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      Health Diplomacy and the Enduring Relevance of Foreign Policy Interests

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      Publication date (Electronic):
      Journal: PLoS Medicine
      Publisher: Public Library of Science

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          Abstract

          Harley Feldbaum and Joshua Michaud consider the important interplay between foreign policy and global health interests, and introduce a series on Global Health Diplomacy beginning this week in PLoS Medicine.

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          Towards a common definition of global health

          Jeffrey P Koplan, T Christopher Bond, Michael H Merson … (2009)
          Article 0 comments Cited 424 times – based on 0 reviews     Review now
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            Generation of political priority for global health initiatives: a framework and case study of maternal mortality.

            Jeremy Shiffman, Stephanie Smith (2007)
            Why do some global health initiatives receive priority from international and national political leaders whereas others receive little attention? To analyse this question we propose a framework consisting of four categories: the strength of the actors involved in the initiative, the power of the ideas they use to portray the issue, the nature of the political contexts in which they operate, and characteristics of the issue itself. We apply this framework to the case of a global initiative to reduce maternal mortality, which was launched in 1987. We undertook archival research and interviewed people connected with the initiative, using a process-tracing method that is commonly employed in qualitative research. We report that despite two decades of effort the initiative remains in an early phase of development, hampered by difficulties in all these categories. However, the initiative's 20th year, 2007, presents opportunities to build political momentum. To generate political priority, advocates will need to address several challenges, including the creation of effective institutions to guide the initiative and the development of a public positioning of the issue to convince political leaders to act. We use the framework and case study to suggest areas for future research on the determinants of political priority for global health initiatives, which is a subject that has attracted much speculation but little scholarship.
            Article 0 comments Cited 276 times – based on 0 reviews     Review now
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              Health security as a public health concept: a critical analysis.

              W Aldis (2008)
              There is growing acceptance of the concept of health security. However, there are various and incompatible definitions, incomplete elaboration of the concept of health security in public health operational terms, and insufficient reconciliation of the health security concept with community-based primary health care. More important, there are major differences in understanding and use of the concept in different settings. Policymakers in industrialized countries emphasize protection of their populations especially against external threats, for example terrorism and pandemics; while health workers and policymakers in developing countries and within the United Nations system understand the term in a broader public health context. Indeed, the concept is used inconsistently within the UN agencies themselves, for example the World Health Organization's restrictive use of the term 'global health security'. Divergent understandings of 'health security' by WHO's member states, coupled with fears of hidden national security agendas, are leading to a breakdown of mechanisms for global cooperation such as the International Health Regulations. Some developing countries are beginning to doubt that internationally shared health surveillance data is used in their best interests. Resolution of these incompatible understandings is a global priority.
              Article 0 comments Cited 69 times – based on 0 reviews     Review now
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                Author and article information

                Contributors
                : Role: Academic Editor
                Journal
                Journal ID (nlm-ta): PLoS Med
                Journal ID (publisher-id): PLoS
                Journal ID (pmc): plosmed
                Title: PLoS Medicine
                Publisher: Public Library of Science (San Francisco, USA )
                ISSN (Print): 1549-1277
                ISSN (Electronic): 1549-1676
                Publication date Collection: April 2010
                Publication date (Print): April 2010
                Publication date (Electronic): 20 April 2010
                Volume: 7
                Issue: 4
                Electronic Location Identifier: e1000226
                Affiliations
                [1]Global Health and Foreign Policy Initiative, Johns Hopkins School of Advanced International Studies, Washington, D.C., United States of America
                London School of Hygiene & Tropical Medicine, United Kingdom
                Author notes

                ICMJE criteria for authorship read and met: HF JM. Wrote the first draft of the paper: HF JM.

                The Policy Forum allows health policy makers around the world to discuss challenges and opportunities for improving health care in their societies.

                Article
                Publisher ID: 09-PLME-PF-0541R3
                DOI: 10.1371/journal.pmed.1000226
                PMC ID: 2857879
                PubMed ID: 20422036
                SO-VID: 44b69845-5be3-4dd9-a7c4-ccfc6a0bf85c
                Copyright © Feldbaum, Michaud. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
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                Related
                Brazil and the Framework Convention on Tobacco Control: Global Health Diplomacy as Soft Power
                Page count
                Pages: 6
                Categories
                Subject: Policy Forum
                Subject: Public Health and Epidemiology/Global Health
                Subject: Public Health and Epidemiology/Health Policy

                ScienceOpen disciplines: Medicine
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                ScienceOpen disciplines: Medicine

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