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Lecture 2

Lecture 2 Notes

International Development Studies
Course Code
Anne- Emanuelle Birn

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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
-Movements/people’s movements
-cross-sectoral networks
-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?
Biomedical Model
-Health and illness viewed at individual level
-Body a machine that can be repaired
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