Essays on Nutrition, Health Care, Human Rights and Development













Table of Contents


(Claudio, Updated March 2009, 796 pages)


Table of Contents


About the Author

1. The Causes of Hunger and Malnutrition: Macro and Micro Determinants

Macro and micro causes of malnutrition
Diagnosing the causes of hunger and malnutrition
Proposing solutions
The role of ideology (4)(5)
A critical look at nutrition planning
Working with the community
References

2. Technical, Ethical and Ideological Responsibilities in Nutrition

Introduction
Science: Its political, ideological and ethical implications
The scientist as a promoter of status quo or social change
Economic power, political power and poverty
Where do liberal food and nutrition workers stand?
A critical look at our profession and ourselves
The future challenge
References

3. De-Westernizing Health Planning and Health Care Delivery: A Political Perspective

Understanding the roots of the problem: Western medicine and its hierarchy
The participation issue
Decentralization
Steps towards de-westernization
Notes
References

4. Book Review: Susan George. A Fate Worse Than Debt: A radical new analysis of the Third World debt crisis (Or, the world financial crisis and the poor)

5. Viewpoint - Ethics, Ideology and Nutrition

Ethos
Ideology
Liberals
Radicals
Political naivete?
Social consciousness
What can I do?
Tool
Establish links
References

6. Ethics And Ideology in the Battle Against Malnutrition

How is our ethos formed?
How is ideology formed?
Liberals and radicals - a typology
How relevant is our work?
Are we politically naif?
Are we afraid of speaking-up in political terms?
Nutritionists in the third world
A new direction? - Some possible conclusions
An attempt to know who we are
References

7. The Challenge of Feeding the People: Chile under Allende and Tanzania under Nyerere

Abstract
The conceptualization of malnutrition as a problem and its effects on nutrition policy formulation: A review of the literature
The challenge of feeding the people: How it has been addressed
Nutrition intervention in Chile and Tanzania: Two perspectives of a shared commitment
Tanzania and Chile: A review in perspective
References

8. The Role of Health and Nutrition in Development (Le Rôle de la Santé et de la Nutrition dans le Développement - El Papel de la Salud Y la Nutrición en El Desarrollo)

Abstract - Résumé - Resumen
The role of health and nutrition in development
Capacity of the current system to alleviate hunger and malnutrition.

9. Multidisciplinarity, Paradigms and Ideology in Development Work

Setting the focus
An attempt to define the concepts
A development paradigm?
Multidisciplinarity
The role of conceptual frameworks
Ideology
Ethos and norms:
Conflicts in the terminology?
Subjectivity of the sciences
The social and the classical sciences in development work
Science and its environment - The real world around us
Does a universality and pluralism of theories exist that makes multidisciplinary work realistic?
Transcending narrow paradigms
Crisis - The battle of the paradigms
The dilemmas in choosing a new paradigm
Who are the real innovators?
Tackling the basic causes of maldevelopment
A critical look at what we do
The limits of traditional development project evaluation
“We should” - Our inherent obligations and the challenges ahead
Conclusions
Acknowledgements
References

10. Survey on Attitudes to Nutrition Planning

11. “Household Purchasing-Power Deficit” - A More Operational Indicator to Express Malnutrition

The indicator
Uses and potential abuses of the proposed indicator
Income generation
Income redistribution
Food consumption subsidies - Rationing system
Conclusions
References

12. Foreign Aid and its Role in Maintaining the Exploitation of the Agricultural Sector: Evidence from a Case Study in Africa

Evidence of the exploitation: A preamble and five exhibits
Sources, uses, and sectoral distribution of foreign aid: A preamble and four exhibits
Putting it all together: A final balance sheet
Postscript
References

13. Low School Performance: Malnutrition or Cultural Deprivation?

14. Hunger and Malnutrition: Outlook for Changes in the Third World

15. Viewpoint: Nutrition Planning - What Relevance to Hunger?

The general issues
North-South conflict
The response of the rich
Aid and funding agencies
The international bureaucracy
The basic questions
The planners and the people
Research
A third world perspective

16. Rosalia

17. The Political Economy of Ill Health and Malnutrition

The situation: The macro and micro levels.
The actors : institutions, social groups and individuals
The methods and solutions
Epilog
References

18. Commentary - The Markets of Hunger: Questioning Food Aid (Non-Emergency/Long-Term)

Introduction
The politics of food aid: in the donor countries - in the recipient countries
Not just any kind of aid
Concluding remarks
References

19. Activism to Face World Hunger: Exploring New Needed Commitments

The problem(s) of hunger and its (their) solutions
Looking at ourselves and the other actors in the battle against hunger and malnutrition. (individuals, institutions and social groups)
Organizing ourselves and others
Keeping our eyes open and constantly learning more about the issues at stake
Speaking up!

