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<p class="MsoNormal" style="margin:0in 0in 0.0001pt;font-size:12pt;font-family:"Times New Roman""><i><span style="font-family:Verdana" lang="EN-GB">A
bit of history:<span></span></span></i></p>
<p class="MsoNormal" style="margin:0in 0in 0.0001pt;font-size:12pt;font-family:"Times New Roman""><b><span style="font-family:Verdana" lang="EN-GB">FROM
SAVAR TO CUENCA VIA BANGALORE - EXPERIENCE OF THE PHM SECRETARIAT TEAM: </span></b><b><span style="font-family:Verdana" lang="EN-GB">Reflections on PHM Realities and Future Challenges.<span></span></span></b></p>
<p class="MsoNormal" style="margin:0in 0in 0.0001pt;font-size:12pt;font-family:"Times New Roman""><b><span style="font-family:Verdana" lang="EN-GB"><span> </span></span></b></p><span style="font-size:10pt;font-family:Verdana" lang="EN-GB">PART 1:<span></span></span>
<p class="gmail-MsoSubtitle" style="margin:0in 0in 0.0001pt;font-size:12pt;font-family:Garamond;font-weight:bold"><span style="font-size:11pt;font-family:Verdana" lang="EN-GB"><span> </span></span></p>
<p class="MsoNormal" style="margin:0in 0in 0.0001pt;font-size:12pt;font-family:"Times New Roman""><span style="font-size:11pt;font-family:Verdana" lang="EN-GB">This background note is based on the experience of the
PHM Secretariat team in Bangalore.<span> </span>The
Secretariat team facilitated processes using governance and decision making
structures that included the global steering group, geographical and issue
based circles, PHM news briefs, the pha-exchange, the PHM website and the PHM
funding group. This note tries to identify and highlight some of the challenges
and options and was a background contribution to the PHM transition process and
strategy meeting held in Frankfurt hosted by Medico International from 6-9<sup>th</sup>
of February 2006. <span></span></span></p>
<p class="MsoNormal" style="margin:0in 0in 0.0001pt;font-size:12pt;font-family:"Times New Roman""><span style="font-size:11pt;font-family:Verdana" lang="EN-GB">Recognising the importance of documenting this
experience of the early organizational history of this global movement, we have
evolved this short paper as a constructive contribution to the further
development of PHM. <span></span></span></p>
<p class="MsoNormal" style="margin:0in 0in 0.0001pt;font-size:12pt;font-family:"Times New Roman""><span style="font-size:11pt;font-family:Verdana" lang="EN-GB"><span> </span></span></p>
<p class="MsoNormal" style="margin:0in 0in 0.0001pt;font-size:12pt;font-family:"Times New Roman""><b><span style="font-size:11pt;font-family:Verdana" lang="EN-GB">1. PHM AS
A MOVEMENT.<span></span></span></b></p>
<p class="MsoNormal" style="margin:0in 0in 0.0001pt;font-size:12pt;font-family:"Times New Roman""><span style="font-size:11pt;font-family:Verdana" lang="EN-GB"><span> </span></span></p>
<p class="MsoNormal" style="margin:0in 0in 0.0001pt;font-size:12pt;font-family:"Times New Roman""><span style="font-size:11pt;font-family:Verdana" lang="EN-GB">A movement is not an international NGO.<span> </span>What is it then?<span></span></span></p>
<p class="MsoNormal" style="margin:0in 0in 0.0001pt;font-size:12pt;font-family:"Times New Roman""><span style="font-size:11pt;font-family:Verdana" lang="EN-GB">From the beginning the PHM movement was a growing and
diverse collective process of evolving circles at community, country, regional
and international levels; it encompassed individuals, groups, organizations,
networks and campaigns, linked by a commitment to the Health for All strategy,
and to addressing the deeper determinants of health with communities and
marginalized peoples through health action. <span></span></span></p>
<p class="MsoNormal" style="margin:0in 0in 0.0001pt 0.25in;font-size:12pt;font-family:"Times New Roman""><span style="font-size:11pt;font-family:Verdana" lang="EN-GB"><span> </span></span></p>
<p class="gmail-MsoBodyTextIndent" style="margin:0in 0in 0.0001pt;text-align:left;font-size:11pt;font-family:"Book Antiqua"" align="left"><span style="font-family:Verdana" lang="EN-GB">PHM works in circles, not pyramids of decision making that are inclusive
and not exclusive or ideologically straitjacketed; we build on trust, mutual
respect, with an ethos of debate and dialogue; we accept diversity and
plurality. From this perspective, PHM evolved charters and declarations focused
on the urgent needs of impoverished people and communities. <span></span></span></p>
<p class="MsoNormal" style="margin:0in 0in 0.0001pt;font-size:12pt;font-family:"Times New Roman""><span style="font-size:11pt;font-family:Verdana" lang="EN-GB"><span> </span></span></p>
<p class="MsoNormal" style="margin:0in 0in 0.0001pt;font-size:12pt;font-family:"Times New Roman""><span style="font-size:11pt;font-family:Verdana" lang="EN-GB">PHM’s
country circles are also inclusive, work with trust, mutual respect and
responsibility, appreciate cross cultural diversity, are non-hierarchical and
participatory in decision making and focus their concerns and activities on
people and communities.<span></span></span></p>
<p class="MsoNormal" style="margin:0in 0in 0.0001pt;font-size:12pt;font-family:"Times New Roman""><span style="font-size:11pt;font-family:Verdana" lang="EN-GB">They
concentrate on capacity building for the above. Being inclusive, without being ideologically
vague, is one of the biggest challenges for the PHM. <span></span></span></p>
<p class="MsoNormal" style="margin:0in 0in 0.0001pt;font-size:12pt;font-family:"Times New Roman""><span style="font-size:11pt;font-family:Verdana" lang="EN-GB"><span> </span></span></p>
<p class="MsoNormal" style="margin:0in 0in 0.0001pt;font-size:12pt;font-family:"Times New Roman""><span style="font-size:11pt;font-family:Verdana" lang="EN-GB">PHM was a new experience with no direct parallel for
comparison and hence is a very exciting development. <span></span></span></p>
<p class="MsoNormal" style="margin:0in 0in 0.0001pt 0.25in;font-size:12pt;font-family:"Times New Roman""><span style="font-size:11pt;font-family:Verdana" lang="EN-GB"><span> </span></span></p>
<p class="MsoNormal" style="margin:0in 0in 0.0001pt 0.25in;font-size:12pt;font-family:"Times New Roman""><b><span style="font-size:11pt;font-family:Verdana" lang="EN-GB">2.
PHM VISION AND STRATEGY – WHAT AND HOW?<span></span></span></b></p>
<p class="MsoNormal" style="margin:0in 0in 0.0001pt 0.25in;font-size:12pt;font-family:"Times New Roman""><span style="font-size:11pt;font-family:Verdana" lang="EN-GB"><span> </span></span></p>
<p class="MsoNormal" style="margin:0in 0in 0.0001pt;font-size:12pt;font-family:"Times New Roman""><span style="font-size:11pt;font-family:Verdana" lang="EN-GB">The People’s Charter for Health (PCH 2000, available
in over 40 languages), and its two updates the Mumbai Declaration of January
2004 and the Cuenca Declaration of July 2005 articulate PHM’s vision.<span> </span>The People’s Charter for HIV/AIDS was
released in Bangkok in July 2004; statements on Macro-Economics and Health,
Public Private Partnerships, Trade and Health, Primary Health Care, Health
Systems Research, Disasters (Tsunami) and the Politics and Power of Aid, the
Researchers for Health Statement (PHA 2),; and a series of press statements by
the PHM media group articulate evolving perspectives, responding to new
international developments and challenges in health. <span></span></span></p>
<p class="MsoNormal" style="margin:0in 0in 0.0001pt 0.25in;font-size:12pt;font-family:"Times New Roman""><span style="font-size:11pt;font-family:Verdana" lang="EN-GB"><span> </span></span></p>
<p class="MsoNormal" style="margin:0in 0in 0.0001pt 0.25in;font-size:12pt;font-family:"Times New Roman""><b><span style="font-size:11pt;font-family:Verdana" lang="EN-GB">Strategic Options – what does the
Charter offer? <span></span></span></b></p>
<p class="MsoNormal" style="margin:0in 0in 0.0001pt;font-size:12pt;font-family:"Times New Roman""><span style="font-size:11pt;font-family:Verdana" lang="EN-GB">The real challenge to PHM is not vision but strategy
and action.<span> </span>The challenge is to convert
vision into meaningful strategic options at different levels. <span></span></span></p>
<p class="MsoNormal" style="margin:0in 0in 0.0001pt;font-size:12pt;font-family:"Times New Roman""><span style="font-family:Verdana" lang="EN-GB">An overview of the Charter
highlights PHM’s key strategic directions. To us, Health for All, among other,
means:<i> <span></span></i></span></p>
<p class="MsoNormal" style="margin:0in 0in 0.0001pt;font-size:12pt;font-family:"Times New Roman""><span style="font-size:11pt;font-family:Verdana" lang="EN-GB"><span> </span></span></p>
<p class="MsoNormal" style="margin:0in 0in 0.0001pt;font-size:12pt;font-family:"Times New Roman""><span style="font-size:11pt;font-family:Verdana" lang="EN-GB">Challenging the powerful interests of globalisation; encouraging
people to develop their own solutions; holding authorities at all levels accountable;
demanding that governments and international organizations reformulate,
implement and enforce policies and practices which respect the right to health;
building broad-based popular movements to pressure governments; demanding
needed transformation of the World Trade Organisation and the global trading
system including the intellectual property regimes; pressuring governments to
introduce and enforce legislation to protect the health and rights of
marginalized groups; demanding that education and health are placed at the top
of the political agenda; holding corporations, public institutions and the
military accountable for their activities; and developing people-centred,
community-based indicators of environmental and social progress. <span></span></span></p>
<p class="MsoNormal" style="margin:0in 0in 0.0001pt;font-size:12pt;font-family:"Times New Roman""><span style="font-size:11pt;font-family:Verdana" lang="EN-GB"><span> </span></span></p>
<p class="MsoNormal" style="margin:0in 0in 0.0001pt;font-size:12pt;font-family:"Times New Roman""><span style="font-size:11pt;font-family:Verdana" lang="EN-GB">It also means supporting actions and campaigns for the
prevention of natural disasters and the reduction of subsequent human
suffering; opposing privatization of health care; demanding that governments
finance and provide comprehensive Primary Health Care and ensure free and
universal access to health; demanding a radical transformation of the World
Health Organization (WHO) so that it responds to the needs of the poor, avoids
vertical approaches, involves people’s organizations in the World Health
Assembly and ensures independence from corporate interests; supporting and
engaging in actions that encourage people’s power and control in
decision-making in health; demanding that research in health is carried out in
a participatory, needs-based manner; building and strengthening people’s
