Essential Health Needs (EHN) formulation + dialogue with communities and civil society



  • Based on communities’ own expectations and assessment of needs, to determine health care goods and services, and other underlying determinants of health, that should be guaranteed to every human being as entitlements.
  • To identify communities’ expectations and demands in relation to their participation in public policy development, implementation and monitoring, and the mechanisms they suggest for holding authorities and other duty bearers accountable.
  • To elicit from communities suggestions as to mechanisms and processes that will ensure the right to health for marginalised and vulnerable individuals and communities.
  • To translate findings from diverse communities into a coherent set of right to health expectations that will inform work of other WPs in determining national and international responsibilities and global governance for health.
  • Gather and analyse views of civil society organisations on community right to health expectations, to further inform work of other WPs on responsibilities and governance.


  • WP2 will review literature and consult communities to determine EHNs and additional community right to health expectations. This set of tasks will encompass:
    • Determining the countries and communities in Africa, Asia, and the Americas in which the consultations will be conducted;
    • To ensure a systematic understanding of the perspectives of communities, developing the protocol, including questions and methodology, for the community consultations, and training facilitators from CEHURD, BU, and CEGSS in the protocol, making modifications to the protocol as needed to adapt to local contexts;
    • Translating participatory tools into local languages;
    • Sensitising communities to the right to health and to goals of the consultations;
    • Consulting communities;
    • Assembling and analysing findings from across the communities to articulate EHNs and additional community right to health expectations.
  • Having received and discussed the contributions from other WPs, WP2 will re-articulate or reformulate EHNs and additional community right to health expectations, to be included in a first draft agreement on the NHDGs and supportive global social contract. The purpose of this rearticulation is to respond to possible tensions between legitimate expectations from communities on the one hand and expressed or obtainable commitments (WP1, WP2, WP4) on the other hand, as well as to ensure that the expectations are expressed in forms that can be effectively incorporated into the NHDGs and supportive global social contract.
  • WP2 will seek feedback from communities and civil society on the first draft of an agreement on the NHDGs and supportive global social contract. Tasks to obtain this feedback will include:
    • Developing the protocol, including common questions, instruments, and methodology, for the second set of consultations to test proposed NHDGs and supportive global social contract.
    • Conducting the second round of community consultations.
    • Through on-line communications and other methods, obtaining perspectives from civil society organisations.
    • Consolidating the second round consultation and civil society comments to inform the revised draft agreement on NHDGs and supportive global social contract.
  • WP2 will contribute to writing a second draft agreement of the NHDGs and supportive global social contract.
  • WP2 will dialogue with civil society on priorities for implementation.