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<p class="MsoNormal" style="margin:0in 0in 8pt;text-align:justify;line-height:105%;font-size:11pt;font-family:Arial"><span lang="EN-AU"><span> </span></span></p>
<p class="MsoNormal" style="text-align:center;margin:0in 0in 8pt;line-height:105%;font-size:11pt;font-family:Arial" align="center"><b><span style="font-size:16pt;line-height:105%" lang="EN-AU">DRAFT Alternative
Civil Society Astana Statement on Primary Health Care<span></span></span></b></p>
<p class="gmail-Default" style="margin:0in 0in 0.0001pt;font-size:12pt;font-family:Calibri;color:black"><span style="font-size:11pt;font-family:Arial;color:windowtext" lang="EN-AU"><span> </span></span></p>
<p class="gmail-Default" style="margin:0in 0in 0.0001pt;font-size:12pt;font-family:Calibri;color:black"><i><span style="font-size:11pt;font-family:Arial;color:windowtext" lang="EN-AU">(Please note, after
some consultation it was agreed to call this a “statement” rather than a
“declaration”. The statement is a re-affirmation of the Alma Ata declaration,
which to PHM and others remains the ultimate declaration on primary health
care; the principles are clear and remain relevant. This statement can be seen
as a re-commitment to the Alma Ata declaration of 1978: a number of points have
been drawn out from the Alma Ata Declaration; with a few additions relevant to
the current context and challenges. Although the title has changed, the content
remains the same)</span></i><span style="font-size:11pt;font-family:Arial;color:windowtext" lang="EN-AU"><span></span></span></p>
<p class="gmail-Default" style="margin:0in 0in 0.0001pt;font-size:12pt;font-family:Calibri;color:black"><span style="font-size:11pt;font-family:Arial;color:windowtext" lang="EN-AU"><span> </span></span></p>
<p class="gmail-Default" style="margin:0in 0in 0.0001pt;font-size:12pt;font-family:Calibri;color:black"><span style="font-size:11pt;font-family:Arial;color:windowtext" lang="EN-AU">We,</span><span lang="EN-AU"> </span><span style="font-size:11pt;font-family:Arial;color:windowtext" lang="EN-AU">members of public
interest civil society organisations and social movements, some of whom are
participants at the Global Conference on Primary Health Care, re-affirm our
commitment to primary health care (PHC) in pursuit of health and well-being for
all, aiming to achieve equity in health outcomes. We envision: <span></span></span></p>
<p class="gmail-Default" style="margin:0in 0in 0.0001pt;font-size:12pt;font-family:Calibri;color:black"><span style="font-size:11pt;font-family:Arial;color:windowtext" lang="EN-AU"><span> </span></span></p>
<p class="gmail-Default" style="margin:0in 0in 0.0001pt 0.5in;font-size:12pt;font-family:Calibri;color:black"><span style="font-size:11pt;font-family:Arial;color:windowtext" lang="EN-AU">Societies
and environments that prioritize, protect and promote people's health; <span></span></span></p>
<p class="gmail-Default" style="margin:0in 0in 0.0001pt 0.5in;font-size:12pt;font-family:Calibri;color:black"><span style="font-size:11pt;font-family:Arial;color:windowtext" lang="EN-AU">Health
care that is accessible, affordable and acceptable for everyone, everywhere; <span></span></span></p>
<p class="gmail-Default" style="margin:0in 0in 0.0001pt 0.5in;font-size:12pt;font-family:Calibri;color:black"><span style="font-size:11pt;font-family:Arial;color:windowtext" lang="EN-AU">Health
care of good quality that treats people with respect and dignity; <span></span></span></p>
<p class="gmail-Default" style="margin:0in 0in 0.0001pt 0.5in;font-size:12pt;font-family:Calibri;color:black"><span style="font-size:11pt;font-family:Arial;color:windowtext" lang="EN-AU">Health
systems over which communities are able to exert control<span></span></span></p>
<p class="gmail-Default" style="margin:0in 0in 0.0001pt 0.5in;font-size:12pt;font-family:Calibri;color:black"><span style="font-size:11pt;font-family:Arial;color:windowtext" lang="EN-AU"><span> </span></span></p>
<p class="gmail-Default" style="margin:0in 0in 0.0001pt;font-size:12pt;font-family:Calibri;color:black"><span style="font-size:11pt;font-family:Arial;color:windowtext" lang="EN-AU">Although these
