Our leaders always reiterate a slogan ‘health and education for all’. But there is one big chunk of population that is moving away from all this. The status of our government schools and hospitals is testimony enough to show how many people are moving farther from this and only use them under inevitable circumstances. Massive hospitals are coming up in the country, but they are not for all. Hence, the country is again moving into dark phase with measures to assuage poverty, provide education and health for all.  

That the poor and rich alike should have health security is the biggest dream in this world. Alma Ata declaration was made at international seminar in Kazakistan in 1978. Elected representatives of 134 countries, and 67 international agencies came to an understanding on a common understanding of health and made this declaration. They had various interpretations of ill health and had mentioned primacy health care should be considered as a universal right. Alma Ata declaration is 40 years old this month. In this, good health is not just being disease-free, but also being healthy physically, socially and mentally too. Two main policies have been framed based on this interpretation and primary health security concept.

Health is identified as human right. For this, various sectors such as social, economic and health – need to work in integration. For instance, female literacy is one way of ensuring increased health standards. The milestones Kerala and Tamil Nadu have passed, are the result of excellent implementation of female literacy programmes is a fact. Safe drinking water, hygiene, mother and child health, vaccinations, medical treatment and availability of medicines are the eight core areas that need to be focused on, as per the declaration. But the implementation of these aspects across the world is far from desirable.   

India is unable to even execute this to bare minimum level. The current concept of development has been ignoring Primary health safety measures to a large extent. The government needs to increase budgetary allocation for health sector. The nation is spending only 1.2% of its total GDP on health and India is among those countries who spend very poorly on health issues. Secondly, only a few people get minimum resources in health sector while leaving a massive population out of this. Thirdly, India should adopt universal policy and ensure everyone has access to same level of healthcare without discriminating on caste, religion or income. One of the most disheartening things is to know funds set aside for health are being distributed to Ayurveda, Homeopathy etc which can be deemed unscientific to a large extent. The poor of this country are now bearing the brunt of this.  

Interpretation of health in India is about providing medicines, hospital staff and equipment. But health needs to be freed from this notion and other aspects surrounding the existence of people need to be paid attention to. It could be unemployment, bad living conditions, ghettoized living, lack of nutritional food, lack of safe water, illiteracy and gender imbalance etc could be contributing to health problems in a big way. It is imperative to focus on reasons that create bad living conditions thus leading to bad health conditions – they can be economical or social, so to say.Demonetisation has led to reduced social participation in such aspects. The country is divided into villages and cities.

Many developing countries had started on privatization and liberalization as per the charters of world bank and IMF. With time, social health service sector also turned into a private propriety. Even governments encouraged private health sector into fleecing and looting of poor patients. Hence,  the government is turning this into a potential sector for investment. For instance, the health service would have seen an investment of $ 160 bn in 2017. By 2020 this would have been $ 372 bn. All this is going against Alma Ata declaration, and even WHO has moved away from this.

Prominent minds of health sector had met in Dhaka in 2000 to discuss the aspects that lagged behind in reaching the universal health mark. This was turned into Dhaka Health Movement. Unfortunately Unicef and WHO didn’t attend this meeting. Through this, revolutions are taking place in 70 countries to ensure health for all as a basic right. This is the lone beacon of hope for the people of lower strata of society as far as health is concerned.

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Islamabad (PTI): Amid stringent mea­sures put in place by the Pakistan government to thwart the protest march on Sunday, jailed former prime minister Imran Khan's party is preparing to proceed with its highly anticipated march towards Islamabad.

The Pakistan Tehreek-e-Insaf (PTI) party, led by former Prime Minister Imran Khan, has called on the public to join the march to "break the shackles of slavery."

The federal government has taken several steps to block the protest, including deploying heavy security forces, sealing key roads, and setting up barriers around the capital.

The Interior Ministry has emphasised that, in accordance with court orders, no protests or sit-ins will be allowed in Islamabad, and any attempts to disrupt public order will be met with legal action.

