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Rethinking Global Health Governance in a Changing World Order for Achieving Sustainable Development: The Role and Potential of the ‘Rising Powers’

  • Franklyn LiskEmail author
  • Annamarie Bindenagel Šehović
Original Paper
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Abstract

The idea of this paper is inspired by the dismal experience and lessons from the initially ineffective global (WHO-led) response to the 2014–2016 West African Ebola virus epidemic. It charts the evolution of global health policy and governance in the post-World War II international order to the current post-2015 UN Sustainable Development Goals era. In order to respond adequately existing and emerging health and development challenges across developing regions, the paper argues that global health governance and related structures and institutions must adapt to changing socio-economic circumstances at all levels of decision-making. Against the background of a changing world order characterised by the decline of US-led Western international liberalism and the rise of the emerging nations in the developing world, it identifies the ‘Rising Powers’ (RPs) among the emerging economies and their soft power diplomacy and international development cooperation strategy as important tools for responding to post-2015 global health challenges. Based on analysis of illustrative examples from the ‘BRICS’, a group of large emerging economies—Brazil, Russia, India, China and South Africa—the paper develops suggestions and recommendations for the RPs with respect to: (1) stimulating innovation in global health governance and (2) strengthening health systems and health security at country and regional levels. Observing that current deliberations on global health focus largely, but rather narrowly, on what resource inputs are needed to achieve the SDG health targets, this paper goes further and highlights the importance of the ‘how’ in terms of a leadership and driving role for the RPs: How can the RPs champion global governance reform and innovation aimed at producing strong, resilient and equitable global systems? How can the RPs use soft power diplomacy to enhance disease surveillance and detection capacities and to promote improved regional and international coordination in response to health threats? How can they provide incentives for investment in R&D and manufacturing of medicines to tackle neglected and poverty-related diseases in developing countries?

Keywords

Global health governance Rising Powers (RPs) Soft power diplomacy Sustainable development goals (SDGs) Health security 
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References

