What is success in global health diplomacy? A qualitative analysis of gendered and global perspectives on success and failure.

IF 3.5 3区医学 Q2 HEALTH CARE SCIENCES & SERVICES

Health policy and planning Pub Date : 2026-08-19 DOI:10.1093/heapol/czag097

Victoria Haldane, Aloysius Ssennyonjo, Robert Marten, Anders Nordstrom, Magda Robalo, Clare Wenham

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引用次数: 0

Abstract

Global health diplomacy is central to shaping the international response to health challenges, yet what counts as "success" or "failure" remains contested. This study explores how gender and geopolitical identity influence perceptions of success and failure among global health diplomacy practitioners. Drawing on qualitative analysis of free-text responses from 136 professionals worldwide, we identify distinct narrative patterns. Women and Global South respondents emphasized normative goals: equity, justice, and structural reform, framing success in terms of inclusion, voice, and redistribution. In contrast, men and Global North respondents often framed success through processes: institutional innovation, efficiency, and procedural legitimacy. Failures were similarly divergent, seen as systemic exclusion and dependency by some, and as governance breakdowns or missed diplomatic opportunities by others. Our findings highlight the plurality of diplomatic worldviews and call for a more reflexive, inclusive approach to evaluating and practicing global health diplomacy that recognizes diverse epistemologies and power dynamics shaping the field.

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什么是全球卫生外交的成功？性别和全球视角对成功和失败的定性分析。

全球卫生外交对于制定应对卫生挑战的国际对策至关重要，但“成功”或“失败”的定义仍然存在争议。本研究探讨性别和地缘政治认同如何影响全球卫生外交从业者对成功和失败的看法。通过对全球136位专业人士的自由文本回复进行定性分析，我们确定了不同的叙事模式。女性和全球南方受访者强调规范性目标：公平、正义和结构改革，在包容、发言权和再分配方面构建成功框架。相比之下，男性和全球北方的受访者通常通过流程来定义成功：制度创新、效率和程序合法性。失败也同样存在分歧，一些人将其视为系统性排斥和依赖，而另一些人则将其视为治理崩溃或错失外交机会。我们的研究结果强调了外交世界观的多元性，并呼吁采取一种更具反思性和包容性的方法来评估和实践全球卫生外交，承认塑造该领域的各种认识论和权力动态。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Health policy and planning 医学-卫生保健

CiteScore

6.00

自引率

3.10%

发文量

审稿时长

6 months

期刊介绍： Health Policy and Planning publishes health policy and systems research focusing on low- and middle-income countries. Our journal provides an international forum for publishing original and high-quality research that addresses questions pertinent to policy-makers, public health researchers and practitioners. Health Policy and Planning is published 10 times a year.