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Global governance, foreign policy and the geopolitics of health

Global governance describes intergovernmental and multi-stakeholder engagement in setting health policies and promoting accountability and transparency at a supranational level. Some of the institutions involved are health specific (e.g., the World Health Organization, UNAIDS and UNICEF), others have multiple agendas (e.g., World Bank), while others have non-health agendas that nonetheless affect health outcomes within and between countries (e.g., the World Trade Organization, International Labour Organization, International Monetary Fund, and United Nations Development Program, to name a few). Several have treaty-making authority with direct or indirect global health implications. The re-emergence of powerful global philanthropies and the rise of global public-private partnerships pose governance challenges. Government engagement in global health governance is shaped by their foreign policy preferences. How health is placed and framed within countries’ foreign policies has become of topic of global health research often described as ‘global health diplomacy.’ Geopolitics, in turn, captures diplomatic or forceful efforts to influence or exercise power at international scales (global and regional) that embody a country’s economic or political ambitions.

Papers submitted under this section will examine both global governance opportunities and risks through studies of the creation of and health impacts of governance structures and their power politics and conflicts of interest; regulatory regimes or framework conventions; voluntary corporate social responsibility initiatives; and/or progressive taxation policies or agreements. Papers will also explore governments’ health and foreign policy positions, processes of intergovernmental negotiations, coherence (or incoherence) between differing foreign policy goals, how different global health actors work to place health higher as both a domestic and foreign policy priority, and the relationship between countries’ geopolitical interests and their health foreign policy framing.  

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  1. Non communicable diseases (NCD) place a significant health burden on Pacific Island countries including Fiji. Policy interventions to curb NCDs have been implemented in Fiji including a 32% increase in the imp...

    Authors: Jeremaia Coriakula, Marj Moodie, Gade Waqa, Catherine Latu, Wendy Snowdon and Colin Bell
    Citation: Globalization and Health 2018 14:91
  2. Donors often fund projects that develop innovative practices in low and middle-income countries, hoping recipient governments will adopt and scale them within existing systems and programmes. Such innovations ...

    Authors: Neil Spicer, Yashua Alkali Hamza, Della Berhanu, Meenakshi Gautham, Joanna Schellenberg, Feker Tadesse, Nasir Umar and Deepthi Wickremasinghe
    Citation: Globalization and Health 2018 14:74
  3. Proponents have promoted sexuality education as a means of empowering adolescents, yet it has been thwarted in many low and middle-income countries. Nigeria represents an exception. Despite social opposition, ...

    Authors: Jeremy Shiffman, Michael Kunnuji, Yusra Ribhi Shawar and Rachel Sullivan Robinson
    Citation: Globalization and Health 2018 14:63
  4. Development assistance from governments of high income countries represents the vast majority of international funding for global health. Recent stagnation of this important source of funding may affect attain...

    Authors: Alexander Huepers, Henock B. Taddese and Filippos T. Filippidis
    Citation: Globalization and Health 2018 14:61
  5. South Africa’s mineral resources have produced, and continue to produce, enormous economic wealth; yet decades of colonialism, apartheid, capital flight, and challenges in the neoliberal post-apartheid era hav...

    Authors: Barry Kistnasamy, Annalee Yassi, Jessica Yu, Samuel J. Spiegel, Andre Fourie, Stephen Barker and Jerry M. Spiegel
    Citation: Globalization and Health 2018 14:60

    The Correction to this article has been published in Globalization and Health 2018 14:78

  6. The resolution adopted in 2006 by the World Health Organization on international trade and health urges Member States to understand the implications of international trade and trade agreements for health and t...

    Authors: Mariyam Suzana, Helen Walls, Richard Smith and Johanna Hanefeld
    Citation: Globalization and Health 2018 14:58
  7. Between 2011 and 2013, global and national guidelines for preventing mother-to-child transmission (PMTCT) of HIV shifted to recommend Option B+, the provision of lifelong antiretroviral treatment for all HIV-i...

    Authors: M. F. Chersich, E. Newbatt, K. Ng’oma and I. de Zoysa
    Citation: Globalization and Health 2018 14:55
  8. In 2012, the European Commission funded Go4Health—Goals and Governance for Global Health, a consortium of 13 academic research and human rights institutions from both Global North and South—to track the evolut...

    Authors: Vannarath Te, Nadia Floden, Sameera Hussain, Claire E. Brolan and Peter S. Hill
    Citation: Globalization and Health 2018 14:51
  9. Sexual and gender-based violence (SGBV) is a widespread public health problem and a violation of human rights rooted in gender and power inequities. Refugees, asylum-seekers and migrants living in European asy...

    Authors: Charlotte Oliveira, Ines Keygnaert, Maria do Rosário Oliveira Martins and Sónia Dias
    Citation: Globalization and Health 2018 14:48