objectives are shared in the official Astana Declaration (version 16<sup>th</sup>
August 2018) it is concerning that the latter frames PHC primarily as a foundation
of Universal Health Coverage (UHC). PHC, is broader and indeed subsumes UHC, which
is, in many countries, being implemented by private health insurance companies
and aggravating health inequities. Additionally, the official declaration (version
16<sup>th</sup> August) is insufficiently clear that governments have primary
responsibility for health service delivery and for ensuring that social
determinants maximise health and equity. While the official declaration
recognises “that people in all parts of the world have unaddressed health needs
and inequities persist”, it does not acknowledge that health gains in some
places are being reversed. These issues and their fundamental economic and
political causes which are responsible for widening inequalities worldwide need
to be more explicitly stated. These are some of the reasons why People’s Health
Movement and its constituency feel it necessary to elaborate an Alternative Statement.<span></span></span></p>
<p class="gmail-Default" style="margin:0in 0in 0.0001pt;font-size:12pt;font-family:Calibri;color:black"><span style="font-size:11pt;font-family:Arial;color:windowtext" lang="EN-AU"><span> </span><span></span></span></p>
<p class="MsoNormal" style="margin:0in 0in 8pt;text-align:justify;line-height:105%;font-size:11pt;font-family:Arial"><span lang="EN-AU">Attaining the highest possible standard of
health is a fundamental right of every human being, as stated in the
Constitution of the World Health Organization. Forty years ago, in 1978, world
leaders made the historical commitment to achieve health for all through Primary
Health Care in the Declaration of Alma-Ata. We, the undersigned, express the
need for urgent action by all international agencies and governments, all
health and development workers, and the world community to protect and promote
the health of all the people of the world, hereby makes the following Statement:
<span></span></span></p>
<p class="gmail-MsoListParagraphCxSpFirst" style="margin:0in 0in 0.0001pt 0.25in;text-align:justify;line-height:105%;font-size:11pt;font-family:Arial"><span lang="EN-AU"><span>1.<span style="font:7pt "Times New Roman""> </span></span></span><span lang="EN-AU">We the undersigned strongly reaffirm that health, which is a state
of complete physical, mental, social, cultural, and ecological wellbeing, and
not merely the absence of disease or infirmity, is a fundamental human right
and that the attainment of the highest possible level of health is a most
important world-wide social goal whose realization is the responsibility of
governments and requires the action of many other social and economic sectors
in addition to the health sector. People’s health depends on working and living
conditions that promote flourishing lives and a healthy and protected natural
environment. <span></span></span></p>
<p class="gmail-MsoListParagraphCxSpMiddle" style="margin:0in 0in 0.0001pt 0.25in;text-align:justify;line-height:105%;font-size:11pt;font-family:Arial"><span lang="EN-AU"><span> </span></span></p>
<p class="gmail-MsoListParagraphCxSpMiddle" style="margin:0in 0in 0.0001pt 0.25in;text-align:justify;line-height:105%;font-size:11pt;font-family:Arial"><span lang="EN-AU"><span>2.<span style="font:7pt "Times New Roman""> </span></span></span><span lang="EN-AU">The existing extreme and growing inequality in the economic and health
status of the people both across the world, as well as between and within
countries is politically, socially, economically and ethically unacceptable and
a source of conflict and environmental destruction and is, therefore, of common
concern to all countries. <span></span></span></p>
<p class="gmail-MsoListParagraphCxSpMiddle" style="margin:0in 0in 0.0001pt 0.25in;text-align:justify;line-height:105%;font-size:11pt;font-family:Arial"><span lang="EN-AU"><span> </span></span></p>
