Salut per al Desenvolupament

Approved the proposal of the “Health for development” in the Parliament of Catalonia

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June 29, 2017

Solidarity and Cooperation Committee of the Parliament of Catalonia unanimously approved the draft resolution on strengthening of health workers in developing countries, at the request of pharmacists Mundi and Medicus Mundi Catalonia.

The draft resolution presented by Initiative for Catalonia Greens-United and Alternative Left has received the support of Convergence and Union, the Socialist Party of Catalonia, the Popular Party of Catalonia Republican Left of Catalonia and the Joint Working Group after the change initial drafted several amendments CiU and PSC.
The final proposal after the compromise amendments CiU and PSC stated as follows:

  • Point 1. Dedicate a percentage of Official Development Assistance in Health, approved by the Council of Cooperation Department, strengthen human resources, following the recommendations of WHO in training and retention of human resources.
  • Point 2. Support coordinated the development and implementation of national strategies and plans for health human resources in developing countries, the priority for cooperation Plan for 2011-2014, which are comprehensive and robust.
  • Point 3. Make the necessary arrangements with the Government of the State, as from relevant international organizations, adopted measures to maintain and increase gradually if necessary, hiring and / or the salaries of health workers in countries suffering from a shortage of human resources in this sector, in order to discourage their march into other countries.
  • Point 4. Implementing the Code of Good Practice WHO, among other things, requests the Member States not to carry out active policies in the public sector to incorporate health personnel such as recruitment source, for professionals of any of the 57 poorest countries. Do the same recommendation to the private sector.
  • Point 5. Implement the Code of Good Practices WHO, among other things, requested member countries quantification of existing human resources in the field of health, planning how many need it most and a strategy for training and “loyalty” of the staff already trained.
  • 6. Promote point plan of coordination between those responsible for the Catalan Cooperation Agency and the Department of Health to take into account the needs of developing countries, providing effective and appropriate technical assistance, support retention and training health personnel in the countries of origin, transfer of technology and knowledge and promote circular migration mechanisms.

Since the two NGOs, pharmacists Mundi and Catalonia are happy medicusmundi the approval of the proposed resolution and the amendments of the transaction, since it removed the fourth point is the key to solve the deficit health personnel in developing countries.

We hope that the future will take this proposal into consideration and prosper in the implementation of the Code of Good Practice, as well as the level of coordination between the ACCD and the Department of Health.

The proposal of the “Health for development” for debate and vote in the Parliament of Catalonia

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May 29, 2017

Tomorrow at 10 am will be held at the Committee for Cooperation and Solidarity of the Parliament of Catalonia debate and vote on the draft resolution on strengthening of health workers in developing country at the request of Pharmacists Mundi medicusmundi and Catalonia.

On September 16, members of the “Health for development” of NGOs pharmacists Mundi and medicusmundi Catalonia appeared before the Commission to present the results of the campaign and in particular the proposal to stop the deficit of health professionals to Southern countries. This proposal arises from the lack of more than 4 million health professionals around the world, so that basic health care accessible to the whole population.

According to the World Health Report 2006 the World Health Organization, the situation is particularly dramatic in the 57 poorest countries. This situation is caused by lack of funds in the field of health in these countries, structural adjustment policies which for years has promoted the World Bank or the International Monetary Fund, and for reasons that are also applicable to rich countries the balance as inadequate professional categories, the failure of national labor markets and the lack of congruence between the preparation in schools and health needs of the population, among others.

To mitigate this problem from the “Health for development” was requested to parliamentarians Catalan:

  • Devote 25% of Official Development Assistance to strengthening health human resources, following the recommendations of WHO in training and retention of human resources.
  • Support the development and implementation of comprehensive national strategies and plans HR in developing countries.
  • Oppose any measure the World Bank and the International Monetary Fund that involves hiring freeze and / or salaries of health workers in countries facing a shortage of human resources, as this would lead the march to other countries.
  • Refrain both the public and private sector, to implement active policies for recruitment originating in one of the 57 poorest countries.
  • Implementing the Code of Good Practice WHO, among other things, asks the Member States alone • quantification of existing human resources in the field of health, planning a few more and it needs a strategy training and “loyalty” of the staff already trained.
  • That there is coordination and cooperation among those responsible for health in order to take into account the needs of developing countries, providing effective and appropriate technical assistance, support for health personnel retention and training in countries of origin, transfer of knowledge and technology and promote circular migration mechanisms.

