Theorizing Feminist Health Security

Author(s):  
Clare Wenham

This chapter conceptualises global health security, discussing its genesis and how it has been theorised. First, the chapter establishes that global health security has failed to consider women and the gendered impact of securitised health policy then conversely, explores how feminists have contended with other security debates, through analysing the sub-discipline of feminist security studies (FSS). FSS seeks to understand women within the security terrain but has yet to consider global health as an area of security analysis. The chapter demonstrates why it is so vital to develop a dialogue between feminist theory and global health security for meaningful development in pandemic preparedness and response activities. It also provides a springboard for the following empirical chapters which engage with a range of further feminist concepts to explore the empirical case of Zika and highlight the need to engage with feminist approaches in order to develop a more comprehensive response to health emergencies and ensure truly global health security.

2021 ◽  
Vol 49 (3) ◽  
pp. 503-508
Author(s):  
Lawrence O. Gostin ◽  
Benjamin Mason Meier ◽  
Barbara Stocking

AbstractRecognizing marked limitations of global health law in the COVID-19 pandemic, a rising number of states are supporting the development of a new pandemic treaty. This prospective treaty has the potential to clarify state obligations for pandemic preparedness and response and strengthen World Health Organization authorities to promote global health security. Examining the essential scope and content of a pandemic treaty, this column analyzes the policymaking processes and substantive authorities necessary to meet this historic moment.


2021 ◽  
Author(s):  
Sophie Harman

Abstract COVID-19 had led to long overdue visibility of the gendered determinants and impacts of health emergencies and global health security. This article explores why gender was neglected in previous health emergencies, what led to change in visibility of gender issues during the first six months of the COVID-19 pandemic, and the implications of such change for understanding the relationship between gender and global health security. The article explores the question of neglect by drawing on original research into the 2014–16 Ebola outbreak in Sierra Leone, its aftermath and implications for future pandemic preparedness. The article then looks in detail at the research efforts, funding, epistemic community activism and impact of COVID-19 to explain why gender received high profile political attention and acknowledgment. The article argues that the change in visibility, research and advocacy around gender equality during the COVID-19 outbreak does not demonstrate an advancement in gender equality in global health. To the contrary, such visibility reinforces the inherent problems of global health security evident in the 2014–16 Ebola outbreak that create and reproduce binaries of neglect and visibility, and hierarchies of the global health issues that matter, the people that matter and the women that matter. What unites neglect and visibility of gender in global health security is that gender is understood as solution rather than threat. Combined these factors make gender equality incompatible with global health security.


2021 ◽  
Vol 33 (2) ◽  
pp. 407-410
Author(s):  
Suneela Garg ◽  
Nidhi Bhatnagar ◽  
Ekta Arora ◽  
Pradeep Aggarwal

As the world has become a global village with increasing socio-economic interdependence, health, security and stability issues are imposing interrelated global impacts. Thus, activities supporting epidemic and pandemic preparedness are needed to minimize vulnerability to acute public health events. Coordination mechanisms must be pre-established for diagnostics, therapeutics and research as emergencies often lead to competition and shortage of resources. This paper attempts to discuss the available global health security measures at the time of COVID 19 pandemic.


Author(s):  
Enoch J Abbey ◽  
Banda A. A Khalifa ◽  
Modupe O. Oduwole ◽  
Samuel K. Ayeh ◽  
Richard D. Nudotor ◽  
...  

ABSTRACT The ongoing COVID-19 pandemic has devastated many countries with ripple effects felt in various sectors of the global economy. In November 2019, the Global Health Security (GHS) Index was released as the first detailed assessment and benchmarking of 195 countries to prevent, detect, and respond to infectious disease threats. This paper presents the first comparison of Organization for Economic Cooperation and Development OECD countries' performance during the pandemic, with the pre-COVID-19 pandemic preparedness as determined by the GHS Index. Using a rank-based analysis, four indices were compared between select countries, including total cases, total deaths, recovery rate, and total tests performed, all standardized for comparison. Our findings suggest a discrepancy between the GHS index rating and the actual performance of countries during this pandemic, with an overestimation of the preparedness of some countries scoring highly on the GHS index and underestimation of the preparedness of other countries with relatively lower scores on the GHS index.


Economies ◽  
2020 ◽  
Vol 8 (3) ◽  
pp. 60
Author(s):  
Noura Eissa

The motive behind this article is investigating alternative indicator measures for the effectiveness of public health expenditure on pandemic preparedness, to explain the reasons behind country variations in containing crises such as Coronavirus disease 2019 (COVID-19). The purpose is to analyse the shortcomings in the relationship between global public health expenditure and pandemic preparedness. The research methodology includes a macro-analysis of global health spending patterns, empirical and theoretical literature on global health expenditure, global health security indexes, and country case studies pre- and post-crisis. The results show that gaps in pandemic preparedness were already existent pre-COVID-19, calling for a new mind-set in the way public health expenditure is structured. Healthcare sustainability indicators should transition from traditional measures such as economic growth rates, public health expenditure rates, revenue coming from the healthcare sector, and rankings in the global health security index, to new awareness indicators. Public health expenditure, a facilitator of pandemic preparedness, coupled with the resilience of healthcare systems, could be used in conjunction with the traditional factors, along with the time element of a quick response to pandemic through preparedness schemes, the progress towards achieving sustainable health through the implementation of the United Nations Sustainable Development Goals, and investment in national healthcare capital to ensure efficient resource allocation. The policy recommendations are the restructuring of public expenditure to expand the absorptive capacities of healthcare institutes, eventually leading to sustainability and universal health insurance.


2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
N E DeShore ◽  
J A Johnson ◽  
P Malone ◽  
R Greenhill ◽  
W Wuenstal

Abstract Background Member States lack of compliance with 2005 IHR implementation led to the launched of the Global Health Security Agenda. This research will provide an understanding of how the Global Health Security Agenda Steering Group (GHSA SG) governance interventions impact health system performance and global health security. This will enhance the understanding of a Steering Group's governance interventions in complex Global Health initiatives. Research questions: To what extent have GHSA SG governance interventions contributed towards enabling health system performance of WHO Member States? To what extent have GHSA SG governance interventions contributed towards the implementation of global health security among WHO Member States? Methods Correlational analysis using Spearman's rho examined the relationship between governance, health system performance and global health security variables at one point in time. A convenience non-probability sample consisting of eight WHO Member States was used. SPSS Statistics generated the bivariate correlation analyzes. Results Governance and health system performance analysis indicated a statistically significant strong positive effect size in 11 out of 18 and moderate positive effect size in the remaining seven out of 18 health system performance indicators. Governance and global health security analysis concluded three of the governance indicators had strong and moderate positive coefficients. Global health security variables demonstrated weak effects in the remaining three governance indicators. Conclusions This study presents a case for health systems embedding in global health security. Health system performance is only as effective at protecting populations when countries achieve core capacities of preparedness and response to global health threats. The associations provide stakeholders information about key characteristics of governance that influence health system performance and global health security implementation. Key messages This study provides an argument for the continued support of the GHSA 2024 Framework with implementation of global health security capabilities and meeting 2005 IHR requirements. The GHSA SG governance role remains profoundly important in establishing sustainable efforts internationally towards achieving the objectives of the GHSA in support of the 2005 IHR standards.


2014 ◽  
Vol 6 (4) ◽  
pp. 329-330
Author(s):  
Arnauld Nicogossian ◽  
Edward J. Septimus ◽  
Otmar Kloiber ◽  
Bonnie Stabile ◽  
Thomas Zimmerman

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