 Welcome to this special issue of People's Health Dispatch, which we have put together for 7th April, People's Health Day. For this video, we interacted with three health activists from across the world and tried to understand what does health for all mean for them and how does it impact their work. Through these interactions, we have tried to understand how the larger issues of health that impact patients, healthcare providers and communities in general. So we have with us today Abhishek Royal from India, Rihanna Nozbon from the United Kingdom and Dennis Saffer from Brazil. Welcome you all. I'm Dr. Abhishek Royal, I'm a medical graduate from India and I have been working in public health fields at Rastroot level since 2014. I was in medical school at that point of time, final year and I realized the importance of community led work and community owned work I would say to reach out the maximum people in healthcare services. I myself got exposed during my postings and it gave me a chance to understand what is the issues at the Rastroot level because as a healthcare professional working at Periferees, it was something very unusual to me. For me, health activism is something which I have learned from my experiences is see, activism is not something that is only done in fields because I have done activism from both the sides. I am into doing evidence based work and translating that evidence into policies and guidelines so that all the decisions that are taken at the programmatic level should be evidence based taking into consideration that the society is having all the inequities and all the other parameters that are affecting healthcare of the masses. Health for all for me is like if I am a person and I should not be at the mercy of my provider to avail the best healthcare services that is possible for any of the condition that I am living with, be it mental health condition, be it any cancer therapy, be it any preventive therapy also, be it any well-being also, be it availability of safe drinking water or testing services for tuberculosis. So for me, health for all, if I am a person, I am an anonymous person, I should be able to get these services without thinking, what is there in my pocket as a community person, I have to think where I am going to get the money to avail the best healthcare services for any kind of ailment or any kind of prevention or my well-being then I would say my health is compromised and this is where I wish that the entire health for all should be there. Yeah. My name is Rhiannon Osborne, I am a medical student based in the UK and I work mostly with PHM UK and also with the Ecosystems and Health Global PHM Circle. I also work with University's Allied for Essential Medicines on Access to Medicines work and the Stop Camelot Coalition in the UK to end oil and gas expansion and Health for a Green New Deal which is a coalition of health workers advocating for a transformative and globally just Green New Deal in the UK. Well for me, I think health for all means a lot more than healthcare for all, I think there's a very different things and of course I believe healthcare for all is part of health for all but by no means the sum of it. So for me I think health for all means recognising that health is collective, that it is ecological, it's political, it's social, it's economically determined and that people cannot be healthy in isolation, you can't be healthy in a capitalist society which puts profit over your wellbeing at every turn, you can't be healthy in an economy which is destroying the planet that we love and are in relation with constantly and you can't be healthy in isolation, you can't be healthy if your community suffers from horrendous inequality or if you can't take care of each other so that's kind of how I view health for all in that very holistic sense of building flourishing societies and that's how I came to work on the climate crisis and how that interacts with health both through the fact that the climate crisis will have a huge impact on health, worsening health inequalities but actually for me the thing that kind of resonates more than that is how the systems and industries which are causing the climate crisis are also already bad for our health and are already causing health inequalities throughout the whole kind of process so like the food system that we have destroys the planet and also does not nourish us and facilitates huge amounts of injustice when it comes to access to nutritious food and the energy system that we use is designed to facilitate wealth transfer from the global south to the global north to feed over consumption in the global north whilst denying much of the majority of the world access to basic energy needs and all at the same time kind of violating the rights of local communities who live near or on or around natural resources so I think for me a big part of the work is thinking about how not only are these industries causing the climate crisis but also causing ill health the whole time like even before we get to the point of the climate crisis so yeah I would say that that's kind of a summary of how I came to the work. My name is Dennis Saffer I live in Rio de Janeiro Brazil I am from PHM Brazil and I also work as a primary health care manager here in Brazil and well I've been the last years very engaged with the struggle for the right to health here in Brazil and the construction of the SUSE Systema Unico de Saúde unified health system I think it would be the translation to guarantee it's financing to guarantee conditions for the workers defending primary health care and community-based mental health care strategies here in Brazil and in various movements and campaigns for guaranteeing the assets to the health system and campaigns for against the privatization and dismantling of the health system and the primary health care occupying health office buildings and working on strikes and well I met the health for our campaign through PHM so I think for 10 years ago I was a student at the International People's Health University and it was very important to me to know the references and the broad construction around the sense of health that the health for our campaign have so going beyond the health system