Global health governance Flashcards

1
Q

Decolonization

A

Decolonization is the process of addressing and undoing the effects of colonialism, which often involved one country taking control over another and imposing its own culture, systems, and values. In the context of health, decolonization means recognizing and challenging how colonial histories and power imbalances have shaped health systems and practices. It involves:

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2
Q
A
  1. Acknowledging that colonial histories have impacted health inequalities and practices.
  2. Respecting and integrating local knowledge and practices that were often overlooked or suppressed by colonial powers.
  3. Empowering local communities to take control of their own health and healthcare decisions.
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3
Q
A

Overall, decolonization aims to create a more equitable and just approach to health by addressing past injustices and valuing diverse perspectives and practices.

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4
Q

Global Health System

A

It’s complex!
(ostensibly) There is a coordinated effort to address global health issues
Important because health problems transcend borders
Today we’re going to talk about some of the key players:
* International organisations
* National/local organisations
* Civil Society Organisations (CSOs)
* Private sector
* Donors/funders

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5
Q

Key International Organizations

A

United Nations and UN organisations:
* World Health Organization (governed by World Health Assembly)
* UNICEF
* Others as relevant (e.g., UNHCR, UNDP, UNFAO)
Development Banks
* International Monetary Fund
* World Bank
* Regional Banks (e.g., ADB, AfDB, IADB)

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6
Q

The United Nations Explained

A

was made after ww1 countries wanted to prevent horrific world conflicts, leaders of these countries created the League of nations, dedicated to preventing the outbreak of further wars

this failed in ww2, league was wholey ineffective in preventing war.

UN born after ww2, after the ratification of “the charter of the UNITED NATIONS” between US, UK, china, france, soviet union

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7
Q
A

UN has 6 principle organs, that oversee the organisations main functions:

  1. general assembly
  2. security council
  3. economic and social concil
  4. int. court of justice
  5. the UN secretariat
  6. trusteeship council
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8
Q
  1. general assembly deals with
A

questions of international peace
admission of member states
un budget

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9
Q

security council

A

maintaining global peace and security

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10
Q
  1. economic and social concil
A

has jurisdiction over matters of economy, social welfare, environment and international development

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11
Q

ICJ

A

rules on matters of international law

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12
Q

Key Public National/Local Organizations

A

Ministries/Departments of Health
Public health agencies (e.g., CDC in USA)
Regulatory bodies (e.g., TGA in Australia)
Social security programs (e.g., NHS in UK, Medicare in Australia)

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13
Q

Civil Society Organisations

A

Non-Governmental Organisations
Community Groups
Unions
Faith-based organisations
Professional associations
You might like to read more on ‘Structural Adjustment’

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14
Q

Civil Society Organisations

A

Médecins Sans Frontières (Doctors Without Borders, MSF)
International Committee of the Red Cross (ICRC)
International Federation of Red Cross and Red Crescent Societies (IFRC)
Save the Children
International Planned Parenthood Federation

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15
Q

Private sector

A

Pharmaceutical companies
Health insurers
Private healthcare

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16
Q

Donors/funders

A
17
Q

Donors/funders

A

National Governments
Philanthropists (e.g., Gates Foundation)
UN Agencies (although they receive funds themselves)
World/regional Banks (although often these are ‘loans’)
Research councils

18
Q

Global health initiatives

A

The Global Alliance for Vaccines and Immunization (Gavi)
The Global Fund to Fight AIDS, Tuberculosis and Malaria (Global Fund)

19
Q

Challenges in Global Health System Governance

A

Coordination
Funding
Power Imbalances
Authority?

20
Q

So…

A

The global health system is complex, and many entities play multiple
(sometimes conflicting) roles
Global health governance is essential for addressing health issues that
cross borders
Effective cooperation between countries and organizations is key to
overcoming global health challenges