<p class="gmail-MsoListParagraphCxSpMiddle" style="margin:0in 0in 0.0001pt 0.25in;text-align:justify;line-height:105%;font-size:11pt;font-family:Arial"><span lang="EN-AU"><span>3.<span style="font:7pt "Times New Roman""> </span></span></span><span lang="EN-AU">Equitable economic and social development, will require rejection of
the currently dominant neo-liberal paradigm and establishment of a sustainable
and equitable economic order globally and nationally. Amongst other
interventions regulation of financial flows and of tax havens and evasion are
urgently needed. These changes, along with recognition and action to address
inequities due to gender, caste, race, disability and sexual orientation, are
of basic importance to the fullest attainment of health for all and to the
reduction of the gap in the health status within and between countries. The
promotion and protection of the health and wellbeing of all people will enable
sustainable and equitable forms of social and economic development that will contribute
to world peace and environmental protection. <span></span></span></p>
<p class="gmail-MsoListParagraphCxSpMiddle" style="margin:0in 0in 0.0001pt 0.25in;text-align:justify;line-height:105%;font-size:11pt;font-family:Arial"><span lang="EN-AU"><span> </span></span></p>
<p class="gmail-MsoListParagraphCxSpMiddle" style="margin:0in 0in 0.0001pt 0.25in;text-align:justify;line-height:105%;font-size:11pt;font-family:Arial"><span lang="EN-AU"><span>4.<span style="font:7pt "Times New Roman""> </span></span></span><span lang="EN-AU">The people should be afforded every opportunity to participate
individually and collectively in the planning and implementation of their
health care. This participation should respect age, gender, ethnicity and
socio-economic status and use digital technologies where appropriate. <span></span></span></p>
<p class="gmail-MsoListParagraphCxSpMiddle" style="margin:0in 0in 0.0001pt 0.25in;text-align:justify;line-height:105%;font-size:11pt;font-family:Arial"><span lang="EN-AU"><span> </span></span></p>
<p class="gmail-MsoListParagraphCxSpMiddle" style="margin:0in 0in 0.0001pt 0.25in;text-align:justify;line-height:105%;font-size:11pt;font-family:Arial"><span lang="EN-AU"><span>5.<span style="font:7pt "Times New Roman""> </span></span></span><span lang="EN-AU">Governments have a responsibility to realise the right to health of
their people along with other rights specified in the United Nations (UN)
Declaration of Human Rights. A main social target of governments, international
organizations and the whole world community in the coming decades should be the
attainment by all peoples of the world of a level of health that will permit
them to lead socially and economically flourishing lives. The United Nations
SDGs could be important in reaching this target if they are underpinned by the
establishment of a global and national equitable and sustainable economic
order. Primary health care is the key to attaining Health for All as part of
development in the spirit of social justice, and which is eminently possible
given current knowledge, technology and resources. <span></span></span></p>
<p class="gmail-MsoListParagraphCxSpMiddle" style="margin:0in 0in 0.0001pt 0.5in;text-align:justify;line-height:105%;font-size:11pt;font-family:Arial"><span lang="EN-AU"><span> </span></span></p>
<p class="gmail-MsoListParagraphCxSpMiddle" style="margin:0in 0in 0.0001pt 0.25in;text-align:justify;line-height:105%;font-size:11pt;font-family:Arial"><span lang="EN-AU"><span>6.<span style="font:7pt "Times New Roman""> </span></span></span><span lang="EN-AU">Effective and accountable global governance for health is required
to realise PHC. This should include means of effective taxation to ensure that
all individuals and corporations pay their fair share of taxes to enable the
funding of health and other services beneficial to health;<span></span></span></p>
<p class="gmail-MsoListParagraphCxSpMiddle" style="margin:0in 0in 0.0001pt 0.5in;text-align:justify;line-height:105%;font-size:11pt;font-family:Arial"><span lang="EN-AU"><span> </span></span></p>
