<div dir="ltr"><div class="gmail_default" style="font-family:georgia,serif"><span style="font-family:Arial,Helvetica,sans-serif"><br></span></div><div class="gmail_default" style="font-family:georgia,serif"><span style="font-family:Arial,Helvetica,sans-serif">Subject: Release for endorsement: </span><span class="gmail-il" style="font-family:Arial,Helvetica,sans-serif">Kampala</span><span style="font-family:Arial,Helvetica,sans-serif"> Declaration on cooperation and solidarity for health equity within and beyond aid</span><br style="font-family:Arial,Helvetica,sans-serif"><div dir="ltr" style="font-family:Arial,Helvetica,sans-serif"><span id="gmail-m_-3049458706643456544gmail-docs-internal-guid-a86d631e-7fff-8ad1-866e-5ab9110986a0"><p dir="ltr" style="line-height:1.38;margin-top:0pt;margin-bottom:0pt;padding:0pt 0pt 12pt"><span style="font-size:11pt;font-family:Arial;background-color:transparent;font-style:italic;font-variant-numeric:normal;font-variant-east-asian:normal;vertical-align:baseline;white-space:pre-wrap">“We believe that collective social action in solidarity as one global community, working together to address the root causes of our struggle for health, can transform aid into an equitable means of ensuring health rights. This means acting out of compassion in the pursuit of justice, and caring, listening and helping each other in a way that promotes connectedness and equity throughout the world.”</span></p><p dir="ltr" style="line-height:1.38;margin-top:0pt;margin-bottom:0pt"><span style="font-size:11pt;font-family:Arial;background-color:transparent;font-variant-numeric:normal;font-variant-east-asian:normal;vertical-align:baseline;white-space:pre-wrap">The “</span><span style="font-size:11pt;font-family:Arial;color:rgb(0,0,0);background-color:transparent;font-variant-numeric:normal;font-variant-east-asian:normal;vertical-align:baseline;white-space:pre-wrap"><span class="gmail-il">Kampala</span> Declaration on cooperation and solidarity for health equity within and beyond aid” was released </span><span style="font-size:11pt;font-family:Arial;background-color:transparent;font-variant-numeric:normal;font-variant-east-asian:normal;vertical-align:baseline;white-space:pre-wrap">on 27 January 2020. The Declaration outlines the ambitions of the </span><a href="https://www.medicusmundi.org/kampalainitiative/" target="_blank" style="text-decoration-line:none"><span style="font-size:11pt;font-family:Arial;background-color:transparent;font-variant-numeric:normal;font-variant-east-asian:normal;text-decoration-line:underline;vertical-align:baseline;white-space:pre-wrap"><span class="gmail-il">Kampala</span> Initiative</span></a><span style="font-size:11pt;font-family:Arial;background-color:transparent;font-variant-numeric:normal;font-variant-east-asian:normal;vertical-align:baseline;white-space:pre-wrap">, which was launched in <span class="gmail-il">Kampala</span>, Uganda on 16 November 2019 at the conclusion of a two-day civil society</span><a href="https://www.medicusmundi.org/kampala2019/" target="_blank" style="text-decoration-line:none"><span style="font-size:11pt;font-family:Arial;color:rgb(34,34,34);background-color:transparent;font-variant-numeric:normal;font-variant-east-asian:normal;vertical-align:baseline;white-space:pre-wrap"> </span><span style="font-size:11pt;font-family:Arial;background-color:transparent;font-variant-numeric:normal;font-variant-east-asian:normal;text-decoration-line:underline;vertical-align:baseline;white-space:pre-wrap">workshop</span></a><span style="font-size:11pt;font-family:Arial;background-color:transparent;font-variant-numeric:normal;font-variant-east-asian:normal;vertical-align:baseline;white-space:pre-wrap"> and a series of</span><a href="https://www.medicusmundi.org/kampalawebinars/" target="_blank" style="text-decoration-line:none"><span