Opening Remarks
Health and Humanitarian Challenges
Dr Farhat Mantoo, Executive Director, MSF South Asia
In her opening remarks, Dr Farhat Mantoo reflects on two decades of transformative progress. She underscores the pivotal role of communities in healthcare advancement, igniting a call for collective action and collaboration. In a world undergoing rapid technological, economic, and informational change, her address explores the evolving dynamics of human mobility, offering a vision for sustainable humanitarian access. She probes the complexities of defining the term ‘refugee’ and advocates for impartial solutions to human mobility debates. Climate change’s looming effects, projected to displace 40 million in South Asia by 2050, put the spotlight on health equity as a pressing social justice issue. Drawing upon MSF’s experience, she highlights the pandemic’s impact on access to treatment and global public goods and the need for future treaties and dialogue prioritizing parity.
Keynote Address
Inequality is bad for your health
P. Sainath, Author, Veteran Journalist
In his keynote address, P Sainath sheds light on the glaring social inequities that were aggravated during the pandemic. He speaks about how the number of billionaires in the health sector has doubled lately, and this troubling statistic underscores a skewed set of priorities in today’s world. He delves into the harsh realities faced by vulnerable communities in India as the nation grapples with a high number of female unpaid laborers, a sobering reflection of gender disparities. While the pandemic saw the boom of online education, few companies minted billions, but a large chunk of the population was deprived of accessible and quality digital learning. The disruption of essential programs like mid-day meals and the provision of sanitary napkins in schools further exacerbated the plight of children, with the health of girls being disproportionately affected. Sainath underscores that the pandemic disrupted access to healthcare, with marginalized groups like the transgender community suffering excessively. In a world where data denial prevails, Sainath’s address calls for profound introspection, urging society to confront these stark realities and work towards a more equitable future.
Closing Remarks
Ambassador Vijay Nambiar, Retired Indian Diplomat who served as Chief de Cabinet under UN Secretary-General Ban Ki-moon 2007-2012
Ambassador Vijay Nambiar’s closing remarks highlight the changes that are reshaping humanitarian efforts. With millions of people affected by crises across the globe, he calls for a paradigm shift in aid strategies and a more equitable allocation of funding. He emphasizes the urgent need for universal healthcare access, challenging the prevailing security-driven health approach and advocating for a broader perspective that considers social determinants. He spotlights the perils of misinformation during crises and underlines technology-driven solutions. Addressing conflicts and access issues, he urges collaboration with communities. Nambiar closes with a call for a planet-focused global health security approach, emphasizing flexibility and determination to save lives and offer hope.
Forced from Home: Humanitarian Considerations for Refugees, Asylum Seekers, and Migrants
This discussion delves into critical humanitarian issues that affect refugees, asylum seekers, and migrants. It highlights inequities such as the immense, unpaid healthcare work that is being undertaken in the South Asia region and the disparities in online education accessibility. The challenges faced by vulnerable communities have been exacerbated by the devastating impact of climate change. In Bangladesh, cyclones, floods, and landslides have compelled many people to abandon their homes in 2022. The Cox’s Bazar community, already home to over one million Rohingya refugees, faces increasingly worsening conditions due to shrinking water sources.
Safety nets need to be created for vulnerable populations. However, this requires that challenges in legal frameworks and gaps in policy and practice are duly addressed. The panelists discuss the importance of codifying rules from the 1952 Refugee Convention into national laws and addressing the complexity of repatriation. The discussion underscores the need for global attention, advocacy and international agreements to ensure the safe return of forcibly displaced individuals. This discussion emphasizes the importance of collaborative efforts, legal structures, and worldwide attention to address these pressing humanitarian concerns effectively. The insights serve as a powerful call to action for governments, organizations, and individuals alike to work towards a more equitable and compassionate world for refugees, asylum seekers, and migrants.
How COVID has shaped Justice and Equity for Access to Treatment
This discussion revolves around equitable healthcare and the critical lessons that have been learned from the Covid-19 pandemic. The panelists emphasize the pressing need for investment in public healthcare, highlighting that the privatization model does not work effectively in ensuring healthcare access for all. The speakers delve into the inequities that were witnessed in terms of access to vaccination during the pandemic. At the onset, leaders worldwide declared diagnostics, therapeutics, and vaccines as ‘global public goods.’ However, despite early promises of global solidarity, a lack thereof became evident. By the end of 2021, many low and middle-income countries had not received their first vaccine dose, even though some high-income countries had excessive vaccine stockpiles. The discussion recognizes the over-reliance on imports and donations, particularly from rich countries and Big Pharma and highlights the need for diversification and self-reliance in medical supply chains.
The discussion sheds light on the challenges during these transformative times and evolving better strategies. Issues such as medicine patents and the high costs of crucial drugs need to be tackled with the decentralization of treatments and improved accessibility to medicines. While progress has been made, comprehensive infrastructure, skilled manpower, and robust strategies are essential to ensuring healthcare access for all.
Bracing for Impact: Health and Humanitarian Responses in the Context of “security threats”
This discussion explores the intersection of security, healthcare, and human rights and focuses on the imperative of prioritizing people’s well-being when considering security in the context of healthcare. It explores the crucial dilemma that emerged during Covid-19 about the balance between individual rights and the collective approach to protect public health. The panel acknowledges that while legal frameworks exist for health emergencies, they may not always be adequately implemented or respected. In an interconnected world, health crises transcend borders, necessitating international collaboration and comprehensive planning during emergencies.
