Scoutismo scuola di vita

valori-scoutMi sembra molto importante condividere il bellissimo contributo di Carla Collicelli pubblicato su Avvenire il 17 agosto 2014

L’attenzione riservata dai mass media agli scout del’Agesci in questo agosto 2014 rappresenta un evento inusuale per chi segue la cronaca estiva delle manifestazioni e dei raduni, incontri sempre importanti e significativi per la comprensione del clima e dei sentimenti diffusi nel paese. Soprattutto chi guarda con apprensione e speranza agli umori della componente giovanile della società, ed in particolare a quelli dei gruppi giovanili di ambito cattolico, non può non essere stato colpito dalla nuova visibilità tributata al movimento scout nella stampa nazionale e nei principali canali televisivi in occasione della Route nazionale di San Rossore.
Non che lo scoutismo cattolico non abbia già avuto modo di guadagnare in passato stima e simpatie, per l’azione educativa che svolge nei confronti delle fasce giovanili dagli 8 anni in poi secondo un modello di formazione ed uno stile comunitario originali e completi. Dalle regole di vita della legge scout alla capacità di orientarsi e muoversi con sicurezza nella natura; dalla organizzazione in piccoli gruppi alla pratica del servizio a favore dei più deboli; dalla espressione di se’ attraverso il canto e la recitazione alla spiritualità; dallo sviluppo delle competenze individuali al cammino come scuola di vita. Fino ad oggi, però, quella stima e quella simpatia hanno trovato riconoscimento in una cerchia relativamente ristretta di ambienti sociali, mentre al di fuori di essi il movimento scout viene spesso visto come una sorta di curiosa anomalia, rispetto alle mode ed alla “normalità” della condizione giovanile nel sul complesso, un qualcosa da guardare con ammirazione ma anche con un po’ di sospettoso distacco. Perché mentre il mondo va verso l’individualismo consumistico, gli scout insegnano la comunità, la governance partecipativa e ferma e il valore della strada e del progresso per piccoli passi. Mentre i giovani sviluppano un desiderio per lo più scomposto di emozioni di facile e superficiale consumo, gli scout insegnano la riflessione, l’impegno, la spiritualità e la ricerca di se’. Mentre il mondo va verso un intellettualismo sterile e verso la fuga nel virtuale, gli scout insegnano la manualità, lo sforzo fisico, la vita nella natura. Mentre tutto sembra spingere verso un pessimismo cosmico, gli scout predicano l’ottimismo della volontà. Mentre le generazioni si allontanano e la trasmissione della vita e dei valori sembrano non interessare più, gli scout parlano di scambio intergenerazionale e di educazione attraverso l’esempio.
Sarebbe interessante, ma lungo e complesso, interrogarsi sui motivi della nuova visibilità (la numerosità dei partecipanti, la presenza del presidente del Consiglio). Vale piuttosto la pena chiedersi cosa possiamo aspettarci da questa nuova visibilità o cosa ci auguriamo che avvenga. Le potenzialità dei media oggi sono una realtà di fatto, ma non sempre la connessione tra sociale vissuto ed amplificazione da parte dei mezzi di comunicazione di massa produce gli effetti desiderati, come si deduce da ciò che è accaduto con i Social network e con alcuni recenti movimenti di espressione sociale e politica (nucleare, ecologia, indignados, popoli viola, ecc.).
Sarebbe davvero un bel risultato se la maggiore visibilità e comprensione del movimento scout, da parte di gruppi sociali che poco lo conoscono, desse vita ad una riflessione meno scontata su tre aspetti centrali per la vita comunitaria. Innanzitutto l’importanza del lavoro da effettuare su se stessi, e quella dei cambiamenti che una educazione sana può facilitare dall’interno nella persona umana, ed il valore dell’educazione a differenza di forme di movimentismo strumentali alla conquista di posizioni di potere. In secondo luogo il valore della contaminazione con la diversità, sia che si tratti degli emarginati, che dei portatori di handicap o degli avversari politici. Infine il significato della reciprocità, come volano per una forza innovativa coraggiosa, quella che passa attraverso il riconoscimento delle competenze come base per la gestione di processi comunitari di sviluppo, da contrapporre a molte delle consuetudini regressive in uso delle organizzazioni del nostro tempo.

