Alternative Civil Society Astana Statement on Primary Health Care
We, members of public interest civil society organisations and social movements, some of whom are participants at the Global Conference on Primary Health Care, re-affirm our commitment to primary health care (PHC) in pursuit of health and well-being for all, aiming to achieve equity in health outcomes. We envision:
- Societies and environments that prioritize, protect and promote people’s health;
- Health care that is accessible, affordable and acceptable for everyone, everywhere;
- Health care of good quality that treats people with respect and dignity;
- Health systems over which communities are able to exert control
Although these objectives are shared in the official Astana Declaration it is concerning that the latter frames PHC primarily as a “cornerstone”, i.e. a foundation of Universal Health Coverage (UHC). PHC, is broader and indeed subsumes UHC, which is, in many countries, being implemented by private health insurance companies and aggravating health inequities. While the official declaration recognises that it is “ethically, politically, socially and economically unacceptable that inequity in health and disparities in health outcomes persist” it does not acknowledge that health gains in some places are being reversed. The declaration also recognises the risk factors for NCD’s as well as premature deaths “because of wars, violence, epidemics, natural disasters, the health impacts of climate change and extreme weather events and other environmental factors”, yet nowhere are the fundamental economic and political causes responsible for this as well as for widening inequalities worldwide explicitly stated. These are some of the reasons why the People’s Health Movement and other progressive public interest civil society organisations and social movements feel it necessary to elaborate an Alternative Statement.
Attaining the highest possible standard of health is a fundamental right of every human being, as stated in the Constitution of the World Health Organization. Forty years ago, in 1978, world leaders made the historical commitment to achieve health for all through Primary Health Care in the Declaration of Alma-Ata. We, the undersigned, express the need for urgent action by all international agencies and governments, all health and development workers, and the world community to protect and promote the health of all the people of the world, and hereby make the following Statement:
- We the undersigned strongly reaffirm that health, which is a state of complete physical, mental, social, cultural, and ecological wellbeing, and not merely the absence of disease or infirmity, is a fundamental human right and that the attainment of the highest possible level of health is a most important world-wide social goal whose realization is the responsibility of governments and requires the action of many other social and economic sectors in addition to the health sector. People’s health depends on working and living conditions that promote flourishing lives and a healthy and protected natural environment.
- The existing extreme and growing inequality in the economic and health status of the people both across the world, as well as between and within countries, is politically, socially, economically and ethically unacceptable and a source of conflict and environmental destruction and is, therefore, of common concern to all countries.
- Equitable economic and social development will require rejection of the currently dominant neo-liberal paradigm and establishment of a sustainable and equitable economic order globally and nationally. Amongst other interventions regulation of financial flows and of tax havens and evasion are urgently needed. These changes, along with recognition and action to address inequities due to gender, caste, race, disability and sexual orientation, are of basic importance to the fullest attainment of health for all and to the reduction of the gap in the health status within and between countries. The promotion and protection of the health and wellbeing of all people will enable sustainable and equitable forms of social and economic development that will contribute to world peace and environmental protection.
- People should be afforded every opportunity to participate individually and collectively in the planning and implementation of their health care. This participation should respect age, gender, ethnicity and socio-economic status and use digital technologies where appropriate.
- Governments have a responsibility to realise the right to health of their people along with other rights specified in the United Nations (UN) Declaration of Human Rights. A main social target of governments, international organizations and the whole world community in the coming decades should be the attainment by all peoples of the world of a level of health that will permit them to lead socially and economically flourishing lives. The United Nations SDGs could be important in reaching this target if they are underpinned by the establishment of a global and national equitable and sustainable economic order. Primary health care is the key to attaining Health for All as part of development in the spirit of social justice, and which is eminently possible given current knowledge, technology and resources.
- Effective and accountable global governance for health is required to realise PHC. This should include means of effective taxation to ensure that all individuals and corporations pay their fair share of taxes to enable the funding of health and other services beneficial to health;
- By 2018 the survival of life on earth is threatened by accelerating climate change. Thus part of the PHC approach should be to endorse the Earth Charter (2000) which proposed we are all citizens of our planet as well as our nation states. It recognised the interconnections between living in harmony with and protecting the natural environment and other species, and living in peace, with equity and social justice within human societies; all core parallel principles shared with the Primary Health Care movement.
- Primary health care is essential health care based on practical, scientifically sound and socially acceptable methods and technology made universally accessible to individuals and families in the community through their full participation in the spirit of self-determination. It forms an integral part both of the country’s health system, of which it is the central function and main focus, and of the overall social and economic development of the community. It gives particular emphasis to the household and community levels and the first level of care, bringing comprehensive health care as close as possible to where people live and work, and is fully integrated with other levels of care.
- Primary health care:
- reflects and evolves from the economic conditions and sociocultural and political characteristics of a country and its communities and is based on the application of relevant social, biomedical and health systems research and public health experience;
- addresses the main health problems in the community, providing promotive, preventive, curative, rehabilitative and palliative services accordingly;
- includes at least: health education concerning prevailing health problems and the methods of preventing and controlling them; promotion of a healthy food supply and proper nutrition; an adequate supply of safe water and basic sanitation; reproductive and sexual health care, including maternal health care, contraception, abortion; prevention and health care for gender based violence; child health care; immunization against the major infectious diseases; prevention and control of locally endemic diseases and non-communicable disease including mental health illness; appropriate treatment of common diseases and injuries; providing for the health care needs of the disabled; and provision of essential drugs;
- involves, in addition to the health sector, all related sectors and aspects of national and community development, in particular agriculture, trade, food, industry, education, housing, public infrastructure, communications and information technology and other sectors; and demands the coordinated efforts of all those sectors;
- requires and promotes maximum community and individual self-reliance and participation in the planning, organization, operation and control of primary health care, making fullest use of local, national and other available resources; and to this end develops, through appropriate training, the ability of communities to participate;
- should be sustained by integrated, functional and mutually supportive referral systems, leading to the progressive improvement of comprehensive health care for all, and giving priority to those most in need;
- relies, at local and referral levels, on health workers, including physicians, nurses, midwives, mid-level workers and community health workers as applicable, as well as traditional practitioners as needed, suitably trained socially and technically to work as a health team and to respond to the expressed health needs of the community. All governments should formulate national policies, strategies and plans of action to strengthen and sustain primary health care as part of a comprehensive national health system and in coordination with other sectors. To this end, it will be necessary to exercise political will, to mobilize the country’s resources and to use available external resources rationally.
