UNIVERSITY COALITIONS for GLOBAL HEALTH

Jordan Sloshower, Research Coordinator in Family Medicine at the University of Manitoba, Canada, tells us about his university’s involvement in the UCGH Week of Action. He also reflects on the reasons for the increasing interest in global health -Stephanie

During the week of March 24, 2008, the University of Manitoba played host to a lecture series on topics related to “Global Health”. This event was part of a larger “Global Health Week of Action” organized by Universities Coalitions for Global Health (UCGH)-a network of international health-focused organizations and individuals with a university presence.

The overarching goal of this international campaign was to bring together medical, graduate and undergraduate students to advocate for the right to health for populations that are underserved by drawing attention to a host of pressing issues, including gender inequality, HIV/AIDS, access to clean water, sanitation and essential medicines, and the global healthcare worker shortage.

Here at the University of Manitoba, lecturers spoke about their groundbreaking work in the field of infectious disease, about HIV/AIDS advocacy and activism, and about the relationship between health, politics and culture. In the lecture series’ keynote address, Professor Emeritus Dr Alan Ronald outlined his experience with the university’s global health initiatives in Kenya, Uganda and India and provided advice for students in health disciplines who wish to “change the world” through their life’s work. As this lecture series coincidentally overlapped with the launch of The University of Manitoba’s Alan Klass Memorial Program for Health Equity and the publication of a two-day report in The Winnipeg Free Press on HIV/AIDS prevention programs in India set up by Manitoba-based researchers and physicians, (1) the question arises, why there is so much interest and activity in the field of global health and health equity?

Part of the answer to this question surely lies in the fact that the search for solutions to global health problems presents unique challenges (and funding opportunities) to researchers who attempt to apply science and technology to the improvement of the human condition. However, an equally significant reason for the recent surge of interest amongst the public and academics worldwide is that achieving global health equity, or fairness in basic health care measures for rich and poor alike, is not just a scientific problem, but also a cultural, political and economic problem deeply rooted in rapidly changing social structures. In other words, the issues raised by the field of global health probe deeper into human consciousness, as they call into question the way we organize our affairs in society and raise ethical questions about our actions in an increasingly interconnected world.

The aforementioned report in the Winnipeg Free Press is illustrative of this point. Rather than focusing on Dr Stephen Moses’ groundbreaking scientific research on the effectiveness of male circumcision in preventing the spread of HIV, the report assumed a more humanistic perspective. By examining the sex-trade in India, the report outlined how underlying social structures and cultural norms on gender roles become embodied as disease in female sex-workers. In so doing, this article effectively conveyed the anthropological observation that “AIDS is a socio-cultural and political-economic phenomenon with biological manifestations.” (2) As a result, preventing HIV/AIDS is not just a problem for medical doctors, but is a complex initiative requiring collaboration between health workers, politicians, development workers, community leaders and ordinary people. The need for such an interdisciplinary approach speaks to the underlying reality that the problems afflicting the health of populations worldwide are symptoms of a web of social, political and economic pathologies that constitute social injustice. Hopefully, the growing interest in global health reflects the realization that assaults against human dignity should not only attract the interest of inquisitive scientists and researchers but should compel all constituents of global civil society into concerted pragmatic action. Jordan Sloshower: sloshowe@cc.umanitoba.ca

References

(1) Skeritt J. Where HIV flourishes:India’s culture makes AIDS campaign an uphill battle. The Winnipeg Free Press 2008 Mar 22. Available from:URL: http://www.winnipegfreepress.com/special/aidsindia/story/4147383p-4737039c.html

(2) Marshall W. AIDS, race and the limits of science. Soc Sci Med 2005;60(11):2515-2525.

Hey UCGH!

This morning, the Senate Foreign Relations Committee marked up and approved the Lantos/Hyde Leadership Against AIDS, TB, Malaria Act of 2008 by a vote of 18-3. Though we have not seen the final bill that passed through committee, we understand that the bill is still a $50 billion bill, including $9 billion for TB and malaria. Thank you to all of you who were able call your Senator yesterday and ask them to retain the $50 billion-you’re voices were heard today at the Committee mark up!