organizations to create a basis for analysis and action; engaging in actions
that encourage people’s involvement in decision-making in public services at
all levels; demanding that people’s organizations be represented in all fora
relevant to health; and supporting local initiatives towards participatory democracy.<span></span></span></p>
<p class="MsoNormal" style="margin:0in 0in 0.0001pt 0.25in;font-size:12pt;font-family:"Times New Roman""><span style="font-size:11pt;font-family:Verdana" lang="EN-GB"><span> </span></span></p>
<p class="gmail-MsoBodyTextIndent" style="margin:0in 0in 0.0001pt 0.25in;text-align:left;font-size:11pt;font-family:"Book Antiqua"" align="left"><span style="font-family:Verdana" lang="EN-GB">This list is a selection
from a much larger one in the Charters and represents those on which PHM has
taken action or needs to do something urgently. <span></span></span></p>
<p class="gmail-MsoBodyTextIndent" style="margin:0in 0in 0.0001pt;text-align:left;font-size:11pt;font-family:"Book Antiqua"" align="left"><span style="font-family:Verdana" lang="EN-GB"><span> </span></span></p>
<p class="gmail-MsoBodyTextIndent" style="margin:0in 0in 0.0001pt;text-align:left;font-size:11pt;font-family:"Book Antiqua"" align="left"><b><span style="font-family:Verdana" lang="EN-GB">PHM
Current Strategies (2003-2006)</span></b><span style="font-family:Verdana" lang="EN-GB"><span></span></span></p>
<p class="MsoNormal" style="margin:0in 0in 0.0001pt 0.25in;font-size:12pt;font-family:"Times New Roman""><b><i><span style="font-size:11pt;font-family:Verdana" lang="EN-GB"><span>1.<span style="font:7pt "Times New Roman""> </span></span></span></i></b><b><i><span style="font-size:11pt;font-family:Verdana" lang="EN-GB">Building
country circles around community and national needs, challenges and
opportunities.<span></span></span></i></b></p>
<p class="MsoNormal" style="margin:0in 0in 0.0001pt 0.75in;font-size:12pt;font-family:"Times New Roman""><span style="font-size:11pt;font-family:Symbol" lang="EN-GB"><span>·<span style="font:7pt "Times New Roman"">
</span></span></span><span style="font-size:11pt;font-family:Verdana" lang="EN-GB">These are ongoing in Bangladesh,
India, Nepal, Pakistan, Italy, Sri Lanka, Philippines, South Africa, Egypt,
Palestine, Lebanon, Iran, Australia, USA, Ecuador, Guatemala, Argentina and a
number of others. <span></span></span></p>
<p class="MsoNormal" style="margin:0in 0in 0.0001pt 0.75in;font-size:12pt;font-family:"Times New Roman""><span style="font-size:11pt;font-family:Symbol" lang="EN-GB"><span>·<span style="font:7pt "Times New Roman""> </span></span></span><span style="font-size:11pt;font-family:Verdana" lang="EN-GB">PHM
India, PHM Bangladesh have very strong, ongoing movement building experiences. <span></span></span></p>
<p class="MsoNormal" style="margin:0in 0in 0.0001pt 0.25in;font-size:12pt;font-family:"Times New Roman""><b><i><span style="font-size:11pt;font-family:Verdana" lang="EN-GB"><span>2.<span style="font:7pt "Times New Roman"">
</span></span></span></i></b><b><i><span style="font-size:11pt;font-family:Verdana" lang="EN-GB">Building
Regional Circles around regional needs, challenges and opportunities. <span></span></span></i></b></p>
<ul style="margin-top:0in;margin-bottom:0in" type="disc"><li class="MsoNormal" style="margin:0in 0in 0.0001pt;font-size:12pt;font-family:"Times New Roman""><span style="font-size:11pt;font-family:Verdana" lang="EN-GB">Efforts have been made in East Africa; Latin America, the Middle
East, and Asia. <span></span></span></li><li class="MsoNormal" style="margin:0in 0in 0.0001pt;font-size:12pt;font-family:"Times New Roman""><span style="font-size:11pt;font-family:Verdana" lang="EN-GB">These efforts are an important adjunct to the process of increasing
PHM participation in World Social Forum and Regional Social Forum
processes. <span></span></span></li></ul>
<p class="MsoNormal" style="margin:0in 0in 0.0001pt 0.25in;font-size:12pt;font-family:"Times New Roman""><b><i><span style="font-size:11pt;font-family:Verdana" lang="EN-GB"><span>3.<span style="font:7pt "Times New Roman""> </span></span></span></i></b><b><i><span style="font-size:11pt;font-family:Verdana" lang="EN-GB">Facilitating
PHM representation, participation in local, national, regional and
international fora and meetings.<span></span></span></i></b></p>
<p class="MsoNormal" style="margin:0in 0in 0.0001pt 0.25in;font-size:12pt;font-family:"Times New Roman""><span style="font-size:11pt;font-family:Verdana" lang="EN-GB">There
is regular PHM input/involvement in the World Social Forum, Regional Social
Fora, the World Health Assembly, the Global Forum for Health Research, Health
Promotion conferences; the Canadian Society of International Health meetings, meetings
of National Public Health Associations, HIV and AIDS conferences and meetings. <span> </span>In many of these conferences, PHM resource
persons have been on specific panels raising PHM concerns and perspectives. PHM
also organises special seminars for those interested in PHM so that they get an
opportunity to meet the PHM participants, learn about the movement and join the
movement if they are interested. <span> </span>Report on
these activities are posted in pha-exchange and in the PHM website. <span></span></span></p>
<p class="MsoNormal" style="margin:0in 0in 0.0001pt 0.25in;font-size:12pt;font-family:"Times New Roman""><b><span style="font-size:11pt;font-family:Verdana" lang="EN-GB">4. <i>Evolving an advocacy strategy to bring WHO back to a Health for All
perspective and to focus action on social health determinants. <span></span></i></span></b></p>
<p class="gmail-MsoBodyTextIndent2" style="margin:0in 0in 0.0001pt;text-align:left;font-size:11pt;font-family:"Book Antiqua"" align="left"><span style="font-family:Verdana" lang="EN-GB">The WHO-WHA advocacy circle has very effectively advocated with WHO at
different levels. This has included: advocacy in the annual World Health
Assembly,</span><span lang="EN-GB"> </span><span style="font-family:Verdana" lang="EN-GB">participation in the Annual Research Forum of Global Forum for Health
Research, involvement with WHO Commission on Social Determinants on Health,
submission of position papers on areas of WHO concern and PHM interest, participation
in WHO meetings, participation by WHO team members at HQ and regional levels in
PHM meetings including the Second People’s Health Assembly, dialogue by PHM at
regional levels with PAHO, EMRO, AFRO, WPRO and SEARO.<span> </span><span></span></span></p>
<p class="MsoNormal" style="margin:0in 0in 0.0001pt;font-size:12pt;font-family:"Times New Roman""><b><span style="font-size:11pt;font-family:Verdana" lang="EN-GB">5. Building
Global Solidarity through regular participation in the World Social Forum and
Regional Social For.<span></span></span></b></p>
<p class="gmail-MsoBodyTextIndent2" style="margin:0in 0in 0.0001pt;text-align:left;font-size:11pt;font-family:"Book Antiqua"" align="left"><span style="font-family:Verdana" lang="EN-GB">This active participation has been
a unique opportunity for PHM to dialogue with larger global social movements --this
strengthening the health related agenda in their movements.<span> </span><span></span></span></p>
<p class="MsoNormal" style="margin:0in 0in 0.0001pt;font-size:12pt;font-family:"Times New Roman""><b><span style="font-size:11pt;font-family:Verdana" lang="EN-GB">6. Global
Right to Health Campaign (since 2004)<span></span></span></b></p>
<p class="gmail-MsoBodyTextIndent2" style="margin:0in 0in 0.0001pt;text-align:left;font-size:11pt;font-family:"Book Antiqua"" align="left"><span style="font-family:Verdana" lang="EN-GB">This has evolved through
consultation at various levels, an extensive campaign with People’s Tribunals
organized by PHM India, and meetings at WHA and other fora with the UN Special
Rapporteur on Human Rights.<span> </span>At PHA-2,
after extensive discussion the global campaign was launched.<span> </span>Efforts are on now to get around 40 country
PHM circles involved, making local diagnoses of the right to health care and adapting
the campaign to local opportunities. <span></span></span></p>
<p class="MsoNormal" style="margin:0in 0in 0.0001pt;font-size:12pt;font-family:"Times New Roman""><b><span style="font-size:11pt;font-family:Verdana" lang="EN-GB">7.<span> </span>Disaster and Humanitarian Responses <span></span></span></b></p>
<p class="MsoNormal" style="margin:0in 0in 0.0001pt 0.5in;font-size:12pt;font-family:"Times New Roman""><span style="font-size:11pt;font-family:Symbol" lang="EN-GB"><span>·<span style="font:7pt "Times New Roman"">
</span></span></span><span style="font-size:11pt;font-family:Verdana" lang="EN-GB">This PHM Circle has been promoting
collective initiatives during the build up to the Iraq war, and during the
tsunami (South Asia), the Bam earthquake (Iran) and some Latin America
disasters. <span></span></span></p>
<p class="MsoNormal" style="margin:0in 0in 0.0001pt 0.5in;font-size:12pt;font-family:"Times New Roman""><span style="font-size:11pt;font-family:Symbol" lang="EN-GB"><span>·<span style="font:7pt "Times New Roman"">
</span></span></span><span style="font-size:11pt;font-family:Verdana" lang="EN-GB">The Tsunami statement on the
politics and power of aid (April 2005), several press releases, the Tsunami
Watch project are examples of practical initiatives that have greatly helped to
enhance the visibility of PHM. <span></span></span></p>
<p class="MsoNormal" style="margin:0in 0in 0.0001pt;font-size:12pt;font-family:"Times New Roman""><b><span style="font-size:11pt;font-family:Verdana" lang="EN-GB">8.<span> </span>Active participation in the Annual Research
Forum organized by Global Forum for Health Research (GFHR).<span></span></span></b></p>
<p class="gmail-MsoBodyTextIndent2" style="margin:0in 0in 0.0001pt;text-align:left;font-size:11pt;font-family:"Book Antiqua"" align="left"><span style="font-family:Verdana" lang="EN-GB">The WHO-WHA Advocacy Circle and
the PHM Research Circle have been very effective in raising the profile of PHM
on issues of relevant research important for People’s Health. <span></span></span></p>
<p class="MsoNormal" style="margin:0in 0in 0.0001pt;font-size:12pt;font-family:"Times New Roman""><b><span style="font-size:11pt;font-family:Verdana" lang="EN-GB">9.<span> </span>The International People’s Health University
(since 2005).<span></span></span></b></p>
<p class="MsoNormal" style="margin:0in 0in 0.0001pt 0.5in;font-size:12pt;font-family:"Times New Roman""><span style="font-size:11pt;font-family:Symbol" lang="EN-GB"><span>·<span style="font:7pt "Times New Roman"">
</span></span></span><span style="font-size:11pt;font-family:Verdana" lang="EN-GB">This is PHM’s response to the
regional capacity building and training of younger generations of PHM activists.
