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Regionalism, activism, and rights: New opportunities for health diplomacy in South America


Tackling germs, negotiating norms, and securing access to medicines are persistent challenges that disproportionally affect developing countries' participation in global health governance. Furthermore, over the last two decades, the excessive focus on global pandemics and security in global health diplomacy, rendered peripheral diseases that usually strike the poor and vulnerable, creating situations of marginalisation and inequality across societies. However, as the importance of regions and regionalism increases in global politics, and integration ambitions and initiatives extend beyond trade and investment to embrace welfare policy, there are new opportunities to explore whether and how regional commitments affect health equity and access to medicine in developing nations. What, if any, are the possibilities for meso-level institutions to provide leadership and direction in support of alternative practices of global (health) governance? Can regional polities become international advocacy actors in support of global justice goals? This article addresses these questions by analysing regional health diplomacy in South America. The article argues that regional organisations can become sites for collective action and pivotal actors in the advocacy of rights (to health) enabling diplomatic and strategic options to member state and nonstate actors, and playing a role as deal-broker in international organisations by engaging in new forms of regional health diplomacy.

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Sidney Tarrow , ‘Transnational Politics, Contention and Institutions in International Politics’, Annual Review of Political Science, 4:1 (2001), pp. 120

Fritz Scharpf , ‘Negative and Positive Integration in the Political Economy of European Welfare States’, in Gary Marks , Fritz Scharpf , Philippe Schmitter , Wolfgang Streeck (eds), Governance in the European Union (London: Sage, 1996), pp. 1539

Mario Carranza , ‘Clinging Together: Mercosur's Ambitious External Agenda, its Internal Crisis, and the Future of Regional Integration in South America’, Review of International Political Economy, 13:5 (2006), pp. 802–29, 809

Fritz Scharpf , ‘Economic Integration, Democracy, and the Welfare State’, Journal of European Public Policy, 4:1 (1997), pp. 1836

Charlotte Bretherton and John Vogler , The European Union as a Global Actor (London: Routledge, 1999)

Trine Flockhart , Socializing Democratic Norms: The Role of International Organizations for the Construction of Europe (Basingstoke: Palgrave Macmillan, 2005)

David Capie , ‘Localization as Resistance: The Contested Diffusion of Small Arms Norms in Southeast Asia’, Security Dialogue, 39:6 (2008), pp. 637–58

Nicola Phillips , ‘Hemispheric Integration and Subregionalism in the Americas’, International Affairs, 79:2 (2003), pp. 327–49, 329

Andrew Gamble and Anthony Payne (eds), Regionalism and World Order (London: Palgrave/Macmillan, 1996)

Pía Riggirozzi and Diana Tussie (eds), The Rise of Post-Hegemonic Regionalism: The Case of Latin America (Netherlands: Springer, 2012)

Paulo Buss , ‘Brazil: Structuring Cooperation for Health’, The Lancet, 377:9779 (2011), pp. 1722–3

Ilona Kickbusch , Gaudenz Silberschmidt , and Paulo Buss , ‘Global Health Diplomacy: the Need for New Perspectives, Strategic Approaches and Skills in Global Health’, Bulletin of the World Health Organization, 85 (2007), pp. 161244

Ilona Kickbusch and Margarita Ivanova , ‘The History and Evolution of Global Health Diplomacy’, in Ilona Kickbusch , Graham Lister , Michaela Told , and Nick Drager (eds), Global Health Diplomacy: Concepts, Issues, Actors, Instruments, Fora and Cases (New York: Springer, 2013), pp. 1126

Alan Ingram , ‘The New Geopolitics of Disease: Between Global Health and Global Security’, Geopolitics, 10:3 (2005), pp. 522–45

Simon Rushton , ‘AIDS and International Security in the United Nations System’, Health Policy and Planning, 25:6 (2010), pp. 25, 495504

Ronald Labonté and Michelle L Gagnon , ‘Health and Foreign Policy: Lessons for Global Health Diplomacy’, Global Health, 6:14 (2010), pp. 219

Jennifer Prah Ruger , ‘Global Health Justice and Governance’, The American Journal of Bioethics, 12:12 (2012), pp. 3554

Sara Davies , ‘What Contribution can International Relations Make to the Evolving Global Health Governance’, International Affairs, 86:5 (2010), pp. 1167–90, 1182

Colin McInnes , ‘HIV/AIDS and Security’, International Affairs, 82 (2006), pp. 315–26

Jean Grugel and Nicola Piper , ‘Do Rights Promote Development?’, Global Social Policy, 9:1 (2009), pp. 7998, 92

Christian Enemark , Disease and Security: Natural Plagues and Biological Weapons in East Asia (London: Routledge, 2007)