The concept of planetary health has taken center stage, and the well-being of all living beings is intricately linked to the environment. Understanding this connection is crucial in mitigating risks and proactively promoting global public health. The panel underscores the importance of shifting the focus from reacting to problems to preventing them. Recognizing the symbiotic relationship between human health and the environment, panelists emphasize the need for holistic strategies that encompass both planetary and human health. The discussion calls for a comprehensive approach that acknowledges the interconnectedness of global challenges and emphasizes the crucial role of human rights in shaping a healthier, more secure future for all.
Past is prologue: Building Community Resilience to Combat Mis/Disinformation in Emergencies
In an era of instant information, this discussion delves into the complexities of managing healthcare narratives and combating misinformation during emergencies. The discussion emphasizes the critical role of community resilience in tackling this challenge. Misinformation in healthcare narratives erodes trust, disrupts communication, and has far-reaching consequences. The proliferation of smartphones without corresponding digital literacy has compounded the problem. Consequently, an alarming rate of individuals lack the skills to verify online information. Political factions sometimes exploit this vulnerability, making individuals susceptible to unquestioningly accepting misleading content, especially on platforms like WhatsApp. Language barriers further complicate the process of comprehending information, alienating marginalized or vulnerable groups from accurate information.
While Artificial Intelligence (AI) holds promise in promoting accurate health information, a lack of comprehensive AI regulations raises reliability concerns. Detecting disinformation is one challenge; tracing its origin and circulation presents an even greater one. To address the mis/disinformation crisis, media literacy must be prioritized. Understanding data privacy regulations and empowering individuals to recognize and combat misinformation is equally vital. Fact-checking initiatives, led by specialized groups and adopted by civil society organizations, play a key role in disseminating accurate content. These initiatives are essential in fostering community resilience against misinformation. Mis/disinformation during emergencies is a multifaceted challenge and requires a collective approach to tackle it.
public health. The panel underscores the importance of shifting the focus from reacting to problems to preventing them. Recognizing the symbiotic relationship between human health and the environment, panelists emphasize the need for holistic strategies that encompass both planetary and human health. The discussion calls for a comprehensive approach that acknowledges the interconnectedness of global challenges and emphasizes the crucial role of human rights in shaping a healthier, more secure future for all.
Mis/disinformation can quickly spread during emergencies, exacerbating the situation and hindering response efforts. However, communities with a history of building resilience are better equipped to deal with these challenges.
Investing in education and communication efforts that promote understanding the risks and consequences of mis/disinformation is essential. This includes promoting media literacy and critical thinking skills and providing clear and accurate information about emergencies.
Technology offers powerful tools to combat the spread of false narratives, such as leveraging artificial intelligence algorithms to detect and flag misleading content. Collaborative online platforms enable rapid information sharing among communities, strengthening their ability to verify and disseminate accurate information.
By fostering community resilience through these innovative technological solutions, communities can unite, adapt, and combat the challenges posed by misinformation in times of crisis.
The Health and Humanity Summit aims to ignite change and enable action in addressing these issues, including healthcare affordability and accessibility for marginalized communities.
Security threats in the context of health and humanitarian responses encompass a range of challenges, including armed conflicts, criminal activities, access restrictions, violence against aid workers, and epidemics/pandemics. These threats can disrupt healthcare delivery, hinder access to affected populations, compromise the safety of personnel, and create an environment of fear and instability. In the absence of peace and peacebuilding efforts, there is lack of trust and understanding between communities. Vulnerable populations, including ethnic minorities, women, children, and migrants, are particularly affected by threat-induced illnesses and deaths.
Two threats to global health security are key to building better responses: slow-burn problems, which may be underestimated and receive insufficient attention until irreversible damage occurs, and emerging technologies with dual-use potential as both beneficial tools and weapons.
To effectively address these threats, a broader definition of global health security is vital, encompassing the interconnections between human, animal, and environmental health. By recognizing and addressing these complex interlinkages, public health efforts can proactively mitigate risks and protect vulnerable populations from a wide range of health threats.
Access to affordable medicines is a critical component to ensure equitable and inclusive healthcare, especially for pluralist and diverse societies of South Asia. When we are vulnerable, making ‘each of us’ part of inclusive growth depends on making ‘all of us’ part of it. However, serious accessibility and affordability challenges to medicines continue to limit stocks and keep pushing the costs up. It is essential to prioritize the well-being of people over profit-driven motives to address these challenges.
India, the ‘pharmacy of the world,’ plays a crucial role in shaping our near future. With its robust generic drug manufacturing industry, it has been instrumental in providing low-cost medicines to millions, especially for diseases like HIV/AIDS. India’s contribution in breaking down patent barriers and producing generic versions of essential antiretroviral drugs has effectively reduced costs and expanded access to life-saving treatments, particularly in low and middle-income countries in South Asia.
Sustaining this momentum requires a consistent focus on research and development to develop new and affordable healthcare solutions. Maintaining strong partnerships with global health organizations, governments, and NGOs is essential to facilitate knowledge-sharing and collaborative efforts. With the right intent and action, developing a robust healthcare infrastructure, especially in underserved areas, will ensure equitable access to quality healthcare services.
South Asia faces significant challenges in serving people on the move, such as refugees and migrants.
Despite health being a basic human right, accessing healthcare remains daunting for these individuals. Factors like origin, migration journey, host country’s policies, and living conditions significantly affect their health needs.
Additionally, the effects of climate change further exacerbate the vulnerability of this population. Addressing these challenges requires alliances across sectors, including governments, private-sector organizations, NGOs, community-based organizations, and media.
It is crucial to incorporate the perspectives of refugees and migrants in emergency preparedness, tackle social determinants of health, promote good governance, and establish robust partnerships. By implementing humanitarian interventions and adopting a collaborative governance approach, South Asia can develop a resilient healthcare system and an inclusive environment that caters to the needs of all, irrespective of their mobility status.