Health equity in economic and trade policies

Poor Countries Fail To Take Advantage of WTO Accord on AIDS Drugs

Poor countries that fought to be able to import generic prescription drugs have failed to use changes to the WTO rules on intellectual property rights, reviving a row over who is to blame for the lack of treatment for millions of AIDS sufferers, reported Agence France Presse in March. According to Daniela Bagozzi, spokeswoman for the World Health Organisation in Geneva, "nothing much has changed since August," when a compromise between the 146 members of the WTO broke an eight-month deadlock over the changes. "From what we know and what we've heard, no country has issued a demand for a compulsory license as authorized within the agreement," she said.

Positions remain unchanged in TRIPS/CBD consultations
Raja K: Third World Network, 16 June 2006

A consultation held on 6 June at the WTO on the relationship between the TRIPS Agreement and the Convention on Biological Diversity (CBD) ended with positions among members remaining unchanged on the issue of disclosure of the source of origin of biological resources and associated traditional knowledge. A paper was presented by Brazil, India, Pakistan, Peru, Thailand and Tanzania (joined by China and Cuba). But the US, Australia and others said that negotiation based on any text is premature, as there were differences in views.

Possible Health Hazards from Genetically Engineered Crops
Onwubiko HA: Bio-Research, 9(2), 2012

Genetic Engineering of crops means that recombination DNA technology is used to insert, delete, transpose and substitute new genes in plants. The author notes that new gene products may serve as allergens capable of inducing illness in consumers. Antibiotic resistance genes are reported to be used to enable the selection of bacteria harbouring the desired gene, a technique which is thought to contribute to increasing resistance of bacteria to well established antibiotics such as penicillin, ampicillin, tetracycline and numerous others. The effect of the viral vector used in gene transfers on the environment, crops and individual consumers is not known. The author calls for an active regulatory guide by the United Nation Organization to safeguard the human population, the environment and life in general.

Potential Health Impact of the African Continental Free Trade Area Agreement (AfCTA)
Awosusi A: International Health Policies, 2019

Nearly all African countries have endorsed the continental free trade agreement. Trading is scheduled to commence in 2020 after key negotiations are concluded. Implementation of the agreement is likely to impact health in at least five areas: human capital investments, health innovations, trade for social impact, health security and universal health coverage. The author reccommends that health and development stakeholders take proactive measures to ensure health is protected in policies, programs and negotiations. While the five proposed areas are not exhaustive, they are argued to represent a basic foundation for rigorous research and informed engagement by health and development leaders in AfCFTA and trade-related processes. Other issues such as research and development, biopharmaceutical innovation and intellectual property rights also need to be considered.

Poverty amidst plenty: How Africans are robbed of benefits of mineral wealth
Obeng K: Pambuzuka News, June 2016

The author argues that Africa has not benefited substantially from its mineral wealth and that it is essential for resource-rich African countries to tailor their economic policies to harness and utilise mineral revenues to improve the productivity of non-mineral sectors to break out of the extractive enclave. The article observes that the remarkable extractives-driven economic growth of the last decade across Africa failed to trickle down. It was jobless, benefited foreign corporates and the local elite, and it widened the gap between the rich and the poor. If Africa is to avoid the failures of the previous decades and successfully transition from its present state to that foreseen by Agenda 2030 then the author proposes that it must better harness the potential benefits of its vast mineral wealth. African countries must institute fiscal reforms that will ensure that they are better positioned to derive maximum benefit from the next commodity price super cycle; they must plug loopholes that continue to facilitate the bleeding of much needed development revenues via illicit flows; countries must align all relevant local frameworks to the African Mining Vision, thereby putting the needs of citizens at the centre of their natural resource management agenda; and Africa must unite in a broad and strong push for long overdue global tax reforms.

Poverty Reduction Strategy Papers and health: not living up to expectations

A new report by Medact and Wemos highlights some of the issues that need to be taken into account in order to make the PRSP process work for health. 'Pushing the boundaries: health and the next round of PRSPs' draws on case studies in seven countries: Bangladesh, Bolivia, Ethiopia, Ghana, Kenya, Nicaragua and Uganda. Till now, the PRSP process has failed to make significant improvements to health. But in some areas and in some countries there are positive developments. Ghana's health budget has risen and user fees are abolished in Uganda and Ghana as a result of increased policy attention for the poor. But there is a long way to go. Pushing the boundaries calls for health organisations, ministries of health, donors and international agencies to use the PRSP process to establish equitable and comprehensive health systems. Download the report from either
http://www.wemos.nl/prs or http://www.medact.org

Presentations from side-events to summit
EuropAfrica

In the morning of the second day of the EU-Africa Summit representatives from the side-events got the opportunity to present their views to the Heads of States and Governments. Civil Society Organisations, Youth, Trade Unions and the Private Sector got three minutes respectively. Alpha Omar Konaré, president of the African Commission expressed that he was very happy with the fact that there were ‘many voices’ of civil representation - entrepreneurs, the youth and various associations - that are involved in the partnership between the two continents and ready to collaborate so that this cooperation between Europe and Africa can develop in a positive way for all parties. He also quoted the Civil Society Declaration, mentioning the lack of power equilibrium between both Continents.

Press statement by the organisers of the International Peoples Forum versus IMF-WB
The International People\'s Forum (IPF), 18 September 2006

International People's Forum organizers issued this press startement to celebrate a successful forum and share plans for ways forward. On 18 September the IPF concluded the International Peoples Forum vs. the International Monetary Fund (IMF) and World Bank (IPF), which was convened in Batam from September 15th to17th. Over 500 Indonesians participated in the Forum as did around 200 individuals from 25 countries representing at least 100 organisations. Amongst several other urgent requests made was that for stopping the imposition of policy conditions that undermine economic sovereignty and exacerbate crises in health and education. The statement ends with a call on the governments that are members of the World Bank and IMF Boards of Directors to keep these institutions fully accountable for their impacts on human rights, equity, and the sustainability of development.

Private Chinese investment in Africa: myths and realities
Shen X: Policy Research Working Paper WPS 6311, World Bank, 2013

Private Chinese outbound investment, not as well-known as government-led investment, offers both opportunities and challenges for Africa, according to this paper. The significance of Chinese private-sector investment is already visible in the burgeoning manufacturing sector in some parts of Africa, and the trend will continue to grow in the near future. The underlying force behind this trend is the increased pressure of industrial restructuring in coastal China, a force that drives some labour-intensive firms to relocate to other parts of the developing world, including Africa. The author argues that African host country governments can respond to this phenomenon with proactive development policies and strategies to maximise private Chinese investment for the benefit of their own economies.

Process to date for WHO's Intergovenmental Working Group on Public Health, Innovation and Intellectual Property Rights: An African perspective
Misati, ME

This paper presented at the second regional meeting of the Africal Civil Society Coalition on the Intergovenmental Working Group on Public Health, Innovation and Intellectual Property Rights in Arusha, Tanzania, 3-4 April 2008 highlights the process in developing AFRO's approach to the negotiations, the common AFRO position(s), and achievements and challenges so far. A number of concerns have been incorporated in the Draft Strategy and Plan of Action progress report, while some interests are not yet realised because either the respective issues have not yet been negotiated or no consensus has yet been reached on them.

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