IDSB04H3 Lecture Notes - Lecture 3: World Health Organization, Colombo Plan, Rockefeller Foundation

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Published on 6 Feb 2018
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Lecture #3
Global Health Actors and Activities
Key questions
- Who are the major players in global health and what are their roles?
- What are political, economic, and ideological rationales guide their policies and activities
EXAM QUESTION: LIST 5 TYPES OF ACTORS (TYPE NOT NAME)
- How are decisions made and who wields power in global health?
- What arrangements might lead to greater health equity and social justice?
Red cross has never been critique
- War oppression
- Never declaring war in and of itself
- Motivated the founding of other organizations
LEAGUE OF NATIONS WAS BASED IN RUSSIA
Switzerland was the basis for the founding of the red cross because they are a “nuteral country” – not a
party to war
Save the children today
- 27 national agencies: current budget 1 billion
- charitable donations and retail sales
- activities in 120 countries
o emergency relief
From WW2 the Cold war
- devastation of ww1
- influenza academic
- great depression
- horrors of ww2
o and postwar hope for the future (UN)
o BUT A NEW, COLD WAR QUICKLY TAKES CENTER STAGE
World health organization
- 194 members
- Governing body: world health assembly
- 7000 staff (Geneva 6 regional offices, 150 countries
- Regular budget: assessment of member based on pop size and GNP
- In 1960 extra budgetary funds began to displace budget, giving greater voice to big donors
- Semi autonomist
- Recent biennial budgets
- Controlling/eradicating diseases and communism
o Biological and individual understanding of health
o Tools applied recipie style around the world
o Emphasis on technologies and experts
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o Tensions with the USSR
- i.e for exam Rockefeller foundation
Cold war politics and development
- Marshall plan -1947
- Truman’s point IV plan -1949
- Green revolutions
- Common wealth Colombo plan
- Alliance for progress 1961
Small pox eradication
- Failure of malaria campaign puts pressure on who
- Cold war cooperation (ussr returns to who)
- Simple technology
- Dangerous coercive
- Person to person
- In 1980 smallpox was proclaimed dead
- Cost/resources
- Narrow target
- Renewed terrorist fears?
Breakdown of post war development model
Gold standard abandoned
Oil shocks
Debit crisis
Rise of neoliberalism
Washington consensus
Infallibity of market
Deregulation of the economy
Liberalization
Navarro
- Linked patterns of health and disease to polieconomic conditions of underdevelopment
- Structure of health services reproduces the political economy of the country
Economic Structure
Who owns and controls what? What does it buy/sell on intl market
Social Structure
Who works in what sector?
What are the gender/class structures of ownership and labor
Political Structure
Who wields political power? How is power distributed?
Application on of PE Framework
- Neoliberalism, shift from infectious to chronic due to industrialization on waves
- Reversible like HIV/AIDS in African Nations
- Under PE: colonization, dictatorial rule, racism, human & environmental exploitation, debt,
- Economic migration have all created ideal conditions for spread of infectious agents like HIV via work,
migration, poverty, social desperation, survival
Russia after Cold War
Questions: How can we understand disparities of health status within underdeveloped countries?
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Document Summary

What are political, economic, and ideological rationales guide their policies and activities. Exam question: list 5 types of actors (type not name) Never declaring war in and of itself. Switzerland was the basis for the founding of the red cross because they are a nuteral country not a party to war. 27 national agencies: current budget 1 billion. Activities in 120 countries: emergency relief. Horrors of ww2: and postwar hope for the future (un, but a new, cold war quickly takes center stage. 7000 staff (geneva 6 regional offices, 150 countries. Regular budget: assessment of member based on pop size and gnp. In 1960 extra budgetary funds began to displace budget, giving greater voice to big donors. Controlling/eradicating diseases and communism: biological and individual understanding of health, tools applied recipie style around the world, emphasis on technologies and experts, tensions with the ussr. Failure of malaria campaign puts pressure on who. Cold war cooperation (ussr returns to who)

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