IDSB04 - Lecture 2 Chp. 4 September 21/ 2010
Week 1 review
-history of international health
-plague, imperialism, colonialism
-Early sanitary conferences and offices
-Rockefeller Foundation’s Legacy
-Industrialization and calls for reform and revolution
-Some historical internal health operatives
What is policy?
-Policy: decisions made by those with responsibility for a given area (policy makers)
-Public policy: whatever a government decides to do or not to do
-Policies not just single decisions but ‘set’s of decisions that define a broader course of action
What is health policy?
-Public and private policies about health: courses of action (and inaction) that affect the set of
institutions, organizations, services, and funding arrangements of the health care system.
-The complex web of actions/intended actions/inactions of organizations external to the health
care system which have an impact on health
Policy – 3 fundamental Components:
Policy context – political, cultural, economic, historical, epidemiological, etc. factors ‘framing’
and impacting polices
Policy Process – the way in which policies are initiated, developed/formulated, negotiated,
communicated, implemented, and evaluated.
Policy Actors – Individuals and groups with an active/passive interest in an issue or policy
-State actors, non-state actors, private sector
-Power, position, interest, commitment
The Political economy of health and development
What are the underlying causes of health and illness?
How do the main models of understanding health and disease address these factors?
-Health and illness viewed at individual level
-Body a machine that can be repaired