style="font-size:11pt;font-family:Arial;color:rgb(34,34,34);background-color:transparent;font-variant-numeric:normal;font-variant-east-asian:normal;vertical-align:baseline;white-space:pre-wrap"> </span><span style="font-size:11pt;font-family:Arial;background-color:transparent;font-variant-numeric:normal;font-variant-east-asian:normal;text-decoration-line:underline;vertical-align:baseline;white-space:pre-wrap">public webinars</span></a><span style="font-size:11pt;font-family:Arial;background-color:transparent;font-variant-numeric:normal;font-variant-east-asian:normal;vertical-align:baseline;white-space:pre-wrap">. </span></p><p dir="ltr" style="line-height:1.38;margin-top:0pt;margin-bottom:0pt"> </p><p dir="ltr" style="line-height:1.38;margin-top:0pt;margin-bottom:0pt"><span style="font-size:11pt;font-family:Arial;background-color:transparent;font-variant-numeric:normal;font-variant-east-asian:normal;vertical-align:baseline;white-space:pre-wrap">The <span class="gmail-il">Kampala</span> Initiative is a civil society space and community made up of independent, critical-thinking activists and organizations from all across the world (including across both “northern” and “southern” boundaries). The <b><span class="gmail-il">Kampala</span> Declaration</b> is therefore a reference document for those who have joined the Initiative and at the same time a means to reach out to others: </span></p><p dir="ltr" style="line-height:1.38;margin-top:0pt;margin-bottom:0pt"> </p><p dir="ltr" style="line-height:1.38;margin-top:0pt;margin-bottom:0pt"><span style="font-size:11pt;font-family:Arial;background-color:transparent;font-variant-numeric:normal;font-variant-east-asian:normal;vertical-align:baseline;white-space:pre-wrap">Institutions and individuals are welcome to join the <span class="gmail-il">Kampala</span> Initiative by endorsing the Declaration.</span></p><ul style="margin-top:0px;margin-bottom:0px"><li dir="ltr" style="margin-left:15px;list-style-type:disc;font-size:11pt;font-family:Arial;background-color:transparent;font-variant-numeric:normal;font-variant-east-asian:normal;vertical-align:baseline;white-space:pre-wrap"><p dir="ltr" style="line-height:1.38;margin-top:12pt;margin-bottom:0pt"><span style="font-size:11pt;background-color:transparent;font-variant-numeric:normal;font-variant-east-asian:normal;vertical-align:baseline">Read the <span class="gmail-il">Kampala</span> Declaration: below </span></p></li><li dir="ltr" style="margin-left:15px;list-style-type:disc;font-size:11pt;font-family:Arial;background-color:transparent;font-variant-numeric:normal;font-variant-east-asian:normal;vertical-align:baseline;white-space:pre-wrap"><p dir="ltr" style="line-height:1.38;margin-top:0pt;margin-bottom:0pt"><span style="font-size:11pt;background-color:transparent;font-variant-numeric:normal;font-variant-east-asian:normal;vertical-align:baseline"><span class="gmail-il">Kampala</span> Declaration online: </span><a href="http://www.medicusmundi.org/kampaladeclaration/" target="_blank" style="text-decoration-line:none"><span style="font-size:11pt;background-color:transparent;font-variant-numeric:normal;font-variant-east-asian:normal;text-decoration-line:underline;vertical-align:baseline">here</span></a><span style="font-size:11pt;background-color:transparent;font-variant-numeric:normal;font-variant-east-asian:normal;vertical-align:baseline"> (with list of signatories)</span></p></li><li dir="ltr" style="margin-left:15px;list-style-type:disc;font-size:11pt;font-family:Arial;background-color:transparent;font-variant-numeric:normal;font-variant-east-asian:normal;vertical-align:baseline;white-space:pre-wrap"><p dir="ltr" style="line-height:1.38;margin-top:0pt;margin-bottom:0pt"><span style="font-size:11pt;background-color:transparent;font-variant-numeric:normal;font-variant-east-asian:normal;vertical-align:baseline">Sign the <span class="gmail-il">Kampala</span> Declaration: online form </span><a href="https://forms.gle/KatetUDQhMscBfDMA" target="_blank" style="text-decoration-line:none"><span