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European perspectives on global health: a policy glossary

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Foreword<br />

This <strong>policy</strong> <strong>glossary</strong> is intended to encourage<br />

foundati<strong>on</strong>s and other <str<strong>on</strong>g>European</str<strong>on</strong>g> instituti<strong>on</strong>s to play<br />

a more active role in <strong>global</strong> <strong>health</strong>. It is designed<br />

to inform <strong>policy</strong> deliberati<strong>on</strong>s in the wider political,<br />

ec<strong>on</strong>omic and social spheres, setting out the<br />

challenges of <strong>global</strong> <strong>health</strong> and laying the groundwork<br />

for coordinated, cross-sector <str<strong>on</strong>g>European</str<strong>on</strong>g> acti<strong>on</strong>.<br />

Health Organizati<strong>on</strong> Regi<strong>on</strong>al Office for Europe in<br />

Copenhagen in February 2005. Its publicati<strong>on</strong> and<br />

discussi<strong>on</strong> should raise awareness about <strong>global</strong> <strong>health</strong><br />

am<strong>on</strong>g foundati<strong>on</strong> and other instituti<strong>on</strong> leaders and<br />

should serve as a resource <strong>on</strong> how <strong>global</strong> <strong>health</strong> can<br />

be strengthened in existing programmes and by new<br />

partnership initiatives.<br />

<str<strong>on</strong>g>European</str<strong>on</strong>g> foundati<strong>on</strong>s active within the <str<strong>on</strong>g>European</str<strong>on</strong>g><br />

Foundati<strong>on</strong> Centre and its Europe in the World<br />

initiative have recognised the importance of <strong>health</strong><br />

in an interdependent world and have taken a range<br />

of cooperati<strong>on</strong> and networking initiatives with<br />

internati<strong>on</strong>al organisati<strong>on</strong>s, political instituti<strong>on</strong>s and<br />

academic organisati<strong>on</strong>s. The initiative has urged<br />

foundati<strong>on</strong>s to spend 5 % outside Europe <strong>on</strong> <strong>global</strong><br />

and development issues – particularly the Millennium<br />

Development Goals.<br />

The EFC and its members have also recognised<br />

that further informati<strong>on</strong> and advocacy is needed to<br />

mobilise political and social acti<strong>on</strong> within Europe,<br />

to take the <strong>global</strong> <strong>health</strong> agenda forward and to<br />

translate <str<strong>on</strong>g>European</str<strong>on</strong>g> values of sustainable development<br />

and a commitment to human rights into acti<strong>on</strong> <strong>on</strong><br />

<strong>health</strong> as a <strong>global</strong> public good. In short, the key<br />

message is that the <str<strong>on</strong>g>European</str<strong>on</strong>g> Uni<strong>on</strong> should play a<br />

more proactive role in <strong>global</strong> <strong>health</strong>, together with<br />

foundati<strong>on</strong>s, the corporate sector, <strong>health</strong> professi<strong>on</strong>al<br />

groups, NGOs and other <str<strong>on</strong>g>European</str<strong>on</strong>g> organisati<strong>on</strong>s.<br />

These should be brought together through networks<br />

such as NEF ( Network of <str<strong>on</strong>g>European</str<strong>on</strong>g> Foundati<strong>on</strong>s ),<br />

Europe’s nati<strong>on</strong>al associati<strong>on</strong>s of d<strong>on</strong>ors, and<br />

<str<strong>on</strong>g>European</str<strong>on</strong>g> and other nati<strong>on</strong>al <strong>health</strong> networks<br />

and instituti<strong>on</strong>s with an interest in <strong>global</strong> <strong>health</strong>.<br />

The mechanism for this collaborati<strong>on</strong> should be a<br />

<str<strong>on</strong>g>European</str<strong>on</strong>g> Strategy for Global Health.<br />

The idea of a <strong>policy</strong> <strong>glossary</strong> was c<strong>on</strong>ceived following<br />

a panel at the <str<strong>on</strong>g>European</str<strong>on</strong>g> Health Policy Forum at Bad<br />

Gastein 2004 in which Health Commissi<strong>on</strong>er David<br />

Byrne made a str<strong>on</strong>g plea for a more c<strong>on</strong>solidated<br />

<str<strong>on</strong>g>European</str<strong>on</strong>g> approach to <strong>global</strong> <strong>health</strong>. It was reinforced<br />

at a joint meeting between the EFC’s <str<strong>on</strong>g>European</str<strong>on</strong>g><br />

Partnership for Global Health and the World<br />

Global Health Policy Glossary<br />

In a <strong>global</strong>ising world there is no such place as<br />

abroad – problems and soluti<strong>on</strong>s reach across<br />

nati<strong>on</strong>al borders resulting in the need for internati<strong>on</strong>al<br />

collaborati<strong>on</strong> and abolishing the distincti<strong>on</strong><br />

between internal and external nati<strong>on</strong>al resp<strong>on</strong>ses.<br />

The processes of <strong>global</strong>isati<strong>on</strong> are leading to the<br />

internati<strong>on</strong>alisati<strong>on</strong> of <strong>health</strong> risks and ever greater<br />

interdependence. Global <strong>health</strong> requires cooperati<strong>on</strong><br />

and coordinati<strong>on</strong>. There is a need for opportunities<br />

to exchange ideas and learn from <strong>on</strong>e another, to<br />

develop joint acti<strong>on</strong> and to protect, promote and<br />

improve <strong>health</strong>.<br />

The promoti<strong>on</strong> of a <str<strong>on</strong>g>European</str<strong>on</strong>g> perspective <strong>on</strong> <strong>global</strong><br />

<strong>health</strong> reflects the l<strong>on</strong>g traditi<strong>on</strong> of foundati<strong>on</strong>s as<br />

private civil society entities serving public goals. In a<br />

world in which civil society has a <strong>global</strong> c<strong>on</strong>text of<br />

social and political change and the state is no l<strong>on</strong>ger<br />

the <strong>on</strong>ly guardian of the public interest, foundati<strong>on</strong>s<br />

have an even more crucial role in promoting public<br />

benefit and the <strong>global</strong> public good. The distinctive<br />

characteristics of foundati<strong>on</strong>s allow them to add value<br />

as philanthropic “venture capitalists”, facilitating<br />

change in public <strong>policy</strong>, acting as independent<br />

brokers for new ideas, c<strong>on</strong>vening meetings with n<strong>on</strong>traditi<strong>on</strong>al<br />

stakeholders and bringing their unique<br />

<str<strong>on</strong>g>perspectives</str<strong>on</strong>g> to issues of comm<strong>on</strong> c<strong>on</strong>cern. They can<br />

promote diversity of thought, search for soluti<strong>on</strong>s<br />

for acti<strong>on</strong>, foster internati<strong>on</strong>al collaborati<strong>on</strong>, provide<br />

working capital for ideas to bring them to the market<br />

of mainstream funders, and manage the turbulence<br />

associated with new and challenging ideas. This<br />

<strong>glossary</strong> will help foundati<strong>on</strong>s add value in advancing<br />

the <strong>global</strong> agenda, recognising that the world is<br />

facing an unprecedented set of challenges and that<br />

the current system for <strong>global</strong> problem-solving is illequipped<br />

to deal with them.<br />

5

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