roman""><span>
</span>for PHM Kenya<span></span></span></p>
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<p class="MsoNormal" style="margin:0in 0in 0.0001pt;text-align:justify;line-height:normal;font-size:11pt;font-family:Calibri"><u><span style="font-family:"Times New Roman""><span> </span></span></u><span style="font-family:"Times New Roman""><span>
</span>for PHM Kenya<span></span></span></p>
<p class="MsoNormal" style="margin:0in 0in 0.0001pt;text-align:justify;line-height:normal;font-size:11pt;font-family:Calibri"><span style="font-family:"Times New Roman""><span> </span></span></p>
<p class="MsoNormal" style="margin:0in 0in 0.0001pt;text-align:justify;line-height:normal;font-size:11pt;font-family:Calibri"><span style="font-family:"Times New Roman""><span> </span></span></p>
<p class="MsoNormal" style="margin:0in 0in 0.0001pt;text-align:justify;line-height:normal;font-size:11pt;font-family:Calibri"><u><span style="font-family:"Times New Roman""><span> </span></span></u><span style="font-family:"Times New Roman""><span>
</span>for PHM Kenya<span></span></span></p>
<p class="MsoNormal" style="margin:0in 0in 0.0001pt;text-align:justify;line-height:normal;font-size:11pt;font-family:Calibri"><span style="font-family:"Times New Roman""><span> </span></span></p>
<p class="MsoNormal" style="margin:0in 0in 0.0001pt;text-align:justify;line-height:normal;font-size:11pt;font-family:Calibri"><span style="font-family:"Times New Roman""><span> </span></span></p>
<p class="MsoNormal" style="margin:0in 0in 0.0001pt;text-align:justify;line-height:normal;font-size:11pt;font-family:Calibri"><u><span style="font-family:"Times New Roman""><span> </span></span></u><span style="font-family:"Times New Roman""><span>
</span>for PHM Kenya<span></span></span></p>
<p class="MsoNormal" style="margin:0in 0in 0.0001pt;text-align:justify;line-height:normal;font-size:11pt;font-family:Calibri"><span style="font-family:"Times New Roman""><span> </span></span></p>
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