Alternative Civil Society Astana Statement on Primary Health Care

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:

  1. 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.

 

  1. 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.

 

  1. 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.

 

  1. 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.

 

  1. 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.

 

  1. 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;

 

  1. 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.

 

  1. 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.

 

  1. Primary health care:
    1. 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;
    2. addresses the main health problems in the community, providing promotive, preventive, curative, rehabilitative and palliative services accordingly;
    3. 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;
    4. 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;
    5. 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;
    6. 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;
    7. 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.

 

  1. While technology has brought health benefits, care must be taken to ensure that technology is used with intelligence so that:
    1. 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
    2. 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
    3. 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.

 

  1. 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.

 

  1. 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.

 

  1. 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.

 

  1. 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.

 

  1. 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.

Please endorse above statement through this link: https://www.surveymonkey.com/r/5Y6GWCL

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

 

SFSU

 

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