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Using internal documents, meeting records, personal interviews and secondary sources, Siddiqi analyses WHO policies and programmes from a non-medical perspective. He examines charges of politicization and traces their rise over the past two decades, including their recent link to fears about a complete breakdown of multilateral cooperation. Siddiqi also chronicles the Malaria Eradication Programme from its enthusiastic inauguration in the 1950s to its demise and substitution by less ambitious initiatives after 1969. Through this case study he illumines a strategic shift in WHO policyfrom the 'vertical' approach of targeting a single disease to a 'horizontal', multi-pronged attack on a spectrum of health problems.
International responses to the outbreak of SARS, the spread of HIV/AIDS, and the promotion of health as a human right all demonstrate how global politics have a profound effect on the way we think about and respond to major health challenges. Despite a growing interest in the relationship between health and international relations there has yet to be a systematic study of the links between them. Global Politics of Health aims to fill this gap - ultimately showing how world politics can be good, or bad, for your health. This book calls for a more nuanced understanding of the nature of the current global health crisis and the political dilemmas faced by those responsible for the development and implementation of responses to it. By charting these debates and showing how they shape the way actors think about key issues relating to health, such as people movement, infectious disease, the business of health, and the consequences of war, this volume provides an innovative and comprehensive introduction to health and international relations for students of global politics, health studies and related disciplines.
Controlling a major infectious disease outbreak or reducing rising rates of diabetes worldwide is not just about applying medical science. Protecting and promoting health is inherently a political endeavor that requires understanding of who gets what, where, and why. The Oxford Handbook of Global Health Politics presents the most comprehensive overview of how and why power lies at the heart of global health determinants and outcomes. The chapters are written by internationally recognized experts working at the intersection of politics and global health. The wide-ranging chapters provide key insights for understanding how advances in global health cannot be achieved without attention to political actors, processes, and outcomes.
The long separation of health and International Relations, as distinct academic fields and policy arenas, has now dramatically changed. Health, concerned with the body, mind and spirit, has traditionally focused on disease and infirmity, whilst International Relations has been dominated by concerns of war, peace and security. Since the 1990s, however, the two fields have increasingly overlapped. How can we explain this shift and what are the implications for the future development of both fields? Colin McInnes and Kelley Lee examine four key intersections between health and International Relations today - foreign policy and health diplomacy, health and the global political economy, global health governance and global health security. The explosion of interest in these subjects has, in large part, been due to "real world" concerns - disease outbreaks, antibiotic resistance, counterfeit drugs and other risks to human health amid the spread of globalisation. Yet the authors contend that it is also important to understand how global health has been socially constructed, shaped in theory and practice by particular interests and normative frameworks. This groundbreaking book encourages readers to step back from problem-solving to ask how global health is being problematized in the first place, why certain agendas and issue areas are prioritised, and what determines the potential solutions put forth to address them? The palpable struggle to better understand the health risks facing a globalized world, and to strengthen collective action to deal with them effectively, begins - they argue - with a more reflexive and critical approach to this rapidly emerging subject.
A history of the World Health Organization, covering major achievements in its seventy years while also highlighting the organization's internal tensions. This account by three leading historians of medicine examines how well the organization has pursued its aim of everyone, everywhere attaining the highest possible level of health.
In this lesson-packed book, Mark Nichter, one of the world’s leading medical anthropologists, summarizes what more than a quarter-century of health social science research has contributed to international health and elucidates what social science research can contribute to global health and the study of biopolitics in the future. Nichter focuses on our cultural understanding of infectious and vector-borne diseases, how they are understood locally, and how various populations respond to public health interventions. The book examines the perceptions of three groups whose points of view on illness, health care, and the politics of responsibility often differ and frequently conflict: local populations living in developing countries, public health practitioners working in international health, and health planners/policy makers. The book is written for both health social scientists working in the fields of international health and development and public health practitioners interested in learning practical lessons they can put to good use when engaging communities in participatory problem solving. Global Health critically examines representations that frame international health discourse. It also addresses the politics of what is possible in a world compelled to work together to face emerging and re-emerging diseases, the control of health threats associated with political ecology and defective modernization, and the rise of new assemblages of people who share a sense of biosociality. The book proposes research priorities for a new program of health social science research. Nichter calls for greater involvement by social scientists in studies of global health and emphasizes how medical anthropologists in particular can better involve themselves as scholar activists.
