In the early twenty-first century, key public health issues and challenges have taken centre stage on the global scene, and health has been placed at the heart of our collective aspirations for human development and well-being. But significant debate exists not only about the causes, but also about the possible solutions for nearly all of the most important global health challenges.

Competing visions of the values and perspectives that should underlie global health policies have emerged, ranging from an emphasis on cost eff ectiveness and resource constraints on one extreme, to new calls for health and human rights, and renewed calls for health and social justice on the other. The role of different intergovernmental agencies, bilateral or unilateral donors, public or private institutions and initiatives, has increasingly been called into question, whilst the spread of neoliberal policies and programmes, and existing international trade regimes and intellectual property rights, are deeply implicated in relation to global health responses.

This volume critically evaluates how the global health industry has evolved and how the interests of diverse political and economic stakeholders are shaping the context of a rapidly changing institutional landscape. Bringing together leading authors from across the world, the Handbook’s eight sections explore:

• Critical perspectives on global health

• Globalisation, neoliberalism, and health systems

• The changing shape of global health governance

• Development assistance and the politics of global health

• Scale-up, scale-down, and the sustainability of global health programmes

• Intellectual property rights, trade relations, and global health

• Humanitarian emergencies and global health politics

• Human rights, social justice, and global health

The Routledge Handbook on the Politics of Global Health addresses both the emerging issues and conceptualisations of the political strategies, policy-making processes, and global governance of global health, along with expanding upon and highlighting the critical priorities in this rapidly evolving field. It provides an authoritative overview for students, practitioners, researchers, and policymakers working in or concerned with the politics of public health around the globe.

chapter |14 pages


Routledge Handbook on the Politics of Global Health
ByJonathan García, Richard Parker

part I|1 pages

Critical perspectives on global health

chapter 1|7 pages

Fault-lines in global health

Intersecting inequalities, human rights, and the SDGs
ByGita Sen

chapter 2|9 pages

The right to health under capitalism

Threats, confrontations, and possibilities
ByCésar Abadía-Barrero, Adriana Ardila-Sierra

chapter 3|11 pages

South African AIDS activism

Lessons for high-impact global health advocacy
ByMandisa Mbali

chapter 4|9 pages

Neglect in global health

ByJoão Nunes

chapter 5|10 pages

The politics of funding research in global health partnerships

ByJohanna T. Crane, Irene Andia Biraro, Tamer M. Fouad, Yap Boum, David R. Bangsberg

chapter 6|16 pages

From global health to planetary and micro global health

Theorising global health’s present remodeling and scaling
ByJoão Biehl, Yi-Ching Ong

part II|1 pages

Globalisation, neoliberalism, and health systems

chapter 7|6 pages

Boundaries of global health politics in the ‘fourth world’

Determinants of political will for hepatitis C treatment
ByJonathan García, Devynne Nelons, Tayler Tobey, Katherine Marsi

chapter 8|11 pages

Sabotaged bodies, sacrifice, and lost youth under punitive neoliberalism

ByLuis L. M. Aguiar

chapter 9|16 pages

‘Willingness to pay’

How health care user fees spread around the world, 1965–2015
ByAaron Shakow, Salmaan Keshavjee

chapter 10|8 pages

The politics of health systems strengthening

ByKaterini T. Storeng, Ruth J. Prince, Arima Mishra

part III|1 pages

The changing shape of global health governance

chapter 12|15 pages

Reforming the World Health Organization

ByYanzhong Huang, Gabriella Meltzer

chapter 13|9 pages

Health governance

A neglected and an uncharted path of governance in Africa
ByOyewale Tomori

chapter 14|13 pages

Learning from research on experiences of health diplomacy in Africa

ByRene Loewenson, Bente Molenaar-Neufeld

chapter 15|9 pages

China’s role in global health governance

ByJeremy Youde

chapter 17|9 pages

Health and global governance

The case of development cooperation on
ByHåkan Thörn

part IV|1 pages

Development assistance and the politics of global health

chapter 18|8 pages

Global health challenges in the era of the Sustainable Development Goals

ByNana Poku, Jim Whitman

chapter 19|12 pages

Disrupting global health

The Gates Foundation and the vaccine business
ByJacob Levich

chapter 20|10 pages

National influence in global health governance

The case of the United Kingdom’s Department for International Development
ByDaniel E. Esser

chapter 21|10 pages

The crossroads of development assistance and national development agendas in the countries of South Eastern Europe

ByNeda Milevska Kostova, Elizabeth J. King, Kristefer Stojanovski

chapter 22|14 pages

On the life history of HIV interventions in India

Avahan, organic intellectuals, and the fate of community mobilisation
ByRobert Lorway, Shamshad Khan, Monika Doshi, Sundar Sundararaman, Sushena-Reza Paul

part V|1 pages

Scale-up, scale-down, and the sustainability of global health programmes

chapter 23|11 pages

Scaling-up and losing the signal

The global HIV and AIDS epidemic
ByAlan Whiteside

chapter 25|9 pages

‘Ending AIDS’ or scaling down the HIV response?

ByNora Kenworthy, Matthew Thomann, Richard Parker

chapter 26|8 pages

Enabling positive change

Learning from progress and setback in HIV and sexual and reproductive health
ByPurnima Mane, Peter Aggleton

chapter 27|12 pages

The global politics of polio eradication

ByWilliam S. Schulz, Heidi J. Larson

part VI|1 pages

Intellectual property rights, trade relations, and global health

chapter 28|5 pages

Politics of access to medicines and human rights

ByAnand Grover

chapter 29|9 pages

Trading away global health?

Unravelling the intellectual property, trade, and investment nexus and the impact on the right to health
ByKaren van Rompaey

chapter 31|14 pages

Taking on the challenge of implementing public health safeguards on the ground

The experience of Argentina and Brazil from a civil society perspective
ByMarcela Fogaça Vieira, Lorena Di Giano

chapter 32|11 pages

The politics of malnutrition

Achieving policy coherence in a globalised world
ByAnne Marie Thow, Biraj Patnaik

part VII|1 pages

Humanitarian emergencies and global health politics

chapter 33|9 pages

Forced migration and health

Problems and responses
ByEduardo Faerstein, Anete Trajman

chapter 34|6 pages

Geopolitics, political violence, and global health

Ethical obligations for professionals acting within wars and conflict settings
ByCindy Sousa

chapter 35|8 pages

Sovereignty, development, and health

Humanitarianism and health care provision in the Gaza Strip
ByRon Smith

part VIII|1 pages

Human rights, social justice, and global health

chapter 37|8 pages

The invisible reality of ‘chintar rog’ (a life of chronic worry)

The illness of poverty in Dhaka’s urban slum settlements
BySabina Faiz Rashid

chapter 38|10 pages

Salmon, fire, and the environmental and political contexts of tribal health

ByKari Marie Norgaard, Ron Reed

chapter 39|10 pages

Research and sex work

How neo-colonialism and biomedicalisation impact struggles for sex workers’ rights
ByLaura Murray, Elsa Oliveira, Debolina Dutta

chapter 40|12 pages

In pursuit of genomic justice

Sovereignty, inclusion, and innovation in Mexico
ByEmily E. Vasquez, Vivette García-Deister