The WHO Directions on COVID-19 and Brazilian Health Public Policies: An Analysis from the Political Sociology of Public Action — Oak Academic Publishing
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The WHO Directions on COVID-19 and Brazilian Health Public Policies: An Analysis from the Political Sociology of Public Action
Mackenzie Presbyterian University, Sao Paulo, Brazil
,
USCS, Sao Caetano do Sul, Sao Paulo, Brazil
,
EESP/FGV, Sao Paulo, Brazil
1 Mackenzie Presbyterian University, Sao Paulo, Brazil
The paper first describes a brief history of the World Health Organization and its public actions during the last decades. Then, it describes its organizational structure and its roles in global health governance. It also emphasizes some global WHO actions in this field. The objective is to show th e WHO actions as part of the referential analysis of public policies, according to Jobert and Muller (1987) . We then present the referential theory and describe how it helps us understand international organizations’ influence in maintaining or changing specific paradigms in public policy. Afterward, we provide a brief history of Brazil’s actions during the SARS H1N1 pandemic to illustrate how the WHO guidelines and the International Health Regulations have served as a paradigm for Brazilian public policy in this area. Then, we demonstrate that by not following the WHO recommendations to combat the pandemic, the Brazilian government generates a conflict of references expressed both in the clash between the central government and the Ministry of Health and in a federative clash opposing national and regional governments.
KeywordsHealth PoliciesBrazilCOVID-19WHOInternational Health Regulations
Abrucio, F. L., Grin, E. J., Franzese, C., Segatto, C. I., & Couto, C. G. (2020). Combating COVID-19 under Bolsonaro’s Federalism: A Case of Intergovernmental Incoordination. Revista de Administracao Pública, 54, 663-677. https://doi.org/10.1590/0034-761220200354x
Alexander, N. C. (2001). Paying for Education: How the World Bank and the International Monetary Fund Influence Education in Developing Countries. Peabody Journal of Education, 76, 285-338. https://doi.org/10.1080/0161956X.2001.9682002
Auld, E., Rappleye, J., & Morris, P. (2019). PISA for Development: How the OECD and World Bank Shaped Education Governance Post-2015. Comparative Education, 55, 197-219. https://doi.org/10.1080/03050068.2018.1538635
Bellei, N., & Melchior, T. B. (2011). H1N1: Pandemia e perspectiva atual. Jornal Brasileiro de Patologia e Medicina Laboratorial, 47, 611-617. https://doi.org/10.1590/S1676-24442011000600007
Bobbio, N. (1994). Droite et Gauche. Essai sur une distinction politique. éditions du Seuil.
Braga, A., Bohm, G. M., Pereira, L. A. A., & Saldiva, P. (2001). Poluicao atmosférica e saúde humana. Revista USP, No. 51, 58-71. https://doi.org/10.11606/issn.2316-9036.v0i51p58-71
Centro de Estudos e Pesquisas de Direito Sanitário (CEPEDISA), & Conectas Direitos Humanos (2020). Boletim direitos na pandemia.
Cueto, M., Brown, T. M., & Fee, E. (2019). The World Health Organization: A History. Cambridge University Press. https://doi.org/10.1017/9781108692878
Durrheim, D. N., Gostin, L. O., & Moodley, K. (2020). When Does a Major Outbreak Become a Public Health Emergency of International Concern? The Lancet Infectious Diseases, 20, 887-889. https://doi.org/10.1016/S1473-3099(20)30401-1
Edwards, S. (1989). The International Monetary Fund and the Developing Countries: A Critical Evaluation. Carnegie-Rochester Conference Series on Public Policy, 31, 7-68. https://doi.org/10.1016/0167-2231(89)90003-1
Faure, A. & Mueller, P. (2013). Cycle, réseaux, récits: Questions de recherche sur l’action publique locale-globale. Circulations et appropriations des normes et des modèles de l’action locale/UMR ART-Dev (Acteurs, ressources et territoires dans le développement).
Ferreira, F. D. P., & Gonzaga e Castro, L. D. P. (2012). O novo regulamento sanitário internacional e o controle da pandemia Influenza H1N1 no Brasil. Revista Paradigma, No. 20. https://revistas.unaerp.br/paradigma/article/view/97
Fronzaglia, M. (2011). Políticas Públicas Internacionais: O caso do Processo de Bolonha. Doutorado em Ciências Políticas, Universidade Estadual de Campinas.