20. The Child Survival Revolution: A Critique - or Health Still Only for Some by the Year 2000?

Abstract
Background
The key questions
Do people really have choices?
A critical look at GOBI and the Child Survival Revolution
The efficacy of GOBI
The implementation of GOBI
References

21. Development Nemesis

Part One: Development and today's reality
Abstract
Introduction
Section I. Western development: Past and present
1.1. A critique of outdated development theories and praxis
1.2. Third World development as seen by the North
1.3. The oversold technological approach in Western development
Section II. Myth and reality in development ideology, paradigms and models
2.1. Ideology and development models
2.2. Paradigms and new theories
2.3. The irrelevance of current development studies
2.4. The myth of objectivity and of apoliticism
2.5. The issue of social power
Epilogue
Part Two: The actors and the future of development - The era of empowerment
Abstract
Introduction
Section III : The actors in today's development drama (Or rather farce?)
3.1. From liberals to progressives: a typology of modern-day secular missionaries in development work.
3.2. What liberals need to - the normative dimension
Section IV: The non-actors in today's development
4.1. Issues on participation
4.2. Participation: the future
Section V: Development: The future
5.1. What is needed to overcome stale third world development policies: A fresh (or not so fresh...) set of prescriptions.
Epilogue
Biographical note

22. Looking Beyond the Doable: Resolutions for a New Development Decade

23. Egos/ Alter Egos of the Main Actors in Development Projects:

Why projects don't work
The "expert"
The consultancy's management
The donor agency officer
The civil servant
...Anyone wants to add a profile for the NGO worker...? P.S.

24. Positive Deviance in Child Nutrition: a Discussion

Positive deviance in context. Positive Deviance: The difference between coping and adapting
Positive Deviance in situations of failure to thrive as opposed to situations of hunger and malnutrition
Positive Deviance and Poverty
Gaining weight by behaving in a positively deviant manner
What is behind positive deviant attitudes?
Conclusion
References

25. The Project Approach in Development Assistance

26. Triage Management in Third World Health Ministries

27. On Behalf of the African Child: Challenges and Windows of Opportunity for the Donor Community.

THE NINE PANELS
PANEL No. 1: The empowerment factor
PANEL No. 2: A national commitment to health and nutrition: Does everything start with a sound causal analysis?
PANEL No. 3 : Breaking out of the poverty cycle
PANEL No. 4 : An enhanced role for the caring of children
PANEL No. 5 : The right to know
PANEL No. 6 : The population/PHC/nutrition link
PANEL No. 7 : Never be sorry to be too late
PANEL No. 8 : Pressures imposed to address the economy: Do the people matter?
PANEL No. 9 : Other factors to reckon with in the 90s

28. The Household Entitlements Revolution or a Women-Centered Approach to Family Security

29. Brave New World: A Political Pendulum in Search of its Balance

30. Malnutrition and Income: Are We Being Misled? (A Dissenting View with a Confusing Literature)

The issue of malnutrition and income as presented in the literature:
The thesis: (A counter-argument)
What to do then?
References

31. A Path for the 1990s?: Government-Donor Partnership to Finance PHC in the Third World

32. Downsizing the Civil Service in Developing Countries: The Golden Handshake Option Revisited.

Introduction: Setting the empirical and conceptual scene
Why downsize?
Why a golden handshake?
Possible new approaches and their limitations: How much to downsize?: Determining the magnitude of the downsizing
How to downsize?: To set preconditions or not to set
What to do with the wages saved from downsizing?
The Kenya example
The golden handshake: A grant or a loan to departing civil servants?
To give incentives or to dismiss
Other implementation issues: Alternatives on how to set up the payment system for the golden handshake
How to redeploy public servants to the private sector?
Conclusions
References

33. The World Declaration on Nutrition and the 1992 International Conference on Nutrition (ICN) Plan of Action: The Cutting Edge of Conventional Thinking.

Do international conferences solve world problems?
Do international declarations change the course of history?
Do international conferences overlap in their purposes?
Do international conferences bring out the best in the process of their preparation?
Where are we left after ICN?

