Power asymmetries in global governance for health: a conceptual framework for analyzing the political-economic determinants of health inequities

Kentikelenis, Alexander; Rochford, Connor

doi:10.1186/s12992-019-0516-4

Cited by 26 publications

(14 citation statements)

References 91 publications

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“…Rushton and Williams 2012 149 Battams and Townsend 2019 150 Kentikelenis and Rochford 2019 151 Bump and Reich 2013 152 Health and human rights The right to an adequate standard of living and to medical services were included in the 1948 Universal Declaration of Human Rights; the right to health was included in the 1966 International Covenant on Economic Social and Cultural Rights. From the late 1980s, the field of 'health and human rights' coalesced as a way of understanding the human rights drivers and impacts of the HIV pandemic.…”

Section: Models Of Decision Making In Public Policymentioning

confidence: 99%

Power analysis in health policy and systems research: a guide to research conceptualisation

Topp

Schaaf²,

Sriram

et al. 2021

BMJ Glob Health

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Power is a growing area of study for researchers and practitioners working in the field of health policy and systems research (HPSR). Theoretical development and empirical research on power are crucial for providing deeper, more nuanced understandings of the mechanisms and structures leading to social inequities and health disparities; placing contemporary policy concerns in a wider historical, political and social context; and for contributing to the (re)design or reform of health systems to drive progress towards improved health outcomes. Nonetheless, explicit analyses of power in HPSR remain relatively infrequent, and there are no comprehensive resources that serve as theoretical and methodological starting points. This paper aims to fill this gap by providing a consolidated guide to researchers wishing to consider, design and conduct power analyses of health policies or systems. This practice article presents a synthesis of theoretical and conceptual understandings of power; describes methodologies and approaches for conducting power analyses; discusses how they might be appropriately combined; and throughout reflects on the importance of engaging with positionality through reflexive praxis. Expanding research on power in health policy and systems will generate key insights needed to address underlying drivers of health disparities and strengthen health systems for all.

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Section: Models Of Decision Making In Public Policymentioning

confidence: 99%

Power analysis in health policy and systems research: a guide to research conceptualisation

Topp

Schaaf²,

Sriram

et al. 2021

BMJ Glob Health

View full text Add to dashboard Cite

show abstract

“…Here, respondents expressed some concern over the influence (and arguably pressure) of data policies that are attached to the funding of public health and health research. The power of non-governmental organisations (NGOs), philanthropic organisations and other countries to influence policy change through regulations or policies attached to conditions of funding should not be ignored [ 40 ]. The word of caution expressed by respondents who noted the power of funders in the realm of data protection must be heeded.…”

Section: Discussionmentioning

confidence: 99%

Data protection, data management, and data sharing: Stakeholder perspectives on the protection of personal health information in South Africa

2021

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The Protection of Personal Information Act (POPIA) 2013 came into force in South Africa on 1 July 2020. It seeks to strengthen the processing of personal information, including health information. While POPIA is to be welcomed, there are concerns about the impact it will have on the processing of health information. To ensure that the National Health Laboratory Service [NHLS] is compliant with these new strict processing requirements and that compliance does not negatively impact upon its current screening, treatment, surveillance and research mandate, it was decided to consider the development of a NHLS POPIA Code of Conduct for Personal Health. As part of the process of developing such a Code and better understand the challenges faced in the processing of personal health information in South Africa, 19 semi-structured interviews with stakeholders were conducted between June and September 2020. Overall, respondents welcomed the introduction of POPIA. However, they felt that there are tensions between the strengthening of data protection and the use of personal information for individual patient care, treatment programmes, and research. Respondents reported a need to rethink the management of personal health information in South Africa and identified 5 issues needing to be addressed at a national and an institutional level: an understanding of the importance of personal information; an understanding of POPIA and data protection; improve data quality; improve transparency in data use; and improve accountability in data use. The application of POPIA to the processing of personal health information is challenging, complex, and likely costly. However, personal health information must be appropriately managed to ensure the privacy of the data subject is protected, but equally that it is used as a resource in the individual’s and wider public interest.

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“…Published studies that (even if unknowingly) embrace an HPR approach to understand health and health correlates illustrate the theory's utility (Kentikelenis and Rochford 2019;LaBriola and Schneider 2020;Loomis et al 2009). For example, Fu and George (2015), in their investigation of the social gradient in obesity in China, find that position in the work-unit system, not Western indicators of income and education, is the factor that maintains a strong correspondence with health in postsocialist China.…”

Section: Empirical Application Of Health Power Resourcesmentioning

confidence: 99%

Health Power Resources Theory: A Relational Approach to the Study of Health Inequalities

Reynolds

2021

J Health Soc Behav

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Link and Phelan’s pioneering 1995 theory of fundamental causes urged health scholars to consider the macro-level contexts that “put people at risk of risks.” Allied research on the political economy of health has since aptly demonstrated how institutions contextualize risk factors for health. Yet scant research has fully capitalized on either fundamental cause or political economy of health’s allusion to power relations as a determinant of persistent inequalities in population health. I address this oversight by advancing a theory of health power resources that contends that power relations distribute and translate the meaning (i.e., necessity, value, and utility) of socioeconomic and health-relevant resources. This occurs through stratification, commodification, discrimination, and devitalization. Resurrecting historical sociological emphases on power relations provides an avenue through which scholars can more fully understand the patterning of population health and better connect the sociology of health and illness to the central tenets of the discipline.

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Power asymmetries in global governance for health: a conceptual framework for analyzing the political-economic determinants of health inequities

Cited by 26 publications

References 91 publications

Power analysis in health policy and systems research: a guide to research conceptualisation

Power analysis in health policy and systems research: a guide to research conceptualisation

Data protection, data management, and data sharing: Stakeholder perspectives on the protection of personal health information in South Africa

Health Power Resources Theory: A Relational Approach to the Study of Health Inequalities

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