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    <span style="color:transparent;display:none;height:0;max-height:0;max-width:0;opacity:0;overflow:hidden;width:0">This fortnight

The World Health Organization, in its role as the United Nations’ health agency,
formally stands in the lead for strengthening public health systems worldwide.
Yet the role that international financial institutions play in the shaping of
health systems has only grown with time. Today, the World Bank and the
International Monetary Fund often determine how health delivery in a country is
going to look. At times, their influence might very well overshadow WHO’s.

In this issue of th</span>
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                                            <a href="https://peoples-health-dispatch.ghost.io/bulletin-37/" class="m_3911241988950015108post-title-link" style="text-decoration:none;color:#15212a;display:block;text-align:center;margin-top:50px" target="_blank">Bulletin #37: No to austerity, yes to strong health systems</a>
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                                                        By People's Health Dispatch –
                                                        05 Nov 2022 –
                                                        <a href="https://peoples-health-dispatch.ghost.io/bulletin-37/" class="m_3911241988950015108view-online-link" style="text-decoration:none;word-wrap:none;white-space:nowrap;color:#15212a" target="_blank">View online →</a>
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                                            <div style="margin:0 0 1.5em;padding:0"><img src="https://peoples-health-dispatch.ghost.io/content/images/2022/11/image.png" alt="" style="border:none;max-width:100%;display:block;margin:0 auto;width:auto;height:auto" width="600" height="71"></div><h2 id="m_3911241988950015108this-fortnight" style="margin-top:0;font-family:-apple-system,BlinkMacSystemFont,'Segoe UI',Roboto,Helvetica,Arial,sans-serif,'Apple Color Emoji','Segoe UI Emoji','Segoe UI Symbol';line-height:1.11em;font-weight:700;margin:1.5em 0 0.5em 0;font-size:32px">This fortnight  </h2><p style="margin:0 0 1.5em 0;line-height:1.6em"><br>The World Health Organization, in its role as the United Nations’ health agency, formally stands in the lead for strengthening public health systems worldwide. Yet the role that international financial institutions play in the shaping of health systems has only grown with time. Today, the World Bank and the International Monetary Fund often determine how health delivery in a country is going to look. At times, their influence might very well overshadow WHO’s.</p><p style="margin:0 0 1.5em 0;line-height:1.6em">In this issue of the People’s Health Dispatch we focus on the effects that World Bank and IMF programs have had on the lives of health workers and the people relying on public health systems. We begin with an <a href="https://peoplesdispatch.org/2022/10/28/imf-and-world-bank-no-to-austerity-yes-to-stronger-health-systems/" style="color:#ff1a75;text-decoration:underline" target="_blank">overview </a>of structural adjustment programs and austerity measures in the Global South by Ronald Labonté.</p><p style="margin:0 0 1.5em 0;line-height:1.6em">Health activists and researchers Natalie Rhodes and Remco van de Pas <a href="https://peoplesdispatch.org/2022/10/31/how-the-world-bank-weakens-health-systems/" style="color:#ff1a75;text-decoration:underline" target="_blank">reflect </a>on how the World Bank reacted to the COVID-19 pandemic and the launch of the Fund for Pandemic Prevention, Preparedness and Response.</p><p style="margin:0 0 1.5em 0;line-height:1.6em">The Bank’s new fund is likely to bring additional limitations for governments in the Global South where the planning and organization of health systems is concerned. The same thing is true for IMF programs, which have a long history of undermining public services in countries like <a href="https://peoplesdispatch.org/2022/11/05/structural-adjustment-by-any-other-name-international-financial-institutions-and-health-in-ghana-and-kenya/" style="color:#ff1a75;text-decoration:underline" target="_blank">Ghana and Kenya</a>.