<p class="gmail-MsoListParagraphCxSpMiddle" style="margin:0in 0in 0.0001pt 0.25in;text-align:justify;line-height:105%;font-size:11pt;font-family:Arial"><span lang="EN-AU"><span>7.<span style="font:7pt "Times New Roman""> </span></span></span><span lang="EN-AU">By 2018 the survival of life on earth is threatened by accelerating
climate change. Thus part of the PHC approach should be to endorse the Earth
Charter (2000) which proposed we are all citizens of our planet as well as our
nation states. It recognised the interconnections between living in harmony
with and protecting the natural environment and other species, and living in
peace, with equity and social justice within human societies; all core parallel
principles shared with the Primary Health Care movement.<span></span></span></p>
<p class="gmail-MsoListParagraphCxSpMiddle" style="margin:0in 0in 0.0001pt 0.5in;text-align:justify;line-height:105%;font-size:11pt;font-family:Arial"><span lang="EN-AU"><span> </span></span></p>
<p class="gmail-MsoListParagraphCxSpMiddle" style="margin:0in 0in 0.0001pt 0.25in;text-align:justify;line-height:105%;font-size:11pt;font-family:Arial"><span lang="EN-AU"><span>8.<span style="font:7pt "Times New Roman""> </span></span></span><span lang="EN-AU">Primary health care is essential health care based on practical,
scientifically sound and socially acceptable methods and technology made
universally accessible to individuals and families in the community through
their full participation in the spirit of self-determination. It forms an
integral part both of the country's health system, of which it is the central
function and main focus, and of the overall social and economic development of
the community. It gives particular emphasis to the household and community
levels and the first level of care bringing comprehensive health care as close
as possible to where people live and work, and is fully integrated with other
levels of care. <span></span></span></p>
<p class="gmail-MsoListParagraphCxSpMiddle" style="margin:0in 0in 0.0001pt 0.5in;text-align:justify;line-height:105%;font-size:11pt;font-family:Arial"><span lang="EN-AU"><span> </span></span></p>
<p class="gmail-MsoListParagraphCxSpMiddle" style="margin:0in 0in 0.0001pt 0.25in;text-align:justify;line-height:105%;font-size:11pt;font-family:Arial"><span lang="EN-AU"><span>9.<span style="font:7pt "Times New Roman""> </span></span></span><span lang="EN-AU">Primary health care: <span></span></span></p>
<p class="gmail-MsoListParagraphCxSpMiddle" style="margin:0in 0in 0.0001pt 0.5in;text-align:justify;line-height:105%;font-size:11pt;font-family:Arial"><span lang="EN-AU"><span><span style="font:7pt "Times New Roman""> </span>I.<span style="font:7pt "Times New Roman"">
</span></span></span><span lang="EN-AU">reflects and evolves from the economic
conditions and sociocultural and political characteristics of a country and its
communities and is based on the application of relevant social, biomedical and
health systems research and public health experience; <span></span></span></p>
<p class="gmail-MsoListParagraphCxSpMiddle" style="margin:0in 0in 0.0001pt 0.5in;text-align:justify;line-height:105%;font-size:11pt;font-family:Arial"><span lang="EN-AU"><span><span style="font:7pt "Times New Roman""> </span>II.<span style="font:7pt "Times New Roman"">
</span></span></span><span lang="EN-AU">addresses the main health
problems in the community, providing promotive, preventive, curative,
rehabilitative and palliative services accordingly; <span></span></span></p>
<p class="gmail-MsoListParagraphCxSpMiddle" style="margin:0in 0in 0.0001pt 0.5in;text-align:justify;line-height:105%;font-size:11pt;font-family:Arial"><span lang="EN-AU"><span><span style="font:7pt "Times New Roman""> </span>III.<span style="font:7pt "Times New Roman"">
</span></span></span><span lang="EN-AU">includes at least: health
education concerning prevailing health problems and the methods of preventing
and controlling them; promotion of a healthy food supply and proper nutrition;
an adequate supply of safe water and basic sanitation; reproductive<span> </span>and sexual<span>
</span>health care, including maternal health care, contraception,