34. Income Generation Activities for Women, the Ninth Essential Element of Primary Health Care? An Idea Whose Time has Come!

35. Some Reflections on ACC/SCN's 'How Nutrition Improves'

36. Nutritional Goals for the Mid-Nineties: A Call for Advocacy and Action

37. A. The Emerging Sustainable Development Paradigm: A Global Forum on the Cutting Edge of Progressive Thinking

A development paradigm in need of replacement
Windows of opportunity to take advantage of: (Normative aspects)
The three pillars of an emerging sustainable development paradigm
Getting from the old to the new paradigm: The time for consolidating a transition is now!
Reevaluating the major development objectives in the late-nineties: Should social gains justify economic sacrifice?
References

37. B. Sustainable Development beyond Ethical Pronouncements: the Role of Civil Society and Networking

The context
The background
What commitments are needed beyond ethics?: From the normative to the operational in sustainable development
The primarily ethics-led process to sustainable development
The primarily politically-led process to sustainable development
Networking
Leadership
References

38. Foreign Aid: Giving Conditionalities a Good Name or Conditionalities: the Launching of a South-South Counter-Offensive

39. The Community Development Dilemma: when are Service Delivery, Capacity Building, Advocacy and Social Mobilisation really Empowering?

Service delivery
Capacity building
Advocacy
Social mobilisation

40. Development in the Mid 1990s: Reflections of an Old Socialist

41. Book Review: Questioning the solution -The politics of primary health care and child survival with an in-depth critique of oral rehydration therapy

42. Equity In Health and Nutrition and the Globalization of the World's Economy

43. A. Different Challenges in Combating Micronutrient Deficiencies and Combating Protein Energy Malnutrition, or the Gap Between Nutrition Engineers and Nutrition Activists

43. B. Micronutrient Deficiencies and Protein-Energy Malnutrition

44. Northern-Led Development: is it Selling Technical Fixes to Solve the Problems of Ill-Health and Malnutrition?

The foreign aid scenario under a technical fix approach
Endnote

45. Actions and Activism in Fostering Genuine Grassroots Participation in Health and Nutrition

46. Health, Nutrition and Sustainable Development.

The need for a more critical and visionary attitude
Endnote
Postscript
References

47. New Perspectives, Old Risks: our Need to Change and to Reconceptualize or Reemphasizing the Need to Tackle the Causes of Poverty in the Battle against Ill-Health and Malnutrition

48. Health Sector Reform Measures: Are they Working?... And where do we go from here?

49. On Development, the Real World, Power Games and the Ugly Faces of Greed (Food for thought about a state of mind).

50. So What... in Search of the 'Big Picture' in Development (Food for a depressive thought)

51. Can Significantly Greater Equity be Achieved through Targeting?: An Essay on Poverty, Equity and Targeting in Health and Nutrition. (Food for a targetter's thought)

Poverty, equity and social justice
Equity and health for all
Equity, structural adjustment and safety nets for the poor
Who are the poor and how do we find them?
Equity and the public/private allocation of resources
Avenues and dead-end streets to equity
Equity and targetry
Equity and participation
Equity and prepayment schemes
Equity and social security
Where to go from here?

52. Globalization, or the Fable of the Mongoose and the Snake (Fableous food for thought)

Globalization and its negative consequences
A dearth of workable solutions?
The Equity/Equality approach
The Human Rights approach
Bolder steps are needed
Three caveats
In closing
References

53. Elements for a Nutrition Activism Course and Curriculum*

54. The Role of Human Rights in Politicizing Development Ethics, Development Assistance and Development Praxis

55. A Letter to the Student Erica who is Planning to Specialize in International Nutrition

56. Food for a Capitalist thought - Book Review - The Lugano Report: On Preserving Capitalism in the Twenty-First Century

57. Food for Finding where Your Thoughts Are - Variations on a Theme by the Chilean Writer Isabel Allende

58. Remembering

59. Letter to The Lancet - Draft 2 IMCI: An Initiative in Need of a New Name, a Greater Community-Centered Focus, and a Grassroots Mandate

60. Food for Planning the Right Human Thoughts - Human Rights Based Planning: The New Approach

61. Food for an Ombudsman's Thought - On Health Sector Reform, Health and Poverty and Other Herbs

62. What does the New UN Human Rights Approach Bring to the Struggle of the Poor?

We live in a new age of rights
The Challenge: what changes?
The Human Rights approach: Some Iron Laws
The participation factor in Human Rights
The use of indicators in Human Rights work
The World Bank, or a position full of contradictions on how to look at the Human Rights approach
Human Rights from the United Nations’ and the NGOs’ perspective
Writing Human Rights into law
Training in Human Rights
Some conclusions