<span></span></span></p>
<p class="MsoNormal" style="margin:0in 0in 0.0001pt 0.5in;font-size:12pt;font-family:"Times New Roman""><span style="font-size:11pt;font-family:Symbol" lang="EN-GB"><span>·<span style="font:7pt "Times New Roman"">
</span></span></span><span style="font-size:11pt;font-family:Verdana" lang="EN-GB">The IPHU functions linked to
international and regional events associated with PHM. <span></span></span></p>
<p class="MsoNormal" style="margin:0in 0in 0.0001pt 0.5in;font-size:12pt;font-family:"Times New Roman""><span style="font-size:11pt;font-family:Symbol" lang="EN-GB"><span>·<span style="font:7pt "Times New Roman"">
</span></span></span><span style="font-size:11pt;font-family:Verdana" lang="EN-GB">At PHA-2, the IPHC facilitated the
first IPHU session from 10-16th July 2005, with 55 participants from around the
world (2/3rd from Latin America). Two upcoming IPHU sessions are in planning
stages. <span></span></span></p>
<p class="MsoNormal" style="margin:0in 0in 0.0001pt 0.5in;font-size:12pt;font-family:"Times New Roman""><span style="font-size:11pt;font-family:Symbol" lang="EN-GB"><span>·<span style="font:7pt "Times New Roman"">
</span></span></span><span style="font-size:11pt;font-family:Verdana" lang="EN-GB">IPHU involves all potential
academic, research and training centres within the global and regional PHM
circles in this international training initiative. <span></span></span></p>
<p class="MsoNormal" style="margin:0in 0in 0.0001pt;font-size:12pt;font-family:"Times New Roman""><b><span style="font-size:11pt;font-family:Verdana" lang="EN-GB">10.<span> </span>Communications and Campaigns.<span></span></span></b></p>
<p class="gmail-MsoBodyTextIndent2" style="margin:0in 0in 0.0001pt;text-align:left;font-size:11pt;font-family:"Book Antiqua"" align="left"><span style="font-family:Verdana" lang="EN-GB">PHM has evolved a communication strategy to keep all its members
informed about all that is happening. This includes:<span> </span>the PHM website;</span><span lang="EN-GB"> </span><span style="font-family:Verdana" lang="EN-GB">the</span><span lang="EN-GB"> </span><span style="font-family:Verdana" lang="EN-GB">PHA-Exchange list server, regular news-briefs every 6 months, a</span><span style="font-family:Verdana" lang="EN-GB"> set of ad-hoc PHM publications, a set of audio visual materials. <span></span></span></p>
<p class="MsoNormal" style="margin:0in 0in 0.0001pt 0.25in;font-size:12pt;font-family:"Times New Roman""><span style="font-family:Verdana" lang="EN-GB">PHM has also organized
campaigns such as The Million Signature Campaign for the 25<sup>th</sup> anniverrsary
of the Alma Ata Declaration, the</span><span lang="EN-GB"> </span><span style="font-family:Verdana" lang="EN-GB">No War, No WTO, Health for All Campaign, the
Save UNICEF Campaign, the Women’s Access to Health Campaign, etc.</span><span style="font-size:11pt;font-family:Verdana" lang="EN-GB">
<span></span></span></p>
<p class="MsoNormal" style="margin:0in 0in 0.0001pt 0.25in;font-size:12pt;font-family:"Times New Roman""><span style="font-size:11pt;font-family:Verdana" lang="EN-GB"><span> </span></span></p>
<p class="MsoNormal" style="margin:0in 0in 0.0001pt 1.25in;font-size:12pt;font-family:"Times New Roman""><b><span style="font-size:11pt;font-family:Verdana" lang="EN-GB"><span>4.<span style="font:7pt "Times New Roman""> </span></span></span></b><b><span style="font-size:11pt;font-family:Verdana" lang="EN-GB">GLOBAL
GOVERNANCE AND DECISION MAKING IN PHM.<span></span></span></b></p>
<p class="MsoNormal" style="margin:0in 0in 0.0001pt 1in;font-size:12pt;font-family:"Times New Roman""><span style="font-size:11pt;font-family:Verdana" lang="EN-GB"><span> </span></span></p>
<p class="MsoNormal" style="margin:0in 0in 0.0001pt 0.25in;font-size:12pt;font-family:"Times New Roman""><b><span style="font-size:11pt;font-family:Verdana" lang="EN-GB"><span>a.<span style="font:7pt "Times New Roman"">
</span></span></span></b><b><span style="font-size:11pt;font-family:Verdana" lang="EN-GB">The
Global governance and decision making process in PHM included two components: <span></span></span></b></p>
<p class="MsoNormal" style="margin:0in 0in 0.0001pt 0.75in;font-size:12pt;font-family:"Times New Roman""><span style="font-size:11pt;font-family:Verdana" lang="EN-GB"><span>I.<span style="font:7pt "Times New Roman""> </span></span></span><span style="font-size:11pt;font-family:Verdana" lang="EN-GB">A
global steering group which consisted of a group of founding networks and
organizations and a group of regional focal points.<span></span></span></p>
<p class="MsoNormal" style="margin:0in 0in 0.0001pt 0.75in;font-size:12pt;font-family:"Times New Roman""><span style="font-size:11pt;font-family:Verdana" lang="EN-GB"><span>II.<span style="font:7pt "Times New Roman""> </span></span></span><span style="font-size:11pt;font-family:Verdana" lang="EN-GB">A
Global Secretariat with a coordinator and a secretariat support group.<span></span></span></p>
<p class="MsoNormal" style="margin:0in 0in 0.0001pt 0.5in;font-size:12pt;font-family:"Times New Roman""><span style="font-size:11pt;font-family:Verdana" lang="EN-GB"><span> </span><span></span></span></p>
<p class="MsoNormal" style="margin:0in 0in 0.0001pt 0.5in;font-size:12pt;font-family:"Times New Roman""><span style="font-size:11pt;font-family:Verdana" lang="EN-GB"><span>i.<span style="font:7pt "Times New Roman"">
</span></span></span><span style="font-size:11pt;font-family:Verdana" lang="EN-GB">Apart from the eight member,
representatives of the founding organizations, the global steering group also
consisted of 9-13 additional members who were representing the thirteen regions
into which all the original 75 countries (represented at PHA1) were
divided.<span> </span><span></span></span></p>
<p class="MsoNormal" style="margin:0in 0in 0.0001pt 0.5in;font-size:12pt;font-family:"Times New Roman""><span style="font-size:11pt;font-family:Verdana" lang="EN-GB"><span>ii.<span style="font:7pt "Times New Roman""> </span></span></span><span style="font-size:11pt;font-family:Verdana" lang="EN-GB">Efforts
were made to specify the countries in each region to help regional networking.
