Governance

2017 ◽  
Author(s):  
Joia S. Mukherjee
Keyword(s):  
Global Health ◽  
Health System ◽  
Global Governance ◽  
Health Sector ◽  
Nation State ◽  
System A ◽  
Health Strategy ◽  
External Forces ◽  
Globalized World ◽  
Global Governance For Health

This chapter focuses on governance, a key building block of a health system. A government is responsible for the health of its people. It sets the health strategy and oversees the implementation of health programs. External forces and actors influence the governance of the health sector. This chapter explores governance of health from the perspective of the nation-state coordinating its own health system (sometimes called governance for global health). The chapter examines the internal and external forces that influence national governance for global health. The chapter also looks beyond the level of the nation-state to explore the concept of global governance for health. In the interconnected and globalized world, global governance for health is needed to coordinate the geopolitical forces that impact health and its social determinants.

scholarly journals Power asymmetries in global governance for health: a conceptual framework for analyzing the political-economic determinants of health inequities

2019 ◽  
Vol 15 (S1) ◽  
Author(s):  
Alexander Kentikelenis ◽  
Connor Rochford
Keyword(s):  
Global Health ◽  
Global Governance ◽  
Social Action ◽  
Health Inequities ◽  
The Political ◽  
Economic Determinants ◽  
Integrative Framework ◽  
Power Asymmetries ◽  
Political Economic ◽  
Global Governance For Health

Abstract Background Recent scholarship has increasingly identified global power asymmetries as the root cause of health inequities. This article examines how such asymmetries manifest in global governance for health, and how this impacts health outcomes. Results We focus on the political-economic determinants of global health inequities, and how these determinants operate at different levels of social action (micro, meso, and macro) through distinct but interacting mechanisms. To clarify how these mechanisms operate, we develop an integrative framework for examining the links between global neoliberalism—the currently dominant policy paradigm premised on advancing the reach of markets and promoting ever-growing international economic integration—and global health inequities, and show how these mechanisms have macro–macro, macro–meso–macro, and macro–micro–macro manifestations. Conclusions Our approach enables the design of theoretically-nuanced empirical strategies to document the multiple ways in which the political economy entrenches or, alternatively, might ameliorate global health inequities.

scholarly journals Recent changes in the Malawi Health System: A time for reflection

2019 ◽  
Vol 31 (4) ◽  
pp. 223-224
Author(s):  
Adamson S Muula
Keyword(s):  
Health System ◽  
Health Sector ◽  
System A ◽  
Key Issues

In this editorial I intend to present a summary of the key issues which have happened in the health sector in Malawi up to the end of 2019. I do believe doing so not only preserves the record but also encourages discussion and debate that may impact the health sector.

scholarly journals Applying the WHO recommendations on health-sector response to violence against women to assess the Spanish health system. A mixed methods approach

2014 ◽  
Vol 28 (3) ◽  
pp. 238-241 ◽  
Author(s):  
Isabel Goicolea ◽  
Carmen Vives-Cases ◽  
Fauhn Minvielle ◽  
Erica Briones-Vozmediano ◽  
Ann Öhman
Keyword(s):  
Mixed Methods ◽  
Health System ◽  
Violence Against Women ◽  
Health Sector ◽  
Mixed Methods Approach ◽  
System A ◽  
Spanish Health

The Future of Global Governance for Health

2018 ◽  
Author(s):  
Michel Sidibé ◽  
Helena Nygren-Krug ◽  
Bronwyn McBride ◽  
Kent Buse
Keyword(s):  
Global Health ◽  
Global Governance ◽  
Well Being ◽  
Decision Makers ◽  
Access To Justice ◽  
The Sustainable Development ◽  
Development Goals ◽  
The Right ◽  
Development Paradigm ◽  
Global Governance For Health

This chapter argues that the current global health agenda has failed to put people and their rights at the center. With communities unable to have their voices heard, challenge injustice, and hold decision makers to account, states are ill-equipped to realize the Sustainable Development Goals (SDGs), including SDG 3 to ensure healthy lives and well-being for all. The chapter articulates a shift from a discretionary development paradigm to a rights-based paradigm for global health, building on rights-based approaches that have been proven to work—as in the AIDS response. Seven reforms are proposed, addressing: (1) priority-setting, (2) systems for health, (3) data and monitoring, (4) access to justice, (5) the need to safeguard the right to health across sectors, (6) partnerships, and (7) financing. These reforms call for a broad social movement for global governance for health, advancing and operationalizing rights-based approaches across the SDGs.