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There is no future without memory. An appeal for democracy in the World Organization of the Scout Movement

Anexo .pdf también en español.

Annexe .pdf aussi en français

070729-WSJ_smallIn these days in Ljubljana, Slovenia, representative of National Scout Organizations are attending the 40th World Scout Conference. The Conference is the representative body of the World Organization of the Scout Movement (WOSM) and its highest decision-making body. It meets every three years. Many of the delegates have been participating in past editions but I am sure that for a good a number of younger participants this is the first time and I am not sure that they were informed about the events that led in 2007 (the “centennial year”) to the possibly deepest internal crisis in the whole history of that organization.

At the end of 2007  WOSM constitution was violated, and the World Scout Committee (the executive body of WOSM) was coerced to take the decision to dismiss the Secretary General that until that moment “enjoyed the solid support of the WSC during his tenure”.

Immediately after I launched “an appeal to all Scouts, to their national leaders, and to all those who believe in the values of legality and democracy, to reject this situation; to open a wide debate at all levels of WOSM allowing for the full knowledge of these regrettable facts; and to put every effort into restoring the respect for Scout values and the constitutional order of the World Organization of the Scout Movement. Through this appeal we may also protect the integrity and the credibility of World Scouting, and allow our response to this unfortunate demonstration to become a memorable educational experience in world citizenship for all people in all societies.”

Until today an open debate, with the participation of all interested parties, was not allowed in WOSM and every possible effort was put in place to hide the history, as well as individual and collective responsibilities that lead WOSM away from the Scout values that it should serve and promote.

This is why in these days, also through the social media, I have been inviting all the participants to the WSC to read what I wrote for all of them in 2007  but that was possibly hidden to most of them.  There is no future without memory.

The text follows of my open letter to: National Scout Organizations, Partners and Friends of Scouting (download pdf) :

