Text of the Declaration

Across the world, health equity is denied, and development assistance for health – “aid” – often reinforces the power imbalances that underlie health inequities. The priorities of Northern donors dictate the aid agenda, implemented by NGOs and Southern ‘partners’ they fund. These priorities often clash with the needs and concerns of communities, governments and civil society in many countries around the world.

The aid space is dominated by powerful interests, while the voices of those most affected by health inequity are regularly tokenised or excluded from the conversation. Many actors within the sector – even among communities and civil society – do not question the underlying premise and structures of health aid. Their own ideas and world views have been shaped by, and for, aid and the industry that supports it. Questioning aid poses challenges to the professions, livelihoods and sources of power for those who work within the sector.

Furthermore, whilst health aid is important in some situations, on its own aid can never lead to a world where all people can live healthy lives. To do so, we must tackle the underlying root causes that create and perpetuate poor health, including unfair trade agreements, tax injustice, the climate crisis, the weakness of existing guidance on health assistance, the unfettered exploitation and extraction of natural resources, under-resourced health systems, and the politico-economic incentives that reinforce those disease-producing forces. These social, commercial, economic and political determinants of health have been tolerated or ignored by aid, thereby reinforcing the health inequities that aid is meant to resolve.

We believe that collective social action in solidarity as one global community, working together to address the root causes of our struggle for health, can transform aid into an equitable means of ensuring health rights. This means acting out of compassion in the pursuit of justice, and caring, listening and helping each other in a way that promotes connectedness and equity throughout the world.

Through the Kampala Initiative, we commit to expose, explore, challenge and transform health aid through dialogue, advocacy, activism and action. We commit to build cooperation and solidarity for health, within and beyond the practice of aid, to build a future where health justice and equity are realised, and aid is no longer a necessity.

Specifically we will:

  • Advance a critical analysis of aid and challenge its misuse;
  • Challenge the power dynamics at the heart of aid structures;
  • Acknowledge and act upon the root causes of poor health, never pretending that aid is the solution;
  • Challenge damaging narratives of aid and charity where they exist;
  • Correct damaging power dynamics where they exist within our own organisations;
  • Collaborate in solidarity as partners in the Global South and North, to ensure that international health finance is grounded in social justice rather than neo-colonial ideas and practices.

