Ultimately this book shows two things. The first is that global public health is at a moment when there will be change. Its importance may be questioned and ignored. The challenge it to make it really 'public' in a global sense. Given the 2008 economic crisis this may not be easy. Secondly there needs to be a fundamental realignment of global politics and economics. Ironically the events of 2008 mean that this is closer to being possible than has been recently. There are opportunities for those of us concerned by ensuring the world has a healthier population to intervene and influence as this book has the potential to do.
Alan Whiteside Director, Health Economics and HIV/AIDS Research Division, University of KwaZulu-Natal, Durban, South Africa Poverty and inequality are among the most significant determinants of health. Therefore, increased inequality gaps associated with globalization have serious, deleterious implications for global health. Global changes in political economy are shaping who wins and who loses in the global order, and in terms of global health, influencing which groups of people bear the greatest burden from epidemics of both infectious and chronic diseases, unhealthy environments, and lack of access to health care and medicine.
The new structures of global health governance that have emerged are distinguished by their complexity, involving collaborations of state, inter-state and non-state actors from local though global levels of action and interaction. Examining this governance architecture through a political economy lens, this volume explores possible improvements to global health, as well as the problems that stem from the power differentials within this governance nexus.
List of Tables List of Figures Foreword List of Abbreviations Notes on Contributors PART I: INTRODUCTION Introduction: The Social Determinants of Global Health: Confronting Inequities; S.J.MacLean & S.A.Brown PART II: GLOBALIZATION, THE STATE, AND GLOBAL HEALTH 'The Best of Times, The Worst of Times?' The G8 and Prospects for a Global Health Ethic; T.Schrecker Shaping Global Health? The Accumulative Nature of the US Health Complex; R.Loeppky Palliative Interventions: Global Health Governance and Canadian Foreign Policy; C.O'Manique The Relationship between the AIDS Pandemic and State Fragility; P.Fourie PART III: FROM INTERNATIONAL TO GLOBAL HEALTH GOVERNANCE Transnational Norm-Building in Global Health: The Important Role of Non-State Actors in Post-Westphalian Politics; W.Hein & L.Kohlmorgen Global Public Health as a Unique Issue-Area with High Levels of Innovative Forms of Governance; C.Huckel Schneider Philanthropic Foundations and the Governance of Global Health: The Rockefeller Foundation and Product Development Partnerships; M.Moran Southern Actors in Global Public-Private Partnerships: The Case of the Global Fund; S.Bartsch 'Making the Money Work': Global AIDS Actors and Challenges towards Coordination of HIV/AIDS Programs in Africa; S.Bjerkreim Hellevik PART IV: THE GOVERNANCE OF GLOBAL HEALTH RESEARCH AND PRODUCT ACCESS The Political Economy of Global Health Research; S.J.MacLean & D.R.MacLean 'In Sickness and in Wealth': Dealing with Public Health and Intellectual Property for Pharmaceuticals at the World Trade Organization; V.Muzaka Patents, Pricing and Policies and Access to Medicine for Vulnerable Populations in a Global Economy; S.Mulay, E.Feeney & D.R.Varma Global Public-Private Partnerships for Pharmaceuticals Access: Ethical and Operation Features, Challenges, and Prospects; S.A.Brown PART V: CONCLUSION Conclusion: Towards Equitable Global Health Governance; S.A.Brown & S.J.MacLean Bibliography Index
SANDRA J.MACLEAN is Associate Professor of Political Science at Simon Fraser University, Burnaby, Canada. SHERRI A. BROWN is in the Department of Political Science at Simon Fraser University, Burnaby, Canada. PIETER FOURIE is Senior Lecturer in the Department of Politics at MacQuarie University, Sydney, Australia.
Description
Ultimately this book shows two things. The first is that global public health is at a moment when there will be change. Its importance may be questioned and ignored. The challenge it to make it really 'public' in a global sense. Given the 2008 economic crisis this may not be easy. Secondly there needs to be a fundamental realignment of global politics and economics. Ironically the events of 2008 mean that this is closer to being possible than has been recently. There are opportunities for those of us concerned by ensuring the world has a healthier population to intervene and influence as this book has the potential to do.
Alan Whiteside Director, Health Economics and HIV/AIDS Research Division, University of KwaZulu-Natal, Durban, South Africa Poverty and inequality are among the most significant determinants of health. Therefore, increased inequality gaps associated with globalization have serious, deleterious implications for global health. Global changes in political economy are shaping who wins and who loses in the global order, and in terms of global health, influencing which groups of people bear the greatest burden from epidemics of both infectious and chronic diseases, unhealthy environments, and lack of access to health care and medicine.
The new structures of global health governance that have emerged are distinguished by their complexity, involving collaborations of state, inter-state and non-state actors from local though global levels of action and interaction. Examining this governance architecture through a political economy lens, this volume explores possible improvements to global health, as well as the problems that stem from the power differentials within this governance nexus.
Contents
List of Tables List of Figures Foreword List of Abbreviations Notes on Contributors PART I: INTRODUCTION Introduction: The Social Determinants of Global Health: Confronting Inequities; S.J.MacLean & S.A.Brown PART II: GLOBALIZATION, THE STATE, AND GLOBAL HEALTH 'The Best of Times, The Worst of Times?' The G8 and Prospects for a Global Health Ethic; T.Schrecker Shaping Global Health? The Accumulative Nature of the US Health Complex; R.Loeppky Palliative Interventions: Global Health Governance and Canadian Foreign Policy; C.O'Manique The Relationship between the AIDS Pandemic and State Fragility; P.Fourie PART III: FROM INTERNATIONAL TO GLOBAL HEALTH GOVERNANCE Transnational Norm-Building in Global Health: The Important Role of Non-State Actors in Post-Westphalian Politics; W.Hein & L.Kohlmorgen Global Public Health as a Unique Issue-Area with High Levels of Innovative Forms of Governance; C.Huckel Schneider Philanthropic Foundations and the Governance of Global Health: The Rockefeller Foundation and Product Development Partnerships; M.Moran Southern Actors in Global Public-Private Partnerships: The Case of the Global Fund; S.Bartsch 'Making the Money Work': Global AIDS Actors and Challenges towards Coordination of HIV/AIDS Programs in Africa; S.Bjerkreim Hellevik PART IV: THE GOVERNANCE OF GLOBAL HEALTH RESEARCH AND PRODUCT ACCESS The Political Economy of Global Health Research; S.J.MacLean & D.R.MacLean 'In Sickness and in Wealth': Dealing with Public Health and Intellectual Property for Pharmaceuticals at the World Trade Organization; V.Muzaka Patents, Pricing and Policies and Access to Medicine for Vulnerable Populations in a Global Economy; S.Mulay, E.Feeney & D.R.Varma Global Public-Private Partnerships for Pharmaceuticals Access: Ethical and Operation Features, Challenges, and Prospects; S.A.Brown PART V: CONCLUSION Conclusion: Towards Equitable Global Health Governance; S.A.Brown & S.J.MacLean Bibliography Index Authors
SANDRA J.MACLEAN is Associate Professor of Political Science at Simon Fraser University, Burnaby, Canada. SHERRI A. BROWN is in the Department of Political Science at Simon Fraser University, Burnaby, Canada. PIETER FOURIE is Senior Lecturer in the Department of Politics at MacQuarie University, Sydney, Australia.
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