</p><p style="margin:0 0 1.5em 0;line-height:1.6em">The negative effects of structural adjustment programs and austerity measures are multifold, especially when it comes to women’s health. A new <a href="https://peoplesdispatch.org/2022/11/03/imfs-pinkwashing-has-multifold-effects-on-womens-health/" style="color:#ff1a75;text-decoration:underline" target="_blank">report </a>by ActionAid and Public Services International shows that women are shouldering most of the burden of weakened public health systems.</p><p style="margin:0 0 1.5em 0;line-height:1.6em">Health workers are not only dealing with attacks from international financial institutions, but with pressures from right-wing governments too. <a href="https://peoplesdispatch.org/2022/10/26/president-of-turkish-medical-association-sebnem-korur-fincanci-detained/" style="color:#ff1a75;text-decoration:underline" target="_blank">Şebnem Korur Fincancı</a>, president of the Turkish Medical Association, was arrested under charges of spreading terrorist propaganda at the end of October. The move against the elected leadership of the TMA is likely an attempt by the Turkish government to weaken and silence this progressive physicians' organization.</p><p style="margin:0 0 1.5em 0;line-height:1.6em">In <i>Data speaks</i>, we bring a snapshot of the world’s progress in the fight against tuberculosis. Recent setbacks have been painted as a result of the global focus on COVID-19, but data shows that progress was faltering long before 2020.</p><hr style="display:block;width:100%;margin:3em 0;padding:0;height:1px;border:0;border-top:1px solid #e5eff5"><h2 id="m_3911241988950015108featured-articles" style="margin-top:0;font-family:-apple-system,BlinkMacSystemFont,'Segoe UI',Roboto,Helvetica,Arial,sans-serif,'Apple Color Emoji','Segoe UI Emoji','Segoe UI Symbol';line-height:1.11em;font-weight:700;margin:1.5em 0 0.5em 0;font-size:32px">Featured articles</h2><p style="margin:0 0 1.5em 0;line-height:1.6em"><b style="font-weight:700"><a href="https://peoplesdispatch.org/2022/10/28/imf-and-world-bank-no-to-austerity-yes-to-stronger-health-systems/" style="color:#ff1a75;text-decoration:underline" target="_blank">IMF and World Bank: no to austerity, yes to stronger health systems</a></b></p><p style="margin:0 0 1.5em 0;line-height:1.6em">International financial institutions have shaped health systems, especially in the Global South, through programs of structural adjustment and austerity policies. It is imperative that these are replaced by pathways for strengthening public health systems and the social determinants of health</p><div style="margin:0 0 1.5em;padding:0"><img src="https://peoples-health-dispatch.ghost.io/content/images/2022/11/ron.jpg" alt="" style="border:none;max-width:100%;display:block;margin:0 auto;width:auto;height:auto" width="600" height="337"></div><p style="margin:0 0 1.5em 0;line-height:1.6em"><b style="font-weight:700"><a href="https://peoplesdispatch.org/2022/11/05/structural-adjustment-by-any-other-name-international-financial-institutions-and-health-in-ghana-and-kenya/" style="color:#ff1a75;text-decoration:underline" target="_blank">Structural adjustment by any other name: International Financial Institutions and health in Ghana and Kenya</a></b></p><p style="margin:0 0 1.5em 0;line-height:1.6em">A look at the IMF’s programs in Ghana and Kenya reveals the continuity of more privatization, more cuts, and more threats to people’s right to health</p><div style="margin:0 0 1.5em;padding:0"><img src="https://peoples-health-dispatch.ghost.io/content/images/2022/11/ghanakenya.jpg" alt="" style="border:none;max-width:100%;display:block;margin:0 auto;width:auto;height:auto" width="600" height="338"></div><p style="margin:0 0 1.5em 0;line-height:1.6em"><b style="font-weight:700"><a href="https://peoplesdispatch.org/2022/11/03/imfs-pinkwashing-has-multifold-effects-on-womens-health/" style="color:#ff1a75;text-decoration:underline" target="_blank">IMF’s pinkwashing has multifold effects on women’s health</a></b></p><p style="margin:0 0 1.5em 0;line-height:1.6em">Roos Saalbrink talks about the different ways that IMF programmes undermine women’s right to health and the rights of women health workers</p><div style="margin:0 0 1.5em;padding:0"><img