This was achieved for East and Central Africa, Southern Africa, Europe, India,
Australia-New Zealand and the Pacific, also for Central America and the Caribbean.<span> </span>It was less successful in South Asia, South
East Asia, South America and, in the absence of focal points, not possible in
China and West Africa.<span> </span>The efforts in
the Middle East region were probably the most effective. <span></span></span></p>
<p class="MsoNormal" style="margin:0in 0in 0.0001pt 0.5in;font-size:12pt;font-family:"Times New Roman""><span style="font-size:11pt;font-family:Verdana" lang="EN-GB"><span>iii.<span style="font:7pt "Times New Roman""> </span></span></span><span style="font-size:11pt;font-family:Verdana" lang="EN-GB">Apart
from representativeness, the real problem experienced was responsiveness.<span> </span>In spite of setting up a steering group list
server, for governance and decision making, many SG members neither
acknowledged the communications nor provided responses to decision making
options or queries on matters of PHM planning and policy.<span> </span>On the whole, volunteer activists of PHM were
more responsive than most of the steering group and this was very supportive of
the secretariat team’s morale.<span> </span><span></span></span></p>
<p class="MsoNormal" style="margin:0in 0in 0.0001pt 0.5in;font-size:12pt;font-family:"Times New Roman""><span style="font-size:11pt;font-family:Verdana" lang="EN-GB"><span>iv.<span style="font:7pt "Times New Roman""> </span></span></span><span style="font-size:11pt;font-family:Verdana" lang="EN-GB">Most
regional focal points with some exceptions did not evolve any mechanism to
communicate with country contact points in their region so this responsibility
became an additional burden on the secretariat. Hence, potential strengthening
of regional level communication strategies did not take place as widely as we
had hoped.<span></span></span></p>
<p class="MsoNormal" style="margin:0in 0in 0.0001pt 0.5in;font-size:12pt;font-family:"Times New Roman""><span style="font-size:11pt;font-family:Verdana" lang="EN-GB"><span>v.<span style="font:7pt "Times New Roman""> </span></span></span><span style="font-size:11pt;font-family:Verdana" lang="EN-GB">Enhancing
regional coordination is an important organizational imperative not only to
reduce the overall burden on the inevitably small global secretariat team but
also to enhance responsiveness, regional decision making, regional capacitation
and regional communication.<span> </span>With the
exception of Middle East and Central America which were good even before PHA2
and probably North America and Australia and Pacific after PHA2 this capacity
will take some time to build in the different regions. The presence of unequal
regional capacity at present will require some proactive global coordination
for some time to come. <span></span></span></p>
<p class="MsoNormal" style="margin:0in 0in 0.0001pt 0.5in;font-size:12pt;font-family:"Times New Roman""><span style="font-size:11pt;font-family:Verdana" lang="EN-GB"><span>vi.<span style="font:7pt "Times New Roman""> </span></span></span><span style="font-size:11pt;font-family:Verdana" lang="EN-GB">The
number of regions (original 13 of November 2001 proposal) has been found to
very unrealistic and unwieldy in terms of organizational efficiency and support
to decision making processes. <span></span></span></p>
<p class="MsoNormal" style="margin:0in 0in 0.0001pt 0.5in;font-size:12pt;font-family:"Times New Roman""><span style="font-size:11pt;font-family:Verdana" lang="EN-GB"><span>vii.<span style="font:7pt "Times New Roman""> </span></span></span><span style="font-size:11pt;font-family:Verdana" lang="EN-GB">Eight
or Nine would probably be more feasible and practical especially if we are also
going to consider finding more full time regional coordinators who have an NGO
in the region backing them up with supportive services as hosts of regional
secretariats.<span> </span><span></span></span></p>
<p class="MsoNormal" style="margin:0in 0in 0.0001pt 0.25in;font-size:12pt;font-family:"Times New Roman""><span style="font-size:11pt;font-family:Verdana" lang="EN-GB">viii.<span> </span>Some regional processes that have been
strengthened particularly in the mobilization phase towards PHA2 should be
recognized and strengthened further.<span> </span>Key
among these ongoing are: <span></span></span></p>
<p class="MsoNormal" style="margin:0in 0in 0.0001pt 0.75in;font-size:12pt;font-family:"Times New Roman""><span style="font-size:11pt;font-family:Verdana" lang="EN-GB"><span>a)<span style="font:7pt "Times New Roman""> </span></span></span><b><span style="font-size:11pt;font-family:Verdana" lang="EN-GB">Africa region</span></b><span style="font-size:11pt;font-family:Verdana" lang="EN-GB">:
The regional meeting of Civil Society in Health organized in Lusaka, Zambia in
February 2005. <span></span></span></p>
<p class="MsoNormal" style="margin:0in 0in 0.0001pt 0.75in;font-size:12pt;font-family:"Times New Roman""><span style="font-size:11pt;font-family:Verdana" lang="EN-GB"><span>b)<span style="font:7pt "Times New Roman""> </span></span></span><b><span style="font-size:11pt;font-family:Verdana" lang="EN-GB">Middle East in Region</span></b><span style="font-size:11pt;font-family:Verdana" lang="EN-GB">
– the region has been mobilizing as a regional group for many years, but their
efforts got a boost with preparations for PHA2 and the WHO-CSDH process
thereafter the proposal for hosting the global secretariat. The Iranian PHM was
included. There is a lot of country level potential particularly simultaneously
is Egypt and Lebanon that can be tapped. <span></span></span></p>
<p class="MsoNormal" style="margin:0in 0in 0.0001pt 0.75in;font-size:12pt;font-family:"Times New Roman""><span style="font-size:11pt;font-family:Verdana" lang="EN-GB"><span>c)<span style="font:7pt "Times New Roman""> </span></span></span><b><span style="font-size:11pt;font-family:Verdana" lang="EN-GB">North America</span></b><span style="font-size:11pt;font-family:Verdana" lang="EN-GB">
– PHA2 mobilization and the actual event has led to great strengthening of PHM
mobilization in USA and Canada.<span> </span>There is
great scope for the North American region of PHM becoming a strong resource
group for International Health Advocacy as also a funding support partner for
PHM. <span></span></span></p>
<p class="MsoNormal" style="margin:0in 0in 0.0001pt 0.75in;font-size:12pt;font-family:"Times New Roman""><span style="font-size:11pt;font-family:Verdana" lang="EN-GB"><span>d)<span style="font:7pt "Times New Roman""> </span></span></span><b><span style="font-size:11pt;font-family:Verdana" lang="EN-GB">Europe Region</span></b><span style="font-size:11pt;font-family:Verdana" lang="EN-GB">
–PHM Europe hosts PHM’s funding operations, the Charter translations are
tracked there; the Global Health Watch 1 secretariat was based there; the
annual Women and Access to Health Care campaigns are facilitated/coordinated
from there.<span> </span>But country circles focused
on local Health for All challenges were not yet established.<span> </span>More recently, the evolving network regarding
the movement against privatization of health care is gearing effort to local
country level health actions.<span> </span>The North
and South of Europe and perhaps East and West have their own challenges and PHM
Europe region has to tackle the challenge of bringing together nearly 46 countries
with all their diversity. <span></span></span></p>
<p class="MsoNormal" style="margin:0in 0in 0.0001pt 0.75in;font-size:12pt;font-family:"Times New Roman""><span style="font-size:11pt;font-family:Verdana" lang="EN-GB"><span>e)<span style="font:7pt "Times New Roman""> </span></span></span><b><span style="font-size:11pt;font-family:Verdana" lang="EN-GB">Australia, New Zealand and Pacific</span></b><span style="font-size:11pt;font-family:Verdana" lang="EN-GB">
– the Australian PHM has been steadily evolving for the last few years. The
mobilization for PHA2 further strengthened the links with indigenous people and
some extension of linkages with New Zealand also took place.<span> </span>Other island country contacts need to be
identified and the regional activity further strengthened.<span> </span><span></span></span></p>
<p class="MsoNormal" style="margin:0in 0in 0.0001pt 0.75in;font-size:12pt;font-family:"Times New Roman""><span style="font-size:11pt;font-family:Verdana" lang="EN-GB"><span>f)<span style="font:7pt "Times New Roman""> </span></span></span><b><span style="font-size:11pt;font-family:Verdana" lang="EN-GB">Asia</span></b><span style="font-size:11pt;font-family:Verdana" lang="EN-GB"> –
originally divided into four regions (South Asia, India, South East Asia and
China) Asia has had a mixed regional development.<span> </span>The presence of HAI-AP, ACHAN, CIROAP and TWN
and the strong PHM movements in Bangladesh and India have meant that Asian PHM
circles have been meeting quite often at various network meetings.<span> </span>Country circles have developed to varying
extents in Nepal, Pakistan, Sri Lanka, Philippines and are evolving in
Malaysia, Indonesia, Cambodia and Thailand.<span>
</span>Progress in Vietnam, Myanmar, China and Japan is, so far, poor.<span> </span>UNESCAP involved PHM in orienting its new
health unit team and also in evolving its health policy for Asia.<span></span></span></p>
<p class="MsoNormal" style="margin:0in 0in 0.0001pt 0.75in;font-size:12pt;font-family:"Times New Roman""><span style="font-size:11pt;font-family:Verdana" lang="EN-GB">ACHAN
which has been dormant for a while, but now recently, more involved with
Tsunami Watch and also PHA2, should be revived to play a much more significant
role with probably younger leadership.<span> </span><span></span></span></p>
<p class="MsoNormal" style="margin:0in 0in 0.0001pt;font-size:12pt;font-family:"Times New Roman""><span style="font-size:11pt;font-family:Verdana" lang="EN-GB"><span> </span>g)<b><span> </span>Latin
America</b> – these includes the PHM regions of Central and South America and
the Caribbean.<span> </span>The regional mobilization
has been historical and strong even before PHA1 and now recently for PHA2.<span> </span>The region is one of the most inspiring of
the PHM regions for the wealth of movement experience including the growing
indigenous people’s empowerment, and the phenomenally creative culture of
protest and celebration, as was evident at PHA2. The recent political changes
with a growing axis of good – Cuba, Venezuela, Bolivia, Chile, Uruguay,
Argentina (Peru?) offers a larger regional context of change that makes PHM
more meaningful and viable in the region. <span></span></span></p>
<p class="MsoNormal" style="margin:0in 0in 0.0001pt 0.25in;font-size:12pt;font-family:"Times New Roman""><span style="font-size:11pt;font-family:Verdana" lang="EN-GB"><span> </span></span></p>
<p class="MsoNormal" style="text-align:justify;margin:0in 0in 0.0001pt;font-size:12pt;font-family:"Times New Roman""><b><i><span style="font-size:10pt;font-family:"Book Antiqua"">In conclusion of
Part 1, there is great potential and possibilities in enhancing regional
coordinating both as a concept and thrust of PHM in the next two years building
on the ongoing processes discussed above.<span>
</span>This should be done however with a specific focus of regional capacity
building by a catalyst team which can do it in a participatory, facilitatory
way enhancing local effort and local creativity.<span> </span>It will not happen spontaneously so some
global planning even to facilitate a group of people who will do this activity
in a focused committed way must be operationalised fairly soon. <span></span></span></i></b></p>
<p class="MsoNormal" style="text-align:justify;margin:0in 0in 0.0001pt;font-size:12pt;font-family:"Times New Roman""><b><span style="font-size:10pt;font-family:"Book Antiqua"">-------------------------------<span></span></span></b></p><span style="font-size:10pt;font-family:Verdana" lang="EN-GB">PART 2:<span></span></span>