Geneva, 4th of December 2007

To: National Scout Organizations, Partners and Friends of Scouting

Dear Sister and Brother Scouts and Friends,
I wish to share with all the National Scout Organizations (NSOs), as well as partner organizations and friends of scouts, some initial thoughts about the events that recently shook the World Organization of the Scout Movement (WOSM). I hope that sharing these thoughts in this way will allow for the recognition of the deceit that was aimed at discrediting the work of the constitutionally appointed World Scout Committee and the Secretary General. The deceitful words and actions were launched in an attempt to hide the responsibilities of those persons who occupy prominent leadership positions in Scout organizations, and who used their position to actively participate in destabilizing the entire Scout Movement.
As all NSOs were informed in circular N.34/2007 (the relevant sentences are quoted below), I fully assumed my institutional responsibility and despite the coup that was raised against WOSM I did not resign, as was demanded by the organisers of the coup.
With calm firmness I defended the principles and the unity of the Scout Movement, which I consider to be the very first mission of the World Scout Committee and of the Secretary General.
The facts of this matter are known. On the 17th of October, without any warning or reason, the current national leaders of the Boys Scouts of America (BSA) informed the World Scout Committee of their “irrevocable decision” to suspend the payments of their annual fee and of any other contribution to the World Scout Bureau including its regional offices “until the current Secretary General is replaced”. With a suspiciously simultaneous action, the Swedish Scouts and the chairman of the Board of the World Scout Foundation did the same, influencing other National Scout Organisations (NSOs) to follow them.
The attack was consciously and premeditatedly launched at the beginning of the financial year of WOSM (October to September), when the World Scout Bureau (WSB) operates solely on the basis of those principal sources (the registration fees of other NSOs normally start to flow in around January). As a consequence, the payment of the WSB’s November salaries for the central and regional offices personnel was already at risk.
The participants in the coup did not leave any alternatives to the World Scout Committee but to surrender to their demands and dismiss the Secretary General. The reactions of many other NSOs who remain loyal to the democratic principles of the Movement were of no consequence. Those NSOs had requested to the World Scout Committee to delay any decision without first allowing an open and fully informed debate on the issue. The grandchildren of the Founder of our Movement, Baden-Powell, also wrote a dramatic appeal to the Word Scout Committee to prevent that insane decision, but their effort was in vain.
In an extraordinary meeting in Cairo on November 12th, the World Scout Committee decided: “…with deep regret and taking into account the decision of Eduardo Missoni not to resign, to negotiate with him his departure as Secretary General”. This included immediate transfer of executive power, and external representative functions from 30 November 2007.
Nevertheless, in the statement announcing the dismissal of the Secretary General, the WSC “deplored in the strongest terms the unilateral actions and demands that have been made by BSA and the Swedish Guide and Scout Council requesting the resignation of the Secretary General which have placed the future of the World Organization in jeopardy”. The WSC also implicitly admitted that there were no valid motivations for the dismissal other than economic coercion. In fact, the statement further reads: ”Eduardo Missoni is a devoted Scout who has committed himself fully to WOSM in his role as Secretary General and has enjoyed the solid support of the WSC during his tenure”.
The action aimed at sacking the Secretary General had been planned since long before, including the occasion of the recent World Scout Jamboree. While 40,000 Scouts were renewing their Promise and their commitment to the Scout values, a few were plotting to subvert WOSM and force the Scout Movement into its deepest crisis since its foundation.
The same subversive persons met in Patthaya, Thailand, at the beginning of October to orchestrate the combined attack that they launched a few days later. First they wrote an “open letter”—a formula never seen before in WOSM —presenting in a vague or outright erroneous manner some concerns related to financial decisions of the World Scout Committee. As a result of the active campaign developed in the lobbies of the Asia-Pacific Scout Conference (October 18-23) by the initiators of the “Patthaya group”, a few other NSOs added their names to the “open letter”. They were completely unaware, however, that their adhesion to that group would be used to reinforce the subversive aim, as I learned from some of the leaders of those NSOs when they confirmed their support of the Secretary General.
As a component of their premeditated coup, many of the “concerns” that were cited by the current leaders of the BSA and of the Swedish NSO were used as mere pretexts to justify their illicit action against WOSM, where they suspended payments and then pointed for the head of the Secretary General.