src="https://peoples-health-dispatch.ghost.io/content/images/2022/11/pinkwashing.jpg" alt="" style="border:none;max-width:100%;display:block;margin:0 auto;width:auto;height:auto" width="600" height="338"></div><hr style="display:block;width:100%;margin:3em 0;padding:0;height:1px;border:0;border-top:1px solid #e5eff5"><p style="margin:0 0 1.5em 0;line-height:1.6em"><b style="font-weight:700"><a href="https://peoplesdispatch.org/2022/10/31/how-the-world-bank-weakens-health-systems/" style="color:#ff1a75;text-decoration:underline" target="_blank">Video: How the World Bank weakens health systems</a></b></p><p style="margin:0 0 1.5em 0;line-height:1.6em">Health researchers Natalie Rhodes and Remco van de Pas discuss about the nature and limitations of the World Bank Pandemic Prevention, Preparedness and Response fund</p><div class="m_3911241988950015108kg-embed-card" style="margin:0 0 1.5em;padding:0">
                
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            </div><hr style="display:block;width:100%;margin:3em 0;padding:0;height:1px;border:0;border-top:1px solid #e5eff5"><h2 id="m_3911241988950015108short-reads" style="margin-top:0;font-family:-apple-system,BlinkMacSystemFont,'Segoe UI',Roboto,Helvetica,Arial,sans-serif,'Apple Color Emoji','Segoe UI Emoji','Segoe UI Symbol';line-height:1.11em;font-weight:700;margin:1.5em 0 0.5em 0;font-size:32px">Short reads</h2><p style="margin:0 0 1.5em 0;line-height:1.6em"><b style="font-weight:700"><a href="https://peoplesdispatch.org/2022/10/26/president-of-turkish-medical-association-sebnem-korur-fincanci-detained/" style="color:#ff1a75;text-decoration:underline" target="_blank">President of Turkish Medical Association Şebnem Korur Fincancı detained</a></b></p><p style="margin:0 0 1.5em 0;line-height:1.6em">Dr Şebnem Korur Fincancı was detained on charges of spreading terrorist propaganda after she spoke about alleged use of chemical weapons by the Turkish army against the Kurdistan Workers’ Party (PKK) in northern Iraq</p><div style="margin:0 0 1.5em;padding:0"><img src="https://peoples-health-dispatch.ghost.io/content/images/2022/11/sebnem.jpg" alt="" style="border:none;max-width:100%;display:block;margin:0 auto;width:auto;height:auto" width="600" height="338"></div><hr style="display:block;width:100%;margin:3em 0;padding:0;height:1px;border:0;border-top:1px solid #e5eff5"><h2 id="m_3911241988950015108data-speaks" style="margin-top:0;font-family:-apple-system,BlinkMacSystemFont,'Segoe UI',Roboto,Helvetica,Arial,sans-serif,'Apple Color Emoji','Segoe UI Emoji','Segoe UI Symbol';line-height:1.11em;font-weight:700;margin:1.5em 0 0.5em 0;font-size:32px">Data speaks</h2><p style="margin:0 0 1.5em 0;line-height:1.6em">The <a href="https://www.who.int/publications/i/item/9789240061729" style="color:#ff1a75;text-decoration:underline" target="_blank">Global TB Report</a> released last week shows that little progress has been made to achieve the targets set by the World Health Organization and United Nations High Level Meeting on TB held in 2018. While the progress slowed down during the COVID-19 pandemic, especially with regard to the number of deaths, things weren't looking up before the pandemic either. Data from the reports of 2019 and 2020 reveals that huge funding gaps existed even before COVID-19, and progress towards combating TB was minimal.</p><div style="margin:0 0 1.5em;padding:0"><img src="https://peoples-health-dispatch.ghost.io/content/images/2022/11/TB_Strategy_Targets_1.png" alt="" style="border:none;max-width:100%;display:block;margin:0 auto;width:auto;height:auto" width="600" height="185"><div style="text-align:center;font-family:-apple-system,BlinkMacSystemFont,'Segoe UI',Roboto,Helvetica,Arial,sans-serif,'Apple Color Emoji','Segoe UI Emoji','Segoe UI Symbol';font-size:14px;padding-top:5px;line-height:1.5em">Source: Global TB Report 2020 and Global TB Report 2022</div></div><div style="margin:0 0 1.5em;padding:0"><img src="https://peoples-health-dispatch.ghost.io/content/images/2022/11/TB_Strategy_Targets_2.png" alt="" style="border:none;max-width:100%;display:block;margin:0 auto;width:auto;height:auto" width="600" height="438"><div style="text-align:center;font-family:-apple-system,BlinkMacSystemFont,'Segoe