Jennifer Prah Ruger , ‘Global Health Governance as Shared Health Governance’, Journal of Epidemiology and Community Health, 66:7 (2012), pp. 653–61, 658

Harley Feldbaum , Kelley Lee , and Joshua Michaud , ‘Global Health and Foreign Policy’, Epidemiologic Reviews, 32:1 (2010), pp. 8292

Andrea Cornwall and Celestine Nyamu-Musembi , ‘Putting the ‘Rights-Based Approach’ to Development into Perspective’, Third World Quarterly, 25:8 (2004), pp. 1415–37

Simon Rushton and Owain Williams (eds), Partnerships and Foundations in Global Health Governance (Basingstoke: Palgrave Macmillan, 2011)

Colin McInnes , Adam Kamradt-Scott , Kelley Lee , David Reubi , Anne Roemer-Mahler , Simon Rushton , Owain David Williams , and Marie Woodling , Framing Global Health: The Governance Challenge. Global Public Health, 7:2 (2012), pp. 8394

Sidney Tarrow , Power in Movement: Social movements and Contentious Politics (Cambridge: Cambridge University Press, 1998)

The Lancet-University of Oslo Commission on Global Governance for Health, ‘The Political Origins of Health Inequality’, The Lancet, 383 (2014), pp. 630–67

Andrew Harmer , Yina Xiao , Eduardo Missoni , and Fabrizio Tediosi , ‘BRICS without straw? A Systematic Literature Review of Newly Emerging Economies Influence in Global Health’, Globalization and Health, 9:15 (2013), pp. 211

Kelley Lee , Luis Chagas , and Thomas Novotny , ‘Brazil and the Framework Convention on Tobacco Control: Global Health Diplomacy as Soft Power’, PLoS Medicine, 7:4 (2010), pp. 14

Christer Jönsson and Kristina Jönsson , ‘Global and Local Health Governance: Civil Society, Human Rights and HIV/AIDS’, Third World Quarterly, 33:9 (2012), pp. 1719–34

Roger Magnuson , ‘Non-Communicable Diseases and Global Health Governance: Enhancing Global Processes to Improve Health Development’, Globalization and Health, 3:2 (2007), available at: {} accessed 28 March 2013

Ronald Labonté , ‘Health Activism in a Globalising Era: Lessons Past for Efforts Future’, The Lancet, 381:9884 (2013), pp. 2158–19

Kathryn Hochstetler , ‘Fading Green: Environmental Politics in the MERCOSUR Free Trade Agreement’, Latin American Politics and Society, 45:4 (2003), pp. 133

Deborah Yashar , ‘Globalisation and Collective Action: A Review Essay’, Comparative Politics, 34:1 (2002), pp. 355–75

Laura Macdonald and Arne Ruckert , Post-Neoliberalism in the Americas (Basingstoke: Palgrave/Macmillan, 2009)

Jean Grugel and Pia Riggirozzi , ‘Post-neoliberalism in Latin America: Rebuilding and Reclaiming the State after Crisis’, Development and Change, 43:1 (2012), pp. 121

John Holveck , John Ehrenberg , Stephen Ault , et al., ‘Prevention, Control and Elimination of Neglected Diseases in the Americas: Pathways to Integrated, Inter-programmatic, Intersectoral Action for Health and Development’, BMC Public Health, 7 (2007), available at: {} accessed 10 March 2013

Sandhi Barreto , Jaime Miranda , Peter Figueroa , et al., ‘Epidemiology in Latin America and the Caribbean: Current Situation and Challenges’, International Journal of Epidemiology, 41:2 (2012), pp. 557–71

Amy Nunn , Elize Da Fonseca , and Sofia Gruskin Changing Global Essential Medicines Norms to Improve Access to AIDS treatment: Lessons from Brazil’, Global Public Health: An International Journal for Research, Policy and Practice, 4:2 (2009), pp. 131–49

Amy Nunn , The Politics and History of AIDS Treatment in Brazil (Netherlands: Springer, 2009)

Alex Shankland , and Andrea Cornwall , ‘Realising Health Rights in Brazil: The Micropolitics of Sustaining Health System Reform’, in Anthony Bebbington and Willy McCourt (eds), Development Success: Statecraft in the South, (London: Palgrave, 2007)

Wolfgang Streeck and Philippe C. Schmitter , ‘From National Corporatism to Transnational Pluralism: Organized Pluralism: Organized Interests in the Single European Market’, Politics and Society, 19:2 (1991), pp. 133–64

Amitav Acharya , ‘Comparative Regionalism: A Field Whose Time has Come?’, The International Spectator: Italian Journal of International Affairs, 47:1 (2012), pp. 315, 4

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Review of International Studies
  • ISSN: 0260-2105
  • EISSN: 1469-9044
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