People's Health Movement South Africa

Moderator : Maaza Seyoum Partnerships & Communications Lead African Alliance Guests: Dr. Githinji Gitahi Group CEO of AMREF Health Africa Dr. Catherine Kyobutungi Exec Director if the African Population and Health Research Centre (APHRC) Muhammed Lamin Saidykhan Management Strategist / Movement Co-ordinator at Africans Rising

In this episode, Peter Van Heusden talks about 'What we know and don't know about this new variant" and Lauren Paremoer (PHM SA) addresses 'The politics of the new variant and vaccine apartheid.'

Moderator: Kate Stegeman | Advocacy Coordinator Access Campaign MSF (South Africa) Speakers: Patrick Tippoo | Executive Director of the African Vaccine Manufacturing Initiative (AVMI) and Head of Science and innovation at Biovac (South Africa) Sun Kim | Director, Health Policy Centre, People's Health Institute (South Korea) Gustavo Matta | Associate researcher in Public Health, FIOCRUZ (Brazil)

Moderator: Prof Asha George Guests: Perpetual Ofori-Ampofo Moses Mulumba Itai Rusike Watch on YouTube

How greed and self-interest have expanded the gulf between the Global North and the Global South and given rise to VACCINE APARTHEID and VACCINE INEQUITY. Moderator: Maaza Seyoum Partnerships & Communications Lead: African Alliance Guests: Dr Kamran Abbasi British Medical Journal - Executive Editor for Content Dr Fifa Rahman Civil Society Representative, Access to COVID-19 Tools Accelerator, representing Health Poverty Action Dr Peter Singer Special Advisor to the Director General at World Health Organization Fatima Hassan Director: Health Justice Initiative

Moderator: Prof. Leslie London | UCT & PHM SA Panelists: Candice Sehoma - Médecins Sans Frontières (MSF); Prof Rodrigo Uprimny – National Univ of Columbia. Member of the Committee on Economic, Social and Cultural Rights; Prof. Yousuf Abdoola Vawda - Univ of KZN During the pandemic, we have sharply highlighted the inequitable access to care and prevention for COVID-19, and the terrible impact that has had on the health of the most vulnerable in South Africa. The inequity in the response to COVID-19 reflects the highly unequal and divided South Africa care system even prior to this. Moreover, our legislative framework for access to medicines and health care technologies has long been problematic, denying people access to their rights to health care. In the joint Civil Society submission on South Africa's report to the Committee on Economic, Social and Cultural Rights (CESCR) in 2018, obstacles posed by patents were highlighted. The submission noted that “A patent law reform process began in 2009, but nearly a decade later, no new legislation has been enacted. Patent legislation that protects public health could help facilitate generic competition, cut prices and increase access to essential medicines.” Fast forward three years, still no progress. Access to medicine and health technologies has been clearly demonstrated under COVID-19 as a critical issue, with patents obstructing access to diagnostics for COVID-19. Obstacles posed by Intellectual Property barriers loom large as one of the key contributory reasons behind vaccine inequity. The webinar seeks to answer some of these questions: Why is there need for need for domestic patent law reform to achieve right to health Is flexibilities and compulsory licensing is accessible in Africa What does the right to health and the right to benefit from Scientific Progress mean in practice when we face barriers in access to health technologies? What lessons can we draw from International Guidance on this matter? UN Treaty Body Database

Our experiences in Community Monitoring on C19 In this episode: Facilitated by: Dr Lauren Paremoer, member of PHM SA Speakers: Bongelane Nene - Community monitor from Gauteng Caroline Mshengo - Community monitor from Mpumalanga Noluthando Nontobeko Mhlongo - Community monitor from KwaZulu Natal Dr Theresa Mwesigwa - DoH EACT is a civil society coalition working together towards equitable access to C19 technologies. Part of the work was conducting community monitoring activities towards acmes and adherence C19 preventative measures, access to C19 vaccines and community sentiments towards C19 technologies (including masks, physical distancing, vaccines etc) Through a Q&A the monitors share their findings of the past 6 months.

Since the pandemic was declared by the WHO, there has been a rush to try to find ways to stop the virus. The production of a vaccine that would help both to get immunity, as well as manage the symptoms of the disease. But the race for vaccine is a complicated one. We live in a world dominated by Big Pharma, and there is a competing interest of the health of the global population, and profit. Vaccines are patented, strict and limited production is imposed, and highest bidder comes first. Vaccine apartheid or nationalism was a term coined due to the inequality in distribution to developing countries, and unequal access as countries prioritise certain groups, nationalities, ethnicities over others. This episode looks at issues of Vaccines and international property rights, the TRIPS waiver, and the vaccine roll out in Southern Africa. Speakers: KM Gopakumar, Third World Network Baba Aye, PSI Health and Social Sector Officer Tichaona Fambisa, PSI SRS for Southern Africa

In this episode we discuss overcoming barriers to medicines, vaccines, and medical tools for cancer, diabetes, HIV and TB, as well as COVID-19. This is even more important as the World Trade Organisation's TRIPS council meets to discuss the proposal by South Africa.

