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Examining the Global Health Arena: Strengths and Weaknesses of a Convention Approach to Global Health Challenges

Published online by Cambridge University Press:  01 January 2021

Extract

Global health is a concept which in recent years has evoked a lot of interest from both academics, politicians, celebrities, and the media. The term “global health” implies a globally shared responsibility to provide health as a public good through an expansive number of initiatives. This emerging era of consciousness about our international interdependence, regardless of a problem’s geographic location or type of disease, may be a good moment for exploring the strengths and weaknesses of an international law approach to global health challenges: a global health convention.

The most prominent global health initiatives are the Millennium Development Goals (MDGs), the 2005 Paris Declaration Process on Aid Effectiveness on the need for alignment and coordination (PDP), and the 2008 Accra High Level Forum on Aid Effectiveness (AHLF). These instruments have yet to prove their value, and the funds annually disbursed, approximately $25 billion in 2009, could have better effect if the negotiated principles from the PDP and the AHLF were followed.

Type
Symposium
Copyright
Copyright © American Society of Law, Medicine and Ethics 2010

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References

United Nations Development Programme, United Nations Millennium Summit and United Nations Millennium Declaration, Millennium Development Goals, 2000, available at <http://www.undp.org/mdg/basics.shtml/> (last visited July 29, 2010). See also <http://www.un.org/millennium/declaration/ares552e.htm/> (last visited July 29, 2010).+(last+visited+July+29,+2010).+See+also++(last+visited+July+29,+2010).>Google Scholar
Ministers of developed and developing countries at a meeting in Paris on March 2, 2005. The Paris Declaration on Aid Effectiveness: Ownership, Harmonization, Alignment, Results and Mutual Accountability, 2005, available at <http://www.oecd.org/dataoecd/11/41/34428351.pdf> (last visited July 21, 2010) [hereinafter The Paris Declaration].+(last+visited+July+21,+2010)+[hereinafter+The+Paris+Declaration].>Google Scholar
3rd High-Level Forum on Aid Effectiveness, Accra Agenda for Action, available at <http://siteresources.worldbank.org/ACCRAEXT/Resources/4700790-1217425866038/AAA-4-SEPTEMBER-FINAL-16h00.pdf> (last visited July 21, 2010).+(last+visited+July+21,+2010).>Google Scholar
Prepared by UNICEF WTWBftAU, A Strategic Framework for Reaching the Millennium Development Goal on Child Survival in Africa: Through Health System Strengthening and Implementation at Scale of Integrated Packages of High-Impact and Low-Cost Health and Nutrition Interventions, September 27, 2006, available at <http://www.africanchildinfo.net/documents/Strategic%20Framework%20for%20reaching%20MDGs%20on%20Child%20Survival.doc> (last visited July 21, 2010).+(last+visited+July+21,+2010).>Google Scholar
Ravishankar, N., Gubbins, P., Cooley, R., Leach-Kemon, K., Michaud, C. M., and Jamison, D. T. et al., “Financing of Global Health: Tracking Development Assistance for Health from 1990 to 2007,” The Lancet 373, no. 9681 (2009): 21132124.CrossRefGoogle Scholar
Gostin, L. O., “Meeting Basic Survival Needs of the World's Least Healthy People toward a Framework Convention on Global Health,” Georgetown Law Journal 96 (2008): 331392.Google Scholar
Hathaway, O. A., “Do Human Rights Treaties Make a Difference?” Yale Law Journal 111, no. 8 (2002): 19352042.CrossRefGoogle Scholar
Ruger, J. P., “Normative Foundations of Global Health Law,” Georgetown Law Journal 96 (2008): 423443.Google Scholar
Ausubel, J. H. and Victor, D. G., “Verification of International Environmental Agreements,” Annual Review of Energy and the Environment 17 (1992): 143.CrossRefGoogle Scholar
Cheyes, A and Cheyes, A. H., The New Sovereignity: Compliance with International Regulatory Agreements (Cambridge: Harvard University Press, 1995): At 135.Google Scholar
Franck, T. M., The Power of Legitimacy among Nation (Oxford: Oxford University Press, 1990): At 3–26.Google Scholar
Checkel, J. T., “Why Comply? Social Learning and European Identity Change,” International Organization 55, no. 3 (2001): 553588.CrossRefGoogle Scholar
Finnemore, M. and Sikkink, K., “International Norm Dynamics and Political Change,” International Organization 52, no. 4 (1998): 887917.CrossRefGoogle Scholar
