Southgate Institute for Health, Society, and Equity, Flinders University, GPO Box 2100, Adelaide, SA, 5001, Australia.
School of Epidemiology and Public Health, University of Ottawa, 600 Peter Morand Crescent, Ontario, Ottawa, K1G 5Z3, Canada.
Int J Equity Health. 2020 Jul 6;19(1):116. doi: 10.1186/s12939-020-01232-1.
The People's Health Movement (PHM) was formed in 2000 and drew inspiration from the Alma Ata Declaration on Primary Health Care's 'Health for All' (1978). Since then PHM has been an active part of a global counter-hegemonic social movement. This study aimed to gain insights on social movement building, drawing on the successes and failures reported by activists over their experiences of working in the Health for All social movement to improve health, justice and equity.
Qualitative research methods were employed in this study to capture complex and historical narratives of individual activists, through semi-structured interviews and subsequent thematic analysis of transcripts. The research design and analysis were informed by social movement theory and literature on health activism as a pathway for social change. In this study we examine the semi-structured interviews of 15 health activists who are part of the PHM, with the aim of deriving lessons for strengthening movements for Health for All.
This study locates the activists' narratives within a socio-political analysis of the global trends of late modern individualism and capitalist neoliberalism. This highlights the challenges faced by civil society groups mobilising collective action and building social movements for Health for All. The study found that within the constraints of the neoliberal socio-political and economic conditions which have caused the rise in social and health inequities, this group of long-term health activists have been nurturing alternative approaches to structuring society and building collective agency to improve health.
The practical long-term experiences of the PHM activists examined in this study contribute to a better understanding of the processes and motivations that lead to and sustain health activism, and the dilemmas, strategies, impacts and achievements of such activism.
人民健康运动（PHM）成立于 2000 年，其灵感来自于 1978 年《阿拉木图宣言》中关于初级卫生保健的“全民健康”（Health for All）的呼吁。从那时起，PHM 一直是全球反霸权社会运动的积极参与者。本研究旨在通过健康全民运动中改善健康、正义和公平的活动人士所报告的成功和失败经验，深入了解社会运动的建设情况。
本研究采用定性研究方法，通过半结构化访谈和随后对转录本的主题分析，捕捉个体活动家的复杂和历史叙述。研究设计和分析受到社会运动理论和健康行动主义作为社会变革途径的文献的启发。在这项研究中，我们检查了 15 名 PHM 健康活动家的半结构化访谈，目的是为加强全民健康运动汲取经验教训。
本研究将活动家的叙述置于对现代晚期个人主义和资本主义新自由主义全球趋势的社会政治分析中。这突显了动员集体行动和为全民健康建立社会运动的民间社会团体所面临的挑战。研究发现，在新自由主义社会政治和经济条件的限制下，这些长期的健康活动家一直在培育构建社会和建立集体机构以改善健康的替代方法。
本研究中对 PHM 活动家的实际长期经验进行了考察，有助于更好地理解导致和维持健康行动主义的过程和动机，以及这种行动主义的困境、策略、影响和成就。