- While technology has brought health benefits, care must be taken to ensure that technology is used with intelligence so that:
- New bio-technology and artificial intelligence should be assessed in terms of its potential to do harm as well as good and in terms of its contribution to overall population health and equity and be regulated as necessary
- Over-servicing, especially in the private sector, requires regulation. One aspect of this which is contributing to the crisis of anti-microbial resistance is irrational and overuse of antibiotics in both the health and industrial farming sectors
- The use of digital technologies has the potential to increase access and quality of care but strategies must be informed by an awareness of the digital gradient, which mirrors socio-economic inequities. Special measures need to be taken to flatten this gradient.
- An essential component of primary health care is universal health coverage which should be universalist, based on social solidarity and built on a unified public funded system, with most service provision through public institutions.
- Since the protection and attainment of health by people in any one country directly concerns and benefits every other country, development assistance, including donor programs, must be accountable to and strengthen national public health systems and address the social, environmental and ecological determinants of health.
- The training of health personnel requires to be more strongly oriented to primary health care and employment conditions need to ensure fair and safe working situations. Distribution of health personnel is grossly inequitable and reflects the inverse care law. Global and national policies should institute policies to mitigate the brain drain from low and middle income countries to high income countries by inter alia increasing production of their own health workers and compensating sending countries for their losses in training costs.
- Health gains from the implementation of an effective primary health care system can be easily undermined by the commercial determinants of health, including promotion and trade of health harming commodities (e.g. ultra processed food, alcohol, tobacco) and environmentally damaging extractive industries. Global and national policies, including effective regulation, are needed to prevent their adverse impacts.
- An acceptable level of health for all the people of the world can be attained through a fuller and better use of the world’s resources, a considerable part of which is now spent on armaments and military conflicts. A genuine policy of independence, peace, and disarmament could and should release additional resources that could well be devoted to peaceful aims and in particular to the acceleration of social and economic development of which primary health care, as an essential part, should be allotted its proper share.
We the undersigned, representing a wide range of public civil society organisations and social movement call on the Global Conference on Primary Health Care to undertake urgent and effective national and global action to develop and implement primary health care throughout the world and particularly in low and middle income countries in a spirit of technical cooperation and in keeping with a sustainable and equitable economic order. It urges governments, WHO, and other international organizations, as well as multilateral and bilateral agencies, nongovernmental organizations, funding agencies, all health workers and the whole world community to support national and international commitment to primary health care and to channel increased technical and financial support to it, particularly in low and middle income countries. We call on all the aforementioned to collaborate in strengthening, developing, funding and maintaining public health systems based on primary health care in accordance with the spirit and content of this Statement.
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Signatories as per October 27, 2018
Organizations (158 organization from 45 countries)
| Organization | Country | |
| 1 | Asociación Argentina de Salud Pública (AASAPA) | Argentina |
| 2 | Kunde Foundation | United Kingdom |
| 3 | CARE, USA | United States of America |
| 4 | Medicus Mundi Spain | Spain |
| 5 | All India Drug Action Network | India |
| 6 | Organization for Workers’ Initiative and Democratization | Croatia |
| 7 | Asociación Panameña de Cuidados Paliativos, Nisla Camano Reyes | Panama |
| 8 | Health Leadership International | United States of America |
| 9 | ADER Salute e libertà | Italy |
| 10 | Bread for the World – Protestant Agency for Diakonia and Development | Germany |
| 11 | Centro Brasileiro de Estudos de Saúde (CEBES) | Brazil |
| 12 | Community Working group in Health | Zimbabwe |
| 13 | Centre for Information and Advisory Services in Health | Nigeria |
| 14 | Action medeor, German Medical Aid Organisation | Germany |
| 15 | BUKO Pharma-Kampagne | Germany |
| 16 | Comprehensive Rural Health Project, Jamkhed | India |
| 17 | Health and Rights Education Programme-Malawi (HREP Malawi) | Malawi |
| 18 | Breastfeeding Promotion Network of India | India |
| 19 | FoodFirst Information and Action Network International (FIAN) | Germany |
| 20 | Ecuadorian Association of Palliative Care/Asociación Ecuatoriana de Cuidados Paliativos (ASECUP) | Ecuador |
