scholarly journals Global health diplomacy in Mexico: insights from key actors in the field

2021 ◽  
Vol 17 (1) ◽  
Author(s):  
German Guerra ◽  
Emanuel Orozco ◽  
Paulina Jiménez ◽  
Arne Ruckert ◽  
Ronald Labonté ◽  
...  

Abstract Background Global health diplomacy (GHD) focuses on the actions taken by diverse stakeholders from different nations –governments, multilateral agents, and civil society– to phenomena that can affect population health and its determinants beyond national borders. Although the literature on conceptual advancements of GHD exists, empirical studies about how health becomes an issue of relevance for foreign policy are scarce. We present an analysis of the entry processes of health into the foreign policy and diplomatic domains in Mexico from the perspective of key informants of three different sectors. Methods A purposive sample of high-rank representatives of three sectors involved in GHD was designed: Two from Health Sector (HS), four from Foreign Affairs Sector (FAS), and three from Non-governmental organizations (NGOs). Nine semi-structured interviews were conducted exploring the topics of: (1) Health concerns entering diplomatic and foreign policy; (2) Processes that allow actors to influence foreign policy and negotiation and; (3) Impact of multilateral negotiations on decision-making at the national level. Results Our analysis suggests that GHD in Mexico is hierarchically driven by the FAS and health concerns only enter foreign policy when they are relevant to national priorities (such as trade or security). HS possesses a lesser degree of influence in GHD, serving as an instance of consultation for the FAS when deciding on health-related issues at global meetings (i.e., World Health Assembly). NGOs resort to lobbying, advocacy, networking, and coalition-working practices with other sectors (academy, think-tanks) to prevent harmful impacts on local health from multilateral decisions and as a mean to compensate its power asymmetry for influencing GHD processes in relation to the government. Conclusions GHD in Mexico occurs in a context of asymmetric power relationships where government actors have the strongest influence. However, NGOs’ experience in raising awareness of health risks needs to be weighted by government decision-makers. This situation calls for capacity building on intersectoral communication and coordination to create formal mechanisms of GHD practices, including the professionalization and training on GHD among government agencies.

BMJ ◽  
2011 ◽  
Vol 342 (jun10 1) ◽  
pp. d3154-d3154 ◽  
Author(s):  
I. Kickbusch

Author(s):  
Akram Khazatzadeh-Mahani ◽  
Arne Ruckert ◽  
Ronald Labonté

Health issues have received unprecedented attention in global policy negotiations in recent decades. Ongoing global health challenges, the pressing need to address global health disparities, and recent calls for collaboration as part of the sustainable development goals process have contributed to increasing consideration of the intersection among global health, foreign policy, and diplomacy. These developments have resulted in ‘global health diplomacy’. This chapter examines the links between health and foreign policy and how global health diplomacy is employed to influence global politics. It further investigates some of the instruments used in global health diplomacy, including recommendations/resolutions, international agreements, and regulations. How and why health issues reach the political agendas of foreign ministries are also examined. The chapter then discusses how to evaluate and improve global health diplomacy processes and raises research questions for advancing the academic study of global health diplomacy and why it remains important.


Author(s):  
Dovana Hasiana ◽  
Richo Sunjaya ◽  
Salsabila Putri B ◽  
Clariza Farell

COVID – 19 is an unprecedented occasion that forces every state to adapt to the current changes in the dynamics of international relations. The impacts that are given by the Pandemic are not only on the health aspects, but also give the spillover effects to some aspects, such as economy and social, as the result of the closed-border policy and the restrictions policy on trading. By that means, the holistic and comprehensive approaches are needed to tackle the pandemic. Furthermore, Global Health Diplomacy is considered as one of the instruments or means to tackle the impacts of it. Notwithstanding, there are some states which implement the Me First Policy, especially at the beginning of the Pandemic. This paper examines Indonesia Foreign Policy through Global Health Diplomacy during COVID – 19 and to analyses the characteristics of the policy, either cooperative or competitive. This paper uses the concept of Global Health Diplomacy by Kickbusch and Told on 21st Century Health Diplomacy: A New Relationship between Foreign Policy and Health, Global Health Diplomacy: The Need for New Perspectives, Strategic Approaches and Skills in Global Health, by Kickbusch, Ilona; Silberschmidt, Gaudenz; Buss, Paulo and the concept of Global Health Diplomacy by Khazatzadeh-Mahani, A., Ruckert, A., & LabontÉ, R Through its Global Health Diplomacy, Indonesia is aiming to implement the policy which are based on the solidarity and cooperativeness.