UI',Roboto,Helvetica,Arial,sans-serif,'Apple Color Emoji','Segoe UI Emoji','Segoe UI Symbol';font-size:14px;padding-top:5px;line-height:1.5em">Source: UN High-Level Meeting on TB: funding targets</div></div><hr style="display:block;width:100%;margin:3em 0;padding:0;height:1px;border:0;border-top:1px solid #e5eff5"><div class="m_3911241988950015108kg-bookmark-card" style="margin:0 0 1.5em;padding:0;width:100%;background:#ffffff"><a href="https://www.re-solveglobalhealth.com/post/getting-to-the-heart-of-women-s-healthcare-in-india?fbclid=IwAR3nzTbkajJ58bFLGqA6ZZE-pLFDe0Ofk1gXP5" style="display:flex;min-height:148px;font-family:-apple-system,BlinkMacSystemFont,'Segoe UI',Roboto,Oxygen,Ubuntu,Cantarell,'Open Sans','Helvetica Neue',sans-serif;border-radius:3px;border:1px solid #e5eff5;color:#ff1a75;text-decoration:none" target="_blank"><div style="display:inline-block;width:100%;padding:20px"><div style="color:#15212a;font-size:15px;line-height:1.5em;font-weight:600">Getting to the heart of women’s healthcare in India</div><div style="display:-webkit-box;overflow-y:hidden;margin-top:12px;max-height:40px;color:#738a94;font-size:13px;line-height:1.5em;font-weight:400">Women in India are at heightened risk for cardiovascular disease, yet struggle to access preventative, emergency and follow-up care.Jyotsna Singh—Indiahttps://static.wixstatic.com/media/653556_c4adc813898c4e43821ce00c5e541ab4~mv2.jpg/v1/fit/w_1000%2Ch_1000%2Cal_c%2Cq_80/file.jpg</div><div class="m_3911241988950015108kg-bookmark-metadata" style="display:flex;margin-top:14px;color:#15212a;font-size:13px;font-weight:400"><img src="https://static.wixstatic.com/media/056cf4_2f628572db7c4b129647bd343c0f999f~mv2.png/v1/fill/w_32%2Ch_32%2Clg_1%2C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/div></div><div class="m_3911241988950015108kg-bookmark-thumbnail" style="min-width:140px;max-width:180px;background-repeat:no-repeat;background-size:cover;background-position:center;border-radius:0 2px 2px 0;background-image:url('https://morningstaronline.co.uk/sites/default/files/PA-55073578%20(3).jpg')"><img src="https://morningstaronline.co.uk/sites/default/files/PA-55073578%20(3).jpg" alt="" style="border:none;max-width:100%;display:none"></div></a></div><div class="m_3911241988950015108kg-bookmark-card" style="margin:0 0 1.5em;padding:0;width:100%;background:#ffffff;margin-top:0"><a href="https://phmovement.org/who-watch-call-for-participation/" style="display:flex;min-height:148px;font-family:-apple-system,BlinkMacSystemFont,'Segoe UI',Roboto,Oxygen,Ubuntu,Cantarell,'Open Sans','Helvetica Neue',sans-serif;border-radius:3px;border:1px solid #e5eff5;color:#ff1a75;text-decoration:none" target="_blank"><div style="display:inline-block;width:100%;padding:20px"><div style="color:#15212a;font-size:15px;line-height:1.5em;font-weight:600">WHO Watch for 152nd Executive Board Meeting of WHO: Call for Participation - People’s Health Movement</div><div style="display:-webkit-box;overflow-y:hidden;margin-top:12px;max-height:40px;color:#738a94;font-size:13px;line-height:1.5em;font-weight:400">Call for Watchers to participate in the Executive Board Meeting of WHO (January-February 2023 – in person) PHM is preparing for watching the 152nd Executive Board meeting (EB152) of World ... Read more</div><div class="m_3911241988950015108kg-bookmark-metadata" style="display:flex;margin-top:14px;color:#15212a;font-size:13px;font-weight:400"><img src="https://phmovement.org/wp-content/uploads/2018/01/PHM-Logo-HQ_3-195x195.png" alt="" style="border:none;max-width:100%;margin-right:8px;width:22px;height:22px" width="22" height="22"><span style="line-height:1.5em">People's Health Movement</span><span style="overflow:hidden;max-width:240px;line-height:1.5em;text-overflow:ellipsis;white-space:nowrap"><span style="margin:0 6px">•</span>gargeya</span></div></div><div class="m_3911241988950015108kg-bookmark-thumbnail" style="min-width:140px;max-width:180px;background-repeat:no-repeat;background-size:cover;background-position:center;border-radius:0 2px 2px 0;background-image:url('https://phmovement.org/wp-content/uploads/2022/11/WHO-Watch-executive-Board-152-Jan-Feb-2023.png')"><img src="https://phmovement.org/wp-content/uploads/2022/11/WHO-Watch-executive-Board-152-Jan-Feb-2023.png" alt="" style="border:none;max-width:100%;display:none"></div></a></div><div