<p class="MsoNormal" style="margin:0in 0in 0.0001pt 0.25in;font-size:12pt;font-family:"Times New Roman""><span> </span></p>
<p class="MsoNormal" style="margin:0in 0in 0.0001pt 0.25in;font-size:12pt;font-family:"Times New Roman""><b><span style="font-size:11pt;font-family:Verdana" lang="EN-GB"><span>b)<span style="font:7pt "Times New Roman""> </span></span></span></b><b><span style="font-size:11pt;font-family:Verdana"><span> </span><span lang="EN-GB">Global/Regional Secretariats and steering group<span></span></span></span></b></p>
<p class="gmail-MsoBodyTextIndent" style="margin:0in 0in 0.0001pt;text-align:left;font-size:11pt;font-family:"Book Antiqua"" align="left"><span style="font-family:Verdana" lang="EN-GB">Guidelines relevant to a PHM
global secretariat were evolved in November 2002 in Bangladesh before the shift
of PHM secretariat to CHC in Bangalore. <span></span></span></p>
<p class="MsoNormal" style="margin:0in 0in 0.0001pt;font-size:12pt;font-family:"Times New Roman""><span style="font-size:11pt;font-family:Verdana" lang="EN-GB"><span> </span></span></p>
<p class="MsoNormal" style="margin:0in 0in 0.0001pt;font-size:12pt;font-family:"Times New Roman""><span style="font-size:11pt;font-family:Verdana" lang="EN-GB">A few
general points are included here. <span></span></span></p>
<p class="MsoNormal" style="margin:0in 0in 0.0001pt;font-size:12pt;font-family:"Times New Roman""><span style="font-size:11pt;font-family:Verdana" lang="EN-GB">The
concept of a global secretariat with a full time coordinator and a small team
of communication officer, secretariat assistant etc., was a necessary aspect of
the phase 2002-05 because the PHM was an evolving movement.<span> </span>However, as the movement has grown both in
visibility and in terms of demands on global secretariat teams this is not a
viable proposition now.<span></span></span></p>
<p class="MsoNormal" style="margin:0in 0in 0.0001pt 45pt;font-size:12pt;font-family:"Times New Roman""><span style="font-size:11pt;font-family:Verdana" lang="EN-GB"><span>a)<span style="font:7pt "Times New Roman"">
</span></span></span><span style="font-size:11pt;font-family:Verdana" lang="EN-GB">A large number of
activities/responses/functions presently carried out by the global secretariat
and coordinator can be better done perhaps more effectively by regional
coordinators if they have the capacity and aptitude to be inclusive,
representative and responsive.<span> </span>Ravi
Narayan was available full time on this global assignment.<span> </span>Funding partners were supportive, as were PHM
resource persons from the region.<span> </span>This
led to an unusual combination of supportive factors not easy to find in every
hosting region willing to host the secretariat. <span></span></span></p>
<p class="MsoNormal" style="margin:0in 0in 0.0001pt 45pt;font-size:12pt;font-family:"Times New Roman""><span style="font-size:11pt;font-family:Verdana" lang="EN-GB"><span>b)<span style="font:7pt "Times New Roman"">
</span></span></span><span style="font-size:11pt;font-family:Verdana" lang="EN-GB">Enhancing regional coordination
with supportive NGOs hosting regional secretariats and providing at least part
time coordinator is needed. <span></span></span></p>
<p class="MsoNormal" style="margin:0in 0in 0.0001pt 45pt;font-size:12pt;font-family:"Times New Roman""><span style="font-size:11pt;font-family:Verdana" lang="EN-GB"><span>c)<span style="font:7pt "Times New Roman""> </span></span></span><span style="font-size:11pt;font-family:Verdana" lang="EN-GB">I
must be noted that global and regional coordinators are not expected to do both
executive and convening roles, which can be conflicting. <span></span></span></p>
<p class="MsoNormal" style="margin:0in 0in 0.0001pt 45pt;font-size:12pt;font-family:"Times New Roman""><span style="font-size:11pt;font-family:Verdana" lang="EN-GB"><span>d)<span style="font:7pt "Times New Roman""> </span></span></span><span style="font-size:11pt;font-family:Verdana" lang="EN-GB">As
a general rule, steering groups should not consist of icons or very famous or
well known resource persons. These should be on advisory groups.<span> </span>Efforts should be made in a concerted way to
identify and foster younger leadership in all regions. <span></span></span></p>
<p class="MsoNormal" style="margin:0in 0in 0.0001pt 45pt;font-size:12pt;font-family:"Times New Roman""><span style="font-size:11pt;font-family:Verdana" lang="EN-GB"><span>e)<span style="font:7pt "Times New Roman""> </span></span></span><span style="font-size:11pt;font-family:Verdana" lang="EN-GB">All
councils or steering group members should have limited periods on the group/council
– never more than 2 years so that there can be rotation of responsibilities and
‘new blood’. <span></span></span></p>
<p class="MsoNormal" style="margin:0in 0in 0.0001pt 45pt;font-size:12pt;font-family:"Times New Roman""><span style="font-size:11pt;font-family:Verdana" lang="EN-GB"><span>f)<span style="font:7pt "Times New Roman""> </span></span></span><span style="font-size:11pt;font-family:Verdana" lang="EN-GB">Some
watch on ‘representativeness’ and ‘responsiveness’ of council or steering group
members must be maintained.<span></span></span></p>
<p class="MsoNormal" style="margin:0in 0in 0.0001pt 45pt;font-size:12pt;font-family:"Times New Roman""><span style="font-size:11pt;font-family:Verdana" lang="EN-GB"><span>g)<span style="font:7pt "Times New Roman""> </span></span></span><span style="font-size:11pt;font-family:Verdana" lang="EN-GB">While
funds and other forms of resource support may be provided from the global
budget of PHM, regionalisation should also focus on regional capacity building
which should ultimately lead to regional capacity to plan, organize, raise own
resources and evolve local governance and advisory structures without too much
reliance or dependence on global efforts/coordination.<span> </span><span></span></span></p>
<p class="MsoNormal" style="margin:0in 0in 0.0001pt 0.25in;font-size:12pt;font-family:"Times New Roman""><b><span style="font-size:11pt;font-family:Verdana" lang="EN-GB"><span> </span></span></b></p>
<p class="MsoNormal" style="margin:0in 0in 0.0001pt 0.25in;font-size:12pt;font-family:"Times New Roman""><b><span style="font-size:11pt;font-family:Verdana" lang="EN-GB">5. ISSUE CIRCLES.<span></span></span></b></p>
<p class="MsoNormal" style="margin:0in 0in 0.0001pt 0.25in;font-size:12pt;font-family:"Times New Roman""><span style="font-size:11pt;font-family:Verdana" lang="EN-GB"><span> </span></span></p>
<p class="MsoNormal" style="margin:0in 0in 0.0001pt 0.25in;font-size:12pt;font-family:"Times New Roman""><span style="font-size:11pt;font-family:Verdana" lang="EN-GB">The
experience of the secretariat in supporting/facilitating issue based circles
and campaigns have been very diverse. <span></span></span></p>
<p class="gmail-MsoBodyText" style="margin:0in 0in 0.0001pt 0.25in;font-size:14pt;font-family:Arial"><span style="font-size:11pt;font-family:Verdana" lang="EN-GB"><span>i.<span style="font:7pt "Times New Roman"">
</span></span></span><span style="font-size:11pt;font-family:Verdana" lang="EN-GB">Only three circles the WHO-WHA
Advocacy Circle; the Research Circle and the War and Disaster Circle have been
consistently active helping greatly to enhance PHM visibility, relevance,
contribution and to some extent impact. However, even these three circles, need
to plan their communications on PHA-Exchange and the PHM website in a more
coordinated way to interest new members in their activities. <span></span></span></p>
<p class="MsoNormal" style="margin:0in 0in 0.0001pt 0.25in;font-size:12pt;font-family:"Times New Roman""><span style="font-size:11pt;font-family:Verdana" lang="EN-GB"><span>ii.<span style="font:7pt "Times New Roman""> </span></span></span><span style="font-size:11pt;font-family:Verdana" lang="EN-GB">Efforts
to facilitate a PHM – HIV/AIDS circle after the UNAIDS request for a dialogue
in 2002 and the interest shown by WHO with its 3 x 5 initiative to dialogue
with PHM around IHF/WSF Mumbai, January 2004 saw some activity leading to the
development of the People’s Charter for HIV / AIDS before the Bangkok World
AIDS Conference.<span> </span>However, this circle
has been somewhat dormant since.<span> </span><span></span></span></p>
<p class="MsoNormal" style="margin:0in 0in 0.0001pt 0.25in;font-size:12pt;font-family:"Times New Roman""><span style="font-size:11pt;font-family:Verdana" lang="EN-GB"><span>iii.<span style="font:7pt "Times New Roman""> </span></span></span><span style="font-size:11pt;font-family:Verdana" lang="EN-GB">A
Macro-economics and Health Circle worked on a statement/PHM position on Jeffrey
Sachs report.<span> </span><span></span></span></p>
<p class="MsoNormal" style="margin:0in 0in 0.0001pt 0.25in;font-size:12pt;font-family:"Times New Roman""><span style="font-size:11pt;font-family:Verdana" lang="EN-GB"><span>iv.<span style="font:7pt "Times New Roman""> </span></span></span><span style="font-size:11pt;font-family:Verdana" lang="EN-GB">Politics
of Health–IPHC had offered to host such a circle. <span></span></span></p>
<p class="MsoNormal" style="margin:0in 0in 0.0001pt 0.25in;font-size:12pt;font-family:"Times New Roman""><span style="font-size:11pt;font-family:Verdana" lang="EN-GB"><span>v.<span style="font:7pt "Times New Roman""> </span></span></span><span style="font-size:11pt;font-family:Verdana" lang="EN-GB">Disability
and Economics Circle – a meeting was organized at one of the GFHR fora and
there was some interest from many. <span></span></span></p>
<p class="MsoNormal" style="margin:0in 0in 0.0001pt 0.25in;font-size:12pt;font-family:"Times New Roman""><span style="font-size:11pt;font-family:Verdana" lang="EN-GB"><span>vi.<span style="font:7pt "Times New Roman""> </span></span></span><b><span style="font-size:11pt;font-family:Verdana" lang="EN-GB">PHA2
– international organizing committee (IOC</span></b><span style="font-size:11pt;font-family:Verdana" lang="EN-GB">): This
was set up to help with PHA2 organisation and mobilization. <span></span></span></p>
<p class="MsoNormal" style="margin:0in 0in 0.0001pt 0.25in;font-size:12pt;font-family:"Times New Roman""><span style="font-size:11pt;font-family:Verdana" lang="EN-GB"><span>vii.<span style="font:7pt "Times New Roman""> </span></span></span><span style="font-size:11pt;font-family:Verdana" lang="EN-GB">More
recently, a Global Health Watch, a Global Right to Health Campaign and a WHO-CSDH
dialogue with PHM are three PHM-related activities which are evolving into
relevant and perhaps effective circles of PHM members working together. <span></span></span></p>
<p class="MsoNormal" style="margin:0in 0in 0.0001pt 0.25in;font-size:12pt;font-family:"Times New Roman""><span style="font-size:11pt;font-family:Verdana" lang="EN-GB"><span>viii.<span style="font:7pt "Times New Roman"">
</span></span></span><b><span style="font-size:11pt;font-family:Verdana" lang="EN-GB">PHM
Communication Circle</span></b><span style="font-size:11pt;font-family:Verdana" lang="EN-GB">: The idea of bringing together
PHM resource persons and secretariat support group members who help with
communication, Website, News Brief, PHA-Exchange, PHM Charters translation and media
has failed consistently in spite of efforts in 2002. Recently, however, after
PHA2, such a website linked communications circle has been established. <span></span></span></p>
<p class="MsoNormal" style="margin:0in 0in 0.0001pt 0.25in;font-size:12pt;font-family:"Times New Roman""><span style="font-size:11pt;font-family:Verdana" lang="EN-GB"><span>ix.<span style="font:7pt "Times New Roman""> </span></span></span><span style="font-size:11pt;font-family:Verdana" lang="EN-GB">IPHU
at PHA2 resulted in three potential circles of IPHU student volunteers in the
areas of Trade and Health; PHC experiences; and Social Determinants of Health.