abortion;<span> </span>prevention and health care for
gender based violence; child health care,; immunization against the major
infectious diseases; prevention and control of locally endemic diseases and
non-communicable disease including mental illness; appropriate treatment of
common diseases and injuries; healthcare needs of the disabled and provision of
essential drugs; <span></span></span></p>
<p class="gmail-MsoListParagraphCxSpMiddle" style="margin:0in 0in 0.0001pt 0.5in;text-align:justify;line-height:105%;font-size:11pt;font-family:Arial"><span lang="EN-AU"><span><span style="font:7pt "Times New Roman""> </span>IV.<span style="font:7pt "Times New Roman"">
</span></span></span><span lang="EN-AU">involves, in addition to the
health sector, all related sectors and aspects of national and community
development, in particular agriculture, trade, food, industry, education,
housing, public infrastructure, communications and information technology and
other sectors; and demands the coordinated efforts of all those sectors; <span></span></span></p>
<p class="gmail-MsoListParagraphCxSpMiddle" style="margin:0in 0in 0.0001pt 0.5in;text-align:justify;line-height:105%;font-size:11pt;font-family:Arial"><span lang="EN-AU"><span><span style="font:7pt "Times New Roman""> </span>V.<span style="font:7pt "Times New Roman"">
</span></span></span><span lang="EN-AU">requires and promotes maximum
community and individual self-reliance and participation in the planning,
organization, operation and control of primary health care, making fullest use
of local, national and other available resources; and to this end develops
through appropriate training the ability of communities to participate; <span></span></span></p>
<p class="gmail-MsoListParagraphCxSpMiddle" style="margin:0in 0in 0.0001pt 0.5in;text-align:justify;line-height:105%;font-size:11pt;font-family:Arial"><span lang="EN-AU"><span><span style="font:7pt "Times New Roman""> </span>VI.<span style="font:7pt "Times New Roman"">
</span></span></span><span lang="EN-AU">should be sustained by
integrated, functional and mutually supportive referral systems, leading to the
progressive improvement of comprehensive health care for all, and giving
priority to those most in need; <span></span></span></p>
<p class="gmail-MsoListParagraphCxSpMiddle" style="margin:0in 0in 0.0001pt 0.5in;text-align:justify;line-height:105%;font-size:11pt;font-family:Arial"><span lang="EN-AU"><span><span style="font:7pt "Times New Roman""> </span>VII.<span style="font:7pt "Times New Roman"">
</span></span></span><span lang="EN-AU">relies, at local and referral
levels, on health workers, including physicians, nurses, midwives, mid-level
workers and community health workers as applicable, as well as traditional
practitioners as needed, suitably trained socially and technically to work as a
health team and to respond to the expressed health needs of the community. All
governments should formulate national policies, strategies and plans of action
to strengthen and sustain primary health care as part of a comprehensive
national health system and in coordination with other sectors. To this end, it
will be necessary to exercise political will, to mobilize the country's
resources and to use available external resources rationally. <span></span></span></p>
<p class="gmail-MsoListParagraphCxSpMiddle" style="margin:0in 0in 0.0001pt 0.5in;text-align:justify;line-height:105%;font-size:11pt;font-family:Arial"><span lang="EN-AU"><span> </span></span></p>
<p class="gmail-MsoListParagraphCxSpMiddle" style="margin:0in 0in 0.0001pt 0.25in;text-align:justify;line-height:105%;font-size:11pt;font-family:Arial"><span lang="EN-AU"><span>10.<span style="font:7pt "Times New Roman""> </span></span></span><span lang="EN-AU">While technology has brought health benefits, care must be taken to
ensure that technology is used with intelligence so that:<span></span></span></p>
<p class="gmail-MsoListParagraphCxSpMiddle" style="margin:0in 0in 0.0001pt 1in;text-align:justify;line-height:105%;font-size:11pt;font-family:Arial"><span lang="EN-AU"><span><span style="font:7pt "Times New Roman"">
