When Canadian Prime Minister Justin Trudeau hosted a funding conference in September for The Global Fund for AIDS, Tuberculosis and Malaria, nearly $13 billion was raised. That’s enough to save 8 million lives. Money of that magnitude doesn’t just magically appear. Getting to the conference in Montreal — packed with notables from Usher and Bono to Ban Ki-moon and Bill Gates — required years of diplomatic relationship-building to encourage donors to join together and pledge their commitments.
A few days later, the world came to New York for the annual U.N. General Assembly meetings. Global leaders held a high-level session on health for only the fourth time in UNGA’s 70-year history, this time onantimicrobial resistance. Convincing the U.N. to host this event was the result of concerted negotiations by the U,K. government, in partnership with the Wellcome Trust, and supported earlier this year by the Group of Seven industrialized economies.
Both of these victories were achieved through strategically planned and executed diplomacy that brought together a passionate coalition of people and diverse organizations to reach a common goal. Much of the progress we have seen recently on vaccines, nutrition, and global health security is due to global health diplomacy just like this.
We believe that at its core, global health diplomacy simply means finding ways to incentivize governments to achieve health goals for their citizens.
Yet this concept is rarely addressed. The academic field of global health has seen anunprecedented surge in popularity. It is now taught at more than 250 North American universities, training the next generation of global health practitioners and increasing the field’s intellectual rigor. Nevertheless, both new and seasoned practitioners are hard pressed to define global health diplomacy or explain its value.
Why is it so important for global health professionals to identify and understand global health diplomacy?
First, global health diplomacy represents the reality that health issues are inherently political.
The concept was first overtly identified during U.S. President Jimmy Carter’s administration, when a White House aide made the case that “the role of health and medicine as a means for bettering international relations has not been fully explored by the United States.”
A lot has happened since then, and global health is now a vital part of the international relations toolkit — a recognized way to exercise “soft power” or persuasion instead of coercion. Today, global health diplomacy drives priorities in public health, and impacts practitioners on the ground.
We saw this in action during U.S. President Barack Obama’s recent trip to Laos, where his visit led to the announcement of a new Lao-American Nutrition Institute and Laos’ endorsement of the Global Health Security Agenda.
Second, global health diplomacy is fundamental to making progress towards major global health challenges.
Unlike the traditional definition of diplomacy, which implies government to government relationships, a wide range of actors engage in global health diplomacy, including philanthropists, companies and celebrities. Their tools can range from splashy campaigns to private conversations. It is this diverse mix of unique players and skill sets that is really exciting. They bring new ideas and approaches to bear on really hard problems, resulting in meaningful progress.
When using big-picture, or systems thinking, to identify a problem, it becomes clear that engaging all types of global health diplomacy — whether through traditional means, multistakeholder or informal — will lead to better results, faster.
In conclusion, to effectively navigate the complex field of global health, one must take time to understand the role of global health diplomacy. Too often we focus on the practical solution at hand, instead of taking a step back to see the bigger picture.
But, when we do look at the broader diplomatic, financial, and geopolitical context, then it becomes possible to plot the most effective course to overcome a global health challenge for real, lasting change.
Global health diplomacy is made up of core building blocks that everyone can understand, including the role of traditional and new players, how global policies are set, and how global health is financed and governed. As a starting point for these learnings, we have created a free Global Health Diplomacy course available through Coursera.
When more people recognize the role and value of global health diplomacy, the world will be able to accelerate and intensify the immense progress we have seen over the past few decades.
Gabrielle Fitzgerald is an executive in the philanthropic and global health fields, with more than 20 years of experience leading organizations and partnering with leaders to make global change. Gabrielle develops innovative solutions for global issues that measurably impact people, organizations and countries. She designs and drives strategies to shape policy, advocacy, funding and organizational development for global issues, including HIV, malaria, Ebola, vaccines, agriculture and refugees.
Peter Small is the founding director of the Global Health Institute at Stony Brook University. His notable expertise includes seminal work on clinical, epidemiologic, evolutionary, and genetic aspects of tuberculosis. He has deep expertise in translating cutting-edge science into drugs, diagnostics and vaccines as well as the business and public health processes to get innovative tools to those in need. He currently leads the Global Health Institute’s health science research that spans from the molecular level to point of delivery, and encompasses fundamental work on ecology, developmental economics, and disease, largely focused on Madagascar.
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