1. Working Across Difference:
Making the movement for “Health for All”
a movement that welcomes all

2. Non-discrimination is one of the basic principles of human rights and democracy. Community participation is a principle of PHC.
How do we realize these principles in our work?
Beyond that, how can we achieve active participation of the people most effected by the policies we oppose?

3. Some differences between us:
Gender
Nationality
Ethnicity, “race”
Language, accent
Different abilities
Caste
Culture
Sexual orientation
Rural or urban dweller
Level of education/literacy
Class

4. “If you always do what you have always done, you will always get what you have always got.”
The patterns of exclusion, discrimination and disparity in health that we see now are the result of historical processes and “traditions” that are often invisible to us. Especially when we are in the group that has benefitted from these patterns we don’t recognize the privileges that come from belonging to the dominant group.
The excluded group can organize itself to become more conscious of the problem and organize itself to demand change. This is an important part of the the process of change and is often manifested as “separatist” movements. In the long term, however, the dominant group must change its behavior and beliefs.

5. Levels of Change - 1 Personal Level:
How we behave as individuals can promote inclusion or exclusion. Examples: (body) language, listening, outreach, giving up control, examining privilege
Leaders within the movement must model acceptance of others and welcoming behavior
Get out of your “comfort zone”
Mentoring

6. Levels of Change - 2 Organizational Level:
Inclusion of marginalised groups from beginning of processes, accepting leadership from them
Explicit statements of inclusion
Attention to language of presentations, materials, documents
Action to facilitate participation of most affected by poor health such as targeted outreach, mentoring, addressing obstacles

7. Small Group Activity: Step 1
Break into pairs with someone you don’t know well
Take 10 minutes each to answer the questions: When was the first time you remember that you were excluded because of something like your gender, ethnicity, religion, etc.? What happened? Tell about a time when you were able to participate fully in a group activity? What happened? What did it feel like?

8. Small Group Activity: Step 2
Combine with 2 other groups (6 people)
Tell one of the stories of your partner to the group. Try to include some from each question.
In the larger group discuss the question: What can PHM do to improve our inclusion of under-represented and marginalised groups?