  1. Aginam, Obijiofor. 2005. Global health governance: International law and public health in a divided world. Toronto: Toronto University Press.CrossRefGoogle Scholar
  2. Anshan, Li. 2011. Chinese Medical Cooperation in Africa. With Special Emphasis on Medical Teams and Anti-Malaria Campaign. Discussion Paper. Nordiska Afrikainstitutet, Uppsala.Google Scholar
  3. Brautignam, Deborah. 2010. The dragon’s gift: The real story of China in Africa. Oxford: OUP.Google Scholar
  4. Buse, Kent 2004. Global health partnerships: Increasing their impact by improved governance. GHP Study Paper 5. DFID Health Resource Centre: London.Google Scholar
  5. Buse, Kent, and G. Walt. 2000a. Global public–private partnerships: Part I—A new development in health. WHO Bulletin 78 (4): 549–561.Google Scholar
  6. Buse, Kent, and G. Walt. 2000b. Global public–private partnerships: Part II—What are the health issues for global governance? WHO Bulletin 78 (4): 699–709.Google Scholar
  7. Buzan, Barry, Ole Wæver, and Jaap de Wilde. 1998. Security: A new framework for analysis. Boulder and London: Lynne Rienner Publications.Google Scholar
  8. Chatham House. 2010. What is next for the G20? Investing in health and development. Conference Summary. 30 June 2010. London.Google Scholar
  9. Cooper, Andrew, and John J. Kirton. 2009. Innovation in global health governance: Critical cases. Farnham: Ashgate.Google Scholar
  10. Cooper, Andrew, John J. Kirton, and Ted Schrecker (eds.). 2007. Governing global health: Challenge, response, innovation. Farnham: Ashgate.Google Scholar
  11. Cornia, Giovanni Andrea. 2001. Globalisation and health: Results and options. WHO Bulletin 79 (9): 834–841.Google Scholar
  12. Cox, Robert, and Timothy J. Sinclair (eds.). 1996. Approaches to world order (Cambridge studies in international relations). Cambridge: Cambridge University Press.Google Scholar
  13. Daschel, Tom, and Bill Frist. 2015. The case for strategic health diplomacy: A study of PEPFAR. Washington, DC: Bipartisan Policy Center (BPC).Google Scholar
  14. Dodgson, Richard, Kelley Lee, and Nick Drager. 2002. Global health governance: A conceptual review. Geneva: WHO and LSHTM.Google Scholar
  15. Enemark, Christian. 2017. Ebola, disease-control, and the security council: From securitization to securing circulation. Journal of Global Security Studies 2 (2): 137–149.CrossRefGoogle Scholar
  16. Feldbaum, Harley, Kelley Lee, and Joshua Michaud. 2010. Global health and foreign policy. Epidemiology Review 32: 82–92.CrossRefGoogle Scholar
  17. Garrett, L. 2007. The challenge of global health. Foreign Affairs, January/February Issue. https://www.foreignaffairs.com/articles/2007-01-01/challenge-global-health.
  18. Gill, Stephen, and Solomon Benatar. 2006. Global health governance and global power: A critical commentary on the lancet-University of Oslo commission report. International Journal of Health Services 46 (2): 346–365.CrossRefGoogle Scholar
  19. Harman, Sophie, and Franklyn Lisk (eds.). 2009. Governance of HIV/AIDS: Making participation and accountability work. London: Routledge.Google Scholar
  20. Howard-Jones, Norman. 1975. The scientific background of the international sanitary conferences. Geneva: WHO.Google Scholar
  21. Huang, Yanzhong. 2017. China’s response to the 2014 ebola outbreak in West Africa. Global Challenges 1 (2): 1600001.  https://doi.org/10.1002/gch2.201600001.CrossRefGoogle Scholar
  22. Ikenberry, G.John. 2018. The end of liberal international order. International Affairs 94 (1): 7–24.CrossRefGoogle Scholar
  23. Jahn, Beate. 2018. Liberal internationalism: Historical trajectory and current prospects. International Affairs 94 (1): 43–61.CrossRefGoogle Scholar
  24. Kagan, Robert. 2017. The twilight of the liberal world order. 24 January, Brookings Institution. https://www.brookings.edu/research/.
  25. Kahler, Miles. 2013. Rising powers and global governance: Negotiating change in a resilient status quo. International Affairs 89 (3): 711–729.CrossRefGoogle Scholar
  26. Keohane, Robert. 2001. Governance in a partially globalised world. American Political Science Review 95 (1): 1–13.Google Scholar
  27. Khoubesserian, Caroline. 2009. Global health initiatives: A health governance response? In Innovation in global health governance: Critical cases, ed. A. Cooper and J. Kirton. Farnham: Ashgate.Google Scholar
  28. Kickbusch, Ilona, Andrew Cassels and Austin Liu. 2016. New directions in governing the global health domain-leadership challenges for WHO. Global Health Centre Working Paper 13, Graduate Institute for International and Development Studies, Geneva, Switzerland. http://repository.graduateinstitute.ch/record/294882/files/GHPWP_13_Ilona_2016.pdf.
