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<p class="gmail-MsoTitle" style="margin:12pt 0in 6pt;text-align:center;break-after:avoid;font-size:28pt;font-family:"Liberation Sans","sans-serif";font-weight:bold"><span style="font-size:18pt" lang="EN-GB">The Struggle for
Health is the Struggle for a More Equitable, Just and Caring World<span></span></span></p>
<p class="gmail-MsoSubtitle" style="text-align:center;margin:0in 0in 10pt;break-after:avoid;font-size:12pt;font-family:"Liberation Serif","serif"" align="center"><a name="_3xdhuc8hj8fh"></a><b><span style="font-size:14pt;color:rgb(102,102,102)" lang="EN-GB">Declaration of the Fourth People’s Health Assembly - PHA4<span></span></span></b></p>
<p class="gmail-MsoSubtitle" style="text-align:center;margin:0in 0in 10pt;break-after:avoid;font-size:12pt;font-family:"Liberation Serif","serif"" align="center"><a name="_aienhrr8i1w1"></a><b><span style="font-size:14pt;color:rgb(102,102,102)" lang="EN-GB">Savar, Bangladesh, 15-19 November 2018<span></span></span></b></p>
<p class="gmail-MsoBodyText" style="text-align:justify;margin:0in 0in 7pt;line-height:115%;font-size:12pt;font-family:"Liberation Serif","serif""><span lang="EN-GB"><span> </span></span></p>
<p class="gmail-MsoBodyText" style="text-align:justify;margin:0in 0in 7pt;line-height:115%;font-size:12pt;font-family:"Liberation Serif","serif""><span lang="EN-GB">This
Declaration was written inspired by the memory and spirit of Amit Sengupta,
whose dedication to struggling for a fairer, healthier and more caring world
was absolute and will continue to inspire future PHM activists.<span></span></span></p>
<h1 style="margin:10pt 0in 10pt 0.3in;text-align:justify;break-after:avoid;font-size:14pt;font-family:"Liberation Serif","serif""><a name="_ehd7c1jccohc"></a><span lang="EN-GB">Our Struggles<span></span></span></h1>
<p class="gmail-MsoBodyText" style="text-align:justify;margin:0in 0in 7pt;line-height:115%;font-size:12pt;font-family:"Liberation Serif","serif""><span lang="EN-GB">After months
of mobilisation through national and regional assemblies we, over 1400 health activists
from 73 countries across all regions, met in Savar, Bangladesh, six years after
the assembly in Cape Town, to reaffirm our commitment to the struggle for
health, which - in the words of Amit Sengupta - we see as the struggle for a
more equitable, just and caring world. <span></span></span></p>
<p class="gmail-MsoBodyText" style="text-align:justify;margin:0in 0in 7pt;line-height:115%;font-size:12pt;font-family:"Liberation Serif","serif""><span lang="EN-GB">The vision
provided in the <a href="https://phmovement.org/the-peoples-charter-for-health/"><span class="gmail-InternetLink" style="color:navy;text-decoration:underline">People's Charter for Health</span></a> (2000) and the Cuenca
Declaration (2005) is more relevant than ever before, as unfortunately the root
causes of ill health and inequality persist and are yet to be reversed. These
root causes are deeply embedded in the current paradigm of development, which
is characterised by individualism, anthropocentrism, neoliberal capitalism,
patriarchy, caste-ism, racism, religious fundamentalism, able-ism and
homophobia.<span></span></span></p>
<p class="gmail-MsoBodyText" style="text-align:justify;margin:0in 0in 7pt;line-height:115%;font-size:12pt;font-family:"Liberation Serif","serif""><span lang="EN-GB">This model has
significantly boosted the clout of the transnational corporations, leading to
an enormous inflation in private profit and creation of a class of
transnational executives and shareholders whose wealth and power are direct
threats to equity, justice and the health of the planet. <span></span></span></p>
<p class="gmail-MsoBodyText" style="text-align:justify;margin:0in 0in 7pt;line-height:115%;font-size:12pt;font-family:"Liberation Serif","serif""><span lang="EN-GB">The
controlling interests of corporate capitalism are systematically eroding the
sovereignty of our governments thereby conceding the rights and privileges of the
people to interests of profit. Communities the world over are increasingly
losing their access to land, water and livelihoods on the one hand, while
facing heightened militarisation, violence and repression on the other.