These are evolving slowly. <span></span></span></p>
<p class="MsoNormal" style="margin:0in 0in 0.0001pt 0.25in;font-size:12pt;font-family:"Times New Roman""><b><span style="font-size:11pt;font-family:Verdana" lang="EN-GB"><span> </span></span></b></p>
<p class="MsoNormal" style="margin:0in 0in 0.0001pt 1in;font-size:12pt;font-family:"Times New Roman""><b><span style="font-size:11pt;font-family:Verdana" lang="EN-GB"><span>6.<span style="font:7pt "Times New Roman""> </span></span></span></b><b><span style="font-size:11pt;font-family:Verdana" lang="EN-GB">FUNDING
AND FINANCIAL MANAGEMENT.<span></span></span></b></p>
<p class="MsoNormal" style="margin:0in 0in 0.0001pt 1in;font-size:12pt;font-family:"Times New Roman""><b><span style="font-size:11pt;font-family:Verdana" lang="EN-GB"><span> </span></span></b></p>
<p class="MsoNormal" style="margin:0in 0in 0.0001pt 0.25in;font-size:12pt;font-family:"Times New Roman""><span style="font-size:11pt;font-family:Verdana" lang="EN-GB">This
was a major challenge and learning experience for us.<span> </span><span></span></span></p>
<p class="MsoNormal" style="margin:0in 0in 0.0001pt 0.25in;font-size:12pt;font-family:"Times New Roman""><span style="font-size:11pt;font-family:Verdana" lang="EN-GB"><span> </span></span></p>
<p class="MsoNormal" style="margin:0in 0in 0.0001pt 0.25in;font-size:12pt;font-family:"Times New Roman""><span style="font-size:11pt;font-family:Verdana" lang="EN-GB"><span>i)<span style="font:7pt "Times New Roman""> </span></span></span><span style="font-size:11pt;font-family:Verdana" lang="EN-GB">The
PHA1 funding strategy had successfully managed to raise adequate resources from
two types of funding partners during the pre PHA1 mobilization strategy. <span></span></span></p>
<p class="MsoNormal" style="margin:0in 0in 0.0001pt 1in;font-size:12pt;font-family:"Times New Roman""><span style="font-size:11pt;font-family:Verdana" lang="EN-GB"><span>a)<span style="font:7pt "Times New Roman"">
</span></span></span><span style="font-size:11pt;font-family:Verdana" lang="EN-GB">Government – social and health
development funds – Dutch, UK (DFID), Finland (FINIDA), Belgium, and Sweden
(SIDA). <span></span></span></p>
<p class="MsoNormal" style="margin:0in 0in 0.0001pt 1in;font-size:12pt;font-family:"Times New Roman""><span style="font-size:11pt;font-family:Verdana" lang="EN-GB"><span>b)<span style="font:7pt "Times New Roman"">
</span></span></span><span style="font-size:11pt;font-family:Verdana" lang="EN-GB">Funding agencies (NGOs) like DHF–Sweden,
Oxfam Bangladesh, WSM Belgium, Int.<span>
</span>Solidarity Foundation, Finland, Plan International and the Rockefeller
Foundation. <span></span></span></p>
<p class="MsoNormal" style="margin:0in 0in 0.0001pt 27pt;text-indent:0in;font-size:12pt;font-family:"Times New Roman""><span style="font-size:11pt;font-family:Verdana" lang="EN-GB"><span>c)<span style="font:7pt "Times New Roman"">
</span></span></span><span style="font-size:11pt;font-family:Verdana" lang="EN-GB">The total amount mobilized was enough
to fund PHA1. <span></span></span></p>
<p class="MsoNormal" style="margin:0in 0in 0.0001pt 0.25in;font-size:12pt;font-family:"Times New Roman""><span style="font-size:11pt;font-family:Verdana" lang="EN-GB"><span> </span></span></p>
<p class="MsoNormal" style="margin:0in 0in 0.0001pt 0.25in;font-size:12pt;font-family:"Times New Roman""><span style="font-size:11pt;font-family:Verdana" lang="EN-GB"><span>ii)<span style="font:7pt "Times New Roman""> </span></span></span><span style="font-size:11pt;font-family:Verdana" lang="EN-GB">There
was a balance left over which was used to support the early PHM evolving
activities in 2001 and 2002 This support was for mostly planning meetings and
steering group meetings and some support to a few PHM resource persons to attend
regional and international conferences to present and promote the Charter and
encourage PHM mobilization in the region.<span>
</span>Some of these balances were also used to support publications. <span></span></span></p>
<p class="MsoNormal" style="margin:0in 0in 0.0001pt 0.25in;font-size:12pt;font-family:"Times New Roman""><span style="font-size:11pt;font-family:Verdana" lang="EN-GB"><span>iii)<span style="font:7pt "Times New Roman""> </span></span></span><span style="font-size:11pt;font-family:Verdana" lang="EN-GB">From
January 2003, a fund raising group was formalised. <span></span></span></p>
<p class="MsoNormal" style="margin:0in 0in 0.0001pt 0.25in;font-size:12pt;font-family:"Times New Roman""><span style="font-size:11pt;font-family:Verdana" lang="EN-GB"><span>iv)<span style="font:7pt "Times New Roman""> </span></span></span><span style="font-size:11pt;font-family:Verdana" lang="EN-GB">The
group had two or three meetings over the years in London and Bangalore to
review the funding situation and plan strategies for longer term
sustainability. <span></span></span></p>
<p class="MsoNormal" style="margin:0in 0in 0.0001pt 0.25in;font-size:12pt;font-family:"Times New Roman""><span style="font-size:11pt;font-family:Verdana" lang="EN-GB"><span>v)<span style="font:7pt "Times New Roman""> </span></span></span><span style="font-size:11pt;font-family:Verdana" lang="EN-GB">Specific
funding agencies were contacted and dialogues initiated with follow up action. <span></span></span></p>
<p class="MsoNormal" style="margin:0in 0in 0.0001pt 0.25in;font-size:12pt;font-family:"Times New Roman""><span style="font-size:11pt;font-family:Verdana" lang="EN-GB"><span>vi)<span style="font:7pt "Times New Roman""> </span></span></span><span style="font-size:11pt;font-family:Verdana" lang="EN-GB">It
soon became obvious that the funding climate had changed since PHA1, and
Government funding and grants from larger international agencies needed
proposals in logical framework format that were also SMART (i.e., with goals/functions
that were Specific, Measurable, Achievable, Reachable and Targeted).<span> </span>Since the growth of PHM was not predictable
in the same way as a more specific conference event or a immunization campaign
or project, all efforts to try ‘logical framework approaches’ to ‘project
proposal’ evolution failed (though we tried and submitted them to the Dutch
government and DFID).<span> </span><span></span></span></p>
<p class="MsoNormal" style="margin:0in 0in 0.0001pt 0.25in;font-size:12pt;font-family:"Times New Roman""><span style="font-size:11pt;font-family:Verdana" lang="EN-GB"><span>vii)</span></span><span style="font-size:11pt;font-family:Verdana" lang="EN-GB">A new alternative strategy was
started nicknamed the ‘Friends and Neighbours Policy’.<span> </span>It identifies smaller funding partners and
grant giving agencies that would consider supporting specific events,
publications, initiatives or needs of PHM in solidarity with PHM goals. Since
the grants would be small --never more than 5-1000 Euros-- the consequent
paperwork and justification of the request would also be minimized.<span> </span>Sometimes these agencies were already
supporting the PHM members NGOs and all they needed was information on a
genuine need or a strategic opportunity. <span></span></span></p>
<p class="MsoNormal" style="margin:0in 0in 0.0001pt 0.25in;font-size:12pt;font-family:"Times New Roman""><span style="font-size:11pt;font-family:Verdana" lang="EN-GB"><span>viii)<span style="font:7pt "Times New Roman"">
</span></span></span><span style="font-size:11pt;font-family:Verdana" lang="EN-GB">At first, this seemed a risky
approach needing a lot of time and effort and correspondence, but with the help
of PHM members this approach was quite successful. From March 2002 till April 2005
we raised over 200,000 Euros by this approach.<span></span></span></p>
<p class="MsoNormal" style="margin:0in 0in 0.0001pt 0.25in;font-size:12pt;font-family:"Times New Roman""><span style="font-size:11pt;font-family:Verdana" lang="EN-GB"><span>ix)<span style="font:7pt "Times New Roman""> </span></span></span><span style="font-size:11pt;font-family:Verdana" lang="EN-GB">Another
approach linked to this Friends and Neighbours Policy was for the Secretariat
coordinator to write letters to different regions and founding networks to
raise some regional/own travel support or contribution for every PHM need,
event or initiative.<span> </span>This approach also
got a good response and many regions like USA, Europe, Australia and even Asia
and Middle East and many networks like IPHC, WGNRR and ACHAN always responded
positively and so the PHM’s financial burdens were shared. <span></span></span></p>
<p class="MsoNormal" style="margin:0in 0in 0.0001pt 0.25in;font-size:12pt;font-family:"Times New Roman""><span style="font-size:11pt;font-family:Verdana" lang="EN-GB"><span>x)<span style="font:7pt "Times New Roman""> </span></span></span><span style="font-size:11pt;font-family:Verdana" lang="EN-GB">This
method became well established and the PHM external evaluation in June 2004
noted it as one of the strengths. <span></span></span></p>
<p class="MsoNormal" style="margin:0in 0in 0.0001pt 0.25in;font-size:12pt;font-family:"Times New Roman""><span style="font-size:11pt;font-family:Verdana" lang="EN-GB"><span>xi)<span style="font:7pt "Times New Roman""> </span></span></span><span style="font-size:11pt;font-family:Verdana" lang="EN-GB">The
same policy was extended to the PHA2 funding and while over 30 groups supported
