Governing Health in a Global Context
Full course description
This course introduces students to the issues of governance of health in a global context. In the first part of the module (‘Exploring the Global Health Landscape’), students will be familiarized with theoretical debates about processes of globalization and how these processes impact on people’s access to health services in very different settings. By exploring the global health landscape students examine emerging governance frameworks and discussions around legal frameworks and human rights. In the second part of the module (‘Governing Global Health’), we zoom in into national health systems and the various actors who are active in governing global health. Students are introduced to the ways in which health systems function and how actors –ranging from national governments, private providers, corporations, civil society organizations to patients and the local communities– are shaped by globalization. In doing so, the module focuses on processes of inclusion and exclusion, on difficult ethical dilemmas and trade-off decisions and asks whether health should be seen as a private or a public good. Major questions that loom in the background are: Who governs? Who intervenes? Who is responsible? How to strengthen health systems? How to ensure policy coherence? And how can we devise global solutions that are locally relevant and adaptable? The module ends by looking at the emerging agenda for global health (‘An Agenda for Global Health’) whereby students revisit some of the major questions and proposed solutions with regard to governing health in a global context. Students will apply these more general insights on health care governance to a concrete national health system in the skills training.
The aim of this module is to make students aware of the different ways in which various global aspects (i.e.trade, environment, culture, technology, civil society) affect health, health policy and health practice of the different actors involved at global, national, regional and local levels. Student should become familiar with different rules, norms, institutions and organizations which govern health and discuss the challenges, opportunities and tensions that are involved when attempting to govern the increasing complexity of global health challenges.
• Lee, K. (2002). Globalization and Health – An Introduction.Palgrave Macmillan; • Labonte, R. et al. (eds.) (2009). Globalization and Health - Pathways, Evidence and Policy. New York: Routledge; • Buse, K.; Hein, W.; & N. Drager (eds.) Making Sense of Global Gealth Governance. A Policy Perspective. Palgrave Macmillan.