Corporations are indulging in rampant destruction of ecosystems and
biodiversity, generating enormous volumes of toxic waste, while endangering
cultural identities, diversity and ways of living. Newer complexities of
terrorism, climate change, threat to privacy – to name a few – are presenting
new challenges every day. All of this, aided by unjust global and national
economic and trade policies, is promoting an unsustainable<span>
</span><span> </span>and
inequitable development paradigm and creating a complex canvas of determinants
that is seriously impeding the realisation of health for all.<span></span></span></p>
<p class="gmail-MsoBodyText" style="text-align:justify;margin:0in 0in 7pt;line-height:115%;font-size:12pt;font-family:"Liberation Serif","serif""><span lang="EN-GB">It is against
this disturbing backdrop that we place our struggle for the right to health;
for a new model of society, with more solidarity, empathy, equity and humanity,
which safeguards human lives and ecosystems.<span></span></span></p>
<p class="gmail-MsoBodyText" style="text-align:justify;margin:0in 0in 7pt;line-height:115%;font-size:12pt;font-family:"Liberation Serif","serif""><span lang="EN-GB"><span> </span></span></p>
<h1 style="margin:10pt 0in 10pt 0.3in;text-align:justify;break-after:avoid;font-size:14pt;font-family:"Liberation Serif","serif""><span lang="EN-GB">The Crisis of Health is a Crisis of the Capitalist Model<span></span></span></h1>
<p class="gmail-MsoBodyText" style="text-align:justify;margin:0in 0in 7pt;line-height:115%;font-size:12pt;font-family:"Liberation Serif","serif""><span lang="EN-GB">The high
income countries, working closely with transnational corporations, are
promoting neo-liberal policies to manage the contemporary crisis of globalised
capitalism in the interests of the transnational capitalist class. With help
from a network of one-sided ‘trade and investment’ agreements, these policies
are either being accepted by or being forced on the governments of low and
middle income countries. The resulting national policies are having far
reaching consequences for the social conditions which shape people’s health,
and also for the approach and funding of comprehensive health care. Such
policies are worsening the larger determinants of health, and slowly but surely
crippling healthcare infrastructure and delivery of services. Such policies are
encouraging national governments to abdicate their responsibilities to public
health, while ushering in privatisation and insurance regimes.<span></span></span></p>
<h1 style="margin:10pt 0in 10pt 0.3in;text-align:justify;break-after:avoid;font-size:14pt;font-family:"Liberation Serif","serif""><span lang="EN-GB">PHM’s Alternative Vision: Equity, Ecological Sustainability and Health
for All<span></span></span></h1>
<p class="gmail-MsoBodyText" style="text-align:justify;margin:0in 0in 7pt;line-height:115%;font-size:12pt;font-family:"Liberation Serif","serif""><span lang="EN-GB">Our vision is
of a world in which equity between and within countries is achieved and health
for all is a reality not just a dream. We reaffirm that health results from
social, economic and environmental justice. We visualise a world where empathy,
solidarity and respect for people and the environment are at the core of
global, national and local communities; a world free of discrimination and
oppression based on gender, race, caste, ethnicity, disability, sexuality,
religion, occupation, citizenship, and one that upholds human rights,
empowerment and health of all communities.<span></span></span></p>
<p class="gmail-MsoBodyText" style="text-align:justify;margin:0in 0in 7pt;line-height:115%;font-size:12pt;font-family:"Liberation Serif","serif""><span lang="EN-GB">We demand that
governments, international financial institutions and the World Health
Organisation (WHO) be accountable to people, not to transnational corporations
and their agents. We demand that they guarantee rights relating to health and
the environment through enforceable laws and regulations. We demand that they
protect those who struggle to defend their rights and end the impunity with
which corporations threaten, harm and kill people.<span></span></span></p>
<p class="gmail-MsoBodyText" style="margin:0in 0in 7pt;text-align:justify;text-indent:0in;line-height:115%;font-size:12pt;font-family:"Liberation Serif","serif""><span lang="EN-GB">We want equitable public health
systems that are universal, integrated and comprehensive – not discriminatory,
not private, not for profit – that provide a platform for appropriate action on
the social determinants of health including a radical shift in existing power
structures.<span></span></span></p>
<h1 style="margin:10pt 0in 10pt 0.3in;text-align:justify;break-after:avoid;font-size:14pt;font-family:"Liberation Serif","serif""><a name="_i32kory5cqv5"></a><span lang="EN-GB">Our Commitment<span></span></span></h1>
<p class="gmail-MsoBodyText" style="text-align:justify;margin:0in 0in 7pt;line-height:115%;font-size:12pt;font-family:"Liberation Serif","serif""><span lang="EN-GB">As we affirmed
in the <a href="https://phmovement.org/wp-content/uploads/2018/06/CPT-Call-To-Action.docx"><span class="gmail-InternetLink" style="color:navy;text-decoration:underline">Cape Town Call to Action</span></a> (2012), no change is
