International Health and Global Health: Reconfigurations of a Disputed Field

Authors

DOI:

https://doi.org/10.15359/ri.95-2.3

Keywords:

International Health, Health Diplomacy, Geopolitics, Global Health, International organizations, Latin American Social Medicine

Abstract

International health is an interdisciplinary field of knowledge, research, and action that deals with the health of populations beyond their national borders. Latin America established itself as a pioneer in international health during the 20th century, inducing an unprecedented dynamic in the field. In this sense, a process of analysis, reflection, and interpretation from a Latin American perspective is required to overcome its image as a mere replica of European health development. This article has the double objective of analyzing the historical development of the field of International Health and, secondly, reflecting on the concepts of International Health and Global Health, in the new regional and global geopolitics. Through a historical journey that begins in 1851, this analysis accounts for the disputes, tensions, and rivalries that have shaped the field of international health and some of its main organizations. Particularly, the World Health Organization -with the supremacy of neoliberalism- has been impacted by mercantilist interests of new non-health actors, such as the World Bank, the pharmaceutical industry, and philanthropic organizations. In this context, the passage/transition from the field of International Health to the denomination of Global Health represents - much more than a simple linguistic shift - a political-ideological shift. In Latin America, on the other hand, the influence of critical Latin American thought has pushed toward an understanding of International Health based on human rights and regional health sovereignty, implemented through more horizontal cooperation and emancipatory policies. The advent of the pandemic has shown that health is an unquestionable international issue, demanding coordinated and comprehensive policies. Instead, it occurs in a world fragmented by disputes and interests and, particularly in Latin America -with the dissolution of UNASUR- it arrives in a context of savage/wild health system reforms and at a time of marked weakness in some of its processes of integration. Consequently, there is an urgent need to discuss the architecture of global and regional health, its agenda, and to rethink international cooperation as an epidemiological policy that effectively addresses global inequities and responds to the urgent and persistent needs of our people.

Author Biographies

María Belén-Herrero, FLACSO Argentina

Main researcher. International Relations Department. PhD in Social Sciences (UBA). 

Marcela Beatriz Belardo, UNPAZ. IESCODE.

Researcher. PhD in Social Sciences (UBA). 

References

Almeida C. M., Haines, A.F., Pires de Campos, R. (2007). Salud Global: ¿Un nuevo objeto de estudio en salud colectiva? Revista Palimpsesto, Universidad Nacional de Colombia, 49-68.

Almeida, C. M. (2013). Saúde, política externa e cooperação sul-sul em saúde: elementos para a reflexão sobre o caso do Brasil. In: Fundação Oswaldo Cruz.

A saúde no Brasil em 2030 - prospecção estratégica do sistema de saúde brasileiro: Desenvolvimento, Estado e políticas de saúde. Río de Janeiro: FIOCRUZ/IPEA/Ministério da Saúde/Secretaria de Assuntos Estratégicos da Presidência da República.

Almeida, C. M. (2020). Gobernanza global en el sector de la salud: Cambios en el “orden mundial”, la arena internacional y los impactos en la salud. Astrolabio, (24), 80-124. https://revistas.unc.edu.ar/index.php/astrolabio/article/view/25394

Almeida, C.M. (2017). Parcerias público-privadas (PPP) no setor saúde: Processos globais e dinâmicas nacionais. Cad. Saúde Pública, 33 Sup 2, e00197316

Belardo, M. (en prensa, 2022). Los conflictos bélicos y las organizaciones internacionales de salud. Revista Soberanía Sanitaria.

Belardo, M (2021). Las empresas farmacéuticas y su hábil estrategia de convertir cuestiones de derecho en beneficencia. 9 de agosto. Revista Hamartia.

https://www.hamartia.com.ar/2021/05/30/cumbre-g20-salud/

Belardo, M., Herrero, M.B. (2020). COVID-19: la OMS en el ojo de la tormenta,Revista Hamartia. http://www.hamartia.com.ar/2020/04/21/oms-tormenta/

Belardo, M., Herrero, M.B. (2020b). COVID-19 y el foco en la Agenda Global, Revista Soberanía Sanitaria. http://revistasoberaniasanitaria.com.ar/covid-19-y-el-foco-en-la-agenda-globalas/

Bennett, A., Checkel, J. (2014). Process tracing: From metaphor to analytic tool. Cambridge University Press.

Birn, A-E. (2009). The stages of international (global) health: histories of success or successes of history? Glob Public Health, 4(1), 50-68.10.1080/17441690802017797. PMID: 19153930.

Birn, A-E. (2011). Reconceptualización de la salud internacional: Perspectivas alentadoras desde América Latina. Rev Panam Salud Publica, 30(2), https://www.scielosp.org/article/rpsp/2011.v30n2/101-105/

Birn, A-E. (2014). Philanthrocapitalism, past and present: The Rockefeller Foundation, the Gates Foundation, and the setting(s) of the international/globalhealth agenda. Hypothesis, 12 (1). https://saludpublicayotrasdudas.files.wordpress.com/2015/04/birn_philantrocapitalism_2014.pdf

Birn, A.-E, Nervi L (2020). (Re-)Making a People’s WHO. AJPH Journal. https://ajph.aphapublications.org/doi/abs/10.2105/AJPH.2020.305806

Borowy, I. (2019). Global Health. 2019, Routledge Handbook of Transregional Studies, Ed. By Matthias Middell. https://www.academia.edu/38387513/Global_Health

Breilh, J. (2013). La determinación social de la salud como herramienta de transformación hacia una nueva salud pública (salud colectiva). Rev Fac Nac Salud Pública. 31 (Supl 1), 13–27.

