| Popis: |
This chapter explores the consequences of institutional reforms in global health governance. Specifically, it investigates and compares changes in the voice and influence of Brazilian and Argentine stakeholders—and assesses whether and to what extent these changes are attributable to recent institutional reforms. Global health governance is highly salient for Brazil and Argentina. Brazil has increased its presence and voice in such governance and has been more engaged and influential than Argentina in the World Health Organization and its multi-stakeholder institutions, in the International Council for Harmonization of Technical Requirements for Pharmaceuticals for Human Use (ICH), and arguably also in the Codex Alimentarius Commission. At the same time, both countries’ participation in the Global Fund and GlobalG.A.P. is similarly low. The contrasting patterns of economic growth and foreign policy positions of Brazil and Argentina help to explain their variation in engagement and influence in global health institutions. The engagement and influence of Brazil and Argentina in these institutions are undermined by the insufficiency of institutional reforms, as well as the lack or shortage of human and material resources. |
