Generation of political priority for global health initiatives: A framework and case study of maternal mortality
David Bourget (Western Ontario)
David Chalmers (ANU, NYU)
Rafael De Clercq
Ezio Di Nucci
Jonathan Jenkins Ichikawa
Jack Alan Reynolds
Learn more about PhilPapers
Why do some global health initiatives receive priority from international and national political leaders while others receive minimal attention? We propose a framework for analyzing this question consisting of four categories of factors: the strength of the actors involved in the initiative, the power of the ideas they use to frame 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, launched in 1987. Using a process-tracing methodology commonly employed in qualitative research, we conducted archival research and interviewed actors involved in the initiative. We find 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 twentieth anniversary 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 that convinces political leaders to act.We draw on the framework and case study to suggest areas for future research on the determinants of political priority for global health initiatives, a subject that has attracted much speculation but little scholarship.
|Keywords||No keywords specified (fix it)|
|Categories||categorize this paper)|
Setup an account with your affiliations in order to access resources via your University's proxy server
Configure custom proxy (use this if your affiliation does not provide a proxy)
|Through your library||
References found in this work BETA
No references found.
Citations of this work BETA
Rebecca J. Cook (2013). Human Rights and Maternal Health: Exploring the Effectiveness of theAlyneDecision. Journal of Law, Medicine and Ethics 41 (1):103-123.
Similar books and articles
Doug Martin & Peter Singer (2003). A Strategy to Improve Priority Setting in Health Care Institutions. Health Care Analysis 11 (1):59-68.
Georg Kell (2005). The Global Compact Selected Experiences and Reflections. Journal of Business Ethics 59 (1-2):69 - 79.
Pythagoras Petratos (2005). Does the Private Finance Initiative Promote Innovation in Health Care? The Case of the British National Health Service. Journal of Medicine and Philosophy 30 (6):627 – 642.
George Modelski & Tessaleno Devezas (2007). Political Globalization is Global Political Evolution. World Futures 63 (5 & 6):308 – 323.
Stephen K. White & J. Donald Moon (eds.) (2003). What is Political Theory? Sage Publications.
Christopher Lowry & Udo Schüklenk (2009). Two Models in Global Health Ethics. Public Health Ethics 2 (3):276-284.
Roger S. Magnusson (2010). Global Health Governance and the Challenge of Chronic, Non-Communicable Disease. Journal of Law, Medicine & Ethics 38 (3):490-507.
Andreas Rasche & Dirk Ulrich Gilbert (2012). Institutionalizing Global Governance: The Role of the United Nations Global Compact. Business Ethics 21 (1):100-114.
Dirk Ulrich Gilbert & Andreas Rasche (2008). Opportunities and Problems of Standardized Ethics Initiatives – a Stakeholder Theory Perspective. Journal of Business Ethics 82 (3):755 - 773.
Lindsay F. Wiley (2010). Mitigation/Adaptation and Health: Health Policymaking in the Global Response to Climate Change and Implications for Other Upstream Determinants. Journal of Law, Medicine & Ethics 38 (3):629-639.
Added to index2009-01-28
Total downloads2 ( #713,728 of 1,934,802 )
Recent downloads (6 months)1 ( #434,672 of 1,934,802 )
How can I increase my downloads?