Brown, T., Cueto, M., Fee, E. (2006). The transition from ‘international’ to ‘global’ public health and the World Health Organization. Rev. História, Ciências, Saúde Manguinhos, 13 (3). 623-47.

Cueto M. (2004). The origins of primary health care and selective primary health care. American journal of public health, 94(11), 1864–1874. https://doi.org/10.2105/ajph.94.11.1864

Deciancio, M. (2016). International Relations from the South: A Regional Research Agenda for Global IR. International Studies Review, 18(1),106–119.

Franco A., S. (1990). La Rockefeller y las filantropías afines. En: El paludismo en América Latina (pp. 125-227). Franco Agudelo Saul. México: Editorial Universidad de Guadalajara.

Garber, M. (2021). Los dueños de las vacunas. Revista Acción. https://www.accion.coop/los-duenos-de-las vacunas

García, J. C. (1994). La enfermedad de la pereza. En Pensamiento social en salud en América Latina (pp. 150-171). Interamericana, Mc Graw Hill.

Global Health Watch 5. Septiembre 2018. https://phmovement.org/global-health-watch-5th-edition/

Godue, C. (1992). International Health and Schools of Public Health in the United States. En: International health: a North-South debate. Pan American

Health Organization, Pan American Sanitary Bureau, Regional Office of the World Health Organization, 259

Harman, S. (2012). Global Health Governance. Routledge.

Herrero M.B., TUSSIE D. (2015). UNASUR Health: A quiet revolution in health diplomacy in South America. Glob Soc Policy, 15, 261-77.

Herrero M. B. (2017). Moving towards a South-South International Health: Debts and challenges in the regional health agenda. Revista Ciencia e Saude Coletiva, 22, n.7: 2169-2174.

Herrero, M. B., Loza, J., Belardo, M. (2019). Collective health and regional integration in Latin America: An opportunity for building a new international health agenda. Rev. Global Public Health, https://doi.org/10.1080/17441692.2019.1572207

Herrero, M. B., Belardo, M. (2021). Diplomacia sanitaria y geopolítica: La guerra mundial por las vacunas. Revista Debate Público. http://trabajosocial.sociales.uba.ar/debate-publico-julio-de-2021/

Herrero, M. B., Nascimento, B. (2022). COVID- 19 in Latin America and the Caribbean: The visible face of a health regional cooperation in crisis. Revista Brasileira de Política Internacional 65(1). https://doi.org/10.1590/0034 7329202200103

Kickbusch, I. (2004, 19-22 April). The End of Public Health As We Know It: Constructing global Health in the 21st Century. En Sustaining Public Health in a Changing World: Vision to Action World Federation of Public Health Association 10th International Congress on Public Health. The Brighton Centre, Brighton, UK, 1–19. http://scholar.google.com/scholarhl=en&btnG=Search&q=intitle:Sustaining+Public+Health+in+a+Changing+World:+Vision+to+Action#0

Mateos J., J. (2005). Actas de las Conferencias Sanitarias Internacionales (1851-1938). Rev Esp Salud Pública, 79(3), 339-349.

Panisset, U. (1992). Reflexiones acerca de la salud como asunto internacional. En Salud Publica Internacional, un debate Norte-Sur. Washington DC: Organización Panamericana de la Salud; 262.

Packard, R.M. (2016). A History of Global Health: Interventions into the Lives of Other Peoples. Baltimore: Johns Hopkins University Press.

Riggirozzi P. (2015). Regionalism, activism, and rights: New opportunities for health diplomacy in South America. Rev Int Stud, 41, 407-28.

Rovere, M. (1990). Aportes para la discusión sobre el campo de salud internacional. OPS/OMS, mimeo, 5.

Rovere, M. (2011). Organismos internacionales de salud y la Argentina. Voces en el Fénix, 2 (7), 21-24.

Ruckert, A., Labonté, R. (2014). Public–private partnerships (ppps) in global health: the good, the bad and the ugly, Third World Quarterly, 35(9), 1598-1614. 10.1080/01436597.2014.970870

Sacchetti, L., Belardo, M. (2015). Historia de la salud Argentina y Latinoamericana: Una experiencia innovadora en la Carrera de Medicina. Rev. Interface - Comunicacao, Saúde, educacao, 19 (55), 1243-1252. https://doi.org/10.1590/1807-57622014.1233

Sacchetti, L., Rovere, M. (2011). La salud pública en las relaciones internacionales. Cañones, mercancías y mosquitos. Editorial El Ágora.

Teixeira, M.F. (2017). O Conselho de Saúde da Unasul e os oberaní para a construção de oberanía sanitária [Tesis doctoral]. Fundação Oswaldo Cruz, Brasil.

Velasquez, G. (2015). ¿Sobrevivirá la OMS a la epidemia de Ébola? Le Monde Diplomatique.

Velasquez, G. (2020). Las reformas de la Organización Mundial de la Salud em la época de COVID-19, South Centre https://www.southcentre.int/wp-content/uploads/2020/11/RP-121_ES.pdf

WTO. (2021). El FMI, el Banco Mundial, la OMS y la OMC ponen en funcionamiento un sitio web conjunto de información sobre las vacunas. https://www.wto.org/spanish/news_s/news21_s/igo_28jul21_s.htm

Published

2022-11-25

How to Cite

International Health and Global Health: Reconfigurations of a Disputed Field. (2022). Relaciones Internacionales, 95(2), 63-91. https://doi.org/10.15359/ri.95-2.3

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Section

Articles (peer reviewed)

How to Cite

International Health and Global Health: Reconfigurations of a Disputed Field. (2022). Relaciones Internacionales, 95(2), 63-91. https://doi.org/10.15359/ri.95-2.3

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