New approaches to global health governance: The evolution to public–private partnerships

1969 ◽  
Vol 17 (3) ◽  
Author(s):  
James Balcius ◽  
Thomas E Novotny
Keyword(s):  
Civil Society ◽  
Global Health ◽  
Health Risks ◽  
Civil Society Organizations ◽  
Global Health Governance ◽  
Health Issues ◽  
Health Governance ◽  
New Approaches ◽  
Multi Level ◽  
Health Objectives

Global health issues that transcend geopolitical borders are altering the nature of global health governance. Sovereign nations are more connected than ever and increasingly exposed to trans-border health risks. Traditional global health governance may not account for involvement of multi-level global health actors such as civil-society organizations, private philanthropies and new intergovernmental alliances. In addition, private entities have engaged with governments to form new public–private partnerships to further common global health objectives. As these new partnerships evolve, new approaches to transparent and accountable global health governance are necessary to assure effective, equitable and ethical actions addressing global health challenges.

China, International Society, and Global Health Governance

2018 ◽  
Author(s):  
Jeremy Youde
Keyword(s):  
Foreign Policy ◽  
Global Health ◽  
International Society ◽  
Global Health Governance ◽  
Health Issues ◽  
Governance System ◽  
Health Governance ◽  
Policy Tool ◽  
Governance Institutions ◽  
Ambivalent Relationship

China possesses the world’s largest economy, but that economic clout has not necessarily translated into taking leading roles within existing global health governance institutions and processes. It is a country that both contributes to and receives financial assistance from global health institutions. It has incorporated health into some of its foreign policy activities, but it has largely avoided proactively engaging with the values and norms embodied within the global health governance system. This ambivalent relationship reflects larger questions about how and whether China fits within international society and what its engagement or lack thereof might portend for international society’s future. This chapter examines China’s place within global health governance by examining its interactions with international society on global health issues, its use of health as a foreign policy tool, and its relationships with global health governance organizations.

Civil Society and Global Health Politics

2019 ◽  
pp. 365-385
Author(s):  
David McCoy ◽  
Joseph Gafton
Keyword(s):  
Health Policy ◽  
Civil Society ◽  
Global Health ◽  
International Health ◽  
The State ◽  
The Political ◽  
Global Health Governance ◽  
Health Governance ◽  
Health Politics ◽  
Role Of The State

Civil society may be defined as both a space in society and a collection of certain types of actor. As a space, it exists alongside the state and markets; as a set of actors, it interacts with a range of governmental bodies and businesses. Over the past three or four decades, neoliberal globalisation has dramatically changed the distribution of power across society, while also institutionalising a set of policies that have diminished the role of the state, undermined democracy, and established the dominance of market logic. These developments have influenced both international health policy and the structures of global governance. Furthermore, they have also shaped the nature of civil society’s participation in global health policy and governance. Crucially, civil society does not merely intervene in global health politics from outside, but is itself sculpted by the ideologies and political conditions that surround it. This chapter explores the political nature of civil society and its relationship to global health politics, including the political nature of new non-state actors such as the Bill and Melinda Gates Foundation and the emergence of global health partnerships, which have ostensibly increased civil society involvement in global health governance. It argues that civil society participation in global health governance tends to represent powerful and hegemonic interests rather than those most in need. It also discusses how current political, economic and technological developments will influence civil society’s participation in global health politics, and shape the challenges faced by society more generally.

