Framing and global health governance: Key findings

McInnes, Colin; Lee, Kelley

doi:10.1080/17441692.2012.733950

Cited by 32 publications

(21 citation statements)

References 8 publications

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“…The regional level is thereby seen as a potential source of progressive policy-making, complementing or substituting national levels, which are perceived as underperforming. This is very much in line with the orientation of the broader literature (and normative theorizing) on global health governance ( Lee and Kamradt-Scott, 2014 ; McInnes et al, 2012 ; McInnes and Lee, 2012 ). While we recognize that especially in cases of border-crossing health issues (communicable diseases, migration-related health issues, etc.)…”

Section: Introductionsupporting

confidence: 78%

Regional and inter-regional economic rules and the enforcement of the right to health: The case of Colombia

Rodríguez¹,

Lombaerde

2015

Global Social Policy

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The regional policy level is often seen as a (potential) source of progressive policy-making in health (and in social policy more widely), complementing or substituting national policy levels, which are perceived as underperforming. While it can certainly be argued that there are important opportunities to adopt regional approaches to tackle border-crossing health issues, this article draws the attention to the fact that the linkage between (inter-)regional and national policy levels is not uni-directional. While in some instances the regional level may indeed take the lead in the promotion of (the right to) health, in other instances it may well be the other way round. This article focuses on the case of Colombia, where international economic rules have deeply permeated public policies in the health sector. On one hand, Colombia has been opening markets through the conclusion of regional integration arrangements (e.g. Andean Community and the Pacific Alliance) and the new generation of Free Trade Agreements. On the other hand, Colombia has been one of the most active emerging countries in promoting the right to health as a justiciable fundamental right, in line with the International Covenant on Economic, Social, and Cultural Rights of the United Nations mainly due to the judicial activism of the Colombian Constitutional Court with interesting implications for regional social governance. The article shows that national courts can play an important role in the protection of the right to health in a context of economic integration and the absence of regional balancing policies.

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Section: Introductionsupporting

confidence: 78%

Regional and inter-regional economic rules and the enforcement of the right to health: The case of Colombia

Rodríguez¹,

Lombaerde

2015

Global Social Policy

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“…The concepts of problem definition and positioning are linked also in that both are grounded in a social constructionist perspective: issue portrayals are not dictated by a fixed external reality, but rather are constructed by actors concerned with the problem. 16,21-23 …”

Section: The Four Challengesmentioning

confidence: 99%

Four Challenges That Global Health Networks Face

Shiffman

2017

Int J Health Policy Manag

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Global health networks, webs of individuals and organizations with a shared concern for a particular condition, have proliferated over the past quarter century. They differ in their effectiveness, a factor that may help explain why resource allocations vary across health conditions and do not correspond closely with disease burden. Drawing on findings from recently concluded studies of eight global health networks—addressing alcohol harm, early childhood development (ECD), maternal mortality, neonatal mortality, pneumonia, surgically-treatable conditions, tobacco use, and tuberculosis—I identify four challenges that networks face in generating attention and resources for the conditions that concern them. The first is problem definition: generating consensus on what the problem is and how it should be addressed. The second is positioning: portraying the issue in ways that inspire external audiences to act. The third is coalition-building: forging alliances with these external actors, particularly ones outside the health sector. The fourth is governance: establishing institutions to facilitate collective action. Research indicates that global health networks that effectively tackle these challenges are more likely to garner support to address the conditions that concern them. In addition to the effectiveness of networks, I also consider their legitimacy, identifying reasons both to affirm and to question their right to exert power.

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“…141 The necessity for reorientating and redefining IR 142 is brought into stark focus when we consider the realm of global health. 143 As contemporary health crises emerge as issues of 'high politics' 144 Multi-stakeholder health diplomacy is useful for extending our understanding of the complexity of health diplomacy beyond monolithic state and donor actors to the crucial role of other actors -including donors, non-governmental organisations (NGOs), private philanthropists and private sector health providers; and the individual technical advisors, programme managers and consultants working within these organisations. It is significant in African contexts such as Malawi where there is acute dependency on resources and health is an important point of leverage to exert influence, which can readily be framed as benevolent .…”

Section: Discussionmentioning

confidence: 99%

African health diplomacy: obscuring power and leveraging dependency through shadow diplomacy

Anderson

2018

International Relations

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Health crises pose fundamental challenges to international relations and have been a major focal point of contests for global influence, particularly in the global South, where such crises are most acute. This necessitates a focus on the arenas of global health diplomacy and the power struggles that emanate from them, including the often-overlooked agency of African actors within these arenas. Drawing upon a total of 3 months of fieldwork in 2007 and 2014 that included 68 key-informant interviews, participant observations, and informal discussio ns, this article interrogates the mechanics of multi-stakeholder health diplomacy in Malawi, where a near-permanent state of health crisis and underdevelopment has generated extreme dependency on external health assistance. This article conceptualises shadow diplomacy as the informal networks and channels of influence that run parallel to, but are not recognised as part of, formal diplomacy. This concept reveals how health is key to struggles for leverage by both international and local actors, giving rise to informal and subversive manifestations of diplomacy in the 'shadows'. It enables us to understand not only how Western powers consolidate and obscure their enduring power, but also how the 'shadows' benefit African political elites as they leverage their dependency to subvert global power structures for their own ends. It disrupts the external/internal binary of international donors/African states and reveals that these are not monolithic actors but instead comprised of complex individuals with multi-faceted motivations and divided loyalties. 1 The author would like to thank Alexander Beresford, Sophie Harman, the editorial team of IR, the anonymous reviewers and the POLIS reading group at the University of Leeds for feedback on this article.

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Framing and global health governance: Key findings

Cited by 32 publications

References 8 publications

Regional and inter-regional economic rules and the enforcement of the right to health: The case of Colombia

Regional and inter-regional economic rules and the enforcement of the right to health: The case of Colombia

Four Challenges That Global Health Networks Face

African health diplomacy: obscuring power and leveraging dependency through shadow diplomacy

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