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Globalisation and Health Promotion

Globalisation and Health Promotion. Puja Myles Puja.myles@nottingham.ac.uk. Learning Outcomes. To outline the key characteristics of globalisation To recognise the values underpinning economic globalisation To conceptualise the links between globalisation and health

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Globalisation and Health Promotion

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  1. Globalisation and Health Promotion Puja Myles Puja.myles@nottingham.ac.uk

  2. Learning Outcomes • To outline the key characteristics of globalisation • To recognise the values underpinning economic globalisation • To conceptualise the links between globalisation and health • To reflect on the role of health promotion in the context of globalisation

  3. Session Outline • Definition and key features of globalisation • Globalisation and health: a conceptual framework • Economic globalisation • Politics of globalisation • Group discussion: Role of Health Promotion within the context of globalisation

  4. Defining Globalisation “ A set of processes leading to the creation of a world as a single entity, relatively undivided by national borders or other types of boundaries (for example, cultural, economic)” -Bettcher & Lee (2002)

  5. Unpicking Globalisation • Common perceptions: • Increased commonality • Increased inter-connectedness • Globalisation per se is not a new concept; we started with a world without national borders and progressed to a world of nation-states • In the current context the term ‘globalisation’ mostly refers to economic globalisation

  6. Globalisation and Health: a conceptual framework

  7. Economic Globalisation • Underpinned by a neoliberal philosophy: increased free trade with minimal state intervention will result in development and improved conditions for all (Adam Smith’s “invisible hand”) • Economic globalisation is a process by which barriers to free trade are removed

  8. WTO and trade liberalisation • The World Trade Organisation was set up in 1995 and is the principal international institution for the management of international trade • The WTO has proposed ‘trade liberalisation’ policies which aim to reduce barriers to free trade

  9. Politics of Globalisation • Economic globalisation is not an apolitical process • Who makes the rules? • Are there legitimate barriers to free trade? • Social protection (including public health) and social welfare • WTO policies that are controversial: • GATT, Structural adjustment policies, TRIPS

  10. Impact of Structural adjustment policies • Reduced public spending and reduced state regulations • On the supply side: fail to protect key health and education spending • On the demand side: adversely affect household access to health services • Stiglitz: There are bound to be some losers in globalisation; to make globalisation work, winners should compensate losers

  11. Opportunities provided by globalisation Communication advances: Sharing technology and information Global networks to work for health promotion Development of International law: treaties and framework conventions

  12. Reflections on the role of health promotion in the context of globalisation: Do you think globalisation is relevant to health promotion? What is the role of health promotion in the globalisation process?

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