Global public-private partnerships as a mechanism of global health governance
In: Nord-Süd aktuell: Vierteljahreszeitschrift für Nord-Süd und Süd-Süd-Entwicklungen, Band 16, Heft 3, S. 447-451
ISSN: 0933-1743
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In: Nord-Süd aktuell: Vierteljahreszeitschrift für Nord-Süd und Süd-Süd-Entwicklungen, Band 16, Heft 3, S. 447-451
ISSN: 0933-1743
World Affairs Online
In: Canadian foreign policy journal: La politique étrangère du Canada, Band 19, Heft 3, S. [340]-353
ISSN: 1192-6422
World Affairs Online
HighlightsThe WHO's EML improves medicine access.Anyone can lobby to add a medicine to the EML, so we added losartan in 2017.Evidence now shows losartan is more impactful than previously realized.You too can use the EML to effect policy change—by adding to or amending it.Also, you can hold governments accountable to keep EML medicines on their shelves.
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In: Sociology of health & illness: a journal of medical sociology, Band 35, Heft 2, S. 227-240
ISSN: 1467-9566
AbstractAccording to Beck's 'World at Risk' theory, global risks push nations towards a cosmopolitisation of their health policy and open opportunities for a democratic turn. This article provides an empirical analysis of Beck's theory, based on the experience of Vietnamese authorities from 2003 to 2007 in managing the emerging avian flu virus. It shows how Vietnam's framing of avian flu has shifted, under the pressure from international organisations and the US administration, from an epizootic and zoonotic risk (or a classic risk) to a pandemic threat (or a late modern risk). Vietnam's response was part of its overall strategy to join the World Trade Organization and it was limited by Vietnam's defence of its sovereignty. This strategy has been successful for Vietnam but has limited the possibility of cosmopolitan and democratic transformations. The case study highlights the constructed dimension of risks of late modernity and their possible instrumentalisation: it minimises the role of a community of fear relative to a community of trade.
"This important book outlines how, despite varying levels of global socio-economic development, governments around the world can guarantee their citizens' fundamental right to basic healthcare. Ground in the philosophical position that healthcare is an essential element to human dignity, the book moves beyond this theoretical principle to offer policy makers a basis for health policies based on public accountability and social responsiveness. Also emphasizing the importance of global co-operation, particularly in the area of health promotion and communication, it addresses, too, the issue of financial sustainability, suggesting robust mechanisms of economic and social regulation. New opportunities created by e-health, evidence-based data and artificial intelligence are all highlighted and discussed, as is the issue of patient rights. Students and researchers across bioethics, public health and medical sociology will find this book fascinating reading, as will policy makers in the field."
The editorial by Jeremy Shiffman, "Knowledge, moral claims and the exercise of power in global health", highlights the influence on global health priority-setting of individuals and organizations that do not have a formal political mandate. This sheds light on the way key functions in global health depend on private funding, particularly from the Bill & Melinda Gates Foundation.
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In: Anthropologies of American medicine: culture, power, and practice 1
"Good Intentions in Global Health is an engaging ethnography of the world of DIY global health. It argues that the intent to do good shapes people's everyday understandings of their own actions taken in the global health domain. Berry opens new ways for critical scholarship to impact global health and health equity"--
Health humanities is a fast-growing field of research, education, and practice that has generated a more inclusive, democratizing and applied approach to arts and humanities in health care, health, and well-being. Its rise over the past thirteen years represents an interdisciplinary departure from the longer-established tradition of medical humanities. However, it seeks to enjoin the medical humanities as well as fields such as arts and health, expressive therapies, community arts, and social prescribing to work more collaboratively to advance creative public health. This introductory chapter includes a brief overiew of the origins of the field of health humanities, its emergent definitions, early critical reception and its practical application and work, or praxis. It also includes a short outline of the diverse themes treated in this important and diverse volume.
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In: Fudan Journal of the humanities & social sciences, Band 9, Heft 1, S. 25-40
ISSN: 2198-2600
The large-scale introduction of HIV and AIDS services in Mozambique from 2000 onwards occurred in the context of deep political commitment to sovereign nation-building and an important transition in the nation's health system. Simultaneously, the international community encountered a willing state partner that recognised the need to take action against the HIV epidemic. This article examines two critical policy shifts: sustained international funding and public health system integration (the move from parallel to integrated HIV services). The Mozambican government struggles to support its national health system against privatisation, NGO competition and internal brain drain. This is a sovereignty issue. However, the dominant discourse on self-determination shows a contradictory twist: it is part of the political rhetoric to keep the sovereignty discourse alive, while the real challenge is coordination, not partnerships. Nevertheless, we need more anthropological studies to understand the political implications of global health funding and governance. Other studies need to examine the consequences of public health system integration for the quality of access to health care.
BASE
The large-scale introduction of HIV and AIDS services in Mozambique from 2000 onwards occurred in the context of deep political commitment to sovereign nation-building and an important transition in the nation's health system. Simultaneously, the international community encountered a willing state partner that recognised the need to take action against the HIV epidemic. This article examines two critical policy shifts: sustained international funding and public health system integration (the move from parallel to integrated HIV services). The Mozambican government struggles to support its national health system against privatisation, NGO competition and internal brain drain. This is a sovereignty issue. However, the dominant discourse on self-determination shows a contradictory twist: it is part of the political rhetoric to keep the sovereignty discourse alive, while the real challenge is coordination, not partnerships. Nevertheless, we need more anthropological studies to understand the political implications of global health funding and governance. Other studies need to examine the consequences of public health system integration for the quality of access to health care.
BASE
In: 18(2) Health and Human Rights Journal 255-259 (December 2016)
SSRN
In: Third world quarterly, Band 30, Heft 7, S. 1379-1394
ISSN: 0143-6597
World Affairs Online
In: Conflict and health, Band 1, Heft 1
ISSN: 1752-1505
BACKGROUND: The UK government committed to undertaking impact assessments of its policies on the health of populations in low and middle-income countries in its cross-government strategy "Health is Global". To facilitate this process, the Department of Health, in collaboration with the National Heart Forum, initiated a project to pilot the use of a global health impact assessment guidance framework and toolkit for policy-makers. This paper aims to stimulate debate about the desirability and feasibility of global health impact assessments by describing and drawing lessons from the first stage of the project. DISCUSSION: Despite the attraction of being able to assess and address potential global health impacts of policies, there is a dearth of existing information and experience. A literature review was followed by discussions with policy-makers and an online survey about potential barriers, preferred support mechanisms and potential policies on which to pilot the toolkit. Although policy-makers were willing to engage in hypothetical discussions about the methodology, difficulties in identifying potential pilots suggest a wider problem in encouraging take up without legislative imperatives. This is reinforced by the findings of the survey that barriers to uptake included lack of time, resources and expertise. We identified three lessons for future efforts to mainstream global health impact assessments: 1) Identify a lead government department and champion--to some extent, this role was fulfilled by the Department of Health, however, it lacked a high-level cross-government mechanism to support implementation. 2) Ensure adequate resources and consider embedding the goals and principles of global health impact assessments into existing processes to maximise those resources. 3) Develop an effective delivery mechanism involving both state actors, and non-state actors who can ensure a "voice" for constituencies who are affected by government policies and also provide the "demand" for the assessments. SUMMARY: This paper uses the initial stages of a study on global health impact assessments to pose the wider question of incentives for policy-makers to improve global health. It highlights three lessons for successful development and implementation of global health impact assessments in relation to stewardship, resources, and delivery mechanisms.
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