Khan, in a statement, urged the masses to unite for the protest, calling it a movement for freedom and justice.

The PTI leaders earlier on Sunday held a high-level meeting at the Khyber Pakhtunkhwa Chief Minister’s House to finalise the strategy for the planned protest, Geo News reported.

Khyber Pakhtunkhwa Chief Minister Ali Amin Gandapur has said that he will arrive in Swabi at 3pm to oversee the preparations for the planned protest and lead the party's march to Islamabad, the report added.

The chief minister also directed the party's activists intending to attend the march to reach Swabi by 3pm.

Ignoring calls by the government to postpone the protest – the second one in as many months – Khan's Pakistan Tehreek-e-Insaf (PTI) declared to go ahead with its planned march to Islamabad coinciding with the arrival of a large Belarusian delegation even as the authorities issued a warning of a potential threat during the protest.

The PTI gave a call last week for a long march to Islamabad to press for three demands: the release of the incarcerated party founder and other leaders, against the alleged “stolen mandate” during February 8 elections and restoration of the judiciary by revoking the recent 26th amendment to the Constitution that granted legislators more power in appointing top judges.

Meanwhile, Khan’s wife, Bushra Bibi, has opted not to participate in the protest but will oversee the convoys from the Khyber Pakhtunkhwa Chief Minister's House.

In preparation for the protest, Islamabad’s federal government has fortified security measures, sealing off several key roads and blocking routes leading to the Red Zone, where critical government buildings are located.

Containers have been placed across the city, including along the Srinagar Highway, GT Road, and the Expressway, limiting access to strategic areas like D-Chowk, Islamabad Airport, and the A-11 point at New Margalla Road.

Rangers, along with police and Frontier Constabulary (FC), have been deployed to monitor the area. The federal government has also warned against any unlawful protests, stating that no one will be permitted to hold a demonstration in violation of judicial orders, with legal action promised against any violators.

Also, Pakistan Railways has suspended all train services between Lahore, Rawalpindi, and Peshawar in light of the ongoing PTI protest, the Express Tribune reported.

According to railway authorities, services between Peshawar and Rawalpindi, Lahore and Rawalpindi, as well as between Multan and Faisalabad to Rawalpindi, have been halted immediately.

Additionally, all 25 train bookings for Sunday, November 24, have been cancelled, and passengers will receive immediate refunds for their tickets.

The suspension of services and the cancellation of bookings have impacted daily commuters and travellers, as Pakistan Railways responds to the security situation surrounding the ongoing protests.

Section 144 – which prohibits gatherings of individuals – has been in effect in Islamabad since November 18. On the other hand, the Punjab government too has enforced Section 144 across the province from November 23 to November 25, banning protests, public gatherings, rallies, and sit-ins.

Despite the heightened security and restrictions, the PTI has remained persistent about proceeding with its protest march and subsequent sit-in to press for its demands.

Additionally, internet and mobile services have been partially suspended in Islamabad, Khyber Pakhtunkhwa, and Punjab as a precaution.

Users in Islamabad are facing partial disruptions in internet services at various locations, while it remains unhindered in neighbouring Rawalpindi.

Meanwhile, mobile services also remain fully operational in Rawalpindi.

Public transport, including metro bus services in Islamabad and Rawalpindi, has been halted, and all bus terminals at Faizabad, linking the twin cities, have been barricaded.

Khan, 72, has been implicated in dozens of cases since his government was dismissed through a no-confidence motion in 2022. He has been in Adiala Jail at Rawalpindi since last year facing, according to his party, over 200 cases; got bail in some of them, convicted in some others, and hearings going on for some more.

Khan's party won the largest number of seats in the February general elections despite contesting as independents as the party was denied an election symbol and the PTI chief has already alleged that the ruling Pakistan Muslim League-Nawaz (PML-N) and its coalition partners, including Pakistan Peoples Party (PPP) had “stolen the mandate” to grab power at the federal level.

Relations between the PTI and the PML-N-led coalition government -already tense since Khan’s ouster in 2022 - have strained even more in recent times.