| 21 | People’s Health Movement Australia | Australia |
| 22 | Health, Education and Literacy Programm (HELP) | Pakistan |
| 23 | International Alliance of Women, IAW/AIF | Switzerland |
| 24 | Arukah Network for Global Community Health, Thrive Worldwide | United Kingdom |
| 25 | People’s Health Movement, South Korea | South Korea |
| 26 | University of the Western Cape | South Africa |
| 27 | People’s Health Institute | South Korea |
| 28 | University of Cape Town | South Africa |
| 29 | People’s Health Movement South Africa | South Africa |
| 30 | School of Public Health & Family Medicine, University of Cape Town | South Africa |
| 31 | Nottingham Trent University | United Kingdom |
| 32 | Synaptic Healthcare Solutions Private Limited | India |
| 33 | Prayas Centre for Health Equity | India |
| 34 | Drug Action Forum – Karnataka | India |
| 35 | Enablement | The Netherlands |
| 36 | People’s Health Movement USA | United States of America |
| 37 | Health Alliance International, University of Washington | United States of America |
| 38 | ADAIYAALAM | India |
| 39 | Coordination of consumer organisations Tamilnadu (CAT) | India |
| 40 | TamilNadu Social Service Society- TASOSS | India |
| 41 | Movimiento Nacional Laicrimpo Salur – PHM – Argentina – | Misiones |
| 42 | Public Health Resource Network | India |
| 43 | PHRASe | India |
| 44 | Medicus Mundi International – Network Health for All | Switzerland |
| 45 | People’s Health Movement – Global Secretariat | South Africa |
| 46 | People’s Health Movement – Tunisia | Tunisia |
| 47 | People’s Health Movement – Zimbabwe | Zimbabwe |
| 48 | Health Poverty Action | United Kingdom |
| 49 | Swasthya Adhikar Manch / Jan swasthya Abhiyan | India |
| 50 | Health Reform Foundation of Nigeria (HERFON) | Nigeria |
| 51 | Citizens’ Health Initiative | Malaysia |
| 52 | medico international | Germany |
| 53 | Health Alliance International, University of Washington | United States of America |
| 54 | National Alliance of People’s Movements | India |
| 55 | Indonesia AIDS Coalition | Indonesia |
| 56 | PHM Tanzania | Tanzania |
| 57 | Health Sector Reform Coalition (HSRC) | United Kingdom |
| 58 | Hesperian Health Guides | United States of America |
| 59 | Human Rights Research Documentation Centre (HURIC) | Uganda |
| 60 | PHM West & Central Africa | Bénin |
| 61 | People’s Health Movement Uganda | Uganda |
| 62 | Patient and community welfare foundation of malawi | Malawi |
| 63 | IBFAN Latin America and Caribbean | Costa Rica |
| 64 | Kamukunji Paralegal Trust (KAPLET) | Republic of Kenya |
| 65 | Initiative for Health and Equity in Society | India |
| 66 | HealthWrights (Workgroup for People’s Health and Rights) | United States of America |
| 67 | International Association for Hospice and Palliative Care (IAHPC) | United states of America |
| 68 | Health Innovation in Practice (HIP) | Switzerland |
| 69 | Health and Rights Education Programme(HREP) Malawi | Malawi |
| 70 | PHM Burundi | Burundi |
| 71 | Cara International Consulting Ltd. | United Kingdom |
| 72 | Anusandhan Trust | India |
| 73 | Turkish Medical Association | Turkey |
| 74 | People’s Health Movement – Nepal | Nepal |
| 75 | Popular Resistance | United States of America |
| 76 | International Federation of Community Health Centres | Canada |
| 77 | People’s Health Mouvement RD Congo | Democratic Republic of Congo |
| 78 | PHM Zambia | Zambia |
| 79 | People’s Health Movement – Bénin | Bénin |
| 80 | PHM Mali | Mali |
| 81 | PHM Cameroon | Cameroon |
| 82 | Amazing Stars | Cameroon |
| 83 | ACADI Cameroon | Cameroon |
| 84 | NGO FORUM ON ADB | Philippines |
| 85 | PHM-TOGO | Togo |
| 86 | ACOVIE | Cameroon |
| 87 | Collectif de developpement integré au congo | Democratic Republic of Congo |
| 88 | PHM-Benin | Bénin |
| 89 | Site B Youth Development Association | South Africa |
| 90 | MPS-GABON | Gabon |
| 91 | European Network against the privatization and commercialization of health and social protection | Belgium |
| 92 | Tipping Point North South | United Kingdom |
| 93 | Fresh Eyes – People to People Travel | United Kingdom |
| 94 | Peoples Health Initiative Nigeria (PHM- Nigeria) | Nigeria |
| 95 | National University of Rosario | Argentina |
| 96 | Jamkhed International – North America, Carrboro NC | United States of America |
| 97 | Johanniter-Unfall-Hilfe e.V. | Germany |
| 98 | Kimirina | Ecuador |
| 99 | KHANA | Nigeria |
| 100 | Network Movement for Justice and Development (NMJD) | Sierra Leone |
| 101 | Public Services International | France |
| 102 | Society for International Development (SID) | United States of America |
| 103 | The African Centre for Global Health and Social Transformation (ACHEST) | Uganda |
| 104 | The Latin American Association of Palliative Care | Ecuador |
| 105 | The Muslim Family Counselling Services | Ghana |
| 106 | Viva Salud | Belgium |
| 107 | Wemos | The Netherlands |
| 108 | People’s Health Movement – Brazil | Brazil |
| 109 | People’s Health Movement – Philippines | Philippines |
| 110 | International Association of Health Policy in Europe (IAHPE) | Europe |
| 111 | People’s Health Movement – Europe | Europe |
| 112 | Centre for Health and Social Justice | India |
| 113 | COPASAH – Community of Practitioners on Accountability and Social Action on Health | Global |
| 114 | Swasti Health Catalyst | India |
| 115 | Centre for International and Intercultural Health (CSI) | Bologna, Italy |