63. Food for a Poor Thought on Health and Poverty - Health a Precious Asset, But Not ‘A New and Potentially Powerful Exit Route from Poverty’

64. Food for a Poor Thought on Attacking Poverty - The WB’s World Development Report 2000/2001 or the Trivialization of the Concept of “Empowerment”

65. Human Rights or the Importance of Being Earnest: A Personal Account

66. AID and Reform in Africa: Lessons from Ten Case Studies, Final Report

67. Food for Thought About a State of Mind (2) - On Morality, Freedom, Choices, Justice and the Need for People’s Power

68. Thinking Loud - On Statistics

69. Health and Human Rights Readers

Prologue
Rosalia
1. Introduction
2. Human Rights or the Importance of Being Earnest: A Personal Account
3. The Sixteen Groups of Human Rights
4. Human Rights Based Planning: The New Approach
5. What Does the New UN Human Rights Approach bring to the Struggle of the Poor? - I
6. What Does the New UN Human Rights Approach bring to the Struggle of the Poor? - II
7. What Does the New UN Human Rights Approach bring to the Struggle of the Poor? - III
8. What Does the New UN Human Rights Approach bring to the Struggle of the Poor? - IV
9. The Role of Human Rights in Politicizing Development Ethics, Development Assistance and Development Praxis - I
10. The Role of Human Rights in Politicizing Development Ethics, Development Assistance and Development Praxis - II
11. The Role of Human Rights in Politicizing Development Ethics, Development Assistance and Development Praxis - III
12. The Role of Human Rights in Politicizing Development Ethics, Development Assistance and Development Praxis - IV
13. On the Role of the State, the UN and Civil Society
14. Health, Human Rights and Donors
15. Arguments in Favor of an Empowering Community Capacity Building in Health
16. Short Discussion Topics
17. Elements for a Human Rights Activists Course and Curriculum
18. Some Pearls of Wisdom about Health Care Financing
19. Health Sector Reform and the Unmet Needs of the Poor: A Critique
20. On Development, the Real World, Power Games and the Ugly Faces of Greed
21. On Morality, Freedom, Choices, Justice and the Need for People’s Power
22. Variations on a Theme by the Chilean Writer Isabel Allende
23. On Statistics
24. Food for NGOs Thoughts
25. Food for Donors Thoughts
26. Caveat Emptor: A Participatory Approach is not a Human Rights Approach!
27. Development And Rights: The Undeniable Nexus
28. On the Role of the State, the UN and Civil Society
29. On Vulnerability, Access and Discrimination
30. Potpourri
31. Human Rights and South-South Cooperation
32. A Call for Substance and Networking
33. Human Rights are Very Much on the Agenda of Development Work
34. Rights are Guaranteed Entitlements: Right?
35. ‘Charity is Obscene from a Human Rights Perspective’
36. Perspectives on Human Rights: Furthering the Debate
37. Putting Equity and Human Rights in Health on the Agenda: The Role of NGOs - I
38. Putting Equity and Human Rights in Health on the Agenda: The Role of NGOs - II
39. Social Exclusion and Human Rights
40. Beyond Capacity Analysis: Additional Elements of a Human Rights-Based Development Strategy - I
41. Beyond Capacity Analysis: Additional Elements of a Human Rights-Based Development Strategy - II
42. On Capacity Building Needs: The Macro Issues in Human Rights
43. The Ideological Neutrality of Human Rights is its Greatest Strength, but its Proponents should not be Neutral in Engaging to Achieve them
44. An Introduction to Children’s Rights
45. Globalization, Health Rights and Health Sector Reform: Implication for Future Health Policy
46. Stepping into the New Age of the Right to Adequate Nutrition: Snail Pace Progress? - I
47. Stepping into the New Age of the Right to Adequate Nutrition: Snail Pace Progress? - II
48. A Case of Logic - The Human Rights Advocacy Syllogism
49. The Difference Between Project and Process is Ownership. Human Rights Cannot be Implemented as a Project
50. NGOs should not be Human Rights Blind and should be Judged by their Politics
51. The Need to Struggle is Actually a Built-In Principle of Human Rights Work
52. The Law is the Law...and Human Rights are not yet the Law
53. Human Rights are Universal, but the Risk of Having One’s Rights Violated Is Not
54. Some Well Known and Some Less Well Known Aspects of Human Rights Work
55. Human Rights Violations are Part of a Social Disease with Historical Roots. (Part 1 of 16)
56. Objectivity in the Analytical Stages of the Planning Process is Nothing but a Myth. (Part 2 of 16)
57. We Have to Learn to Look at Totalities, Rather Than at Fragments of Reality. (Part 3 of 16)
58. It is through Ideology that Society Ultimately Explains Itself. (Part 4 of 16)
59. Social and Economic Injustice are not an Accident. (Part 5 of 16)
60. As Human Rights Activists we are too often Committed to Stability as the Prerequisite for Justice...Rather than the other Way Around. (Part 6 of 16)
61. Projects Dreamed Up in a Social Vacuum Must Play Themselves out in the Real World of Injustice and Conflict. (Part 7 of 16)
62. The Political Imperative in Human Rights Work. (Part 8 of 16)
