How states exerted power to create the Millennium Development Goals and how this shaped the global health agenda: Lessons for the sustainable development goals and the future of global health

How states exerted power to create the Millennium Development Goals and how this shaped the global health agenda: Lessons for the sustainable development goals and the future of global health
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DOI:
10.1080/17441692.2018.1468474
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发表时间:
2019-04-03
影响因子:
3.3
通讯作者:
Marten, Robert
Marten, Robert
中科院分区:
医学3区
文献类型:
--
作者:
Marten, Robert

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自 2000 年以来,八项千年发展目标 (MDG) 为全球发展努力提供了框架,改变了现在称为全球健康的领域。千年发展目标既反映又有助于制定规范的全球卫生议程。在全球健康领域,国家的作用在很大程度上被认为已经减弱;然而,本文重申国家是千年发展目标概念化和制度化的参与者,并说明了国家如何发挥权力并参与千年发展目标进程。各国不仅通过其国家元首认可《千年宣言》来批准千年发展目标,而且还在幕后更加巧妙地支持、支持和/或利用其他行为者、机构和进程来概念化千年发展目标并使其合法化。随着世界向千年发展目标的继承者可持续发展目标(SDG)过渡,认识到千年发展目标在全球健康概念化中的作用尤为重要。 SDGs的影响力、冲击力和重要性还有待观察;然而,要了解全球卫生的未来以及行动者(特别是国家)如何参与塑造这一领域,更深入地了解千年发展目标的遗产以及行动者过去如何参与是有帮助的。
Since 2000, the eight Millennium Development Goals (MDGs) provided the framework for global development efforts transforming the field now known as global health. The MDGs both reflected and contributed to shaping a normative global health agenda. In the field of global health, the role of the state is largely considered to have diminished; however, this paper reasserts states as actors in the conceptualisation and institutionalisation of the MDGs, and illustrates how states exerted power and engaged in the MDG process. States not only sanctioned the MDGs through their heads of states endorsing the Millennium Declaration, but also acted more subtly behind the scenes supporting, enabling, and/or leveraging other actors, institutions and processes to conceptualise and legitimize the MDGs. Appreciating the MDGs' role in the conceptualisation of global health is particularly relevant as the world transitions to the MDGs' successor, the Sustainable Development Goals (SDGs). The SDGs' influence, impact and importance remains to be seen; however, to understand the future of global health and how actors, particularly states, can engage to shape the field, a deeper sense of the MDGs' legacy and how actors engaged in the past is helpful.