Global Health Governance Challenges
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Questions and Answers

Why did Global Health Governance (GHG) fail?

States lacked the necessary capacities to manage COVID-19.

What were some reasons attributed to the failure of GHG?

  • Domestic politics affected capacities (correct)
  • Rich countries had better health infrastructures
  • Trump's hostility to multilateralism (correct)
  • WHO was empowered to enforce compliance
  • The WHO was empowered to enforce compliance with the International Health Regulations (IHR).

    False

    How did the economic impact of COVID-19 differ between wealthy and poorer countries?

    <p>Poorer countries faced more severe economic challenges.</p> Signup and view all the answers

    What is one significant impact on the Global South as a result of the COVID-19 pandemic?

    <p>Increased food insecurity.</p> Signup and view all the answers

    Child development was not significantly affected during the pandemic.

    <p>False</p> Signup and view all the answers

    What was a compounding factor for the economic crisis faced by LMICs?

    <p>Lockdowns limited access to markets.</p> Signup and view all the answers

    Study Notes

    Why Did Global Health Governance (GHG) Fail?

    • Powerful states like the US, under Trump, were reluctant to sacrifice their sovereignty because they believed the WHO was too subservient to China.
    • The US under Trump, also refused to implement the International Health Regulations (IHR) citing a cover-up for domestic failures.
    • The US's lack of leadership led to a lack of global cooperation in stopping the pandemic.
    • GHG failed because states lacked the capacity to manage COVID-19.
    • Jones and Hameiri (2022) argue that state capacity, authority, and accountability need to be rebuilt to effectively manage future health crises. 

    Global Governance as State Transformation 

    • Neoliberal practices are needed to implement global governance but these same practices hollow out the state.
    • The depoliticized, de-democratized approach of global governance creates gaps that hinder implementation. 
    • Domestic socio-political power relations condition global governance agendas.
    • Powerful states often hobble international organizations (IOs) like the WHO.

    Pandemic's Impact on the Global South

    • The pandemic had a different impact on rich and poor countries.
    • Wealthy countries had government programs, employer adjustments, and household savings to mitigate economic losses, which weren't available in low-income countries.
    • Income declines impacted the informal economy (25%+ of economic activity & half of workforce in the Global South). 
    • The reduced economic activity impacted consumption and work habits across the globe.
    • Due to their younger populations, health impacts were lower in lower-to-middle-income countries (LMICs). 
    • LMICs were less connected to global trade and travel & thus exposed to the pandemic later, but had less time to learn from other countries' experiences.
    • Food insecurity greatly increased in LMICs.
    • The economic crisis in the Global South risks becoming a health and social disaster, potentially having long-term, intergenerational effects.
    • The economic shock was exacerbated by difficulties accessing markets for food and other supplies (due to lockdowns and restrictions on mobility) and healthcare. 
    • The pandemic's impact extended beyond food security, impacting:
      • School closures
      • Limited access to prenatal care and vaccinations
      • Rising rates of domestic violence

    Further Complication for Relief Efforts

    • Further viral spread is linked to economic deprivation, and containment to economic relief (people may be forced to interact with others if they lack the income needed to social distance). 
    • Relief efforts are impacted by donor countries who are still recovering from the 2008 global recession, and may be less willing to offer assistance. 

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    Description

    Explore the failures of global health governance (GHG) during the COVID-19 pandemic. This quiz discusses the impact of powerful nations' reluctance to collaborate and the necessity to rebuild state capacity and accountability for effective crisis management. Delve into the intricate dynamics of state transformation and the role of neoliberal practices in global governance.

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