| 116 | Sama Resource Group for Women And Health | India |
| 117 | People’s Health Movement UK | United Kingdom |
| 118 | Health Action Information Network | Philippines |
| 119 | Federal Nutritionist Council | Brazil |
| 120 | Difäm e.V. | Germany |
| 121 | National Federation of Nurses of Brazil | Brazil |
| 122 | Rede de Pesquisa em Atenção Primária à Saúde/ABRASCO | Brazil |
| 123 | Associação Brasileira Rede Unida | Brazil |
| 124 | IDISA Instituto de Direito Sanitário Aplicado | Brazil |
| 125 | Child First Foundation | Brazil |
| 126 | Occupational Therapy | Brazil |
| 127 | Sindicato dos Farmaceuticos de Minas Gerais | Brazil |
| 128 | Best Beginnings | United Kingdom |
| 129 | Centre for International and Intercultural Health (CSI) – APS | Italy |
| 130 | The Egyptian Foundation for Health for All | Egypt |
| 131 | União Brasileira de Mulheres – UBM | Brazil |
| 132 | Movimiento Nacional de salud | Argentina |
| 133 | Adivasi Adhikar Samiti | India |
| 134 | Centre for Health and Resource Management (CHARM) | India |
| 135 | MINISTERE CHRÉTIEN DE COMPASSION | Benin-Togo |
| 136 | Sud Sante-Soiaux du Nord | France |
| 137 | Ellora Vigyan Mancha | India |
| 138 | University of the Western Cape | South Africa |
| 139 | Kerala Sastra Sahithya Parishad | India |
| 140 | Movimento Nacional População de Rua-MNPR | Rio Grande do Norte |
| 141 | Health Action Information Network | Philippines |
| 142 | Federal Nutritionist Council | Brazil |
| 143 | Movimiento Nacional Laicrimpo Salud | Argentina |
| 144 | Difäm e.V. | Germany |
| 145 | National Federation of Nurses of Brazil | Brazil |
| 146 | Rede de Pesquisa em Atenção Primária à Saúde/ABRASCO | Brazil |
| 147 | Associação Brasileira Rede Unida | Brazil |
| 148 | IDISA Instituto de Direito Sanitário Aplicado | Brazil |
| 149 | People Health Movement, circle Brazil | Brazil |
| 150 | Child First Foundation | India |
| 151 | Occupational Therapy | Brazil |
| 152 | Sindicato dos Farmaceuticos de Minas Gerais | Brazil |
| 153 | Associação Brasileira dos Terapeutas Ocupacionais – ABRATO | Brazil |
| 154 | Associação Brasileira de Saúde Coletiva – ABRASCO | Brazil |
| 155 | AsSIS www.assis.it | Italy |
| 156 | Health Swaraaj Samvaad | India |
| 157 | PHM East Africa | East Africa |
| 158 | PHM Kenya | Kenya |
Individuals (266 from 40 countries)
| First name | Last name | Title | Organization | Country | |
| 1 | Rachel | Pinniger | International Director | Kunde Foundation | United Kingdom |
| 2 | Leona | Rees | MPH | Canada | |
| 3 | Anne-Emanuelle | Birn | Professor, Dalla Lana School of Public Health | University of Toronto | Canada |
| 4 | Mohammed Ishaaq | Datay | Dr | Primary Health Care Directorate | South Africa |
| 5 | Matthew | Abuto | Chief Public Health Officer MOH | Nyamira County | Kenya |
| 6 | Owoyemi | Odukale | Dr | United Kingdom | |
| 7 | Lppolytos | Kalofonos | Assistant Professor, Center for Social Medicine and Humanities | University of California, Los Angeles | USA |
| 8 | John | Calvert | Associate Professor | Faculty of Health Sciences, Simon Fraser University | Canada |
| 9 | Megan | Gaydos | Public Health Consultant | Mexico | |
| 10 | Osman Faruk | Bayramlar | Public Health Assistant | Istanbul University, Istanbul Medicine Faculty | Turkey |
| 11 | Meredeth | Turshen | Professor, Rutgers, The State University of New Jersey | USA | |
| 12 | Remco | van de Pas | Academic coordinator/ Research Fellow | Maastricht Centre for Global Health, maastricht university | The Netherlands |
| 13 | Emmanuel | Kosadinos | Consultant psychiatrist | Union Syndicale de la Psychiatrie (USP) | France |
| 14 | Antonio | Peratoner | MD | Associazione per la Decrescita | Italy |
| 15 | Andrea | Ubiali | MD | Italy | |
| 16 | Emma | Sacks | Associate Faculty | Johns Hopkins School of Public Health | USA |
| 17 | David | Sanders | Emeritus Professor | University of the Western Cape | South Africa |
| 18 | Gianna | Milano | Science Writer | Italy | |
| 19 | Lorenza | Santoro | physician | Italy | |
| 20 | marilena | bertini | retired MD | Italy | |
| 21 | Enrico | Ferrucci | Graduate | Italy | |
| 22 | Judith | van der Veen | Medical Manager | Germany | |
| 23 | Bridget | Lloyd | Global coordinator | People’s Health Movement | South Africa |
| 24 | Cherry | Faile | RN, CNM, MPH | Niger | |
| 25 | Loretta | Mussi | Retired doctor | Italy | |
| 26 | Angelo | Stefanini | Retired, former Scientific Director of the Centre for International Health, University of Bologna | Italy | |
| 27 | Liliana | Praticò | MD, PHD | Italy | |
| 28 | Robert | McIntyre | Medical Director | Health Leadership International | USA |
| 29 | Carnita | Ernest | Project Manager, School of Public Health, University of the Western Cape | South Africa | |
| 30 | Serol | DEVECİ | Assistant professor, Public Health Specialist | Ministry of Health | Turkey |
| 31 | Motswadi Titus | Maswabi | Lecturer in Environmental Health | University of Botswana | Botswana |
| 32 | Jackline | Sitienei | Lecturer; Bsn, MPH, MSc, PhD Candidate | Moi University | Kenya |
| 33 | Stephen | Knudson | MD | USA | |
| 34 | Caleb | Nyaranga | Project officer | Amref Health Africa | Kenya |
| 35 | Sanghyuk | Shin | Assistant Professor | UC Irvine | USA |
| 36 | David | Bishai | Professor | Johns Hopkins Bloomberg School of Public Health | USA |