It was also very unfortunate that the Chairman of the World Scout Committee ultimately did not send out the Committee’s answer to the “open letter” that he announced on October 18th and that was prepared as soon as the “open letter” was received. The Committee’s response clarified, one-by-one, each of the concerns posed by the BSA and WSF letters. Every World Scout Committee member but one approved the response to be distributed. Some of them insisted with the Chairman to do so immediately in order to stop the confusion, yet he did not send it. Why not? What caused the Chairman to act against the will of the Committee?
Against the majority of the World Scout Committee, the Chairman took heed to the pressure of a single dissenting member of the Committee who did not want to send that answer. It was the same Committee member that in his capacity of International Commissioner of the BSA had signed the letter requesting the replacement of the Secretary General. Serving as a World Scout Committee member but representing the interests of BSA was not only an open violation of WOSM’s Constitution (art. XII, 1), but also a failure to implement the Scout Promise and Scout Law that is expected of all Scouts and their leaders in the Movement.
It is probable that the coup would not have achieved its objective without the complicity of the chairman of the Board of the World Scout Foundation (WSF). The Chairman also suspended at once the annual grant of the Foundation to WOSM without having consulted the Foundation’s Board, so violating the rules established in the deed of that organization. In addition, the Chairman justified his move by pretending that he had some sort of “fiduciary responsibility” that allowed him to judge and even block the decisions of the World Scout Committee. The Foundation manages money collected in the name, with the systematic support of, and for the exclusive benefit of WOSM, and it was established decades ago, with the honorary chairmanship of HM the King of Sweden, specifically to defend WOSM from financial risks. This is why, besides being arbitrary, the action taken by the chairman of the WSF board is morally unacceptable.
Finally, it is also vital to restate the role of the World Scout Bureau and the Secretary General of WOSM within the operations of the Movement. According to the WOSM constitution (article XVI, 1), the World Scout Bureau (WSB) is the Secretariat of the World Organization of the Scout Movement (WOSM), and its functions include the implementation of decisions taken by WOSM’s governing organ (art. XVIII, 1), being the World Scout Conference (art. VII, 1), and of its executive organ, the World Scout Committee (art. XII, 1). Few, if any, of the possible justifications cited in the BSA and WSF letters could affect the Secretary General without at the same time involve the responsibility of the World Scout Committee. As the Committee indicated in WOSM Circular 34/2007 that announced the dismissal of the Secretary General, they remarked that he: “has enjoyed the solid support of the WSC during his tenure”.
Much more than how I am personally affected, the present situation leaves the Scout Movement facing an historical crossroad. Who governs WOSM? To what extent will WOSM be consistent with its current values in the future if we maintain the current course?
The decision taken by the World Scout Committee under the economic coercion of a wealthy minority paves the way for the possibility that the policies and orientations of WOSM may be determined from now on by the threats of those who have strength to force their will into place. If this is accepted by the WOSM community, any future Secretary General will have no alternative but simply submit to the will of any overzealous aggressor.
BP once stated: “We are a Movement, not an organisation. We work through ‘love and legislation’.” I believe it is up to all of us to reaffirm BP’s stance and avoid allowing arrogance and blatant disregard for agreed rules to become the new way of governing WOSM.
Crisis may be the perfect opportunity for change and improvement. Thus, I hereby launch an appeal to all Scouts, to their national leaders, and to all those who believe in the values of legality and democracy, to reject this situation; to open a wide debate at all levels of WOSM allowing for the full knowledge of these regrettable facts; and to put every effort into restoring the respect for Scout values and the constitutional order of the World Organization of the Scout Movement. Through this appeal we may also protect the integrity and the credibility of World Scouting, and allow our response to this unfortunate demonstration to become a memorable educational experience in world citizenship for all people in all societies.
On my side, I will continue to do my best to contribute to a Scout Movement that is loyal to the ideals of its founder; a Movement, that through the education of new generations to the values of the Scout Promise and Law, is capable of acting as a social force that contributes to building a culture of peace and of creating a better world.
Let me finally take this opportunity to whole-heartedly thank all those in Scouting, as well as those in partner organizations and institutions, those working at local, national, regional and world levels, those who dared to share their feelings joy and sadness, their projects and dreams, their frustrations and successes, their leisure and labor, and those who simply clasped my hand in a sign of sincere friendship and brotherhood. Your actions and gestures have changed my life for the better, and they will not be forgotten.
Let’s hope we will have more to share together as the dialogue unfolds. We have much work to do for our Movement!