possible without the mobilisation of people through the building of social and
political power amongst people and communities. PHM activists commit to
creating bridges to connect all movements fighting for the right to health with
other social movements defending people’s lands, water, livelihoods, rights of
indigenous communities and rights against the aggression of transnational
corporations and governments that represent corporate interests. <span></span></span></p>
<p class="gmail-MsoBodyText" style="text-align:justify;margin:0in 0in 7pt;line-height:115%;font-size:12pt;font-family:"Liberation Serif","serif""><span lang="EN-GB">We commit to
strengthening the PHM by ensuring that our governance is transparent,
democratic and gender just; we commit to building new country circles and
strengthening the existing ones, through broadening linkages and solidarity
with other likeminded organisations, networks and people's movements and by
engaging new and especially young people at the country, regional and global
levels. This will mean that the diversity of our movement is more represented. <span></span></span></p>
<p class="gmail-MsoBodyText" style="text-align:justify;margin:0in 0in 7pt;line-height:115%;font-size:12pt;font-family:"Liberation Serif","serif""><span lang="EN-GB">Our work in
the short term will be organised around six different thematic and action areas
with specific objectives, but we remain open to new themes in the medium to
long term.<span></span></span></p>
<h2 style="margin:5.65pt 0in 5.65pt 0.3in;text-align:justify;break-after:avoid;font-size:12pt;font-family:"Liberation Serif","serif";font-style:italic"><a name="_fccuav6txcvb"></a><span lang="EN-GB">Gender Justice and Health<span></span></span></h2>
<p class="gmail-MsoBodyText" style="text-align:justify;margin:0in 0in 7pt;line-height:115%;font-size:12pt;font-family:"Liberation Serif","serif""><span lang="EN-GB">PHM believes
that gender oppression is intricately linked to other systems of oppression and
<a name="im-message-689547"></a>that interactions between these forms of
oppressions further compromise wellbeing and access to health care. Although
they manifest differently and to varying levels in diverse contexts, experience
of gender inequity, discrimination and violence is universal. Gender justice
and health <a name="im-message-6895471"></a>are mutually reinforcing and are
imperative to the realisation of the goal of health for all. PHM critically
examines the gendered implications of macroeconomic and policies and the
current developmental paradigm, that together with domestic policies and laws
are discriminatory and unjust and continue to impede the realisation of health
for all.<span></span></span></p>
<p class="gmail-MsoBodyText" style="text-align:justify;margin:0in 0in 7pt;line-height:115%;font-size:12pt;font-family:"Liberation Serif","serif""><span lang="EN-GB">To advance
towards gender justice, PHM commits to:<span></span></span></p>
<p class="gmail-MsoBodyText" style="margin:0in 0in 7pt 0.5in;text-align:justify;line-height:115%;font-size:12pt;font-family:"Liberation Serif","serif""><span style="font-size:11pt;line-height:115%;font-family:Symbol" lang="EN-GB"><span>·<span style="font:7pt "Times New Roman"">
</span></span></span><span lang="EN-GB">Enable understanding and
analysis of gender as a cross-cutting issue that informs all the thematic
circles within PHM; integrate gendered analysis and understanding in all PHM
discussions, events and assemblies. <span></span></span></p>
<p class="gmail-MsoBodyText" style="margin:0in 0in 7pt 0.5in;text-align:justify;line-height:115%;font-size:12pt;font-family:"Liberation Serif","serif""><span style="font-size:11pt;line-height:115%;font-family:Symbol" lang="EN-GB"><span>·<span style="font:7pt "Times New Roman"">
</span></span></span><span lang="EN-GB">Promote and sustain action
against gender unequal and gender unjust social, economic and political systems
that impact health and human rights at the local, regional as well as global
levels.<span></span></span></p>
<p class="gmail-MsoBodyText" style="margin:0in 0in 7pt 0.5in;text-align:justify;line-height:115%;font-size:12pt;font-family:"Liberation Serif","serif""><span style="font-size:11pt;line-height:115%;font-family:Symbol" lang="EN-GB"><span>·<span style="font:7pt "Times New Roman"">
</span></span></span><span lang="EN-GB">Consolidate evidence through
research, testimonies, case studies and experiences from different regions for
global advocacy and action on gender - just health policies and accountability.<span></span></span></p>
<p class="gmail-MsoBodyText" style="margin:0in 0in 7pt 0.5in;text-align:justify;line-height:115%;font-size:12pt;font-family:"Liberation Serif","serif""><span style="font-size:11pt;line-height:115%;font-family:Symbol" lang="EN-GB"><span>·<span style="font:7pt "Times New Roman"">
</span></span></span><span lang="EN-GB">Forge and strengthen linkages
and solidarity with women’s groups, health groups, coalitions, networks,
people’s movements, campaigns and interest groups, on identified gender justice
and health challenges and concerns.<span></span></span></p>
