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Global Health Watch 1 in one file

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tion and water are experienc<strong>in</strong>g similar problems with the growth of commercial<br />

markets <strong>in</strong> their field. Undertak<strong>in</strong>g jo<strong>in</strong>t campaigns around strengthen<strong>in</strong>g<br />

public services, as well as monitor<strong>in</strong>g their effectiveness, could help to magnify<br />

the calls for decent government-f<strong>in</strong>anced and -provided services <strong>in</strong> each sector.<br />

Advocates could br<strong>in</strong>g jo<strong>in</strong>t pressure to bear on governments and <strong>in</strong>ternational<br />

<strong>in</strong>stitutions promot<strong>in</strong>g the imposition of user charges for health-susta<strong>in</strong><strong>in</strong>g<br />

services. They could share <strong>in</strong>formation on mult<strong>in</strong>ational activities, encourag<strong>in</strong>g<br />

each other to <strong>in</strong>form their respective constituencies; they could also<br />

<strong>in</strong>form each other about the challenges of respond<strong>in</strong>g to small-scale ‘<strong>in</strong>formal’<br />

private provision, and how local <strong>in</strong>itiatives might gradually be built <strong>in</strong>to<br />

universal coverage.<br />

Many would agree that essential services and needs should not be<br />

commodified. Us<strong>in</strong>g the <strong>in</strong>struments afforded to them at national and <strong>in</strong>ternational<br />

levels, <strong>in</strong>clud<strong>in</strong>g human rights law, campaigners should demand that<br />

public policy <strong>in</strong> these areas is free from the <strong>in</strong>fluence of corporations; and that<br />

<strong>in</strong>ternational <strong>in</strong>stitutions provide good guidance for national governments on<br />

regulat<strong>in</strong>g health hazards.<br />

Demand<strong>in</strong>g action on <strong>in</strong>ternational <strong>in</strong>equalities Campaigners lobby<strong>in</strong>g together<br />

for debt relief, <strong>in</strong>creased aid and an end to unfair trade have already<br />

shown their power. Nevertheless <strong>in</strong> many countries, cross-sectoral work<strong>in</strong>g on<br />

these issues is <strong>in</strong> its <strong>in</strong>fancy. Efforts should cont<strong>in</strong>ue, strengthened by messages<br />

about the effectiveness of strong public services across the board.<br />

Perish or survive? Lastly, health campaigners can work with those <strong>in</strong> the environmental<br />

and peace movements to reveal the costs of climate change and<br />

war. Action on important issues has often occurred because people have begun<br />

to consider the health effects – advocates learnt this dur<strong>in</strong>g the campaigns<br />

aga<strong>in</strong>st nuclear weapons <strong>in</strong> the 1980s and developed messages which had a<br />

worldwide impact.<br />

We end the <strong>Watch</strong> with a rem<strong>in</strong>der of the fundamental message of this chapter<br />

– progress towards a healthier world is fundamentally underp<strong>in</strong>ned by political<br />

action. Whilst NGOs and those already <strong>in</strong>volved <strong>in</strong> advocacy may f<strong>in</strong>d it easier<br />

to l<strong>in</strong>k <strong>in</strong>to activities on the issues described above, <strong>in</strong>dividual health workers<br />

and providers and other members of the general public may f<strong>in</strong>d this more<br />

difficult.<br />

If the <strong>Watch</strong> has moved you to action, but it is difficult for you to be <strong>in</strong><br />

touch with others, then consider <strong>in</strong>itiat<strong>in</strong>g your own dialogue on these issues<br />

Conclusions<br />

359

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