Sharing knowhow and joining forces towards Health for All
Nov 17, 2018 - Nov 19, 2018

In the public interest? The role of international health cooperation in strengthening or weakening national health policies and systems. MMI workshop at the 4th People's Health Assembly

In the public interest? The role of international health cooperation in strengthening or weakening national health policies and systems. MMI workshop at the 4th People's Health Assembly

Dhaka, 15-19 November 2018. The Fourth People’s Health Assembly (PHA4) will be hosted by the People's Health Movement (PHM) and Gonoshasthaya Kendra (GK) at its campus in Savar, Dhaka.


The People's Health Assembly

As on earlier occasions, the Fourth People’s Health Assembly (PHA 4), will draw on civil society organizations and networks, social movements, academia and other  actors from around the globe. PHA4 will provide a unique space for strengthening solidarity, sharing experiences, mutual learning and joint strategizing for future actions. The first PHA was held in Savar, Bangladesh in 2000 and was attended by more than 1500 people. The People’s Charter for Health — the PHM’s founding document — was developed and endorsed at this Assembly. The second Assembly was held in Cuenca, Ecuador in 2005 and attended by 1492 people. The Cuenca Declaration, issued at the conclusion of this Assembly, was designed to provide a strategic vision for PHM. The third Assembly was held in Cape Town, South Africa, in July 2012 and culminated with the adoption of the Cape Town Declaration.

The objectives of PHA4 and associated activities include:

  • To evaluate and critically analyze current processes and policies that impact on health and healthcare at global, regional and local levels;
  • To undertake a collective assessment of PHM’s organizational and programmatic activities and to provide a renewed mandate for the years to come;
  • To enhance the capacity of health civil society activists to engage with and intervene in the policy making process, to monitor and drive policy implementation and to ensure accountability in the functioning of health systems;
  • To foster and support constructive dialogue, planning and mobilization around health and the broader social determinants of health, involving the widest possible range of practitioners; and
  • To  launch renewed sustainable structures and dynamics, both within and outside the health sector, that will continue to drive coordinated action to secure universal and equitable access to health and health care.

Around 1500 participants from across the globe, including a substantial number of young activists, are expected to attend the Assembly, particularly from low and middle income countries. Participants will be mobilized through country and regional mobilization processes leading up to the Assembly. Participants will include representatives of civil society organizations/networks (including non-governmental organization, community-based organizations, trade unions, professional associations, etc.); governments, intergovernmental bodies, academic institutions, and others. The pre-Assembly mobilization process aims to engage civil society especially at the grassroots level.

Learn more about PHA4 here


MMI workshop at PHA4

MMI workshop at PHA4

In the public interest? The role of international health cooperation
in strengthening or weakening national health policies and systems
PHA Workshop on 17 November 2018, 17.00 - 19.00 hrs, Room 4

Six years ago, the MMI Network contributed to the Third People’s Health Assembly in Cape Town with its workshop „In the public interest? The role of NGOs in national health systems and global health policy”. The two sessions on “The challenge of integration” and “NGOs - the good, the bad and the evil?” found great interest – and showed us that there is a need to continue the conversation in the role of international actors in national health policies and systems beyond the initial focus on international NGOs.

Since then, MMI Network has been shaping and sharpening its role as a promoter, convener and facilitator of a critical reflection on the role of international cooperation (aid, development cooperation) in strengthening or weakening people centred and people owned national health policies and systems, by setting up a working group, by publishing a discussion paper on Health Cooperation: Its relevance, legitimacy and effectiveness as a contribution to achieving universal access to health (October 2016) and by hosting a series of conferences and workshops dedicated to the topic.

The debate on aid or development cooperation currently takes place at many places and also at the current PHA, oscillating between the poles to stop aid (as it is mainly part of the problem and not contributing to solutions and as such cannot be “repaired”) or what is needed to do it better (as aid and the involvement of external actors in national health policies, systems and service delivery will remain a challenging reality in many countries, in particular in SS Africa).

Three weeks ago, MMI hosted, as part of a broader team led by the Secretariat of the International Health Partnership UHC 2030 (UHC2030) and also including the UHC2030 Civil Society Engagement Mechanism, a one-hour official side event to the Astana PHC Conference on the role of "aid" or international cooperation in the achievement of Primary Health Care. The session concluded with a broad agreement that the conversation needs to be continued – and with the related expectation and mandate to the organizers to provide modalities and platforms for this.

Not only in Astana, but overall, critical civil society voices from the global south were desperately missing in the conversation on health cooperation beyond aid – or at least it is difficult to hear them.

Bringing the topic again into the People’s Health Assembly, we hope and expect to be able to provide again a space for an open debate between NGOs and other social movements, between representatives of the global South and North, about what kind of solidarity, what kind of action and interaction is needed to advance Health for All.

We expect to take along the following:

  • to get a better understanding about how he role of “aid” in strengthening or weakening people centred and people owned national health policies and systems is assessed and debated by civil society representatives from various backgrounds; 
  • to renew and strengthen contacts among civil society experts and institutions interested to engage together in further defining a political position about what should be the role of international cooperation for global solidarity in health;
  • to strategize on how to strengthen the representation of a critical global civil society in global fora dealing with aid / development cooperation in the health sector (in particular: UHC2030 and its working groups).

Workshop: concept note: Download PDF
Workshop: flyer A4: Download PDF
Workshop: moderation slides: Download PDF
MMI discussion paper 2016: Website
MMI lead: Remco van de Pas and Thomas Schwarz

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