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Giving voice to people’s right to health

 

People's Health Movement (PHM) website

pdf file PHM evaluation summary report - Challenging injustice: giving voice to people's right to health (PDF 8 pages, 124 KB)

pdf file icon PHM full evaluation report - Keeping the promise: The people’s response to health for all (PDF 94 pages, 442 KB)

 

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News of an evaluation of the People’s Health Movement (PHM), December 2004

The People's Health Movement aims to mobilise all people for social transformation and the right to health.

Andrew Chetley of Exchange and Cecilia Muxi, members of PHM's international evaluation team, report on an evaluation of the movement from its start at the People's Health Assembly in 2000 through four years of struggle and learning.

people's health movement photo

From Assembly to Movement

A global People’s Health Movement (PHM) began to emerge in December 2000 when nearly 1500 people from over 90 countries met for five days in Savar, Bangladesh to re-establish health and equitable development as top priorities in local, national and international policy-making.

In the four years since this initial People’s Health Assembly (PHA) the movement has stumbled, struggled, and become stronger, and today is having an increasing impact on health policy and practice.

More attention is now being paid to developing strong and effective relationships with other networks, movements and organisations. Strategic planning and a communication strategy are also priorities.

Engaging the World Health Organization No one officially represented WHO at PHA in December 2000. But in January 2004, several representatives from WHO attended PHM activities at the World Social Forum in Mumbai, India and were requested by the Director-General’s Office to explore closer engagement with the PHM.

The People’s Charter for Health, elaborated through a worldwide consultation and finalised and endorsed at the PHA, has been translated into more than 40 local languages.

A unique approach to social mobilisation

The People’s Health Assembly was itself a unique social mobilisation exercise. In country after country, it involved people in village meetings, in district meetings, in national events, in regional workshops to prepare for the global gathering in Bangladesh.

New models for organising, new approaches to giving voice to the vulnerable and new ways to advocate for social change are significant outcomes.

Anyone who took part in the PHA describes how it changed their lives. The challenge now is to see if the inspiration, solidarity and linkages can be sustained.

Now there is a model for the next assembly in 2005, with enough planning time to make improvements.

Taking the PHM forward

Up until the beginning of 2003, any assessment of the efforts to move the PHM forward would have had little to say that was positive.

Work on the ground appeared patchy, sporadic and largely uncoordinated. But now greater coherence is beginning to emerge.

A large factor in the slow follow up to the PHA lay in the lack of a clear strategic plan and a communication strategy to reach out to different audiences.

Planning processes have come into effect that are beginning to develop strategic approaches and concentrate on improving internal and external communication.

Considerable work needs to go into strategic positioning of vulnerable people's stories and the messages they contain. Vulnerable people's satisfaction with the results of any policy dialogues needs to be continually assessed. This is one of the biggest challenges facing the PHM.

Networking, linkages and alliances

There are enormous challenges in maintaining an effective network that combines a range of organisations and individuals.

Networks, organisations, and individuals involved in the PHM work on a wide range of issues – from the very specific to the very broad – and at a number of levels – local, national, regional and international.

The synergy and interaction between the PHM and the International People’s Health Council (IPHC) – one of the original eight groups involved in developing the PHA – shows PHM's cooperation with other networks.

Alliances with networks of media personnel is likely to be a useful strategy: media interest will help shape the external environment so that dialogue on public health issues is more of a reality.

Leadership and governance

Although there has been discussion of structures to provide guidance and leadership for the PHM, there are still unresolved issues. This is to be expected in what is a ‘young movement’.

A young movement ‘with wisdom’: this an encouraging comment on the PHM that emerged in the evaluation process.

Strategic thinking and planning

Movements and networks often respond to situations as they arise: a policy has been issued that needs to be challenged; a threat to the environment has become evident; a human right has been violated.

Something needs to be done now, with urgency. People need to be mobilised to take action. However, this needs to be put into the context of a strategic framework which is light and flexible while providing a unifying planning guide.

The development of the PHM is a social process, one that it is difficult to accelerate. It takes time to build trust, relationships, working practices and principles.

Diversity

One of the exercises that the evaluation team did with nearly 80 people in 2003 in Geneva was to encourage them to identify how they came into contact with the PHM and how they pictured their involvement.

The images of the movement that they drew were diverse, but had some common elements. The ideas of joining hands, connecting and working together and of waves of energy, surging and growing were two powerful currents. Above all, the pictures they drew were a celebration of diversity and it is that diversity that is the main strength of the PHM.

Sustaining and maintaining a diverse, flexible and effective movement that serves as a platform for social change is the challenge that now faces the PHM.

More information

pdf file PHM evaluation summary report - Challenging injustice: giving voice to people's right to health (PDF 8 pages, 124 KB)

pdf file icon PHM full evaluation report - Keeping the promise: The people’s response to health for all (PDF 94 pages, 442 KB)

People's Health Movement (PHM) website

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