<p class="gmail-MsoBodyText" style="margin:0in 0in 7pt 0.5in;text-align:justify;line-height:115%;font-size:12pt;font-family:"Liberation Serif","serif""><span style="font-size:11pt;line-height:115%;font-family:Symbol" lang="EN-GB"><span>·<span style="font:7pt "Times New Roman"">
</span></span></span><span lang="EN-GB">Monitor and resist global
agendas that diminish sexual and reproductive health rights, for example the
global gag rule. <span></span></span></p>
<p class="gmail-MsoBodyText" style="margin:0in 0in 7pt 0.5in;text-align:justify;line-height:115%;font-size:12pt;font-family:"Liberation Serif","serif""><span style="font-size:11pt;line-height:115%;font-family:Symbol" lang="EN-GB"><span>·<span style="font:7pt "Times New Roman"">
</span></span></span><span lang="EN-GB">Mobilise and build
understanding and capacities, especially of the youth, on gender justice and
health through the International People’s Health University (IPHU) and other
processes.<span></span></span></p>
<h2 style="margin:5.65pt 0in 5.65pt 0.4in;text-align:justify;break-after:avoid;font-size:12pt;font-family:"Liberation Serif","serif";font-style:italic"><a name="_8bie755ivgx5"></a><span lang="EN-GB">Environment and ecosystem health<span></span></span></h2>
<p class="gmail-MsoBodyText" style="text-align:justify;margin:0in 0in 7pt;line-height:115%;font-size:12pt;font-family:"Liberation Serif","serif""><span lang="EN-GB">The
overarching focus of neoliberal policies on maximising profit with minimum
accountability is encouraging over-consuming, unsustainable lifestyles and
polluting technologies and industries. These are irreversibly affecting soil
quality, ground water reserves, bio-diversity by over-extracting forest and
fishery resources, proliferating mining operations, and expanding modern agriculture
for the global market, just to name a few. Such a developmental vision is
evidently responsible for widespread environmental destruction and generation
of immense quantities of waste – both nuclear as well as from toxic chemicals
and pesticides – causing severe soil and water pollution, air pollution,
depletion of the ozone layer and climate change, all of which have far reaching
effects on people’s health.<span></span></span></p>
<p class="gmail-MsoBodyText" style="text-align:justify;margin:0in 0in 7pt;line-height:115%;font-size:12pt;font-family:"Liberation Serif","serif""><span lang="EN-GB">In order to
promote ecosystem health, in the vision that our health is the health of nature
as a whole, PHM commits to:<span></span></span></p>
<p class="gmail-MsoBodyText" style="margin:0in 0in 7pt 0.5in;text-align:justify;line-height:115%;font-size:12pt;font-family:"Liberation Serif","serif""><span style="font-size:11pt;line-height:115%;font-family:Symbol" lang="EN-GB"><span>·<span style="font:7pt "Times New Roman"">
</span></span></span><span lang="EN-GB">Develop a global campaign
against the impact of extractivist industries on health.<span></span></span></p>
<p class="gmail-MsoBodyText" style="margin:0in 0in 7pt 0.5in;text-align:justify;line-height:115%;font-size:12pt;font-family:"Liberation Serif","serif""><span style="font-size:11pt;line-height:115%;font-family:Symbol" lang="EN-GB"><span>·<span style="font:7pt "Times New Roman"">
</span></span></span><span lang="EN-GB">Support organisations that
oppose the global extractivist project and strengthen links between land
rights, environmental rights, and human rights movements that are people's
movements.<span></span></span></p>
<p class="gmail-MsoBodyText" style="margin:0in 0in 7pt 0.5in;text-align:justify;line-height:115%;font-size:12pt;font-family:"Liberation Serif","serif""><span style="font-size:11pt;line-height:115%;font-family:Symbol" lang="EN-GB"><span>·<span style="font:7pt "Times New Roman"">
</span></span></span><span lang="EN-GB">Condemn the criminalisation,
repression and extra-judicial killing of activists in the struggle for
environmental justice. <span></span></span></p>
<p class="gmail-MsoBodyText" style="margin:0in 0in 7pt 0.5in;text-align:justify;line-height:115%;font-size:12pt;font-family:"Liberation Serif","serif""><span style="font-size:11pt;line-height:115%;font-family:Symbol" lang="EN-GB"><span>·<span style="font:7pt "Times New Roman"">
</span></span></span><span lang="EN-GB">Create healthcare systems that
are not harmful to the environment and that support healthy ecosystems.<span></span></span></p>
<p class="gmail-MsoBodyText" style="margin:0in 0in 7pt 0.5in;text-align:justify;line-height:115%;font-size:12pt;font-family:"Liberation Serif","serif""><span style="font-size:11pt;line-height:115%;font-family:Symbol" lang="EN-GB"><span>·<span style="font:7pt "Times New Roman"">
</span></span></span><span lang="EN-GB">Support models of work that
promote safe, healthy work and systems of production.<span></span></span></p>
<h2 style="margin:5.65pt 0in 5.65pt 0.3in;text-align:justify;break-after:avoid;font-size:12pt;font-family:"Liberation Serif","serif";font-style:italic"><a name="_pbbodek7z2jx"></a><span lang="EN-GB">Food and Food Sovereignty<span></span></span></h2>
<p class="gmail-MsoBodyText" style="margin:0in 0in 7pt;text-align:justify;text-indent:0in;line-height:115%;font-size:12pt;font-family:"Liberation Serif","serif""><span lang="EN-GB">PHM believes that our
unsustainable and inequitable food system is a determinant of poor health,
