Global Health Policies: Current Health Challenges and Responses (E575)

Course Organization

Time & Location:

Monday, 10:15 - 12:15, 14:15 - 16:15,
Villa Barton (Room Abi-Saab)

Professor invited:

Dr. Ilona Kickbusch
Office: Room 203
Office hours: Monday, 16:15 - 18:00
Telephone: 022 908 57 04
Email: kickbusch@hei.unige.ch
Website of Professor Kickbusch: http://www.ilonakickbusch.com/en2006/home/index.shtml

Assistant:

Badr Zerhdoud
Office: Publications desk (3rd floor)
Office hours: Tuesday, 14:00 - 16:00
Telephone: 022 908 57 04
Email: zerhdoud@hei.unige.ch

 

 

Course Outline

A ground-breaking shift of perception of health challenges and their resolution has been underway for the last decade. There is now a common understanding that we will not be able to resolve the health problems of the 21st century by relying solely on the institutional international mechanisms developed after World War II, nor are the public health approaches developed over a century ago sufficient to address the threats societies face today. “Good governance for health” is critical to address determinants of health, fight the global disease threats and to provide Human Security. This course will look in particular at new models and approaches that have emerged in the last decade and reflect on the major debates underway.

 

 

Course Schedule and Content

This course will explore the changing nature of Health Diplomacy. It will analyse the interaction between foreign policy and public health in a global world and the ways countries and international organizations have adapted their responses. Key dimensions of health diplomacy will receive special attention and be discussed using both historical and recent cases.

19 March: The Global Health Challenge: strategic uncertainty
10:00-12:00 Introduction to the course and its major topics
14:00-16:00 Global Health Governance: new actors and a new political space
  Our way of life and daily security depends on a well functioning global system. Yet the mechanisms and approaches for global health governance seem in disarray and not sufficiently prepared to address the transnational risks of the 21st century. Two aspects in particular drive the policy agenda: the growing health gap between the rich and poor countries and the potential threat to the rich countries through a “return of infectious disease”. They reflect two different foci of global health policy which have proved difficult to bring together: development and security.
2 April: The Global Health Challenge: a governance failure?
10:00-12:00 Beware of what you wish for: Laurie Garrett’s definition of the problem
14:00-16:00 Two paradigms for global health solutions: the Sachs-Easterly debate
  A “good” global health governance system would be concerned with
  • delivering results (efficiency and effectiveness)
  • ensuring that the results delivered are deemed good (fair, reducing poverty, increasing equity) and,
  • addressing the distribution of power, through increased participation and spaces of interaction for all players.
Increasingly questions are raised if the present system of development aid for health is delivering the results it should.
16 April: On the ground
10:00-12:00 Guest lecture: the approach of the Swiss development agency
14:00-16:00 Guest lecture: a view from Kenya
30 April: Health as a common global endeavor
10:00-12:00 UNITAID
International Finance facility
14:00-16:00 Bill and Melinda Gates Foundation
Charitainment
  Is it sensible to separate the funding for global and trans-national public goods from traditional development aid and its financing mechanisms? Is it reasonable to leave large sections of development aid for health to philanthropy and global charity? What new financing mechanism can be considered such as the French tax on airline tickets or the IFF to help fund development.
7 May Financing global health: models and approaches
10:00-12:00 Visit to the WHO: understanding its role and challenges
14:00-16:00 Is health a global public good? How could it be financed?
  How to balance the concern for greater equity in health with the security challenges of the 21st century? How does WHO deal with the tensions between health development and governing interdependence?
14 May Addressing policy coherence
10:00-12:00 Health and Trade
14:00-16:00 Health and Foreign Policy
4 June Section 6: Values and global citizenship
10:00-12:00 The Millennium Development Goals
Make Poverty History
14:00-16:00 Human Rights, global citizenship and health
  Is a new global “inter-human” ethics taking shape? Movements argue for global public goods that address the social, economic and cultural rights of people in a global world. In consequence their priorities lie with addressing global inequality and poverty as social justice and health as a human right. There is pressure to move beyond a charity model of foreign aid to a global social contract. How relevant is ethical theory in a global world?
The course will be conducted in 14 sessions on seven Mondays. Participants are expected to prepare short discussion papers for sessions, contribute actively and write an end of term analysis of a key global health policy issue or approach.
Representatives of international organizations and other global health actors will be invited to contribute to sessions to allow students to discuss with decision makers in global health governance.


 

 

Requirements

All requirements aim to evaluate students' ability to grasp the key analytical concepts discussed in class and in the readings and to relate them to major empirical developments in health diplomacy. Students have to write an analytical paper followed by a presentation (around 20 pages). Active participation in class is expected and will be part of the overall grade.

 

 

Some Readings

19 March: The Global Health Challenge: strategic uncertainty

  • Kickbusch I, Lister G, editors. European perspectives on global health: A policy glossary. Brussels (Belgium): European Foundation Center. 2006. available online: http://www.efc.be/ftp/public/ic/Health/ EFC_EPGH_GlobalHealthGlossary.pdf
  • Global Trends and Global Governance. Edited by Paul Kennedy, Dirk Messner and Franz Nuscheler. Pluto Press in conjunction with Development and Peace Foundation, London 2002. Chapter 1: Global Challenges at the Beginning of the Twenty-First Century. Also boxes on pages 23, 27, 35, and 136.
  • McMichael, Tony and Robert Beaglehole. “The Global Context for Public Health”. In Global Public Health: A New Era. Edited by Robert Beaglehole. (Oxford: Oxford University Press) 2003.


2 April: The Global Health Challenge: a governance failure?


16 April: On the ground

  • Strategy SDC 2010, Berne 2000.
  • Creating the prospect of living a life in dignity. Principles guiding the SDC in its commitment to fighting poverty. Berne 2004.
  • Switzerland's multilateral development cooperation strategy. An SDC-SECO guidelline. Berne 2005.
  • http://www.health.go.ke/
  • http://web.worldbank.org/...


30 April: Health as a common global endeavor


7 May: Financing global health: models and approaches

  • Bull B., McNeill D. (ed) Development Issues in Global Goverance. London New York Routledge 2007 chapter 1 and 8


14 May: Addressing policy coherence


4 June: Section 6: Values and global citizenship