class="m_3911241988950015108kg-bookmark-card" style="margin:0 0 1.5em;padding:0;width:100%;background:#ffffff;margin-top:0"><a href="https://www.thenewhumanitarian.org/news/2022/11/01/Rising-Ebola-cases-Uganda-Rwanda-Kenya" style="display:flex;min-height:148px;font-family:-apple-system,BlinkMacSystemFont,'Segoe UI',Roboto,Oxygen,Ubuntu,Cantarell,'Open Sans','Helvetica Neue',sans-serif;border-radius:3px;border:1px solid #e5eff5;color:#ff1a75;text-decoration:none" target="_blank"><div style="display:inline-block;width:100%;padding:20px"><div style="color:#15212a;font-size:15px;line-height:1.5em;font-weight:600">Rising Ebola cases in Uganda spark regional concern</div><div style="display:-webkit-box;overflow-y:hidden;margin-top:12px;max-height:40px;color:#738a94;font-size:13px;line-height:1.5em;font-weight:400">The raising of the threat level by the WHO has neighbours on edge amid growing questions over lockdowns and the broader response.</div><div class="m_3911241988950015108kg-bookmark-metadata" style="display:flex;margin-top:14px;color:#15212a;font-size:13px;font-weight:400"><img src="https://www.thenewhumanitarian.org/themes/custom/tnh/favicon.ico" alt="" style="border:none;max-width:100%;margin-right:8px;width:22px;height:22px" width="22" height="22"><span style="line-height:1.5em">The New Humanitarian</span><span style="overflow:hidden;max-width:240px;line-height:1.5em;text-overflow:ellipsis;white-space:nowrap"><span style="margin:0 6px">•</span>Philippa Croome</span></div></div><div class="m_3911241988950015108kg-bookmark-thumbnail" style="min-width:140px;max-width:180px;background-repeat:no-repeat;background-size:cover;background-position:center;border-radius:0 2px 2px 0;background-image:url('https://assets.thenewhumanitarian.org/s3fs-public/styles/social_large/public/2022-11/Ebola-Uganda.jpg?itok=qlxdoiuT')"><img src="https://assets.thenewhumanitarian.org/s3fs-public/styles/social_large/public/2022-11/Ebola-Uganda.jpg?itok=qlxdoiuT" alt="" style="border:none;max-width:100%;display:none"></div></a></div><div class="m_3911241988950015108kg-bookmark-card" style="margin:0 0 1.5em;padding:0;width:100%;background:#ffffff;margin-top:0"><a href="https://caravanmagazine.in/health/hiv-shortage-protest" style="display:flex;min-height:148px;font-family:-apple-system,BlinkMacSystemFont,'Segoe UI',Roboto,Oxygen,Ubuntu,Cantarell,'Open Sans','Helvetica Neue',sans-serif;border-radius:3px;border:1px solid #e5eff5;color:#ff1a75;text-decoration:none" target="_blank"><div style="display:inline-block;width:100%;padding:20px"><div style="color:#15212a;font-size:15px;line-height:1.5em;font-weight:600">How a medicine shortage endangered people living with HIV</div><div style="display:-webkit-box;overflow-y:hidden;margin-top:12px;max-height:40px;color:#738a94;font-size:13px;line-height:1.5em;font-weight:400">The country was facing stockout of key HIV medicines, such as dolutegravir, lopinavir and abacavir.</div><div class="m_3911241988950015108kg-bookmark-metadata" style="display:flex;margin-top:14px;color:#15212a;font-size:13px;font-weight:400"><img src="https://storage.googleapis.com/caravan-b/ic/android-icon-192x192.png" alt="" style="border:none;max-width:100%;margin-right:8px;width:22px;height:22px" width="22" height="22"><span style="line-height:1.5em">The Caravan</span><span style="overflow:hidden;max-width:240px;line-height:1.5em;text-overflow:ellipsis;white-space:nowrap"><span style="margin:0 6px">•</span>Jyotsna Singh</span></div></div><div class="m_3911241988950015108kg-bookmark-thumbnail" style="min-width:140px;max-width:180px;background-repeat:no-repeat;background-size:cover;background-position:center;border-radius:0 2px 2px 0;background-image:url('https://lh3.googleusercontent.com/1wvvj06MI2ISKU-7j3Vn8GuRCJPlxhsjcys9CMmbnXnGzZQSiA6tpmJAMAevng96Bsq4WK4OrOwd6RZkpGR0FbGVlRXThR-7W27v2o8=w1200-h630-pp')"><img src="https://lh3.googleusercontent.com/1wvvj06MI2ISKU-7j3Vn8GuRCJPlxhsjcys9CMmbnXnGzZQSiA6tpmJAMAevng96Bsq4WK4OrOwd6RZkpGR0FbGVlRXThR-7W27v2o8=w1200-h630-pp" alt="" style="border:none;max-width:100%;display:none"></div></a></div>
                                            
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