63. Many Among us Think that Politics is Dirty or not a Virtuous Activity. (Part 9 of 16)
64. Passivity Makes us Accomplices of the Status-Quo. Many of us, with an Academic Approach to Change, Should not Forget This. (Part 10 of 16)
65. So, What Have We Achieved in the Last Few Years? Have We Been Using the Appropriate Strategies, Tactics and Tools in the Battle Against Human Rights Violations? (Part 11 of 16)
66. A Dead-End Option (Part 12 of 16)
67. Why are We so often Conciliatory when We should be Confrontational? (Part 13 of 16)
68. Some Aspects of the Politics of Women’s Rights and the Politics of Empowerment. (Part 14 of 16)
69. A Basis to Develop a New Vision for the Future. (Part 15 of 16)
70. A Basis to Develop a New Praxis for the Future (Part 16 of 16)
71. Remember?: Rights Mean not only Having a Right to Something, but also Claiming that Right from Appropriate Duty-Bearers
72. The Poor and Marginalized themselves will have to Ultimately Address the Factors that Keep them Disempowered
73. Recapitulating: the Eight Major Differences between the Basic Needs and the Human Rights Approach to Development
74. Five Decades of Development Assistance have Cost the World over 1 Trillion USD: How Much in Improved Human Rights is there to Show for that?
75. More on Human Rights Workers as Activists
76. Why Power only Yields to Counter-Power
77. More on Leadership
78. We Have Declared War on Poverty and Poverty has Won. (President Lyndon Johnson, 1964)
79. Human Rights and the "Weapons of Mass Deception"
80. Asserting and Affirming Human Rights is as Conflict-Prone as it is Indispensable
81. On NGOs and the Rights of Winners and Losers
82. Trade, Governance and Human Rights
83. Human Rights and the Growing ‘GAP’
84. Development = Substantial and Steady Advancement in the Realization of all Rights
85. Activism, Profession, Compassion and Political Solidarity
86. Does Improving the Provision of Services Empower Poor People, or is it the Empowering of Poor People that Improves the Provision of Services?
87. Excuse the Redundancy, but the Poor are a Majority: How does this Make a Difference in our Strategies and our Everyday Work?
88. ‘Behind Human Rights are Freedoms and Needs so Fundamental that their Denial puts Human Dignity itself at Risk’. (Goldewijk & Fortman)
89. Unfortunately, Human (People’s) Rights Violations do not Call for Concrete International Sanctions
90. Human Rights Principles: What They Mean in Practice
91. The Human Rights Discourse in Health. (Part 1 of 2)
92. The Human Rights Discourse in Health. (Part 2 of 2)
93. The Rise of Rights
94. A Characterization of the Current Stage of Human Rights Work
95. Two non-actors in Human Rights
96. On the Human Rights discourse and ‘what one-is and is-not’
97. Succeed, We Ultimately Must! If Not, Human Rights will be Relegated to Simply being an Indicator of Violations Rather than an Essential Foundation of the New Development Paradigm
98. A Primer for a National Action Plan to Operationalise the Right to Health Care (within the broader framework of the Right to Health). Part 1 of 3
99. A Primer for a National Action Plan to Operationalise the Right to Health Care (within the broader framework of the Right to Health). Part 2 of 3
100. A Primer for a National Action Plan to Operationalise the Right to Health Care (within the broader framework of the Right to Health). Part 3 of 3
101. NGOs: A network of protagonists (and denouncers of the slow progress being made) in human rights work?
102. More on Poverty and Human Rights
103. People who file claims to secure their right to health and adequate nutrition cannot wait for a whole generation
104. How aggressively should governments be put under pressure in the struggle for Human Rights?
105. Is there such a thing as a fair and human-rights-sensitive (Capitalist) Globalization?
106. Feeling helpless or lost (or being used) in your work?: Adopt the Human Rights-based Approach to development!
107. Always check if the Government is ‘putting its money where its mouth is’: A guide to using budget analysis to advance human rights. Part 1 of 2
108. Always check if the Government is ‘putting its money where its mouth is’: A guide to using budget analysis to advance human rights. Part 2 of 2
109. Glossary of Human Rights Terms
110. If I accept the responsibility that I should act, and I have the authority that I may act, and I have the resources so I can act, I can indeed be held accountable for my actions (or non-actions)
111. Before I start this poem
112. The Sachs Macroeconomics and Health Report: Investing in health for economic development or increasing the size of the crumbs from the rich man's table? (Part 1 of 3)
112. The Sachs Macroeconomics and Health Report: Investing in health for economic development or increasing the size of the crumbs from the rich man's table? (Part 2 of 3)
112. The Sachs Macroeconomics and Health Report: Investing in health for economic development or increasing the size of the crumbs from the rich man's table? (Part 3 of 3)
112. The Human Rights Discourse in Health (19 key statements)
115. It will be via Poverty Alleviation Programs that Human Rights will be Fulfilled
