Kasarani, an otherwise sleepy stadium in Nairobi, Kenya was a beehive of activity in January. Thousands of activists from all corners of the world thronged the stadium for the World Social Forum in search of a path to sustainable development, social and economic justice, continuing a tradition that started with the first the WSF, organized in Porto Alegre, Brazil in 2001.
For all of us present, we realise that building another world is possible, but through alternative models for people-centred and self-reliant progress, and not the current neo-liberal globalization. Those who work on health had a clear message on what that means for health. “Health is a fundamental right. The time has come work for the right to health, to put in place universal, comprehensive and equitable health systems and social security.”
People from organisations and movements explored how they are advancing this in many different countries affected by the same neo-liberal economic policies. We heard about equity as the engine behind policies and systems of health and social security; about why health should be protected as an “international and national public good” and what that means; how we respond to the causes of health and protect health care services in the organization of productive sectors and the agendas of the free trade agreements; how we advance the right to health through comprehensive primary health care and how to give economic priority to the payment of the accumulated social debt.
We have in the health equity network battled with a lot of these issues for a long time, and the WSF gave us an opportunity to debate the issues, but also to strategise on how we can overcome the fragmentation that happens when we get caught in responding to “sanitary emergencies” and single diseases rather than the wider struggle for the human right to health and social security.
The WSF, as an open meeting space for reflection, the democratic discussion of ideas, the formulation of proposals and the free exchange of experiences, gave us an opportunity to share experiences and proposals for action. We looked at whether and how well national governments were advancing public policy in health in the face of contradictory policies imposed by the international financial institutions. We explored our performance as countries in acting on commitments to universal and integrated health and social security systems and in meeting the real social needs of the population. We shared experience on how governments related to local governments, parliaments, non government organisations and multilateral organisations.
What next after Kasarani? How do reflections at the WSF stream into a worldwide movement for health for all now? Underlying the diverse paths to the universal, comprehensive, equitable public systems that we agreed are needed for the right to health, there was a common thread: A liberation process that demands the political emancipation of communities to take control of health as a right, and the transforming role of the state, including of the health and social security workers who work within it.