Global health governance: we need innovation not renovation

Smith, Richard; Lee, Kelley

doi:10.1136/bmjgh-2016-000275

Cited by 28 publications

(28 citation statements)

References 8 publications

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“…How far these innovations imply effective change in terms of health risks or outcomes remains to be seen and should be the subject of further research. What is certain, however, is that contrary to a notable strand of literature which laments the lack of successful institutional innovation and networked governance solutions in global health governance (Fidler, ; Lee, ; Smith and Lee, ), such mechanisms have been experienced and supported by the interviewees and are observable across the three case studies. In fact, the governance trajectories of HIV/AIDS, Ebola and AMR bear great significance in terms of the emergence of the adaptive features of global health governance discussed in this article.…”

Section: Resultsmentioning

confidence: 99%

“…More recently, this has resulted in either: (1) a narrow focus on specific institutional arrangements, issue areas, population groups and geographic regions (Clinton and Sridhar, ; Crawford et al., ; Gostin et al., ??? ; Nikogosian and Kickbusch, ); or (2) discussions with a strong conceptual and sometimes prescriptive focus (Bennett et al., ; Frenk and Moon, ; Mackey, ; Smith and Lee, ).…”

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confidence: 99%

“…As noted by Lee and Kamradt-Scott (2014), the extent to which theory and practice have been able to inform each other in global health governance literature has generally been limited. More recently, this has resulted in either: (1) a narrow focus on specific institutional arrangements, issue areas, population groups and geographic regions (Clinton and Sridhar, 2017;Crawford et al, 2017;Gostin et al, 2015;Nikogosian and Kickbusch, 2016); or (2) discussions with a strong conceptual and sometimes prescriptive focus (Bennett et al, 2017;Frenk and Moon, 2013;Mackey, 2016;Smith and Lee, 2017).…”

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confidence: 99%

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Gridlock, Innovation and Resilience in Global Health Governance

Held

Kickbusch

McNally³

et al. 2019

Global Policy

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Global health governance is in many ways proving more innovative and resilient than other sectors in global governance. In order to understand the mechanisms that have made these developments possible, this article draws on the concept of gridlock, as well as on the additional theoretical strands of metagovernance and adaptive governance, to conceptualize how global health governance has been able to adapt despite increasingly difficult conditions in the multilateral order. The remarkable degree of innovation that characterizes global health governance is the result of two interrelated conditions. First, developments that are normally associated with gridlock in multilateral cooperation, such as institutional fragmentation and growing multipolarity, have transformed, rather than gridlocked, global health governance. Second, global health actors have often been able to harness the opportunities offered by three important pathways of change, namely: (1) a significant degree of organizational learning and active feedback loops between epistemic and practice communities; (2) a highly polycentric system of governance; and (3) the increased role of political leadership as a catalyst for governance innovation. These trends are discussed in the context of three case studies of significant political, social and health relevance, namely HIV/AIDS, the 2014 Ebola outbreak and antimicrobial resistance.

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Section: Resultsmentioning

confidence: 99%

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confidence: 99%

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confidence: 99%

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Gridlock, Innovation and Resilience in Global Health Governance

Held

Kickbusch

McNally³

et al. 2019

Global Policy

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“…Secondary data documents suggest that TNCs in uenced the nal amount of the levy in both Mexico and Chile (14,24). Mechanisms to protect such in uence lack in all cases, a clear governance loophole identi ed by others (42), which has not yet been addressed at the national or global level (21). Additionally, how the revenues of the soda tax may support public health interventions is unclear.…”

Section: Discussionmentioning

confidence: 99%

“…Clouding public policy debates has been the substantial participation of commercial interests, notably large TNCs and SSBs producers, whose business models are threatened by proposed scal measures (20). Their political-economic power, across all levels of government (21), and the limited accountability and transparency mechanisms available to local governments and civil society groups to monitor and identify their undue in uence, raises concerns about industry interference and con icts of interest during the policy making process (12,(22)(23)(24), (20,22). In this context, it remains unclear how best to adopt SSBs in the region.…”

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confidence: 99%

The Political Economy of Sugar-Sweetened Beverages Taxation in Latin America: Lessons from Mexico, Chile and Colombia

Carriedo

Koon

Encarnación

et al. 2020

Preprint

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Background: In Latin America, diet-related non-communicable diseases and sales of sugar-sweetened beverages continue to rise at an alarming rate. Calls for action suggest "multi-sector" and "multi-stakeholder" approaches involving civil society and the private sector, including transnational corporations. While the focus has often been on forming “partnerships” of public and private sectors, ensuring the primacy of public health goals remains a significant governance challenge. This paper analyses this governance challenge using the experiences of Chile, Mexico and Colombia in the adoption of taxation of sugar-sweetened beverages. The three countries offer useful comparisons given their similar political and economic systems, institutional arrangements and regulatory instruments. We conducted a qualitative synthesis of the existing empirical evidence applying a political economy analysis to identify successes and failures during the policy process to adopt and implement the tax.Results: The findings suggest that a major constraint was the political influence of transnational corporations in the policy process and on stakeholders. Intergovernmental support was critical to frame the sugary drinks beverages (SSBs) tax aims, mechanisms and its benefits, and for countries to adopt the measures. Coalitions for and against the tax were critical for the policy debates, and a lack of transparency throughout the agenda setting was diluted by powerful TNCs presences in the countries studied.Conclusion: Governance arrangements involving partnerships with private sector actors should recognize the asymmetry of power among them and address it. Such arrangements should adopt clear mechanisms to ensure transparency and accountability of all partners, and avoid the undue influence of unhealthy commodity industries. Support of several governmental entities simultaneously, grassroots groups, and civil society groups in NCD prevention policies is also needed.

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Characterizing Global Health Governance by International Organizations: Is There an Ante- and Post-COVID-19 Architecture?

Kaasch

2021

Global Dynamics of Social Policy

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The focus of this chapter is on global social policy actors and their ideas on health care systems. The specific position and constellation of key IOs are illustrated by a mapping and characterization of four central IOs (WHO, World Bank, ILO, OECD). The main ideas on health care systems of these four IOs are presented in relation to each other, taking into account discourses between them. That is then taken further to characterize the global health governance architecture based on contestational and collaborative relationships between IOs. Based on that, the chapter discusses the (preliminary) implications of the COVID-19 pandemic for altering that architecture.

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Global health governance: we need innovation not renovation

Cited by 28 publications

References 8 publications

Gridlock, Innovation and Resilience in Global Health Governance

Gridlock, Innovation and Resilience in Global Health Governance

The Political Economy of Sugar-Sweetened Beverages Taxation in Latin America: Lessons from Mexico, Chile and Colombia

Characterizing Global Health Governance by International Organizations: Is There an Ante- and Post-COVID-19 Architecture?

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