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Globalization and health: a framework for analysis and action.

D Woodward1, N Drager, R Beaglehole

  • 1Globalization, Cross-Sectoral Policies and Human Rights Team, Department of Health and Development, World Health Organization, 1211 Geneva 27, Switzerland. woodwardd@who.int

Bulletin of the World Health Organization
|October 5, 2001
PubMed
Summary

This study introduces a framework to understand how economic globalization impacts public health, especially in developing nations. It aims to guide research and policy for better health outcomes globally.

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Area of Science:

  • Public Health
  • Global Health
  • Health Economics

Background:

  • Globalization presents complex challenges to public health, particularly in developing countries.
  • Existing literature on globalization and health is fragmented and lacks a unified assessment framework.
  • There is a need for a structured approach to analyze the multifaceted health effects of globalization.

Purpose of the Study:

  • To present a conceptual framework detailing the linkages between economic globalization and health.
  • To provide a basis for synthesizing existing research and identifying knowledge gaps.
  • To inform the development of health-promoting national and international policies.

Main Methods:

  • Development of a conceptual framework to map globalization-health interactions.

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  • Inclusion of both indirect pathways (economic, social sectors) and direct effects (risk factors, healthcare systems).
  • Proposal of objectives for an action program to optimize health impacts.

    • Main Results:

    • The framework encompasses indirect health effects via national/household economies and health sectors (water, sanitation, education).
    • It also addresses direct effects on population/individual risk factors and healthcare systems.
    • Identified five critical linkages between globalization and health.

    Conclusions:

    • The proposed framework can synthesize literature, identify research gaps, and guide policy development.
    • Highlights the need for research priorities aligned with critical globalization-health linkages.
    • Aims to foster policies that optimize the health effects of economic globalization.