Your friend and brother Scout,
Eduardo Missoni

 

 

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Let’s stop the massacre in Gaza

050807-PalestinaIn 2005 I visited Palestine as the Secretary General of the World Organization of the Scout Movement. On the whiteboard in a Scout base of the Palestinian scouts  I wrote a message of hope and solidarity with my scout sisters and brothers. Solidarity with that People that the State of Israel maintains into isolation and daily suffering.

I asked both  the Israeli Scouts and their Palestinians scout brothers to engage for Peace. Today, once again I call them and all the Scouts of the world: Stop the massacre in Gaza! Stop the chain reaction! A Scout is a friend to all and a brother to every other Scout. Scouts all over the world, if they are loyal to their Promise should now raise their voice to stop the massacre. Being a Scout is being a Peace Builder and Peace cannot be built through war. Stop the massacre in Gaza. If you want Peace build Peace.

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Oltre l’ “aiuto” oltre la crescita. Cooperazione per lo sviluppo

Intervento in occasione dell’evento “Cooperazione italiana allo sviluppo: Semestre europeo, Expo e Agenda Post-2105″. Fondazione Roma Sapienza, Roma 4 giugno 2014.

“Quale cooperazione per quale sviluppo?” è la domanda cui deve rispondere il legislatore nel ripensare la cooperazione “come parte integrante e qualificante della politica estera dell’Italia” nel processo di riforma recentemente avviato….

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Round Table: Management of International Institutions and NGOs: perspectives, practices and challenges

GSDIOMBA-Alumni

On the occasion of the publication of the book

“Management of Institutions and NGOs: Frameworks, Practices and Challenges” by Eduardo Missoni and Daniele Alesani (London, Routledge, 2014)

 The Geneva School of Diplomacy and the International organizations MBA (IOMBA) Alumni Association are pleased to invite you to a Round Table on

“Management of International Institutions and NGOs: perspectives, practices and challenges”

Monday 26 May, 12:30-14:00

De Sales building, Geneva School of Diplomacy, Château de Penthes, 18, chemin de l’Impératrice, 1292 Pregny/Geneva

 Chair:

Mr Colum Murphy, President Geneva School of Diplomacy

Discussion with:

  • Mr Remo Lalli, Secretary of the High Level Committee on Management, United Nations Chief Executive Board for Coordination
  • Ms Helen Evans, Chief Executive Officer, Global Alliance for Vaccination and Immunization
  • Mr Juan Luis Coderque Gallico, Programme Leader Corporate Support Group, ICRC
  • Mr Paolo Cuculi, First Counselor, Permanent Mission of Italy to the United Nations

and the authors.

Light refreshment will be provided

Seating is limited – to RSVP please contact obolvary@iomba.ch

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Margherita Gabrielli “Antologica 1916-2007″

invito senza logo

Margherita, filosofa, storica dell’arte, pittrice, terapeuta, è l’ultimo anello di raccordo con la storia dell’antica famiglia dei conti Gabrielli da Gubbio e gelosa custode di quelle memorie, ma anche il punto di arrivo della tradizione artistica tedesca del ramo materno della famiglia. Fusione di culture di cui una Napoli ancora antica e ispiratrice di numerosi artisti d’oltralpe, aveva favorito l’incontro. Inizia lì un “cammino verso l’arte” che da paesaggi mediterranei dai tratti impressionisti, evolve attraverso intime, straordinarie esperienze, verso orizzonti prima sconosciuti, fino alle opere più recenti dove protagonisti sono ormai solo colori e movimenti che originano direttamente dall’anima. E la pittura di Margherita, come le sue altrettanto straordinarie rivelazioni storico-artistiche, ci introducono a una dimensione spirituale che l’umanità deve ancora percorrere.

Affascinato fin da piccolo dai suoi racconti, dalle sue indagini, dalle sue sperimentazioni con i colori, dalle sue intuizioni, dalla purezza del suo lavoro fortunatamente non contaminato dalla trivialità del mercato dell’arte; convinto che difficilmente la sua opera pittorica potrà essere compresa appieno senza conoscere le esperienze e le sensazioni che hanno ispirato i suo quadri più significativi, ho spinto Margherita a darne diretta testimonianza.

Riposto il pennello, le carte e i colori, la zia Margherita torna così a dipingere emozioni.

Nota introduttiva  di Eduardo Missoni a: “Cammino verso l’arte” di Margherita  Gabrielli