International Solidarity for the TRIPS Waiver Moderator: Kate Stegeman | Advocacy coordinator, MSF Access Campaign, South Africa Connect with Kate on LinkedIn · MSF Access Campaign

This seminar was a platform to share the actions of Civil Society in response to an attempt by Solidarity and Afriforum to promote private procurement and distribution of vaccines for COVID-19 in SA. Solidarity and Afriforum lodged court papers to compel government to allow the private sector, NGOs and provinces to procure and distribute vaccines independent of government. The Health Justice initiative applied to be an Amicus Curiae (friend of the court) and would have brought evidence as to why such as case, were it to be successful, would have disastrous effects for an equitable and effective roll out of vaccines. The case was withdrawn before it was heard. However, because we believe the issues are of critical importance, PHM and HJI decided to co-host this webinar to bring these issues to the attention of the wider public. The speakers included: Fatima Hassan - Director of the HJI Dr. Tlaleng Mofokeng - UN Special Rapporteur on the Right to Health Prof. Leslie London - Professor of Public Health Medicine at UCT and Steering Committee member for the PHM-SA

This webinar was organised and hosted by the International Labour, Research and Information Group (ILRIG) on 25th February 2021. Moderated by Dr. Dale McKinley from ILRIG, the three panelists were: Fatima Hassan - Health Justice Initiative Dr. Lydia Cairncross - People's Health Movement Dr. Benjamin Kagina - Vaccines for Africa Initiative The panelists covered a lot of ground, focusing among other things on: the global picture of vaccine distribution, financing and inequalities; the South African specific situation with vaccine procurement and roll out plans; and the key sources of and responses to, vaccine scepticism and opposition. There was a lively and extensive set of questions and comments from webinar participants. Overall, this impressive and timely webinar provided a wealth of pertinent information and grounded, activist perspectives as part of the South African and international struggle for equitable, free and accessible Covid-19 vaccines. ILRIG · Connect with Fatima on LinkedIn · Connect with Benjamin on LinkedIn · Connect with Lydia on LinkedIn

Speakers Dr. James van Duuren | PHMSA) Prof. Leslie London | PHMSA Fatima Hassan | Health Justice International Covid-19 Training Powerpoint Slides · Equitable Access - Vaccines and Patents · PHM-SA 2021 01 Equitable access to COVID-19 vaccines and patents.pdf — PDF (1.5 MB)

What is a vaccine? What is a Covid-19 vaccine? How to debunk vaccine myths? What is a patent? What is the role of community health workers? What can we learn from the HIV access to medicines campaign? All these, and more, are answered in plain normal language in this podcast. Speakers > Prof. Leslie London | UCT and People's Health Movement > Dr. James Van Duuren | People's Health Movement

This episode presents the situational analysis conducted in October 2020 to gain insight into the current situation with respect to access to quality health technologies (PPE, diagnostic tests, ventilators) for COVID-19 in South Africa, as well as potential barriers and enablers to access to health technologies currently under development (vaccines, treatments). The situational analysis further sought to understand how regulatory frameworks, health financing, local manufacturing capacity and domestic research activities impact/may impact health technology access in the country. Facilitator > Prof Leslie London - People's Health Movement South Africa Speakes > Catherine Tomlinson: Freelance public health consultant and health journalist > Candice Sehoma - Doctors Without Borders (MSF) > Umunyana Rugege - Section27

For NGOs, CBOs and cash-strapped governments, it is very easy to be seduced into taking money from anyone who is willing to provide it, especially if it will make a difference to whether or not you are able to carry out your programmes. But should you? Even if you have few viable alternatives? This is a very real dilemma faced by the non-profit sector and, to a lesser extent, government departments in South Africa and globally. We have assembled an international panel of public health researchers and practitioners to talk about this specifically in relation to alcohol advocacy work. The alcohol industry globally has shown that they are willing to fund civil society and government programmes, directly and indirectly, through direct funding, public private partnerships (PPPs) and other means, and to present themselves as a ‘caring' industry. But what is their true agenda? Could it be that they are using CSI support as leverage in their fight against the introduction of tougher alcohol legislation which could impact negatively on their sales and profits? Does this not pose a ‘conflict of interest' for NGOs, CBOs and government departments that are working hard to ensure such legislation is indeed passed and implemented in the interests of public health and saving lives and money? And, if so, what concrete steps can be taken to ensure alternative, untainted funding sources for this important work? Facilitator > Prof Leslie London: PHM SA and UCT South Africa Speakers > Gianna Gayle Amul : PHD student at University of Geneva's institute of Global Health > Dr Samin Saban: Research Psychologist – Singapore > Dr Melissa Mialon – France

The current COVID-19 pandemic has exacerbated challenges for the vulnerable and disadvantaged in accessing healthy and nutritious food. The People's Health Movement South Africa hosted a webinar to explore more on the challenges and possible solutions. Speakers > Roshila Nair > Phumeza Macwili > Professor Thandi Puoane