particularly manifesting in what is called the triple burden of malnutrition,
as well as the pandemic of non-communicable diseases. The common roots
underlying both under and over-nutrition in our globalised world pertain to the
impact of current practices related to food production, processing,
manufacture, distribution, trade and commerce on food systems, as well as to
the power differentials between those who are most affected by and those who
benefit most from the current food system. The unregulated penetration of food
and beverage companies and the aggressive marketing of processed and
ultra-processed foods have severely compounded the problem of malnutrition and
the underlying food insecurity. <span></span></span></p>
<p class="gmail-MsoBodyText" style="margin:0in 0in 7pt 0.4in;text-align:justify;line-height:115%;font-size:12pt;font-family:"Liberation Serif","serif""><span lang="EN-GB">PHM proposes to:<span></span></span></p>
<p class="gmail-MsoBodyText" style="margin:0in 0in 7pt 0.5in;text-align:justify;line-height:115%;font-size:12pt;font-family:"Liberation Serif","serif""><span style="font-size:11pt;line-height:115%;font-family:Symbol" lang="EN-GB"><span>·<span style="font:7pt "Times New Roman"">
</span></span></span><span lang="EN-GB">Create a food system that,
‘from seed to fork’, is equitable, fair, and based on the inalienable right to
food and adequate nutrition.<span></span></span></p>
<p class="gmail-MsoBodyText" style="margin:0in 0in 7pt 0.5in;text-align:justify;line-height:115%;font-size:12pt;font-family:"Liberation Serif","serif""><span style="font-size:11pt;line-height:115%;font-family:Symbol" lang="EN-GB"><span>·<span style="font:7pt "Times New Roman"">
</span></span></span><span lang="EN-GB">Appropriately politicise food
and nutrition issues, i.e., increase understanding of the political economy of
food and nutrition.<span></span></span></p>
<p class="gmail-MsoBodyText" style="margin:0in 0in 7pt 0.5in;text-align:justify;line-height:115%;font-size:12pt;font-family:"Liberation Serif","serif""><span style="font-size:11pt;line-height:115%;font-family:Symbol" lang="EN-GB"><span>·<span style="font:7pt "Times New Roman"">
</span></span></span><span lang="EN-GB">Build awareness about the
negative links between food and financial systems including about undue
corporate influence, as well as about the flaws of current multi-stakeholder
‘solutions’, as for example the Scaling Up Nutrition (SUN) initiative adopted
by UN agencies and selected NGOs.<span></span></span></p>
<p class="gmail-MsoBodyText" style="margin:0in 0in 7pt 0.5in;text-align:justify;line-height:115%;font-size:12pt;font-family:"Liberation Serif","serif""><span style="font-size:11pt;line-height:115%;font-family:Symbol" lang="EN-GB"><span>·<span style="font:7pt "Times New Roman"">
</span></span></span><span lang="EN-GB">Resist the growing power of the
transnational food industry.<span></span></span></p>
<p class="gmail-MsoBodyText" style="margin:0in 0in 7pt 0.5in;text-align:justify;line-height:115%;font-size:12pt;font-family:"Liberation Serif","serif""><span style="font-size:11pt;line-height:115%;font-family:Symbol" lang="EN-GB"><span>·<span style="font:7pt "Times New Roman"">
</span></span></span><span lang="EN-GB">Resist the technical and
individualised vision of nutrition by correcting misinformation fed to the
public on how to make the food system more equitable. Create bridges between
PHM and the agroecologist movement to gain food sovereignty.<span></span></span></p>
<h2 style="margin:5.65pt 0in 5.65pt 0.4in;text-align:justify;break-after:avoid;font-size:12pt;font-family:"Liberation Serif","serif";font-style:italic"><a name="_e8yzqqsv1sjs"></a><span lang="EN-GB">Trade and
Health<span></span></span></h2>
<p class="gmail-MsoBodyText" style="text-align:justify;margin:0in 0in 7pt;line-height:115%;font-size:12pt;font-family:"Liberation Serif","serif""><span lang="EN-GB">Almost all
countries represented at this Assembly have concluded or are negotiating
regional or bilateral trade and investment agreements, generally driven by the
US or the EU, and directed to advancing the interests of the transnational
corporations. These are in effect economic integration agreements, going well
beyond the liberalisation of trade in goods, to include the liberalisation of
trade in services, extreme protection for intellectual property, regulatory
harmonisation, and new provisions to protect transnational corporations from
regulation by host governments. The regime thus put in place has far reaching
consequences for access to comprehensive health care and to the social
conditions which shape people’s health.<span></span></span></p>
<p class="gmail-MsoBodyText" style="text-align:justify;margin:0in 0in 7pt;line-height:115%;font-size:12pt;font-family:"Liberation Serif","serif""><span lang="EN-GB">In order to
put health before profit, PHM commits to:<span></span></span></p>
<p class="gmail-MsoBodyText" style="margin:0in 0in 7pt 0.5in;text-align:justify;line-height:115%;font-size:12pt;font-family:"Liberation Serif","serif""><span style="font-size:11pt;line-height:115%;font-family:Symbol" lang="EN-GB"><span>·<span style="font:7pt "Times New Roman"">
</span></span></span><span lang="EN-GB">Stop the negotiation of trade
and investment agreements designed to further extend and strengthen the
