Soft power and global health: the sustainable development goals (SDGs) era health agendas of the G7, G20 and BRICS

Abstract Background In 2017, the G20 health ministers convened for the first time to discuss global health and issued a communiqué outlining their health priorities, as the BRICS and G7 have done for years. As these political clubs hold considerable political and economic influence, their respective...

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Main Authors: Bronwyn McBride, Sarah Hawkes, Kent Buse
Format: Article
Language:English
Published: BMC 2019-06-01
Series:BMC Public Health
Subjects:
Online Access:http://link.springer.com/article/10.1186/s12889-019-7114-5
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author Bronwyn McBride
Sarah Hawkes
Kent Buse
author_facet Bronwyn McBride
Sarah Hawkes
Kent Buse
author_sort Bronwyn McBride
collection DOAJ
description Abstract Background In 2017, the G20 health ministers convened for the first time to discuss global health and issued a communiqué outlining their health priorities, as the BRICS and G7 have done for years. As these political clubs hold considerable political and economic influence, their respective global health agendas may influence both global health priorities and the priorities of other countries and actors. Methods Given the rising salience of global health in global summitry, we analyzed the health ministerial communiqués issued by the BRICS, G7 and G20 after the SDGs were adopted in 2015. We compared the stated health priorities of the BRICS, G7 and G20 against one another and against the targets of SDG 3 on health, using a traffic light system to assess the quality of their commitments. Results With regard to the SDG 3 targets, the BRICS, G7 and G20 priorities overlapped in their focus on emergency preparedness and universal health coverage, but diverged in areas of environmental pollution, mental health, and maternal and child health. Health issues with considerable associated burdens of disease, including substance use, road traffic injuries and sexual health, were missing from the agendas of all three political clubs. In terms of SDG 3 principles and ways of working, the BRICS, G7 and G20 varied in their emphasis on human rights, equity and engagement with non-state actors, but all expressed their explicit commitment to Agenda 2030. Conclusions The leadership of BRICS, G7 and G20 on global health is welcome. However, their relatively narrow focus on the potential impact of ill-health primarily in relation to the economy and trade may not be sufficiently comprehensive to achieve the Agenda 2030 vision of promoting health equity and leaving no-one behind. Recommendations for the BRICS, G7 and G20 based on this analysis include: 1) expanding focus to the neglected SDG 3 health targets; 2) placing greater emphasis on upstream determinants of health; 3) greater commitment to equity and leaving no-one behind; 4) adopting explicit commitments to rights-based approaches; and 5) making commitments that are of higher quality and which include time-bound quantitative targets and clear accountability mechanisms.
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spelling doaj.art-229eae1f73bd4e4a9d251cf77caff1c52022-12-21T23:53:18ZengBMCBMC Public Health1471-24582019-06-0119111410.1186/s12889-019-7114-5Soft power and global health: the sustainable development goals (SDGs) era health agendas of the G7, G20 and BRICSBronwyn McBride0Sarah Hawkes1Kent Buse2Interdisciplinary Studies Graduate Program, University of British ColumbiaInstitute for Global Health, University College LondonStrategic Policy Directions, UNAIDSAbstract Background In 2017, the G20 health ministers convened for the first time to discuss global health and issued a communiqué outlining their health priorities, as the BRICS and G7 have done for years. As these political clubs hold considerable political and economic influence, their respective global health agendas may influence both global health priorities and the priorities of other countries and actors. Methods Given the rising salience of global health in global summitry, we analyzed the health ministerial communiqués issued by the BRICS, G7 and G20 after the SDGs were adopted in 2015. We compared the stated health priorities of the BRICS, G7 and G20 against one another and against the targets of SDG 3 on health, using a traffic light system to assess the quality of their commitments. Results With regard to the SDG 3 targets, the BRICS, G7 and G20 priorities overlapped in their focus on emergency preparedness and universal health coverage, but diverged in areas of environmental pollution, mental health, and maternal and child health. Health issues with considerable associated burdens of disease, including substance use, road traffic injuries and sexual health, were missing from the agendas of all three political clubs. In terms of SDG 3 principles and ways of working, the BRICS, G7 and G20 varied in their emphasis on human rights, equity and engagement with non-state actors, but all expressed their explicit commitment to Agenda 2030. Conclusions The leadership of BRICS, G7 and G20 on global health is welcome. However, their relatively narrow focus on the potential impact of ill-health primarily in relation to the economy and trade may not be sufficiently comprehensive to achieve the Agenda 2030 vision of promoting health equity and leaving no-one behind. Recommendations for the BRICS, G7 and G20 based on this analysis include: 1) expanding focus to the neglected SDG 3 health targets; 2) placing greater emphasis on upstream determinants of health; 3) greater commitment to equity and leaving no-one behind; 4) adopting explicit commitments to rights-based approaches; and 5) making commitments that are of higher quality and which include time-bound quantitative targets and clear accountability mechanisms.http://link.springer.com/article/10.1186/s12889-019-7114-5Global health diplomacySoft powerGlobal health agenda-settingSustainable development goalsBRICSG7
spellingShingle Bronwyn McBride
Sarah Hawkes
Kent Buse
Soft power and global health: the sustainable development goals (SDGs) era health agendas of the G7, G20 and BRICS
BMC Public Health
Global health diplomacy
Soft power
Global health agenda-setting
Sustainable development goals
BRICS
G7
title Soft power and global health: the sustainable development goals (SDGs) era health agendas of the G7, G20 and BRICS
title_full Soft power and global health: the sustainable development goals (SDGs) era health agendas of the G7, G20 and BRICS
title_fullStr Soft power and global health: the sustainable development goals (SDGs) era health agendas of the G7, G20 and BRICS
title_full_unstemmed Soft power and global health: the sustainable development goals (SDGs) era health agendas of the G7, G20 and BRICS
title_short Soft power and global health: the sustainable development goals (SDGs) era health agendas of the G7, G20 and BRICS
title_sort soft power and global health the sustainable development goals sdgs era health agendas of the g7 g20 and brics
topic Global health diplomacy
Soft power
Global health agenda-setting
Sustainable development goals
BRICS
G7
url http://link.springer.com/article/10.1186/s12889-019-7114-5
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