Bodansky, D., “What Makes International Agreements Effective? Some Pointers for the WHO Framework Convention on Tobacco Control,” 1999, WHO Framework Convention on Tobacco Control Technical Briefing Series, WHO/NCD/TFI/99.4.Google Scholar
WHO, Fact Sheet: Spending on Health: A Global Overview, 2007, at 319, available at <http://www.who.int/mediacentre/factsheets/fs319.pdf> (last visited July 21, 2010).+(last+visited+July+21,+2010).>Google Scholar
United Nations Committee on Economic, Social and Cultural Rights (ECOSOC), “General Comment No. 14 on the Highest Attainable Standard of Health (Article 12 of the International Covenant on Economic, Social and Cultural Rights),” August 8, 2000, available at <http://www.unhchr.ch/tbs/doc.nsf/0/40d009901358b0e2c1256915005090be?Opendocument> (last visited July 21, 2010).+(last+visited+July+21,+2010).>Google Scholar
Taylor, A. L. and Bettcher, D. W., “WHO Framework Convention on Tobacco Control: A Global ‘Good’ for Public Health,” Bulletin of the World Health Organization 78, no. 7 (2000): 920929.Google Scholar
See Ravishankar, et al., supra note 5.Google Scholar
McCoy, D., Chand, S., and Sridhar, D., “Global Health Funding: How Much, Where It Comes From and Where It Goes,” Health Policy Plan 24, no. 6 (2009): 407417.CrossRefGoogle Scholar
Ooms, G., “From the Global AIDS Response towards Global Health? A Discussion Paper: The Hélène de Beir Foundation,” The International Civil Society Support group, 2009, available at <http://www.internationalhealthpartnership.net/pdf/IHP%20Update%2013/Taskforce/taskforce/090101_Ooms_Global_Health_Discussion_Paper%20(2).pdf> (last visited July 29, 2010).Google Scholar
Ooms, G., Van Damme, W., and Temmerman, M., “Medicines without Doctors: Why the Global Fund Must Fund Salaries of Health Workers to Expand AIDS Treatment,” PLoS Medicine 4, no. 4 (2007): 605608.CrossRefGoogle Scholar
Organisation of African Unity, Abuja Declaration on HIV/AIDS, Tuberculosis and Other Related Infectious Diseases, African Summit on HIV/AIDS and Other Related Infectious Diseases, Abuja Nigeria, available at <http://www.un.org/ga/aids/pdf/abuja_declaration.pdf> (last visited July 21, 2010).+(last+visited+July+21,+2010).>Google Scholar
People's Health Assembly 2, The Cuenca Declaration, available at <http://phmovement.org/pha2/papers/cuencadec3.php> (last visited July 21, 2010).+(last+visited+July+21,+2010).>Google Scholar
Making Progress on Global Health in the Spanish, Belgian and Hungarian Presidency of the European Union: Civil Society Recommendations, 2009, available at <http://www.congde.org/uploads/documentos/b22158c45f15d8a97d68fecad015f4a3.pdf> (last visited July 21, 2010).+(last+visited+July+21,+2010).>Google Scholar
The Future of Global Health: Ingredients for a Bold & Effective U.S. Initiative, 2009, available at <http://www.theglobalhealthinitiative.org/documents/report.pdf> (last visited July 21, 2010).+(last+visited+July+21,+2010).>Google Scholar
See Gostin, , supra note 6.Google Scholar
Reich, M. R. and Takemi, K., “G8 and Strengthening of Health Systems: Follow-Up to the Toyako Summit,” The Lancet 373, no. 9662 (2009): 508515.CrossRefGoogle Scholar
See Ooms, , supra note 28.Google Scholar
Frenk, J., Bridging the Divide: Comprehensive Reform to Improve Health in Mexico. Nairobi, Kenya: Commission on Social Determinants of Health, available at <http://www.who.int/social_determinants/resources/frenk.pdf> (last visited July 21, 2010).Google Scholar
Price, J. E., Leslie, J. A., Welsh, M., and Binagwaho, A., “Integrating HIV Clinical Services into Primary Health Care in Rwanda: A Measure of Quantitative Effects,” Aids Care-Psychological and Socio-Medical Aspects of Aids/Hiv 21, no. 5 (2009): 608614; Special Programme for Research and Training in Tropical Diseases, Community-Directed Interventions for Major Health Problems in Africa: A Multi-Country Study: Final Report, WHO, Geneva, 2008, available at <http://www.informaworld.com/smpp/content~db=all~content=a911200140> (last visited July 29, 2010).Google Scholar
High-Level Forum on the Health MDGs, Best Practice Principles for Global Health Partnership Activities at Country Level, Paris, 2005, available at <http://www.hlfhealthmdgs.org/Documents/GlobalHealthPartnerships.pdf> (last visited July 21, 2010) [hereinafter Best Practices Principles].+(last+visited+July+21,+2010)+[hereinafter+Best+Practices+Principles].>Google Scholar
Hunt, P. and Backman, G., “Health Systems and the Right to the Highest Attainable Standard of Health,” in Clapham, A., Robinson, M., Mahon, C., and Jerbi, S., eds., Realizing the Right to Health, Swiss Human Rights Books (Zürich: Rüffer & Rub, 2009): At 40–59.Google Scholar
