The Global and Domestic Politics of Health Policy in Emerging Nations

Gomez E, Ruger JP. “The Global and Domestic Politics of Health Policy in Emerging Nations,” Journal of Health Politics, Policy and Law, 2015; 40(1): 3-11.

10 Pages Posted: 13 May 2015

See all articles by Eduardo Gomez

Eduardo Gomez

King’s College London

Jennifer Prah Ruger

University of Pennsylvania - School of Social Policy & Practice; University of Pennsylvania - Perelman School of Medicine

Date Written: February 2015

Abstract

In recent years, several emerging nations with burgeoning economies and in transition to democracy have pursued health policy innovations. As these nations have integrated into the world economy through bilateral trade and diplomacy, they have also become increasingly exposed to international pressures and norms and focused on more effective, equitable health care systems. There are several lessons learned from the case studies of Brazil, Ghana, India, China, Vietnam, and Thailand in this special issue on the global and domestic politics of health policy in emerging nations. For the countries examined, although sensitive to international preferences, domestic governments preferred to implement policy on their own and at their own pace. During the policy-making and implementation process, international and domestic actors played different roles in health policy making vis-à-vis other reform actors -- at times the state played an intermediary role. In several countries, civil society also played a central role in designing and implementing policy at all levels of government. International institutions also have a number of mechanisms and strategies in their tool box to influence a country's domestic health governance, and they use them, particularly in the context of an uncertain state or internal discordance within the state.

Keywords: BRICS; emerging nations; global health; health policy; international institutions

Suggested Citation

Gomez, Eduardo and Prah Ruger, Jennifer, The Global and Domestic Politics of Health Policy in Emerging Nations (February 2015). Gomez E, Ruger JP. “The Global and Domestic Politics of Health Policy in Emerging Nations,” Journal of Health Politics, Policy and Law, 2015; 40(1): 3-11., Available at SSRN: https://ssrn.com/abstract=2602510

Eduardo Gomez

King’s College London

Strand
London, England WC2R 2LS
United Kingdom

Jennifer Prah Ruger (Contact Author)

University of Pennsylvania - School of Social Policy & Practice ( email )

3701 Locust Walk
Philadelphia, PA 19104-6214
United States

University of Pennsylvania - Perelman School of Medicine

423 Guardian Drive
Philadelphia, PA 19104
United States

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