Governance and participation in health

Health before wealth
Demand the WTO change its patent rules

Every day 37,000 people die from preventable diseases such as HIV/AIDS, malaria, and tuberculosis.* Most of these deaths are in the developing world where many life-saving drugs are unaffordable because they are patented under rules set by the World Trade Organisation (WTO). There is now a strong movement of governments, charities, churches, activist groups and health bodies urging the WTO to change these rules to allow countries the right to make vital medicines more cheaply. However a few rich WTO members - particularly the United States - are blocking these moves, and pressurising developing countries to apply even more restrictive rules at national level. Oxfam, Third World Network and Health Gap Coalition are part of a global alliance which is urging WTO members, in particular the US, to demonstrate their commitment to put people's health before the profits of powerful drugs companies. Will you help us change the WTO rules? Add your name to our petition which we will present to the WTO at its forthcoming summit.

The People Have Spoken
by Phiroshaw Camay and Anne J. Gordon

The book is a review of the June 1999 democratic elections in South Africa and has extensive chapters on the role of civil society and voter education and election monitoring of the elections as well as a 25 page chapter on the role of the media in the election process.

Join the tobacco and development email discussion list
24th September - 2nd November, 2001

Is tobacco control a development issue? How will the WHO's Framework Convention on Tobacco Control (FCTC) affect developing countries? What new research is needed to explore these issues? What do YOU think? id21 Health's email discussion aims to bring a broader development perspective to the tobacco control debate. Participants will include international and national policy-makers, health professionals, tobacco control agencies, NGOs and researchers from diverse academic disciplines. A summary of the discussion will be distributed to participants at the next round of negotiations on the FCTC in late November. To join the discussion, send an email to lyris@lyris.ids.ac.uk, with the message: ''subscribe tobacco Firstname Lastname", e.g. "subscribe tobacco Emily Smith".

Mandate the Future

This Worldview International project is a youth Internet forum on global issues. Every fortnight, they cover pertinent issues, chosen by youth themselves through an offline and online poll. Recent discussions have included Sexuality Education: If Not Now, Then When?

YOUR MONEY OR YOUR LIFE -
US TRADE POLICY ROBS POOR PEOPLE OF THEIR HEALTH!

Third World Network, Oxfam International and Health Gap Coalition are launching a global online petition which we hope will demonstrate the strength of global public support for WTO patent rules that put people before the profits of powerful drug companies. The petition is addressed to George Bush as a leading international figure whose government is blocking changes and clarifications to the TRIPS Agreement that would mean cheaper medicines for people in developing countries. The petition will run from September 1st through to the WTO Ministerial in Quatar in November where it will be handed over to the US Government. Sign and support the petition which is online at the Oxfam website.

Further details: /newsletter/id/28784
WHO CIVIL SOCIETY INTIATIVE

In a response to pressures from civil society organisations (CSOs) internationally, especially through the People's Health Assembly held in Dhaka in December 2000, the World Health Organisation (WHO) has finally conceded the importance of engaging with CSOs. Commenting on the formation of the WHO Civil Society Intiative, Eva Wallstam, Director, said: "This is a time when the Health for All core values of equity, dignity and human rights, need to be more clearly articulated ... For WHO this means reaching out, beyond the formal health sector to other partners and to a wide range of civil society actors." The full text of her speech is available below.

Further details: /newsletter/id/28765
Contact: skoldm@who.ch
RESOLUTIONS: NAPWA CONGRESS

The 1st NAPWA CONGRESS which took place on the 25-27 May 2001, in Crown Mines resolved the following: Noting that there is still no clear policies with regard to treatment protocols for opportunistic infections and administration of antiretroviral drugs for people living with HIV/AIDS at public institutions, and NAPWA is not yet fully represented in all decision making structures of care and support, we therefore resolve that:
- The Government should make relevant policies coupled with the provision of treatment that is affordable to people living with HIV/AIDS.
- The health institutions should start providing a user friendly service which is conducive to unhindered healing process for PWAs.
- The Government produces a clear programme on home based care And offer relevant financial support to the program.
- Provide ongoing counselling to those who want to disclose.
- The government should provide nutritional and vitamin supplement
- And NAPWA to begin a process of participating in all government structures that make decisions on treatment, care and support at all levels of government from local clinic committees to South African National Aids Council.
- And that NAPWA should advocate and explore alternative treatment programmes.

AFRICA'S AIDS ACTIVISTS TAKE THE FIGHT TO THE GROUND

His skin itches madly from shingles, the thrush in his mouth makes it difficult to talk or eat and he has had chronic diarrhea for weeks, but South Africa's most prominent AIDS activist fights on. "There is no holiday from HIV," said Zackie Achmat, chairman of the Treatment Action Campaign, a group lobbying for affordable treatment for the 4.7 million South Africans infected by the epidemic. While 3,000 health experts, politicians and scientists gathered at the United Nations in New York this week to discuss ways to fight AIDS, Achmat and other activists remained on the ground in Africa, prodding their governments and their people into tackling the pandemic.

Interactive learning tool on participatory processes

An interactive learning tool on participatory processes at the national level for the Poverty Reduction Strategy (PRSP) and other government strategies and actions to reduce poverty is currently under development. It is designed to provide staff from country governments, World Bank and the Fund, and civil society leaders guidance on participatory processes and outcomes at the national level through the 4 building blocks: poverty diagnostics, public expenditure management, macroeconomic reform and monitoring implementation and results of policies. This interactive learning guide on participation was prepared by the Action Learning Team of the Participation Thematic Group in the Social Development Department of ESSD Network. Please send your feedback and share your learning experiences with us: the Participation Group, Social Development Department, the World Bank.

Women and Power
by Irene Santiago

Underdevelopment as well as gender inequality is the story of power and powerlessness. The goal is to transform politics and leadership, so that women can contribute in the redefinition of power.

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