Africa and Global Health Governance: Domestic Politics and International Structures

Africa and Global Health Governance: Domestic Politics and International Structures

by Amy S. Patterson

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Overview

Global health campaigns, development aid programs, and disaster relief groups have been criticized for falling into colonialist patterns, running roughshod over the local structure and authority of the countries in which they work. Far from powerless, however, African states play complex roles in health policy design and implementation. In Africa and Global Health Governance, Amy S. Patterson focuses on AIDS, the 2014–2015 Ebola outbreak, and noncommunicable diseases to demonstrate why and how African states accept, challenge, or remain ambivalent toward global health policies, structures, and norms.

Employing in-depth analysis of media reports and global health data, Patterson also relies on interviews and focus-group discussions to give voice to the various agents operating within African health care systems, including donor representatives, state officials, NGOs, community-based groups, health activists, and patients. Showing the variety within broader patterns, this clearly written book demonstrates that Africa's role in global health governance is dynamic and not without agency. Patterson shows how, for example, African leaders engage with international groups, attempting to maintain their own leadership while securing the aid their people need. Her findings will benefit health and development practitioners, scholars, and students of global health governance and African politics.

Product Details

ISBN-13: 9781421424507
Publisher: Johns Hopkins University Press
Publication date: 03/01/2018
Edition description: New Edition
Pages: 264
Product dimensions: 6.00(w) x 9.00(h) x 0.63(d)
Age Range: 18 Years

About the Author

Amy S. Patterson is the Carl Gustav Biehl Professor of International Affairs at Sewanee: The University of the South. She is the author of The Church and AIDS in Africa: The Politics of Ambiguity and The Politics of AIDS in Africa.

Table of Contents

Figure and Tables
Acknowledgments
Acronyms and Abbreviations
1. African States and Global Health Governance
2. When All Factors Align
3. International Confusion, Local Demands
4. What Is the Problem?
Conclusion
Appendix A
Appendix B
Notes
Fieldwork Data
Works Cited
Index

What People are Saying About This

"A refreshing and necessary intervention on the most pressing concern of global health: Why aren’t those states and actors that are the focus of global health initiatives able to shape, implement and design them? This book not only unravels how this happens and the devastating consequences of exclusion, but also identifies future sources and sites of African agency in global health governance. A must-read for anyone with a genuine concern for the future of global health and Africa in the world."

Simon Rushton

"Patterson fills an important gap in the existing literature—a must-read book for scholars of global health governance."

Sophie Harman

"A refreshing and necessary intervention on the most pressing concern of global health: Why aren’t those states and actors that are the focus of global health initiatives able to shape, implement and design them? This book not only unravels how this happens and the devastating consequences of exclusion, but also identifies future sources and sites of African agency in global health governance. A must-read for anyone with a genuine concern for the future of global health and Africa in the world."

Jeremy Youde

"Combining rich theoretical insights with extensive fieldwork, Patterson provides a truly groundbreaking examination of how our global health structures operate within African contexts. Her book offers rich prose and nuanced challenges to our prevailing assumptions about global health governance. This book will prove valuable to students, researchers, and policymakers."

Customer Reviews