Because of all of your amazing efforts we now have a U.S. Global AIDS Bill that has passed committee in both the House and the Senate! But we still need your help, especially as Congress gets ready to go on recess from March 15-30. This is a great time for all to go out and do in district lobby visits to make sure that when the bill hits the Senate and House floor for a vote after March 30th that your Congressional Member will vote in favor of this awesome bill! Please get out there and help us pass this bill-we’re almost there!

To learn more about in district lobby visits check out http://www.ucgh.org/resources/toolkit-center/ucgh-action-guide/contacting-politicians/

The only amendment offered today in the Senate mark up was a managers’ amendment. Though most of the provisions relate to the HIV/AIDS section of the bill there is one provision related to malaria (see #9).

The provisions of the managers’ amendment are as follows:

1. Technical amendments to Section 101(f) on Inspectors General (Biden)

2. Alter conscience clause on page 90 to conform to the House bill (Biden/Lugar)

3. Changing “healthcare workers and professionals” to “healthcare paraprofessionals and professionals” in Section 301, changing goal to target, and adding definition of paraprofessionals; elimination of “behavior change” phrase in several places in the bill to conform with House compromise; adjustments to pediatric treatment provisions (Biden)

4. Global Fund — retain current law on timing of measuring Fund contributions for purposes of U.S. limitation of 33 percent (DeMint)

5. Define “structural prevention” (Biden)

6. Create panel on reviewing PMTCT (Dodd)

7. Promote vaccine development (Kerry)

8. Promote microbicide development (Obama)

9. Malaria/ensure CDC surveillance doesn’t duplicate WHO (DeMint)

10. Highlight Caribbean as potential partner for regional approaches to AIDS (Nelson)

11. Sense of the Senate, adding new section 401(b) on the scale-up of the spending over the course of the five fiscal years (Biden/Lugar)

12. Promote pre-service training for health capacity (Cardin)

13. Technical change to insert section 307 (missing by mistake from original bill), and renumbering rest of Title III accordingly (Biden/Lugar)

To learn more about the U.S. Global AIDS Plan visit www.pepfar2.org

Student Training Calls: March 13th at 9pm (EST) & March 14th at 12pm (EST)
Call in Number 1-888-296-6500 Code: 130039
Learn more about the week of action toolkit and speak directly with the UCGH national coordinators!

Check out the Week of Action and download the toolkit online

Global Health Week of Action 2008
The Many Sides of the Right to Health

WHAT: The member organizations of the University Coalitions for Global Health (UCGH) have come together again in the spirit of partnership to hold the 1st even Global Health Week of Action where we hope to bring together med, grad and undergrad students to advocate for the right to health for populations that are under served or where it is outright ignored by the governments responsible for their welfare. We will bring attention to the right to health by focusing on the following issues:
• Access to Clean Water
• Women and AIDS
• HIV and Malaria
• Access to Medicines and the Role of Universities
• Global Health Care Worker Shortage

Check out the Week of Action and download the toolkit online

This year’s activities include:
• Implementation of an Issue=specific toolkit created by the national coordinators of UCGH
• Online chats with Global Health Experts
• Student planning and advocacy training conference calls

WHEN: March 22nd-March 30th 2008 On your Campus!
Student Training Calls: March 13th at 9pm (EST) & March 14th at 12pm (EST)
Call in Number 1-888-296-6500 Code: 130039
Learn more about the week of action toolkit and speak directly with the UCGH national coordinators!

Contact: your national coordinator or sdevita@globalhealth.org to find out more!!!

Check out the Week of Action and download the toolkit online

Youth AIDS Day, February 26 2008

WHAT: Join students all over the U.S. by taking action to increase funding for global HIV/AIDS as part of Youth AIDS Day 2008.As you may know, Congress is considering legislation that would re-authorize the President’s Global AIDS Initiative. As I’ve written before, this is an opportunity to scale up the US response to AIDS and to reform policies like the failed abstinence only earmark.