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Viene el Papa

Ernesto Cardenal-Juan PabloIIDe “Misa Campesina. Un médico italiano en la Nicaragua revolucionaria” (p.216)
“Desde el alba del día anterior habíamos asistido al tránsito de camiones hacia Managua con ocasión de la Misa papal. Camiones repletos de gente en fiesta, provenientes de las zonas más remotas del país que tenían que seguir viajando todavía por otras diez horas antes de llegar a la capital. Para esa ocasión, se habían puesto a disposición los medios de las instituciones públicas. El país vivía momentos de tensión debido a los continuos ataques terroristas y al creciente temor a una agresión militar. Sólo tres días antes, diecisiete jóvenes habían sido masacrados por la contra en San José de las Mulas, en las montañas de Matagalpa. La expectativa era muy grande, el Papa – sin duda- pronunciaría palabras de paz, confirmaría la elección preferencial de la Iglesia para con los pobres y los oprimidos que la Conferencia Episcopal de Puebla había ratificado y la Revolución sandinista, a su manera, parecía encarnar. «Juan Pablo II, bienvenido a Nicaragua libre, gracias a Dios y a la Revolución», ese cartelón de bienvenida era, una vez más, la síntesis de aquella extraordinaria convergencia.
La llegada del Pontífice había sido preparada con mucho cuidado a través de una campaña de información acerca de los viajes precedentes del Papa en tierra latinoamericana, recordando el anhelo de paz y de justicia social que había recordado en todas sus homilías. Era el Papa que había interpretado el derecho a la tierra de los campesinos mexicanos, que había denunciado el hambre de millones de brasileños, que había condenado la guerra e invocado la paz durante el conflicto de las Islas Falkland-Malvinas. Los opúsculos con reflexiones y profundizaciones habían sido distribuidos a los periódicos. Toda la comunidad cristiana se había preparado con mucho cuidado para este evento. « ¿Qué le pediremos al Papa?», fue el tema central de muchas «celebraciones de la palabra» hasta en las zonas más aisladas de la montaña. «Queremos la paz» fue la conclusión unánime de un país agredido.
En la cocina, la radio estaba encendida a todo volumen, la voz del comentador radiofónico que seguía el evento se escuchaba particularmente emocionada, sobreponiéndose a los rumores de la Plaza 19 de Julio donde la muchedumbre continuaba confluyendo. Cuando la radio anunció la llegada del Papa a la plaza, suspendí las visitas médicas – sinceramente, pocas esa mañana – para seguir con atención la misa papal, junto a la gran parte del personal y de algunos pacientes. Payita, una de las cocineras me pasó una taza de café y un pedazo de pan dulce recién salido del horno.
El discurso del Pontífice estaba dedicado completamente a la Iglesia, con enfáticos e imperativos llamados a la obediencia a los obispos y al Papa de parte de los fieles, mientras las voces de fondo de la plaza entonaban un «Viva el Papa» hasta llegar a un claro, reiterado y sobresaliente «Queremos la paz», obligando a Juan Pablo II a interrumpir varias veces su discurso, hasta provocar en él una explosión de intolerancia, irrumpiendo con un autoritario: «¡Silencio! ¡Silencio!».
« ¡Silencio! ¡Silencio!», no puedo olvidar esas palabras lanzadas por el Papa durante la misa, contra la muchedumbre que había ido a aclamarlo.
« ¡La Iglesia es la primera en querer la paz!», gritó entonces el Papa, perdiendo la paciencia, frente a la insistencia del pedido de paz que se alzaba de la plaza. Pero, a continuación, no siguió ni una sola palabra de consuelo para las madres que pedían una plegaria en favor de sus hijos asesinados por la contra. N una palabra dedicada al sufrimiento de ese pueblo o un elogio al enorme esfuerzo de reconstrucción y de progreso.
Pocos días después, en los bolsillos de los contras capturados en el norte del país, se encontraron panfletos con la imagen del Pontífice en los cuales resaltaba la frase: «El Papa está con nosotros».”

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“Peri-border” health care programs: the Ecuador–Peru experience

