The People’s Health Movement

R. Narayan
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Abstract

The People’s Health Movement (PHM) is a vibrant global network bringing together grass-roots health activists, public interest civil society organizations, issue-based networks, academic institutions, and individuals from around the world, particularly the Global South. Since its inception in 2000, the PHM has played a significant role in revitalizing Health for All (HFA) initiatives, as well as addressing the underlying social and political determinants of health with a social justice perspective, at global, national, and local levels. The PHM is part of a global social movement—the movement for health. For more than a century, people across the world have been expressing doubts about a narrowly medical vision of health care, and calling for focus on the links between poor health and social injustice, oppression, exploitation, and domination. The PHM grew out of engagement with the World Health Organization by a number of existing civil society networks and associations. Having recognized the need for a larger coalition, representatives of eight networks and institutions formed an international organizing committee to facilitate the first global People’s Health Assembly in Savar, Bangladesh, in the year 2000. The eight groups were the International People’s Health Council, Consumer International, Health Action International, the Third World Network, the Asian Community Health Action Network, the Women’s Global Network for Reproductive Rights, the Dag Hammarskjold Foundation and Gonoshasthaya Kendra. All these groups consistently raised and opposed the selectivization and verticalization of Primary Health Care (PHC) that followed Alma Ata leading to what was called Selective PHC (i.e., not the original comprehensive PHC). These groups came together to organize the committee for the first People’s Health Assembly and then to form the Charter Committee that led to the People’s Health Charter, which finally led to the actual PHM. Within PHM, members engage critically and constructively in health initiatives, health policy critique, and formulation, thus advancing people’s demands. The PHM builds capacities of community activists to participate in monitoring health-related policies, the governance of health systems, and keeping comprehensive PHC as a central strategy in world debate. The PHM ensures that people’s voices become part of decision-making processes. The PHM has an evolving presence in over 80 countries worldwide, consisting of groups of individuals and/or well-established PHM circles with their own governance and information-sharing mechanisms. It additionally operates through issue-based circles across countries.
人民健康运动
人民健康运动(PHM)是一个充满活力的全球网络,汇集了来自世界各地,特别是全球南方的基层卫生活动家、公共利益民间社会组织、基于问题的网络、学术机构和个人。自2000年启动以来,全民健康战略在全球、国家和地方各级发挥了重要作用,使人人享有健康倡议恢复活力,并从社会正义的角度处理健康的基本社会和政治决定因素。PHM是全球社会运动——健康运动——的一部分。一个多世纪以来,世界各地的人们一直对医疗保健的狭隘医学观点表示怀疑,并呼吁关注健康状况不佳与社会不公正、压迫、剥削和统治之间的联系。PHM是由一些现有的民间社会网络和协会与世界卫生组织的接触而产生的。8个网络和机构的代表认识到需要一个更大的联盟,因此组成了一个国际组织委员会,以促进于2000年在孟加拉国萨瓦尔举行第一届全球人民卫生大会。这八个团体是:国际人民卫生理事会、国际消费者组织、国际卫生行动组织、第三世界网络、亚洲社区卫生行动网络、妇女全球生殖权利网络、达格·哈马舍尔德基金会和gonoshaasthaya Kendra。所有这些团体都一贯提出并反对阿拉木图之后的初级保健的选择性和垂直化,导致所谓的选择性初级保健(即不是最初的全面初级保健)。这些团体聚集在一起,为第一届人民健康大会组织了委员会,然后成立了宪章委员会,导致了人民健康宪章,最终导致了实际的PHM。在PHM内部,成员批判性和建设性地参与卫生倡议,卫生政策批评和制定,从而促进人们的需求。初级保健管理为社区活动者建立参与监测卫生相关政策、卫生系统治理的能力,并将全面初级保健作为世界辩论的中心战略。PHM确保人们的声音成为决策过程的一部分。PHM在全球80多个国家不断发展,由个人团体和/或建立良好的PHM圈子组成,具有自己的治理和信息共享机制。此外,它还在各国通过基于问题的圈子开展业务。
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