style="font-size:11pt;background-color:transparent;font-variant-numeric:normal;font-variant-east-asian:normal;text-decoration-line:underline;vertical-align:baseline">here</span></a></p></li><li dir="ltr" style="margin-left:15px;list-style-type:disc;font-size:11pt;font-family:Arial;background-color:transparent;font-variant-numeric:normal;font-variant-east-asian:normal;vertical-align:baseline;white-space:pre-wrap"><p dir="ltr" style="line-height:1.38;margin-top:0pt;margin-bottom:12pt"><span style="font-size:11pt;background-color:transparent;font-variant-numeric:normal;font-variant-east-asian:normal;vertical-align:baseline">More about the <span class="gmail-il">Kampala</span> Initiative: </span><a href="https://www.medicusmundi.org/kampalainitiative/" target="_blank" style="text-decoration-line:none"><span style="font-size:11pt;background-color:transparent;font-variant-numeric:normal;font-variant-east-asian:normal;text-decoration-line:underline;vertical-align:baseline">here</span></a></p></li></ul><p dir="ltr" style="line-height:1.38;margin-top:12pt;margin-bottom:0pt;padding:0pt 0pt 12pt"><span style="font-size:11pt;font-family:Arial;background-color:transparent;font-variant-numeric:normal;font-variant-east-asian:normal;vertical-align:baseline;white-space:pre-wrap">Kindly find the text of the Declaration itself at the bottom of this email.</span></p><p dir="ltr" style="line-height:1.38;margin-top:0pt;margin-bottom:0pt"><span style="font-size:11pt;font-family:Arial;background-color:transparent;font-variant-numeric:normal;font-variant-east-asian:normal;vertical-align:baseline;white-space:pre-wrap">Contact, enquiries:</span></p><ul style="margin-top:0px;margin-bottom:0px"><li dir="ltr" style="margin-left:15px;list-style-type:disc;font-size:11pt;font-family:Arial;color:rgb(0,0,0);background-color:transparent;font-variant-numeric:normal;font-variant-east-asian:normal;vertical-align:baseline;white-space:pre-wrap"><p dir="ltr" style="line-height:1.38;margin-top:0pt;margin-bottom:0pt"><span style="font-size:11pt;color:rgb(34,34,34);background-color:transparent;font-variant-numeric:normal;font-variant-east-asian:normal;vertical-align:baseline">Ravi Ram, PHM East and Southern Africa</span><span style="font-size:11pt;color:rgb(34,34,34);background-color:transparent;font-variant-numeric:normal;font-variant-east-asian:normal;vertical-align:baseline"><br></span><span style="font-size:11pt;color:rgb(17,85,204);background-color:transparent;font-variant-numeric:normal;font-variant-east-asian:normal;vertical-align:baseline"><a href="mailto:phm.esafrica@phmovement.org" target="_blank">phm.esafrica@phmovement.org</a></span><span style="font-size:11pt;color:rgb(34,34,34);background-color:transparent;font-variant-numeric:normal;font-variant-east-asian:normal;vertical-align:baseline"> </span></p></li><li dir="ltr" style="margin-left:15px;list-style-type:disc;font-size:11pt;font-family:Arial;color:rgb(0,0,0);background-color:transparent;font-variant-numeric:normal;font-variant-east-asian:normal;vertical-align:baseline;white-space:pre-wrap"><p dir="ltr" style="line-height:1.38;margin-top:0pt;margin-bottom:0pt"><span style="font-size:11pt;color:rgb(34,34,34);background-color:transparent;font-variant-numeric:normal;font-variant-east-asian:normal;vertical-align:baseline">Thomas Schwarz, Medicus Mundi International Network               </span><span style="font-size:11pt;color:rgb(17,85,204);background-color:transparent;font-variant-numeric:normal;font-variant-east-asian:normal;vertical-align:baseline"><a href="mailto:schwarz@medicusmundi.org" target="_blank">schwarz@medicusmundi.org</a></span><span style="font-size:11pt;color:rgb(34,34,34);background-color:transparent;font-variant-numeric:normal;font-variant-east-asian:normal;vertical-align:baseline"> </span></p></li></ul></span><div><br></div><div></div><div><div