116. Poverty does not persist solely because of incompetent, corrupt governments insensitive to the fate of their populations! No, it is at once the cause and the effect of the total or partial denial of human rights
117. It is on the basis of a broken social contract and of global injustice that we speak of poverty as a human rights violation
118. Would you consider yourself to be (at least part-time) a health and human rights activist?: A very informal and tentative quizz.
119. In human rights work, our legitimacy and authority are only as strong as they are strong in the weakest link of our own network
120. On foreign aid, corruption, democracy and development: implications for human rights
121. Human rights in the era of neoliberal global restructuring
122. Using the millennium agenda as a reference point implies side-lining the human rights-based approach!
122. A rights-based approach to the MDGS
123. People have rights even without any specific legislation saying so
124. Human rights and the World Trade Organization
125. Being a human rights activist is not an illusion one should lose at age 40
126. MDGs are to (eventually) end extreme poverty, not most poverty; so, where are human rights left?
127. Yesterday’s future has arrived: The Post-Washington consensus only has a pitiful vague orientation towards the eradication of poverty and ill-health as human rights priorities. (Part 1 of 2)
128. Yesterday’s future has arrived: The Post-Washington consensus only has a pitiful vague orientation towards the eradication of poverty and ill-health as human rights priorities. (Part 2 of 2)
129. The rights-based approach fundamentally changes the nature of state-society relations
130. How we, HR activists, are duped: just a few examples
131. Some questions with human rights implications that are seldom asked
132. If a state has ratified a treaty, it is legally bound to implement it: a reiteration. (Part 1 of 2)
133. If a state has ratified a treaty, it is legally bound to implement it: a reiteration. (Part 2 of 2)
134. Human rights and the corridors of power.
135. "Bread and health for all before cake and circus for anyone".
136. In human rights work, cliche thinking in terms of good and evil is not helpful at all.
137. The human rights-based approach: a distilled inventory of its essential attributes. (Part 1 of 2)
138. The human rights-based approach: a distilled inventory of its essential attributes. (Part 2 of 2)
139. Human rights questions i wish i had concise answers for.
140. Many still think human rights are about political prisoners and street demonstrations.
141. It is not an exaggeration to say that the human rights-based approach is in a different league than other approaches to development: it is the 'make or break' issue of our time.
142. Human rights are no longer a-preoccupation-that-is-best-left-aside for 'others' to worry about.
143. Power makes even the ugliest look handsome.
144. Programs for the poor most often are poor programs: reducing the income gap between the poor and the non-poor is the real challenge for human rights activists.
145. Working with the marginalized and the excluded, and attending to their human rights needs, requires time and passion.
146. Group rights and collective rights are not the sum of individual rights.
147. Because of their universality, sovereignty must sometimes come second to human rights.
148. From the human rights perspective, power imbalances underlie health inequities.
149. Moral progress does not exist; we are not more moral today than what we were a hundred or a thousand years ago.
150. Free trade agreements, millennium development goals, and human rights: working at cross-purposes?
151. Human rights have to be a core component of the promotion of democracy.
152. Jonsson's credo. (Part 1 of 2)
153. Jonsson's credo. (Part 2 of 2)
154. Human rights have to be transformative rather than just simply easing human suffering. 
155. Public health brings a counterbalance to the individual-centered view of human rights.
156. The rich have power because of their money, and the poor have power because of their numbers and their potential for organizing around human rights principles.
157. Exploring a critical, systemic approach to health rights. (Part 1 of 4)
158. Exploring a critical, systemic approach to health rights. (Part 2 of 4)
159. Exploring a critical, systemic approach to health rights. (Part 3 of 4)
160. Exploring a critical, systemic approach to health rights. (Part 4 of 4)
161. Human rights obligations rich countries are not honoring.
162. Human rights and poverty alleviation.
163. Human rights have to go from the conceptual, to policy to action.
164. From a human rights perspective, public health stands at a crossroad.
165. Human rights activists are not social engineers; they are public mobilizers.
166. It is only when potential individual benefits are seen more clearly as being high that people are more willing to actively engage in work leading to the realization of their rights.
