PP5266 Global Health Policy and Issues
AY 2015/2016 Semester 2
Prof Tikki Pang
As the world undergoes rapid transition in social, political, economic and technological developments, population dynamics such as migration and ageing, together with emerging diseases and epidemiological trends, would have great impact in the health sector. Global health policy issues are increasingly becoming more important as governments, civil society, private organizations and international bodies like the World Health Organization respond to these challenges.
The module is a study of the management of the global health enterprise through an analysis of governance frameworks within which public policy responses to health problems occur. Nearly all current health problems are trans-national and multi-sectoral in nature and requires a coherent and coordinated response involving diverse actors from many different sectors. As health is central to sustainable development more generally, it acts as a vanguard or ‘probe’ to international governance processes in other areas. Major topics to be covered include the global health system, global health initiatives, international organizations, legal instruments and health diplomacy. The module is not designed as a theoretical dissection of principles and concepts but will emphasize in-depth analysis of real case-studies of global health governance which can be selected based on a students’ own interests.
1. Knowledge of contemporary global health issues, the public policy responses to such issues and the diverse governance frameworks within which these responses occur (key players and stakeholders);
2. Ability to critically analyse, evaluate and compare various governance scenarios;
3. Ability to extrapolate and extend key global health governance principles to governance matters in other areas.
4. Equip Asia’s future policy-makers and leaders with the knowledge to improve the standards of governance through an in-depth understanding of governance processes.
Students should meet one or more of the following requirements:
1. Relevant work experience, future career plans or interest in the health sector
2. Enrolled in a current program with related and relevant interests in health policy and/or global governance issues more broadly.
Topic 1: Global health challenges
- Definition of global health
- Global health trends, challenges and issues: including the Ebola and MERS-CoV outbreak-lessons learnt
-Globalisation and health
Topic 2: The global policy challenge
- Global health, public policy and governance
- Frameworks and compacts for global action (The Millennium Development Goals and the Post-2015 development agenda, the Sustainable Development Goals)
- Architecture of the global health system
- Global and national health policies
- A revolution in health information: the Global Burden of Disease project
Topic 3: Major players in global health
- International organizations: World Health Organization, UN agencies and NGOs
- International aid and development assistance: bilateral and multilateral aid programs, philanthropies
- Health in foreign policy: international action & cooperation
Topic 4: Global health policy instruments (1)
- Typology of global health instruments
- International Health Regulations (IHR)
- Framework Convention on Tobacco Control (FCTC)
Topic 5: Global health policy instruments (2)
- Food safety-Codex Alimentarius
- Guidelines and best practices
- Codes of conduct & practice (e.g. migration of health workers, ethics)
Topic 6: Global health policy instruments (3)
- Global health research governance, the global health industry and access to medicines (TRIPS/WTO)
- Global Convention on R&D
- International clinical trial registration
- Universal health coverage
Topic 7: Universe of public policies related to health
- Policy instruments in other, related sectors (e.g. trade, environment)
- Common characteristics of international policy instruments
Topic 8: Future of global health
- Projections of future health scenarios and policy options for health sector development
- Impact of climate change
- Future scenarios for global health governance
Students will be asked to choose a global health topic which interests them and is important/relevant in their own countries and/or related to their current work and future aspirations/interests. The topic chosen will be the subject of the term paper and the presentation.
(i) Class participation 20%
(ii) Assignment-term paper 30%
(iii) Presentations-seminars 20%
(iv) 24 hr Take home test 30%
The final allocation/weighting of various components are just indicative-final weighting and allocations will be decided during Week 2 and is dependent on the final number of students enrolled, and their academic backgrounds and work experiences (if any). There is no final exam.
1. Smith, Jeremy. Epic Measures-One Doctor, Seven Billion Patients. Harper Collins, New York, 2015.
2. Kirton JJ (ed). Global Health. Farnham, England; Burlington, VT; Ashgate, 2009.
2. Buse K, Hein W, Drager N (eds). Making sense of global health governance: A policy perspective. Palgrave Macmillan, 392pp, 2009.
3. Cooper AF, Kirton JJ (eds). Innovation in global health governance: Critical cases. Ashgate Publishing, 422pp, 2009.
4. Benatar, S and Brock, G. Global Health and Global Health Ethics, Cambridge University Press, Cambridge, 2011.
5. Crisp, N. Turning the World Upside Down-The search for global health in the 21st century. Hodder Education, 2010, 240pp..
1. John Maurice. 2015, UN set to change the world with new development goals. Lancet 386, 1121-
2. Fidler D. 2007. Architecture amidst anarchy: global health’s quest for governance. Global Health Governance 1
3. Koplan J et al. 2009. Towards a common definition of global health. Lancet 373, 1993.
4. Gostin LO, Mok EA. 2009. Grand challenges in global health governance. British Medical Bulletin 90, 7-18.
5. Lee, K. The World Health Organization, Routledge, London, 157pp, 2009.
6. Frenk J. 2010. The global health system: strengthening national health systems as the next step for global progress. PLoS Med 7(1): e1000089.
Additional readings may be provided during the course.