</span>I.<span style="font:7pt "Times New Roman"">
</span></span></span><span lang="EN-AU">New bio-technology and
artificial intelligence should be assessed in terms of its potential to do harm
as well as good and in terms of its contribution to overall population health
and equity and be regulated as necessary<span></span></span></p>
<p class="gmail-MsoListParagraphCxSpMiddle" style="margin:0in 0in 0.0001pt 1in;text-align:justify;line-height:105%;font-size:11pt;font-family:Arial"><span lang="EN-AU"><span><span style="font:7pt "Times New Roman"">
</span>II.<span style="font:7pt "Times New Roman"">
</span></span></span><span lang="EN-AU">Over-servicing, especially in
the private sector, requires regulation. One aspect of this which is
contributing to the crisis of anti-microbial resistance is irrational and
overuse of antibiotics in both the health and industrial farming sectors <span></span></span></p>
<p class="gmail-MsoListParagraphCxSpMiddle" style="margin:0in 0in 0.0001pt 1in;text-align:justify;line-height:105%;font-size:11pt;font-family:Arial"><span lang="EN-AU"><span><span style="font:7pt "Times New Roman"">
</span>III.<span style="font:7pt "Times New Roman"">
</span></span></span><span lang="EN-AU">The use of digital technologies
has the potential to increase access and quality of care but strategies must be
informed by an awareness of the digital gradient, which mirrors socio-economic
inequities.<span> </span>Special measures need to be
taken to flatten this gradient. <span></span></span></p>
<p class="gmail-MsoListParagraphCxSpMiddle" style="margin:0in 0in 0.0001pt 1in;text-align:justify;line-height:105%;font-size:11pt;font-family:Arial"><span lang="EN-AU"><span> </span></span></p>
<p class="gmail-MsoListParagraphCxSpMiddle" style="margin:0in 0in 0.0001pt 0.25in;text-align:left;line-height:normal;font-size:11pt;font-family:Arial" align="left"><span lang="EN-AU"><span>11.<span style="font:7pt "Times New Roman""> </span></span></span><span lang="EN-AU">An essential component of primary health care is universal health coverage
which should be universalist, based on social solidarity and built on a unified
public funded system, with most service provision through public institutions.<span></span></span></p>
<p class="gmail-MsoListParagraphCxSpMiddle" style="margin:0in 0in 0.0001pt 0.25in;text-align:left;line-height:normal;font-size:11pt;font-family:Arial" align="left"><span lang="EN-AU"><span> </span></span></p>
<p class="gmail-MsoListParagraphCxSpMiddle" style="margin:0in 0in 0.0001pt 0.25in;text-align:left;line-height:normal;font-size:11pt;font-family:Arial" align="left"><span lang="EN-AU"><span>12.<span style="font:7pt "Times New Roman""> </span></span></span><span lang="EN-AU">Since the protection and attainment of health by people in any one
country directly concerns and benefits every other country, development
assistance, including donor programs, must be accountable to and strengthen
national public health systems and address the social, environmental and
ecological determinants of health. <span></span></span></p>
<p class="gmail-MsoListParagraphCxSpMiddle" style="margin:0in 0in 0.0001pt 0.5in;text-align:justify;line-height:105%;font-size:11pt;font-family:Arial"><span lang="EN-AU"><span> </span></span></p>
<p class="gmail-MsoListParagraphCxSpMiddle" style="margin:0in 0in 0.0001pt 0.25in;text-align:left;line-height:normal;font-size:11pt;font-family:Arial" align="left"><span lang="EN-AU"><span>13.<span style="font:7pt "Times New Roman""> </span></span></span><span lang="EN-AU">The training of health personnel requires to be more strongly oriented
to primary health care, and employment conditions need to ensure fair and safe
working situations. Distribution of health personnel is grossly inequitable and
reflects the inverse care law. Global and national policies should institute
policies to mitigate the brain drain from low and middle income countries to
high income countries by inter alia increasing production of their own health
workers and compensating sending countries for their losses in training costs. <span></span></span></p>
