期刊论文详细信息
BMC International Health and Human Rights
From conceptual pluralism to practical agreement on policy: global responsibility for global health
Wim Van Damme4  Audrey Chapman2  Donna Barry3  Gorik Ooms4  Rachel Hammonds4  Jennifer Prah Ruger1 
[1]Perelman School of Medicine and Leonard Davis Institute of Health Economics, University of Pennsylvania, Philadelphia, USA
[2]University of Connecticut Health Center, Farmington, USA
[3]Center for American Progress, Washington, DC, USA
[4]Institute of Tropical Medicine, Law and Development Research Group, University of Antwerp, Antwerp, Belgium
关键词: Global Health;    Development Assistance for Health;    Global Fund for Health;    Global Fund to Fights AIDS Tuberculosis and Malaria;   
Others  :  1229873
DOI  :  10.1186/s12914-015-0065-8
 received in 2014-06-26, accepted in 2015-09-14, published in 15
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【 摘 要 】

Background

As the human cost of the global economic crisis becomes apparent the ongoing discussions surrounding the post-2015 global development framework continue at a frenzied pace. Given the scale and scope of increased globalization moving forward in a post-Millennium Development Goals era, to protect and realize health equity for all people, has never been more challenging or more important. The unprecedented nature of global interdependence underscores the importance of proposing policy solutions that advance realizing global responsibility for global health.

Discussion

This article argues for advancing global responsibility for global health through the creation of a Global Fund for Health. It suggests harnessing the power of the exceptional response to the combined epidemics of AIDS, TB and Malaria, embodied in the Global Fund to Fight AIDS, Tuberculosis and Malaria, to realize an expanded, reconceptualized Global Fund for Health. However this proposal creates both an analytical quandary embedded in conceptual pluralism and a practical dilemma for the scope and raison d’etre of a new Global Fund for Health. To address these issues we offer a logical framework for moving from conceptual pluralism in the theories supporting global responsibility for health to practical agreement on policy to realize this end. We examine how the innovations flowing from this exceptional response can be coupled with recent ideas and concepts, for example a global social protection floor, a Global Health Constitution or a Framework Convention for Global Health, that share the global responsibility logic that underpins a Global Fund for Health.

Conclusions

The 2014 Lancet Commission on Global Governance for Health Report asks whether a single global health protection fund would be better for global health than the current patchwork of global and national social transfers. We concur with this suggestion and argue that there is much room for practical agreement on a Global Fund for Health that moves from the conceptual level into policies and practice that advance global health. The issues of shared responsibility and mutual accountability feature widely in the post-2015 discussions and need to be addressed in a coherent manner. Our article argues why and how a Global Fund for Health effectuates this, thus advancing global responsibility for global health.

【 授权许可】

   
2015 Ruger et al.

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