neoliberal regime and terminate (withdraw from) existing agreements which shore
up this regime.<span></span></span></p>
<p class="gmail-MsoBodyText" style="margin:0in 0in 7pt 0.5in;text-align:justify;line-height:115%;font-size:12pt;font-family:"Liberation Serif","serif""><span style="font-size:11pt;line-height:115%;font-family:Symbol" lang="EN-GB"><span>·<span style="font:7pt "Times New Roman"">
</span></span></span><span lang="EN-GB">Work towards a New
International Economic Order which incorporates positive discrimination in
favour of low and middle-income countries and which is oriented around an
ecologically sustainable civilisation, based on living well rather than
corporate profit.<span></span></span></p>
<p class="gmail-MsoBodyText" style="margin:0in 0in 7pt 0.5in;text-align:justify;line-height:115%;font-size:12pt;font-family:"Liberation Serif","serif""><span style="font-size:11pt;line-height:115%;font-family:Symbol" lang="EN-GB"><span>·<span style="font:7pt "Times New Roman"">
</span></span></span><span lang="EN-GB">Reform medicines regulation
ensuring that it is based on national sovereignty and directed towards ensuring
quality, safety, affordability and efficacious rational use.<a name="_t3514je590k"></a><span></span></span></p>
<h2 style="margin:5.65pt 0in 5.65pt 0.4in;text-align:justify;break-after:avoid;font-size:12pt;font-family:"Liberation Serif","serif";font-style:italic"><span lang="EN-GB">Equitable Health Systems<span></span></span></h2>
<p class="gmail-MsoBodyText" style="text-align:justify;margin:0in 0in 7pt;line-height:115%;font-size:12pt;font-family:"Liberation Serif","serif""><span class="gmail-m5790776397165820308gmail-apple-style-span"><span lang="EN-GB">PHM </span></span><span lang="EN-GB">reiterates its commitment to primary health care (PHC) in the
pursuit of health and well-being for all, aiming to achieve equity in health
outcomes. This is critical as we are <span class="gmail-m5790776397165820308gmail-apple-style-span">faced with a global health
crisis that is characterised by inequities related to a range of social,
economic and political determinants of health and in access to health services
within and between countries. In many regions of the world, poorly designed,
under-resourced, poor quality health systems are causing unacceptable rates of
morbidity and mortality. </span>PHM also recognises that health systems are
deeply gendered, caste-ist / racist institutions that reinforce inequalities,
with discriminatory policies and practices being huge barriers to access to
health information and care globally. Gender also plays a critical role in the
health workforce and determines the location and experiences of women and men
as health workers.<span></span></span></p>
<p class="gmail-MsoBodyText" style="text-align:justify;margin:0in 0in 7pt;line-height:115%;font-size:12pt;font-family:"Liberation Serif","serif""><span lang="EN-GB">PHM also
deplores the global trend towards privatisation of health care, the
implementation of insurance schemes (especially in Asia and Africa) in the name
of achieving universal health coverage, which reinforce privatisation and
commercialisation of health. Public private partnerships and outsourcing of
public services, including in health, are being promoted despite overwhelming
evidence of failures and their adverse impact on health equity and conditions
of health workers. These have evoked sharp resistance from people’s movements. <span></span></span></p>
<p class="gmail-MsoBodyText" style="text-align:justify;margin:0in 0in 7pt;line-height:115%;font-size:12pt;font-family:"Liberation Serif","serif""><span lang="EN-GB">PHM proposes
to:<span></span></span></p>
<p class="gmail-MsoBodyText" style="margin:0in 0in 7pt 0.5in;text-align:justify;line-height:115%;font-size:12pt;font-family:"Liberation Serif","serif""><span style="font-size:11pt;line-height:115%;font-family:Symbol" lang="EN-GB"><span>·<span style="font:7pt "Times New Roman"">
</span></span></span><span lang="EN-GB">Institute action to promote
publicly funded, universal health systems based on primary health care as defined
in the Alma Ata Declaration.<span></span></span></p>
<p class="gmail-MsoBodyText" style="margin:0in 0in 7pt 0.5in;text-align:justify;line-height:115%;font-size:12pt;font-family:"Liberation Serif","serif""><span style="font-size:11pt;line-height:115%;font-family:Symbol" lang="EN-GB"><span>·<span style="font:7pt "Times New Roman"">
</span></span></span><span lang="EN-GB">Provide evidence on the failure
of health insurance, privatisation, public private partnerships in attaining
better health for the people that will strengthen the campaign in exposing the
neoliberal framework being used to justify the privatisation of health systems.<span></span></span></p>
<p class="gmail-MsoBodyText" style="margin:0in 0in 7pt 0.5in;text-align:justify;line-height:115%;font-size:12pt;font-family:"Liberation Serif","serif""><span style="font-size:11pt;line-height:115%;font-family:Symbol" lang="EN-GB"><span>·<span style="font:7pt "Times New Roman"">
</span></span></span><span lang="EN-GB">Document struggles and
resistance to health privatisation and build on positive experiences in
organisation of health care services and primary health care.<span></span></span></p>