* Increase funding levels to at least $50 billion
* End the required abstinence-only-til-marriage earmark
* Provide the training and support for urgently needed new healthcare workers
* Integrate women’s health and social services programs
* Address the structural inequalities that leave women vulnerable to HIV/AIDS
* Eliminate the HIV/AIDS travel ban that prohibits people with HIV from entering the United
States

WHEN: February 26th 2008

WHO: This event is being sponsored by a coalition of student organizations including: University Coalitions for Global Health (UCGH); Physicians for
Human Rights (PHR); Student Global AIDS Campaign (SGAC); Americans for Informed Democracy (AID) ; Americans Medical Student Association (AMSA)

WHY: Of the 2.5 million new HIV infections each year, forty percent are among
people ages 15-24. Myriad social and economic factors increase young people’s vulnerability to infection, and children and adolescents in many places are uniquely affected by the pandemic as they lose a generation of parents, teachers, and doctors. In some regions, youth are ill-equipped to protect themselves, for lack of knowledge about the modes of transmission. Yet young leaders are taking action, effectively changing behaviors, and shaping a better future. On February 26, student organizations all over the US will be taking action on funding for global HIV/AIDS as part of Youth AIDS Day.

Last year’s theme was Our Future, Our Crisis: Universal Access by 2010. Students challenged the political obstacles in the way of achieving this goal and providing treatment to people living with HIV/AIDS in the Global South. They held dozens of actions across the country, including demonstrations and events, to demand immediate change to address inequalities of access. Youth AIDS Day 2008 will see students pushing their political leaders to reauthorize an improved PEPFAR and to allocate the necessary resources- at least $50 billion- for it to effectively continue to fight AIDS around the world.

Global Health Week of Action, March 24-28*

The annual Global Health Week of Action is set for March 24-28th.* We will distribute a Week of Action Organizing Guide with resources for how to plan your events and actions, educational resources, and issue specific action kits. The guide will be posted on our website and distributed to students by March 1st.

*If these dates do not work because of exam or spring break conflicts, please choose the “best” set of dates for your school. We suggest the 1-2 weeks immediately after spring break as the “best” set of dates.

Hey All–This week is a busy one in Washington, because the President’s Emergency Plan for AIDS Relief (PEPFAR) is up for Reauthorization this year and is going to “mark up” in the House tomorrow. I’ll have more updates on that later in the week, but first I’ll pass over the blogging baton to Victor from GlobeMed to talk more about what it is that his organization does and how you can get involved! Cheers!
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GlobeMed connects the resources of our thirteen student-led chapters at universities across the U.S. directly to grassroots health organizations to work in partnership to design and support innovative and vital health projects. For example, GlobeMed members at Northwestern worked with local partners near Ho, Ghana to construct a health clinic in Ho, Ghana that now provides health services to a rural population. Students at University of Michigan designed and implemented a health education program for a free clinic in an underserved area of Detroit. While a common vision and mission unite members at each of our campuses, the strength of the GlobeMed network rests in each chapter’s unique projects and efforts.

Our aim is not only to improve health in communities around the world, but to educate and train the next generation of leaders for global health. We stimulate critical thinking on global health issues and provide a framework in which students can gain personal and professional skills for affecting change. Through year-round programs on campus and across the country, we help catalyze students to commit their lives to social justice and global health. By tying education to action, GlobeMed is playing a vital role in advancing a student-driven global health movement.

-Victor

Hello UCGHers!

As you’re participating in your call-in day to Representative Ros-Lehtinen below are some thoughts from the Student Global AIDS Campaign (SGAC) Mid-Atlantic Coordinator Tucker about why he was surrounded by hundreds of socks on Capitol Hill.

Tuesday was sock day. A group of dedicated activists from SGAC, ACT UP Philadelphia, Health GAP, UCGH, Americans for Informed Democracy and Advocates for Youth gathered on Capitol Hill to call on Congress to fund PEPFAR fully and create greater flexibility in the global AIDS legislation, including comprehensive sex education, accessible treatment, a repeal of the anti-prostitution loyalty pledge, and support for in-country healthcare workers.

Despite the cold and the rain, grassroots activists from DC, Maryland, Pennsylvania, and New Jersey came together to deliver hundreds of socks strung on clotheslines and shoved into laundry bags and backpacks. We urged Representative Ros-Lehtinen and Senator Lugar not to get COLD FEET when it comes to PEPFAR.

Some congressional staffers were receptive to our concerns, reminding us that global AIDS is not a partisan issue and encouraging us to continue the struggle for universal access to prevention, care, and treatment.

