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| Title |
Global Health Governance: Framework Convention on Tobacco
Control (FCTC), the Doha Declaration, and Democratisation |
| Author(s) |
Belinda Townsend, Erik Martin, Hans Löfgren,and Evelyne de Leeuw - Personal Name
|
Subject |
Global Health Development |
| Publisher |
mdpi |
| Publishing Year |
2012 |
| Specific Detail Info |
Global public health agreements are heralded as a success for the affirmation of
the right to health within a complex and contested political landscape. However, the
practical implementation of such agreements at the national level is often overlooked. This
article outlines two radically different global health agreements: The Doha Declaration on
the Trade-Related Aspects of Intellectual Property Rights (TRIPS) agreement and Public
Health; and the Framework Convention on Tobacco Control (FCTC). We identify
significant challenges in their implementation, particularly for low and middle income
countries. Shifts in the policy network constellations around these two agreements have
allowed for some positive influence by civil society. Yet industry influence at the national
level constrains effective implementation and those affected by these policies have largely
been left on the periphery. The broader provisions of these two agreements have been
watered down by vested interests and donor conditions. We advocate for both activist and
academic actors to play a significant role in highlighting the consequences of these power
asymmetries. Deliberative democracy may be the key to addressing these challenges in a
way that empowers those presently excluded from effective participation in the
policy process. |
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