Global Leadership and Global Health: Contending Meta-narratives, Divergent Responses, Fatal Consequences
Identifieur interne : 004B98 ( Main/Exploration ); précédent : 004B97; suivant : 004B99Global Leadership and Global Health: Contending Meta-narratives, Divergent Responses, Fatal Consequences
Auteurs : Alan Ingram [Royaume-Uni]Source :
- International Relations [ 0047-1178 ] ; 2005-12.
English descriptors
- Teeft :
- Aids activists, Aids relief, Bush administration, Case studies, Common challenges, Country activism, David fidler, Democratic decision, Development policy, Development programmes, Dfid, Divergence, Domestic politics, Economic freedom, Economic integration, Economic interests, Effective action, Effective multilateralism, Effective partnership, Elite advocacy, European union, Faultlines, Foreign affairs, Foreign policy, Free trade, Funding, Gearoid tuathail, Global, Global efforts, Global fund, Global governance, Global health, Global health council, Global health issues, Global health need, Global health policy, Global health problems, Global leadership, Global peripheries, Global poverty, Global security, Globalisation, Good governance, Governance, Greater coherence, Health issues, Health problems, Health protection, Health research, Health systems, Human security, Human services, Ilona kickbusch, Increase access, Infectious disease, Infectious diseases, International community, International development, International efforts, International health, International health coalition, International institutions, International peace, International property, International relations, International security, International system, John bolton, Litmus test, Mark duffield, Medical communities, Millennium challenge account, Millennium development goals, Money work, National security, National security strategy, Negative effects, Neoliberal, Neoliberal principles, Nuffield trust, Organisation, Organise responses, Oxford university press, Pandemic, Pepfar, Pepfar legislation, Pharmaceutical industry, Policy makers, Political economy, Political orientations, Political pathology, Poor countries, Poorest countries, Poverty reduction, President bush, President clinton, Prime minister, Programme, Public health, Public sector, Public services, Recipient countries, Reproductive health services, Rich countries, Same time, Sars epidemic, Second world, Security concerns, Security council, Security policies, Significant proportion, Simon maxwell, Social mobilisation, Social rights, State department, Stationery office, Tobacco control, Trade agreements, Trade liberalisation, Trips agreements, Trips flexibilities, Tropical medicine, Unaids, Vast majority, Washington consensus, Western europe, White house, Wide range, Widespread opposition, World bank, World health organisation.
Abstract
Global health problems are often framed as common challenges confronting humanity, and while political commitment and resources have recently increased, a number of faultlines run through efforts to mount collective responses. Although the United States has staked its claim to leadership in the fight against disease, its actions diverge in several key respects from much of the international community, undermining the effectiveness of global efforts. These divergences can be traced to domestic politics, and are related to three debates of significance for international relations more generally: on global governance, models of globalisation, and relationships between development and security. In this article US approaches are contrasted in each of these dimensions with those of the UK, which has been active in promoting its own vision. The prospects for overcoming current limitations are examined on two levels: the technocratic, and the ideological and political. Developments on both levels are evaluated in light of events early in the second term of the Bush administration. In conclusion, it is suggested that there are two contending meta-narratives underlying the faultlines in global health.
Url:
DOI: 10.1177/0047117805058530
Affiliations:
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<front><div type="abstract" xml:lang="en">Global health problems are often framed as common challenges confronting humanity, and while political commitment and resources have recently increased, a number of faultlines run through efforts to mount collective responses. Although the United States has staked its claim to leadership in the fight against disease, its actions diverge in several key respects from much of the international community, undermining the effectiveness of global efforts. These divergences can be traced to domestic politics, and are related to three debates of significance for international relations more generally: on global governance, models of globalisation, and relationships between development and security. In this article US approaches are contrasted in each of these dimensions with those of the UK, which has been active in promoting its own vision. The prospects for overcoming current limitations are examined on two levels: the technocratic, and the ideological and political. Developments on both levels are evaluated in light of events early in the second term of the Bush administration. In conclusion, it is suggested that there are two contending meta-narratives underlying the faultlines in global health.</div>
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