<p class="gmail-MsoListParagraphCxSpMiddle" style="margin:0in 0in 0.0001pt 0.5in;text-align:justify;line-height:105%;font-size:11pt;font-family:Arial"><span lang="EN-AU"><span> </span></span></p>
<p class="gmail-MsoListParagraphCxSpMiddle" style="margin:0in 0in 0.0001pt 0.25in;text-align:left;line-height:normal;font-size:11pt;font-family:Arial" align="left"><span lang="EN-AU"><span>14.<span style="font:7pt "Times New Roman""> </span></span></span><span lang="EN-AU">Health gains from the implementation of an effective primary health
care system can be easily undermined by the commercial determinants of health
including promotion and trade of health harming commodities (e.g. food,
alcohol, tobacco) and environmentally damaging extractive industries. Global
and national policies, including effective regulation, are needed to prevent their
adverse impacts.<span></span></span></p>
<p class="gmail-MsoListParagraphCxSpMiddle" style="margin:0in 0in 0.0001pt 0.5in;text-align:justify;line-height:105%;font-size:11pt;font-family:Arial"><span lang="EN-AU"><span> </span></span></p>
<p class="gmail-MsoListParagraphCxSpMiddle" style="margin:0in 0in 0.0001pt 0.25in;text-align:left;line-height:normal;font-size:11pt;font-family:Arial" align="left"><span lang="EN-AU"><span>15.<span style="font:7pt "Times New Roman""> </span></span></span><span lang="EN-AU">An acceptable level of health for all the people of the world can be
attained through a fuller and better use of the world's resources, a
considerable part of which is now spent on armaments and military conflicts. A
genuine policy of independence, peace, and disarmament could and should release
additional resources that could well be devoted to peaceful aims and in
particular to the acceleration of social and economic development of which
primary health care, as an essential part, should be allotted its proper share.<span></span></span></p>
<p class="gmail-MsoListParagraphCxSpLast" style="margin:0in 0in 8pt 0.5in;text-align:justify;line-height:105%;font-size:11pt;font-family:Arial"><span lang="EN-AU"><span> </span></span></p>
<p class="MsoNormal" style="margin:0in 0in 8pt;text-align:justify;line-height:105%;font-size:11pt;font-family:Arial"><span lang="EN-AU">We the undersigned representing a wide
range of public civil society organisations and social movement call on the Global
Conference on Primary Health Care to undertake urgent and effective national
and global action to develop and implement primary health care throughout the
world and particularly in low and middle income countries in a spirit of
technical cooperation and in keeping with a sustainable and equitable economic
order. It urges governments, WHO, and other international organizations, as
well as multilateral and bilateral agencies, nongovernmental organizations,
funding agencies, all health workers and the whole world community to support
national and international commitment to primary health care and to channel
increased technical and financial support to it, particularly in low and middle
income countries. We call on all the aforementioned to collaborate in strengthening,
developing, funding and maintaining public health systems based on primary
health care in accordance with the spirit and content of this Statement.<span> </span><span></span></span></p>
<p class="MsoNormal" style="margin:0in 0in 8pt;text-align:justify;line-height:105%;font-size:11pt;font-family:Arial"><b><span lang="EN-AU">Please
endorse above statement through this link: </span></b><span lang="EN-AU"><a href="https://www.surveymonkey.com/r/5Y6GWCL" style="color:rgb(5,99,193);text-decoration:underline"><b>https://www.surveymonkey.com/r/5Y6GWCL</b></a><b><span></span></b></span></p>
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<p class="MsoNormal" style="margin:0in 0in 8pt;text-align:justify;line-height:105%;font-size:11pt;font-family:Arial"><span lang="EN-ZA"><span> </span></span></p>
<p class="MsoNormal" style="margin:0in 0in 8pt;text-align:justify;line-height:105%;font-size:11pt;font-family:Arial"><span lang="EN-AU"><span> </span></span></p>
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