The European Union and transnational health policy networks: a case study of interaction with the Global Fund
In: Contemporary politics, Volume 21, Issue 3, p. 258-272
ISSN: 1469-3631
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In: Contemporary politics, Volume 21, Issue 3, p. 258-272
ISSN: 1469-3631
In: Regions & cohesion: Regiones y cohesión = Régions et cohésion : the journal of the Consortium for Comparative Research on Regional Integration and Social Cohesion, Volume 9, Issue 1, p. 86-92
ISSN: 2152-9078
This introduction to the special section explores the nexus between global health governance and international health diplomacy. In these dynamic governance spaces, particular attention is paid to the
multi-level and multi-actor character of global health governance and
how health diplomacy functions in such a complex context. It is pointed out that the regional level plays both vertical (i.e., as an intermediary between the global and national levels) and horizontal (i.e., interregional) roles. The contributions to the special section develop the conceptual understanding of those interactions and analyze a number of concrete cases, including the African Union, ASEAN, the European Union, SADC, and UNASUR.
There is a growing understanding that strong health systems are crucial to sustain progress. Health systems, however, are complex and much of their success depends on factors operating at different levels and outside the health system, including broader governance and political commitment to health and social development priorities. Recognizing these complexities, this article offers a pragmatic approach to exploring the drivers of progress in maternal and child health in Mozambique, Nepal and Rwanda. To do this, the article builds on a semi-systematic literature review and case study findings, designed and analysed using a multi-level framework. At the macro level, governance with effective and committed leaders was found to be vital for achieving positive health outcomes. This was underpinned by clear commitment from donors coupled by a significant increase in funding to the health sector. At the meso level, where policies are operationalized, inter-sectoral partnerships as well as decentralization and task-shifting emerged as critical. At micro (service interface) level, community-centred models and accessible and appropriately trained and incentivized local health providers play a central role in all study countries. The key drivers of progress are multiple, interrelated and transversal in terms of their operation; they are also in a constant state of flux as health systems and contexts develop. Without seeking to offer a blueprint, the study demonstrates that a 'whole-system' approach can help elicit the key drivers of change and potential pathways towards desirable outcomes. Furthermore, understanding the challenges and opportunities that are instrumental to progress at each particular level of a health system can help policy-makers and implementers to navigate this complexity and take action to strengthen health systems.
BASE
The Association of Southeast Asian Nations, the European Union, the Southern African Development Community and the Union of South American Nations have increasingly been involved in health diplomacy in the past decade, yet little is known about how they frame health as a foreign policy issue and how this has an impact on their prioritisation of policies. For this, we conducted a review of existing grey and peer-reviewed literature that address regional integration and health, as well as a documentary review according to security, development, trade, human rights, moral/ethical reasonings and global public goods frames identified in the literature. The policy frames identified responded to the challenges these regions currently face. The Association of Southeast Asian Nation's struggle with re-emerging diseases has led to favouring a securitisation approach to health, the European Union approaches health as a cross-cutting policy issue, the Southern African Development Community presents health as a driver for development, and while the Union of South American Nations emphasises health as a human right and addresses the social determinants of health as an ethical imperative. Overall, these policy frames were useful in analysing the framing of health in foreign policy at the regional level. However, within our analysis, we identified a new frame that approaches health as an intersectoral issue. The impact of regional organisations' forward will depend on their ability to harness their convening power and speak in a coherent voice on health matters.
BASE
The Association of Southeast Asian Nations, the European Union, the Southern African Development Community and the Union of South American Nations have increasingly been involved in health diplomacy in the past decade, yet little is known about how they frame health as a foreign policy issue and how this has an impact on their prioritisation of policies. For this, we conducted a review of existing grey and peer-reviewed literature that address regional integration and health, as well as a documentary review according to security, development, trade, human rights, moral/ethical reasonings and global public goods frames identified in the literature. The policy frames identified responded to the challenges these regions currently face. The Association of Southeast Asian Nation's struggle with re-emerging diseases has led to favouring a securitisation approach to health, the European Union approaches health as a cross-cutting policy issue, the Southern African Development Community presents health as a driver for development, and while the Union of South American Nations emphasises health as a human right and addresses the social determinants of health as an ethical imperative. Overall, these policy frames were useful in analysing the framing of health in foreign policy at the regional level. However, within our analysis, we identified a new frame that approaches health as an intersectoral issue. The impact of regional organisations' forward will depend on their ability to harness their convening power and speak in a coherent voice on health matters.
BASE
In: Regions & cohesion: Regiones y cohesión = Régions et cohésion : the journal of the Consortium for Comparative Research on Regional Integration and Social Cohesion, Volume 9, Issue 1, p. 93-132
ISSN: 2152-9078
Health governance has become multi-layered as the combined result of decentralization, regional integration and the emergence of new
actors nationally and internationally. Whereas this has enhanced the
installed capacity for health response worldwide, this complexity also
poses serious challenges for health governance, health diplomacy and
health policy-making. This article focuses on one of these challenges,
namely the organization of statistical information flows at and between
governance levels, and the emerging role that regional organizations
play therein. Regional to national-level data flows are analyzed with the
use of two case studies focusing on UNASUR (Bolivia and Paraguay) and
SADC (Swaziland and Zambia). The results of the analysis lead to several policy recommendations at the regional and national levels.
This inception paper expatiates on the conditions that are necessary in determining the effectiveness of the European Union's (the EU's) leadership in science and cultural diplomacy (SCD) on regionalism and inter-regionalism in the South. These conditions include willingness, capacity and acceptance. Willingness delineates the scope of the ambition of the EU in SCD. Capacity covers elements that pertain to breadth and depth/ quality and quantity of resources mobilized and available to lead SCD that delivers results. Acceptance refers to the nature of the credibility that the EU is able to command both within and outside the Union respecting its influence to attract followers both amongst Member States of the Union as well as third states, regional and international organizations. The emphasis of the paper is on effectiveness in terms of impact on regionalism and inter-regionalism in the South. Focus is placed on regional and inter-regional processes/ initiatives in Africa, Southeast Asia and Latin America.
BASE
Social policy is often constructed and implemented by people who have little experience of its impact as a service user, but there has been a growing interest in greater public, patient and service user involvement in social policy as both political activity and academic discipline. Social Policy First Hand is the first comprehensive international social policy text from a participatory perspective and presents a new service user-led social policy that addresses the current challenges in welfare provision. A companion volume to Peter Beresford's bestselling All our welfare, it introduces the voices of different groups of service users, starting from their lived experience. With an impressive list of contributors, this important volume fills a gap in looking at social policy using participatory and inclusive approaches and the use of experiential knowledge in its construction. It will challenge traditional state and market-led approaches to welfare