Philanthropy and Global Health

2018 ◽  
pp. 408-425
Author(s):  
Jeremy Youde
Keyword(s):  
Global Health ◽  
Global Politics ◽  
Power Dynamics ◽  
Philanthropic Organizations ◽  
New Ideas ◽  
Historical Role ◽  
Financial Power ◽  
Gates Foundation ◽  
The Relationship ◽  
Health Agenda

The financial power of philanthropic organizations like the Bill and Melinda Gates Foundation has raised questions about the intersection of philanthropy and global health. This chapter examines how and whether philanthropy has an effect on the global health agenda. It begins by defining philanthropy and exploring how philanthropy operates in international relations, philanthropy’s historical role in global politics, and its relationship to larger power dynamics. The second section identifies key global health philanthropic actors and their roles in global health governance. The third section describes the potential positive roles that philanthropic organizations can play in global health, bringing new ideas and additional resources. The final section critiques the relationship between philanthropy and global health, paying particular attention to how financial clout could distort the global health agenda and whether philanthropy covers up larger structural imbalances that give rise to health problems.

scholarly journals Philanthrocapitalism: Promoting Global Health but Failing Planetary Health

Challenges ◽  
2019 ◽  
Vol 10 (1) ◽  
pp. 24 ◽  
Author(s):  
Colin Butler
Keyword(s):  
Global Health ◽  
Economic History ◽  
Fossil Fuels ◽  
Global Environmental Change ◽  
Planetary Health ◽  
Global Environmental ◽  
The Face ◽  
Gates Foundation ◽  
The Relationship

Focusing on the Bill and Melinda Gates Foundation (BMGF) as a case study, this paper explores the relationship between philanthrocapitalism, economic history, and global and planetary health. The Wellcome Trust is also briefly discussed, chiefly in the context of planetary health. The paper argues that in the last 45 years there has been an increased preference for market-based approaches, often called neoliberalism, particularly in the U.S. and its allies. This has generated greater inequality in many high-income settings and weakened the norm of taxation. This has provided a setting in which philanthrocapitalism has flourished, including the BMGF. The latter has in turn become an important actor for global health, partially balancing the adverse consequences of neoliberalism. Planetary health is here defined as the interaction between global health and global environmental change, including to the climate and other elements of the Earth System. Although the Wellcome Trust has recently made funds available for ecological health research, it continues to invest in fossil fuels. The Gates Foundation provide no or minimal grants for ecological or planetary health but appear to have recently substantially divested from fossil fuels, for unclear reasons. The paper concludes that these large philanthrocapitalist organizations partly compensate for the decline in attention to global health driven by market-preferring solutions, but remain insufficiently proactive in the face of the great dangers associated with declining planetary health.

Medical Migration and The Global Politics of Equality1

2018 ◽  
Author(s):  
Hannah Bradby
Keyword(s):  
National Health Service ◽  
Global Health ◽  
Premature Death ◽  
First Century ◽  
Global Politics ◽  
Healthcare Personnel ◽  
Medical Migration ◽  
Poor Countries ◽  
Sub Saharan ◽  
Foreign Doctors

Employing doctors and nurses who were trained overseas has been standard practice since the inception of the British National Health Service (NHS) in 1948. However, by the twenty-first century, recruitment of doctors from Africa was being compared with the slave trade in terms of its exploitative and damaging effects: ‘current policies of recruiting doctors from poor countries are a real cause of premature death and untreated disease in those countries and actively contribute to the sum of human misery.’ The assertion that employing foreign doctors was causing poor health in those doctors’ countries of origin was echoed in two reports from global health organisations, which stressed the emigration of skilled healthcare personnel from the sub-Saharan region of Africa as being related to concomitant deterioration in populations ife expectancy and declared a ‘global health workforce crisis.

Beyond Religious Freedom

2015 ◽  
Author(s):  
Elizabeth Shakman Hurd
Keyword(s):  
International Law ◽  
Religious Freedom ◽  
Nation Building ◽  
Global Politics ◽  
Power Dynamics ◽  
Religious Tolerance ◽  
Religious Minorities ◽  
Religious Difference ◽  
Power Difference ◽  
Ways Of Being

In recent years, North American and European nations have sought to legally remake religion in other countries through an unprecedented array of international initiatives. Policymakers have rallied around the notion that the fostering of religious freedom, interfaith dialogue, religious tolerance, and protections for religious minorities are the keys to combating persecution and discrimination. This book argues that these initiatives create the very social tensions and divisions they are meant to overcome. It looks at three critical channels of state-sponsored intervention: international religious freedom advocacy, development assistance and nation building, and international law. It shows how these initiatives make religious difference a matter of law, resulting in a divide that favors forms of religion authorized by those in power and excludes other ways of being and belonging. In exploring the dizzying power dynamics and blurred boundaries that characterize relations between “expert religion,” “governed religion,” and “lived religion,” the book charts new territory in the study of religion in global politics. The book provides new insights into today's most pressing dilemmas of power, difference, and governance.

