A social explanation for the rise and fall of global health issues.
This paper proposes an explanation concerning why some global health issues such as HIV/AIDS attract significant attention from international and national leaders, while other issues that also represent a high mortality and morbidity burden, such as pneumonia and malnutrition, remain neglected. The rise, persistence and decline of a global health issue may best be explained by the way in which its policy community--the network of individuals and organizations concerned with the problem--comes to understand and portray the issue and establishes institutions that can sustain this portrayal. This explanation emphasizes the power of ideas and challenges interpretations of issue ascendance and decline that place primary emphasis on material, objective factors such as mortality and morbidity levels and the existence of cost-effective interventions. This explanation has implications for our understanding of strategic public health communication. If ideas in the form of issue portrayals are central, strategic communication is far from a secondary public health activity: it is at the heart of what global health policy communities do.
Shiffman
Jeremy
J
The Maxwell School of Syracuse University, Syracuse, NY, United States of America. jrshiffm@maxwell.syr.edu
D001288:Attention; D014943:Global Health; D015658:HIV Infections; D006292:Health Priorities; D006801:Humans; D011584:Psychology
J Int Dev. 1995 May-Jun;7(3):489-502
12290763
N Engl J Med. 2007 Sep 6;357(10):1018-27
17804846
Lancet. 2008 Sep 27;372(9644):1185-91
18926279
Lancet. 2008 Mar 8;371(9615):865-9
18328932
Lancet. 2006 Nov 18;368(9549):1810-27
17113431
BMJ. 2000 Jun 24;320(7251):1726
10917698
Lancet. 2006 May 27;367(9524):1747-57
16731270
Reprod Health Matters. 2002 Nov;10(20):47-58
12557642
Health Policy Plan. 2006 Nov;21(6):411-20
16984894
Lancet. 2007 Oct 13;370(9595):1370-9
17933652
Lancet. 2006 May 6;367(9521):1541-7
16679168
Lancet. 2007 Sep 22;370(9592):1018-20
17889229
Lancet. 2008 Sep 6;372(9641):805; author reply 806
18774416
Lancet. 2006 Aug 5;368(9534):526-30
16890840
Lancet. 2008 Feb 16;371(9612):608-21
18206225
Health Policy Plan. 2008 Mar;23(2):95-100
18156161