Towards a framework convention on global health

Gostin, Lawrence O.; Friedman, Eric; Buse, Kent; Waris, Attiya; Mulumba, Moses; Joel, Mayowa; Dare, Lola; Dhai, Ames; Sridhar, Devi

doi:10.2471/blt.12.114447

Cited by 71 publications

(20 citation statements)

References 5 publications

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“…At least in principle, WHO is the only international institution capable to intervene imposing a clear indictment of products, practices, and processes that are proven to be hazardous to health, and could do so through international binding agreements. The adoption of a legally binding global health treaty-a framework convention on global health grounded in the right to health, with WHO at the center of the convention regime has been proposed by a global coalition of civil society and academics-the Joint Action and Learning Initiative on National and Global Responsibilities for Health (JALI) (Gostin et al 2013). However, a new framework convention to indict at least those substances and products that WHO itself has already recognized as hazardous to health, could represent a valuable first step (Westra 2012).…”

Section: Discussionmentioning

confidence: 99%

Degrowth and health: local action should be linked to global policies and governance for health

Missoni

2015

Sustain Sci

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Volume and increase of spending in the health sector contribute to economic growth, but do not consistently relate with better health. Instead, unsatisfactory health trends, health systems' inefficiencies, and high costs are linked to the globalization of a growth society dominated by neoliberal economic ideas and policies of privatization, deregulation, and liberalization. A degrowth approach, understood as frame that connects diverse ideas, concepts, and proposals alternative to growth as a societal objective, can contribute to better health and a more efficient use of health systems. However, action for change of individual and collective behaviors alone is not enough to influence social determinants and counteract powerful and harmful market forces. The quality and characteristics of health policies need to be rethought, and public policies in all sectors should be formulated taking into consideration their impact on health. A paradigmatic shift toward a more caring, equitable, and sustainable degrowth society will require supportive policies at national level and citizens' engagement at community level. Nevertheless, due to global interdependence and the unavoidable interactions between global forces and national systems, a deep rethinking of global health governance and its reformulation into global governance for health are essential. To support degrowth and health, a strong alliance between committed national and global leaderships, above all the World Health Organization, and a well-informed, transnationally interconnected, worldwide active civil society is essential to include and defend health objectives and priorities in all policies and at all levels, including through the regulation of global market forces.

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Section: Discussionmentioning

confidence: 99%

Degrowth and health: local action should be linked to global policies and governance for health

Missoni

2015

Sustain Sci

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“…Scholars have identified how the rights of children under international law may be affected by food marketing, and the implications for States . There have also been calls for new international treaties on healthy diets and obesity, global health, and alcohol . In 2018, the United Nations circulated the first draft of a treaty on business and human rights, with implications for transnational tobacco, alcohol, food, and beverage corporations…”

Section: Guidance For States and Civil Society On The Human Rights–bamentioning

confidence: 99%

Identifying a human rights–based approach to obesity for States and civil society

et al. 2019

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Summary Obesity and its comorbidities pose daunting challenges to global health and development in the 21st century. This paper reviews some commonalities between obesity and another global health challenge, the pandemic of human immunodeficiency virus/acquired immunodeficiency syndrome (HIV/AIDS). International human rights law was an important catalyst for civil society movements that helped to overcome inertia and generate political will for State action in response to HIV and AIDS. Drawing on the HIV experience, the authors propose a conceptual model for a human rights–based response to obesity founded on the twin pillars of State obligations and civil society engagement. Framing States' obligations to address the global obesity pandemic as a matter of international law, informed by the examples of the United Nations “International Guidelines on HIV/AIDS and Human Rights” and the General Comments of the United Nations human rights treaty bodies on HIV and AIDS, provides a normative framework to guide State actions and opportunities to engage the extensive accountability mechanisms of the United Nations international human rights system. In addition, it provides civil society organizations with the language and tools to demand State action on obesity. The authors call for similar authoritative guidance for States on the application of international human rights law to obesity.

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“…This could imply that the legal functions of the WHO, specifically the legislative and executive authority, in addressing global health threats should be strengthened. One can think here of deepening the International Health Regulations (IHR) (Gostin & Sridhar, ), or even a much further reaching Framework Convention on Global health, that would serve as a legal umbrella for the further management responsibilities of states to address global “bads” and strengthening GPGH (Gostin et al, ).…”

Section: Four Functions For Global Health Governance In the Context Omentioning

confidence: 99%

Global health governance in the sustainable development goals: Is it grounded in the right to health?

et al. 2017

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This paper explores the extent to which global health governance – in the context of the early implementation of the Sustainable Development Goals is grounded in the right to health. The essential components of the right to health in relation to global health are unpacked. Four essential functions of the global health system are assessed from a normative, rights‐based, analysis on how each of these governance functions should operate. These essential functions are: the production of global public goods, the management of externalities across countries, the mobilization of global solidarity, and stewardship. The paper maps the current reality of global health governance now that the post‐2015 Sustainable Development Goals are beginning to be implemented. In theory, the existing human rights legislation would enable the principles and basis for the global governance of health beyond the premise of the state. In practice, there is a governance gap between the human rights framework and practices in global health and development policies. This gap can be explained by the political determinants of health that shape the governance of these global policies. Current representations of the right to health in the Sustainable Development Goals are insufficient and superficial, because they do not explicitly link commitments or right to health discourse to binding treaty obligations for duty‐bearing nation states or entitlements by people. If global health policy is to meaningfully contribute to the realization of the right to health and to rights based global health governance then future iterations of global health policy must bridge this gap. This includes scholarship and policy debate on the structure, politics, and agency to overcome existing global health injustices.

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Towards a framework convention on global health

Cited by 71 publications

References 5 publications

Degrowth and health: local action should be linked to global policies and governance for health

Degrowth and health: local action should be linked to global policies and governance for health

Identifying a human rights–based approach to obesity for States and civil society

Global health governance in the sustainable development goals: Is it grounded in the right to health?

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