Policy responses to COVID-19 present a window of opportunity for a paradigm shift in global health policy: An application of the Multiple Streams Framework as a heuristic

The global health governance (GHG) literature frames health variously as a matter of security and foreign policy, human rights, or global public good. Divergence among these perspectives has forestalled the development of a consensus vision for global health. Global health policy will differ according to the frame applied. Fundamentally, GHG today operates on a rational actor model, encompassing a continuum from the purely self-interest-maximizing position at one extreme to a more nuanced approach that takes others’ interests into account when making one’s own calculations. Even where humanitarian concerns are clearly and admirably at play, however, the problem of motivations remains. Often narrow self-interest is also at work, and actors obfuscate this behind altruistic motives.

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Global Health Policy, Local Realities: The Fallacy of the Level Playing Field:Global Health Policy, Local Realities: The Fallacy of the Level Playing Field.

American Anthropologist ◽

10.1525/aa.2002.104.1.387 ◽

2002 ◽

Vol 104 (1) ◽

pp. 387-388

Author(s):

Sue Gena Lurie

Keyword(s):

Health Policy ◽

Global Health ◽

Level Playing Field ◽

Playing Field ◽

Global Health Policy

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Operationalizing the Ethical Review of Global Health Policy and Systems Research: A Proposed Checklist

The Journal of Law Medicine & Ethics ◽

10.1017/jme.2021.15 ◽

2021 ◽

Vol 49 (1) ◽

pp. 92-122

Author(s):

Abbas Rattani ◽

Adnan A. Hyder

Keyword(s):

Health Policy ◽

Global Health ◽

Ethical Review ◽

Systems Research ◽

Global Health Policy ◽

Health Policy And Systems

AbstractThere has been growing consensus to develop relevant guidance to improve the ethical review of global health policy and systems research (HPSR) and address the current absence of formal ethics guidance.

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Getting human rights right in global health policy

The Lancet ◽

10.1016/s0140-6736(14)61418-5 ◽

2015 ◽

Vol 385 (9978) ◽

pp. e42-e44 ◽

Cited By ~ 6

Author(s):

John Tasioulas ◽

Effy Vayena

Keyword(s):

Human Rights ◽

Health Policy ◽

Global Health ◽

Global Health Policy

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Global Health Inequalities and Justice

Understanding Health Inequalities and Justice ◽

10.5149/northcarolina/9781469630359.003.0003 ◽

2016 ◽

Cited By ~ 1

Author(s):

Jennifer Prah Ruger

Keyword(s):

Health Policy ◽

Global Health ◽

Health Inequalities ◽

Health Governance ◽

Policy System ◽

Global Institutions ◽

Policy Goals ◽

Global Health Policy ◽

Health Justice ◽

Shared Health Governance

This chapter discusses challenges of global health inequalities in the current global health policy system. It then describes provincial globalism and a shared health governance framework as approaches to these challenges. Moral philosophers have for some time argued that global poverty and associated human suffering are universal concerns and that there is a moral obligation, beyond matters of charity, for wealthier countries to do more. Being serious about addressing the problem of global health inequalities requires developing a conception of global health justice. Moreover, addressing global health inequalities requires a reexamination of the norms and principles underlying global institutions in order to offer proposals for a better global health policy. This chapter sketches analytical components of provincial globalism, a framework that takes individuals to be the moral unit in both domestic and global contexts and that improves the prospects of alleviating global health inequalities. Provincial globalism promotes the realization of individuals’ health capabilities and supports a shared health governance that enables institutions to reexamine the objectives, policy goals, and decision-making procedures of the global health architecture. Shared health governance, in turn, provides standards for regulating global and domestic institutions and practices to create the conditions for realizing individuals’ health capabilities.

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