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HEALTH DIPLOMACY IN HUMANITARIAN ACTION

HEALTH DIPLOMACY IN HUMANITARIAN ACTION. Lessons for Global Health Diplomacy?. GHD: Little discussion or focus on humanitarian assistance; Humanitarians: little focus on diplomacy – norms not negotiable. Multiple forums, Multiple actors.

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HEALTH DIPLOMACY IN HUMANITARIAN ACTION

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  1. HEALTH DIPLOMACY IN HUMANITARIAN ACTION

  2. Lessons for Global Health Diplomacy? • GHD: Little discussion or focus on humanitarian assistance; • Humanitarians: little focus on diplomacy – norms not negotiable.

  3. Multiple forums, Multiple actors • Diplomacy, negotiation, and dialogue at international, national and local levels is integral to humanitarian action, including delivery of medical assistance. • Example of diplomacy in Haiti . . .

  4. . . . Clinton at Haiti UNSC Meeting

  5. . . . Clinton at Haiti Donor Meeting

  6. . . . Clinton at IHRC

  7. . . . Clinton and Farmer

  8. . . . Haiti health cluster discussions

  9. . . . Haiti community level dialogue

  10. Key Research Question • Does GHD provide insight into the factors that impede or facilitate cooperation – access to and delivery of medical assistance - during humanitarian crises?

  11. Research Overview • Examined health diplomacy within humanitarian settings: • Identified determinants of cooperation from GHD; • Exploratory case study research; • Assessed lessons of these case studies for GHD research.

  12. Case Studies • Haiti: Earthquake • Burma/Myanmar: ongoing civil strife and Cyclone Nargis; • Pakistan: Ongoing civil strife and 2010 floods; • Libya: Current internationalized civil war.

  13. Access/Delivery Restricted • Haiti least problematic; Pakistan more troublesome, Burma/Myanmar extremely difficult, and Libya almost impossible. • Traditional arguments of humanitarian space and advocacy for norms does not explain why and how cooperation is impeded. • GHD framework provides this insight.

  14. Determinants of Cooperation

  15. Context Influences Cooperation ✔ ✖ ✔

  16. Actors Influence Cooperation ✔ ✔  ✔? ✔ ?

  17. Process Influences Cooperation  ✔ ✔ ?

  18. Significance for GHD • Not all health issues provide unique opportunities for engagement; • Importance but limitations of norms; • Role of international organizations as forum and actor; • Civil society critical diplomatic actor; • Risks of instrumentalization; • Role of diplomatic skills.

  19. Conclusions • GHD framework facilitated broader analysis of determinants of cooperation in humanitarian settings.

  20. Future Research • Health diplomacy in humanitarian settings appropriate case study for GHD: • Epistemic communities – what role do they play in humanitarian cooperation? • Local civil society groups – positive and negative influences? • Do humanitarian outcomes shift across forums – local/regional/int’l? Does this undermine norms?

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