Fronzaglia, M. (2016). O processo de Bolonha: Um estudo de caso de política pública internacional (1999-2010). Ideias, 6, 59-100. https://doi.org/10.20396/ideias.v6i2.8649463
Hassenteufel, P. (2008). Sociologie Publique: L’Action Publique. Editions Armand Colin.
Jobert, B. (1985). L’état en action. L’apport des politiques publiques. Revue Francaise de Science Politique, 35, 654-682. https://doi.org/10.3406/rfsp.1985.394207
Jobert, B. (2004). Une approche dialectique des politiques publiques. Pole Sud, 21, 43-54.
Jobert, B., & Muller, P. (1987). L’état en Action: Politiques publiques et corporatismes. Presses Universitaires de France.
Levitsky, S., & Ziblatt, D. (2018). How Democracies Dies. Crown Publisher.
Lips, C., & Bonnaire, A. C. (2019). State of Play of the European Area of Higher Education: 20 Years after the Launch of the Bologna Process. Politické Vedy, 22, 266-277. https://doi.org/10.24040/politickevedy.2019.22.4.266-277
Marchand, P., Bairros, M., & Amaral, J. (2018). A Base Nacional Comum Curricular do Ensino Médio, as definicoes do Banco Mundial e os desafios da educacao pública no Brasil. Políticas Educativas, 11, 69-88.
Matta, G. C. (2005). A organizacao mundial da saúde: Do controle de epidemias à luta pela hegemonia. Revista Trabalho, Educacao e Saúde, 3, 71-396. https://doi.org/10.1590/S1981-77462005000200007
Ministry of Health (2020). Plano de Contingência Nacional para Infeccao Humana pelo novo Coronavírus COVID-19. Centro de Operacoes de Emergências em Saúde Pública|COE-COVID-19.
Mounk, Y. (2019). O Povo Contra a Democracia: Por que nossa liberdade corre perigo e como salvá-la. Companhia das Letras.
Müller, P. (2015). Mise en perspective. Une théorie des cycles d’action publique pour penser le changement systémique. In L. Boussaguet, S. Jacquot, P. Ravinet, & P. Muller (Eds.), Une French Touch dans l’Analyse des Politiques Publiques? (pp. 405-435). Presses de Sciences Po.
Pierce, J. J., Peterson, H. L., & Hicks, K. C. (2020). Policy Change: An Advocacy Coalition Framework Perspective. Policy Studies Journal, 48, 64-86. https://doi.org/10.1111/psj.12223
Pozzatti Jr., A. (2019). O Dever de Cooperacao Internacional na Fundamentacao dos Direitos Humanos. Revista Seqüência (Florianópolis), 40, 146-175. https://doi.org/10.5007/2177-7055.2019v41n82p146
Ruiz, C., & Jose, M. (2021). Surrogacy: International Public Policy vs. European Public Policy. Cuadernos de Derecho Transnacional, 13, 971-1002.
Sabatier, P. A. (1988). An Advocacy Coalition Framework of Policy Change and the Role of Policy-Oriented Learning Therein. Policy Sciences, 21, 129-168. https://doi.org/10.1007/BF00136406
Sabatier, P. A., & Weible, C. M. (2007). The Advocacy Coalition Framework: Innovations and Clarifications. In P. A. Sabatier (Ed.), Theories of the Policy Process (pp. 189-220). Westview Press. https://doi.org/10.4324/9780367274689-7
Scliar, M. (2007). História do Conceito de Saúde. Physis: Revista de Saúde Coletiva, 17, 29-41. https://doi.org/10.1590/S0103-73312007000100003
Stanley, J. (2018). How Fascism Works: The Politics of Us and Them. Random House.
Temporao, J. G. (2009). O enfrentamento do Brasil diante do risco de uma pandemia de influenza pelo vírus A (H1N1). Epidemiologia e Servicos de Saúde, 18. http://scielo.iec.gov.br/scielo.php?script=sci_arttext&pid=S1679-49742009000300001 https://doi.org/10.5123/S1679-49742009000300001
World Health Organization (2008). International Health Regulations (2005).