A space to hear the voices of people living through the Covid 19 experience in different scenarios and bearing witness to the suffering and to learn from these lived experience as to how we need shape future interventions and strengthen our healthcare system to deal with a medical emergency or pandemic more effectively. a. Recovered Covid 19 patient Nothemba Rixana shared her story of getting Covid and then also losing her husband due to Covid. This powerful story speaks to the emotional impact of the illness on individual and communities and the role that he stigma plays in the emotional adjustment and coping with the pandemic . steam came through as a powerful force that has been hampering getting to care sooner rather than later. b. CHW Boniwe from Soweto shared her experience at the frontline as she was helping to contain the pandemic and do screening to ensure effective management of the illness within her community. Themes like poor training, lack of PPE and limited resources were paramount. She also spoke about the impact of this on herself and her family as she feared contaminating of her loved ones. This stress added to the emotional impact that she had to cope with plus the emphasis on her work as a CHW that she feels passionate about. The podcast was to create awareness about the role and place that palliative care has in a pandemic like Covid 19 Dr. Liz Gwyther head of the School for public health at UCT spoke after which Juanita Arendse gave overview of the Western Cape Government response and planning for palliative care services during Covid 19 Speakers > Bonisiwe Msibi – CHW from Soweto > Notemba Rixana – Partner of C19 deceased patient > Dr Margie Venter. : Palliative Care clinician and Chairperson of PALPRAC > Dr Liz Gwyther head of the School for public health at UCT > Juanita Arendse – Western Cape Government

This webinar was about struggle tactics used by the Gauteng CHWs who were recently offered permanent contracts by the Gauteng Health Department. The battle to archive permanent employment was not easy for them. It's been a winding road for our comrades in Gauteng. However, they did not give up. The struggle started when they were still employed by NGOs. They fought to be absorbed by the department; instead, the Department contracted them under Smart Purse. They continued to fight the National and the Provincial Departments tooth and nail in the Courts, on the streets and by occupying the department's offices. Today the Community Health Workers are celebrating their permanent employment by the Department! Speakers > Klaas Nakedi | Vice Chairperson Gauteng Forum > Mzikazi Nkata | SAFTU EC > Oupa Lehulere | Khanya College

Our experiences In the fight against Covid-19 Speakers > Nthombethemba Maduna - SACWF Chairperson > Bongelani Nene - Chiawelo CHWS > Bulelwa Faltein - EC SACWF > Noluthando Mhlongo - CHW KZN

A conversation early in the COVID 19 pandemic in South Africa listening to stakeholders talking about sexual and reproductive justice and what it means. This includes perspectives of SRJC members including an abortion provider and health manager, sex worker, and queer health manager. This podcast took place during lockdown and tracked the heightened vulnerabilities being experienced. A central message was the common experience that there are no single issues and that there is a web of compounded and intersecting challenges facing women in particular. Yet this is heightened by how one is positioned noting issues of gender, race and class but also the complexities of accessing marginalised health services such as contraceptions of ones choice, abortion and the particular needs of sex workers or queer persons. SPEAKERS > Dudu Dlamini of Sweat > Sharon Cox of Triangle > Kgaladi Mphahele of MSF South Africa > Closing remarks of Sr Judiac Ranape from Western Cape Department of Health > Marion Stevens from Sexual and Reproductive Justice Coalition website

Infodemiology and how to overcome bad messages with real information While the Covid 19 virus is spreading, so is false information about the pandemic. President Trump's lies, conspiracy theories and misunderstandings in communities throughout SA can all cause confusion and worsen the C19 crisis. The World Health Organisation defines “Infodemiology” as the study of the spread of information and misinformation in a pandemic. This webinar explores the difficulties of communicating truthful information about Covid, and what to do about it. SPEAKERS > Marion Stevens from SRJC > Peter Benjamin from PHM SA > Nozibele Mdayi from PHM SA and the Gugulethu Health Committee > Paul Mc Nally from What's Crap on WhatsApp with Africa Check > Pontsho Pilane from Mathaba Media Sexual and Reproductive Justice Coalition · COVID-19 Healthcare Coalition

There is a lot of stigma in communities around COVID-19 cases. We hosted this webinar to address some of the stigma challenges and take lessons from HIV. The speakers spoke from their personal experience being C19 survivors, their struggle and where they found support. Speakers > Ncedisa Qabazi MCSJ > Lebogang Ramafoko Tekano > Bevil Lucas Reclaim the City Spoke as an activist and C19 survivor

Listen to the webinar. PHM-SA held a webinar on 26th June to explore the challenges facing Civil Society in ensuring equity and justice in Access to new Health Technologies for COVID-19. The webinar had two inputs. Yousuf Veriawa from UKZN mapped the Intellectual Property (IP) environment in South Africa and the important policy challenges and changes needed to ensure that the regulatory framework promoted the right of access to needed technologies. KM Gopakumar from the Third World Network sketched the global context for health technologies as a public good, identifying some of the key challenges with respect to global governance if we want to see new health technologies equitably distributed. Tracey Naledi from Tekano, a health equity NGO, then responded, outlining what she saw as the key challenge facing civil society in South Africa in working to ensure equity in access to future technologies. Speakers > Yousuf Veriawa UKZN > Tracey Naledi Tekano UCT > KM Gopakumar TWN Download the full Equity and Justice report