Global Health Governance And The Challenge Of Chronic Non Communicable Disease

This paper considers how we can conceptualize a “global response” to chronic, non-communicable diseases (NCDs) - including cardiovascular disease, cancer, diabetes and tobacco-related diseases. These diseases are the leading cause of death and disability in developed countries, and also in developing countries outside sub-Saharan Africa. The paper reviews emerging and proposed initiatives for global NCD governance, explains why NCDs merit a global response, and the ways in which global initiatives ultimately benefit national health outcomes. As the global response to NCDs matures, and the number of initiatives and partnerships increases, it will become increasingly important to map their respective contributions, and to evaluate progress overall. It is not yet clear what institutional mechanism, if any, will rise above the sea of surrounding initiatives to play this global role. This paper therefore aims to provide a conceptual map for making sense of what individual initiatives contribute to global governance. This map also draws attention to the distinctively “global” public health functions that a global response to NCDs should seek to discharge.

Fully updated for the second edition, this text provides a concise and informative introduction to how global health is governed, exploring the ways in which we understand global health governance, exposing its complex nature, and asking who or what really governs global health, to what outcome, and for whom. Governing outbreaks, emergencies, pandemics, access to medicines, non-communicable diseases, and the financing of fully functioning health systems remain among the biggest challenges national and international policymakers and practitioners face. While COVID-19 made apparent the tensions, contestations, and complexity of governing health threats, to understand what could and should have worked during the pandemic requires a comprehensive understanding of the actors, approaches, and issues that make up global health. Divided into three parts, the book examines the different actors who participate in global health governance, their powers, interests, ways of working, relationships, and how their roles have changed over time. It explores different approaches to global health governance, focusing on the ways global health issues have been conceptualised and understood, and how this has shaped global health politics and the ways the key actors work. Finally, it examines different issues, and how the actors and their approaches have addressed health emergencies and everyday health inequities. Global Health Governance provides a comprehensive introduction to researchers and students new to the field of global health governance, and a vital resource and reference point for established scholars and practitioners working in the field of global health.

Noncommunicable diseases (NCDs) are by far the major cause of death in lower-middle, upper-middle, and high-income countries; by 2015, they will also be the leading cause of death in low-income countries. In addition to mortality, NCDs account for nearly half of the disease burden measured in disability-adjusted life years (DALYs) in low- and middle-income countries, and large increases in NCD-related DALYs are projected. Addressing this challenge will require policy makers to design and implement economic, health, and social policies to address the links between NCDs and poverty and to minimize the health and economic losses among the population. Public Policy and the Challenge of Chronic Noncommunicable Diseases provides a framework that policy makers can use to formulate their strategies. The authors point out that the most effective policy response will be twofold: to develop programs to avoid the looming NCD burden of disease to the extent possible-for example, through public health interventions and improved health care-and simultaneously to prepare to address the health system and economic pressures that will arise from the increase in NCDs due to the aging of populations. This book will be of interest to governments, international organizations, universities, and research institutions focusing on health care, economic policy, public health, and poverty reduction strategies. Book jacket.

Global Handbook on Noncommunicable Diseases and Health Promotion David V. McQueen, editor A scan of health challenges around the globe readily brings to mind a range of infectious illnesses, from HIV to influenza. Yet chronic non-contagious conditions--heart disease, asthma, diabetes, cancer--are more prevalent, and their rates soaring, across the developed and developing worlds. The Global Handbook on Noncommunicable Diseases and Health Promotion is an important resource for understanding and approaching chronic illnesses and their prevention. This timely text balances theory and strategies to provide an integrative context for health-affecting behaviors regarding tobacco use, food choices, and physical activity. Coverage expands on current medical/clinical public health perspectives, arguing that closer attention to social context is crucial to better use of health resources and more relevant preventive efforts. Possible roles for hospitals, the workplace, government agencies, NGOs, and other institutions are analyzed, as is the potential for addressing larger underlying health factors (e.g., inequities and poverty) at the societal level. Topics covered include: The nature of causality: beyond traditional evidence Learning from the social sciences in chronic disease health promotion Contextual factors in health and illness Understanding and applying a social determinants of health framework for addressing NCDs Public health, NCDs, health promotion and business partnering NCDs and civil society: a history and a roadmap As the authors of the Global Handbook on Noncommunicable Diseases and Health Promotion make abundantly clear, opportunities are as numerous as the issues, and researchers and graduate students in global public health, health promotion, and chronic disease epidemiology will find these chapters positive and realistic.p>

"Global health governance structures today are failing to address the global health crises either of communicable or non-communicable diseases (NCDs). I demonstrate that global health governance is characterised by a market justice approach to health and a lack of global health leadership, as evidenced by the negotiation of global intellectual property regulations and recent debates on access to NCD medicines. This raises three challenges for global health: (i) addressing broad participation, (ii) the dilution of the meaning of global health, and (iii) the co-optation of the global health agenda by corporate interests. Analysing the existing proposals from scholars in global health governance, I demonstrate that features of a policentric model of constitutional interpretation could be adapted to the global health context. I suggest that the three challenges can be addressed by establishing the respective roles and authority of the multiple global health actors under a post-Westphalian 'multicentric global governance for health' model. By tackling the trend of market justice in health and the absence of leadership in global health, multicentric global governance for health offers a framework in which WHO, States and non-State actors can collectively govern global health so as to promote equity and social justice. " --

Rates of heart disease, cancer, diabetes, and other noncommunicable diseases (NCDs) in low- and middle-income countries are increasing faster, in younger people, and with worse outcomes than in wealthier countries. In 2013 alone, NCDs killed eight million people before their sixtieth birthdays in developing countries. A new CFR-sponsored Independent Task Force report and accompanying interactive look at the factors behind this epidemic and the ways the United States can best fight it.