PHA2, finally the most significant aspect of PHA2 funding was unlike that of PHA1,
where most participants were supported by travel grants. For<span> PHA2, less than a 100 participants were
supported with travel grants raised by the Secretariat.<span> </span>Over 1400 participants supported their own
travel.<span> </span>The PHA2 organisers also raised
lots of local support and solidarity from the Cuenca University and local
groups and this greatly reduced the costs. </span><span> </span>PHA2 was as large an event as PHA1, but was
made possible at a fraction of the cost exemplifying the growing strength/capacity
of the movement and the capacity of the PHA2/IOC and the region.<span> </span>For PHA2, we raised only a bit over 300,000
Euros directly, but nearly a million dollars totally if we include local/regional
fund raising.<span></span></span></p>
<p class="MsoNormal" style="margin:0in 0in 0.0001pt 0.25in;font-size:12pt;font-family:"Times New Roman""><span style="font-size:11pt;font-family:Verdana" lang="EN-GB"><span>xii)</span></span><span style="font-size:11pt;font-family:Verdana" lang="EN-GB">The
Friends and Neighbours Policy has shown that it is possible to raise funds
without strings and without following donor-driven agendas.<span> </span>But this is still risky and needs a lot of
effort – often stressful and sometimes quite frustrating. <span></span></span></p>
<p class="MsoNormal" style="margin:0in 0in 0.0001pt;font-size:12pt;font-family:"Times New Roman""><span style="font-size:11pt;font-family:Verdana" lang="EN-GB"><span> </span></span></p>
<p class="MsoNormal" style="margin:0in 0in 0.0001pt 0.25in;font-size:12pt;font-family:"Times New Roman""><b><span style="font-size:11pt;font-family:Verdana" lang="EN-GB">7.
SOME STRATEGIC THRUSTS. <span></span></span></b></p>
<p class="MsoNormal" style="margin:0in 0in 0.0001pt 0.25in;font-size:12pt;font-family:"Times New Roman""><span style="font-size:11pt;font-family:Verdana" lang="EN-GB"><span> </span></span></p>
<p class="MsoNormal" style="margin:0in 0in 0.0001pt;font-size:12pt;font-family:"Times New Roman""><span style="font-size:11pt;font-family:Verdana" lang="EN-GB">The
Bangalore phase of the PHM evolution has seen five additional strategic thrusts
that are seen as crucial to long-term sustainability. <span></span></span></p>
<p class="MsoNormal" style="margin:0in 0in 0.0001pt 0.25in;font-size:12pt;font-family:"Times New Roman""><span style="font-size:11pt;font-family:Verdana" lang="EN-GB"><span> </span></span></p>
<p class="MsoNormal" style="margin:0in 0in 0.0001pt 0.25in;font-size:12pt;font-family:"Times New Roman""><b><span style="font-size:11pt;font-family:Verdana" lang="EN-GB"><span>a)<span style="font:7pt "Times New Roman""> </span></span></span></b><b><span style="font-size:11pt;font-family:Verdana" lang="EN-GB">Rebuilding Bridges.<span></span></span></b></p>
<p class="MsoNormal" style="margin:0in 0in 0.0001pt;font-size:12pt;font-family:"Times New Roman""><span style="font-size:11pt;font-family:Verdana" lang="EN-GB">Inevitably,
the movement’s organizing group and many of the supportive members, over the
years experienced stresses and strains that sometimes lead to breakdown in some
post PHA1 communications and reduction in enthusiasm levels. As we discovered
these along the way, we took proactive steps to help heal these feelings by
encouraging everybody to appreciate the larger inspiring reality of the
evolving PHM.<span> </span>One of the nice
experiences of the secretariat team was to see nearly all such issues cleared
and people getting back to work with PHM strongly in organising PHA2.<span> </span>We believe that this was a crucial
contribution and a lesson for the future. <span></span></span></p>
<p class="MsoNormal" style="margin:0in 0in 0.0001pt;text-indent:0in;font-size:12pt;font-family:"Times New Roman""><b><span style="font-size:11pt;font-family:Verdana" lang="EN-GB"><span>b)<span style="font:7pt "Times New Roman""> </span></span></span></b><b><span style="font-size:11pt;font-family:Verdana" lang="EN-GB">Mobilizing newer and more youthful
leadership.<span></span></span></b></p>
<p class="MsoNormal" style="margin:0in 0in 0.0001pt;font-size:12pt;font-family:"Times New Roman""><span style="font-size:11pt;font-family:Verdana" lang="EN-GB">Another
effort on our part was to identify and support newer, younger leadership in PHM
so that the movement was more sustainable and not over-dependent on the
‘networkers’ and ‘activists’ of the pre 2000 AD era.<span> </span>Efforts were made to give newer resource
persons (who were less well known globally/regionally, but showed great
potential capacity and enthusiasm) a greater opportunity to get more involved
with PHM initiatives and take more focused responsibility for management and
action.<span> </span><span></span></span></p>
<p class="MsoNormal" style="margin:0in 0in 0.0001pt;font-size:12pt;font-family:"Times New Roman""><span style="font-size:11pt;font-family:Verdana" lang="EN-GB">We are
very glad that a large number of younger leaders are visible in all aspects of
PHM activities. They need to be supported and encouraged in the next phase as
well.<span> </span><span></span></span></p>
<p class="MsoNormal" style="margin:0in 0in 0.0001pt;font-size:12pt;font-family:"Times New Roman""><span style="font-size:11pt;font-family:Verdana" lang="EN-GB">The
presence of youth in all aspects of PHA2 organization and the effective IPHU
experience bringing together over 50 mostly younger activists were also
symbolic of this trend.<span> </span>Efforts were
also made to keep in touch with IFMSA, IPSA and other student groups focusing
on younger potential leadership.<span> </span>This
whole process needs to be maintained. <span></span></span></p>
<p class="MsoNormal" style="margin:0in 0in 0.0001pt;text-indent:0in;font-size:12pt;font-family:"Times New Roman""><b><span style="font-size:11pt;font-family:Verdana" lang="EN-GB"><span>c)<span style="font:7pt "Times New Roman"">
</span></span></span></b><b><span style="font-size:11pt;font-family:Verdana" lang="EN-GB">Engagement
with mainstream, not only confrontation. <span></span></span></b></p>
<p class="MsoNormal" style="margin:0in 0in 0.0001pt;font-size:12pt;font-family:"Times New Roman""><span style="font-size:11pt;font-family:Verdana" lang="EN-GB">Another
major thrust in the PHM Secretariat’s efforts since 2003 was to shift the focus
of PHM initiatives from only confronting the mainstream through protests,
street actions and other modes of democratic dissenting – (which are very
necessary because of the over dominance and spread of neoliberal economic and
political determinism) to a more confident and more strategic process of
engagement with the mainstream using strategic openings and opportunities so
that we built ‘space for alternative thinking’ even within mainstream
institutions and the public health system.<span>
</span><span></span></span></p>
<p class="MsoNormal" style="margin:0in 0in 0.0001pt;font-size:12pt;font-family:"Times New Roman""><span style="font-size:11pt;font-family:Verdana" lang="EN-GB">Whether it
was the advocacy with WHO, active involvement with WHA or the active
participation in the GFHR for a, or whether it was the PHM country relays that
included meetings in the universities and with policy makers in every country
visited, we consciously promoted the presentation PHM concerns, perspectives
and Charters in mainstream institution and to policymakers with the confidence
that ‘evidence’ was on our side.<span> </span>It
worked to some extent at least, especially in events related to WHA, GFHR, GHW
releases, WHO-Health Systems Task Force and WHO-CSDH where we saw and see some
results and impact.<span></span></span></p>
<p class="MsoNormal" style="margin:0in 0in 0.0001pt;text-indent:0in;font-size:12pt;font-family:"Times New Roman""><b><span style="font-size:11pt;font-family:Verdana" lang="EN-GB"><span>d)<span style="font:7pt "Times New Roman""> </span></span></span></b><b><span style="font-size:11pt;font-family:Verdana" lang="EN-GB">Inspiring<span> </span>and informing ‘evidence gatherers’.<span></span></span></b></p>
<p class="MsoNormal" style="margin:0in 0in 0.0001pt;font-size:12pt;font-family:"Times New Roman""><span style="font-size:11pt;font-family:Verdana" lang="EN-GB">We have
also attempted to take the PHM Charter to academic and research institutions so
that mainstream institutions orient/inform their students about these
perspectives and help to build up greater awareness among the future academics
and researchers on the social determinants of health and the alternative
socio-epidemiological analysis that is central to the People’s Charter.<span> </span>This effort has been more successful than
earlier envisaged.<span> </span>The Charter is now
recommended to students at the London School of Hygiene and Tropical Medicine,
some of the Scandinavian Schools and other institutions.<span> </span>Mainstream journals have run articles by PHM
resource persons.<span> </span>There is increasing
interest in academics and ‘evidence gatherers’ in PHM concerns and
analysis.<span> </span>The Global Health Watch report
has been another such linking effort.<span>
</span>Over 125 contributors to GHW1 included only 25 with a direct PHM linkage
and similarly the Latin American GHW brought together over 30 resource persons