| 37 | Alfonso | Rodriguez Lainz | Lecturer | San Diego State University | USA |
| 38 | Malcolm | Steinberg | Director Public Health Practice | Faculty Health Sciences, Simon Fraser University | Canada |
| 39 | Madelyn | Dryier | Individual | USA | |
| 40 | Mukti Nath | Bhattarai | Executive Director | GP Koirala National center for respiratory diseases Government of Nepal | Nepal |
| 41 | Ashok | Bhurtyal | Assistant Professor | Institute of Medicine, Tribhuvan University | Nepal |
| 42 | John | Harbottle | Medical Advisor to Methodist Church of Haiti Health Programme | Methodist Church | Haiti |
| 43 | Zinzi | Bailey | Assistant Scientist | USA | |
| 44 | |||||
| 45 | |||||
| 46 | Lisa | Moore | Associate Professor
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SFSU
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USA |
| 47 | Janis | Gildin | Board Member, Midwife | Foundation for the Advancement of Midwifery | USA |
| 48 | Paul | Moyer | Physician Assistant, retired | formerly, Migrant/Community Health Centers | USA |
| 49 | Jin-Hwan | Kim | Medical Trainee, MSc candidate | Seoul National University | South Korea |
| 50 | Shehnaz | Munshi | Public health researcher, project manager, occupational therapist | South Africa | |
| 51 | Ted | Lankester | Founder-Leader Arukah Network for Global Community Health (Previously CHGN) and President of Thrive Worldwide. Clinician, Global heath specialist, medical author and speaker | Arukah Network for Global Community Health, Thrive Worldwide | United Kingdom |
| 52 | Richard | Shelley | Dr (GPST2 – GP trainee) | United Kingdom | |
| 53 | Chris | Coombe | Assistant Research Scientist | University of Michigan | USA |
| 54 | Valencia | Hines | M.D., M.P.H, M.S., M.I.B. | USA | |
| 55 | Jessica | Goldhirsch | Clinical Social Worker, Palliative Care | Brigham and Women’s Hospital | USA |
| 56 | Mary | Carley | Nursing Professor (retired); Registered Nurse | Canada | |
| 57 | Brenda | Wilson | PhD Candidate, Institute of the Medical Humanities | University of Texas Medical Branch | USA |
| 58 | Hallie | Chillag | Assistant Professor of Social Sciences | UC | USA |
| 59 | Anne | Berry | MD | Maryknoll Lay Missioners | Tanzania |
| 60 | Emma | Crewe | Professor | SOAS | United Kingdom |
| 61 | Kenneth | Maes | Associate Professor, Anthropology | Oregon State University | USA |
| 62 | Clare | Feinson | Consultant | USA | |
| 63 | Laura | Hanks | Physician Assistant | USA | |
| 64 | Laurel | Baldwin-Ragaven | Professor – Department of Family Medicine | University of the Witwatersrand | South Africa |
| 65 | DeAnne | Hilfinger Messias | Professor, College of Nursing | University of South Carolina | USA |
| 66 | Dianne | Travers Gustafson | Associate Professor, retired | Creighton University | USA |
| 67 | Goleen | Samari | Assistant Professor/Mailman School of Public Health | Columbia University | USA |
| 68 | Yingmei | Ding | Principle Planning Analyst | Hennepin County Public Health | USA |
| 69 | Marc | Guest | PhD Candidate in Gerontology, Graduate Center for Gerontolgoy | University of Kentucky | USA |
| 70 | Andrew | Davis | Professor of Medicine | University of Chicago | USA |
| 71 | Ken | Coelho | Accreditation site visitor | Public health accreditation board | USA |
| 72 | Camlus | Odhus | Public Health Practitioner (MPH) | PHM- Kenya | Kenya |
| 73 | Rachel | Rubin | Senior Medical Officer/Asst.Professor | Cook County Department of Public Health, University of Illinois at Chicago School of Public Health | USA |
| 74 | SAYKA | NAZ | MA PUBLIC HEALTH STUDENT | NOTTINGHAM TRENT UNIVERSITY | United Kingdom |
| 75 | Miles | Farr | Assistant Professor | USA | |
| 76 | Diane | Cooper | Professor, School of Public Health | University of the Western Cape | South Africa |
| 77 | Uta | Lehmann | Director, school of Public Health | University of the Western Cape | South Africa |
| 78 | Atilla senih | Mayda | Prof. Public health | Duzce university | Turkey |
| 79 | Pauline | Odeyemi | Registered Nurse/PhD candidate at Nottingham Trent University, UK. | United Kingdom | |
| 80 | Nancy | Krieger | Professor of Social Epidemiology, Dept of Social and Behavioral Sciences | Harvard T.H. Chan School of Public Health | USA |
| 81 | Alp | Ergör | Professor of Occupational Health, Dept of Public Health | Dokuz Eylul Univ. Faculty of Medicine | Turkey |
| 82 | Ahmet Oner | Lurt | Prof.Dr. | Mersin Univercity Public Health Department | Turkey |
| 83 | damilola | omodara | lecture/social work and health | Nottingham Trent University | United Kingdom |
| 84 | Mathew | Nyashanu | Senior Lecturer (Public Health & Well-being | Nottingham Trent University | United Kingdom |
| 85 | Roger | CIZA | Dr/ CEO | HHNB/PHM BURUNDI | Burundi |
| 86 | Ozge | Caman | Assoc.Prof. of Public Health | Turkey | |
| 87 | Pol | De Vos | Deputy Director – Institute Global Health and Development | Queen Margaret University | United Kingdom |
| 88 | Linda | Gibson | Associate Professor, Centre for Public Health & Health Systems | Nottingham Trent University | United Kingdom |
| 89 | Javier | Ramírez | Advocacy and Communication Deputy Director | Doctors of the World International Network | Spain |
| 90 | ASLI | DAVAS | Assoc Prof | Human Rights Foundation of Turkey | Turkey |
| 91 | Necati | Dedeoglu | Professor of Public Health | Retired | Turkey |
| 92 | Koray | Erdurak | Public health physician | Ministery of health | Turkey |
