Health equity in economic and trade policies

Strengthening international health co-operation in Africa through the regional economic communities
Agu V, Correia AN, Behbehani L: African Journal of Health Sciences 14(3-4):104-113, 2007

The Regional Economic Communities (RECs) are the pillars of the African Union (AU), and have been recognised by the AU as the key vehicles for economic integration and cooperation in Africa. The 2003 Session of the AU Conference of African Ministers of Health (CAMH) considered and adopted, inter alia, recommendations on a proposal to establish Health and Social Affairs Desks within the RECs. The 2003 Maputo Session of the Assembly of AU Heads of State and Government duly endorsed the Report of the Ministers and their recommendations. This paper represents an attempt to assess the extent to which the 2003 decision of CAMH has been implemented. The researchers also argue that regional integration and cooperation should not be geared solely towards economic, trade or political purposes but to the social sector as well, and proposes a set of criteria as useful starting points for determining which social (i.e. health) activities can be undertaken at the regional and sub-regional levels.

Corporations Dominate Trade Panels that Set Global Health Policy: Public Health Groups Sue US Government for Fair and Democratic Representation
CPath, 17 May 2008

At a hearing on 16 May 2008 in the US Court of Appeals for the Ninth Circuit, public health and health professionals will demand that corporate interests be balanced with public interest representation on US Industry Trade Advisory Committees (ITACs) that advise the US Trade Representative (USTR) on trade policies affecting public health. Non-profit and public interest organizations have been systematically denied posts on industry-dominated trade advisory committees that impact the health of millions of people around the world.

Further details: /newsletter/id/33149
Draft global strategy on public health, innovation and intellectual property
World Health Organization, 3 May 2008

The global strategy on public health, innovation and intellectual property aims to promote new thinking on innovation and access to medicines, as well as, provide a medium-term framework for securing an enhanced and sustainable basis for needs driven essential health research and development relevant to diseases which disproportionately affect developing countries, proposing clear objectives and priorities for Research and Development, and estimating funding needs in this area. In resolution WHA59.24 the Health Assembly recognised the growing burden of diseases and conditions that disproportionately affect developing countries, and particularly women and children. Reducing the very high incidence of communicable diseases in those countries is an overriding priority. At the same time, it is important for WHO Member States and the WHO Secretariat to recognise and better address the increasing prevalence of non-communicable diseases in those countries. This document serves as the outcome-document of the agreements made on 3 May 2008.

GATS Negotiations heat up - Human Rights input needed now
THREAD Action Alert, 1 May 2008

This publication, on negotiations about trade in services indicates ways that human rights advocates can get involved to ensure their governments do not sign agreements that could have harmful human rights effects. Access to essential services, including water, education and health care are on the table as representatives at the WTO push for closure to trade talks in the coming months. Advocates must act now to ensure these agreements include full consideration of the potential human rights impacts of new policies. This Action Alert sets out actions and strategies for human rights advocates concerned about the issue.

MPs want Uganda out of EAC-EU trade deal
Kazooba C

Parliamentarians are pressurising Uganda to revoke the interim trade agreement signed between the European Union and the East African Community. The Ugandan MPs claim the partial Economic Partnership Agreement (EPA) signed at the close of last year entrenches 'unfair treatment' of the five-member bloc. The Parliamentary Committee on Trade, Industry and Tourism is presently evaluating the significance of the trade relationship with EU, following a petition from over a dozen civil society groups.

Further details: /newsletter/id/33133
The slippery slope of negotiations at the IGWG on Public Health, Innovation and Intellectual Property
Gupta AS, Gopakumar KM

This is a short report on the negotiations at the Intergovernmental Working Group on Public Health, Innovation and Intellectual Property. Once again, negotiations were considered unsuccessful by the developing countries as developed countries sought to maintain the status quo, which gives them unfair advantages in intellectual property rights. Negotiations were replete with instances of chicanery and doublespeak on the part of most developed countries, led by the United States. The principal thrust of their strategy has been to obstruct any forward looking measure that would promote the basic objectives of the IGWG, objectives that were designed to find real mechanisms that can promote both innovation and access to medicines that are required for the poor in developing countries.

Further details: /newsletter/id/33136
World Health Assembly Opens On Note Of Hope For Intellectual Property
Intellectual Property Watch, 20 May 2008

WHO Director General Margaret Chan at the 61st World Health Assembly, raised intellectual property issues optimistically, as an opportunity for the organisation to make a difference. Chan highlighted a report due out later this year from the Commission on Social Determinants of Health, which she 'should help us address the root causes of inequities with greater precision'. She then commended members for the 'tremendous progress' made in meetings of the Intergovernmental Working Group on Public Health, Innovation, and Intellectual Property (IGWG).

Africa insists trade and development are inseparable
Afriquenligne, 23 April 2008

Demanding assurance that their countries would be better off agreeing to enter Economic Partnership Agreements (EPAs) with the European Union (EU), African finance and trade ministers have insisted that the development dimension must be comprehensively addressed in the deals. In a declaration on the negotiations, the ministers also urged the negotiators to ensure that EPAs take into consideration the coherence between trade and development dimensions as well as Africa's regional integration efforts. After a one-day joint meeting, convened by the African Union Commission (AUC) to give political guidance on pressing issues in the areas of trade and development in relation to the EPAs, the ministers noted that the interim deals with the European Commission (EC) were contentious on a number of issues, including the definition of substantially all trade, transitional periods, export taxes, free circulation of goods, national treatment, bilateral safeguards and the non-exclusion clause.

Agriculture and the WTO in Africa: Understand to act
Lebret MC, Alpha A: Groupe de recherche et d'echanges technologiques, 2007

African countries have always struggled to participate fully in the World Trade Organisation (WTO) and to influence its decisions. In addition to under-representation at WTO headquarters, the complexity of WTO bodies, rules and procedures weakens inputs. This book provides guidance in understanding how international trade institutions and agreements operate. Its aim is to provide those in charge of civil society organisations in sub-Saharan Africa with tools and references to better understand the stakes behind, and means for, their participation in world trade. Organised around descriptive and factual texts, this work contains many definitions and is illustrated by concrete experiences that facilitate reading.

EPAs: The Way Forward for the ACP
Commonwealth and ACP Secretariat

The High Level Technical Meeting in Cape Town, South Africa, 7-8 April, 2008 undertook a comprehensive stock taking of EPAs that have been concluded in order to provide countries with an objective and accurate assessment of the content, character and implications of the various agreements that will help guide and inform their policy choices. For example, specific studies on particular issues identified useful to assist in the negotiations should be conducted and the ACP Secretariat/Commonwealth Secretariat should assist in organising sensitisation seminars for government officials and Parliamentarians and other stakeholders on EPAs and related issues.

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