from the region in a collective evidence gathering exercise.<span> </span>The IPHU and the WHO-CSDH knowledge hubs in
which PHM is very involved are all additional opportunities.<span> </span><span></span></span></p>
<p class="MsoNormal" style="margin:0in 0in 0.0001pt;text-indent:0in;font-size:12pt;font-family:"Times New Roman""><b><span style="font-size:11pt;font-family:Verdana" lang="EN-GB"><span>e)<span style="font:7pt "Times New Roman""> </span></span></span></b><b><span style="font-size:11pt;font-family:Verdana" lang="EN-GB">PHM as a Generic, not a Brand.<span></span></span></b></p>
<p class="MsoNormal" style="margin:0in 0in 0.0001pt;font-size:12pt;font-family:"Times New Roman""><span style="font-size:11pt;font-family:Verdana" lang="EN-GB">PHM needs
to be recognized by all partners and adherents as a generic process rather than
as a brand of which one is a formal member. PHM recognizes network and campaign
groups at local, national, regional and international level as natural partners
and does not try to make them ‘members’.<span>
</span>PHM has met and worked with many groups and formations without too much
hassle, encouraging groups to recognize PHM as a partner.<span> </span>This has also helped towards PHM’s visibility
and outreach.<span> </span>The challenge for
maintaining this clarity between recognizing a lower-case–phm as spontaneous movements
at every level and a higher-case-PHM which encompasses initiatives/events,
associations sponsored by the Global PHM will continue to be a healthy impetus
for the growth and evolution of PHM. <span></span></span></p>
<p class="MsoNormal" style="margin:0in 0in 0.0001pt 0.25in;font-size:12pt;font-family:"Times New Roman""><b><span style="font-size:11pt;font-family:Verdana" lang="EN-GB"><span> </span></span></b></p>
<p class="MsoNormal" style="margin:0in 0in 0.0001pt 0.25in;font-size:12pt;font-family:"Times New Roman""><b><span style="font-size:11pt;font-family:Verdana" lang="EN-GB">8. DISAPPOINTMENTS AND CONTINUING
CHALLENGE.<span></span></span></b></p>
<p class="MsoNormal" style="margin:0in 0in 0.0001pt 0.25in;font-size:12pt;font-family:"Times New Roman""><span style="font-size:11pt;font-family:Verdana" lang="EN-GB"><span> </span></span></p>
<p class="MsoNormal" style="margin:0in 0in 0.0001pt;font-size:12pt;font-family:"Times New Roman""><span style="font-size:11pt;font-family:Verdana" lang="EN-GB">There were
some areas in which the Secretariat team remained disappointed, because not
much headway could be made.<span> </span>These will
continue to remain as challenges to be addressed in the next phase. <span></span></span></p>
<p class="MsoNormal" style="margin:0in 0in 0.0001pt 0.25in;font-size:12pt;font-family:"Times New Roman""><span style="font-size:11pt;font-family:Verdana" lang="EN-GB"><span>a)<span style="font:7pt "Times New Roman""> </span></span></span><span style="font-size:11pt;font-family:Verdana" lang="EN-GB">The
PHM website, communication and media efforts continue to be dominated by
English and the English-speaking world continues to be more involved in PHM
because of this dominance.<span> </span>While a
concerted effort was made to break this language divide by more Spanish-English
efforts for PHA2, the language divide remains a big challenge.<span> </span>It s not just a matter of a communication
gap, but much more so the loss to PHM of a potentially rich cross cultural fertilization
of ideas and creativity. <span></span></span></p>
<p class="MsoNormal" style="margin:0in 0in 0.0001pt 0.25in;font-size:12pt;font-family:"Times New Roman""><span style="font-size:11pt;font-family:Verdana" lang="EN-GB"><span>b)<span style="font:7pt "Times New Roman""> </span></span></span><span style="font-size:11pt;font-family:Verdana" lang="EN-GB">There
are indeed people/community (grassroots) level PHM efforts taking place in many
parts of the world.<span> </span>However, the
communication of these efforts are not reflected adequately in our website,
publications and reports; they appear to be focused only on national events as
if they have no global level relevance.<span>
</span>Much more efforts must be made to record/document/share these grassroots
initiatives especially by harnessing younger volunteers to document them and
perhaps more creative media efforts to focus on reporting them. <span></span></span></p>
<p class="MsoNormal" style="margin:0in 0in 0.0001pt 0.25in;font-size:12pt;font-family:"Times New Roman""><span style="font-size:11pt;font-family:Verdana" lang="EN-GB"><span>c)<span style="font:7pt "Times New Roman""> </span></span></span><span style="font-size:11pt;font-family:Verdana" lang="EN-GB">Enhancing
responsiveness of the PHM participants in governance structures at all levels
and enhancing representativeness of those participants will continue to be a
great challenge. For PHM to be a more effective movement, this internal
democracy has to be constantly strengthened at all levels. <span></span></span></p>
<p class="MsoNormal" style="margin:0in 0in 0.0001pt 0.25in;font-size:12pt;font-family:"Times New Roman""><span style="font-size:11pt;font-family:Verdana" lang="EN-GB"><span> </span></span></p>
<h4 style="margin:0in 0in 0.0001pt 0.25in;text-align:left;page-break-after:avoid;font-size:12pt;font-family:"Book Antiqua"" align="left"><span style="font-size:11pt;font-family:Verdana" lang="EN-GB">9. IN CONCLUSION <span></span></span></h4>
<p class="MsoNormal" style="margin:0in 0in 0.0001pt 0.25in;font-size:12pt;font-family:"Times New Roman""><span style="font-size:11pt;font-family:Verdana" lang="EN-GB"><span> </span></span></p>
<p class="MsoNormal" style="margin:0in 0in 0.0001pt;font-size:12pt;font-family:"Times New Roman""><span style="font-size:11pt;font-family:Verdana" lang="EN-GB">The next
phase of PHM evolution and development post-PHA2 will hopefully be a phase
marked by greater representativeness and responsiveness of PHM structures, for
governance, action and communication. It needs to be:<span></span></span></p>
<p class="MsoNormal" style="margin:0in 0in 0.0001pt 0.75in;font-size:12pt;font-family:"Times New Roman""><span style="font-size:11pt;font-family:Verdana" lang="EN-GB"><span><span style="font:7pt "Times New Roman"">
</span>i.</span></span><span style="font-size:11pt;font-family:Verdana" lang="EN-GB">a phase of greater decentralization
and regional- and country-level capacity building. <span></span></span></p>
<p class="MsoNormal" style="margin:0in 0in 0.0001pt 0.75in;font-size:12pt;font-family:"Times New Roman""><span style="font-size:11pt;font-family:Verdana" lang="EN-GB"><span><span style="font:7pt "Times New Roman"">
</span>ii.</span></span><span style="font-size:11pt;font-family:Verdana" lang="EN-GB">a phase of greater maturity and direction
in our PHM initiatives focused on, as needed, engagement and/or confrontation
with the mainstream policy and system building efforts. <span></span></span></p>
<p class="MsoNormal" style="margin:0in 0in 0.0001pt;font-size:12pt;font-family:"Times New Roman""><span style="font-size:11pt;font-family:Verdana" lang="EN-GB">We must
remember that PHM is fast becoming recognized as an Alternative to the
Globalization of Health from above. <span></span></span></p>
<p class="MsoNormal" style="margin:0in 0in 0.0001pt 0.25in;font-size:12pt;font-family:"Times New Roman""><span style="font-size:11pt;font-family:Verdana" lang="EN-GB"><span> </span></span></p>
<p class="gmail-MsoBodyText3" style="text-align:left;margin:0in 0in 0.0001pt;font-size:11pt;font-family:"Book Antiqua"" align="left"><span style="font-family:Verdana" lang="EN-GB">The increasing recognition by the non-PHM world of the PHM world is a
challenge, as well as a great responsibility for us.<span> </span>Are we building the movement adequately to be
responsive to such expectations?<span> </span>That is
the continuing challenge before us. <span></span></span></p>
<p class="MsoNormal" style="margin:0in 0in 0.0001pt 0.25in;font-size:12pt;font-family:"Times New Roman""><span style="font-size:11pt;font-family:Verdana" lang="EN-GB"><span> </span></span></p>
<p class="MsoNormal" style="margin:0in 0in 0.0001pt;font-size:12pt;font-family:"Times New Roman""><span style="font-size:11pt;font-family:Verdana" lang="EN-GB"><span> </span></span></p><p class="MsoNormal" style="text-align:justify;margin:0in 0in 0.0001pt;font-size:12pt;font-family:"Times New Roman""><span style="font-size:10pt">[This
report is based on the reflections of the PHM Global Secretariat team in
Bangalore which is preparing to hand over to the new secretariat team in Cairo
in a few weeks. The report was a background document for a PHM transition and
organizational development meeting in Frankfurt in Februrary 2006. Any comments
or dialogue on the report may be sent directly to Dr. Ravi Narayan (<a href="mailto:ravi@phmovement.org" style="color:blue;text-decoration:underline">ravi@phmovement.org</a>) with a copy marked
to <a href="mailto:secretariat@phmovement.org" style="color:blue;text-decoration:underline">secretariat@phmovement.org</a>.
The comments and reflections are of the Secretariat team and not necessarily
those of the PHM Global Steering Group as a whole].</span><span style="font-size:10pt;font-family:"Book Antiqua""><span></span></span></p>
<p class="MsoNormal" style="margin:0in 0in 0.0001pt 0.25in;font-size:12pt;font-family:"Times New Roman""><br></p>
</div>