id="gmail-m_-3049458706643456544gmail-page-header" style="box-sizing:border-box;display:table-row;width:1356px;color:rgb(0,0,0);font-family:Roboto;font-size:14px;background-color:rgb(0,97,161)"><div style="box-sizing:border-box;display:table;table-layout:fixed;overflow:hidden;width:1356px;height:156px"><div style="box-sizing:border-box;background-color:rgb(255,255,255);clear:both;border:0px;opacity:1"><div style="box-sizing:border-box;display:table;table-layout:fixed;width:1200px;max-width:1200px;margin:auto;padding:36px 36px 0px"><div style="box-sizing:border-box;display:table;table-layout:fixed;height:120px;min-width:100%;width:auto"><div style="box-sizing:border-box;padding:0px 0px 0px 36px;display:table-cell;width:1164px;vertical-align:middle;clear:both;height:0px"><div style="box-sizing:border-box;color:rgb(48,49,51);overflow:visible"><div style="box-sizing:border-box;display:table;table-layout:fixed;width:1128px;height:120px;min-height:0px"><div style="box-sizing:border-box;display:table-cell;height:120px;vertical-align:middle;border:0px;padding:0px"><div style="box-sizing:border-box;margin:0px auto"><div style="box-sizing:border-box;margin:0px;clear:both;display:inline-block"><h1 style="box-sizing:border-box;font-size:50px;margin:0px;line-height:1.2;letter-spacing:-0.02em;color:rgb(0,97,161);display:inline-block"><span style="box-sizing:border-box;display:block;margin-top:0px"><span class="gmail-il">Kampala</span> Declaration on cooperation and solidarity for health equity within and beyond aid</span></h1></div><div style="box-sizing:border-box;margin-top:18px"></div></div></div></div></div></div></div></div></div></div></div><div style="box-sizing:border-box;margin:auto;display:table;table-layout:fixed;width:1356px;height:2727px"><div style="box-sizing:border-box;display:table;table-layout:fixed;width:1356px"><div style="box-sizing:border-box"><div style="box-sizing:border-box;clear:both;border:0px;margin-top:0px"><div style="box-sizing:border-box;display:table;table-layout:fixed;width:1200px;max-width:1200px;margin:auto;padding:36px"><div style="box-sizing:border-box;display:table;table-layout:fixed;height:2328px;min-width:100%;width:auto;margin-top:0px"><div style="box-sizing:border-box;padding:0px 0px 0px 36px;display:table-cell;height:0px;width:1164px;vertical-align:top;clear:both"><div style="box-sizing:border-box;color:rgb(48,49,51);overflow:visible"><div style="box-sizing:border-box;display:table;table-layout:fixed;width:1128px;height:2328px;min-height:0px"><div style="box-sizing:border-box;display:table-cell;height:2328px;vertical-align:top;border:0px;padding:0px"><div style="box-sizing:border-box;margin:0px auto"><div style="box-sizing:border-box;clear:both;border:0px;margin-top:0px"><div style="box-sizing:border-box;display:table;table-layout:fixed;width:1128px;padding:0px;margin-top:0px"><div style="box-sizing:border-box;display:table;table-layout:fixed;height:2328px;min-width:100%;width:auto;margin-top:0px"><div style="box-sizing:border-box;padding:0px 0px 0px 36px;display:table-cell;height:0px;width:776px;vertical-align:top;clear:both;margin-top:0px"><div style="box-sizing:border-box;overflow:visible"><div style="box-sizing:border-box;display:table;table-layout:fixed;width:740px;height:2328px;min-height:0px"><div style="box-sizing:border-box;display:table-cell;height:2328px;vertical-align:top;border:0px;padding:0px"><div style="box-sizing:border-box;margin:0px auto"><div style="box-sizing:border-box;margin-top:0px"><h3 style="box-sizing:border-box;font-size:24px;line-height:1.2;margin:0px;color:rgb(0,97,161)">Text of the Declaration</h3><p style="box-sizing:border-box;font-size:15px;line-height:1.75;margin:18px 0px 0px">Across the world, health equity is denied, and development assistance for health – “aid” – often reinforces the power imbalances that underlie health inequities. The priorities of Northern donors dictate the aid agenda, implemented by NGOs and Southern ‘partners’ they fund. These priorities often clash with the needs and concerns of communities, governments and civil society in many countries around the world.