Kampala/Geneva, 27 January 2020

Institutional endorsements

  1. Abubuwa Societal Development Initiatives, Nigeria
  2. ACADI Cameroon
  3. Africa Foundation for Community Department (AFCOD-UGANDA)
  4. African Centre for Global Health and Social Transformation (ACHEST)
  5. African Coalition on Green Growth
  6. African Platform for Migration and Inclusion in Health (APMIH)
  7. Afrihealth Optonet Association, Nigeria
  8. Agapewo Ministry Uganda
  9. Ageing Nepal
  10. Amel Association International
  11. Approche Participative Développement et Santé de Proximité (APDSP)
  12. ARPAN, India
  13. Asociacion Colombiana De Educacion Al Consumidor
  14. Associação Coalizão da Juventude Moçambicana
  15. Association pour l’Integration et le Developpement Durable au Burundi
  16. ATHAANG, Pune, India
  17. Blood patients protection council Kerala, India
  18. BUKO Pharma-Kampagne
  19. CEHURD – Center for Health Human Rights & Development, Uganda
  20. Centre for Community Empowerment and Sustainable Development (CESDEV)
  21. Centre for Health Science and Law (Canada)
  22. Centre for Sustainable Access to Health in Africa
  23. Child Watch Tanzania
  24. City & Hamlet Multi-Purpose Cooperative Society, Nigeria
  25. Coalition des OSC du Bénin pour la Couverture Universelle en Santé
  26. Coalition for Health Promotion and Social Development (HEPS– Uganda)
  27. Connected Advocacy for Empowerment and Youth Development Initiative, Nigeria
  28. Country Minders for Peoples Development (CMPD), Malawi
  29. Dr Uzo Adirieje Foundation (DUZAFOUND), Nigeria
  30. Emonyo Yefwe International, Kenya
  31. Foundation for Integrated Rural Development (FIRD) , Uganda
  32. German Institute for Medical Mission (Difäm e.V.)
  33. Global Health Advocates France / Action Santé Mondiale
  34. Global Justice Now
  35. Golden Change For Concerned Youth Forum
  36. Health Alliance International
  37. Health Poverty Action, UK
  38. Human Rights Research Documentation Center (HURIC), Uganda
  39. Indigenous Peoples Global Forum for Sustainable Development (IPFforSD)
  40. Initiative for good governance and transparency in Tanzania
  41. Innovations for Development (I4DEV)
  42. Innovative Alliance for Public Health (IAPH)
  43. Justice is Global, USA
  44. Kasalika Community Development Organization, Malawi
  45. Let There Be Light International
  46. LiveWell Initiative LWI, Nigeria
  47. MauriSanté
  48. Medical Impact
  49. medico international, Germany
  50. Medicus Mundi International – Network Health for All (MMI)
  51. Medicus Mundi Spain
  52. Medicus Mundi Switzerland
  53. MUMBO international
  54. Muslim Family Counselling Services Ghana
  55. Nigeria Universal Health Coverage Actions Network (NUHCAN)
  56. Nigerian Women Agro Allied Farmers
  57. Our Lady of Perpetual Help Initiative, Nigeria
  58. Partners In Health
  59. Peace Foundation, Pakistan
  60. People’s Health Movement (PHM)
  61. People’s Health Movement Canada/Mouvement populaire pour la santé au Canada
  62. People’s Health Movement Kenya
  63. People’s Health Movement Scotland
  64. People’s Health Movement Uganda
  65. People’s Health Movement UK
  66. People’s Health Movement USA
  67. plan:g – partnership for global health
  68. Policies for Equitable Access to Health (PEAH)
  69. Public Health International Consulting Center (PHICC), Cameroon
  70. IMAAP Projects, Nigeria
  71. Public Health Organization (PHOrg), DRC
  72. Rose Academies
  73. Rwenzori Center for Research and Advocacy Uganda
  74. SHAPE (Support Heal and Purpose to Elevate), Kenya
  75. Society for Conservation and Sustainability of Energy and Environment in Nigeria (SOCSEEN)
  76. Southern Africa Climate Change Coalition
  77. Southern and Eastern Africa Trade Information and Negotiations Institute (SEATINI), Uganda
  79. Sukaar welfare organization Pakistan
  80. The People’s Fund for Global Health and Development
  81. Ukana West 2 Community Based Health Initiative, Nigeria
  82. Union des Amis Socio Culturels d’Action en Developpement (UNASCAD), Haiti
  83. Volunteers Welfare for Community Based Care of Zambia (VOWAZA)
  84. WASH-Net Sierra Leone
  85. Wemos
  86. West African Academy of Public Health (WAAPH), Nigeria
  87. Wote Youth Development Projects, Kenya
  88. Wun Anei Development Association WADA South Sudan
  89. Youth and Environment Vision
  90. Zimbabwe Climate Change Coalition

List in alphabetic order. Last update on 26 February 2021

By signing the Kampala Declaration, we confirm our commitment to advancing cooperation and solidarity within and beyond aid, alongside and as part of the Kampala Initiative. There is no specific obligation associated with signing the Declaration.