A timely inquiry into how domestic politics and global health governance interact in Africa. Global health campaigns, development aid programs, and disaster relief groups have been criticized for falling into colonialist patterns, running roughshod over the local structure and authority of the countries in which they work. Far from powerless, however, African states play complex roles in health policy design and implementation. In Africa and Global Health Governance, Amy S. Patterson focuses on AIDS, the 2014–2015 Ebola outbreak, and noncommunicable diseases to demonstrate why and how African states accept, challenge, or remain ambivalent toward global health policies, structures, and norms. Employing in-depth analysis of media reports and global health data, Patterson also relies on interviews and focus-group discussions to give voice to the various agents operating within African health care systems, including donor representatives, state officials, NGOs, community-based groups, health activists, and patients. Showing the variety within broader patterns, this clearly written book demonstrates that Africa's role in global health governance is dynamic and not without agency. Patterson shows how, for example, African leaders engage with international groups, attempting to maintain their own leadership while securing the aid their people need. Her findings will benefit health and development practitioners, scholars, and students of global health governance and African politics.

Recently global health issues have leapt to the forefront of the international agenda and are now an everyday concern around the world. The war for global health is clearly being lost on many fronts and the massive body count is mounting fast. Re-emerging diseases such as polio and tuberculosis, long thought to be on the verge of elimination, are now coupled with the devastation of newly emerging ones such as SARS and avian influenza. In addition, the shock of bioterrorism has given a tragic poignancy to the importance of studying the failure of the global health governance system. Compiled by renowned specialists, this volume studies the global challenges and responses to these issues, as well as the roles of central institutions such as the World Health Organization, the World Trade Organization and the G8. Health practitioners and clinicians seeking a context for their front-line care provision, as well as scholars and students of global health issues, will find the volume highly valuable.

Presents a pragmatic agenda for achieving effective and sustainable global action on noncommunicable diseases in lower- and middle-income countries. Noncommunicable diseases (NCDs)—including cardiovascular disease, diabetes, asthma and other chronic respiratory conditions, and cancers—are the leading causes of death worldwide. An estimated 36 million people die from such diseases each year; this represents roughly two out of three deaths globally. Eighty percent of these fatalities occur in developing countries. The statistics are staggering, yet millions of these deaths are preventable. This is an urgent global health issue that demands analysis of gaps in NCD research, new policies and practices, and actionable recommendations to close the gaps. The Johns Hopkins Institute for Applied Economics, Global Health, and the Study of Business Enterprise convened an NCD Working Group of leading scholars to examine a wide range of issues that both the private and public sectors must address to make sustainable progress in NCD prevention and treatment in lower- and middle-income countries. Collected in this volume are essays on five key areas where strengthened policies and health systems can have the most impact in the near future. • Accelerating regulatory harmonization • Structuring supply chains • Improving access to interventions • Restructuring primary care • Promoting multisectoral and intersectoral action While there is a growing literature on the problem of NCDs, none of the available studies provides background on the range of challenges matched with specific steps that can be taken by the public sector, private sector, and civil society working together. Noncommunicable Diseases in the Developing World presents a framework for understanding the salience of specific policy recommendations and detailed steps that can be taken now to move forward in the global campaign against NCDs. This book will be of interest to practitioners, scholars, and students in public health as well as those framing and implementing health policies in the private and public sectors.

“I can easily see this book being the ‘go-to’ text for students of global health. It provides a comprehensive overview of globalisation’s impact on health and wellbeing.” Professor David McCoy, United Nations University - International Institute for Global Health, Kuala Lumpur, Malaysia. “This book, which is based on rich and diverse empirical case-studies, highlights the importance of understanding global health as a multi-disciplinary field.” Haim Yacobi, Professor of Development Planning, Bartlett Development Planning Unit, University College London, UK “This book is relevant for everyone that would like to have an overview of current issues of global health in the context of the globalization era.” Ari Probandari, Professor of Public Health at Universitas Sebelas Maret, Indonesia Global health challenges are evolving profoundly. Today public health practitioners must recognize the importance of global changes for human health and health policy at all levels. Fully revised and restructured, this ground-breaking title returns in its third edition to offer students and practitioners an accessible and contemporary exploration of globalization and global health. The book includes critical reflection on global changes, with practical learning activities which help you explore the central debates. Chapters cover key issues, and emerging trends in global policy, such as: •Social change in the 21st century, including social media and technology •The emergence of global health governance and its colonial heritage •Trade and its implications on health, policy, and disease •Global environmental change including climate, biodiversity, and global policy responses •Infectious disease including pandemic trends and global policy responses •Non-communicable diseases and the risks of alcohol, food, and tobacco •Governance and the state, including non-governmental actors The third edition of Globalization and Global Health is an ideal resource for students of public health and health policy, public health practitioners and policy makers. Contributors: Carolyn Stephens, Benjamin Hawkins, Marco Liverani, Don Brown, Chris Holden, Aloisa Katsande, Neil Spicer, Preslava Stoeva Understanding Public Health is an innovative series published by Open University Press in collaboration with the London School of Hygiene & Tropical Medicine, where it is used as a key learning resource for postgraduate programmes. It provides self-directed learning covering the major issues in public health affecting low, middle and high income countries. Series Editors: Rosalind Plowman and Nicki Thorogood.