The World Health Organization (WHO), as the United Nations specialized agency for health, has been at the centre of international health cooperation for over sixty years. With origins dating from the nineteenth century, WHO’s mandate is the attainment by all people of the highest possible level of health. The huge challenge of fulfilling this objective has not only required high-level technical skills, but has led the organization to engage with a broad range of political and economic interests. WHO has enjoyed many high-profile successes such as the global eradication of smallpox and SARS, and ongoing campaigns against polio and other diseases. On other issues, such as essential drugs, tobacco control and diet and nutrition, efforts to tackle the broader determinants of health has brought the organization into contact with issues such as globalization, poverty, social justice and human rights. Kelley Lee analyzes the WHO’s role in international cooperation, examining its changing structures, key programmes and individuals. Of particular focus are the challenges WHO has faced in recent years given the emergence of other global health initiatives and how WHO has sought to remain effective as the "world’s health conscience" within an increasingly complex global context.
The past few decades have seen a massive increase in the number of international organizations focusing on global health. Campaigns to eradicate or stem the spread of AIDS, SARS, malaria, and Ebola attest to the increasing importance of globally-oriented health organizations. These organizations may be national, regional, international, or even non-state organizations-like Medicins Sans Frontieres. One of the more important recent trends in global health governance, though, has been the rise of public-private partnerships (PPPs) where private non-governmental organizations, for-profit enterprises, and various other social entrepreneurs work hand-in-hand with governments to combat specific maladies. A primary driver for this development is the widespread belief that by joining together, PPPs will attack health problems and fund shared efforts more effectively than other systems. As Chelsea Clinton and Devi Sridhar show in Governing Global Health, these partnerships are not only important for combating infectious diseases; they also provide models for developing solutions to a host of other serious global health challenges and questions beyond health. But what do we actually know about the accountability and effectiveness of PPPs in relation to the traditional multilaterals? According to Clinton and Sridhar, we have known very little because scholars have not accumulated enough data or developed effective ways to assess them-until now. In their analysis, they uncovered both strength and weaknesses of the model. Using principal-agent theory in which governments are the principals directing international agents of various type, they take a closer look at two major PPPs-the Global Fund to Fight HIV/AIDS, TB and Malaria and the GAVI Alliance-and two major more traditional international organizations-the World Health Organization and the World Bank. An even-handed and thorough empirical analysis of one of the most pressing topics in world affairs, Governing Global Health will reshape our understanding of how organizations can more effectively prevent the spread of communicable diseases like AIDS and reduce pervasive chronic health problems like malnutrition.
Brock Chisholm was one of the most influential Canadians of the twentieth century. A world-renowned psychiatrist, he was the first director-general of the World Health Organization and built it up against overwhelming political odds in the years immediately following the Second World War. An atheist and a fierce critic of jingoistic nationalism, he supported world peace and world government and became a champion of the United Nations and the WHO. Post-1945 international politics, global health issues, and medical history intersect in this highly readable account of a remarkable Canadian.
The Handbook of Global Health Policy provides a definitive source of the key areas in the field. It examines the ethical and practical dimensions of new and current policy models and their effect on the future development of global health and policy. Maps out key debates and policy structures involved in all areas of global health policy Isolates and examines new policy initiatives in global health policy Provides an examination of these initiatives that captures both the ethical/critical as well as practical/empirical dimensions involved with global health policy, global health policy formation and its implications Confronts the theoretical and practical questions of ‘who gets what and why’ and ‘how, when and where?’ Captures the views of a wide array of scholars and practitioners, including from low- and middle-income countries, to ensure an inclusive view of current policy debates