Overcoming gridlock

2019 ◽  
pp. 343-363
Author(s):  
Ronald Labonté ◽  
Arne Ruckert
Keyword(s):  
Decision Making ◽  
Global Health ◽  
Global Governance ◽  
Global Health Governance ◽  
Health Governance ◽  
The Sustainable Development ◽  
The World ◽  
Policy Agendas ◽  
Health Organization ◽  
Global Governance For Health

Global health governance describes when health organizations, such as the World Health Organization, hold the policy reins. The existence of too many global bodies often with too little authority and frequently with competing policy agendas is giving rise to gridlock in global health governance. At the same time, there are calls to expand this conceptualization to embrace global governance for health, where greater efforts are made to insert health priorities into the decision-making of non-health bodies such as the World Trade Organization, the International Monetary Fund, and other United Nations or international policy forums. The recently minted concept of global health diplomacy describes efforts to understand, and to encourage, greater government engagement with health issues in their international relations and foreign policy decision-making. Although such decision-making is often challenged by competing government goals or interests, the Sustainable Development Goals could be used as an anchor to create stronger global governance for health.

scholarly journals The role of women's leadership and gender equity in leadership and health system strengthening

2017 ◽  
Vol 2 ◽  
Author(s):  
R. Dhatt ◽  
S. Theobald ◽  
S. Buzuzi ◽  
B. Ros ◽  
S. Vong ◽  
...  
Keyword(s):  
Global Health ◽  
Health System ◽  
Gender Equity ◽  
Life Histories ◽  
Health Workers ◽  
Health Sector ◽  
Women's Leadership ◽  
Health System Strengthening ◽  
Gender And Leadership ◽  
Gender Biases

Gender equity is imperative to the attainment of healthy lives and wellbeing of all, and promoting gender equity in leadership in the health sector is an important part of this endeavour. This empirical research examines gender and leadership in the health sector, pooling learning from three complementary data sources: literature review, quantitative analysis of gender and leadership positions in global health organisations and qualitative life histories with health workers in Cambodia, Kenya and Zimbabwe. The findings highlight gender biases in leadership in global health, with women underrepresented. Gender roles, relations, norms and expectations shape progression and leadership at multiple levels. Increasing women's leadership within global health is an opportunity to further health system resilience and system responsiveness. We conclude with an agenda and tangible next steps of action for promoting women's leadership in health as a means to promote the global goals of achieving gender equity.

Global Health Diplomacy: A Theoretical and Analytical Review

2020 ◽  
Author(s):  
Celia Almeida
Keyword(s):  
Global Health ◽  
Global Governance ◽  
National Level ◽  
Health Sector ◽  
Global Health Diplomacy ◽  
Health Diplomacy ◽  
Global Health Policy ◽  
Analytical Review ◽  
Definition Of ◽  
The Cold War

The end of the Cold War brought far-reaching world changes in many areas, including the health field. A number of “new” terms emerged (such as global health, global governance, and global health governance or global governance for health), among them global health diplomacy (or health diplomacy). There is no single, consensual definition of this term, and still less are there theoretical and analytical frameworks or empirical data to help understand its meaning and practice more clearly. Global health diplomacy is a sociopolitical practice involving the global health policy community, which promotes the interrelationship between health and foreign policy both at the national level, through cooperation projects or international actions and, in international arenas, by acting in global political space in the widest range of spheres, whether health-sector-related or otherwise.

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