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<p class="MsoNormal" style="margin:0in 0in 0.0001pt;font-size:12pt;font-family:"Calibri",sans-serif"><b><span style="font-family:"Times New Roman",serif">PHM
achievements: A reminder<span></span></span></b></p>
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<p class="MsoNormal" style="margin:0in 0in 0.0001pt;font-size:12pt;font-family:"Calibri",sans-serif"><span style="font-family:"Times New Roman",serif">In the first decade we did quite well. I am just recalling
all this from lived memory and experience, but can provide further details and
archival documents as evidence. These included:<span></span></span></p>
<p class="MsoNormal" style="margin:0in 0in 0.0001pt;font-size:12pt;font-family:"Calibri",sans-serif"><span style="font-family:"Times New Roman",serif">-Bringing back WHO to CPHC,<span></span></span></p>
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<p class="MsoNormal" style="margin:0in 0in 0.0001pt;font-size:12pt;font-family:"Calibri",sans-serif"><span style="font-family:"Times New Roman",serif">- Provoking and participating in the WHO-CSDH,<span></span></span></p>
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<p class="MsoNormal" style="margin:0in 0in 0.0001pt;font-size:12pt;font-family:"Calibri",sans-serif"><span style="font-family:"Times New Roman",serif">-Getting PAHO to accept the PHM version of CPHC and HFA
with health as a right;( see 2004 report),<span></span></span></p>
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<p class="MsoNormal" style="margin:0in 0in 0.0001pt;font-size:12pt;font-family:"Calibri",sans-serif"><span style="font-family:"Times New Roman",serif">- Getting WHO-DG hopefuls in dialogue with PHM via the
Lancet,<span></span></span></p>
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<p class="MsoNormal" style="margin:0in 0in 0.0001pt;font-size:12pt;font-family:"Calibri",sans-serif"><span style="font-family:"Times New Roman",serif">-Consistently holding IPHUs all over the world,<span></span></span></p>
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<p class="MsoNormal" style="margin:0in 0in 0.0001pt;font-size:12pt;font-family:"Calibri",sans-serif"><span style="font-family:"Times New Roman",serif">- Active presence and participation in Global Forum for
Health Research and COHRED annual research fora all over the world-Mexico, Cairo,
Mali, Cuba, etc.,<span></span></span></p>
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<p class="MsoNormal" style="margin:0in 0in 0.0001pt;font-size:12pt;font-family:"Calibri",sans-serif"><span style="font-family:"Times New Roman",serif">-Metamorphosis of active WHO advocacy circle into a even
more active WHO watch engagement and presence at the annual meetings but also
now participating in the preceding Executive board meetings. (even many WHO
staff like our notes and handouts ad look forward to it each year),<span></span></span></p>
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<p class="MsoNormal" style="margin:0in 0in 0.0001pt;font-size:12pt;font-family:"Calibri",sans-serif"><span style="font-family:"Times New Roman",serif">-The WHO advocacy circle in addition in the first few
years consistently increased the presence of PHM linked resource persons
through the solidarity of partner networks and organisations who had formal
affiliation which WHO - which we could not apply for because we were
unregistered. These partners sponsored PHM folks as WHA
participants making us the largest delegation to WHA during the Alma Ata
Anniversary in 2005 - even more than the US linked delegation even though we
continued to be an unregistered coalition of networks and partners,<span></span></span></p>
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<p class="MsoNormal" style="margin:0in 0in 0.0001pt;font-size:12pt;font-family:"Calibri",sans-serif"><span style="font-family:"Times New Roman",serif">- Active PHM presence and involvement in WHO Health
Promotion and other conferences including Health systems- Beijing,
Helsinki etc ad some influence on the recommendations in the conference
declarations,<span></span></span></p>
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<p class="MsoNormal" style="margin:0in 0in 0.0001pt;font-size:12pt;font-family:"Calibri",sans-serif"><span style="font-family:"Times New Roman",serif">-Involvement of many PHM linked resource persons in planning
WHR 08 and the actual processes of WHO-CSDH-including a Commissioner; members
of knowledge networks,; facilitating civil society dialogues in the
regions etc. (Thanks to Amit we had the audacity to provoke the CSDH by
offering an alternate civil society SDH document as well which he put
together by contribution from so many of us),<span></span></span></p>
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<p class="MsoNormal" style="margin:0in 0in 0.0001pt;font-size:12pt;font-family:"Calibri",sans-serif"><span style="font-family:"Times New Roman",serif">- From WHO DG being absent in Savar which you had commented
upon, to WHO officially sending a delegation to the Health Forum and
WSF gathering in Mumbai with the four member delegation not only identifying
