The Future of Global Governance for Health

Author(s):  
Michel Sidibé ◽  
Helena Nygren-Krug ◽  
Bronwyn McBride ◽  
Kent Buse

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.

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Bingsheng Liu ◽  
Tao Wang ◽  
Jiaming Zhang ◽  
Xiaoming Wang ◽  
Yuan Chang ◽  
...  

AbstractAchieving the Sustainable Development Goals (SDGs) is a long-term task, which puts forward high requirements on the sustainability of related policies and actions. Using the text analysis method, we analyze the China National Sustainable Communities (CNSCs) policy implemented over 30 years and its effects on achieving SDGs. We find that the national government needs to understand the scope of sustainable development more comprehensively, the sustained actions can produce positive effects under the right goals. The SDGs selection of local governments is affected by local development levels and resource conditions, regions with better economic foundations tend to focus on SDGs on human well-being, regions with weaker foundations show priority to basic SDGs on the economic development, infrastructures and industrialization.


2016 ◽  
Vol 2016 ◽  
pp. 1-5 ◽  
Author(s):  
Shahirose S. Premji ◽  
Jennifer Hatfield

The 13 million nurses worldwide constitute most of the global healthcare workforce and are uniquely positioned to engage with others to address disparities in healthcare to achieve the goal of better health for all. A new vision for nurses involves active participation and collaboration with international colleagues across research practice and policy domains. Nursing can embrace new concepts and a new approach—“One World, One Health”—to animate nursing engagement in global health, as it is uniquely positioned to participate in novel ways to improve healthcare for the well-being of the global community. This opinion paper takes a historical and reflective approach to inform and inspire nurses to engage in global health practice, research, and policy to achieve the Sustainable Development Goals. It can be argued that a colonial perspective currently informs scholarship pertaining to nursing global health engagement. The notion of unidirectional relationships where those with resources support training of those less fortunate has dominated the framing of nursing involvement in low- and middle-income countries. This paper suggests moving beyond this conceptualization to a more collaborative and equitable approach that positions nurses as cocreators and brokers of knowledge. We propose two concepts, reverse innovation and two-way learning, to guide global partnerships where nurses are active participants.


2017 ◽  
Vol 1 (1) ◽  
pp. 47-60 ◽  
Author(s):  
Remco Van de Pas ◽  
Peter S. Hill ◽  
Rachel Hammonds ◽  
Gorik Ooms ◽  
Lisa Forman ◽  
...  

2020 ◽  
Vol 41 (1) ◽  
Author(s):  
Patrick Dzimiri ◽  
Richard Obinna Iroanya ◽  
Rachidi Molapo

This paper considers the possibility of realizing “peaceful and inclusive societies for sustainable development; providing access to justice for all and building effective, accountable and inclusive institutions at all levels specifically in Africa”. This is goal 16 of the United Nations Sustainable Development Goals (SDGs). As configured, peace, security and development are treated as integral subsets of sustainable development. The paper contends that this goal holds the key to the realization of other SDGs in the African context. In examining the achievability of this goal, the concept and essence of development in general and sustainabledevelopment in particular were examined. The paper argues that the well-being of a state and its people is the primary essence of development. Furthermore, development is considered as connoting a state’s capacity to provide enabling conditions such as peace and freedom that sustain general well-being. Development is also a characteristic of a state-system which cannot sustain itself in the absence of peace, security and democracy. The approach and method followed in the paper are largely qualitative and analytical. Data from documentary analysis were relied upon to develop a conceptual framework of peace, security, democracy and development. Findings show that the evolvement of sustainable development remains difficult in Africa because Africa’s development trajectory remains largely disconnected and disjointed. For Africa to achieve sustainable development goals (SDGs), serious peace and security challenges must be effectively addressed. Broad suggestions to ensure that well-articulated development paradigm in which peace, security, democracy and policy stability are strategically positioned, linked and integrated to the degree that they provide mutual support and reinforcement to one another are made.


Author(s):  
Patricia Rivera-Acosta ◽  
Rosa Elia Martinez-Torres

Mexico has a high potential in terms of mineral resources, promoting investment, employment generation and strong fiscal contributions; mining activity at the national level has incorporated strategies that also allow it to comply with environmental protection requirements, so it recognizes that sustainable development allows it to harmonize this economic growth, with the right of future generations to achieve their well-being. Based on the descriptions provided in a Focus Group composed of the members of Minera Tierra Adentro, environmental challenges are identified that the Mexican Mining and Metallurgical Industry faces with respect to the fulfillment of goals derived from the Sustainable Development Goals (UN, 2015). Therefore, the objective of this work is to describe the main environmental challenges currently faced by mining companies in Mexico, to contribute as a sector oriented towards sustainability. The methodology, of qualitative nature, includes documentary research and the analysis of different sources of information through its reading and reflection, the Focal Group is also used as a technique for the collection of information.