The parliamentary group Initiative for Catalonia Greens-United and Alternative Left filed a motion in relation to the proposal and groups of CiU and the Socialist Party of Catalonia have submitted amendments.

We hope you will discuss the amendments and that the vote of those do not miss the main objective of the proposal is to ensure sufficient human resources for health in developing countries, one of the pillars of any health system, to ensure assistance care for the entire population.

Health, poverty and development

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April 29, 2017

The fight against poverty is certainly the biggest challenge facing humanity this century. With 40% of the world population at poverty level and a fifth in a situation so extreme it threatens their own survival, a world free of shortcomings and fears, as sought the Universal Declaration of Human Rights is still a distant aspiration.

However, governments around the world have expressed their desire to eradicate poverty. At the 2005 World Summit world leaders reiterated their determination to meet the Millennium Development Goals (MDGs), including the eradication of poverty and hunger. The challenge now is how to translate these commitments into action.

Historically it has been molded by Western worldview that defines the degree of civilization of a country according to its economic development. Thus, the “no development” and poverty came to be translated into a mere statistical per capita income. Under this perspective it can be said that culture has prevailed on all the political economic, social and cultural thinking that the market meet the needs of individuals efficiently. However, he soon found that economic development should not necessarily lead to an equitable distribution of the wealth generated, and more, this development is not always relied on sustainability.

During the 80 Nobel laureate in economics Amartya Sen, made a new development paradigm represents the expansion of freedom for people to express their abilities and potential. Expanding freedom is because the primary purpose and once the primary means for development. Sen’s ideas were assimilated by studying new trends developing in all its breadth, seeping between the United Nations system and the United Nations Program for Development (UNDP).

Today it is considered that the development is the process of enlarging people options, functions and increasing human capacity. In this new approach, poverty is not only synonymous with low incomes, but also weakening a range of key human capabilities, including health-related. The term human poverty refers to the lack of means to achieve these capacities. Thus, human development also reflects the results of these functions and capabilities as it relates to humans. It represents both a process and a purpose. UNDP

Finally, sometimes overlapping with the prospect of Sen, there is a third approach to the concept of development, understood as the realization of human rights in its fullness. If these are the highest expression of human freedom, the degree of its acquisition involves varying development.

These three views provide different views of human development but also complementary. The first approach focuses on the field of satisfaction of needs in this regard the eye focuses on what we lack, favoring approaches and strategies purely on assistance. The newness that introduces the prospect of capabilities Sen, is based precisely where the accent is not in what we lack (needs), but the potential to be or do (skills). Based on the freedoms also tries to eliminate the barriers that cause people not eligible for life that they would like to wear. Finally, the vision of human rights provides a different shade scoring threshold development in which all people should have access. This nuance is very important because it requires the whole of society the effort needed to make it a reality. Possessing a legitimate right for people to be able to claim it.

From these three perspectives can also redefine the concept of poverty. Poverty represents therefore only a matter of income, but mostly a matter of being able to live a life with dignity, enjoying human rights and freedoms that come from them.

The link between health, poverty and development has been interpreted in different ways over time and by different actors. In 1978, the International Conference on Primary Health Care WHO meeting in Alma Ata, said that the economic and social development based on a new international economic order was of fundamental importance to achieve a maximum degree of health for all and to reduce inequalities in health between developing countries and developed countries. At the same time, said that the promotion and protection of health is essential to sustained economic and social development. Thus, poverty is the cause of ill health, and ill health, in turn, increases poverty. To achieve a level of health that allows lead a socially and economically productive, the Alma Ata Declaration recommended to implement the strategy of primary health care. This Statement establishes strong links between health and development and considers access to health as a social goal of extreme importance, whose realization requires the action of many social and economic sectors, not just health (agriculture, education , housing, communications, industry …) and, especially, the full participation of all individuals and families in the community in the planning and implementation of health care.

