The devastating effects of HIV/AIDS have propelled a multiplicity of activities at global, national and local level. This book is based on in-depth studies of the major global institutions in health, the role of pharmaceutical corporations, the functions of NGOs, and national responses to HIV/AIDS in two key case studies: Brazil and South Africa.
This book unravels the complexity and confusion surrounding global health governance. It provides a comprehensive look at conceptions of global health governance, old and new actors, the public and private, themes and approaches and emerging trends.
This book argues that the rise of institutions and organizations dedicated to global health-global health governance-has emerged, grown, and proven itself resilient over the past generation because international society has come to understand addressing global health as part of a larger sense of moral responsibility and obligation.
In recent years the spread of diseases such as AIDS, SARS and avian flu has pushed health issues towards the top of the international agenda. Such outbreaks have serious political, economic, and social consequences and remind the world of the necessity of global cooperation in order to deal effectively with the challenges they pose. Global Health Governance offers a comprehensive introduction to the changing international legal environment, the governmental and non-governmental actors involved with health issues, and the current regime’s ability to adapt to new crises. Part 1 focuses on the evolution of international regulations aimed at stopping the spread of health problems across borders. Over the last 150 years, the nature of such cooperation, the motivations of the parties involved, and the diseases covered, has changed radically. Part 2 examines some of the most prominent actors in global health governance today, ranging from traditional intergovernmental organizations, such as the WHO and the World Bank, to private philanthropic organizations that exist outside regular global governance structures. Part 3 concentrates on some of the most pressing issues facing global health governance today, including access to pharmaceuticals, the costs and benefits of making health a security issue, and the role of civil society organizations. Global Health Governance provides an accessible and insightful analysis of an evolving realm of global governance and cooperation. It will appeal to students of global health politics, global governance, international organization, and human security.
Fully updated for the second edition, this text provides a concise and informative introduction to how global health is governed, exploring the ways in which we understand global health governance, exposing its complex nature, and asking who or what really governs global health, to what outcome, and for whom. Governing outbreaks, emergencies, pandemics, access to medicines, non-communicable diseases, and the financing of fully functioning health systems remain among the biggest challenges national and international policymakers and practitioners face. While COVID-19 made apparent the tensions, contestations, and complexity of governing health threats, to understand what could and should have worked during the pandemic requires a comprehensive understanding of the actors, approaches, and issues that make up global health. Divided into three parts, the book examines the different actors who participate in global health governance, their powers, interests, ways of working, relationships, and how their roles have changed over time. It explores different approaches to global health governance, focusing on the ways global health issues have been conceptualised and understood, and how this has shaped global health politics and the ways the key actors work. Finally, it examines different issues, and how the actors and their approaches have addressed health emergencies and everyday health inequities. Global Health Governance provides a comprehensive introduction to researchers and students new to the field of global health governance, and a vital resource and reference point for established scholars and practitioners working in the field of global health.
Drawing on more than one hundred interviews conducted across eighteen countries, the author documents the emergence of a diverse range of community-based, nongovernmental, and civil society groups engaged in patient-focused AIDS advocacy worldwide. She also critically evaluates the evolving role of these groups in challenging authoritative global health governance schemes put in place by what she describes as overcontrolling or sanctimonious governments, scientists, religious figures, journalists, educators, and corporations.--From publisher description.
Globalization has immersed all of humanity in a single germ pool. There are no health sanctuaries in a globalizing world. In Global Health Governance, Obijiofor Aginam explores the relevance of international law in contemporary public health diplomacy. He focuses on the concept of mutual vulnerability to explore the globalization of disease, in what is paradoxically a global village and a divided world. Drawing from a wide range of disciplines, Global Health Governance offers a holistic approach to global health governance involving a multiplicity of actors: nation-states, international organizations, civil society organizations, and private actors. Aginam articulates modest proposals under the rubric of communitarian globalism, a paradigm that strives to meet the ideals of 'law of humanity.' These proposals project a humane global health order where all of humanity is inexorably tied into a global compact and where the health of one nation-state rises and falls with the health of others. International law—with its bold claims to universal protection of human rights and human dignity—is an indispensable governance tool for the reconstruction of damaged public health trust in the relations of nations and peoples.
A study of governance in the emerging global domain, this book traces the evolution of global public policy making by focusing on four entities: a globalizing sector (health); a global disease (HIV/AIDS); a global organization (the Global Fund); and a major sovereign state (China).
Examines the different forms of governance of HIV/AIDS that have emerged and how these actors and structures of governance enhance, or limit, participation and accountability, as well as the impact this is having upon effective global responses to the epidemic.