| 93 | NAReuropeENDRA | GUPTA | DOCTOR | Prayas Centre for Health Equity | India |
| 94 | Murat | Topbas | Prof Dr, MD | Karadeniz Technical University Faculty of Medicine | Turkey |
| 95 | Ahmet Ruhi | Toraman | Doç. Dr. | Turkey | |
| 96 | Cemal | Güvercin | MD, PhD, lectur, History of Medicine and Ethics | Turkey | |
| 97 | Hilal | Görgel Kahraman | Doctor , public health specialist | Turkey | |
| 98 | Selma | Karabey | Professor in Public Health | Istanbul University | Turkey |
| 99 | colleen | Cameron | Retired senior program teaching staff | Coady International Institute, St. Francis Xavier University | Canada |
| 100 | SUnited States of Americairaj | Martin | Advocate | India | |
| 101 | David | McCoy | Professor of Global Public Health | Queen Mary University London | United Kingdom |
| 102 | Sarah | Ngoma | Mrs | PHM- Zambia | Zambia |
| 103 | Julia | Robinson | Senior Program Manager, Clinical Instructor | USA | |
| 104 | Maryam | Rumaney | Freelance Scientist | www.mbrumaney.com | South Africa |
| 105 | Santosh | Sogal | Research officer | Institute of Public Health | India |
| 106 | Rajalakshmi | Ramprakash | Independent researcher & activist | India | |
| 107 | Dhandapani | Venkatapathi | Director | ADAIYAALAM | India |
| 108 | Sarin | Sasikumar | Research Officer | Institute of Public Health (IPH) | India |
| 109 | Camila | Giugliani | Professor, social medicine department | Universidade Federal do Rio Grande do Sul | Brazil |
| 110 | Harry | Phoolchund | Consultant Occupational Physician | Sigma Occupational Health Ltd | United Kingdom |
| 111 | Pol | De Vos | Deputy Director | Institute for Global Health – Queen Margaret University | United Kingdom |
| 112 | Stuti | Pant | Ms. | United Kingdom | |
| 113 | Syed | Danish | Activist public health | PHRASe | India |
| 114 | Sundararaman | Thiagarajan | Professor, School of Health Systems Studies | Tata Institute of Social Sciences, | India |
| 115 | Prashanth Nuggehalli | Srinivas | Faculty | Institute of Public Health | India |
| 116 | Julia | Robinson | Senior Program Manager, Clinical Instructor | Health Alliance International, University of Washington | USA |
| 117 | Lori | Hanson | Member of Steering Council | People’s Health Movement (PHM) | Canada |
| 118 | Maria | Hamlin Zuniga | Member of the Advisory Council | People’s Health Movement (PHM) | Nicaragua |
| 119 | Mira | Shiva | Member of the Advisory Council | People’s Health Movement (PHM) | India |
| 120 | Patrick | Kadama | Director of Policy and Strategy | African Centre for Global Health and Social Transformation (ACHEST) | Uganda |
| 121 | Ravi | Narayan | Member of the Advisory Council | People’s Health Movement (PHM) | India |
| 122 | lindsey | kent | Doctor | NHS | United Kingdom |
| 123 | Ronald | Labonté | Professor and holder of the Canada Research Chair in Contemporary Globalization and Health Equity | School of Epidemiology and Public Health, University of Ottawa | Canada |
| 124 | Marius W. | de Jong | Senior Policy Officer SRHR | Ministry of Foreign Affairs | The Netherlands |
| 125 | Amitava | Guha | National Co-convener | Jan Swasthya Abhiyan (PHM-India) | India |
| 126 | Dr. Sylvia | Karpagam | Public health doctor and researcher | Independent | India |
| 127 | Emily | Marshall | Master’s student (Occupational Therapy) at the University of Cape Town | South Africa | |
| 128 | María Angela | Elías Marroquin | Sub coord observatorio de Políticas de Salud | Universidad de El Salvador | El Salvador |
| 129 | Mario | Parada | Professor | Universidad de Valparaíso | Chile |
| 130 | Julio | MonsalvoM | Médico Sanitarista | Movimiento Alegremia | Argentina |
| 131 | Claudia | Rojas | Profesora-investigadora | Universidad de Playa Ancha | Chile |
| 132 | B F | Koon | Registered Nurse | Malaysia | |
| 133 | Wan | Manan | Exco | Malaysian Academic Movement (MOVE) | Malaysia |
| 134 | Mario | Ayala | Profesor Adjunto | Universidad Nacional de Tierra del Fuego-ICSE | Argentina |
| 135 | Toby | Freeman | Senior Research Fellow | Southgate Institute for Health, Society, and Equity, Flinders University | Australia |
| 136 | SILVIA | GIUGLIANI | psicóloga | PHM | Brazil |
| 137 | Pierre | De Paepe | M.D. master public health/health economy | Argentina | |
| 138 | Michael | Ssemakula | Health rights researcher and advocate | Human Rights Research Documentation Centre | Uganda |
| 139 | PACOME | TOMETISSI | Regional Coordinator | PHM West & Central Africa | Bénin |
| 140 | Denis | Bukenya | Coordinator | People’s Health Movement Uganda | Uganda |
| 141 | ELLOS | LODZENI | FOUNDER &PATRON | Patient & community welfare foundation of Malawi | Malawi |
| 142 | Julia | Anaf | Research Associate | Flinders University | Australia |
| 143 | Desire | Habonimana | President | PHM Burundi | Burundi |
| 144 | Daniele | Dionisio | Italy | ||
| 145 | Stephen | O’Brien | General practitioner | Belgium | |
| 146 | Harry | Afrika | Pharmacist | South Africa | |
| 147 | Chiara | Bodini | MD, PhD | Centre for International and Intercultural Health | Italy |
| 148 | Sally | Fitzpatrick | Research Fellow, Translational Health Research Institute | Western Sydney University | Australia |
| 149 | Baez | Carmen | Public Health specialist | People Health Movement | Argentina |
| 150 | Helen | van Eyk | Senior Research Fellow, Southgate Institute for Health, Society and Equity | Flinders University | Australia |
