<div dir="ltr"><div class="gmail_default" style="font-size:large"><br></div><br><div class="gmail_quote"><div dir="ltr" class="gmail_attr">---------- Forwarded message ---------<br>From: <b class="gmail_sendername" dir="auto">David</b> <span dir="auto"><<a href="mailto:dlegge@phmovement.org">dlegge@phmovement.org</a>></span><br>Date: Sat, Jan 20, 2024 at 11:18 AM<br></div><br><div class="msg-248953862563835398"><u></u>
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<span class="m_-248953862563835398mcnPreviewText" style="display:none;font-size:0px;line-height:0px;max-height:0px;max-width:0px;opacity:0;overflow:hidden">But member states divided</span>
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<h1 style="text-align:center;display:block;margin:0;padding:0;color:#202020;font-family:Helvetica;font-size:26px;font-style:normal;font-weight:bold;line-height:125%;letter-spacing:normal">WHO moves cautiously towards Global Health and Peace Initiative</h1>
<p style="font-family:Tahoma,Verdana,Segoe,sans-serif;font-size:12px;line-height:100%;text-align:left;margin:10px 0;padding:0;color:#202020">The Global Health and Peace Initiative (GHPI) appeared on WHO’s Executive Board agenda in January 2022 following a gathering in Geneva in November 2019 co-sponsored by Oman and Switzerland. It has been discussed several times in the World Health Assembly and the Executive Board (<a href="https://phmovement.us20.list-manage.com/track/click?u=559d715f58f654accf3de987e&id=1e80c2e0c8&e=ade41a541f" style="color:#007c89;font-weight:normal;text-decoration:underline" target="_blank">links to discussions</a>). It appears that not all member states are happy with WHO seeking to recognise and deal with conflict in its fieldwork.<br>
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The latest iteration of the proposed Initiative is outlined in document <a href="https://phmovement.us20.list-manage.com/track/click?u=559d715f58f654accf3de987e&id=106a5099c8&e=ade41a541f" style="color:#007c89;font-weight:normal;text-decoration:underline" target="_blank">EB154/17</a> (see also <a href="https://phmovement.us20.list-manage.com/track/click?u=559d715f58f654accf3de987e&id=efd504c525&e=ade41a541f" style="color:#007c89;font-weight:normal;text-decoration:underline" target="_blank">webpage</a>) will be considered by the Executive Board in late January 2024. The Initiative is characterised by two key principles which define the initiative.<br>
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The two principles are: ‘conflict sensitivity’ (do no harm), and ‘peace responsiveness’ (contribute to strengthening the conditions for peace, in particular, social cohesion and trust). The Initiative will be advanced through six workstreams starting with ‘Evidence generation through research and analysis’. See <a href="https://phmovement.us20.list-manage.com/track/click?u=559d715f58f654accf3de987e&id=2975ff04df&e=ade41a541f" style="color:#007c89;font-weight:normal;text-decoration:underline" target="_blank">Draft Roadmap</a> for discussion of the two principles and the six workstreams.<br>
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As requested by the Health Assembly in May 2023 the Secretariat has undertaken extensive consultation since then. <a href="https://phmovement.us20.list-manage.com/track/click?u=559d715f58f654accf3de987e&id=c2d3b411b1&e=ade41a541f" style="color:#007c89;font-weight:normal;text-decoration:underline" target="_blank">EB154/17</a> reports on the main messages from the various consultation meetings. It appears that the responses have varied from enthusiastic to sceptical. It seems likely that some of the issues raised in the consultations will reappear at the Executive Board in January. EB154/17 describes a range of activities implemented in recent months as part of the implementation of the GPHI. </p>
<h2 style="display:block;margin:0;padding:0;color:#202020;font-family:Helvetica;font-size:22px;font-style:normal;font-weight:bold;line-height:125%;letter-spacing:normal;text-align:left">Appreciation </h2>
PHM welcomes the Global Health for Peace initiative. It seems self-evident that WHO’s country level programs and services should be <i>conflict sensitive</i> and <i>peace responsive</i>. The work so far undertaken and foreshadowed through the six workstreams appear well directed to the development and implementation of the Initiative.<br>
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PHM appreciates the emphasis on evidence generation through research and analysis including case study analysis. Several case studies are to be found on the <a href="https://phmovement.us20.list-manage.com/track/click?u=559d715f58f654accf3de987e&id=d9a100b340&e=ade41a541f" style="color:#007c89;font-weight:normal;text-decoration:underline" target="_blank">WHO website</a>. The continuing analysis of cases will lead to clearer principles and guidelines. This research and analysis will also generate useful information about the drivers of conflict and of peace in different settings.
