Imperial or postcolonial governance? Dissecting the genealogy of a global public health strategy
Imperial or postcolonial governance? Dissecting the genealogy of a global public health strategy
复制标题
DOI：
10.1016/j.socscimed.2008.07.027
复制
发表时间：
2008-11-01
影响因子：
5.4
通讯作者：
Bell, Morag
中科院分区：
文献类型：
--
作者：
Brown, Tim;Bell, Morag
在20世纪的最后几十年里，全球化与健康之间的相互关系变得越来越明显，变得极其复杂。这种复杂性在围绕传染病重新出现的辩论中得到了强调，人们认识到全球化进程结合起来创造了条件，一旦局部化，微生物危害已经对许多西方国家构成威胁。相比之下，在有关非传染性疾病流行病的新文献中，以及在世卫组织的“饮食、身体活动和健康全球战略”中，所谓的“西方生活方式”被视为对人口健康的主要威胁。本文批判性地探讨了全球对这一发展的反应。基于我们对健康身体的治理和伦理管理问题的兴趣，我们研究了全球战略在寻求遏制“西方生活方式”的影响时，是否也促进了当代“西方启发”的公共卫生实践方法。该文件指出，对世卫组织战略的部分阅读表明，某些国家，特别是西方以外的国家，正在被西方全球卫生“帝国”愿景的一体化雄心所俘虏或"框定“。然而，当通过后殖民透镜进行批判性解释时，我们认为“一体化”更为复杂，西方国家/非西方国家之间存在的微妙和动态的权力关系被暴露出来。(c)2008爱思唯尔有限公司保留所有权利。
During the last decades of the 20th century it became increasingly apparent that the interrelationship between globalisation and health is extremely complex. This complexity is highlighted in debates surrounding the re-emergence of infectious diseases, where it is recognised that the processes of globalisation have combined to create the conditions where once localised, microbial hazards have come to pose a threat to many western nations. By contrast, in an emerging literature relating to the epidemic of non-communicable diseases, and reflected in the WHO 'Global strategy on diet, physical activity and health', it is the so-called 'western lifestyle' that has been cast as the main threat to a population's health. This paper explores critically global responses to this development. Building on our interest in questions of governance and the ethical management of the healthy body, we examine whether the global strategy, in seeking to contain the influence of a 'western lifestyle', also promotes contemporary 'western-inspired' approaches to public health practices. The paper indicates that a partial reading of the WHO strategy suggests that certain countries, especially those outside the West, are being captured or 'enframed' by the integrative ambitions of a western 'imperial' vision of global health. However, when interpreted critically through a postcolonial lens, we argue that 'integration' is more complex, and that the subtle and dynamic relations of power that exist between countries of the West/non-West, are exposed. (c) 2008 Elsevier Ltd. All rights reserved.