Author(s):  
Ronald Labonté ◽  
Arne Ruckert

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.


Author(s):  
Nora Engel ◽  
Agnes Meershoek ◽  
Anja Krumeich

In contrast to the millennium development goals (MDGs), the sustainable development goals (SDGs) entail a universal and equitable approach to global health by defining health problems as multidimensional issues. SDG3, which aims to “ensure healthy lives and promote well‐being for all at all ages,” targets a broad range of communicable diseases, mother and child health, noncommunicable diseases, mental health, substance abuse, traffic accidents, and health threats from hazardous environmental pollution, and to that end suggests supporting research and development of appropriate technology. This chapter will review how science, technology and innovation (STI) are conceptualized in the SDGs and how they are assumed to tackle health inequalities. Inspired by insights from science and technology studies, and using examples from the authors’ ethnographic studies on development and implementation of point-of-care diagnostics and development of cookstoves, it will discuss what the challenges are with the way in which STI is conceptualized in SDG policies. Based on these analyses, the authors propose a responsive and responsible approach to STI that is based on a thick description of the different stakeholder settings involved and of their perceptions and needs; takes the coproduction of knowledge, innovation, and society into consideration; and continuously reflects on the (un-)intended consequences.


2016 ◽  
Vol 02 (03) ◽  
pp. 327-346
Author(s):  
Colin I. Bradford

The 2016 G20 Summit in Hangzhou takes place within a tense global political context. The outcome of the UK Brexit referendum in June revealed the deep divide between the politics of competitive nationalism and the commitment to international cooperation. It also reflected the depth of public reaction to global economic integration and the absence of response to public anxieties about social well-being and environmental sustainability from the political middle in many countries. China’s hosting of the G20 Summit presents an opportunity to turn a corner in global summitry by strengthening global leadership at this critical juncture, while China’s ability to do so depends on the willingness of other G20 members to comprehensively address public anxieties. The UN 2030 Agenda and the Paris Climate Agreement, both reached in 2015, do provide political and policy answers to the public anxieties. The question is the effectiveness of the initiatives governments are taking to implement them, which could be framed together to achieve sustainability for all in the face of serious, demonstrable systemic risks. Many governments may resist this level of ambition and prefer to strike a lower profile as the world shifts its focus from goal setting in 2015 to goal implementation in 2016. Yet even with this less ambitious approach, there are ways that G20 countries can initiate processes that engage stakeholders in envisioning the future and developing alternative approaches and pathways to move their nations toward where they need to be by 2030 in terms of social, economic, and environmental sustainability. As people-centered and planet-centered agendas, the sustainable development goals (SDGs) set in the UN 2030 Agenda and the Paris Climate Agreement have the policy content necessary to provide hope and direction for anxious publics. Similarly, it is hopeful that G20 leaders can develop narratives and define commitments to address the economic insecurity of their people and in the meantime strengthen the G20’s role in global governance.


2020 ◽  
Vol 3 (2) ◽  
pp. 1-4
Author(s):  
Caroline Zabiegaj-Zwick ◽  
◽  
Andrew Brown ◽  
Marie-Louise Loos ◽  
Stewart Cleeve ◽  
...  

Children have the right to a safe environment and to protection from violence and injury. In addition, state authorities should safeguard the child’s well-being considering the rights and duties of his or her parents, legal guardian, or other legally responsible individuals. Institutions, facilities and services that are responsible for the of children should observe standards of safety, health, staff suitability and competent supervision. This is enshrined in article 3 of the Convention on the Rights of the Child, the most widely ratified convention worldwide with 194 signatory states (Jamal, 2014; United Nations [UN], 1989). The WHO-Lancet Commission report released in February 2020 shows that very few countries have attained the Sustainable Development Goals (SGDs) set out 5 years ago.


Author(s):  
Benjamin Mason Meier ◽  
Lawrence O. Gostin

This concluding chapter analyzes the structural determinants of human rights mainstreaming for global health and considers common themes for the implementation of human rights through global governance for health. Human rights are implemented in global health through a dynamic global governance system—extending across the World Health Organization’s mandate to realize the right to health; United Nations specialized agency efforts to address health-related human rights; economic governance to support rights-based priorities in public health funding; and human rights governance to advance global health. The unique context of each institution is crucial to implementing human rights for global health; however, there are generalizable institutional themes that can be drawn from these experiences. By comparing the structures that facilitate organizational efforts to advance human rights across the contributing chapters in this edited volume, it becomes possible to understand the institutional determinants of the rights-based approach to health.


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