Over the past decades, but have not been taken into account in these holistic approach in planning development policies. The cuts in basic services, including health care, have involved a deterioration in the quality of life and good health of the population, particularly the vulnerable.

In 2000, WHO established the Commission on Macroeconomics and Health (CMS) with the aim of placing health within the overall economic development. The summary of the first report, led by Jeffrey Sachs determined that an improvement in the health of people living in poverty is not only an objective to achieve by itself, but acts more as a strong catalyst for economic development and the reduction of poverty in society. This means that the individual good is common. In addition, establishing a series of relationships between investment in health and economic development capacity. For example, the loss in economic terms representing HIV in Africa is 12% of the GDP of the continent; economic development in countries free of malaria is at least 1% higher than those in which malaria is endemic.

So health plays an important role for itself in both the theory of human development as the focus of human rights. But the effects of health on the economy and the effects of poverty on health, are very important. For example, malaria is the second cause of death in sub-Saharan Africa. This disease damages the family economy and the local community, it affects the workforce, reduce efficiency at work, reduce land use and load the family budget with the costs of prevention and treatment . Malaria is also the major cause of school absenteeism and are expected to reduce the learning capacity of 35% to 60% in the school. Poor people are the most affected as they have less access to health services, information and prevention and treatment. Finally, malaria reduces international trade and the development of sectors such as tourism.

In the figure below are shown some of the associations mentioned in the case of malaria, but are extended for any disease. Usually collected connections between basic human needs and the lack of capacities, rights and freedoms of people can degenerate into poverty. At the same time, it shows how poverty causes needs diminishes the capabilities and limits freedoms and rights.

Figure 3. The vicious circle of poverty

As contained in the report on health in the WHO African region in 2006, the challenges are enormous for governments and the strengthening of health systems and health policies achieved only through regional cooperation and international cooperation.

Mushroom, Tomato & Basil Salad

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March 29, 2017


  • 1/2 cup olive oil
  • 2 tbs red wine vinegar
  • 2 tsp dijon mustard
  • 1 tsp brown sugar
  • salt & ground black pepper
  • 400g button mushrooms, trimmed
  • 250g cherry tomatoes, halved
  • 1 yellow capsicum, quartered, thinly sliced
  • 2 cups basil leaves


1. Combine the oil, red wine vinegar, mustard, sugar and salt and pepper in a screw-top jar. Shake well to combine.

2. Place the mushrooms in a large bowl. Pour over 1/2 cup of the dressing, toss well to combine. Cover and set aside for 1 hour. Add the cherry tomatoes, capsicum and basil leaves. Pour over the remaining dressing, season with salt and pepper. Toss gently to combine and serve with crusty bread.

Exhibition “Health, a universal right?”

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February 5, 2017

The exhibition “Health a universal right?” Is presented as part of the awareness campaign for health development.

The campaign, so the exhibition seeks to highlight the link between human right, health and development, with the ultimate goal of contributing to improving health cooperation that is from Catalonia.

It is an exhibition that gathers the three themes of the campaign (access to medicines, determining gender in access to health and avoidable deaths), since these are issues that do not occur independently, but they completely tied. For example, many preventable deaths are due to lack of access to drugs and the lack of access to education limits the abilities of girls, increasing their vulnerability in the future.

With these three issues as central, the exhibition is conceived as a journey through time to the viewer. Upon entering the exhibition, the format of which is a wooden hexagon, we find five panels each with three screens representing the following temporary spaces: past, present, and future unwanted desired future. All in relation to the three issues raised by the campaign and the right to health. In addition, there will be a final panel on how we can involve the viewer or spectator.