The global institutional architecture

2019 ◽  
pp. 320-342
Author(s):  
Ronald Labonté ◽  
Arne Ruckert
Keyword(s):  
Global Health ◽  
United Nations ◽  
Social Protection ◽  
Civil Society Organizations ◽  
World Health ◽  
Global Health Governance ◽  
Health Governance ◽  
The World ◽  
Health Organization ◽  
Multi Stakeholder

There is no global government, but a growing myriad of global governance platforms. Some are intergovernmental (United Nations and affiliated agencies, differing ‘clubs’ of nations such as the G-7 or G-20); others are multi-stakeholder, drawing together governments, private sector interests, civil society organizations, philanthropists, and academics or other prominent individuals. The plurality and questionable democratic legitimacy of many of these governance platforms is problematic in terms of who has authority or influence over global norms and rules affecting the social determinants of health. Four intergovernmental organizations are profiled for the distinct roles they play in global health governance: the World Health Organization (WHO) (nominally the lead global health governance body), the World Bank (whose financial resources eclipse those of the WHO), United Nations Children’s Fund (with a particular remit to improve children’s health), and the International Labour Organization (a unique tripartite body advocating for global social protection floors).

Global Health Governance

2019 ◽  
pp. 263-279
Author(s):  
Colin McInnes
Keyword(s):  
Global Health ◽  
National Level ◽  
World Health ◽  
International Governance ◽  
Global Health Governance ◽  
Health Issues ◽  
Health Governance ◽  
Global Institutions ◽  
Health Organization ◽  
Institutional Architecture

The international governance of health predates the establishment of the World Health Organization in 1948. This chapter, however, argues that over the past two decades two major transformations have reshaped the politics of global health governance. The first is the emergence of the narrative of global health, which has created a perceived requirement to place increased emphasis on global governance mechanisms. This in turn implies that power should reside less at the national level and more at the global. Second, the institutional ‘architecture’ has been transformed by the emergence of new actors who are having an impact on health policy and outcomes. Combined, these two transformations have had a number of political effects, including a higher profile for global health issues and especially crises; a diffusion of power and authority; the creation of a ‘market’ for funding, with consequences in turn for how the ‘power of the purse’ operates; an increased expectation of the ability of global institutions to act to prevent or mitigate crises; and competing norms over what health is for.

Civil War & the Global Threat of Pandemics

Daedalus ◽  
2017 ◽  
Vol 146 (4) ◽  
pp. 71-84 ◽  
Author(s):  
Paul H. Wise ◽  
Michele Barry
Keyword(s):  
Civil War ◽  
Global Health ◽  
Civil Wars ◽  
International Security ◽  
Civil Conflict ◽  
Global Health Governance ◽  
Health Governance ◽  
New Approaches ◽  
Security Challenges ◽  
Global Threat

This essay confronts the collision of two potential global threats: the outbreak of infectious pandemics and the outbreak and protraction of civil wars. Specifically, it addresses the potential that civil wars can elevate the risk that an infectious outbreak will emerge; the possibility that civil wars can reduce the capacity to identify and respond to outbreaks; and the risk that outbreaks in areas of civil conflict can generate political and security challenges that may threaten regional and international order. Both global health governance and international security structures seem inadequate to address the health and security challenges posed by infectious outbreaks in areas of civil conflict. New approaches that better integrate the technical and political challenges inherent in preventing pandemics in areas of civil war are urgently required.

scholarly journals Multi-level health governance and health diplomacy

2019 ◽  
Vol 9 (1) ◽  
pp. 86-92
Author(s):  
Ana B. Amaya ◽  
Philippe De Lombaerde
Keyword(s):  
Global Health ◽  
Conceptual Understanding ◽  
Special Section ◽  
International Health ◽  
Global Health Governance ◽  
African Union ◽  
The European Union ◽  
Health Governance ◽  
Health Diplomacy ◽  
Multi Level

This introduction to the special section explores the nexus between global health governance and international health diplomacy. In these dynamic governance spaces, particular attention is paid to the multi-level and multi-actor character of global health governance and how health diplomacy functions in such a complex context. It is pointed out that the regional level plays both vertical (i.e., as an intermediary between the global and national levels) and horizontal (i.e., interregional) roles. The contributions to the special section develop the conceptual understanding of those interactions and analyze a number of concrete cases, including the African Union, ASEAN, the European Union, SADC, and UNASUR.

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