Dissertation/Thesis Abstract

Impact of Global Health Governance on Transnational Health Security Threats: An Evaluation of the Global Health Security Agenda Steering Group
by DeShore, Naomi Elizabeth, D.H.A., Central Michigan University, 2020, 206; 27830174
Abstract (Summary)

In our interconnected world, we are only as safe as the most fragile state. Transnational health threats make global health security a priority and international cooperation needed to tackle dangerous pathogens. Global health security describes the capacities required for countries to prevent, detect, and respond to infectious diseases and other public health threats. This reduces the risk of these threats crossing borders. In 2014, the first Global Health Security Agenda Steering Group Development Meeting convened to drive progress following the launch of the agenda. This meeting was a significant step forward in launching a historic partnership that birthed a new dimension of global health security. The Steering Group was charged with establishing sustainable efforts through the identification of challenges, the tracking of progress, and the implementation oversight of Global Health Security Agenda (GHSA) objectives to meet International Health Regulation standards. This study will contribute a body of knowledge by examining the extent of the impact the GHSA Steering Group governance interventions have had in enabling public health system performance and global health security implementation among the World Health Organization Member States. Spearman’s rho analysis was conducted using governance attributes (strategic vision, participation and consensus orientation, rule of law, transparency, responsiveness, equity and inclusiveness, effectiveness and efficiency, accountability, intelligence and information, ethics) as the independent variable and public health system performance indicators gross domestic product per capita based on purchasing power parity (GDP-PPP), current health expenditure per capita, PPP (CHE-PPP), skilled health professionals density (SHPD), and global health security indicators (global health security index and international health regulations core capacity index) as its dependent variables. Results revealed a positive effect size between governance and GDP per capita, PPP, current health expenditure per capita, PPP, skilled health professionals density, Global Health Security Index, and the International Health Regulations (IHR) Core Capacity Index. Analyses as presented provide an argument for the continued support of the GHSA 2024 Framework. As well of its implementation of global health security capabilities and the achievement of 2005 IHR core capacities, despite weaknesses found in the Global Health Security (GHS) data. The associations identified in this study enhance the understanding of the Steering Group’s governance interventions. It further provides GHSA country partners, advisory partners, technical experts, international organizations, and non-governmental stakeholders information about key characteristics that influence public health system performance and GHS implementation. The GHSA governance role remains profoundly important in establishing sustainable international efforts towards achieving the objectives of the GHSA and in support of the 2005 IHR standards. The findings provided also support the GHSA policy framework in its ability to inform improvements, funding discussions, reach achievements, and justify or increase investment in initiatives. This study further concludes that a Steering Group model can be applied to current global health initiatives such as the Sustainable Development Goals, Global Noncommunicable Diseases, and future global health initiatives. It also presents a case for health systems embedment into global health security. Lastly, this study shows that health system performance is only effective at protecting populations when countries achieve the core capacities of preparedness and provide a proper response to global health threats.

Indexing (document details)
Advisor: Johnson, James A
Commitee: Malone, Patrick, Greenhill, Richard G, Wuenstel, William G
School: Central Michigan University
Department: DHA - Health Administration/School of Health Sciences
School Location: United States -- Michigan
Source: DAI-A 81/9(E), Dissertation Abstracts International
Subjects: Public health, Public policy, International Relations
Keywords: Global health, Global health governance, Global health security, Global health security agenda, Health systems Performance, International health Regulations
Publication Number: 27830174
ISBN: 9781658496643
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