Global Health Diplomacy, “San Francisco Values,” and HIV/AIDS: From the Local to the Global

Background: San Francisco has a distinguished history as a cosmopolitan, progressive, and international city, including extensive associations with <a title="Learn more about Global Health" href="https://www.sciencedirect.com/topics/medicine-and-dentistry/global-health">glo...

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Autor principal:	Sebastian Kevany
Formato:	article
Lenguaje:	EN
Publicado:	Ubiquity Press 2016
Materias:	diplomacy global health HIV/AIDS international relations San Francisco Infectious and parasitic diseases RC109-216 Public aspects of medicine RA1-1270
Acceso en línea:	https://doaj.org/article/7d65278d2a0b449c872e8607a6c3d004
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spelling	oai:doaj.org-article:7d65278d2a0b449c872e8607a6c3d0042021-12-02T06:00:34ZGlobal Health Diplomacy, “San Francisco Values,” and HIV/AIDS: From the Local to the Global2214-999610.1016/j.aogh.2015.12.004https://doaj.org/article/7d65278d2a0b449c872e8607a6c3d0042016-03-01T00:00:00Zhttps://annalsofglobalhealth.org/articles/1462https://doaj.org/toc/2214-9996Background: San Francisco has a distinguished history as a cosmopolitan, progressive, and international city, including extensive associations with <a title="Learn more about Global Health" href="https://www.sciencedirect.com/topics/medicine-and-dentistry/global-health">global health</a>. These circumstances have contributed to new, interdisciplinary scholarship in the field of global health diplomacy (GHD). In the present review, we describe the evolution and history of GHD at the practical and theoretical levels within the San Francisco medical community, trace related associations between the local and the global, and propose a range of potential opportunities for further development of this dynamic field. Methods: We provide a historical overview of the development of the “San Francisco Model” of collaborative, community-owned <a title="Learn more about HIV/AIDS" href="https://www.sciencedirect.com/topics/medicine-and-dentistry/hiv-aids">HIV/AIDS</a> treatment and care programs as pioneered under the “Ward 86” paradigm of the 1980s. We traced the expansion and evolution of this model to the national level under the Ryan White Care Act, and internationally via the <a title="Learn more about President's Emergency Plan for AIDS Relief" href="https://www.sciencedirect.com/topics/medicine-and-dentistry/presidents-emergency-plan-for-aids-relief">President's Emergency Plan for AIDS Relief</a>. In parallel, we describe the evolution of global health diplomacy practices, from the local to the global, including the integration of GHD principles into intervention design to ensure social, political, and cultural acceptability and sensitivity. Results: Global health programs, as informed by lessons learned from the San Francisco Model, are increasingly aligned with diplomatic principles and practices. This awareness has aided implementation, allowed policymakers to pursue related and progressive social and humanitarian issues in conjunction with medical responses, and elevated global health to the realm of “high politics.. Conclusions: In the 21st century, the integration between diplomatic, medical, and global health practices will continue under “smart global health” and GHD paradigms. These approaches will enhance intervention <a title="Learn more about Cost Effectiveness" href="https://www.sciencedirect.com/topics/medicine-and-dentistry/cost-effectiveness">cost-effectiveness</a> by addressing and optimizing, in tandem with each other, a wide range of (health and non-health) foreign policy, diplomatic, security, and economic priorities in a synergistic manner—without sacrificing health outcomes.Sebastian KevanyUbiquity Pressarticlediplomacyglobal healthHIV/AIDSinternational relationsSan FranciscoInfectious and parasitic diseasesRC109-216Public aspects of medicineRA1-1270ENAnnals of Global Health, Vol 81, Iss 5, Pp 611-617 (2016)
institution	DOAJ
collection	DOAJ
language	EN
topic	diplomacy global health HIV/AIDS international relations San Francisco Infectious and parasitic diseases RC109-216 Public aspects of medicine RA1-1270
spellingShingle	diplomacy global health HIV/AIDS international relations San Francisco Infectious and parasitic diseases RC109-216 Public aspects of medicine RA1-1270 Sebastian Kevany Global Health Diplomacy, “San Francisco Values,” and HIV/AIDS: From the Local to the Global
description	Background: San Francisco has a distinguished history as a cosmopolitan, progressive, and international city, including extensive associations with <a title="Learn more about Global Health" href="https://www.sciencedirect.com/topics/medicine-and-dentistry/global-health">global health</a>. These circumstances have contributed to new, interdisciplinary scholarship in the field of global health diplomacy (GHD). In the present review, we describe the evolution and history of GHD at the practical and theoretical levels within the San Francisco medical community, trace related associations between the local and the global, and propose a range of potential opportunities for further development of this dynamic field. Methods: We provide a historical overview of the development of the “San Francisco Model” of collaborative, community-owned <a title="Learn more about HIV/AIDS" href="https://www.sciencedirect.com/topics/medicine-and-dentistry/hiv-aids">HIV/AIDS</a> treatment and care programs as pioneered under the “Ward 86” paradigm of the 1980s. We traced the expansion and evolution of this model to the national level under the Ryan White Care Act, and internationally via the <a title="Learn more about President's Emergency Plan for AIDS Relief" href="https://www.sciencedirect.com/topics/medicine-and-dentistry/presidents-emergency-plan-for-aids-relief">President's Emergency Plan for AIDS Relief</a>. In parallel, we describe the evolution of global health diplomacy practices, from the local to the global, including the integration of GHD principles into intervention design to ensure social, political, and cultural acceptability and sensitivity. Results: Global health programs, as informed by lessons learned from the San Francisco Model, are increasingly aligned with diplomatic principles and practices. This awareness has aided implementation, allowed policymakers to pursue related and progressive social and humanitarian issues in conjunction with medical responses, and elevated global health to the realm of “high politics.. Conclusions: In the 21st century, the integration between diplomatic, medical, and global health practices will continue under “smart global health” and GHD paradigms. These approaches will enhance intervention <a title="Learn more about Cost Effectiveness" href="https://www.sciencedirect.com/topics/medicine-and-dentistry/cost-effectiveness">cost-effectiveness</a> by addressing and optimizing, in tandem with each other, a wide range of (health and non-health) foreign policy, diplomatic, security, and economic priorities in a synergistic manner—without sacrificing health outcomes.
format	article
author	Sebastian Kevany
author_facet	Sebastian Kevany
author_sort	Sebastian Kevany
title	Global Health Diplomacy, “San Francisco Values,” and HIV/AIDS: From the Local to the Global
title_short	Global Health Diplomacy, “San Francisco Values,” and HIV/AIDS: From the Local to the Global
title_full	Global Health Diplomacy, “San Francisco Values,” and HIV/AIDS: From the Local to the Global
title_fullStr	Global Health Diplomacy, “San Francisco Values,” and HIV/AIDS: From the Local to the Global
title_full_unstemmed	Global Health Diplomacy, “San Francisco Values,” and HIV/AIDS: From the Local to the Global
title_sort	global health diplomacy, “san francisco values,” and hiv/aids: from the local to the global
publisher	Ubiquity Press
publishDate	2016
url	https://doaj.org/article/7d65278d2a0b449c872e8607a6c3d004
work_keys_str_mv	AT sebastiankevany globalhealthdiplomacysanfranciscovaluesandhivaidsfromthelocaltotheglobal
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Global Health Diplomacy, “San Francisco Values,” and HIV/AIDS: From the Local to the Global

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