167. The recognition of human rights such as they are expressed in international instruments is not enough for their realization.
168. Do statistics serve the human rights cause well?
169. The lack of funding to carry out national or local human rights assessments should not delay us in launching them!
170. The respect of the right to health is a reflection of a society's commitment to equity and justice. 
171. More iron laws that affect human rights: use them!
172. Physical capital wears out; social capital does not. The more it is used in exercising direct democracy, e.g., to combat human rights violations, the stronger it gets.
173. Human rights violations are no longer a private affair, because they now have a political dimension.
174. Gender equality is not just a women's issue, but a development and a human rights issue.
175. The human rights discourse is globalization-skeptic and IFIs*-skeptic. 
176. The human rights discourse is also MDGs-skeptic.
177. In some cases, the human rights discourse is religion-skeptic.
178. Of claim holders, duty bearers and agents of accountability.
179. Why has there been no wider public debate on human rights?
180. Social progress has always depended on public pressure.
181. In the development debate, the perception of poor people as people in need rather than as people with legitimate rights puts them totally out of step with the rights-based framework.
182. We do not need more philanthropy and patriarchy; we need more emphasis on human rights.
183. Clarifying the responsibility of the different levels of government is at the center of the dialogue between claim holders and duty bearers.
184. In human rights work, we cannot wait for political will --we need to generate it!
185. When we stand naked before the unvarnished mirror of truth, what we see is what we really are. Often what we are is what we civilize ourselves to disguise (or what we choose not to be outspoken about).
186. International NGOs demand more funds from donors but, with those funds, they often do not address crucial problems such as those related to deplorable local human rights situations.
187. The purpose of freedom from want is to create it for others.
188. We hear endless appeals-to and laments-about the lack of political will to address human rights issues. An active engagement by civil society means we no longer have a need to resort to the concept of political will!
189. In human rights work, when you deal with symptoms you generate sympathy, when you deal with causes you create social change.
190. Corporate social responsibility does not revolve around human rights concerns or charitable intentions; it revolves around business interests.
191. Corporations need clear, binding human rights rules.
192. Human rights: while small success stories are certainly possible, needed global reforms are being hampered.
193. In this, its 60th anniversary, the universal declaration of human rights is still a kind of conscience of the world --or even more-- today it can be considered customary international law.
194. Keep in mind: in human rights work we are in a struggle not only for accountability, but also against impunity.
195. The human right to health care process revisited. (Part 1 of 2)
196. The human right to health care process revisited. (Part 2 of 2)
197. The human right to health and to adequate nutrition in a structurally unequal society.
198. To define yourself as a human rights activist means initially going against the current.
199. Human rights violations are not only 'social regrettables'.
200. A human rights-based poverty line is possible: It is one that points to the income level at which human rights are fulfilled in practice in every particular context.
201. The human rights-based framework is here to put right avoidable wrongs worldwide.
202. In the spirit of the Paris declaration on development cooperation, the improvement of foreign aid is not seen purely as a technical matter of better harmonization, but as a political quest to more decisively focus development on human rights.
203. Something has gone terribly wrong with the promotion of democracy: our elected leaders are far from treating (and not only looking at) poverty as the most important underlying condition of human rights violations.
204. The preamble of who's constitution unequivocally states that the enjoyment of the highest attainable standard of health is one of the fundamental rights of every human being: is who living up to its mandate?
205. Health sector reform measures: have they worked?... And where do we go from here? (Part 1 of 2)
206. Health sector reform measures: have they worked?... And where do we go from here? (Part 2 of 2)
207. Health care as a right: what you need to know. (Part 1 of 3)
208. Health care as a right: what you need to know. (Part 2 of 3)
209. Health care as a right: what you need to know. (Part 3 of 3)
210. Human rights are part of a never-ending human struggle to improve people's lives and to prevent reoccurrences of past abuse. (Part 1 of 2)
211. Human rights are part of a never-ending human struggle to improve people's lives and to prevent reoccurrences of past abuse. (Part 2 of 2)