Cometto, G., Ooms, G., Starrs, A., and Zeitz, P., “A Global Fund for the Health MDGs?” The Lancet 373, no. 9674 (2009): 15001502.CrossRefGoogle Scholar
See Reich, and Takemi, , supra note 34.Google Scholar
Das Gupta, M. and Gostin, L. O., “How Can Donors Help Build Global Public Goods in Health?” Policy research working paper, The World Bank Development Research Group Human Development and Public Services Team, 2009, available at <http://econ.worldbank.org/external/default/main?pagePK=64165259&piPK=64165421&theSitePK=469382&menuPK=64216926&entityID=000158349_20090420112159> (last visited July 21, 2010).CrossRefGoogle Scholar
Bate, R. and Boateng, K., “How to Promote Global Health: A Foreign Affairs Roundtable,” Foreign Affairs: The Council on Foreign Relations, available at <http://www.foreignaffairs.com/discussions/roundtables/how-to-promote-global-health> (last visited July 21, 2010).Google Scholar
See Gupta, Das and Gostin, , supra note 44.Google Scholar
Glennie, J., The Trouble with Aid: Why Less Could Mean More for Africa, African Arguments Books Series (London and New York: Zed Books in association with International African Institute Royal African Society Social Science Research Council, 2008): At 5–6.Google Scholar
See Gostin, , supra note 6.Google Scholar
See The Paris Declaration, supra note 2.Google Scholar
The Maximizing Positive Synergies Civil Society Consortium, Interactions between Global Health Initiatives and Health Systems: Evidence from Countries, available at <http://www.who.int/healthsystems/publications/MPS_civil_society_case_studies.pd> (last visited July 21, 2010).+(last+visited+July+21,+2010).>Google Scholar
See Best Practices Principles, supra note 39.Google Scholar
Transparency International, “Poverty, Aid and Corruption,” Policy Paper, The Global Coalition against Corruption, no. 1, 2007, available at <http://www.transparency.org/publications/publications/policy_positions/pp_01_2007_aid_corruption> (last visited July 29, 2010).+(last+visited+July+29,+2010).>Google Scholar
Piva, P. and Dodd, R., “Where Did All the Aid Go? An In-Depth Analysis of Increased Health Aid Flows over the Past 10 Years,” Bulletin of the World Health Organization 87, no. 12 (2009): 930939.CrossRefGoogle Scholar
Marriott, A., “Blind Optimism. Challenging the Myths about Private Health Care in Poor Countries,” No. 125 Oxfam Briefing Paper, Oxfam International, available at <http://www.oxfam.org/sites/www.oxfam.org/files/bp125-blind-optimism-0902.pdf> (last visited July 29, 2010).+(last+visited+July+29,+2010).>Google Scholar
“The Future of Aid: A Scramble in Africa,” The Economist, September 4, 2008.Google Scholar
See General Comment 14, supra note 20.Google Scholar
Wagstaff, A. and Claeson, M., The Millennium Development Goals for Health: Rising to the Challenges, The World Bank, 2004, available at <http://www-wds.worldbank.org/servlet/WDSContentServer/WDSP/IB/2004/07/15/000009486_20040715130626/Rendered/PDF/296730PAPER0Milent0goals0forOhealth.pdf> (last visited July 21, 2010).Google Scholar
See Who Fact Sheet, supra note 19.Google Scholar
Horton, R., “Global Science and Social Movements: Towards a Rational Politics of Global Health,” International Health 1, no. 1 (2009): 2630.CrossRefGoogle Scholar
Council of Europe, European Convention for the Protection of Human Rights and Fundamental Freedoms, available at <http://conventions.coe.int/Treaty/en/Treaties/Html/005.htm> (last visited July 21, 2010).+(last+visited+July+21,+2010).>Google Scholar
See Reich, and Takemi, , supra note 34.Google Scholar
Ruger, J. P., “The Changing Role of the World Bank in Global Health,” American Journal of Public Health 95, no. 1 (2005): 6070.CrossRefGoogle Scholar
Peoples Health Movement, Medact, Global Equity Gauge Alliance, Zed Books, Global Health Watch 2: An Alternative World Health Report, 2008, available at <http://www.ghwatch.org/sites/www.ghwatch.org/files/ghw2.pdf> (last visited July 29, 2010).+(last+visited+July+29,+2010).>Google Scholar
Ruger, J. P. and Yach, D., “The Global Role of the World Health Organization,” Global Health Governance II, no. 2 (Fall 2008/Spring 2009): 111, available at <http://ghgj.org/Ruger%20and%20Yach_The%20Global%20Role%20of%20WHO.pdf> (last visited July 29, 2010)Google Scholar
Amorim, C., Douste-Blazy, P., Wirayuda, H., Store, J. G., Gadio, C. T., and Dlamini-Zuma, N. et al., “Oslo Ministerial Declaration - Global Health: A Pressing Foreign Policy Issue of Our Time,” The Lancet 369, no. 9570 (2007): 13731378.Google Scholar
Van Langendonck, J., “Globalisation and Social Security,” 2010 (unpublished paper).Google Scholar