with PHM delegation but also apologizing publicly to the gathering on
behalf of WHO for forgetting CPHC!!(that two of them lost their job
because of the unsanctioned apology is another matter!)<span></span></span></p>
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<p class="MsoNormal" style="margin:0in 0in 0.0001pt;font-size:12pt;font-family:"Calibri",sans-serif"><span style="font-family:"Times New Roman",serif">- Special recorded CD message of support and
solidarity from WHO DG Lee for the Cuenca Assembly because some bureaucratic
tangle with Ecuador govt prevented his active presence at the PHA2 at
Cuenca,<span></span></span></p>
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<p class="MsoNormal" style="margin:0in 0in 0.0001pt;font-size:12pt;font-family:"Calibri",sans-serif"><span style="font-family:"Times New Roman",serif">- Presence of Dr Halfdan Mahler at Savar, Cuenca and as
regular flag waver for PHM in so many meetings at WHA. Once even entering WHA
as a PHM delegate since WHO did not give him a pass one year!! (recently Thelma
and I were officially interviewed by the official biographers of Halfdan Mahler
and they asked us about this and other such involvements and links of Mahler
having done their homework well.!),<span></span></span></p>
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<p class="MsoNormal" style="margin:0in 0in 0.0001pt;font-size:12pt;font-family:"Calibri",sans-serif"><span style="font-family:"Times New Roman",serif">-Formal invitations by Dr Gro Brundtland, Dr Lee and later
Dr Margaret Chan of small PHM delegations for dialogue - some of which
were minuted,<span></span></span></p>
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<p class="MsoNormal" style="margin:0in 0in 0.0001pt;font-size:12pt;font-family:"Calibri",sans-serif"><span style="font-family:"Times New Roman",serif">- Formal invitation by Dr Mirta Roses to me as Global PHM
secretariat coordinator to visit and dialogue with her staff in
PAHO --on two occasions and attend the Buenos Aires conference which
tried to preempt the WHR08 report. (As PHM secretariat coordinator I was
treated with the same status and respect as Halfdan Mahler, Michael Marmot
and Jack Bryant. There is a publication with all our keynotes), etc.,<span></span></span></p>
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<p class="MsoNormal" style="margin:0in 0in 0.0001pt;font-size:12pt;font-family:"Calibri",sans-serif"><span style="font-family:"Times New Roman",serif">-Invitation to me and David Sanders to join the WHO
Task Force on Health Systems<span></span></span></p>
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<p class="MsoNormal" style="margin:0in 0in 0.0001pt;font-size:12pt;font-family:"Calibri",sans-serif"><span style="font-family:"Times New Roman",serif">Participation by David and myself and Rene Lowenson in
preliminary exploratory dialogue on the content, process and
structure of CSDH in London with Michael Marmot and Amartya Sen. In all these
involvements our strong affiliations with PHM was well known.<span></span></span></p>
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<p class="MsoNormal" style="margin:0in 0in 0.0001pt;font-size:12pt;font-family:"Calibri",sans-serif"><span style="font-family:"Times New Roman",serif">- Invitation to me as PHM
secretariat coordinator by additional DGs Mirta Roses and a Ghanian
ADG! to give the opening inhouse seminar for a inhouse all department
WHO committee initiating a dialogue process to rediscover CPHC. The ppt is
available on slide share,<span></span></span></p>
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<p class="MsoNormal" style="margin:0in 0in 0.0001pt;font-size:12pt;font-family:"Calibri",sans-serif"><span style="font-family:"Times New Roman",serif">-Five very successful Global health watches that are regular
reference texts for Public health courses all over the world,<span></span></span></p>
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<p class="MsoNormal" style="margin:0in 0in 0.0001pt;font-size:12pt;font-family:"Calibri",sans-serif"><span style="font-family:"Times New Roman",serif">- The inclusion of references, descriptions and mention of
PHM in several Public health text books around the world. We pulled all
this together in our Oxford encyclopedia paper,<span></span></span></p>
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<p class="MsoNormal" style="margin:0in 0in 0.0001pt;font-size:12pt;font-family:"Calibri",sans-serif"><span style="font-family:"Times New Roman",serif">There are many more such small victories if we actually
review the archives more carefully. <span></span></span></p>
<p class="MsoNormal" style="margin:0in 0in 0.0001pt;font-size:12pt;font-family:"Calibri",sans-serif"><span style="font-family:"Times New Roman",serif">For a fledgling loose coalition which we call PHM
this is a formidable set of achievement and we must share this with our newer
and younger members with confidence and a sense of satisfaction rather than
despair,<span></span></span></p>