</p><p style="box-sizing:border-box;font-size:15px;line-height:1.75;margin:18px 0px 0px">The aid space is dominated by powerful interests, while the voices of those most affected by health inequity are regularly tokenised or excluded from the conversation. Many actors within the sector – even among communities and civil society – do not question the underlying premise and structures of health aid. Their own ideas and world views have been shaped by, and for, aid and the industry that supports it. Questioning aid poses challenges to the professions, livelihoods and sources of power for those who work within the sector.</p><p style="box-sizing:border-box;font-size:15px;line-height:1.75;margin:18px 0px 0px">Furthermore, whilst health aid is important in some situations, on its own aid can never lead to a world where all people can live healthy lives. To do so, we must tackle the underlying root causes that create and perpetuate poor health, including unfair trade agreements, tax injustice, the climate crisis, the weakness of existing guidance on health assistance, the unfettered exploitation and extraction of natural resources, under-resourced health systems, and the politico-economic incentives that reinforce those disease-producing forces. These social, commercial, economic and political determinants of health have been tolerated or ignored by aid, thereby reinforcing the health inequities that aid is meant to resolve.</p><p style="box-sizing:border-box;font-size:15px;line-height:1.75;margin:18px 0px 0px">We believe that collective social action in solidarity as one global community, working together to address the root causes of our struggle for health, can transform aid into an equitable means of ensuring health rights. This means acting out of compassion in the pursuit of justice, and caring, listening and helping each other in a way that promotes connectedness and equity throughout the world.</p><p style="box-sizing:border-box;font-size:15px;line-height:1.75;margin:18px 0px 0px">Through the <span class="gmail-il">Kampala</span> Initiative, we commit to expose, explore, challenge and transform health aid through dialogue, advocacy, activism and action. We commit to build cooperation and solidarity for health, within and beyond the practice of aid, to build a future where health justice and equity are realised, and aid is no longer a necessity.</p><p style="box-sizing:border-box;font-size:15px;line-height:1.75;margin:18px 0px 0px">Specifically we will:</p><ul style="box-sizing:border-box;margin:18px 0px 0px;padding:0px 0px 0px 18px;list-style-position:initial"><li style="margin:0px;box-sizing:border-box;font-size:15px;line-height:1.75">Advance a critical analysis of aid and challenge its misuse;</li><li style="margin:0px;box-sizing:border-box;font-size:15px;line-height:1.75">Challenge the power dynamics at the heart of aid structures;</li><li style="margin:0px;box-sizing:border-box;font-size:15px;line-height:1.75">Acknowledge and act upon the root causes of poor health, never pretending that aid is the solution;</li><li style="margin:0px;box-sizing:border-box;font-size:15px;line-height:1.75">Challenge damaging narratives of aid and charity where they exist;</li><li style="margin:0px;box-sizing:border-box;font-size:15px;line-height:1.75">Correct damaging power dynamics where they exist within our own organisations;</li><li style="margin:0px;box-sizing:border-box;font-size:15px;line-height:1.75">Collaborate in solidarity as partners in the Global South and North, to ensure that international health finance is grounded in social justice rather than neo-colonial ideas and practices.</li></ul><p style="box-sizing:border-box;font-size:15px;line-height:1.75;margin:18px 0px 0px"><span class="gmail-il">Kampala</span>/Geneva, 27 January 2020</p></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div>