揭示指标在全球疫苗接种治理中的作用

IF 3.5 2区 社会学 Q1 INTERNATIONAL RELATIONS
Anna Pichelstorfer, K. Paul
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引用次数: 5

摘要

世界卫生组织(世界卫生组织)等政府间行为者最近为促进在疫苗预防疾病方面的合作所作的努力,与国家免疫计划的背景条件性质形成了鲜明对比:疫苗接种时间表和交付大不相同,通过覆盖率来评估这些项目的方式也是如此,覆盖率是全球卫生治理的一个关键指标。我们表明,这些分歧在世界卫生组织评估实践中被搁置并通过外交方式解决:在这里,数据化的标准化指标和实践似乎可以将政治分歧转化为关于“数据质量”的技术讨论,我们将数据实践概念化为一种卫生外交形式,并将其基础设施概念化为全球卫生治理的组成部分。通过文件分析和访谈,我们研究了世界卫生组织制定成员国提供的覆盖率的做法。我们认为,这些指标是有表现力的,因为它们有助于将疫苗接种界定为一个全球关注的问题,并在全球规范和当地做法之间进行调解。我们展示了数据化是卫生外交的一种效果和手段,并有助于维持世界卫生组织的权威。我们的研究进一步证明了关注数据化实践及其政治含义的必要性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Unpacking the Role of Metrics in Global Vaccination Governance
Recent efforts by intergovernmental actors, such as the World Health Organization (WHO), to foster collaboration on vaccine-preventable diseases stand in stark contrast to the contextually contingent nature of national immunization programs: vaccination schedules and delivery differ greatly, and so do the ways in which these programs are assessed by means of coverage rates—a key metric in global health governance. These divergences, we show, are sidelined and resolved diplomatically in WHO assessment practices: here, seemingly standardized metrics and practices of datafication function to translate political differences into technical discussions about “data quality.” Using a practice-based approach, we conceptualize data practices as a form of health diplomacy and their infrastructures as constitutive of global health governance. Drawing on document analysis and interviews, we examine the WHO’s practices of producing coverage rates provided by member states. We argue that these metrics are performative inasmuch as they help frame vaccination as a global concern and mediate between global norms and local practices. We show how datafication is both an effect of, and a means for, health diplomacy and helps sustain the authority of the WHO. Our research further demonstrates the need to attend to practices of datafication and their political implications.
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来源期刊
CiteScore
4.80
自引率
12.50%
发文量
23
期刊介绍: International Political Sociology (IPS), responds to the need for more productive collaboration among political sociologists, international relations specialists and sociopolitical theorists. It is especially concerned with challenges arising from contemporary transformations of social, political, and global orders given the statist forms of traditional sociologies and the marginalization of social processes in many approaches to international relations. IPS is committed to theoretical innovation, new modes of empirical research and the geographical and cultural diversification of research beyond the usual circuits of European and North-American scholarship.
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