<p class="gmail-MsoBodyText" style="margin:0in 0in 7pt 0.5in;text-align:justify;line-height:115%;font-size:12pt;font-family:"Liberation Serif","serif""><span style="font-size:11pt;line-height:115%;font-family:Symbol" lang="EN-GB"><span>·<span style="font:7pt "Times New Roman"">
</span></span></span><span lang="EN-GB">Establish a corporate watch
initiative on healthcare across global regions, in partnership with other
networks doing similar work.<span></span></span></p>
<p class="gmail-MsoBodyText" style="margin:0in 0in 7pt 0.5in;text-align:justify;line-height:115%;font-size:12pt;font-family:"Liberation Serif","serif""><span style="font-size:11pt;line-height:115%;font-family:Symbol" lang="EN-GB"><span>·<span style="font:7pt "Times New Roman"">
</span></span></span><span lang="EN-GB">Build awareness about the
importance of frontline workers as both agents of social change and extension
workers for the health system and work towards strengthening their role in
ensuring health for all, through better designed programmes, fair and decent
work and adequate remuneration.<span></span></span></p>
<p class="gmail-MsoBodyText" style="margin:0in 0in 7pt 0.5in;text-align:justify;line-height:115%;font-size:12pt;font-family:"Liberation Serif","serif""><span style="font-size:11pt;line-height:115%;font-family:Symbol" lang="EN-GB"><span>·<span style="font:7pt "Times New Roman"">
</span></span></span><span lang="EN-GB">Highlight the key role of
health workers in the functioning of health systems, and build awareness about
the effects of neoliberal policies on their working conditions.<span></span></span></p>
<p class="gmail-MsoBodyText" style="margin:0in 0in 7pt 0.5in;text-align:justify;line-height:115%;font-size:12pt;font-family:"Liberation Serif","serif""><span style="font-size:11pt;line-height:115%;font-family:Symbol" lang="EN-GB"><span>·<span style="font:7pt "Times New Roman"">
</span></span></span><span lang="EN-GB">Promote decent work in health
systems and for all health workers, including adequate remuneration, social
protection and employment conditions. Highlight the linkages between informal
and irregular forms of work and quality of health services.<span></span></span></p>
<p class="gmail-MsoBodyText" style="margin:0in 0in 7pt 0.5in;text-align:justify;line-height:115%;font-size:12pt;font-family:"Liberation Serif","serif""><span style="font-size:11pt;line-height:115%;font-family:Symbol" lang="EN-GB"><span>·<span style="font:7pt "Times New Roman"">
</span></span></span><span lang="EN-GB">Support the right to organise
and bargain collectively for health workers, and create linkages with
progressive trade unions that struggle for the rights of health workers.<span></span></span></p>
<h2 style="margin:5.65pt 0in 5.65pt 0.4in;text-align:justify;break-after:avoid;font-size:12pt;font-family:"Liberation Serif","serif";font-style:italic"><span lang="EN-GB">War and conflict, occupation and forced migration<span></span></span></h2>
<p class="gmail-MsoBodyText" style="text-align:justify;margin:0in 0in 7pt;line-height:115%;font-size:12pt;font-family:"Liberation Serif","serif""><span class="gmail-MsoCommentReference"><span style="font-size:9pt;line-height:115%" lang="EN-GB">The insatiable thirst for profit, together with the imperialist
aspirations of Europe and the US, are causing war and insecurity on a global
scale but also poverty and environmental degradation. They are destabilising
whole countries through economic policies, political intervention, arms trade,
drug traffic and unbridled resource extraction. All of these are creating the
conditions that are provoking massive movements of people across the world.</span></span><span lang="EN-GB"><span></span></span></p>
<p class="gmail-MsoBodyText" style="text-align:justify;margin:0in 0in 7pt;line-height:115%;font-size:12pt;font-family:"Liberation Serif","serif""><span lang="EN-GB">Forced
migration due to armed conflicts, ethnic cleansing, development projects or climate
change are realities of the day, the seeds of which often lie in inequities and
policies of neoliberalism. Such situations may cause mass civilian displacement
forcing people to leave their homes and move to locations that are unfamiliar,
inhospitable and unsafe. Large populations lose their basic rights of
citizenship when they are forced to migrate to an alien country. Even
displacement within the country causes severe stress and uncertainty. <span></span></span></p>
<p class="gmail-MsoBodyText" style="text-align:justify;margin:0in 0in 7pt;line-height:115%;font-size:12pt;font-family:"Liberation Serif","serif""><span class="gmail-MsoCommentReference"><span style="font-size:9pt;line-height:115%" lang="EN-GB">PHM denounces the direct and indirect impact on health of war, occupation
and militarisation, and highlights the implications for health of migration and
migration policies that are not respectful of human rights. PHM also denounces
the military and security industry as a public health threat, as a continuous
cause of conflict and therefore human suffering and also one of the world’s
worst environmental polluters and carbon emitters.</span></span><span lang="EN-GB"><span></span></span></p>