  29. Kickbusch, Ilona, and Martina Marianna Cassar Szabo. 2014. A new governance space for health. Global Health Action 7 (1): 23507.CrossRefGoogle Scholar
  30. Kirton, John. 2015. G20 Governance for a globalised world. Farnham: Ashgate.Google Scholar
  31. Kirton, John, Julia Kulik, and Caroline Bracht. 2014. Generating global health governance through BRICS summitry. Contemporary Politics 20 (2): 146–162.CrossRefGoogle Scholar
  32. Kliengibiel, Stephan. 2016. Global problem-solving approaches: The crucial role of China and the group of rising powers. Rising Powers Quarterly 1 (1): 33–41.Google Scholar
  33. Labonté, Ronald, and Michelle L. Gagnon. 2010. Framing health and foreign policy: Lessons for global health diplomacy. Globalisation and Health 6 (14): 1–19.Google Scholar
  34. Lancet Commission on Investing in Health. 2013. Global Health 2035: A world converging within a generation. The Lancet 382 (9908): 1898–1955.CrossRefGoogle Scholar
  35. Larionova, Marina, and John J. Kirton (eds.). 2015. The G8–G20 relationship in global governance. Farnham: Ashgate.Google Scholar
  36. Layne, Christopher. 2018. The US-Chinese power shift and the end of the Pax Americana. International Affairs 94 (1): 89–111.CrossRefGoogle Scholar
  37. Lee, Kelley, Kent Buse, and Suzanne Fustukian. 2002. Health policy in a globalising world. Cambridge: CUP.Google Scholar
  38. Lin, Vivian and Ilona Kickbush eds. 2017. Progressing the sustainable development goals through health in all policies: Case studies from around the world. http://www.who.int/social_determinants/publications/progressing-sdg-case-studies-2017.pdf.
  39. Lisk, Franklyn. 2010. Global institutions and HIV/AIDS: Responding to an international crisis. London: Routledge.Google Scholar
  40. Mandelbaum, Michael. 2004. The ideas that conquered the world: Peace, democracy, and free markets in the twenty-first century. New York: Public Affairs.Google Scholar
  41. Michaud, Josh, and Jen Kates. 2012. Raising the profile of diplomacy in the US global health response: A backgrounder on global health diplomacy. Policy Brief: Kaiser Family Foundation.Google Scholar
  42. Moran, Michael, and Michael Stevenson. 2013. Illumination and innovation: What philanthropic foundations bring to global health governance. Global Society 27 (2): 117–137.CrossRefGoogle Scholar
  43. Norrlof, Carla. 2018. Hegemony and inequality: Trump and the liberal playbook. International Affairs 94 (1): 63–88.CrossRefGoogle Scholar
  44. Ruger, Jennifer Prah. 2012. Global health governance as shared health governance. Journal of Epidemiology and Community Health 66 (7): 653–661.CrossRefGoogle Scholar
  45. Ruggie, John Gerard. 1982. International regimes, transactions, and change: Embedded liberalism in the post-war economic order. International Organization 36 (2): 379–415.CrossRefGoogle Scholar
  46. Schaferhoff, Marco, Elina Suzuki, Philip Angelides and Steven J. Hoffman. 2015. Rethinking the global health systems. Chatham House Research Paper. https://www.chathamhouse.org/sites/default/files/field/field_document/20150923GlobalHealthArchitectureSchaferhoffSuzukiAngelidesHoffman.pdf.
  47. Sehovic, Annemarie Bindenagel. 2017. Coordinating global health responses: From HIV/AIDS to Ebola and beyond. Cham: Palgrave Macmillan.CrossRefGoogle Scholar
  48. Sekalala, Sharifah. 2017. Soft law and global health problems: Issues from responses to HIV/AIDS, malaria and tuberculosis. Cambridge: Cambridge University Press.CrossRefGoogle Scholar
  49. Smith, Tony. 1994. America’s mission: The United States and the worldwide struggle for democracy. Princeton: Princeton University Press.Google Scholar
  50. Ullrich, Heidi. 2008. Global health governance and multi-level policy coherence: Can the G8 provide a cure? CIGI Working Paper No. 35. Waterloo, ON: The Centre for International Governance Innovation (GIGI).Google Scholar
  51. West, Darrell M., John Villasenor and Jake Schneider. 2017. Health governance capacity: Enhancing private sector investment in global health. The Brookings Private Sector Global Health Project Working Paper. https://www.brookings.edu/wp-content/uploads/2017/03/cti_20170329_health_governance_capacity_final.pdf.
  52. WHO. 2014. Health systems governance for universal health coverage. Action Plan, Department of Health Systems Governance and Financing.Google Scholar
  53. Woodward, David, Nick Drager, Robert Beaglehole, and Debra Lipson. 2002. Globalisation and health: A framework for analysis and action. WHO Bulletin 79 (9): 875–881.Google Scholar

Copyright information

© Fudan University 2019

Authors and Affiliations

  1. 1.Department of Politics and International Studies (PAIS), Centre for the Study of Globalisation and RegionalisationUniversity of WarwickCoventryUK

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