Charting the Mode for Community Participation in Service Delivery

2019 ◽  
Vol 16 (1) ◽  
Author(s):  
Olayemi Bakre ◽  
Nirmala Dorasamy
Keyword(s):  
Service Delivery ◽  
Community Participation ◽  
Planning Process ◽  
Community Members ◽  
Community Inclusion ◽  
Community Needs ◽  
Local Municipalities ◽  
Process Failure ◽  
New Ideas ◽  
The Relationship

Poor service delivery has always been considered a legacy of the apartheid era. However, 25 years into democracy, many local municipalities are still battling with service delivery backlogs. These backlogs are often attributed to, for example, dysfunctional ward committees, corruption amongst councillors, exclusion of community members in the planning process, failure to prioritise community needs, and institutional capacity issues. These challenges have undermined municipalities’ provision of quality service delivery and have precipitated service delivery protests. This article argues that community participation, which has been identified as a factor that can mitigate the aforementioned challenges, can be pivotal in the provision of effective and efficient services by municipalities. The relationship between community inclusion and service delivery outcomes is not simplistic, but depend upon a combination of proactive and highly skilled leaders and a cooperative and supportive populace. In this article, we identify the modes for successful participation and also the consequences of community exclusion through textual analysis of pertinent sources. We argue that such participation can only be successful and sustainable if it is reinforced by support from local government in the form of community training and capacity development workshops to exchange and instil new ideas as well as by resource allocation.

The Effects of P75NTR on Learning Memory Mediated by Hippocampal Apoptosis and Synaptic Plasticity

2020 ◽  
Vol 26 ◽  
Author(s):  
Jun-Jie Tang ◽  
Shuang Feng ◽  
Xing-Dong Chen ◽  
Hua Huang ◽  
Min Mao ◽  
...  
Keyword(s):  
Synaptic Plasticity ◽  
Learning And Memory ◽  
Neurological Diseases ◽  
Neurotrophin Receptor ◽  
P75 Neurotrophin Receptor ◽  
Negative Effects ◽  
Apoptotic Effect ◽  
New Ideas ◽  
The Relationship

: Neurological diseases bring great mental and physical torture to the patients, and have long-term and sustained negative effects on families and society. The attention to neurological diseases is increasing, and the improvement of the material level is accompanied by an increase in the demand for mental level. The p75 neurotrophin receptor (p75NTR) is a low-affinity neurotrophin receptor and involved in diverse and pleiotropic effects in the developmental and adult central nervous system (CNS). Since neurological diseases are usually accompanied by the regression of memory, the pathogenesis of p75NTR also activates and inhibits other signaling pathways, which has a serious impact on the learning and memory of patients. The results of studies shown that p75NTR is associated with LTP/LTD-induced synaptic enhancement and inhibition, suggest that p75NTR may be involved in the progression of synaptic plasticity. And its pro-apoptotic effect is associated with activation of proBDNF and inhibition of proNGF, and TrkA/p75NTR imbalance leads to pro-survival or pro-apoptotic phenomena. It can be inferred that p75NTR mediates apoptosis in the hippocampus and amygdale, which may affect learning and memory behavior. This article mainly discusses the relationship between p75NTR and learning memory and associated mechanisms, which may provide some new ideas for the treatment of neurological diseases.

Spaces of Consumption in American Literary Realism

2019 ◽  
pp. 391-410
Author(s):  
Gary Totten
Keyword(s):  
Consumer Culture ◽  
Social Space ◽  
Natural World ◽  
Power Dynamics ◽  
Literary Realism ◽  
Natural Environments ◽  
Production And Consumption ◽  
The Social ◽  
The Relationship ◽  
New Strategies

This chapter discusses how consumer culture affects the depiction and meaning of the natural world in the work of American realist writers. These writers illuminate the relationship between natural environments and the social expectations of consumer culture and reveal how such expectations transform natural space into what Henri Lefebvre terms “social space” implicated in the processes and power dynamics of production and consumption. The representation of nature as social space in realist works demonstrates the range of consequences such space holds for characters. Such space can both empower and oppress individuals, and rejecting or embracing it can deepen moral resolve, prompt a crisis of self, or result in one’s death. Characters’ attempts to escape social space and consumer culture also provide readers with new strategies for coping with their effects.

