Health action with informed and engaged societies
After nearly 28 years, The Communication Initiative (The CI) Global is entering a new chapter. Following a period of transition, the global website has been transferred to the University of the Witwatersrand (Wits) in South Africa, where it will be administered by the Social and Behaviour Change Communication Division. Wits' commitment to social change and justice makes it a trusted steward for The CI's legacy and future.
 
Co-founder Victoria Martin is pleased to see this work continue under Wits' leadership. Victoria knows that co-founder Warren Feek (1953–2024) would have felt deep pride in The CI Global's Africa-led direction.
 
We honour the team and partners who sustained The CI for decades. Meanwhile, La Iniciativa de Comunicación (CILA) continues independently at cila.comminitcila.com and is linked with The CI Global site.
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Foro de la Sociedad Civil en Salud (ForoSalud)

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Established in 2002, ForoSalud, comprised of over 100 national, regional and local organisations (professional organisations, non-governmental organisations (NGOs), and academics), and individuals, works to influence the development and implementation of more responsive health policies in Peru. ForoSalud promotes research and participatory dialogue and debate on health issues within the country. It encourages civic engagement and review of the health sector and the government's policies related to the health sector.
Communication Strategies

During 2004, a series of capacity building workshops were held in 12 of the 24 regions of Perú to explain issues such as human rights, the right to health, the rights contained in Peruvian law, and how people have a right to participate in decisions that affect them. This was followed by a second wave of capacity building, this time with the national directorate of ForoSalud and the 12 regional ForoSalud networks, in preparation for the development of national and regional health policy proposals that would use a "bottom-up" approach. This capacity building process involved training ForoSalud on participatory methodologies to ensure that local health issues would be identified by the local people. Successive capacity building workshops focused on the potential of participation in the realisation of people's right to health and on building workshop participants' capacity to participate in spaces such as Regional Health Councils. People received training on topics such as how policies are constructed, the identification of different groups involved in policy development and implementation, and the power relations that exist within the process.

Development Issues

Health, Rights.

Key Points

Prior to beginning their advocacy work, ForoSalud and their partners recognised that citizens, health workers, and policy makers within the Peruvian health system had a poor understanding of human rights and the right to health. Discrimination on grounds such as ethnicity, socio-economic status, sex, race, and citizenship in access to health services also occurred. Additionally, ForoSalud found that health workers and policy makers were reluctant to make the institutional shift from a process of informing and consulting people to one which would allow peoples' participation in health policy development.

As a result of ForoSalud's capacity building process, health policy proposals have been constructed with the participation of a wide range of local health organisations, and openly discussed at regional and national forums, thus ensuring that citizen's policy proposals are on the regional and national health agenda.

Partners

CARE Peru, Movimiento Manuela Ramos, Consorcio de Investigación Económica y Social (CIES), United Kingdom (UK) Department for International Development (DFID), and United States Agency for International Development (USAID).

Sources

"Case Study 6: Strengthening participation in the development of the national health plan (Perú)" [PDF], from within: Potts, Helen, Participation and the Right to the Highest Attainable Standard of Health, Human Rights Centre, 2008 - page 36.