Individual Endorsements

  1. Ahmad Nejatian, Nurse, Health Policy Activist
  2. Akaninyene Obot
  3. Alison Rosamund Katz
  4. Angelo Stefanini, Public Health Physician
  5. Arnold Ikedichi Okpani, Public health worker and researcher, School of Population and Public Health, University of British Columbia, Vancouver, Canada
  6. Ausi Kibowa, Programme Assistant, SEATINI
  7. Ayushmita Hazarika-Bourne
  8. Babatunde Fakunle
  9. Baijayanta Mukhopadhyay
  10. Barbara Fienieg, Global health advocate, Wemos
  11. Benjamin Mulindwa, Project Planning and Management , Agapewo Ministry Uganda, Administrator, Jinja
  12. Beverly Longid, Global Coordinator, International Indigenous Peoples Movement for Self-Determination and Liberation
  13. Bjorg Palsdottir, CEO of the Training for Health Equity Network: THEnet
  14. Blair Musasizi, Chief Executive Officer, AFCOD-UGANDA
  15. Bonnie Kaiser, Associate Professor, Anthropology and Global Health, UCSD, USA
  16. Carlos Mediano, President Medicus Mundi International
  17. Caroline Aruho, Advocacy and Networking officer, HEPS-Uganda
  18. Christy Braham
  19. Colleen Daniels, CD Global Consulting
  20. Dada Dadas, ATHAANG, Pune
  21. Damian Lima
  22. Danny Gotto, Executive Director Innovations for Development, Kampala Uganda
  23. David Oginga Makori
  24. Denis Bukenya, Coordinator HURIC and PHM Uganda
  25. Derrick Aaron Nsibirwa, Social Worker, Rresearch Oficer, CEHURD, Uganda
  26. Duchi Fejokwu, IMAAP Projects
  27. Elizabeth Muchoki
  28. Emmanuel Nembundah Tangumonkem, Executive President ACADI Cameroon; Contact Person PHM Cameroon
  29. Enock Musungwini, Public Health Consultant and Advisor, Harare, Zimbabwe
  30. Esperanza Ceron-Villaquiran
  31. Esther Kimani
  32. Francis Ohanyido, Development Expert, President WAAPH, Abuja
  33. Frederik Federspiel
  34. Gift Chinyama Mwale
  35. Giorgio Alberto Franyuti
  36. Gisela Schneider, Dr med, Director Difäm e.V.
  37. Hamimu Masudi, Public Policy and Communication Analyst, Uganda
  38. Harriet Adong, Executive Director FIRD, Uganda
  39. Harrison Mwima, Health Activist, Zambia
  40. Ibrahim Umar
  41. Ikwo Oka, Social Entrepreneur, Lagos, Nigeria
  42. Jessica Aiken
  43. Jonathan Kassibu
  44. Josephine McAllister
  45. Jostas Mwebembezi (MPH), Executive Director Rwenzori Center for Research and Advocacy
  46. Julia E Robinson
  47. Justice Zvaita, SACC Coalition
  48. Kareem Karassery
  49. Katie Robjent
  50. Kiiza Africa, SEATINI
  51. Kuldip Chand, Director ARPAN V&PO Dobhetta Tehsil Nangal Distt. Rupnagar Punjab
  52. Labila Sumayah Musoke, Human rights lawyer, Women’s health & justice initiative, Reproductive justice, Uganda
  53. Lance Lyle Louskieter, PhD Candidate and Researcher, Health Policy and Systems Research Division, School of Public Health and Family Medicine, University of Cape Town, South Africa
  54. Linda Shouro, PHM Africa Outreach Coordinator
  55. Lizzy Igbine
  56. Luke Wanjala Kapchanga
  57. Marco Angelo, Medical Doctor, MSc in Global Health
  58. Marie Solange Ngoueko, Executive Director of Public Health International Consulting Center, Cameroon
  59. Martin Drewry, CEO of Health Poverty Action & member of People’s Health Movement (PHM)
  60. Maryam Bibi Rumaney, www.mbrumaney.co, South Africa
  61. Matthias Wittrock
  62. Michael Ssemakula, Development Economist, HURIC
  63. Mohammed Bun Bida, Programmes Director, Muslim Family Counselling Services, Ghana
  64. Myria Koutsoumpa, Global health advocate, Wemos
  65. Oupa Montsioa, Regional Health Manager
  66. Patrick Yowasi Kadama, ACHEST
  67. Peter Diing Ngong, Aweil (NBGs)
  68. Peter Owiti, Health activist, Kenya
  69. Pol de Vos, Belgium
  70. Ravi Ram, Health systems evaluator, Nairobi, Kenya
  71. Sara (Meg) Davis, Global Health Centre, Graduate Institute, Geneva
  72. Sarah Cowen-Rivers
  73. Sarah M Baird
  74. Serge Laurent Djacpou Djomo
  75. Siomha Cunniffe, Development and Network Manager
  76. Spéro Hector Ackey
  77. Tess Wolfenden, UK
  78. Thomas Schwarz, Executive Secretary, MMI Network
  79. Tumainiel Mangi
  80. Uzodinma Adirieje, CEO/National Coordinator, Afrihealth Optonet Association (CSOs Network)
  81. Williams Ngwakwe
  82. Wilson Damien Asibu, Health Advocate, Executive Director, Country Minders for Peoples Development, Malawi

List in alphabetic order. Last update on 24 February 2021

By signing the Kampala Declaration, we confirm our commitment to advancing cooperation and solidarity within and beyond aid, alongside and as part of the Kampala Initiative. There is no specific obligation associated with signing the Declaration.

Sign the Declaration

An online form for endorsing the Kampala Declaration is available here.

You will find initial lists of endorsements below the text of the Declaration. Please note that it might take us a day or two to add your name to the list. Get in touch with us for any enquiries.

The Kampala Initiative

The Kampala Initiative was launched in Kampala, Uganda on 16th November 2019 at the conclusion of a two-day civil society workshop and a series of public webinars. We are a civil society space and community made up of independent, critical-thinking activists and organizations from all across the world (including across both “northern” and “southern” boundaries). Visit the Kampala Initiative website for more information, and join the Kampala Initiative by endorsing the Kampala Declaration.

Kampala Initiative:
Secretariat / Contact