<p class="gmail-MsoBodyText" style="text-align:justify;margin:0in 0in 7pt;line-height:115%;font-size:12pt;font-family:"Liberation Serif","serif""><span class="gmail-MsoCommentReference"><span style="font-size:9pt;line-height:115%" lang="EN-GB">PHM proposes to:</span></span><span lang="EN-GB"><span></span></span></p>
<p class="gmail-MsoBodyText" style="margin:0in 0in 7pt 0.5in;text-align:justify;line-height:115%;font-size:12pt;font-family:"Liberation Serif","serif""><span style="font-size:11pt;line-height:115%;font-family:Symbol" lang="EN-GB"><span>·<span style="font:7pt "Times New Roman"">
</span></span></span><span lang="EN-GB">Pressure international
organisations to advocate for equitable policies, conflict resolution, peace
building, disarmament, end of occupation, safe and free movement of people.<span></span></span></p>
<p class="gmail-MsoBodyText" style="margin:0in 0in 7pt 0.5in;text-align:justify;line-height:115%;font-size:12pt;font-family:"Liberation Serif","serif""><span style="font-size:11pt;line-height:115%;font-family:Symbol" lang="EN-GB"><span>·<span style="font:7pt "Times New Roman"">
</span></span></span><span lang="EN-GB">Mobilise local and
international civil society organisations, humanitarian groups, and health
volunteers to provide immediate relief and medical attention to displaced
people.<span></span></span></p>
<p class="gmail-MsoBodyText" style="margin:0in 0in 7pt 0.5in;text-align:justify;line-height:115%;font-size:12pt;font-family:"Liberation Serif","serif""><span style="font-size:11pt;line-height:115%;font-family:Symbol" lang="EN-GB"><span>·<span style="font:7pt "Times New Roman"">
</span></span></span><span lang="EN-GB">Pressure the local governments
involved to provide emergency nutrition, shelter, clothing and healthcare to
such displaced people.<span></span></span></p>
<p class="gmail-MsoBodyText" style="margin:0in 0in 7pt 0.5in;text-align:justify;line-height:115%;font-size:12pt;font-family:"Liberation Serif","serif""><span style="font-size:11pt;line-height:115%;font-family:Symbol" lang="EN-GB"><span>·<span style="font:7pt "Times New Roman"">
</span></span></span><span lang="EN-GB">In case of cross-border
migration, mobilise world bodies like the UN and relevant organisations and
networks to put multi-lateral pressure on the respective countries and
recognise displaced people as refugees and fulfil all rights and privileges
that they are entitled to.<span></span></span></p>
<p class="gmail-MsoBodyText" style="margin:0in 0in 7pt 0.5in;text-align:justify;line-height:115%;font-size:12pt;font-family:"Liberation Serif","serif""><span style="font-size:11pt;line-height:115%;font-family:Symbol" lang="EN-GB"><span>·<span style="font:7pt "Times New Roman"">
</span></span></span><span lang="EN-GB">Ensure that migrants’ and
refugees’ health rights are upheld.<span></span></span></p>
<p class="gmail-MsoBodyText" style="margin:0in 0in 7pt 0.5in;text-align:justify;line-height:115%;font-size:12pt;font-family:"Liberation Serif","serif""><span style="font-size:11pt;line-height:115%;font-family:Symbol" lang="EN-GB"><span>·<span style="font:7pt "Times New Roman"">
</span></span></span><span lang="EN-GB">Campaign to stop military
research and development with taxpayer’s money.<span></span></span></p>
<h1 style="margin:10pt 0in 10pt 0.3in;text-align:justify;break-after:avoid;font-size:14pt;font-family:"Liberation Serif","serif""><span lang="EN-GB">Building our People’s
Health Movement<span></span></span></h1>
<p class="gmail-MsoBodyText" style="text-align:justify;margin:0in 0in 7pt;line-height:115%;font-size:12pt;font-family:"Liberation Serif","serif""><span lang="EN-GB">Towards
achieving the goals set for ourselves through thematic areas, we must further
build our People’s Health Movement through our collective efforts to develop
and apply a broad global vision and a strategy that is based on a correct
assessment of our strategic partners at all levels – global, national and
local. It is urgent that we
build our capacity, for research, analysis and
action through more training that will lead to social mobilisation; for
campaigns and for strategising for action. We need to build alliances with
trade unions, organisations, social movements, representing women, peasants,
frontline workers, indigenous communities and youth.
<span></span></span></p>
<p class="gmail-MsoBodyText" style="text-align:justify;margin:0in 0in 7pt;line-height:115%;font-size:12pt;font-family:"Liberation Serif","serif""><span lang="EN-GB">Finally, if we
are to build an alternative culture and alternative institutions, each of us
needs to actively support our comrades in their struggles. Only this carries
hope for the future of humanity and for mother earth. This further entails the
defence of the members of our movement who are working in dangerous settings
and who are too often the first to be targeted by the repressive organs of the
state. <span></span></span></p>
<p class="gmail-MsoBodyText" style="text-align:justify;margin:0in 0in 7pt;line-height:115%;font-size:12pt;font-family:"Liberation Serif","serif""><span lang="EN-GB">We, as PHM,
commit ourselves to this Declaration. <span></span></span></p>
<p class="gmail-MsoBodyText" style="text-align:justify;margin:0in 0in 7pt;line-height:115%;font-size:12pt;font-family:"Liberation Serif","serif""><span lang="EN-GB"><span> </span></span></p>
</div></div>