-a priori parameters of success
-consensus via transnational professionals.
-reality checks for successful implementation (evaluations)
Some principle historical (and current?) international health imperative:
charity, missionary work, war relief, philanthropy, diplomacy, economic dev, paternalism/colonialism
Calls for reform and revolution:
•Edwin Chadwick- rejected improved working conditions, wages, and food as remedies - believed poor
ppl were unclean, immoral -noxious envir conditions were the cause of disease and poverty- promoted
sanitary reform: clean H2O, sewage, & public sanitation.
•Engels: examined the living and occupational environments of industrial workers -The condition of the
working class in England, documented social conditions -attributed the cause of misery and ill health to
the exploitation of industrial working class under the capitalist economic systems -political action was
necessary to redress these conditions.
•Who was one of the first thinkers/social philosophers to use a political economic approach to
understanding health and illness? what was his main contribution?
Virchow: “Medicine is a social science, and politics is nothing else but medicine on a large scale”
-founder of social medicine
-one of the first ppl to demonstrate systematically the underpinnings of health.
-recommended the creation of public health services to respond to medical emergencies and called for
improved work conditions, better housing etc.
IDSB04 - Ch.4
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 decision 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