Global Health and International Development

2018 ◽  
pp. 216-235
Author(s):  
Andrew Harmer ◽  
Jonathan Kennedy
Keyword(s):  
Climate Change ◽  
Sustainable Development ◽  
Global Health ◽  
Economic System ◽  
International Development ◽  
Sustainable Development Goals ◽  
The Sustainable Development ◽  
Development Goals ◽  
The Relationship ◽  
Global Population

This chapter explores the relationship between international development and global health. Contrary to the view that development implies ‘good change’, this chapter argues that the discourse of development masks the destructive and exploitative practices of wealthy countries at the expense of poorer ones. These practices, and the unregulated capitalist economic system that they are part of, have created massive inequalities between and within countries, and potentially catastrophic climate change. Both of these outcomes are detrimental to global health and the millennium development goals and sustainable development goals do not challenge these dynamics. While the Sustainable Development Goals acknowledge that inequality and climate change are serious threats to the future of humanity, they fail to address the economic system that created them. Notwithstanding, it is possible that the enormity and proximity of the threat posed by inequality and global warming will energise a counter movement to create what Kate Raworth terms ‘an ecologically safe and socially just space’ for the global population while there is still time.

scholarly journals The power-trust cycle in global health: Trust as belonging in relations of dependency

2021 ◽  
pp. 1-21
Author(s):  
Emma-Louise Anderson ◽  
Laura Considine ◽  
Amy S. Patterson
Keyword(s):  
Global Health ◽  
Health Outcomes ◽  
Positive Health ◽  
Global Health Initiatives ◽  
Health Initiatives ◽  
Power Trust ◽  
Trust And Power ◽  
Positive Health Outcomes ◽  
Exercise Of Discretion ◽  
The Relationship

Abstract Trust between actors is vital to delivering positive health outcomes, while relationships of power determine health agendas, whose voices are heard and who benefits from global health initiatives. However, the relationship between trust and power has been neglected in the literatures on both international politics and global health. We examine this relationship through a study of relations between faith based organisations (FBO) and donors in Malawi and Zambia, drawing on 66 key informant interviews with actors central to delivering health care. From these two cases we develop an understanding of ‘trust as belonging’, which we define as the exercise of discretion accompanied by the expression of shared identities. Trust as belonging interacts with power in what we term the ‘power-trust cycle’, in which various forms of power undergird trust, and trust augments these forms of power. The power-trust cycle has a critical bearing on global health outcomes, affecting the space within which both local and international actors jockey to influence the ideologies that underpin global health, and the distribution of crucial resources. We illustrate how the power-trust cycle can work in both positive and negative ways to affect possible cooperation, with significant implications for collective responses to global health challenges.

scholarly journals Analyzing efforts to synergize the global health agenda of universal health coverage, health security and health promotion: a case-study from Ethiopia

2021 ◽  
Vol 17 (1) ◽  
Author(s):  
Amare Worku Tadesse ◽  
Kassu Ketema Gurmu ◽  
Selamawit Tesfaye Kebede ◽  
Mahlet Kifle Habtemariam
Keyword(s):  
Health Promotion ◽  
Global Health ◽  
Health System ◽  
Universal Health Coverage ◽  
World Health ◽  
Health Coverage ◽  
Health Security ◽  
Universal Health ◽  
Health Agenda

Abstract Background Evidence exists about synergies among universal health coverage, health security and health promotion. Uniting these three global agendas has brought success to the country’s health sector. This study aimed to document the efforts Ethiopia has made to apply nationally synergistic approaches uniting these three global health agendas. Our study is part of the Lancet Commission on synergies between these global agendas. Methods We employed a case study design to describe the synergistic process in the Ethiopian health system based on a review of national strategies and policy documents, and key informant interviews with current and former policymakers, and academics. We analyzed the “hardware” (using the World Health Organization’s building blocks) and the “software” (ideas, interests, and power relations) of the Ethiopian health system according to the aforementioned three global agendas. Results Fragmentation of health system primarily manifested as inequities in access to health services, low health workforce and limited capacity to implementation guidelines. Donor driven vertical programs, multiple modalities of health financing, and inadequate multisectoral collaborations were also found to be key features of fragmentation. Several approaches were found to be instrumental in fostering synergies within the global health agenda. These included strong political and technical leadership within the government, transparent coordination, and engagement of stakeholders in the process of priority setting and annual resource mapping. Furthermore, harmonization and alignment of the national strategic plan with international commitments, joint financial arrangements with stakeholders and standing partnership platforms facilitated efforts for synergy. Conclusions Ethiopia has implemented multiple approaches to overcome fragmentation. Such synergistic efforts of the primary global health agendas have made significant contributions to the improvement of the country’s health indicators and may promote sustained functionality of the health system.

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