2021 ◽  
pp. 1-14
Author(s):  
Arne Ruckert ◽  
Celia Almeida ◽  
Jorge Ramírez ◽  
German Guerra ◽  
V Nelly Salgado de Snyder ◽  
...  

2020 ◽  
Vol 10 (4) ◽  
pp. 300-305
Author(s):  
Sumbal Javed ◽  
Vijay Kumar Chattu

The coronavirus disease 2019 (COVID-19) pandemic continues to claim lives around the world and, to some extent, reflects the failure of international cooperation. Global health diplomacy (GHD)can be a bridge for international cooperation for tackling public health crises, strengthening health systems through emphasizing universal health coverage for sustainable and equitable development, and rebuilding multilateral organizations. It can be a catalyst for future global health initiatives. Health should not be used as a political tool at the cost of people’s lives, nor should it become a proxy for geopolitics but can be used to diffuse tensions and create a positive environment for political dialogue. Health diplomacy’s focus should be to mitigate inequality by making available diagnostics, therapeutics, and vaccines as a global public good. The implications for the lack of international cooperation will lead to increased global disparities and inequities as the countries that cannot procure vaccines will find their population more vulnerable to the pandemic’s repercussion. Though the international cooperation on trade has suffered the impact of geopolitical shifts and competition, through engaging in GHD, the governments can align the trade and health policies. Amid this global health crisis, the World Health Organization (WHO) has faced an increase in International Health Regulations violations, limiting its influence and response during this COVID-19 pandemic. Nations need to develop a sense of cooperation that serves as the basis for a mutual strategic trust for international development. The priorities of all the countries should be to find the areas of common interest, common operational overlap on development issues, and resource allocation for this global fight against COVID-19.


2021 ◽  
Vol 11 (1) ◽  
pp. 20-31
Author(s):  
Vijay Kumar Chattu ◽  
W. Andy Knight ◽  
Anil Adisesh ◽  
Sanni Yaya ◽  
K. Srikanth Reddy ◽  
...  

Background: Africa is facing the triple burden of communicable diseases, non-communicable diseases (NCDs), and nutritional disorders. Multilateral institutions, bilateral arrangements, and philanthropies have historically privileged economic development over health concerns. That focus has resulted in weak health systems and inadequate preparedness when there are outbreaks of diseases. This review aims to understand the politics of disease control in Africa and global health diplomacy’s (GHD’s) critical role. Methods: A literature review was done in Medline/PubMed, Web of Science, Scopus, Embase, and Google scholar search engines. Keywords included MeSH and common terms related to the topics: "Politics," "disease control," "epidemics/ endemics," and "global health diplomacy" in the "African" context. The resources also included reports of World Health Organization, United Nations and resolutions of the World Health Assembly (WHA). Results: African countries continue to struggle in their attempts to build health systems for disease control that are robust enough to tackle the frequent epidemics that plague the continent. The politics of disease control requires the crafting of cooperative partnerships to accommodate the divergent interests of multiple actors. Recent outbreaks of COVID-19 and Ebola had a significant impact on African economies. It is extremely important to prioritize health in the African development agendas. The African Union (AU) should leverage the momentum of the rise of GHD to (i) navigate the politics of global health governance in an interconnected world(ii) develop robust preparedness and disease response strategies to tackle emerging and reemerging disease epidemics in the region (iii) address the linkages between health and broader human security issues driven by climate change-induced food, water, and other insecurities (iv) mobilize resources and capacities to train health officials in the craft of diplomacy. Conclusion: The AU, Regional Economic Communities (RECs), and African Centres for Disease Control should harmonize their plans and strategies and align them towards a common goal that integrates health in African development agendas. The AU must innovatively harness the practice and tools of GHD towards developing the necessary partnerships with relevant actors in the global health arena to achieve the health targets of the Sustainable Development Goals.


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