| 151 | Mauricio | Torres | Medical Doctor, Professor at the Public Health Department, Faculty of Medicine, National University of Colombia | PHM Colombia | Colombia |
| 152 | Boris Eduardo | Flores Gonzalez | Medical Doctor and Master of Public Health | Movimiento Para la Salud de los Pueblos – Equipo ComunicandoNOS | El Salvador |
| 153 | Hani | Serag | Health System Research Fellow | University of Texas Medical Branch | USA |
| 154 | Kayihan | Pala | Professor of Public Health | Turkey | |
| 155 | Connie | Musolino | Dr (Research Officer) | Southgate Institute of Health, Society and Equity, Flinders University | Australia |
| 156 | Nontsikelelo | Mpulo | Head of Communications | SECTIO27 | South Africa |
| 157 | Sarah | Crawford-Browne | Lecturer – Primary Health Care Directorate | University of Cape Town | South Africa |
| 158 | claudio | schuftan | Member SC World Public Health Nutrition Association | Vietnam | |
| 159 | Fisaha | Tesfay | PhD student | Flinders University | Australia |
| 160 | Emma | George | Lecturer in Occupational Therapy | Flinders University | Australia |
| 161 | Ligia | Giovanella | Senior Researcher | CEE Fiocruz | Brazil |
| 162 | Giulia | Loffreda | Scientific Coordinator,Department of Public Health and Primary Care | University of Cambridge | United Kingdom |
| 163 | John Eliasu | Mahama | Mr. | Ghana | |
| 164 | Ginette | Bauwens | Philosopher | Belgium | |
| 165 | Joseph | Holly | Co Director | Global Labour Institute | United Kingdom |
| 166 | Chandan | Kumar | Trade Unionist | Rashtriya Hamal Panchayat | India |
| 167 | Rose | DIDJA BOUBA | Coordonnatrice, spécialiste de développement communautaire, expert en planification des projets | ACOVIE | Cameroon |
| 168 | Virginia | Zweigenthal | Dr (senior lecturer and public health specialist) | University of Cape Town and Department of Health: Western Cape | South Africa |
| 169 | Jenny | Tapia | Student, Master Social Science, Universidad Autónoma Metropolitana | Mexico | |
| 170 | Gert | Verdonck | Researcher, sociology | Belgium | |
| 171 | GRAHAM | BENNETT | INTERNATIONAL DEVELOPMENT CONSULTANT | INDEPENDENT | United Kingdom |
| 172 | Nicole | Tsombya | Activist/ public health | Collectif de developpement integré au congo | Democratic Republic of Congo |
| 173 | Dimitrios | Skempes | Post doctoral Research Associate, Disability Policy Group | Swiss Paraplegic Research | Switzerland |
| 174 | Richie | Alford | Director of Research and Impact | England | |
| 175 | Dehran | Swart | Health Teaching Platform Manager, Primary Health Care Directorate | Faculty of Health Sciences, University of Cape Town | South Africa |
| 176 | Deepak | Kumar | Health & Nutrition Professional | PHRN | India |
| 177 | Valeria | Gentilini | Public Health resident- University of Bologna | Italy | |
| 178 | Paul | Laris | Mr | Australia | |
| 179 | Fran | Baum | Matthew Flinders Distinguished Professor | Australia | |
| 180 | Anwar | Fazal | Associate Professor | World Alliance for Breastfeeding Action (WABA) | |
| 181 | Juan Ignacio | Martinez Milan | Right Livelihood College & Chairperson Emeritus | International Health Dept, Andalusian School of Public Health | Spain |
| 182 | Delen | De La Paz | Convener global health | University of Philippines | Philippines |
| 183 | Mohammad | Ali Barzegar | Convener | PHM Iran | Iran |
| 184 | Sarojini | N | Convener | Jan Swasthya Abhiyan | India |
| 185 | Jens | Byskov | Specialist public health | Zambia and Copenhagen | |
| 186 | Sirimal | Peiris | Organiser | PHM Sri Lanka | Sri Lanka |
| 187 | Penelope | Milsom | Dr | London School of Hygiene and Tropical Medicine | United Kingdom |
| 188 | Ruth | Stern | Senior Researcher | University of Western Cape, School of Public Health | South Africa |
| 189 | Nikki | Schaay | Senior Researcher | University of Western Cape, School of Public Health | South Africa |
| 190 | Murat | Civaner | Professor | Uludag University School of Medicine | Turkey |
| 191 | Ferid | Aksu Tanik | Professor / Dr | Izmir | Turkey |
| 192 | Ornella | Punzo | Dr / Ricercatrice
Segreteria Scientifica di Presidenza |
Istituto Superiore di Sanità |
Italy |
| 193 | Inger | Scheel
|
Head of Centre for Arctic and Global Health, | University of Tromsø – the Arctic University of Norway | Norway |
| 194 | James | Pfeiffer | Professor, Dept. of Global Health | University of Washington | USA |
| 195 | Susan | Fawcus | Professor maternal health | UCT | South Africa |
| 196 | Edelina | De la Paz | Doctor of Medicine | Health Action Information Network | Philippines |
| 197 | Jeanice | Aguiar | Nutricionista | Brazil | |
| 198 | Adriano | Cattaneo | Epidemiologist | Italy | |
| 199 | Luana | Nilson | Doutora em Saúde Coletiva | Universidade Federal de Santa Catarina | Brazil |
| 200 | Enrico | Materia | Retired. Former Head of Human Development Office, Italian Agency for Development Cooperation | Italy | |
| 201 | Alexis | Benos | Prof in Social Medicine & PHC | IAHPE | Greece |
| 202 | Giulietta Luul | Balestra | Anthropologist | Italy | |
| 203 | solange | caetano | Mestranda em Direito Internacional | Federação Nacional dos Enfermeiros | Brazil |
| 204 | Gabriella | Medeiros | Estudante de doutorado | UFSC | Brazil |
| 205 | Aletha | Wallace | Health Professional | Belgium | |
| 206 | Moysés | Souza | Nacional Concilier oh Health | Network of People Living HIV and AIDS in Brasil | Brazil |
