A new Bangkok Charter for Health Promotion has been adopted by participants at the 6th Global Conference on Health Promotion, co-hosted by the World Health Organization (WHO) and the Ministry of Public Health of Thailand. It identifies major challenges, actions and commitments needed to address the determinants of health in a globalized world by engaging the many actors and stakeholders critical to achieving health for all. The Charter highlights the changing context of global health and the challenges faced in achieving its aims, including the growing double burden of communicable and chronic diseases which include heart disease, stroke, cancer and diabetes.
Equity in Health
The member countries of the Southern African Development Community (SADC) are to adopt an integrated strategy to fight against malaria. For this the organization counts on the financial support of 30 million US dollars, granted by the African Development Bank (ADB), which will also be used in cross-border interventions for other communicable diseases, including HIV/AIDS and tuberculosis.
"Here in my country, ten people die of AIDS every hour. About one million people are infected with HIV out of a population of some 12 million. Our government is working hard to try to slow down this epidemic: We have an extensive voluntary counseling and testing program and hope to treat as many as 80,000 people with antiretroviral drugs by the end of the year. Unfortunately, there is only so much we can do. One of our biggest obstacles, which many nations on our continent share, is a shortage of health care workers. Simply put, Africa cannot fight poverty and disease without more doctors and nurses."
At the World Health Assembly in May 2003, the People's Health Movement, together with GEGA and Medact discussed the need for civil society to produce its own alternative World Health Report. It was felt that the WHO reports were inadequate; that there was no report that monitored the performance of global health institutions; and, that the dominant neo-liberal discourse in public health policy also needed to be challenged by a more people-centred approach that highlights social justice. The idea of an alternative World Health Report since developed into an initiative called the 'Global Health Watch' the first of which was launched on July 20, 2005.
More than 10 million people will need humanitarian assistance in six countries across southern Africa over the coming year following yet another year of poor agricultural production caused by erratic weather together with late, and in some cases unaffordable inputs, such as fertilizer and seeds, two UN agencies and the Southern Africa Development Community (SADC) have warned.
Delegates attending the second people’s health assembly called for the total abolition of patents on essential medicines. “Patents are shortening the lives of people and is a curse for poor people,” said Dr. Eduardo Espinoza, the former dean of University of El Salvador. “There are two serious concerns about essential medicines. Firstly, it is about their availability. Secondly its affordability,” said Mr. Amitava Guha, a trade union leader from India. “The manifestations of the unfair patent regime are taking a heavy toll on poor people, especially those who are infected and affected with HIV / AIDS,” said Mr. Guha, who currently heads the Federation of Medical Representatives Association of India.
Basic sanitation must reach 138 million more people every year through 2015 – close to 2 billion in total - to bring the world on track to halve the proportion of people living without safe water and basic sanitation, the World Health Organization (WHO) and UNICEF warn in a new report. Meeting this Millennium Development Goal (MDG) target would cost US $11.3 billion per year, a minimal investment compared with the potential to reduce human illnesses and death and invigorate economies.
A quarter of all clinical trials are now done in the developing world, but often the research lacks a rigorous ethical framework. Western researchers or funders tend to shoulder the blame for trials that the international scientific community deems unethical, says Gilbert Dechambenoit in this editorial in the African Journal of Neurological Sciences. But, he argues, African scientists should bear just as much responsibility for unethical scientific practices.
In the face of widespread stigma around HIV/AIDS, few people have the courage to go public about their status, but one such person is Mampho Leoma, 28, a mother of two from Mapetla, in the Johannesburg township of Soweto. Leoma recalled the day she found out she was HIV-positive: "It was the 26th of January last year; I was four months pregnant ... It was very sad - I didn't expect the result. At the time I was not going with anyone else but my husband, and I didn't think he was going out with other girls either."
At least 100,000 people living with HIV/AIDS in Tanzania will receive anti-retroviral drugs (ARVs) free of charge by the end of 2006, Prime Minister Frederick Sumaye announced last month. "The target is to ensure at least 400,000 people are on free ARV treatment within the next five years," he said in a speech before parliament in Tanzania's administrative capital, Dodoma.