 

70. Aiming at the Target: What’s Left for the Devil to Advocate?

The big hype
The outcome-process riddle
Being realistic
On convergence
The Human Rights twist
The equity factor
On accusations of dependency and top-down implementation
Donors (and we ourselves) touch some projects more than others
The poverty alleviation connection

71. ‘Elemental Watson’: The Health Sector Reform’s faulty logic

72. Putting Equity and Human Rights in Health on the Agenda: The Role of NGOS

Introduction
The background
The concept of Human Rights in health and why it is used
Experiences from some NGOs already using the Equity/Human Rights approach
Practical ways for NGOs to adopt the Equity/Human Rights focus in their health work (See CARE, 2001 and 2002)
References
Acknowledgements

73. Money is Tinted by the Colour from where it comes from or Children are not an Issue of Charity, Ronald! They are a Matter of Justice

74. Some Pearls of Wisdom about Health care Financing

75. Beyond Capacity Analysis: Additional Elements of a Human Rights-based Development Strategy

76. Stepping into the New Age of the Right to Adequate Nutrition: Snail Pace Progress?

The Situation
The Challenge: what now has to change
The Right to adequate Nutrition
The key issues to fight for

77. Poverty Reduction and National Budgets

78. Missing

79. Optional Health Care Financing Mechanisms for third World Countries: What is Viable?

I. Introduction
II. A sorry diagnosis?
III. Fee for service-financed health care
IV. Medicines: How much of a culprit?
V. A basket of potential solutions?
VI. ‘Righting the wrong’ in the obsolete geographic allocation of funding for health
VII. And the winner is...Community-based health insurance (CBHI)

80. The Peoples Health Movement: A People’s Campaign for Health for All - Now!

Background
The first People’s Health Assembly
The People’s Charter for Health
Significant Gains made by the People’s Health Movement
Conclusion

81. Towards the Millennium Development Goals: Yes, but...

82. Book Review: Dignity Counts: A Guide to Using Budget Analysis to Advance Human Rights

83. The Human Rights Discourse in Health

A. Meaning of the human rights discourse in health
B. How to strengthen the HR-based approach in our work in health

84. Food and Nutrition 2005: The Human Rights Perspective

85. A True Jewel in the Annals of Social Medicine: Young Allende’s eEarly Legacy

86A. Replaced by another version. A Primer for a National Action Plan to Operationalise the Right to Health Care (within the broader framework of the Right to Health)

Objectives for a national action plan
Specific actions under the Action Plan

86B. Towards Social and Economic Justice in Health: Claiming the Right to Health as a Means to Achieve Health for All.

87. Is the Gap in Policy Processes towards better Food Security and Nutrition Interventions Mainly a Gap Between Knowledge and Action?

88. Our Role as Nutritionists in the Call by the World Bank to Put Nutrition at the Centre of Development

89. A guided Tour Through Key Principles and Issues of the Human Rights-based Framework.

90. How Does the Human Rights-based Approach Change Development Ethics and Development Praxis?

91. The Assessment of the Right to Health Care and the Challenges in Asia.

92. Gender Equality is not Just a Women’s Issue, But a Development and a Human Rights Issue.

93. Ethical and Political Responsibilities in our Work in Health.

94. Ethics and Ideology in the Context of Health.

95. Thirty Questions the World Health Organization is not Asking --but Should--When Preparing the World Health Report 2008 on Primary Health Care.

96. An Ethical Question: Are Health Professionals Promoters of Status-quo or of Social Change?

97. Making Nutrition and Health More Equitable Within Inequitable Societies.

98. The Right to Health: A People's Health Movement Perspective and Case Study.