so here in Brazil here I'm very linked to the health systems struggles but we are in a country with a lot of very difficult situations linked to poverty with gender and race oppression and also this the health for our campaign started to show to me the big links between the social determinants and the social determination of health and the production of illness and the production of the health systems and more than that to make the link between the construction of the national health system and the international governance in health and the the road that international institutions sometimes and a lot of times have going against the national health systems and how we need to understand this in a global way mostly in the moment that the capitalism go deep and deeper global and financial so the links between can I say the companies and the funds that direct health in a private and non-actable way are very strong so I think the health for our campaign can help us to link the social movements the production of militant and activist knowledge in academics and the links between health workers and other struggles that we have in the health movement and broader movements in a way that we can get together and get through some roots of the problem some roots that are international and be strong on facing it what I believe is that every component is very essential to drive this kind of health activism for health or even a policy maker I would say can be in health activists and even a researcher can can can be a health activist but they should be doing the best in their own domain and as I said earlier that using the evidence-based approach for everything be it research be it advocacy be it policymaking it is something that we can do to understand what is needed in the in the society what is needed in the grassroot level as I'm a person who is into implementation research I have always understood one thing see we should always understand the needs and the challenges in the field and that we cannot do while sitting in our clinical labs or OPD's we need to go into the grassroots we need to include all the patients group or the people at the periphery or community health and also community health workers into our this in making meetings or whatever we are doing to take a decision on a particular policy or a program because if we are not including them we will be leaving a very important community in our decision making and which ultimately leads to the compromising the programs and service delivery and which ultimately compromise the help for all agenda and and we all know that there's a vicious circle of this cascade if we talk about the entire disease spectrum actually controls the nutrition the productivity the livelihoods of people who are already marginalized and they when they come into that cascade they are not able to survive that kind of pressure and again they are compromising them further with those diseases so if we are not able to break that vicious circle then we are not able to we will be again raising generations which are actually having compromises and build on the trenches of of health inequity actually so I would say if we talk about health activism and future of it from the health for all perspective we need to set on table all of us need to set on table to see to decide to further also evaluation also I would share health is extremely salient to people not just because we're we're living through a pandemic and multiple health crises but because you feel it in your body you know like when I'm burnt out from working too hard I feel it and it makes me feel terrible so I think helping people to be in tune with their bodies and to know would you know actually this work makes me feel bad or this food or engaging in farming makes me feel good and engaging with people's very deep need to connect to each other and connect to nature is an amazing way to help re-engage our emotions re-engage our passion and to get people involved in in thinking about systemic change and thinking about the way that injustice impacts them so I think it's one avenue for getting people involved but I think it's also a really important avenue for holding ourselves accountable as we work to build new worlds if people are not flourishing if people are not able to live healthy lives in in their bodies and in their communities then are we really building the world that the world that we want to fight for and adjust an ecologically sustainable world so I think it's many fold in the sense of it's it's a it's a way to engage with people and to motivate them but it's also a way to to hold ourselves accountable as we I hope in the near future not just fight against things but also build things as well how for all can be a platform from for these links and I think in this way the the role that the the people's health movement and the conducting of the campaign can have is about potentializing the links the international links the rational links between the the movements in the the health sector so and it it's very different from country to country now so knowing people from phm where I don't know phm is very important on the local health movement in other countries that have local health movements that are strong but the phm can help about making a exchange strategies so so activists can know what works well in the struggle on each part what what is where the the common challenges and that way I think how for all can make these links also how for all have a very important and a very singular role on defining and and summarizing necessities from health movements everywhere and bringing it to the global arena of health decisions that will wHO and other other places where our phm is present making links between the the observation the phm make on on these places and the positions that phm can can bring and in a way that we can link the the local necessities the local diagnosis and the the global decision places and in a way that I think how for all can can have a role that is very singular on that on a movement that knows what happened on the on the global arena and also can link with local activists in a lot of places so I think this is another very important direction that I have for all things