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<p class="MsoNormal" style="margin:0in 0in 0.0001pt;font-size:12pt;font-family:"Calibri",sans-serif"><span style="font-family:"Times New Roman",serif">In the second decade some of this has continued and as our
20th year video of celebration shows (which incidentally is incomplete) we have
grown organically and unevenly all over the world. No doubt there are more
players in global health and more entry and influence of philanthro-capitalists
and the whole global crisis including health challenges has worsened and we
need new vigor and vitality which I am sure Roman and his companions and a
newer team of younger enthusiasts, comrades and resource persons can take
forward. Romans reflections especially his suggestions for greater
multilingualism, etc. were very inspiring and in the right direction. But we must
not despair but review our work and methodologies seriously, learning from past
strategies and initiatives and doing internal SWOTS etc in the Action-
reflection mode,<span></span></span></p>
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<p class="MsoNormal" style="margin:0in 0in 0.0001pt;font-size:12pt;font-family:"Calibri",sans-serif"><span style="font-family:"Times New Roman",serif">The world is more complex, WHO more subservient to corporate
agendas and the neo liberal order in reaction and turmoil . but lets
share these stories of small but definitive successes and start more
open learning reviews and not get too distracted by reactive responses and
digital activism or a sense of hopelessness. we must and will overcome
someday!!!that should be the spirit,<span></span></span></p>
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<p class="MsoNormal" style="margin:0in 0in 0.0001pt;font-size:12pt;font-family:"Calibri",sans-serif"><span style="font-family:"Times New Roman",serif">If you go to country-level than there are
wonderful stories of struggles big and small and of heroism
and courageous activism. We must collect them and build on them with
gratitude and solidarity. The GHWS are still not capturing them adequately,<span></span></span></p>
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<p class="MsoNormal" style="margin:0in 0in 0.0001pt;font-size:12pt;font-family:"Calibri",sans-serif"><span style="font-family:"Times New Roman",serif">Many studies have been done by Fran and others -Ron, David,
Thelma all teamed up for - the Teasdale Corti studies, etc . These need to be
shared in story telling forms and included more actively in IPHUs now that
peer reviewed papers have been published; maybe that is being done,<span></span></span></p>
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<p class="MsoNormal" style="margin:0in 0in 0.0001pt;font-size:12pt;font-family:"Calibri",sans-serif"><span style="font-family:"Times New Roman",serif">But the younger activist generation needs more
solidarity and more active follow up and mobilization with the IPHU network
needs to be done - challenging them to do more learning from past experiences. The
little experimental laboratory of initiatives in SOCHARA in Bangalore has
been very rewarding and inspiring.<span></span></span></p>
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<p class="MsoNormal" style="margin:0in 0in 0.0001pt;font-size:12pt;font-family:"Calibri",sans-serif"><span style="font-family:"Times New Roman",serif">We should be careful and watchful not also
to fall into the trap of making PHM an International ngo. We are a
loose coalition with voluntarism and solidarity as key components. We do need
some basic infrastructure to coordinate and communicate, connect and
collectivize and a small core secretariat team that we
have had serves that purpose. . A shared function supportive ethos which can
come with different regions providing more support rather than
enhancing the core too much,<span></span></span></p>
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<p class="MsoNormal" style="margin:0in 0in 0.0001pt;font-size:12pt;font-family:"Calibri",sans-serif"><span style="font-family:"Times New Roman",serif">I recall that in Cuenca we noted that there will
always be a PHM but much larger and greater than that will be a growing
collection of phms which we must continue to recognize and link
with. I believe we can do it,<span></span></span></p>
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<p class="MsoNormal" style="margin:0in 0in 0.0001pt;font-size:12pt;font-family:"Calibri",sans-serif"><span style="font-family:"Times New Roman",serif">All movements have troughs and slowing down and losing
steam is part of that history but if we can harness the younger energies, use
social networking more effectively and take learning from history and PHM past
praxis more seriously we will move forward more effectively. In fact, we are
doing so already but older folks like us will always feel we can do better! <span></span></span></p>
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<p class="MsoNormal" style="margin:0in 0in 0.0001pt;font-size:12pt;font-family:"Calibri",sans-serif"><span style="font-family:"Times New Roman",serif">Ravi Narayan<span></span></span></p>
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