Unfortunately, some members of Congress, despite recognizing that AIDS lies beyond party lines, will continue to weaken the legislation. Our goal as a student movement is to remind our representatives that PEPFAR is about one fundamental thing: saving lives. Apparently, that is easy to forget in the crazy political mess that is Congress. That is why we have to keep our representatives in line—hold them accountable! We must call upon important and influential representatives such as Ros-Lehtinen to stand for conscience and medical fact.

Those of us who took part in Tuesday’s action, those of us who have had the opportunity to lobby our representatives in Washington or in our home states, can attest that we have social power as students. We are the grassroots movement, and we do make a difference when we mobilize effectively. That is why we all must rally together in unison and urge Representative Ros-Lehtinen to forget about divisive political agendas when it comes to something so vitally important as saving lives.

- Tucker Landesman is a member of George Washington University’s SGAC chapter and the Mid-Atlantic Regional Outreach Coordinator

Hey there global health enthusiasts!

I owe you all a BIG thank you for participating in the poll on the Lancet Student website entitled “What issue would you most like to campaign on?” The results are in and as you can all see, the Right to Health is a straight shot winner followed by Access to Essential Medicines and Strengthening Health Systems as the top three.

As I mentioned in a previous blog, UCGH empowers students to ignite change on global health issues. Each year the UCGH Steering Committee (comprised of representatives from various student global health organizations) gathers to decide the coming academic year campaigns. This year we were blessed to have input from all of you (which seemly made our jobs easier) and based off your voting the Steering Committee has envisioned a new direction of UCGH advocacy.

Rather than arbitrarily choosing three campaigns, the Committee has listened to your voices and now is restructuring UCGH to have a clearly defined advocacy mission that will be the unifying trend between all campaigns. The UCGH advocacy mission will be:

“Through the empowerment of young people, UCGH aims to combat global medical apartheid by ensuring that all people have the right to health as defined by United Nations General Comment 14.”

This new mission allows UCGH to expand its campaigns and incorporate many more student organizations, because General Comment 14 not only calls for access to healthcare, but it also encompasses the underlying environmental, societal and cultural determinants of health. The right to health remained no more than a slogan for more than 50 years, but now General Comment 14 is starting an international movement to obtain quantifiable and measurable standards for the right to health and UCGH wants to join in!

Within this new larger mission, each year the Steering Committee will identify three issues that are crucial for instilling the right to health. This year the Committee has chosen; Access to Essential Medicines, Strengthening Health Systems and Ensuring Health Equity. Each issue allows UCGH to create several different campaigns. For example, under the Health Equity issue UCGH will be advocating for the HIV Prevention Act as well as the Convention on the Rights of the Child. We are unveiling these advocacy approaches this Fall.

Stay posted to hear more about UCGH campaigns!

Can I Change the World?

As students we should never underestimate our ability to change the world! It might sound cliché, but we are the future and if we intend to improve our world we need to start now. As the great Margaret Mead said “Never doubt that a small, group of thoughtful, committed citizens can change the world. Indeed, it is the only thing that ever has.” All you have to do is find a way to get involved!

Hosted by the Global Health Council, UCGH is a coalition aimed at synergizing efforts among all global health-focused organizations and individuals with a university presence. Working at both the national and campus level, UCGH empowers and brings together student organizations to unite around common campaigns and projects, multiplying their impact on global health issues.

Every year UCGH mobilizes students around three global health issues. One of our most infamous campaign events occurred on World AIDS Day 2006. Students from all across the U.S. rallied, clutching the empty coats of doctors that have fallen victim to brain drain in sub-Saharan Africa, while 400 other students, dressed as giant needles, marched through the streets of Washington, D.C. demanding better legislation on access to essential medicines. Many people believe that the African Health Capacity Investment Act (currently in Congress) was introduced in part because of the student demand for increased support for health care workers-proof that students create change.

We’re considering the following global health issues for the coming academic year campaigns:
• Health as a Human Right
• Health Systems
• Access to Essential Medicines
• Child Health
• HIV/AIDS/PEPFAR Reauthorization

Please contact us if you have other ideas, want to learn more about UCGH or talk about the global health issues you’re been working to change!

In Solidarity,

Stephanie
UCGH Outreach Fellow