| 207 | Sudipta | Saha | MS Student, Dept of Global Health and Population, Harvard T.H. Chan School of Public Health | USA | |
| 208 | Mariana | Albuquerque | Doutora/Fiocruz | Brazil | |
| 209 | Lenir | Santos | Presidente | IDISA Instituto de Direito Sanitário Aplicado | Brazil |
| 210 | Eva | Gallova | Support worker | United Kingdom | |
| 211 | Akif | Akalin | MD, Public Health | Turkey | |
| 212 | Anna | Siniscalchi | Former Pharmacology Professor, University | Italy | |
| 213 | Inger | Scheel | Head of Centre forArctic and Global Health | University of Tromsø – The Arctic University of Norway | Norway |
| 214 | Ornella | Punzo | Researcher | Istituto Superiore di Sanità | Italy |
| 215 | Shireen | Huq | Member | Naripokkho | Bangladesh |
| 216 | Veridiana | Ribeiro da Silva | Farmacêutica/Mestre em Ciências Farmacêuticas | Universidade Federal de Pernambuco | Brazil |
| 217 | M. Murat | Civaner | Professor | University School of Medicine, Dept. of Medical Ethics | Turkey |
| 218 | Nikki | Schaay | Senior Researcher | School of Public Health, University of the Western Cape | South Africa |
| 219 | Anna | Vigato | Physician | Italy | |
| 220 | Jonathan | Filippon | Teaching and Research Fellow at the Global Public Health Unit | Queen Mary University of London | United Kingdom |
| 221 | Leigh | Haynes | – | People’s Health Movement – USA | Belgium |
| 222 | Ruth | Stern | Trustee | Health Poverty Action | United Kingdom |
| 223 | Araba | Tetteh | MA Public Health(Student) | United Kingdom | |
| 224 | Alice | Fabbri | MD, PhD | Australia | |
| 225 | Emiliana | Tapia | Advocacy coordinator | Spain | |
| 226 | Vera | Rocha | Doctor in Educativo. Master in Humanos Development. Physicaltherapy. Universidade Federal do Rio Grande do Sul. | Primary Health Care – Associação Brasileira de Ensino em Fisioterapia | Brazil |
| 227 | Alba | Llop-Girones | PhD candidate at the Health Inequalities Research Group | University Pompeu Fabra | Spain |
| 228 | Chiara | Di Girolamo | PhD student | University of Bologna | Italy |
| 229 | Soumojit | Ghosh | Policy & Impact Lead | Best Beginnings | United Kingdom |
| 230 | Penelope | Milsom | Dr | London School of Hygiene and Tropical Medicine | United Kingdom |
| 231 | Aysun | Aras | Assistant Professor | Ataturk University | Turkey |
| 232 | Rebecca | Hall | GP / Clinical Manager | NHS | United Kingdom |
| 233 | Henrietta | Ezegbe | Dr. | Simon Fraser University | Canada |
| 234 | So Yoon | Sim | Research Associate | Johns Hopkins Bloomberg School of Public Health | USA |
| 235 | Linda | Shuro | PHM Africa Outreach Coordinator | People’s Health Movement | South Africa |
| 236 | Dalvina | Nascimento | Estudante Doutorado | UnB | Brazil |
| 237 | Fiona | O’May | Research Fellow, Institute for Global Health and Development | Queen Margaret University | Scotland |
| 238 | Suzanne | Sicchia | Assistant Professor | University of Toronto | Canada |
| 239 | Jagadeesh | Bist | Dr | PHM Nepal | Nepal |
| 240 | Neelanjana | Das | Health social worker | India | |
| 241 | Eileen | O’Keefe | Professor of Public Health | London Metropolitan University | London |
| 242 | Fátima | Cortés | Medical doctor | Spain | |
| 243 | Amit | Kumar | Research manager | Oxford policy management | India |
| 244 | Isfaqur | Rahman | For and on behalf of the General Secretary | Ellora Vigyan Mancha | India |
| 245 | Carlo | Resti | MD / Head of Public Relations Office – Communication CSOs Relationship | San Camillo & Forlanini Hospital | Italy |
| 246 | Benjamin | Eder | Doctor | PHM-UK | United Kingdom |
| 247 | Hans | Escher | project officer | Germany | |
| 248 | Andrea | Canini | Family Physician | Italy | |
| 249 | gargeya | telakapalli | research assistant | India | |
| 250 | Dirceu | Greco | Professor Emeritus | Federal University of Minas Herais | Brazil |
| 251 | JOSE ANTONIO | LOYOLA FOGUEIRA | PEDAGOGO | REDE CORAÇÃO POSITIVO | Brazil |
| 252 | Lori | Hanson | Associate Professor, Department of Community Health and Epidemiology, College of Medicine | University of Saskatchewan | Canada |
| 253 | Micheal | Feeney | Conselheiro | SUS | Brazil |
| 254 | Jane | Fitzgerald | PhD candidate at Southgate Institute | Flinders University of South Australia | Australia |
| 255 | Sara | Javanparast | Dr (Senior Research Fellow in Primary Health Care research) | Flinders University | Australia |
| 256 | Matt | Fisher | Dr/Senior Research Fellow | Flinders University | Australia |
| 257 | David | Hunter | Associate Professor of Medical Ethics, College of Medicine and Public Health | Flinders University | Australia |
| 258 | Anne | Kavanagh | Professor of Disability and Health | University of Melbourne | Australia |
| 259 | Mary Ann | Mercer | Senior Lecturer Emerita | University of Washington | USA |
| 260 | Marcela | Bobatta | MSP – LA | Argentina | |
| 261 | Gerardo | Segovia | MSP – LA | Argentina | |
| 262 | Priscilla | Oliveira | Terapeuta Ocupacional, Mestranda em Direitos Humanos PPGDH-UFPE | Brazil | |
| 263 | Ritu | Priya | Convenor | Health Swaraaj Samvaad | India |
| 264 | Jose Naum | De Mesquita Chagas | Mestre em Saúde Pública/Universidade Estadual do Ceará | Nacional Institute of Social Security | Brazil |
| 265 | Laura C. | Altobelli | Principal Professor | Universidad Peruana Cayetano Heredia – School of Public Health and Administration | Peru |
| 266 | Radha | Holla | Independent researcher | India |