<h2 style="display:block;margin:0;padding:0;color:#202020;font-family:Helvetica;font-size:22px;font-style:normal;font-weight:bold;line-height:125%;letter-spacing:normal;text-align:left">Conflict as a social determinant of health</h2>
<p style="font-family:Tahoma,Verdana,Segoe,sans-serif;font-size:12px;line-height:100%;text-align:left;margin:10px 0;padding:0;color:#202020">Unequitable access to basic facilities such as healthcare services, educational facilities, development efforts, economic opportunities, job opportunities, technology services, potable water, and electricity can drive people to anger and lead to conflicts. Poverty, forced displacements, marginalization, stigmatization, exclusion, injustice, insecurity, trade issues, land disputes, ethnic, religious and cultural differences, gender stereotypes, colonial influence, privatization, political inequities, tension between armed community groups and community members, hate speech, mistrust, food insecurity, climate-related issues such as water shortage for farming also contribute to conflict in fragile and vulnerable settings.<br>
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While the Global Health and Peace Initiative appears to be directed primarily to inform WHO’s work in conflict settings, the principles should be incorporated into the training of health personnel generally. Even where there is no overt conflict there are divisions within communities where conflict sensitivity (do no harm) and peace responsiveness (building social cohesion and trust) may make a contribution to well-being and health.<br>
<i>… the Global Health and Peace Initiative focuses on fragile, conflict-affected and vulnerable settings but is also relevant in any setting where social cohesion, resilience, or trust need to be built, sustained, or strengthened upon the request and acceptance of Governments. As the COVID-19 pandemic demonstrated, poor social cohesion or low levels of trust can undermine positive health outcomes and universal health coverage. </i><br>
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It is evident also that there are limitations to what can be achieved through the GPHI as was evident during the recent special session of the Executive Board (<a href="https://phmovement.us20.list-manage.com/track/click?u=559d715f58f654accf3de987e&id=b3b63b34f9&e=ade41a541f" style="color:#007c89;font-weight:normal;text-decoration:underline" target="_blank">EBSS7</a>) which reviewed the devastating humanitarian crisis in Gaza. <br>
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Peace programming should not be understood as contained within one country. The majority of conflicts involving WHO are international, and grievances related to exclusion or discrimination are clearly be related to international forces. The attention given to delivering services equitably as a means of promoting peace is welcome and should be applied internationally as well as nationally.<br>
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PHM calls on countries to support the continuing development of the Global Health and Health Initiative. </p>
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<p style="font-family:Tahoma,Verdana,Segoe,sans-serif;font-size:12px;line-height:100%;text-align:left;margin:10px 0;padding:0;color:#202020">The full <a href="https://phmovement.us20.list-manage.com/track/click?u=559d715f58f654accf3de987e&id=b801b522ec&e=ade41a541f" style="color:#007c89;font-weight:normal;text-decoration:underline" target="_blank">PHM commentary on this item</a> provides more detail and references. See also Tracker links to <a href="https://phmovement.us20.list-manage.com/track/click?u=559d715f58f654accf3de987e&id=34a6d14864&e=ade41a541f" style="color:#007c89;font-weight:normal;text-decoration:underline" target="_blank">previous discussions of health</a> and peace. <br>
The WHO Tracker and the PHM item commentaries are produced as part of WHO Watch which is a project of the <a href="https://phmovement.us20.list-manage.com/track/click?u=559d715f58f654accf3de987e&id=a03d978067&e=ade41a541f" style="color:#007c89;font-weight:normal;text-decoration:underline" target="_blank">People's Health Movement</a> in association with <a href="https://phmovement.us20.list-manage.com/track/click?u=559d715f58f654accf3de987e&id=16fe9be4a9&e=ade41a541f" style="color:#007c89;font-weight:normal;text-decoration:underline" target="_blank">Medicus Mundi International</a>, <a href="https://phmovement.us20.list-manage.com/track/click?u=559d715f58f654accf3de987e&id=d569584042&e=ade41a541f" style="color:#007c89;font-weight:normal;text-decoration:underline" target="_blank">Third World Network</a> and a number of other civil society networks. WHO Watch aims to contribute to democratising global health governance, through new alliances, new information flows and by broadening the policy discourse.<br>
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See the WHO Tracker page for this EB154 session (<a href="https://phmovement.us20.list-manage.com/track/click?u=559d715f58f654accf3de987e&id=62ce262dea&e=ade41a541f" style="color:#007c89;font-weight:normal;text-decoration:underline" target="_blank">here</a>). See PHM’s <a href="https://phmovement.us20.list-manage.com/track/click?u=559d715f58f654accf3de987e&id=16f637d702&e=ade41a541f" style="color:#007c89;font-weight:normal;text-decoration:underline" target="_blank">integrated commentary</a> on the full agenda of EB154. To ensure that you receive Update Alerts ensure you are <a href="https://phmovement.us20.list-manage.com/track/click?u=559d715f58f654accf3de987e&id=ce4041ba1e&e=ade41a541f" style="color:#007c89;font-weight:normal;text-decoration:underline" target="_blank">subscribed </a>to the Updater. <br>
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You can support WHO Watch by forwarding this Item Alert, publicising the <a href="https://phmovement.us20.list-manage.com/track/click?u=559d715f58f654accf3de987e&id=02ab0df3ea&e=ade41a541f" style="color:#007c89;font-weight:normal;text-decoration:underline" target="_blank">Tracker</a>; inviting others to <a href="https://phmovement.us20.list-manage.com/track/click?u=559d715f58f654accf3de987e&id=5c56df8245&e=ade41a541f" style="color:#007c89;font-weight:normal;text-decoration:underline" target="_blank">subscribe to the Updater</a>; and by following us on Twitter via @PHMglobal and @WorldHealthWatch. To provide feedback on this newsletter please write to <a href="mailto:editor@phmovement.org" style="color:#007c89;font-weight:normal;text-decoration:underline" target="_blank">editor@phmovement.org</a>.</p>
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