RevPanSalPub

Rev. Panam Salud Publica. 2014;35(3):207-13

Gianluca Cafagna, Eduardo Missoni, and Rosa Luz Benites de Beingolea

Abstract

Objective. To identify the main strengths, weaknesses, and challenges of the Ecuador– Peru “peri-border” health care program and to analyze the legislative, managerial, and organizational arrangements adopted to integrate the two country’s national health systems in the border area.
Methods. A descriptive, qualitative case study was carried out using three complementary methods: literature review and analysis of official Peruvian and Ecuadoran national and bina- tional documents, 18 semi-structured interviews of key informants, and a survey of the entire health worker population of the Suyo–Macará binational micro-network.
Results. The key program challenge was the absence of reciprocity; Peruvian citizens were entitled to free health care services in Ecuador but Ecuadoran citizens did not receive the same benefit in Peru. The need for improvements in the binational system’s human resources was also identified. The program’s main strength was its organizational structure, which is designed mainly for the implementation of 1) the binational network and 2) a patient referral / counter-referral system that includes the transfer of patient clinical information. Conclusions. Notwithstanding considerable challenges, peri-border programs are feasible and replicable. Program success seems to be highly dependent on the completion of a number of steps, including 1) consolidation of the original binational memorandum into a binding binational agreement between the two countries; 2) achievement of similar standards in both countries for the provision and quality of health care services, focusing on complementarities; and 3) development of an integrated binational information system.

Read the full paper

 

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“Peri-border” health care programs: the Ecuador–Peru experience

RevPanSalPub

Rev. Panam Salud Publica. 2014;35(3):207-13

Gianluca Cafagna, Eduardo Missoni, and Rosa Luz Benites de Beingolea

Abstract

Objective. To identify the main strengths, weaknesses, and challenges of the Ecuador– Peru “peri-border” health care program and to analyze the legislative, managerial, and organizational arrangements adopted to integrate the two country’s national health systems in the border area.
Methods. A descriptive, qualitative case study was carried out using three complementary methods: literature review and analysis of official Peruvian and Ecuadoran national and bina- tional documents, 18 semi-structured interviews of key informants, and a survey of the entire health worker population of the Suyo–Macará binational micro-network.
Results. The key program challenge was the absence of reciprocity; Peruvian citizens were entitled to free health care services in Ecuador but Ecuadoran citizens did not receive the same benefit in Peru. The need for improvements in the binational system’s human resources was also identified. The program’s main strength was its organizational structure, which is designed mainly for the implementation of 1) the binational network and 2) a patient referral / counter-referral system that includes the transfer of patient clinical information. Conclusions. Notwithstanding considerable challenges, peri-border programs are feasible and replicable. Program success seems to be highly dependent on the completion of a number of steps, including 1) consolidation of the original binational memorandum into a binding binational agreement between the two countries; 2) achievement of similar standards in both countries for the provision and quality of health care services, focusing on complementarities; and 3) development of an integrated binational information system.

Read the full paper

 

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Italy’s contribution to global health: the need for a paradigm shift

GlobalHealth

Globalization and Health 2014, 10:25  doi:10.1186/1744-8603-10-25

Eduardo Missoni, Fabrizio Tediosi, Guglielmo Pacileo and Lara Gautier

Abstract

This paper reviews Italian Development Assistance for Health and overall contribution to Global Health from 2001 to 2012. It analyses strategies and roles of central and decentralized authorities as well as those of private non-profit and corporate actors. The research illustrates a very low and unstable official contribution that lags far behind internationally agreed upon objectives, a highly fragmented institutional scenario, and controversial political choices favouring “vertical” global initiatives undermining national health systems, and in contrast with Italian deep-rooted principles, traditional approaches and official guidelines.

Italy’s contribution to global health goes beyond official development aid, however. The raising movement toward Universal Health Coverage may offer an extraordinary opportunity for a leading role to a country whose National Health System is founded on the principles of universal and equitable access to care. At the same time, the distinctive experience of Italian decentralized cooperation, with the involvement of a multiplicity actors in a coordinated effort for cooperation in health with homologous partners in developing countries, may offer – if adequately harnessed – new opportunities for an Italian “system” of development cooperation. Nevertheless, the indispensable prerequisite of a substantial increase in public funding is challenged by the current economic crisis and domestic political situation. For a renewed Italian role in development and global health, a paradigm shift is needed, requiring both conceptual revision and deep institutional and managerial reforms to ensure an appropriate strategic direction and an efficient and effective use of resources.

Read the full paper

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